Li Jianqiang, Bao Mengru, Ge Jun, Ren Sulin, Zhou Tong, Qi Fengchun, Pu Xiuying, Dou Jia
a Jiangsu Theravac Bio-pharmaceutical Co., Ltd. , Nanjing , China.
b School of Life Science and Engineering, Lanzhou University of Technology , Lanzhou , China.
Hum Vaccin Immunother. 2017 May 4;13(5):986-997. doi: 10.1080/21645515.2016.1276125. Epub 2017 Jan 24.
Hepatitis B virus (HBV) is a member of Hepadnavirus family, which leads to chronic infection in around 5% of patients with a high risk of developing liver cirrhosis, liver failure, and hepatocellular carcinoma. Despite the availability of prophylactic vaccines against hepatitis B for over 3 decades, there are still more than 2 billion people have been infected and 240 million of them were chronic. Antiviral therapies currently used in the treatment of CHB (chronic hepatitis B) infection include peg-interferon, standard α-interferon and nucleos/tide analogs (NAs), but none of them can provide sustained control of viral replication. As an alternative strategy, therapeutic vaccines for CHB patients have been widely studied and showed some promising efficacies in dozens of preclinical and clinical trials. In this article, we review current research progress in several types of therapeutic vaccines for CHB treatment, including protein-based vaccines, DNA-based vaccines, live vector-based vaccines, peptide-based vaccines and cell-based therapies. These researches may provide some clues for developing new treatments in CHB infection.
乙型肝炎病毒(HBV)是嗜肝DNA病毒科的一员,约5%的患者会发生慢性感染,这些患者有发展为肝硬化、肝衰竭和肝细胞癌的高风险。尽管预防性乙肝疫苗已问世30多年,但仍有超过20亿人受到感染,其中2.4亿人为慢性感染。目前用于治疗慢性乙型肝炎(CHB)感染的抗病毒疗法包括聚乙二醇干扰素、标准α干扰素和核苷/酸类似物(NAs),但这些疗法均无法持续控制病毒复制。作为一种替代策略,针对CHB患者的治疗性疫苗已得到广泛研究,并在数十项临床前和临床试验中显示出一些有前景的疗效。在本文中,我们综述了几种用于CHB治疗的治疗性疫苗的当前研究进展,包括基于蛋白质的疫苗、基于DNA的疫苗、基于活载体的疫苗、基于肽的疫苗和基于细胞的疗法。这些研究可能为开发CHB感染的新治疗方法提供一些线索。