Greenland John R, Letvin Norman L
Division of Viral Pathogenesis, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Research East 113, Boston, MA 02215, USA.
Vaccine. 2007 May 10;25(19):3731-41. doi: 10.1016/j.vaccine.2007.01.120. Epub 2007 Feb 20.
Plasmid DNA vaccines are a promising modality for immunization against a variety of human pathogens. Immunization via multiple routes with plasmid DNA can elicit potent cellular immune responses, and these immunogens can be administered repeatedly without inducing anti-vector immunity. Nonetheless, the immunogenicity of plasmid DNA vaccines has been limited by problems associated with delivery. A number of adjuvants have been designed to improve plasmid DNA immunogenicity, either by directly stimulating the immune system or by enhancing plasmid DNA expression. Chemical adjuvants for enhancing plasmid DNA expression include liposomes, polymers, and microparticles, all of which have shown promise for enhancing the expression and immunogenicity of plasmid DNA vaccines in animal models. Micro- and nanoparticles have not been shown to enhance immune responses to plasmid DNA vaccines. However, formulation of plasmid DNA with some non-particulate polymeric adjuvants has led to a statistically significant enhancement of immune responses. Further development of these technologies will significantly improve the utility of plasmid DNA vaccination.
质粒DNA疫苗是针对多种人类病原体进行免疫接种的一种有前景的方式。通过多种途径用质粒DNA进行免疫接种可引发有效的细胞免疫反应,并且这些免疫原可以反复给药而不会诱导抗载体免疫。尽管如此,质粒DNA疫苗的免疫原性一直受到与递送相关问题的限制。已经设计了许多佐剂来提高质粒DNA的免疫原性,要么通过直接刺激免疫系统,要么通过增强质粒DNA的表达。用于增强质粒DNA表达的化学佐剂包括脂质体、聚合物和微粒,所有这些在动物模型中都显示出增强质粒DNA疫苗表达和免疫原性的前景。微米和纳米颗粒尚未显示出能增强对质粒DNA疫苗的免疫反应。然而,用一些非颗粒状聚合物佐剂配制质粒DNA已导致免疫反应在统计学上有显著增强。这些技术的进一步发展将显著提高质粒DNA疫苗接种的效用。