Greka Engineering and Technology, 28 Landmark Plaza, Outer Ring Road 1, CBD, Zhengzhou, 450000, China.
Int J Med Sci. 2021 Aug 1;18(15):3389-3394. doi: 10.7150/ijms.46363. eCollection 2021.
Current standard vaccine testing protocols take approximately 10-24 months of testing before a vaccine can be declared successful. Sometimes by the time a successful vaccine is out for public use, the outbreak may already be over. With no vaccine or antiviral drug available to treat the infected, we are left with the age-old methods of isolation, quarantine, and rest, to arrest such a viral outbreak. Convalescent blood therapy and covalent plasma therapy have often proved effective in reducing mortality, however, the role of innate and adaptive immune cells in these therapies have been overlooked. Antigen presenting cells (APCs), CD4+ T memory cells, CD8+ T memory cells, and memory B-Cells all play a vital role in sustainable defense and subsequent recovery. This report incorporates all these aspects by suggesting a novel treatment therapy called selective convalescent leukapheresis and transfusion (SCLT) and also highlights its potential in vaccination. The anticipated advantages of the proposed technique outweigh the cost, time, and efficiency of other available transfusion and vaccination processes. It is envisioned that in the future this new approach could serve as a rapid emergency response to subdue a pathogen outbreak and to stop it from becoming an epidemic, or pandemic.
目前,标准的疫苗测试方案需要大约 10-24 个月的测试时间,疫苗才能被宣布成功。有时,当一种成功的疫苗可供公众使用时,疫情可能已经结束。由于没有疫苗或抗病毒药物可用于治疗感染者,我们只能使用古老的隔离、检疫和休息方法来控制这种病毒的爆发。恢复期血液疗法和共价血浆疗法已被证明在降低死亡率方面非常有效,然而,这些疗法中固有和适应性免疫细胞的作用却被忽视了。抗原呈递细胞(APCs)、CD4+T 记忆细胞、CD8+T 记忆细胞和记忆 B 细胞在可持续防御和随后的恢复中都发挥着至关重要的作用。本报告通过提出一种名为选择性恢复期白细胞分离和输血(SCLT)的新型治疗方法,整合了所有这些方面,并强调了其在疫苗接种方面的潜力。与其他可用的输血和接种过程相比,拟议技术的预期优势超过了其成本、时间和效率。可以想象,在未来,这种新方法可以作为一种快速的应急措施来抑制病原体的爆发,并阻止其演变成流行病或大流行。