Department of Drug and Food Control, Faculty of Pharmacy, Tehran University of Medical Sciences, Room No. 1-221, 16th Azar Street, Tehran, Iran.
Pharmaceutical Microbiology Group, Pharmaceutical Quality Assurance Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Daru. 2022 Dec;30(2):379-406. doi: 10.1007/s40199-022-00446-8. Epub 2022 Sep 2.
Since the outbreak of the novel coronavirus disease 2019 (COVID-19) in Wuhan, China, many health care systems have been heavily engaged in treating and preventing the disease, and the year 2020 may be called as "historic COVID-19 vaccine breakthrough". Due to the COVID-19 pandemic, many companies have initiated investigations on developing an efficient and safe vaccine against the virus. From Moderna and Pfizer in the United States to PastocoVac in Pasteur Institute of Iran and the University of Oxford in the United Kingdom, different candidates have been introduced to the market. COVID-19 vaccine research has been facilitated based on genome and structural information, bioinformatics predictions, epitope mapping, and data obtained from the previous developments of severe acute respiratory syndrome coronavirus (SARS-CoV or SARS-CoV-1) and middle east respiratory syndrome coronavirus (MERS-CoV) vaccine candidates. SARS-CoV genome sequence is highly homologous to the one in COVID-19 and both viruses use the same receptor, angiotensin-converting enzyme 2 (ACE2). Moreover, the immune system responds to these viruses, partially in the same way. Considering the on-going COVID-19 pandemic and previous attempts to manufacture SARS-CoV vaccines, this paper is going to discuss clinical cases as well as vaccine challenges, including those related to infrastructures, transportation, possible adverse reactions, utilized delivery systems (e.g., nanotechnology and electroporation) and probable vaccine-induced mutations.
自 2019 年中国武汉爆发新型冠状病毒病(COVID-19)以来,许多医疗保健系统已全力投入治疗和预防该疾病,2020 年可能被称为“具有历史意义的 COVID-19 疫苗突破”。由于 COVID-19 大流行,许多公司已开始调查开发针对该病毒的高效,安全疫苗。从美国的 Moderna 和辉瑞(Pfizer)到伊朗巴斯德研究所(Pasteur Institute)和英国牛津大学(University of Oxford)的 PastocoVac,不同的候选疫苗已被推向市场。COVID-19 疫苗研究基于基因组和结构信息,生物信息学预测,表位作图以及从严重急性呼吸系统综合症冠状病毒(SARS-CoV 或 SARS-CoV-1)和中东呼吸系统综合症冠状病毒(MERS-CoV)疫苗候选物以前的开发中获得的数据得到了促进。SARS-CoV 基因组序列与 COVID-19 的高度同源,并且两种病毒都使用相同的受体血管紧张素转换酶 2(ACE2)。此外,免疫系统以部分相同的方式对这些病毒产生反应。鉴于当前的 COVID-19 大流行和以前制造 SARS-CoV 疫苗的尝试,本文将讨论临床病例以及疫苗挑战,包括与基础设施,运输,可能的不良反应,所使用的传递系统(例如纳米技术和电穿孔)以及可能的疫苗诱导的突变有关的挑战。