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[俄罗斯联邦应用的抗狂犬病疫苗及其改进前景]

[Anti-rabies vaccines applied in the Russian Federation and perspectives for their improvement].

作者信息

Elakov A L

机构信息

FSBSI «Federal Scientific Center - All-Russian Scientific Research Institute of Experimental Veterinary Medicine named after K.I. Skryabin and Ya.R. Kovalenko of the Russian Academy of Sciences».

出版信息

Vopr Virusol. 2022 May 5;67(2):107-114. doi: 10.36233/0507-4088-102.

Abstract

Rabies is almost ubiquitous (except in certain areas) and poses a significant danger to both animals and humans. Every year around 55,000 people die from this disease worldwide. In the Russian Federation alone 400,000- 450,000 patients annually apply for anti-rabies treatment. In the absolute majority of cases human infection is caused by contact with infected animals. In RF, a number of cultured inactivated anti-rabies vaccines for medical and veterinary purposes have been developed, registered and used for specific prevention of rabies. These vaccine preparations have shown high effectiveness in preventing infection in domestic and farm animals. At the same time, the main reservoir of the rabies virus (Mononegavirales: Rhabdoviridae: Lyssavirus) (RV) are wild carnivores (Mammalia: Carnivora). For the purpose of their oral immunization, live virus vaccines from attenuated (fixed) strains of RV that are little resistant in the external environment are used. In Western Europe and North America there is successful experience with recombinant anti-rabies vaccine preparations containing a viral glycoprotein gene (G-protein). Such vaccines are safe for humans and animals. In Russia also had been developed a vector anti-rabies vaccine based on adenovirus (Adenoviridae), which can be used to combat this infection. Currently, in addition to classical rabies, diseases caused by new, previously unknown lyssaviruses (Lyssavirus) are becoming increasingly important. Bats (Mammalia: Microchiroptera) are their vectors. Cases of illness and death after contact with these animals have been described. In the near future, we should expect the development of new vaccines that will provide protection not only against RV, but also against other lyssaviruses.

摘要

狂犬病几乎无处不在(某些地区除外),对动物和人类都构成重大威胁。全球每年约有5.5万人死于这种疾病。仅在俄罗斯联邦,每年就有40万至45万患者申请狂犬病治疗。在绝大多数情况下,人类感染是由接触受感染动物引起的。在俄罗斯,已经研发、注册并使用了多种用于医学和兽医目的的培养灭活狂犬病疫苗,用于狂犬病的特异性预防。这些疫苗制剂在预防家畜和农场动物感染方面显示出高效性。与此同时,狂犬病病毒(单股负链RNA病毒目:弹状病毒科:狂犬病病毒属)(RV)的主要宿主是野生食肉动物(哺乳纲:食肉目)。为了对它们进行口服免疫,使用了来自RV减毒(固定)毒株的活病毒疫苗,这些毒株在外部环境中抵抗力较弱。在西欧和北美,含有病毒糖蛋白基因(G蛋白)的重组狂犬病疫苗制剂有成功的应用经验。这种疫苗对人类和动物都是安全的。在俄罗斯,还研发了一种基于腺病毒(腺病毒科)的载体狂犬病疫苗,可用于对抗这种感染。目前,除了经典狂犬病外,由新的、以前未知的狂犬病病毒引起的疾病正变得越来越重要。蝙蝠(哺乳纲:小蝙蝠亚目)是它们的传播媒介。已经有接触这些动物后发病和死亡的病例报道。在不久的将来,我们有望研发出不仅能预防RV,还能预防其他狂犬病病毒的新型疫苗。

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