The p24 capsid antigen forms the conical core of HIV-1 virions, comprising 2,000-3,000 copies per viral particle . As one of the earliest detectable markers of acute HIV infection (appearing 2-3 weeks post-exposure), it has become a cornerstone for:
Fourth-generation HIV combo assays detecting both antigen and antibodies
Vaccine development targeting conserved regions of the HIV capsid
Recent advances have identified high-performance monoclonal antibodies for p24 antigen capture:
*VL = Viral Load (log10 copies/mL) at assay cutoff
Standard p24 assays: Detect ≥10^4.4 copies/mL (31-40% detection rate in blind panels)
Ultrasensitive methods:
Reduces diagnostic window period from 22 days (antibody-only) to 15 days
Detects acute HIV infections with viral loads >10^6 copies/mL - 9x higher transmission risk phase
30-fold antibody titer enhancement when vectorized in lipid nanoparticles (NLC-p24 systems)
Key limitations addressed in recent research:
Immunogenicity: Native p24 shows poor antibody response (<1 μg/mL in mice)
Subtype variability: CRF02_AG strains showed 23% reduced detectability
Immune complex formation: p24/antibody complexes reduce free antigen levels
Breakthrough solutions:
Cationic NLC carriers boost anti-p24 IgG production to 153±16 μg/mL
CpG oligodeoxynucleotide adjuvants enhance Th1 responses by 285%
Dual antibody systems (e.g., C65690M+ANT-152) achieve 100% strain coverage
Vaccine development:
Transmission prevention:
Blood safety: