Innes Elisabeth A, Hamilton Clare, Garcia Joao L, Chryssafidis Andreas, Smith David
Moredun Research Institute, Pentlands Science Park, Edinburgh, Scotland EH26 OPZ, United Kingdom of Great Britain and Northern Ireland.
Universidade Estadual de Londrina, Campus Universitario, Rodovia Celso Garcia Cid, Pr 380, CEP 86057-970 Londrina, Parana, Brazil.
Food Waterborne Parasitol. 2019 Apr 18;15:e00053. doi: 10.1016/j.fawpar.2019.e00053. eCollection 2019 Jun.
Toxoplasmosis is a serious disease with global impact, now recognised as one of the most important food borne diseases worldwide and a major cause of production loss in livestock. A one health approach to develop a vaccination programme to tackle toxoplasmosis is an attractive and realistic prospect. Knowledge of disease epidemiology, parasite transmission routes and main risk groups has helped to target key host species and outcomes for a vaccine programme and these would be to prevent/reduce congenital disease in women and sheep; prevent/reduce tissue cysts in food animal species and to prevent/reduce oocyst shedding in cats. Most animals, including humans, develop good protective immunity following infection, involving cell mediated immune responses, which may explain why live vaccines are generally more effective to protect against . Recent advances in our knowledge of parasite genetics and gene manipulation, strain variation, key antigenic epitopes, delivery systems and induction of immune responses are all contributing to the prospects of developing new vaccines which may be more widely applicable. A key area in progressing vaccine development is to devise standard vaccine efficacy models in relevant animal hosts and this is where a one health approach bringing together researchers across different disciplines can be of major benefit. The tools and technologies are in place to make a real impact in tackling toxoplasmosis using vaccination and it just requires a collective will to make it happen.
弓形虫病是一种具有全球影响的严重疾病,现已被公认为全球最重要的食源性疾病之一,也是家畜生产损失的主要原因。采用“同一健康”方法制定疫苗接种计划来应对弓形虫病是一个有吸引力且现实的前景。对疾病流行病学、寄生虫传播途径和主要风险群体的了解有助于确定疫苗接种计划的关键宿主物种和预期结果,这些目标是预防/减少女性和绵羊的先天性疾病;预防/减少食用动物物种中的组织囊肿,并预防/减少猫的卵囊排出。包括人类在内的大多数动物在感染后会产生良好的保护性免疫,涉及细胞介导的免疫反应,这可能解释了为什么活疫苗通常在预防方面更有效。我们在寄生虫遗传学和基因操作、菌株变异、关键抗原表位、递送系统以及免疫反应诱导等方面的知识取得了最新进展,所有这些都为开发可能更广泛适用的新疫苗带来了希望。推进疫苗开发的一个关键领域是在相关动物宿主中设计标准疫苗效力模型,而这正是采用“同一健康”方法汇聚不同学科研究人员能带来重大益处的地方。现有的工具和技术能够在通过接种疫苗应对弓形虫病方面产生实际影响,而这只需要集体意愿来实现。