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隐球菌疫苗的宿主人群、挑战和商业化。

Host populations, challenges, and commercialization of cryptococcal vaccines.

机构信息

Department of Microbiology and Immunology, Stony Brook University, Stony Brook, New York, United States of America.

Division of Infectious Diseases, Stony Brook University, Stony Brook, New York, United States of America.

出版信息

PLoS Pathog. 2023 Feb 9;19(2):e1011115. doi: 10.1371/journal.ppat.1011115. eCollection 2023 Feb.

Abstract

Vaccines are one of the most effective public health tools to prevent and manage infectious diseases. Since the first clinical use of vaccines in the late 18th century, many vaccines have been successfully developed to combat bacterial and viral infections, including the most recent Coronavirus Disease 2019 (COVID-19) pandemic. However, there remains no vaccine that is clinically available to treat or prevent invasive fungal diseases, including cryptococcal meningoencephalitis. This fungal disease is uniformly fatal without treatment and has a global mortality rate of over 70%. Despite a dire need for an effective cryptococcal vaccine, there are many scientific and economic challenges to overcome prior to making it a reality. Here, we discuss some of these challenges as well as steps that the community is taking for commercialization of effective cryptococcal vaccines.

摘要

疫苗是预防和管理传染病最有效的公共卫生工具之一。自 18 世纪末期首次在临床上使用疫苗以来,已经成功开发出许多疫苗来对抗细菌和病毒感染,包括最近的 2019 年冠状病毒病(COVID-19)大流行。然而,目前临床上还没有可用于治疗或预防侵袭性真菌病的疫苗,包括隐球菌性脑膜炎。如果不治疗,这种真菌病会导致患者全部死亡,全球死亡率超过 70%。尽管迫切需要有效的隐球菌疫苗,但在将其变为现实之前,仍需要克服许多科学和经济方面的挑战。在这里,我们讨论了其中的一些挑战,以及该领域为实现有效的隐球菌疫苗商业化而采取的步骤。

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