Department of Health Development and Medicine, Graduate School of Medicine, Osaka University, 2-2 Yamada-oka, Suita, Osaka 565-0871, Japan.
Int Immunol. 2021 Sep 25;33(10):521-527. doi: 10.1093/intimm/dxab013.
There is currently an outbreak of respiratory disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Coronavirus disease 2019 (COVID-19) is caused by infection with SARS-CoV-2. Individuals with COVID-19 have symptoms that are usually asymptomatic or mild in most initial cases. However, in some cases, moderate and severe symptoms have been observed with pneumonia. Many companies are developing COVID-19 vaccine candidates using different technologies that are classified into four groups (intact target viruses, proteins, viral vectors and nucleic acids). For rapid development, RNA vaccines and adenovirus vector vaccines have been urgently approved, and their injection has already started across the world. These types of vaccine technologies have been developed over more than 20 years using translational research for use against cancer or diseases caused by genetic disorders but the COVID-19 vaccines are the first licensed drugs to prevent infectious diseases using RNA vaccine technology. Although these vaccines are highly effective in preventing COVID-19 for a short period, safety and efficiency evaluations should be continuously monitored over a long time period. As the time of writing, more than 10 projects are now in phase 3 to evaluate the prevention of infection in double-blind studies. Hopefully, several projects may be approved to ensure high-efficiency and safe vaccines.
目前正爆发由严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)引起的呼吸道疾病。新型冠状病毒病(COVID-19)是由 SARS-CoV-2 感染引起的。COVID-19 患者的症状在大多数初始病例中通常为无症状或轻症。然而,在某些情况下,观察到中度和重度症状并伴有肺炎。许多公司正在使用不同技术开发 COVID-19 疫苗候选物,这些技术分为四组(完整的靶病毒、蛋白、病毒载体和核酸)。为了快速开发,已紧急批准了 RNA 疫苗和腺病毒载体疫苗,并已在全球范围内开始接种。这些类型的疫苗技术已经使用转化研究开发了 20 多年,用于对抗癌症或由遗传疾病引起的疾病,但 COVID-19 疫苗是使用 RNA 疫苗技术预防传染病的首批许可药物。尽管这些疫苗在短时间内对预防 COVID-19 非常有效,但应在较长时间内持续监测安全性和效率评估。截至撰写本文时,已有 10 多个项目正在进行 3 期研究,以评估双盲研究中预防感染的效果。希望,几个项目可能会被批准,以确保高效和安全的疫苗。