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HIV vaccines in infants and children: past trials, present plans and future perspectives
1Elizabeth Glaser Pediatric AIDS Foundation, Department of Pediatrics, David Geffin School of Medicine, University of California, Los Angeles, USA. jeff@pedaids.org
Insights
This review examines pediatric HIV vaccine trials, including successes, failures in macaque models, and future prospects for preventing mother-to-child transmission and establishing long-term immunity.
Area of Science:
- Immunology
- Vaccinology
- Pediatrics
Background:
- Review of past pediatric vaccine successes.
- Examination of the neonatal macaque model for Simian Immunodeficiency Virus (SIV) infection.
- Discussion of challenges and successes in pediatric HIV vaccine development.
Purpose of the Study:
- To review the recent history of human immunodeficiency virus (HIV) vaccine trials in pediatric populations.
- To discuss the implications of studies using the neonatal macaque model of SIV infection.
- To outline current and planned pediatric HIV vaccine trials and future perspectives.
Main Methods:
- Literature review of pediatric HIV vaccine trials.
- Analysis of data from neonatal macaque models of SIV infection.
- Synthesis of information on ongoing and planned clinical trials.
Main Results:
- Overview of historical successes and failures in pediatric vaccine development.
- Insights from SIV-infected macaque models regarding potential efficacy and safety.
- Identification of a limited number of ongoing and planned pediatric HIV vaccine trials.
Conclusions:
- Pediatric HIV vaccine research faces unique challenges but holds significant promise.
- The neonatal macaque model provides valuable insights into vaccine efficacy and safety.
- Future HIV vaccines aim to prevent mother-to-child transmission and establish lifelong immunity in children.
Abstract:
This review will address the recent history in HIV vaccine trials in the pediatric population while giving due respect to the pediatric vaccine successes achieved over the past decades. Success and failure seen when utilizing the neonatal macaque model of SIV infection and the ramifications of these studies will be discussed. The short list of pediatric HIV vaccine trials currently in progress and those in early planning stages will be reviewed. Finally, future perspectives on the impact of a vaccine that could be used to potentially avert mother-to-child transmission of HIV and lead ultimately to the establishment of immunity throughout adolescence and beyond will be presented.
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