Alturaiki Wael
Department of Medical Laboratory Sciences, College of Applied Medical Sciences, Majmaah University, Majmaah 11952, Saudi Arabia.
Vaccines (Basel). 2022 Jul 23;10(8):1173. doi: 10.3390/vaccines10081173.
Mucosal surfaces are the first contact sites of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Most SARS-CoV-2 vaccines induce specific IgG responses but provide limited mucosal immunity. Cytokine B-cell activation factor (BAFF) and A proliferation-inducing ligand (APRIL) in the tumor necrosis factor (TNF) superfamily play key immunological functions during B cell development and antibody production. Furthermore, homeostatic chemokines, such as C-X-C motif chemokine ligand 13 (CXCL13), chemokine (C-C motif) ligand 19 (CCL19), and CCL21, can induce B- and T-cell responses to infection and promote the formation of inducible bronchus-associated lymphoid tissues (iBALT), where specific local immune responses and memory cells are generated. We reviewed the role of BAFF, APRIL, CXCL13, CCL19, and CCL21 in the activation of local B-cell responses and antibody production, and the formation of iBALT in the lung following viral respiratory infections. We speculate that mucosal vaccines may offer more efficient protection against SARS-CoV-2 infection than systematic vaccines and hypothesize that a novel SARS-CoV-2 mRNA mucosal vaccine using BAFF/APRIL or CXCL13 as immunostimulants combined with the spike protein-encoding mRNA may enhance the efficiency of the local immune response and prevent the early stages of SARS-CoV-2 replication and the rapid viral clearance from the airways.
黏膜表面是严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的首个接触部位。大多数SARS-CoV-2疫苗可诱导特异性IgG反应,但提供的黏膜免疫力有限。肿瘤坏死因子(TNF)超家族中的细胞因子B细胞活化因子(BAFF)和增殖诱导配体(APRIL)在B细胞发育和抗体产生过程中发挥关键免疫功能。此外,稳态趋化因子,如C-X-C基序趋化因子配体13(CXCL13)、趋化因子(C-C基序)配体19(CCL19)和CCL21,可诱导B细胞和T细胞对感染作出反应,并促进可诱导支气管相关淋巴组织(iBALT)的形成,在iBALT中可产生特异性局部免疫反应和记忆细胞。我们综述了BAFF、APRIL、CXCL13、CCL19和CCL21在病毒呼吸道感染后肺部局部B细胞反应激活、抗体产生以及iBALT形成中的作用。我们推测,黏膜疫苗可能比系统性疫苗更有效地预防SARS-CoV-2感染,并假设一种以BAFF/APRIL或CXCL13作为免疫刺激剂并与编码刺突蛋白的mRNA相结合的新型SARS-CoV-2 mRNA黏膜疫苗,可能会提高局部免疫反应的效率,并预防SARS-CoV-2复制的早期阶段以及病毒从气道的快速清除。
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