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国家过敏和传染病研究所研讨会报告:“衣原体疫苗:前进的道路”。

National Institute of Allergy and Infectious Diseases workshop report: "Chlamydia vaccines: The way forward".

机构信息

Department of Microbiology, Immunology & Molecular Genetics, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.

Vaccine Research Laboratory, UBC Centre for Disease Control, University of British Columbia, Vancouver, BC V5Z 4R4, Canada.

出版信息

Vaccine. 2019 Nov 28;37(50):7346-7354. doi: 10.1016/j.vaccine.2017.10.075. Epub 2017 Oct 31.

Abstract

Chlamydia trachomatis (Ct), an intracellular pathogen, is the most common bacterial sexually transmitted infection. In addition to acute cervicitis and urethritis, Ct can lead to serious sequelae of significant public health burden including pelvic inflammatory disease (PID) and infertility. Ct control efforts have not resulted in desired outcomes such as reduced incidence and reinfection, and this highlights the need for the development of an effective Ct vaccine. To this end, NIAID organized a workshop to consider the current status of Ct vaccine research and address critical questions in Ct vaccine design and clinical testing. Topics included the goal(s) of a vaccine and the feasibility of achieving these goals, animal models of infection including mouse and nonhuman primate (NHP) models, and correlates of protection to guide vaccine design. Decades of research have provided both whole cell-based and subunit vaccine candidates for development. At least one is currently in clinical development and efforts now need to be directed toward further development of the most attractive candidates. Overall, the discussions and presentations from the workshop highlighted optimism about the current status of Ct vaccine research and detailed the remaining gaps and questions needed to move vaccines forward.

摘要

沙眼衣原体(Ct)是一种细胞内病原体,是最常见的细菌性性传播感染。除了急性宫颈炎和尿道炎外,Ct 还可导致盆腔炎(PID)和不孕等严重的后遗症,给公共健康带来了巨大负担。尽管 Ct 控制工作并未取得预期效果,如发病率和再感染率降低,但这突显了开发有效 Ct 疫苗的必要性。为此,NIAID 组织了一次研讨会,以探讨 Ct 疫苗研究的现状,并解决 Ct 疫苗设计和临床测试中的关键问题。议题包括疫苗的目标以及实现这些目标的可行性、感染的动物模型(包括小鼠和非人灵长类动物(NHP)模型),以及指导疫苗设计的保护相关性。几十年来的研究为开发提供了全细胞疫苗和亚单位疫苗候选物。目前至少有一种正在临床开发中,现在需要努力进一步开发最有吸引力的候选物。总的来说,研讨会的讨论和演讲对 Ct 疫苗研究的现状持乐观态度,并详细说明了推进疫苗研发所需的尚存差距和问题。

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