Wang Gui-Bin, Zhu Chuan-Jiang
Institute of Materia Medica, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100050, China.
Yao Xue Xue Bao. 2013 Aug;48(8):1189-94.
Tobacco smoking is a global healthcare problem that poses a substantial and costly health burden. Nicotine is the major constituent responsible for the addiction to tobacco. Current strategies helping tobacco smokers have limited utility in increasing rates of smoking cessation, consequently indicating the need for alternative therapies. A novel therapeutic method is vaccination against nicotine. Nicotine vaccine can generate specific antibodies that can sequester nicotine from cigarette smoke in the blood, and prevent its access to the brain and minimize positive reinforcing effects, which may help smokers to stop smoking. The vaccine will have great potential for the treatment of nicotine addiction and for relapse prevention. Here we will review the current status of vaccines against nicotine addiction and discuss the problems associated with the development of nicotine vaccines.
吸烟是一个全球性的医疗保健问题,带来了沉重且代价高昂的健康负担。尼古丁是导致烟草成瘾的主要成分。目前帮助吸烟者戒烟的策略在提高戒烟率方面效果有限,因此表明需要替代疗法。一种新颖的治疗方法是尼古丁疫苗接种。尼古丁疫苗可产生特异性抗体,这些抗体能在血液中隔离香烟烟雾中的尼古丁,阻止其进入大脑并将积极强化作用降至最低,这可能有助于吸烟者戒烟。该疫苗在治疗尼古丁成瘾和预防复吸方面具有巨大潜力。在此,我们将综述尼古丁成瘾疫苗的现状,并讨论与尼古丁疫苗研发相关的问题。