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严重急性呼吸综合征冠状病毒2:既往冠状病毒、免疫反应及疫苗研发

SARS-CoV-2: previous coronaviruses, immune response, and development of vaccines.

作者信息

De León-Rodríguez Saraí G, Hernández-Rico Brenda, Olmo-Vázquez Guadalupe Del, Cruz-Dávalos Iván, Bonifaz Laura C

机构信息

Unidad de Investigación Médica en Inmunoquímica, Hospital de Especialidades Dr. Bernardo Sepúlveda, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico.

出版信息

Bol Med Hosp Infant Mex. 2020;77(5):252-261. doi: 10.24875/BMHIM.20000191.

Abstract

Since the emergence of the new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in China at the end of 2019, when its characteristics were practically unknown, one aspect was evident: its high contagion rate. This high infection rate resulted in the spread of the virus in China, Europe, and, eventually, the rest of the world, including Mexico. At present, around 9 million people are infected, and around 470,000 have died worldwide. In this context, the need to generate protective immunity, and especially the generation of a vaccine that can protect the world population against infection in the shortest possible time, is a challenge that is being addressed in different countries using different strategies in multiple clinical trials. This opinion article will present the evidence of the induction of immune response in some of the viruses of the coronavirus family before COVID-19, such as SARS-CoV and MERS-CoV (Middle East respiratory syndrome coronavirus). The information collected about the induction of an immune response by SARS-CoV-2 will be presented, as well as a description of the vaccine candidates reported to date in the various ongoing clinical trials. Finally, an opinion based on the evidence presented will be issued on the potential success of developing vaccine prototypes.

摘要

自2019年底新型严重急性呼吸综合征冠状病毒2(SARS-CoV-2)在中国出现以来,当时其特性几乎无人知晓,但有一个方面是显而易见的:其高传染率。这种高感染率导致该病毒在中国、欧洲以及最终在包括墨西哥在内的世界其他地区传播。目前,全球约有900万人感染,约47万人死亡。在此背景下,产生保护性免疫的需求,尤其是研发一种能在尽可能短的时间内保护全球人口免受感染的疫苗,是一个挑战,不同国家正在多项临床试验中采用不同策略来应对。这篇观点文章将展示在COVID-19之前冠状病毒家族某些病毒(如SARS-CoV和中东呼吸综合征冠状病毒MERS-CoV)中诱导免疫反应的证据。还将呈现收集到的关于SARS-CoV-2诱导免疫反应的信息,以及对迄今在各种正在进行的临床试验中报道的候选疫苗的描述。最后,将根据所呈现的证据对开发疫苗原型的潜在成功发表意见。

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