Mara Kostlend, Dai Meiling, Brice Aaron M, Alexander Marina R, Tribolet Leon, Layton Daniel S, Bean Andrew G D
CSIRO Health & Biosecurity, Australian Centre for Disease Preparedness, Geelong, Vic 3220, Australia.
Vaccines (Basel). 2021 Jan 17;9(1):59. doi: 10.3390/vaccines9010059.
The current pandemic has highlighted the ever-increasing risk of human to human spread of zoonotic pathogens. A number of medically-relevant zoonotic pathogens are negative-strand RNA viruses (NSVs). NSVs are derived from different virus families. Examples like Ebola are known for causing severe symptoms and high mortality rates. Some, like influenza, are known for their ease of person-to-person transmission and lack of pre-existing immunity, enabling rapid spread across many countries around the globe. Containment of outbreaks of NSVs can be difficult owing to their unpredictability and the absence of effective control measures, such as vaccines and antiviral therapeutics. In addition, there remains a lack of essential knowledge of the host-pathogen response that are induced by NSVs, particularly of the immune responses that provide protection. Vaccines are the most effective method for preventing infectious diseases. In fact, in the event of a pandemic, appropriate vaccine design and speed of vaccine supply is the most critical factor in protecting the population, as vaccination is the only sustainable defense. Vaccines need to be safe, efficient, and cost-effective, which is influenced by our understanding of the host-pathogen interface. Additionally, some of the major challenges of vaccines are the establishment of a long-lasting immunity offering cross protection to emerging strains. Although many NSVs are controlled through immunisations, for some, vaccine design has failed or efficacy has proven unreliable. The key behind designing a successful vaccine is understanding the host-pathogen interaction and the host immune response towards NSVs. In this paper, we review the recent research in vaccine design against NSVs and explore the immune responses induced by these viruses. The generation of a robust and integrated approach to development capability and vaccine manufacture can collaboratively support the management of outbreaking NSV disease health risks.
当前的大流行凸显了人畜共患病原体在人与人之间传播的风险不断增加。一些与医学相关的人畜共患病原体是负链RNA病毒(NSV)。NSV来自不同的病毒家族。像埃博拉这样的例子以引起严重症状和高死亡率而闻名。有些病毒,如流感,以其易于人际传播和缺乏预先存在的免疫力而闻名,能够在全球许多国家迅速传播。由于NSV的不可预测性以及缺乏有效的控制措施,如疫苗和抗病毒治疗药物,控制NSV的爆发可能很困难。此外,对于NSV诱导的宿主-病原体反应,尤其是提供保护的免疫反应,仍然缺乏基本知识。疫苗是预防传染病最有效的方法。事实上,在大流行的情况下,合适的疫苗设计和疫苗供应速度是保护人群的最关键因素,因为接种疫苗是唯一可持续的防御措施。疫苗需要安全、有效且具有成本效益,这受到我们对宿主-病原体界面理解的影响。此外,疫苗的一些主要挑战是建立能够对新出现的毒株提供交叉保护的持久免疫力。虽然许多NSV通过免疫接种得到控制,但对于一些病毒来说,疫苗设计失败或效果被证明不可靠。设计成功疫苗的关键在于了解宿主-病原体相互作用以及宿主对NSV的免疫反应。在本文中,我们回顾了针对NSV疫苗设计的最新研究,并探讨了这些病毒诱导的免疫反应。开发强大而综合的研发能力和疫苗生产方法可以共同支持对爆发的NSV疾病健康风险的管理。