Center for Microbial Diseases and Immunity Research, University of British Columbia, Vancouver, British Columbia, Canada.
Ann N Y Acad Sci. 2010 Dec;1213:46-61. doi: 10.1111/j.1749-6632.2010.05787.x. Epub 2010 Oct 4.
A highly effective strategy for combating infectious diseases is to enhance host defenses using immunomodulators, either preventatively, through vaccination, or therapeutically. The effectiveness of many vaccines currently in use is due in part to adjuvants, molecules that have little immunogenicity by themselves but which help enhance and appropriately skew the immune response to an antigen. The development of new vaccines necessitates the development of new types of adjuvants to ensure an appropriate immune response. Herein, we review commonly used vaccine adjuvants and discuss promising adjuvant candidates. We also discuss various other immunomodulators (namely cytokines, Toll-like receptor agonists, and host defense peptides) that are, or have potential to be, useful for antimicrobial therapies that exert their effects by boosting host immune responses rather than targeting pathogens directly.
用免疫调节剂增强宿主防御能力是防治传染病的一种非常有效的策略,可通过预防接种或治疗性疫苗来实现。目前使用的许多疫苗的有效性部分归因于佐剂,这些分子本身的免疫原性很小,但有助于增强和适当偏向抗原的免疫反应。新型疫苗的开发需要开发新型佐剂以确保适当的免疫反应。在此,我们综述了常用的疫苗佐剂,并讨论了有前途的佐剂候选物。我们还讨论了各种其他免疫调节剂(即细胞因子、Toll 样受体激动剂和宿主防御肽),它们或者已经,或者有可能,通过增强宿主免疫反应而不是直接针对病原体来用于抗菌治疗。
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