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腺病毒载体疫苗——新兴病毒病原体大流行防范的平台。

Adenovirus-based vaccines-a platform for pandemic preparedness against emerging viral pathogens.

机构信息

Department of Microbiology and Immunology, University of Maryland School of Medicine, Baltimore, MD 21201, USA; Center for Vaccine Development and Global Health (CVD), University of Maryland School of Medicine, Baltimore, MD 21201, USA.

Institut de Génétique Moléculaire de Montpellier, Université de Montpellier, CNRS 5535, Montpellier, France.

出版信息

Mol Ther. 2022 May 4;30(5):1822-1849. doi: 10.1016/j.ymthe.2022.01.034. Epub 2022 Jan 31.

Abstract

Zoonotic viruses continually pose a pandemic threat. Infection of humans with viruses for which we typically have little or no prior immunity can result in epidemics with high morbidity and mortality. These epidemics can have public health and economic impact and can exacerbate civil unrest or political instability. Changes in human behavior in the past few decades-increased global travel, farming intensification, the exotic animal trade, and the impact of global warming on animal migratory patterns, habitats, and ecosystems-contribute to the increased frequency of cross-species transmission events. Investing in the pre-clinical advancement of vaccine candidates against diverse emerging viral threats is crucial for pandemic preparedness. Replication-defective adenoviral (Ad) vectors have demonstrated their utility as an outbreak-responsive vaccine platform during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. Ad vectors are easy to engineer; are amenable to rapid, inexpensive manufacturing; are relatively safe and immunogenic in humans; and, importantly, do not require specialized cold-chain storage, making them an ideal platform for equitable global distribution or stockpiling. In this review, we discuss the progress in applying Ad-based vaccines against emerging viruses and summarize their global safety profile, as reflected by their widespread geographic use during the SARS-CoV-2 pandemic.

摘要

人畜共患病毒不断构成大流行威胁。人类感染通常几乎没有或完全没有先前免疫力的病毒,可能导致发病率和死亡率很高的流行。这些流行病可能对公共卫生和经济产生影响,并可能加剧内乱或政治不稳定。过去几十年中人类行为的变化——全球旅行增加、农业集约化、外来动物贸易以及全球变暖对动物迁徙模式、栖息地和生态系统的影响——导致了跨物种传播事件的频率增加。投资于针对各种新兴病毒威胁的临床前疫苗候选物的进展对于大流行的准备至关重要。复制缺陷型腺病毒(Ad)载体在严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)大流行期间已证明其作为爆发应对疫苗平台的效用。Ad 载体易于工程设计;适合快速、廉价的制造;在人类中相对安全且具有免疫原性;并且,重要的是,不需要专门的冷链储存,这使其成为公平的全球分配或储备的理想平台。在这篇综述中,我们讨论了应用针对新兴病毒的基于 Ad 的疫苗的进展,并总结了它们的全球安全性概况,这反映了它们在 SARS-CoV-2 大流行期间在全球范围内的广泛使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96b2/9092309/f97cc60c764b/fx1.jpg

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