Preda Madalina, Manolescu Loredana Sabina Cornelia, Chivu Razvan Daniel
Department of Microbiology, Parasitology and Virology, Faculty of Midwives and Nursing, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Research Department, Marius Nasta Institute of Pneumology, 050159 Bucharest, Romania.
Vaccines (Basel). 2023 Jun 12;11(6):1094. doi: 10.3390/vaccines11061094.
Alpha herpes simplex viruses are an important public health problem affecting all age groups. It can produce from common cold sores and chicken pox to severe conditions like encephalitis or newborn mortality. Although all three subtypes of alpha herpes viruses have a similar structure, the produced pathology differs, and at the same time, the available prevention measures, such as vaccination. While there is an available and efficient vaccine for the varicella-zoster virus, for herpes simplex virus 1 and 2, after multiple approaches from trivalent subunit vaccine to next-generation live-attenuated virus vaccines and bioinformatic studies, there is still no vaccine available. Although there are multiple failed approaches in present studies, there are also a few promising attempts; for example, the trivalent vaccine containing herpes simplex virus type 2 (HSV-2) glycoproteins C, D, and E (gC2, gD2, gE2) produced in baculovirus was able to protect guinea pigs against vaginal infection and proved to cross-protect against HSV-1. Another promising vaccine is the multivalent DNA vaccine, SL-V20, tested in a mouse model, which lowered the clinical signs of infection and produced efficient viral eradication against vaginal HSV-2. Promising approaches have emerged after the COVID-19 pandemic, and a possible nucleoside-modified mRNA vaccine could be the next step. All the approaches until now have not led to a successful vaccine that could be easy to administer and, at the same time, offer antibodies for a long period.
α单纯疱疹病毒是一个影响所有年龄组的重要公共卫生问题。它可引发从普通唇疱疹和水痘到脑炎或新生儿死亡等严重病症。尽管α疱疹病毒的所有三个亚型结构相似,但所产生的病理情况不同,同时,现有的预防措施,如疫苗接种也有所不同。虽然有水痘带状疱疹病毒的有效疫苗,但对于单纯疱疹病毒1型和2型,经过从三价亚单位疫苗到下一代减毒活病毒疫苗的多种方法以及生物信息学研究后,仍然没有可用疫苗。尽管目前的研究中有多种失败的方法,但也有一些有前景的尝试;例如,在杆状病毒中产生的含有单纯疱疹病毒2型(HSV - 2)糖蛋白C、D和E(gC2、gD2、gE2)的三价疫苗能够保护豚鼠免受阴道感染,并证明对HSV - 1有交叉保护作用。另一种有前景的疫苗是在小鼠模型中测试的多价DNA疫苗SL - V20,它降低了感染的临床症状,并能有效清除阴道内的HSV - 2。在新冠疫情之后出现了一些有前景的方法,一种可能的核苷修饰mRNA疫苗可能是下一步。到目前为止,所有这些方法都没有产生一种易于接种且能长期提供抗体的成功疫苗。