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结核分枝杆菌蛋白亚单位疫苗的研究进展。

Advances in protein subunit vaccines against tuberculosis.

机构信息

Shanghai Public Health Clinical Center, Shanghai Institute of Infectious Disease and Biosecurity, Fudan University, Shanghai, China.

TB Center, Shanghai Emerging and Re-emerging Infectious Disease Institute, Fudan University, Shanghai, China.

出版信息

Front Immunol. 2023 Aug 15;14:1238586. doi: 10.3389/fimmu.2023.1238586. eCollection 2023.

Abstract

Tuberculosis (TB), also known as the "White Plague", is caused by (). Before the COVID-19 epidemic, TB had the highest mortality rate of any single infectious disease. Vaccination is considered one of the most effective strategies for controlling TB. Despite the limitations of the Bacille Calmette-Guérin (BCG) vaccine in terms of protection against TB among adults, it is currently the only licensed TB vaccine. Recently, with the evolution of bioinformatics and structural biology techniques to screen and optimize protective antigens of , the tremendous potential of protein subunit vaccines is being exploited. Multistage subunit vaccines obtained by fusing immunodominant antigens from different stages of TB infection are being used both to prevent and to treat TB. Additionally, the development of novel adjuvants is compensating for weaknesses of immunogenicity, which is conducive to the flourishing of subunit vaccines. With advances in the development of animal models, preclinical vaccine protection assessments are becoming increasingly accurate. This review summarizes progress in the research of protein subunit TB vaccines during the past decades to facilitate the further optimization of protein subunit vaccines that may eradicate TB.

摘要

结核病(TB),又称“白色瘟疫”,由 引起。在 COVID-19 疫情之前,结核病是单一传染病中死亡率最高的疾病。接种疫苗被认为是控制结核病最有效的策略之一。尽管卡介苗(BCG)疫苗在预防成人结核病方面存在局限性,但它目前是唯一获得许可的结核病疫苗。最近,随着生物信息学和结构生物学技术的发展,筛选和优化 保护性抗原的工作取得了进展,人们正在开发蛋白质亚单位疫苗的巨大潜力。通过融合来自结核病感染不同阶段的免疫优势抗原获得的多阶段亚单位疫苗,既用于预防也用于治疗结核病。此外,新型佐剂的开发弥补了免疫原性的弱点,有利于亚单位疫苗的蓬勃发展。随着动物模型的发展,临床前疫苗保护评估变得越来越准确。本综述总结了过去几十年中蛋白质亚单位结核病疫苗研究的进展,以促进可能根除结核病的蛋白质亚单位疫苗的进一步优化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b31d/10465801/50596a2fe1cd/fimmu-14-1238586-g001.jpg

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