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一种能引发对扎伊尔埃博拉病毒持续免疫反应的两剂次异源初免-加强疫苗接种方案,可为未来疫情爆发的预防策略提供支持。

A two-dose heterologous prime-boost vaccine regimen eliciting sustained immune responses to Ebola Zaire could support a preventive strategy for future outbreaks.

作者信息

Shukarev Georgi, Callendret Benoit, Luhn Kerstin, Douoguih Macaya

机构信息

a Janssen Vaccines AG , Bern , Switzerland.

b Janssen Vaccines & Prevention B.V. , Leiden , The Netherlands.

出版信息

Hum Vaccin Immunother. 2017 Feb;13(2):266-270. doi: 10.1080/21645515.2017.1264755. Epub 2016 Dec 7.

Abstract

The consequences of the 2013-16 Ebola Zaire virus disease epidemic in West Africa were grave. The economies, healthcare systems and communities of Guinea, Sierra Leone and Liberia were devastated by over 18 months of active Ebola virus transmission, followed by sporadic resurgences potentially related to sexual transmission by survivors with viral persistence in body fluids following recovery. The need to develop and implement strategies to prevent and mitigate future outbreaks is now beyond dispute. The potential for unpredictable outbreaks of indeterminate duration, and control challenges posed by the possibility of sporadic re-emergence, mean that implementation of an effective vaccination program for outbreak containment necessitates a vaccine providing durable immunity. Heterologous prime-boost vaccine regimens deliver the same or similar antigens through different vaccine types, the first to prime and the second to boost the immune system. Ad26.ZEBOV/MVA-BN-Filo is an investigational Ebola Zaire vaccine regimen that uses this heterologous prime-boost approach. Preliminary Phase 1 data suggest that Ad26.ZEBOV/MVA-BN-Filo confers durable immunity for at least 240 d and is well-tolerated with a good safety profile. This regimen may therefore be suitable for prophylactic use in a regional or targeted population vaccination strategy, and could potentially aid prevention and control of future Ebola outbreaks.

摘要

2013 - 2016年西非埃博拉 - 扎伊尔病毒病疫情的后果极为严重。在超过18个月的埃博拉病毒活跃传播期间,几内亚、塞拉利昂和利比里亚的经济、医疗系统及社区遭到重创,随后还出现了零星疫情复发,这可能与康复后病毒在幸存者体液中持续存在而通过性传播有关。如今,制定和实施预防及减轻未来疫情爆发的策略已毫无争议。不可预测的、持续时间不确定的疫情爆发可能性,以及零星再次出现所带来的防控挑战,意味着实施有效的疫苗接种计划以控制疫情需要一种能提供持久免疫力的疫苗。异源初免 - 加强疫苗接种方案通过不同类型的疫苗递送相同或相似的抗原,第一种用于初免,第二种用于增强免疫系统。Ad26.ZEBOV/MVA - BN - Filo是一种采用这种异源初免 - 加强方法的埃博拉 - 扎伊尔病毒研究性疫苗接种方案。1期初步数据表明,Ad26.ZEBOV/MVA - BN - Filo可提供至少240天的持久免疫力,且耐受性良好,安全性高。因此,该方案可能适用于区域或目标人群预防接种策略,有潜力协助预防和控制未来的埃博拉疫情爆发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/800a/5328205/083f22abffa3/khvi-13-02-1264755-g001.jpg

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