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人肠道病毒 71 型(EV71)疫苗的研发进展。

Progress on the research and development of human enterovirus 71 (EV71) vaccines.

机构信息

National Institutes for Food and Drug Control, Beijing, 100050, China.

出版信息

Front Med. 2013 Mar;7(1):111-21. doi: 10.1007/s11684-012-0237-z. Epub 2012 Dec 17.

DOI:10.1007/s11684-012-0237-z
PMID:23247645
Abstract

Enterovirus 71 (EV71) infections, which can cause severe complications, have become one of the serious public health issues in the Western Pacific region and China. To date, a number of pharmaceutical companies and institutes have initiated the research and development of EV71 vaccines as a countermeasure. As is the case with innovative vaccine development, there are several critical bottlenecks in EV71 vaccine development that must be overcome before the clinical trials, including the selection of vaccine strain, standardization of the procedure for quantifying neutralizing antibody (NTAb) and antigen, establishment and application of a reference standard and biological standards, development of animal models for the evaluation of protective efficacy, and identification of the target patient population. To tackle these technical obstacles, researchers in Mainland of China have conducted a series of studies concerning the screening of vaccine strains and the establishment of criteria, biological standards and detection methods, thereby advancing EV71 vaccine development. This review summarizes recent worldwide progress on the quality control and evaluation of EV71 vaccines.

摘要

肠道病毒 71 型(EV71)感染可导致严重并发症,已成为西太平洋地区和中国的严重公共卫生问题之一。迄今为止,许多制药公司和研究机构已启动 EV71 疫苗的研究和开发,作为一种应对措施。与创新疫苗的开发一样,EV71 疫苗开发存在几个关键的瓶颈,在临床试验之前必须克服这些瓶颈,包括疫苗株的选择、中和抗体(NTAb)和抗原定量程序的标准化、参考标准和生物标准的建立和应用、用于评估保护效力的动物模型的开发,以及目标患者人群的确定。为了解决这些技术障碍,中国大陆的研究人员对疫苗株的筛选和标准、生物标准和检测方法的建立进行了一系列研究,从而推进了 EV71 疫苗的开发。本文综述了最近全球在 EV71 疫苗的质量控制和评估方面的进展。

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Progress on the research and development of human enterovirus 71 (EV71) vaccines.人肠道病毒 71 型(EV71)疫苗的研发进展。
Front Med. 2013 Mar;7(1):111-21. doi: 10.1007/s11684-012-0237-z. Epub 2012 Dec 17.
2
Establishing China's national standards of antigen content and neutralizing antibody responses for evaluation of enterovirus 71 (EV71) vaccines.建立中国肠道病毒 71 型(EV71)疫苗抗原含量和中和抗体反应的国家标准评价。
Vaccine. 2011 Dec 6;29(52):9668-74. doi: 10.1016/j.vaccine.2011.10.018. Epub 2011 Oct 19.
3
Enhanced neutralizing antibody response induced by inactivated enterovirus 71 in cynomolgus monkeys.在食蟹猴中诱导的灭活肠道病毒 71 引起的增强中和抗体反应。
PLoS One. 2018 Oct 2;13(10):e0202552. doi: 10.1371/journal.pone.0202552. eCollection 2018.
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5
An inactivated hand-foot-and-mouth disease vaccine using the enterovirus 71 (C4a) strain isolated from a Korean patient induces a strong immunogenic response in mice.一种使用从韩国患者分离出的肠道病毒71型(C4a)毒株制成的手足口病灭活疫苗在小鼠中引发强烈的免疫原性反应。
PLoS One. 2017 May 24;12(5):e0178259. doi: 10.1371/journal.pone.0178259. eCollection 2017.
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J Virol. 2020 Feb 28;94(6). doi: 10.1128/JVI.01921-19.
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Induction of a high-titered antibody response using HIV gag-EV71 VP1-based virus-like particles with the capacity to protect newborn mice challenged with a lethal dose of enterovirus 71.使用基于HIV gag-EV71 VP1的病毒样颗粒诱导高滴度抗体反应,该病毒样颗粒能够保护受到致死剂量肠道病毒71攻击的新生小鼠。
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Circulating Salivary miRNA hsa-miR-221 as Clinically Validated Diagnostic Marker for Hand, Foot, and Mouth Disease in Pediatric Patients.循环唾液 miRNA hsa-miR-221 作为儿科手足口病的临床验证诊断标志物。
EBioMedicine. 2018 May;31:299-306. doi: 10.1016/j.ebiom.2018.05.006. Epub 2018 May 10.
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An inactivated hand-foot-and-mouth disease vaccine using the enterovirus 71 (C4a) strain isolated from a Korean patient induces a strong immunogenic response in mice.

