Department of Anesthesiology and Perioperative Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing China.
Department of Critical Care Medicine, The Third Affiliated Hospital of Soochow University, Changzhou China.
Expert Rev Vaccines. 2021 Apr;20(4):375-383. doi: 10.1080/14760584.2021.1911653. Epub 2021 Apr 12.
Coronavirus Disease 2019 (COVID-19) poses a substantial threat to the lives of the elderly, especially those with neurodegenerative diseases, and vaccination against viral infections is recognized as an effective measure to reduce mortality. However, elderly patients with neurodegenerative diseases often suffer from abnormal immune function and take multiple medications, which may complicate the role of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccines. Currently, there is no expert consensus on whether SARS-CoV-2 vaccines are suitable for patients with neurodegenerative diseases.
We searched Pubmed to conduct a systematic review of published studies, case reports, reviews, meta-analyses, and expert guidelines on the impact of SARS-CoV-2 on neurodegenerative diseases and the latest developments in COVID-19 vaccines. We also summarized the interaction between vaccines and age-related neurodegenerative diseases. The compatibility of future SARS-CoV-2 vaccines with neurodegenerative diseases is discussed.
Vaccines enable the body to produce immunity by activating the body's immune response. The pathogenesis and treatment of neurodegenerative diseases is complex, and these diseases often involve abnormal immune function, which can substantially affect the safety and effectiveness of vaccines. In short, this article provides recommendations for the use of vaccine candidates in patients with neurodegenerative diseases.
2019 年冠状病毒病(COVID-19)对老年人的生命构成了重大威胁,特别是那些患有神经退行性疾病的老年人,接种病毒感染疫苗被认为是降低死亡率的有效措施。然而,患有神经退行性疾病的老年患者常伴有免疫功能异常和服用多种药物,这可能会使严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)疫苗的作用复杂化。目前,关于 SARS-CoV-2 疫苗是否适用于神经退行性疾病患者,尚无专家共识。
我们在 PubMed 上进行了系统检索,以对关于 SARS-CoV-2 对神经退行性疾病的影响的已发表研究、病例报告、综述、荟萃分析和专家指南,以及 COVID-19 疫苗的最新进展进行了系统性评价。我们还总结了疫苗与年龄相关性神经退行性疾病之间的相互作用。讨论了未来 SARS-CoV-2 疫苗与神经退行性疾病的兼容性。
疫苗通过激活人体的免疫反应使人体产生免疫力。神经退行性疾病的发病机制和治疗方法复杂,这些疾病通常涉及免疫功能异常,这会极大地影响疫苗的安全性和有效性。简而言之,本文为神经退行性疾病患者使用疫苗候选物提供了建议。