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卡介苗疫苗的历史。

History of BCG Vaccine.

作者信息

Luca Simona, Mihaescu Traian

机构信息

Clinic of Pulmonary Diseases, Iasi, Romania.

出版信息

Maedica (Bucur). 2013 Mar;8(1):53-8.

PMID:24023600
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3749764/
Abstract

Tuberculosis (TB) is still responsible for 2 million deaths every year despite being a treatable airborne infectious disease. "Consumption" and "Phthisis" were terms historically used to describe TB, which was responsible for one in four deaths in the 19th century. Due to its infectious nature, chronic progression and long treatment, TB is a great burden for society. Moreover the emergence of multi-drug resistant TB and the current TB-HIV epidemic has raised even greater concern. Treating and preventing TB has become a permanent challange since the ancient times. Bacille Calmette-Guérin (BCG) is the only vaccine available today and has been used for more than 90 years with astonishing safety records. However, its efficacy remains controversial. No universal BCG vaccination policy exists, with some countries merely recommending its use and others that have implemented immunization programs. In this article we review several important milestones of BCG vaccine development from the discovery till today.

摘要

结核病(TB)尽管是一种可治疗的空气传播传染病,但每年仍导致200万人死亡。“痨病”和“肺结核”是历史上用于描述结核病的术语,在19世纪,结核病导致四分之一的人死亡。由于其传染性、慢性进展和长期治疗,结核病给社会带来了巨大负担。此外,耐多药结核病的出现和当前结核病与艾滋病病毒的流行引发了更大的关注。自古以来,治疗和预防结核病一直是一项长期挑战。卡介苗(BCG)是目前唯一可用的疫苗,已使用90多年,有着惊人的安全记录。然而,其疗效仍存在争议。不存在普遍的卡介苗接种政策,一些国家仅建议使用,而其他国家则实施了免疫计划。在本文中,我们回顾了卡介苗从发现至今的几个重要发展里程碑。

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CD1-restricted T cells: are unconventional allies the key to future TB vaccines?CD1 限制性 T 细胞:非常规盟友是未来结核病疫苗的关键吗?
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IL-27 signaling limits the diversity of antigen-specific T cells and interferes with protection induced by BCG vaccination.白细胞介素-27信号传导限制了抗原特异性T细胞的多样性,并干扰卡介苗接种诱导的保护作用。
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本文引用的文献

1
Vaccines against tuberculosis: where are we and where do we need to go?结核病疫苗:我们在哪里,我们需要去哪里?
PLoS Pathog. 2012;8(5):e1002607. doi: 10.1371/journal.ppat.1002607. Epub 2012 May 10.
2
The influence of bacille Calmette-Guerin vaccine strain on the immune response against tuberculosis: a randomized trial.卡介苗菌株对结核分枝杆菌免疫反应的影响:一项随机试验。
Am J Respir Crit Care Med. 2012 Jan 15;185(2):213-22. doi: 10.1164/rccm.201104-0714OC. Epub 2011 Nov 3.
3
Tuberculosis vaccines: beyond bacille Calmette-Guerin.结核病疫苗:超越卡介苗。
Philos Trans R Soc Lond B Biol Sci. 2011 Oct 12;366(1579):2782-9. doi: 10.1098/rstb.2011.0097.
4
PROFESSOR CALMETTE'S STATISTICAL STUDY OF B.C.G. VACCINATION.卡尔梅特教授关于卡介苗接种的统计学研究
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New vaccines for tuberculosis.新型结核病疫苗。
Lancet. 2010 Jun 12;375(9731):2110-9. doi: 10.1016/S0140-6736(10)60393-5. Epub 2010 May 18.
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Overcoming the global crisis: "yes, we can", but also for TB ... ?克服全球危机:“是的,我们能行”,但对结核病而言…… 呢?
Eur J Immunol. 2009 Aug;39(8):2014-20. doi: 10.1002/eji.200939518.
7
Changing funding patterns in tuberculosis.结核病资金模式的变化
Nat Med. 2007 Mar;13(3):299-303. doi: 10.1038/nm0307-299.
8
From bacteriology to immunology: the dualism of specificity.从细菌学到免疫学:特异性的二元论。
Nat Immunol. 2005 Nov;6(11):1063-6. doi: 10.1038/ni1105-1063.
9
Report on a WHO consultation on the characterisation of BCG strains, Imperial College, London 15-16 December 2003.关于卡介苗菌株特性的世界卫生组织磋商会报告,伦敦帝国理工学院,2003年12月15 - 16日。
Vaccine. 2004 Jul 29;22(21-22):2675-80. doi: 10.1016/j.vaccine.2004.01.050.
10
Long-term efficacy of BCG vaccine in American Indians and Alaska Natives: A 60-year follow-up study.卡介苗在美国印第安人和阿拉斯加原住民中的长期疗效:一项60年的随访研究。
JAMA. 2004 May 5;291(17):2086-91. doi: 10.1001/jama.291.17.2086.