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阿根廷出血热疫苗

Argentine hemorrhagic fever vaccines.

作者信息

Ambrosio Ana, Saavedra Maria, Mariani Mauricio, Gamboa Graciela, Maiza Andrea

机构信息

Instituto Nacional de Enfermedades Virales Humanas Dr JI Maiztegui, ANLIS, Provincia de Buenos Aires, Argentina.

出版信息

Hum Vaccin. 2011 Jun;7(6):694-700. doi: 10.4161/hv.7.6.15198. Epub 2011 Jun 1.

Abstract

Argentine hemorrhagic fever (AHF), an acute disease caused by Junin virus (JUNV, Arenaviridae), has been an important issue to public health in Argentina since the early 1950s. The field rodent Calomys musculinus is JUNV natural reservoir and human disease is a consequence of contact with infected rodents. A steady extention of AHF endemic area is being observed since the first reports of the disease. Important achievements have been made in: (a) improvement of methods for the etiological diagnosis; (b) implementation and validation of therapeutical measures; (c) development of vaccines to protect against AHF. Reference is made to different research strategies used to obtain anti-AHF vaccines in the past and anti-arenaviral diseases in the present. Information is updated on features and field performance of Candid #1 vaccine, a live attenuted vaccine currently used to prevent AHF. This vaccine was developed through a joint international effort that envisioned it as an orphan drug. With transferred technology, Argentine government was committed to be Candid #1 manufacturer and to register this vaccine as a novel medical product under the Argentine regulatory authority. Candid #1 vaccine is the first one used to control an arenaviral hemorrhagic fever, the first live viral vaccine to be manufactured and registered in Argentina, reaching its target population through governmental effort.

摘要

阿根廷出血热(AHF)是由胡宁病毒(JUNV,沙粒病毒科)引起的一种急性疾病,自20世纪50年代初以来一直是阿根廷公共卫生领域的一个重要问题。野生啮齿动物小家鼠是JUNV的自然宿主,人类感染该疾病是接触受感染啮齿动物的结果。自首次报告该疾病以来,AHF流行区域一直在稳步扩大。在以下方面取得了重要成果:(a)改进病因诊断方法;(b)实施和验证治疗措施;(c)开发预防AHF的疫苗。文中提到了过去用于获得抗AHF疫苗以及目前用于抗沙粒病毒病的不同研究策略。更新了关于Candid #1疫苗的特性和现场表现的信息,Candid #1是一种目前用于预防AHF的减毒活疫苗。这种疫苗是通过一项国际联合努力开发的,最初将其设想为一种孤儿药。随着技术的转让,阿根廷政府致力于成为Candid #1的生产商,并在阿根廷监管机构将该疫苗注册为一种新型医疗产品。Candid #1疫苗是第一种用于控制沙粒病毒出血热的疫苗,是第一种在阿根廷生产和注册的活病毒疫苗,通过政府的努力覆盖了目标人群。

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