Lambert Nathaniel, Strebel Peter, Orenstein Walter, Icenogle Joseph, Poland Gregory A
Mayo Clinic Vaccine Research Group, Mayo Clinic, Rochester, MN, USA.
Department of Immunization, Vaccines, and Biologicals, World Health Organization, Geneva, Switzerland.
Lancet. 2015 Jun 6;385(9984):2297-307. doi: 10.1016/S0140-6736(14)60539-0. Epub 2015 Jan 8.
Rubella remains an important pathogen worldwide, with roughly 100,000 cases of congenital rubella syndrome estimated to occur every year. Rubella-containing vaccine is highly effective and safe and, as a result, endemic rubella transmission has been interrupted in the Americas since 2009. Incomplete rubella vaccination programmes result in continued disease transmission, as evidenced by recent large outbreaks in Japan and elsewhere. In this Seminar, we provide present results regarding rubella control, elimination, and eradication policies, and a brief review of new laboratory diagnostics. Additionally, we provide novel information about rubella-containing vaccine immunogenetics and review the emerging evidence of interindividual variability in humoral and cell-mediated innate and adaptive immune responses to rubella-containing vaccine and their association with haplotypes and single-nucleotide polymorphisms across the human genome.
风疹在全球范围内仍是一种重要的病原体,据估计每年约有10万例先天性风疹综合征病例发生。含风疹疫苗高效且安全,因此自2009年以来,美洲地区已中断了风疹的地方性传播。风疹疫苗接种计划不完善导致疾病持续传播,日本及其他地区近期的大规模疫情就是明证。在本次研讨会上,我们展示了有关风疹控制、消除和根除政策的当前成果,并简要回顾了新的实验室诊断方法。此外,我们提供了有关含风疹疫苗免疫遗传学的新信息,并综述了针对含风疹疫苗的体液免疫和细胞介导的先天性及适应性免疫反应中个体间变异性的新证据,以及它们与全人类基因组单倍型和单核苷酸多态性的关联。