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百日咳博德特氏菌疫苗对支气管败血博德特氏菌是否有交叉保护作用?对囊性纤维化宠物主人的影响。

Does Bordetella pertussis vaccine offer any cross-protection against Bordetella bronchiseptica? Implications for pet owners with cystic fibrosis.

机构信息

Laboratory for Disinfection and Pathogen Elimination Studies, Northern Ireland Public Health Laboratory, Nightingale (Belfast City) Hospital, Belfast, UK.

School of Medicine, Dentistry and Biomedical Science, The Wellcome-Wolfson Institute for Experimental Medicine, Queen's University, Belfast, UK.

出版信息

J Clin Pharm Ther. 2021 Oct;46(5):1194-1198. doi: 10.1111/jcpt.13350. Epub 2021 Jan 20.

Abstract

WHAT IS KNOWN AND OBJECTIVE

The Gram-negative bacterium, Bordetella bronchiseptica, causes lower airway respiratory disease in people with cystic fibrosis (CF), as well as in companion animals, especially dogs. Presently, there are several acellular vaccines available for B. pertussis but no vaccine available for B. bronchiseptica. However given the shared protein homology between these two closely related species, we wished to explore whether pertussis vaccines may offer some cross-protection against B. bronchiseptica.

COMMENT

Bordetella pertussis and B. bronchiseptica are closely related phylogenetically, as well as sharing protein homology in several pertussis vaccine components, including (i) pertussis toxin (PT), (ii) filamentous haemagglutinin (FHA), (iii) pertactin and (iv) fimbriae (types 2 and 3). Given that pertussis vaccine contains cross-reactive antigens with B. bronchiseptica, licensed pertussis vaccines may therefore offer cross-protection against B. bronchiseptica.

WHAT IS NEW AND CONCLUSION

Cystic fibrosis pet owners should ensure that they have an up-to-date vaccination record relating to their pertussis vaccine. Although no monovalent human pertussis vaccines are currently available, licensed non-live booster vaccines for B. pertussis are available for individuals in the age range >10 years old. People with CF should ensure that they are adequately and currently protected against pertussis, to avoid whooping cough, which may also offer some cross-protection against B. bronchiseptica and therefore help further mitigate the risk of zoonotic infection of this organism from pets to their owners.

摘要

已知和目的

革兰氏阴性细菌支气管败血波氏杆菌会引起囊性纤维化(CF)患者以及伴侣动物(尤其是狗)下呼吸道呼吸道疾病。目前,有几种针对百日咳杆菌的无细胞疫苗,但没有针对支气管败血波氏杆菌的疫苗。然而,鉴于这两个密切相关的物种之间存在共享的蛋白质同源性,我们想探讨百日咳疫苗是否可以为支气管败血波氏杆菌提供一些交叉保护。

评论

百日咳博德特氏菌和支气管败血波氏杆菌在系统发育上密切相关,并且在几种百日咳疫苗成分中具有蛋白质同源性,包括(i)百日咳毒素(PT)、(ii)丝状血凝素(FHA)、(iii) pertactin 和(iv)菌毛(类型 2 和 3)。鉴于百日咳疫苗含有与支气管败血波氏杆菌交叉反应的抗原,因此许可的百日咳疫苗可能对支气管败血波氏杆菌提供交叉保护。

新内容和结论

囊性纤维化宠物主人应确保他们有最新的百日咳疫苗接种记录。虽然目前没有单价人类百日咳疫苗,但适用于 >10 岁人群的 B. pertussis 许可非活增强疫苗仍可获得。CF 患者应确保他们得到充分和当前的百日咳保护,以避免百日咳,这也可能为支气管败血波氏杆菌提供一些交叉保护,并有助于进一步降低该生物体从宠物向其主人的人畜共患感染风险。

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