U.S. Army Medical Research Institute of Infectious Diseases, Fort Detrick, MD 21702, USA.
Virus Res. 2011 Dec;162(1-2):148-61. doi: 10.1016/j.virusres.2011.09.005. Epub 2011 Sep 10.
Developing vaccines for highly pathogenic viruses such as those causing Lassa, Ebola, and Marburg hemorrhagic fevers is a daunting task due to both scientific and logistical constraints. Scientific hurdles to overcome include poorly defined relationships between pathogenicity and protective immune responses, genetic diversity of viruses, and safety in a target population that includes a large number of individuals with compromised immune systems. Logistical obstacles include the requirement for biosafety level-4 containment to study the authentic viruses, the poor public health infrastructure of the endemic disease areas, and the cost of developing these vaccines for use in non-lucrative markets. Recombinant DNA-based vaccine approaches offer promise of overcoming some of these issues. In this review, we consider the status of various recombinant DNA candidate vaccines against Lassa virus and filoviruses which have been tested in animals.
开发针对诸如拉沙热、埃博拉和马尔堡出血热等高致病性病毒的疫苗是一项艰巨的任务,这既受到科学方面的限制,也受到后勤方面的限制。需要克服的科学障碍包括致病性与保护性免疫反应之间关系的定义不明确、病毒的遗传多样性以及包括大量免疫系统受损个体的目标人群中的安全性。后勤障碍包括需要生物安全四级防护来研究真实病毒、地方性疾病地区公共卫生基础设施薄弱以及为在无利可图的市场使用而开发这些疫苗的成本。基于重组 DNA 的疫苗方法有望克服其中的一些问题。在这篇综述中,我们考虑了已在动物中测试过的针对拉沙病毒和丝状病毒的各种重组 DNA 候选疫苗的现状。