Zakowska Dorota, Kocik Janusz, Bartoszcze Michał
Wojskowy Instytut Higieny i Epidemiologii, Warszawa.
Przegl Epidemiol. 2009;63(4):505-12.
The threat of bioterrorism with B. anthracis against civilian population is one of major concern. After successful bioterroristic attack in 2001 in US renewed research interest has prompted in the development of new and more effective vaccine against anthrax. There are two licensed vaccines against anthrax--AVA-Bio-Thrax US and UK--sterile culture filtrate prepared by alum precipitation. Both vaccines are based on PA antigen. There are several concerns regarding PA based vaccines. They require six sc injections and yearly booster, high rates of local reaction after vaccination is observed, the immunity is not long lasting, vaccination do not protect animals against different strains of B. anthracis. New strategies in the development of anthrax vaccines have been presented (recombinant PA, subunits vaccine, mutants, conjugated). Using proteomic approaches new antigens have been also identified as candidates for future vaccines. More effective and easy to perform methods of vaccination have been reviewed.
炭疽杆菌对平民构成的生物恐怖主义威胁是主要关切之一。2001年美国发生成功的生物恐怖袭击后,对开发新的、更有效的炭疽疫苗的研究兴趣重新燃起。有两种获得许可的炭疽疫苗——美国的AVA-Bio-Thrax和英国的——通过明矾沉淀制备的无菌培养滤液。两种疫苗均基于PA抗原。基于PA的疫苗存在一些问题。它们需要进行六次皮下注射和每年一次加强注射,接种后局部反应发生率高,免疫力不持久,接种不能保护动物免受不同菌株的炭疽杆菌感染。已经提出了炭疽疫苗开发的新策略(重组PA、亚单位疫苗、突变体、偶联物)。使用蛋白质组学方法也已鉴定出新的抗原作为未来疫苗的候选物。已经综述了更有效且易于实施的接种方法。