Abdulla Zainalabideen A, Al-Bashir Sharaf M, Al-Salih Noor S, Aldamen Ala A, Abdulazeez Mohammad Z
Department of Clinical Sciences, Faculty of Medicine, Yarmouk University, Irbid 21163, Jordan.
Department of Basic Medical Sciences, Faculty of Medicine, Yarmouk University, Irbid 21163, Jordan.
Pathogens. 2021 Jun 22;10(7):788. doi: 10.3390/pathogens10070788.
Since the beginning of 2020, the world has been in a race to develop vaccines that can control the COVID-19 pandemic. More than 250 projects have been initiated for this purpose, but only 14 of them have been authorized for use, despite being in phase 3 clinical trials. More than 40 other vaccines are also in phase 1/2 clinical trials and show promising outcomes. Regarding the appropriate choice of vaccines for each country or region, we reviewed the currently used vaccines in light of the different influencing parameters. These factors include the mode of action, dosage protocol, age group of the vaccinee, side effects, storage conditions, mounted immune response, and cost. Technically, there are seven types of vaccines developed against SARS-CoV-2: messenger RNA (mRNA), nonreplicating and replicating vectors, inactivated viruses, protein subunits, viral-like particles, DNA vaccines, and live attenuated vaccines. The mRNA type is being used for the first time in humans. Unfortunately, mutated variants of SARS-CoV-2 have started to appear worldwide, and researchers are investigating the effects of the currently used vaccines on them. There are many concerns regarding the long-term protection afforded by these vaccines and their side effects, and whether they require future modifications to be effective against the mutated variants. The development of new vaccines using more advanced technology is paramount for overcoming the difficulties in controlling the COVID-19 pandemic across the world.
自2020年初以来,全球一直在竞相研发能够控制新冠疫情的疫苗。为此已启动了250多个项目,但其中只有14种疫苗尽管处于3期临床试验阶段,却已获得使用授权。另外还有40多种疫苗也处于1/2期临床试验阶段,并显示出了有希望的结果。关于为每个国家或地区选择合适的疫苗,我们根据不同的影响参数对目前使用的疫苗进行了审查。这些因素包括作用方式、剂量方案、接种疫苗者的年龄组、副作用、储存条件、产生的免疫反应以及成本。从技术上讲,针对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)研发的疫苗有七种类型:信使核糖核酸(mRNA)疫苗、非复制型和复制型载体疫苗、灭活病毒疫苗、蛋白亚单位疫苗、病毒样颗粒疫苗、DNA疫苗和减毒活疫苗。mRNA疫苗类型是首次在人体中使用。不幸的是,SARS-CoV-2的变异毒株已开始在全球出现,研究人员正在调查目前使用的疫苗对它们的效果。对于这些疫苗提供的长期保护及其副作用,以及它们是否需要未来进行改进以有效对抗变异毒株,存在许多担忧。利用更先进技术研发新疫苗对于克服全球控制新冠疫情的困难至关重要。