Curr Opin Immunol. 2010 Jun;22(3):355-7. doi: 10.1016/j.coi.2010.05.001. Epub 2010 May 24.
Rational vaccine design remains a long sought and ambitious goal. While animal studies have been extremely important to unravel the fundamental mechanisms that govern the immune response, we are still facing the challenge of understanding the human immune system in its complexity and genetic heterogeneity and in unraveling the sophisticated escape mechanism used by human pathogens. In spite of obvious limitations in human experimentations and clinical trial, the twenty first century vaccinologists can take advantage of new tools and experimental approaches to identify the mechanisms of protection as well as the antigens that are target of protective responses. The formulation of these antigens together with new adjuvants capable of eliciting strong and durable immune responses of the appropriate class will be the basis for the design of a panoply of vaccines that will be able to deal effectively with a variety of threats to human health.
理性疫苗设计仍然是一个长期追求和雄心勃勃的目标。虽然动物研究对于揭示控制免疫反应的基本机制非常重要,但我们仍然面临着理解人类免疫系统的复杂性和遗传异质性以及揭示人类病原体使用的复杂逃逸机制的挑战。尽管人类实验和临床试验存在明显的局限性,但 21 世纪的疫苗学家可以利用新工具和实验方法来确定保护机制以及保护性反应的靶抗原。这些抗原的配方以及能够引发适当类别强而持久免疫反应的新型佐剂将是设计一系列疫苗的基础,这些疫苗将能够有效地应对人类健康的各种威胁。