Durbin Anna P
Department of International Health, Center for Immunization Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Semin Reprod Med. 2016 Sep;34(5):299-304. doi: 10.1055/s-0036-1592070. Epub 2016 Sep 8.
Zika virus is a mosquito-borne that spread rapidly through South and Central America in 2015 to 2016. Microcephaly has been causally associated with Zika virus infection during pregnancy and the World Health Organization declared Zika virus as a Public Health Emergency of International Concern. To address this crisis, many groups have expressed their commitment to developing a Zika virus vaccine. Different strategies for Zika virus vaccine development are being considered including recombinant live attenuated vaccines, purified inactivated vaccines (PIVs), DNA vaccines, and viral vectored vaccines. Important to Zika virus vaccine development will be the target group chosen for vaccination and which end point(s) is chosen for efficacy determination. The first clinical trials of Zika virus vaccine candidates will begin in Q3/4 2016 but the pathway to licensure for a Zika virus vaccine is expected to take several years. Efforts are ongoing to accelerate Zika virus vaccine development and evaluation with the ultimate goal of reducing time to licensure.
寨卡病毒是一种通过蚊子传播的病毒,于2015年至2016年在南美洲和中美洲迅速传播。小头畸形已被证实与孕期感染寨卡病毒存在因果关系,世界卫生组织已宣布寨卡病毒为国际关注的突发公共卫生事件。为应对这一危机,许多团体都表示致力于研发寨卡病毒疫苗。目前正在考虑多种寨卡病毒疫苗的研发策略,包括重组减毒活疫苗、纯化灭活疫苗(PIV)、DNA疫苗和病毒载体疫苗。寨卡病毒疫苗研发的关键在于选定接种的目标人群以及确定疗效的终点指标。寨卡病毒候选疫苗的首批临床试验将于2016年第三或第四季度启动,但预计寨卡病毒疫苗的获批之路仍需数年时间。目前正在努力加速寨卡病毒疫苗的研发和评估,最终目标是缩短获批时间。