Bröker Michael
Chiron Vaccines, Chiron Behring GmbH & Co. KG, Post Box 1630, 35006 Marburg, Germany.
Arzneimittelforschung. 2003;53(12):805-13. doi: 10.1055/s-0031-1299834.
Meningococcal diseases continue to have a major public health impact in many countries. Five major groups of Neisseria meningitidis (A, B, C, Y and W135) are responsible for most meningoccocal diseases. Plain polysaccharides vaccines for Nelsseria meningitidis groups A, C, Y and W-135 have been in use for approximately 20 years, both to prevent invasive disease in high-risk population and to control disease outbreaks. However, these conventional meningococcal vaccines induce a relatively short-lasting T-cell independent immune response, are not effective in children under two years of age and can induce hyporesponsiveness. New meningococcal group C conjugate vaccines have since been developed, which offer solid advantages over the currently licensed plain polysaccharide vaccines. There is still no vaccine available against the serogroup B, which is a major cause of invasive disease. This report summarises the different approaches to the development of vaccines against the pathogenic meningococci.
脑膜炎球菌病在许多国家仍然对公共卫生有重大影响。脑膜炎奈瑟菌的五个主要菌群(A、B、C、Y和W135)是导致大多数脑膜炎球菌病的原因。用于A、C、Y和W-135群脑膜炎奈瑟菌的普通多糖疫苗已经使用了大约20年,用于预防高危人群的侵袭性疾病和控制疾病暴发。然而,这些传统的脑膜炎球菌疫苗诱导的是相对短暂的非T细胞依赖性免疫反应,对两岁以下儿童无效,并且可能诱导免疫低反应性。此后开发了新的C群脑膜炎球菌结合疫苗,与目前已获许可的普通多糖疫苗相比具有明显优势。目前仍然没有针对B群血清型的疫苗,而B群血清型是侵袭性疾病的主要病因。本报告总结了针对致病性脑膜炎球菌开发疫苗的不同方法。