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Please note this is News in Brief, and so will be a short article.
Published online 2 April 2008 | Nature 452, 516 (2008) | doi:10.1038/452516a
News in Brief
Back to basics for HIV vaccine development
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Please note this is News in Brief, and so will be a short article.
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Yes, "it is partly a crisis of its own making â one that holds lessons for many other areas of biomedical research" (Nature Editorial). But the same lessons have emerged, time and again, in the past. For examples, see: http://post.queensu.ca/~forsdyke/peerrev0.htm. The history of science provides a clear record of how important discoveries are made, or not made. Yet, the chain linking this information to those who could bring about reforms is tenuous.
There seem to be at least two sets of microbial pathogens, from the vaccine point of view. There are those for which it is (or has been) possible to develop efficacious vaccines. And there are those for which this seems to be difficult. At present we do not seem to be in a position to differentiate between these two groups of microbial pathogens.
Currently, mainly IFN-gamma ELISPOT is used in Phase 1 HIV vaccine trials to measure immune response since validated assays are available for quantifying its production. The recent failure of some of the HIV vaccines clearly shows that more parameters need to be studied. These should include more cytokines, viral neutralization assays and the impact of anti vector immune response on the vaccine induced immune response. The decision to scale up trials of promising vaccine candidates will then have a greater scientific rigour. V.D.Ramanathan