DNA疫苗——是现代噱头还是疫苗学的福音?
DNA Vaccines - A Modern Gimmick or a Boon to Vaccinology?
作者信息
Manickan Elanchezhiyan, Karem Kevin L, Rouse Barry T
机构信息
Department of Microbiology, University of Tennessee, Knoxville, TN 37996-0845.
出版信息
Crit Rev Immunol. 2017;37(2-6):483-498. doi: 10.1615/CritRevImmunol.v37.i2-6.140.
The reports in 1993 that naked DNA encoding viral genes conferred protective immunity came as a surprise to most vaccinologists. This review analyses the expanding number of examples where plasmid DNA induces immune responses. Issues such as the type of immunity induced, mechanisms of immune protection, and how DNA vaccines compare with other approaches are emphasized. Additional issues discussed include the likely means by which DNA vaccines induce CTL, how the potency and type of immunity induced can be modified, and whether DNA vaccines represent a practical means of manipulating unwanted immune response occurring during immunoinflammatory diseases. It seems doubtful if DNA vaccines will replace currently effective vaccines, but they may prove useful for prophylactic use against some agents that at present lack an effective vaccine. DNA vaccines promise to be valuable to manipulate the immune response in situations where responses to agents are inappropriate or ineffective.
1993年有报道称,编码病毒基因的裸露DNA可赋予保护性免疫,这让大多数疫苗学家感到意外。本综述分析了越来越多的质粒DNA诱导免疫反应的实例。重点强调了诸如诱导的免疫类型、免疫保护机制以及DNA疫苗与其他方法相比如何等问题。讨论的其他问题包括DNA疫苗诱导细胞毒性T淋巴细胞(CTL)的可能方式、如何改变诱导的免疫效力和类型,以及DNA疫苗是否代表了一种控制免疫炎症性疾病中出现的不良免疫反应的实用手段。DNA疫苗是否会取代目前有效的疫苗似乎令人怀疑,但它们可能被证明对预防某些目前缺乏有效疫苗的病原体有用。在对病原体的反应不适当或无效的情况下,DNA疫苗有望在操纵免疫反应方面具有价值。