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迫切需要更多关于 SARS-Cov2 感染和疫苗的基础研究,以使用母体免疫激活(MIA)和其他临床前模型来评估潜在的心理神经影响。

The urgent need for more basic research on SARS-Cov2 infection and vaccines in assessing potential psychoneurological effects using maternal immune activation (MIA) and other preclinical modeling.

机构信息

Departments of Dermatology and Internal Medicine, UC Davis School of Medicine, Sacramento, CA, United States.

出版信息

Brain Behav Immun. 2021 Oct;97:1-3. doi: 10.1016/j.bbi.2021.06.009. Epub 2021 Jul 1.

Abstract

The rapid development and application of different SARS-Cov2 vaccines world-wide has resulted in impressive efficacy and protection from this deadly pandemic. However, the existence of different and continuously developing vaccine candidates coupled with the likelihood of continued application due to both waning immune responses and emergence of viral mutants, means that more basic research regarding their efficacy and continued application are needed. This is particularly true with use of preclinical models involving effects when given during pregnancy. The substantial body of data on the impact of maternal immune activation (MIA) on neurologic development and behavior in the progeny necessitates the need to have all vaccine candidates, particularly when inducing strong toll receptor (TLR) responses, involving these models. Use of other preclinical models involving autoimmunity and allergy coupled with incorporation of human modifying variables of aging and obesity should also be applied to better reflect the heterogeneity of the general population and potential off-target effects that may arise. Additionally, the use of human ACE2 receptor transgenic mouse models can shed insights given the differential tissues expression at different stages in development. However, to foster these types of basic research studies involving different vaccine products, initiatives must first be implemented and supported at the governmental level even while clinical data still accumulates.

摘要

全球范围内不同的 SARS-CoV2 疫苗的快速发展和应用,使得这种致命大流行得到了令人印象深刻的疗效和保护。然而,不同的、不断发展的候选疫苗的存在,加上免疫反应减弱和病毒突变出现的可能性,意味着需要对它们的疗效和持续应用进行更多的基础研究。对于涉及妊娠期间使用的临床前模型中的效果尤其如此。大量关于母体免疫激活(MIA)对后代神经发育和行为的影响的数据,需要所有疫苗候选物,特别是在诱导强烈的 toll 受体(TLR)反应时,都要涉及这些模型。使用其他涉及自身免疫和过敏的临床前模型,并结合衰老和肥胖的人类修饰变量,也应该应用于更好地反映一般人群的异质性和可能出现的脱靶效应。此外,使用人类 ACE2 受体转基因小鼠模型可以提供见解,因为在不同的发育阶段,不同的组织表达不同。然而,要促进这些涉及不同疫苗产品的基础研究,必须首先在政府层面实施和支持这些倡议,即使临床数据仍在积累。

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