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慢性寄生虫感染会削弱肺炎球菌疫苗的反应。

Chronic helminth infections impair pneumococcal vaccine responses.

机构信息

Department of Infectious Diseases, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105, USA.

Department of Immunology, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105, USA.

出版信息

Vaccine. 2014 Sep 22;32(42):5405-10. doi: 10.1016/j.vaccine.2014.07.107. Epub 2014 Aug 13.

Abstract

Pneumonia is the leading killer of children and disproportionately affects developing countries. Vaccination campaigns against Streptococcus pneumoniae, the leading cause of pneumonia, have recently been launched with a new conjugate vaccine in Africa. Using a mouse model, we assessed the potential role that the high burden of helminth infections in the countries targeted for vaccine might have on vaccine effectiveness. Mice vaccinated with either commercial conjugate or purified polysaccharide vaccines had impaired antibody responses if they were chronically infected with Taenia crassiceps. This translated to increased susceptibility to pneumococcal pneumonia and high mortality compared to helminth-negative vaccinated animals, which were fully protected from disease and death. Antibodies taken from Taenia-infected, vaccinated mice were unable to effectively opsonize S. pneumoniae for killing by alveolar macrophages, and did not protect against pneumococcal challenge when adoptively transferred into naïve animals. These data may have implications for vaccination programs in countries endemic with helminths.

摘要

肺炎是儿童的主要杀手,在发展中国家尤为严重。最近,非洲推出了一种新的结合疫苗,以对抗导致肺炎的主要病原体肺炎链球菌。我们使用小鼠模型评估了目标国家中寄生虫感染负担较高可能对疫苗效果产生的潜在影响。如果慢性感染阔节裂头绦虫,接种了商业结合疫苗或纯化多糖疫苗的小鼠的抗体反应会受到损害。与未感染寄生虫的疫苗接种动物相比,这导致对肺炎球菌性肺炎的易感性增加和高死亡率,而未感染寄生虫的疫苗接种动物完全免受疾病和死亡的影响。从感染阔节裂头绦虫的疫苗接种小鼠中获得的抗体无法有效调理肺炎链球菌以被肺泡巨噬细胞杀死,并且当被转移到未感染的动物中时,无法预防肺炎球菌的攻击。这些数据可能对寄生虫流行国家的疫苗接种计划具有重要意义。

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