Maldonado Edio, Morales-Pison Sebastian, Urbina Fabiola, Solari Aldo
Programa de Biología Celular y Molecular, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago 8380453, Chile.
Centro de Oncología de Precisión (COP), Universidad Mayor, Santiago 7560908, Chile.
Vaccines (Basel). 2022 Apr 12;10(4):587. doi: 10.3390/vaccines10040587.
Chagas disease is caused by the protozoan and is endemic to Central and South America. However, it has spread around the world and affects several million people. Treatment with currently available drugs cause several side effects and require long treatment times to eliminate the parasite, however, this does not improve the chronic effects of the disease such as cardiomyopathy. A therapeutic vaccine for Chagas disease may be able to prevent the disease and improve the chronic effects such as cardiomyopathy. This vaccine would be beneficial for both infected people and those which are at risk in endemic and non-endemic areas. In this article, we will review the surface antigens of , in order to choose those that are most antigenic and least variable, to design effective vaccines against the etiological agent of Chagas disease. Also, we discuss aspects of the design of nucleic acid-based vaccines, which have been developed and proven to be effective against the SARS-CoV-2 virus. The role of co-adjuvants and delivery carriers is also discussed. We present an example of a chimeric trivalent vaccine, based on experimental work, which can be used to design a vaccine against Chagas disease.
恰加斯病由原生动物引起,在中美洲和南美洲流行。然而,它已传播到世界各地,影响着数百万人。使用现有药物治疗会产生多种副作用,且需要较长治疗时间来清除寄生虫,但这并不能改善该疾病的慢性影响,如心肌病。恰加斯病治疗性疫苗或许能够预防该疾病,并改善诸如心肌病等慢性影响。这种疫苗对感染者以及在流行地区和非流行地区有患病风险的人都有益处。在本文中,我们将综述[病原体名称]的表面抗原,以便选择那些抗原性最强且变异性最小的抗原,从而设计出针对恰加斯病病原体的有效疫苗。此外,我们还将讨论基于核酸的疫苗的设计方面,这类疫苗已被研发出来并证明对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒有效。同时也会讨论共佐剂和递送载体的作用。我们基于实验工作给出一种嵌合三价疫苗的示例,它可用于设计针对恰加斯病的疫苗。