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新型冠状病毒肺炎疫苗:全面现状报告。

COVID-19 Vaccine: A comprehensive status report.

机构信息

Department of Microbiology, Ram Lal Anand College, University of Delhi, Benito Juarez Road, New Delhi 110021, India.

Department of Microbiology, Ram Lal Anand College, University of Delhi, Benito Juarez Road, New Delhi 110021, India.

出版信息

Virus Res. 2020 Oct 15;288:198114. doi: 10.1016/j.virusres.2020.198114. Epub 2020 Aug 13.

DOI:10.1016/j.virusres.2020.198114
PMID:32800805
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7423510/
Abstract

The current COVID-19 pandemic has urged the scientific community internationally to find answers in terms of therapeutics and vaccines to control SARS-CoV-2. Published investigations mostly on SARS-CoV and to some extent on MERS has taught lessons on vaccination strategies to this novel coronavirus. This is attributed to the fact that SARS-CoV-2 uses the same receptor as SARS-CoV on the host cell i.e. human Angiotensin Converting Enzyme 2 (hACE2) and is approximately 79% similar genetically to SARS-CoV. Though the efforts on COVID-19 vaccines started very early, initially in China, as soon as the outbreak of novel coronavirus erupted and then world-over as the disease was declared a pandemic by WHO. But we will not be having an effective COVID-19 vaccine before September, 2020 as per very optimistic estimates. This is because a successful COVID-19 vaccine will require a cautious validation of efficacy and adverse reactivity as the target vaccinee population include high-risk individuals over the age of 60, particularly those with chronic co-morbid conditions, frontline healthcare workers and those involved in essentials industries. Various platforms for vaccine development are available namely: virus vectored vaccines, protein subunit vaccines, genetic vaccines, and monoclonal antibodies for passive immunization which are under evaluations for SARS-CoV-2, with each having discrete benefits and hindrances. The COVID-19 pandemic which probably is the most devastating one in the last 100 years after Spanish flu mandates the speedy evaluation of the multiple approaches for competence to elicit protective immunity and safety to curtail unwanted immune-potentiation which plays an important role in the pathogenesis of this virus. This review is aimed at providing an overview of the efforts dedicated to an effective vaccine for this novel coronavirus which has crippled the world in terms of economy, human health and life.

摘要

当前的 COVID-19 大流行促使国际科学界寻找治疗方法和疫苗来控制 SARS-CoV-2。已发表的调查主要针对 SARS-CoV,在某种程度上也针对 MERS,为这种新型冠状病毒的疫苗接种策略提供了经验教训。这归因于以下事实:SARS-CoV-2 在宿主细胞上使用与 SARS-CoV 相同的受体,即人类血管紧张素转换酶 2(hACE2),并且在遗传上与 SARS-CoV 大约有 79%的相似性。尽管 COVID-19 疫苗的研发工作很早就开始了,最初是在中国,随着新型冠状病毒的爆发,然后在全球范围内,世界卫生组织宣布该疾病为大流行。但根据非常乐观的估计,我们要到 2020 年 9 月才能生产出有效的 COVID-19 疫苗。这是因为,为了确保目标疫苗接种人群(包括 60 岁以上的高危人群,特别是患有慢性合并症的人群、一线医护人员和从事重要行业的人员)的疗效和不良反应的有效性,COVID-19 疫苗需要谨慎验证。目前,有多种疫苗研发平台,包括病毒载体疫苗、蛋白亚单位疫苗、基因疫苗和用于被动免疫的单克隆抗体,这些都在针对 SARS-CoV-2 进行评估,每种平台都有其独特的优势和障碍。COVID-19 大流行可能是自西班牙流感以来过去 100 年来最具破坏性的一次大流行,这使得人们必须快速评估多种方法的竞争力,以激发保护性免疫,并确保安全性,以减少这种病毒发病机制中起重要作用的不必要的免疫增强作用。本文综述了针对这种新型冠状病毒的有效疫苗所做的努力,这种病毒在经济、人类健康和生命方面给世界带来了严重影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2f5/7423510/bccbbc1578e9/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2f5/7423510/bccbbc1578e9/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2f5/7423510/bccbbc1578e9/gr1_lrg.jpg

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