本文引用的文献

1
Tolerability and immunogenicity of an inactivated enterovirus 71 vaccine in Chinese healthy adults and children: an open label, phase 1 clinical trial.中国健康成年人和儿童中肠道病毒 71 型灭活疫苗的耐受性和免疫原性:一项开放性、1 期临床试验。
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一种使用从韩国患者分离出的肠道病毒71型(C4a)毒株制成的手足口病灭活疫苗在小鼠中引发强烈的免疫原性反应。
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Oblongifolin M, an active compound isolated from a Chinese medical herb Garcinia oblongifolia, potently inhibits enterovirus 71 reproduction through downregulation of ERp57.椭叶花椒素M是从一种中国草药椭叶花椒中分离出的活性化合物,它通过下调内质网蛋白57来有效抑制肠道病毒71的复制。
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Single Neutralizing Monoclonal Antibodies Targeting the VP1 GH Loop of Enterovirus 71 Inhibit both Virus Attachment and Internalization during Viral Entry.靶向肠道病毒71型VP1糖基化环的单克隆中和抗体在病毒进入过程中抑制病毒附着和内化。
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Optimization and Characterization of Candidate Strain for Coxsackievirus A16 Inactivated Vaccine.柯萨奇病毒A16灭活疫苗候选毒株的优化与特性研究
Viruses. 2015 Jul 17;7(7):3891-909. doi: 10.3390/v7072803.
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Detection of hand, foot and mouth disease in the yucatan peninsula of Mexico.墨西哥尤卡坦半岛手足口病的检测
Infect Dis Rep. 2014 Dec 9;6(4):5627. doi: 10.4081/idr.2014.5627. eCollection 2014 Nov 19.
8
EV71 vaccine, an invaluable gift for children.EV71 疫苗,儿童的宝贵礼物。
Clin Transl Immunology. 2014 Oct 31;3(10):e28. doi: 10.1038/cti.2014.24. eCollection 2014 Oct.
9
Evaluation of monovalent and bivalent vaccines against lethal Enterovirus 71 and Coxsackievirus A16 infection in newborn mice.评价单价和双价疫苗对新生鼠致死性肠道病毒 71 型和柯萨奇病毒 A16 感染的效果。
Hum Vaccin Immunother. 2014;10(10):2885-95. doi: 10.4161/hv.29823.
10
Delivery of human EV71 receptors by adeno-associated virus increases EV71 infection-induced local inflammation in adult mice.腺相关病毒介导的人肠道病毒71型受体递送增加成年小鼠肠道病毒71型感染诱导的局部炎症。
Biomed Res Int. 2014;2014:878139. doi: 10.1155/2014/878139. Epub 2014 Aug 27.
新型肠道病毒 71 型(EV71)疫苗的安全性和免疫原性:一项随机、安慰剂对照、双盲、I 期临床试验。
Vaccine. 2012 May 9;30(22):3295-303. doi: 10.1016/j.vaccine.2012.03.010. Epub 2012 Mar 15.
4
A sensor-adaptor mechanism for enterovirus uncoating from structures of EV71.一种从 EV71 结构中脱出肠道病毒的传感器-衔接机制。
Nat Struct Mol Biol. 2012 Mar 4;19(4):424-9. doi: 10.1038/nsmb.2255.
5
Crystal structure of human enterovirus 71.人肠道病毒 71 型的晶体结构。
Science. 2012 Jun 8;336(6086):1274. doi: 10.1126/science.1218713. Epub 2012 Mar 1.
6
Enterovirus type 71 neutralizing antibodies in the serum of macaque monkeys immunized with EV71 virus-like particles.免疫 EV71 病毒样颗粒的猕猴血清中的肠道病毒 71 型中和抗体。
Vaccine. 2012 Feb 8;30(7):1305-12. doi: 10.1016/j.vaccine.2011.12.081. Epub 2011 Dec 31.
7
Transgenic expression of human P-selectin glycoprotein ligand-1 is not sufficient for enterovirus 71 infection in mice.转基因表达人 P 选择素糖蛋白配体-1不足以引起小鼠感染肠道病毒 71。
Arch Virol. 2012 Mar;157(3):539-43. doi: 10.1007/s00705-011-1198-2. Epub 2011 Dec 21.
8
Selection and characterization of vaccine strain for Enterovirus 71 vaccine development.肠道病毒 71 型疫苗研发用疫苗株的选择和鉴定。
Vaccine. 2012 Jan 17;30(4):703-11. doi: 10.1016/j.vaccine.2011.11.087. Epub 2011 Dec 4.
9
A non-mouse-adapted enterovirus 71 (EV71) strain exhibits neurotropism, causing neurological manifestations in a novel mouse model of EV71 infection.一种非小鼠适应的肠道病毒 71 型(EV71)株具有神经嗜性,在新型 EV71 感染的小鼠模型中引起神经表现。
J Virol. 2012 Feb;86(4):2121-31. doi: 10.1128/JVI.06103-11. Epub 2011 Nov 30.
10
Establishing China's national standards of antigen content and neutralizing antibody responses for evaluation of enterovirus 71 (EV71) vaccines.建立中国肠道病毒 71 型(EV71)疫苗抗原含量和中和抗体反应的国家标准评价。
Vaccine. 2011 Dec 6;29(52):9668-74. doi: 10.1016/j.vaccine.2011.10.018. Epub 2011 Oct 19.