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[疟疾疫苗研发的研究成果与展望]

[Achievements and perspectives of research into development of a vaccine against malaria].

作者信息

Wiśniewski Marcin, Zak Dagmara Joanna

机构信息

Zakład Parazytologii i Inwazjologii, Katedra Nauk Przedklinicznych, Wydział Medycyny Weterynaryjnej, Szkoła Główna Gospodarstwa Wiejskiego, ul. Ciszewskiego 8, 02-786 Warszawa.

出版信息

Wiad Parazytol. 2010;56(2):133-40.

Abstract

Malaria is caused by parasites of the genus Plasmodium. Every year from 350 to 500 million of malaria cases are recorded with an estimated annual death toll of over 1.1 million deaths, making malaria the global health problem. Malaria deepens the poverty, limits the education and causes absences at schools and workplaces--what makes the progress of civilization and economy slower. This is why beside the classical methods of malaria prevention, such as the elimination of the places of mosquito breeding and, application of insecticides or chemoprophylaxis, the elaboration of effective malaria vaccine is a necessity. Despite considerably high financial investments for long term malaria research, so far it has not been possible to develop an efficient vaccine against this disease. This is why the main topic of the present review is presenting of achievements and perspectives of research on development of vaccine against malaria with special consideration of tested antigens. Our review also contains an attempt to typify the most prospective vaccine. Currently developed and tested vaccines against malaria may be divided in three groups depending on the parasite living stage which the vaccine influences: pre-erythrocytic stage vaccines, blood stage vaccines and transmission blocking vaccines. At the moment it seems that the most promising vaccine against malaria is RTS,S/ASO2A which represent the pre-erythrocytic stage vaccines. However developing a completely safe, efficient and budget-friendly vaccine still remains the far-reaching goal and requires further years of research.

摘要

疟疾由疟原虫属的寄生虫引起。每年记录的疟疾病例有3.5亿至5亿例,估计每年死亡人数超过110万,这使疟疾成为一个全球性的健康问题。疟疾加剧了贫困,限制了教育,并导致学校和工作场所的缺勤,这使得文明和经济的发展放缓。这就是为什么除了传统的疟疾预防方法,如消除蚊子滋生地、使用杀虫剂或化学预防之外,研发有效的疟疾疫苗是必要的。尽管对长期疟疾研究投入了大量资金,但迄今为止仍无法研发出一种针对这种疾病的有效疫苗。这就是为什么本综述的主题是介绍疟疾疫苗研发的成果和前景,并特别考虑已测试的抗原。我们的综述还尝试对最具前景的疫苗进行分类。目前研发和测试的疟疾疫苗根据其影响的寄生虫生存阶段可分为三类:前红细胞期疫苗、血液期疫苗和传播阻断疫苗。目前看来,最有前景的疟疾疫苗是RTS,S/ASO2A,它属于前红细胞期疫苗。然而,研发一种完全安全、有效且经济实惠的疫苗仍然是一个长远目标,还需要多年的研究。

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