Department of Medicine, University of Washington, Seattle, WA, United States; Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, United States.
Department of Medicine, University of Washington, Seattle, WA, United States; Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, United States; Department of Laboratory Medicine, University of Washington, Seattle, WA, United States; Department of Global Health, University of Washington, Seattle, WA, United States; Benaroya Research Institute, Seattle, WA, United States.
Vaccine. 2014 Mar 20;32(14):1553-60. doi: 10.1016/j.vaccine.2013.08.066. Epub 2013 Sep 6.
Herpes simplex virus type 2 (HSV-2) infects 530million people, is the leading cause of genital ulcer disease, and increases the risk of HIV-1 acquisition. Although several candidate vaccines have been promising in animal models, prophylactic and therapeutic vaccines have not been effective in clinical trials thus far. Null results from the most recent prophylactic glycoprotein D2 subunit vaccine trial suggest that we must reevaluate our approach to HSV-2 vaccine development. We discuss HSV-2 pathogenesis, immunity, and vaccine efforts to date, as well as the current pipeline of candidate vaccines and design of trials to evaluate new vaccine constructs.
单纯疱疹病毒 2 型 (HSV-2) 感染了 5.3 亿人,是生殖器溃疡疾病的主要原因,并增加了感染 HIV-1 的风险。尽管一些候选疫苗在动物模型中表现出良好的效果,但迄今为止,预防性和治疗性疫苗在临床试验中都没有效果。最近预防性糖蛋白 D2 亚单位疫苗试验的阴性结果表明,我们必须重新评估我们的 HSV-2 疫苗开发方法。我们讨论了 HSV-2 的发病机制、免疫和迄今为止的疫苗工作,以及目前候选疫苗的流水线和评估新疫苗构建体的试验设计。
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