based on our present knowledge, it is possible that several vaccines (or true
“cocktails”) are required to deal with the various HIV subtypes prevalent in the
different countries affected by the epidemic.
In spite of these difficulties, the scientific community is reservedly optimistic
concerning the possibility of developing one or more vaccines with varying levels of
effectiveness against HIV. This optimism is based on several facts, including:
a)
the existence of individuals who are repeatedly exposed to HIV, do not
become infected and develop immunological responses which might explain
this resistance; others probably do not become infected because of the lack
or changes in the receptors required for HIV entry in the cells;
b)
the existence of vaccine products that protect monkeys from the infection or
from developing the disease ;
c)
some vaccine products have triggered potent immunological reactions in
human volunteers;
d)
the successful development of other vaccines against several viruses (e.g.,
hepatitis, poliomyelitis, mumps) even when the understanding of
pathophysiology was smaller than in the case of HIV infection.
Vaccine candidates and need for involvement in HIV research, development
and evaluation
There are three different types (and purposes) of vaccine candidate products being
developed and evaluated:
1. Preventive vaccines: to prevent HIV infection (sterilizing immunity) or the progress
towards AIDS (partial immunity);
11