Richardson Jason S, Dekker Joseph D, Croyle Maria A, Kobinger Gary P
Special Pathogens Program, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, MB, Canada.
Hum Vaccin. 2010 Jun;6(6):439-49. doi: 10.4161/hv.6.6.11097. Epub 2010 Jun 1.
Ebolavirus is a highly infectious pathogen with a case fatality rate as high as 90%. Currently there is a lack of licensed Ebolavirus vaccines as well as pre- and post-exposure treatments. Recent increases in the frequency of natural human Ebolavirus infections and its potential use as a bioterrorism agent makes vaccine development a priority for many nations. Significant progress has been made in understanding the pathogenesis of Ebolavirus infection and several promising vaccine candidates were shown to be successful in protecting NHPs against lethal infection. These include replication-deficient adenovirus vectors, replication-competent VSV, HPIV-3 vectors and virus-like particle preparations. Recent advances in the generation of effective post-exposure immunization strategies highlight the possibility of developing a single dose vaccine that will confer full protection in humans following Ebolavirus exposure. Post-exposure protection is particularly important in outbreak and biodefense settings, as well as clinical and laboratory settings in the case of accidental exposure.
埃博拉病毒是一种极具传染性的病原体,病死率高达90%。目前,尚无获得许可的埃博拉病毒疫苗以及暴露前和暴露后治疗方法。最近,人类自然感染埃博拉病毒的频率增加,以及其作为生物恐怖主义制剂的潜在用途,使得疫苗研发成为许多国家的优先事项。在了解埃博拉病毒感染的发病机制方面已取得重大进展,并且有几种有前景的候选疫苗已证明可成功保护非人灵长类动物免受致命感染。这些疫苗包括复制缺陷型腺病毒载体、复制能力强的水疱性口炎病毒(VSV)、副流感病毒3型(HPIV-3)载体和病毒样颗粒制剂。有效暴露后免疫策略的最新进展凸显了开发单剂量疫苗的可能性,这种疫苗将在人类暴露于埃博拉病毒后提供全面保护。暴露后保护在疫情爆发和生物防御环境中尤为重要,在意外暴露的情况下,在临床和实验室环境中也同样重要。