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机制研究为细菌疫苗和噬菌体疗法带来了希望。

Mechanistic research holds promise for bacterial vaccines and phage therapies for .

作者信息

Hoggarth Austin, Weaver Andrew, Pu Qinqin, Huang Ting, Schettler Jacob, Chen Feng, Yuan Xiefang, Wu Min

机构信息

Department of Biomedical Sciences, University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA,

Key Laboratory of Bio-resources and Eco-environment (Ministry of Education), College of Life Sciences, Sichuan University, Chengdu, China.

出版信息

Drug Des Devel Ther. 2019 Mar 20;13:909-924. doi: 10.2147/DDDT.S189847. eCollection 2019.

DOI:10.2147/DDDT.S189847
PMID:30936684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6431001/
Abstract

Vaccines for have been of longstanding interest to immunologists, bacteriologists, and clinicians, due to the widespread prevalence of hospital-acquired infection. As becomes increasingly antibiotic resistant, there is a dire need for novel treatments and preventive vaccines. Despite intense efforts, there currently remains no vaccine on the market to combat this dangerous pathogen. This article summarizes current and past vaccines under development that target various constituents of . Targeting lipopolysaccharides and O-antigens have shown some promise in preventing infection. Recombinant flagella and pili that target TLR5 have been utilized to combat by blocking its motility and adhesion. The type 3 secretion system components, such as needle-like structure PcrV or exotoxin PopB, are also potential vaccine targets. Outer membrane proteins including OprF and OprI are newer representatives of vaccine candidates. Live attenuated vaccines are a focal point in this review, and are also considered for novel vaccines. In addition, phage therapy is revived as an effective option for treating refractory infections after failure with antibiotic treatment. Many of the aforementioned vaccines act on a single target, thus lacking a broad range of protection. Recent studies have shown that mixtures of vaccines and combination approaches may significantly augment immunogenicity, thereby increasing their preventive and therapeutic potential.

摘要

由于医院获得性感染的广泛流行,针对[病原体名称未给出]的疫苗一直是免疫学家、细菌学家和临床医生长期关注的焦点。随着[病原体名称未给出]对抗生素的耐药性日益增强,迫切需要新的治疗方法和预防性疫苗。尽管付出了巨大努力,但目前市场上仍没有用于对抗这种危险病原体的疫苗。本文总结了目前正在研发以及过去研发的针对[病原体名称未给出]各种成分的疫苗。针对脂多糖和O抗原的疫苗在预防感染方面已显示出一些前景。靶向Toll样受体5(TLR5)的重组鞭毛和菌毛已被用于通过阻断其运动性和黏附性来对抗[病原体名称未给出]。3型分泌系统成分,如针状结构PcrV或外毒素PopB,也是潜在的疫苗靶点。包括外膜蛋白OprF和OprI在内的外膜蛋白是新型疫苗候选物的代表。减毒活疫苗是本综述的重点,也被考虑用于新型疫苗。此外,在抗生素治疗失败后,噬菌体疗法作为治疗难治性感染的有效选择得以复兴。上述许多疫苗作用于单一靶点,因此缺乏广泛的保护作用。最近的研究表明,疫苗混合物和联合方法可能会显著增强免疫原性,从而提高其预防和治疗潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8778/6431001/6c092fd1eb49/dddt-13-909Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8778/6431001/696aab923033/dddt-13-909Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8778/6431001/6c092fd1eb49/dddt-13-909Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8778/6431001/696aab923033/dddt-13-909Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8778/6431001/6c092fd1eb49/dddt-13-909Fig2.jpg

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