University of Pennsylvania, Perelman School of Medicine, Department of Pathology & Laboratory Medicine, Philadelphia, PA 19104, USA.
Expert Rev Vaccines. 2013 May;12(5):537-54. doi: 10.1586/erv.13.33.
The human body has developed an elaborate defense system against microbial pathogens and foreign antigens. However, particular microbes have evolved sophisticated mechanisms to evade immune surveillance, allowing persistence within the human host. In an effort to combat such infections, intensive research has focused on the development of effective prophylactic and therapeutic countermeasures to suppress or clear persistent viral infections. To date, popular therapeutic strategies have included the use of live-attenuated microbes, viral vectors and dendritic-cell vaccines aiming to help suppress or clear infection. In recent years, improved DNA vaccines have now re-emerged as a promising candidate for therapeutic intervention due to the development of advanced optimization and delivery technologies. For instance, genetic optimization of synthetic plasmid constructs and their encoded antigens, in vivo electroporation-mediated vaccine delivery, as well as codelivery with molecular adjuvants have collectively enhanced both transgene expression and the elicitation of vaccine-induced immunity. In addition, the development of potent heterologous prime-boost regimens has also provided significant contributions to DNA vaccine immunogenicity. Herein, the authors will focus on these recent improvements to this synthetic platform in relation to their application in combating persistent virus infection.
人体已经形成了一套精细的防御体系来对抗微生物病原体和外来抗原。然而,某些微生物已经进化出了复杂的机制来逃避免疫监视,从而在人体宿主中持续存在。为了对抗这种感染,人们进行了大量的研究,致力于开发有效的预防和治疗措施来抑制或清除持续性病毒感染。迄今为止,流行的治疗策略包括使用减毒活微生物、病毒载体和树突状细胞疫苗,旨在帮助抑制或清除感染。近年来,由于先进的优化和传递技术的发展,改良的 DNA 疫苗作为一种有前途的治疗干预手段重新出现。例如,通过体内电穿孔介导的疫苗传递,对合成质粒构建物及其编码抗原进行遗传优化,以及与分子佐剂共递送,共同提高了转基因表达和疫苗诱导免疫的产生。此外,有效的异源初免-加强免疫方案的发展也为 DNA 疫苗的免疫原性做出了重要贡献。本文作者将重点介绍这一合成平台的最新改进,并探讨其在对抗持续性病毒感染方面的应用。