Vorob'ev D S, Semenova I B, Kurbatova E A
Zh Mikrobiol Epidemiol Immunobiol. 2010 Nov-Dec(6):98-104.
Streptococcus pneumoniae cell wall and cytoplasmic proteins contribute directly to pathogenesis of pneumococcal infection. Protective effect of pneumococcal proteins such as pneumolysin (Ply), muramylamidase (LytA) and pneumococcal surface protein A (PspA). There is discussion in the literature about development of conjugared pneumococcal vaccines, which should include polysaccharides of invasive serotypes of pneumococci as well as protein antigens of this pathogen, for prevention of infections caused by S. pneumoniae. Researches suggest that such hybrid vaccines will be effective, first of all, for children < 2 years of age and elderly > 65 years old because immune response to polysaccharide vaccines either do not form at all or insufficient for prevention of pneumococcal infection.
肺炎链球菌细胞壁和细胞质蛋白直接参与肺炎球菌感染的发病机制。肺炎球菌蛋白如肺炎溶血素(Ply)、溶菌酶(LytA)和肺炎球菌表面蛋白A(PspA)具有保护作用。文献中讨论了结合型肺炎球菌疫苗的研发,该疫苗应包括肺炎球菌侵袭性血清型的多糖以及该病原体的蛋白抗原,用于预防肺炎链球菌引起的感染。研究表明,这种联合疫苗首先对2岁以下儿童和65岁以上老年人有效,因为对多糖疫苗的免疫反应要么根本不形成,要么不足以预防肺炎球菌感染。