Pós-Graduação em Inovação Terapêutica, Universidade Federal de Pernambuco (UFPE), Recife, Brazil.
Departamento de Imunologia, Instituto Aggeu Magalhães, Recife, Brazil.
Hum Vaccin Immunother. 2020 Apr 2;16(4):919-930. doi: 10.1080/21645515.2019.1678998. Epub 2019 Nov 11.
The leishmaniases are a collection of vector-borne parasitic diseases caused by a number of different species that are distributed worldwide. Clinical and laboratory research have together revealed several important immune components that control infection and indicate the potential of immunization to prevent leishmaniasis. In this review we introduce previous and ongoing experimental research efforts to develop vaccines against species. First, second and third generation vaccine strategies that have been proposed to counter cutaneous and visceral leishmaniasis (CL and VL, respectively) are summarized. One of the major bottlenecks in development is the transition from results in animal model studies to humans, and we highlight that although American tegumentary leishmaniasis (ATL; New World CL) can progress to destructive and disfiguring mucosal lesions, most research has been conducted using mouse models and Old World species. We conclude that assessment of vaccine candidates in ATL settings therefore appears merited.
利什曼病是一组由多种不同种属的寄生虫引起的经媒介传播的疾病,分布于世界各地。临床和实验室研究共同揭示了一些重要的免疫成分,这些成分可控制感染,并表明免疫接种预防利什曼病的潜力。在这篇综述中,我们介绍了之前和正在进行的针对不同种属的疫苗开发的实验研究工作。首先,总结了针对皮肤利什曼病(CL)和内脏利什曼病(VL)的第一代、第二代和第三代疫苗策略。开发过程中的一个主要瓶颈是将动物模型研究结果转化为人类应用,我们强调,尽管美洲皮肤利什曼病(ATL;新世界 CL)可进展为破坏性和毁容性的黏膜病变,但大多数研究都是使用鼠模型和旧世界种属进行的。我们得出的结论是,因此,评估 ATL 环境中的疫苗候选物似乎是合理的。
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