Tamura Shin-ichi
Department for Coordination Program of Science and Technology Projects, Japan Science and Technology Agency.
Nihon Rinsho. 2006 Oct;64(10):1871-8.
Natural influenza virus infection is well known to be superior to parenteral inactivated vaccines, which induce serum IgG antibodies(Abs) alone, in inducing the broad-spectrum cross-protection against variant virus infection. Secretory IgA Abs, which provide cross-protection strongly against infection with variant viruses within the same subtype mainly in the upper respiratory tract, serum IgG Abs, which provide cross-protection weakly against infection with variant viruses mainly in the lower respiratory tract, and cytotoxic T lymphocytes, which provide cross-protection against infection with different subtype viruses and whose role is not always big in humans, are involved in the defence mechanisms induced by natural infection. The development of intranasal inactivated vaccine, capable of inducing both IgA and IgG Abs, is important to improve the efficacy of current inactivated vaccine.
众所周知,自然感染流感病毒在诱导针对变异病毒感染的广谱交叉保护方面优于仅诱导血清IgG抗体的肠胃外灭活疫苗。分泌型IgA抗体主要在上呼吸道对同一亚型内的变异病毒感染提供强大的交叉保护,血清IgG抗体主要在下呼吸道对变异病毒感染提供较弱的交叉保护,细胞毒性T淋巴细胞对不同亚型病毒感染提供交叉保护,其在人类中的作用并不总是很大,这些都参与了自然感染诱导的防御机制。开发能够诱导IgA和IgG抗体的鼻内灭活疫苗对于提高当前灭活疫苗的效力很重要。