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拉沙热候选疫苗的前景

PROSPECTS OF LASSA FEVER CANDIDATE VACCINES.

作者信息

Isaac Ademusire Babatunde, Karolina Wieczorek, Temitope Alonge Aishat, Anuska Rajen, Joanne Egbe, Deborah Adebambo, Bianca Offorbuike Chiamaka, Filip Trojan, Zofia Przypaśniak, Oluwasegun Oduguwa Ifeoluwa, Oluwaferanmi Omitoyin, Grace Balogun Toluwalogo

机构信息

College of Medicine, University of Ibadan, Ibadan, Nigeria.

Polygeia (Global Health Student Think Tank), Ibadan Branch, Nigeria.

出版信息

Afr J Infect Dis. 2022 Aug 17;16(2 Suppl):46-58. doi: 10.21010/Ajid.v16i2S.6. eCollection 2022.

Abstract

BACKGROUND

Lassa fever is an acute viral haemorrhagic disease caused by the Lassa virus (LASV). It is endemic in West Africa and infects about 300,000 people each year, leading to approximately 5000 deaths annually. The development of the LASV vaccine has been listed as a priority by the World Health Organization since 2018. Considering the accelerated development and availability of vaccines against COVID-19, we set out to assess the prospects of LASV vaccines and the progress made so far.

MATERIALS AND METHODS

We reviewed the progress made on twenty-six vaccine candidates listed by Salami . (2019) and searched for new vaccine candidates through Google Scholar, PubMed, and DOAJ from June to July 2021. We searched the articles published in English using keywords that included "vaccine" AND "Lassa fever" OR "Lassa virus" in the title/abstract.

RESULTS

Thirty-four candidate vaccines were identified - 26 already listed in the review by Salami et al. and an additional 8, which were developed over the last seven years. 30 vaccines are still in the pre-clinical stage while 4 of them are currently undergoing clinical trials. The most promising candidates in 2019 were vesicular stomatitis virus-vectored vaccine and live-attenuated MV/LASV vaccine; both had progressed to clinical trials.

CONCLUSIONS

Despite the focus on COVID-19 vaccines since 2020, LASV vaccine is under development and continues to make impressive progress, hence more emphasis should be put into exploring further clinical studies related to the most promising types of vaccines identified.

摘要

背景

拉沙热是一种由拉沙病毒(LASV)引起的急性病毒性出血热疾病。它在西非流行,每年感染约30万人,导致约5000人死亡。自2018年以来,拉沙病毒疫苗的研发已被世界卫生组织列为优先事项。考虑到抗新冠病毒疫苗的加速研发和可及性,我们着手评估拉沙病毒疫苗的前景以及迄今取得的进展。

材料与方法

我们回顾了Salami等人(2019年)列出的26种候选疫苗的进展情况,并于2021年6月至7月通过谷歌学术、PubMed和DOAJ搜索新的候选疫苗。我们使用标题/摘要中包含“疫苗”以及“拉沙热”或“拉沙病毒”的英文关键词搜索已发表的文章。

结果

共确定了34种候选疫苗——26种已在Salami等人的综述中列出,另外8种是在过去七年中研发的。30种疫苗仍处于临床前阶段,其中4种目前正在进行临床试验。2019年最有前景的候选疫苗是水疱性口炎病毒载体疫苗和减毒活麻疹病毒/拉沙病毒疫苗;两者均已进入临床试验阶段。

结论

尽管自2020年以来一直专注于新冠病毒疫苗,但拉沙病毒疫苗仍在研发中,并继续取得令人瞩目的进展,因此应更加重视探索与已确定的最有前景的疫苗类型相关的进一步临床研究。

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本文引用的文献

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Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2020 Jan;63(1):65-73. doi: 10.1007/s00103-019-03061-2.
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