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抗真菌疫苗作为应对新出现的抗真菌耐药性的一种工具的应用。

Application of anti-fungal vaccines as a tool against emerging anti-fungal resistance.

作者信息

Kumar Ravinder, Srivastava Vartika

机构信息

Department of Pathology, Collage of Medicine, University of Tennessee Health Science Center, Memphis, TN, United States.

Department of Clinical Microbiology and Infectious Diseases, School of Pathology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng, South Africa.

出版信息

Front Fungal Biol. 2023 Aug 21;4:1241539. doi: 10.3389/ffunb.2023.1241539. eCollection 2023.

Abstract

After viruses and bacteria, fungal infections remain a serious threat to the survival and well-being of society. The continuous emergence of resistance against commonly used anti-fungal drugs is a serious concern. The eukaryotic nature of fungal cells makes the identification of novel anti-fungal agents slow and difficult. Increasing global temperature and a humid environment conducive to fungal growth may lead to a fungal endemic or a pandemic. The continuous increase in the population of immunocompromised individuals and falling immunity forced pharmaceutical companies to look for alternative strategies for better managing the global fungal burden. Prevention of infectious diseases by vaccines can be the right choice. Recent success and safe application of mRNA-based vaccines can play a crucial role in our quest to overcome anti-fungal resistance. Expressing fungal cell surface proteins in human subjects using mRNA technology may be sufficient to raise immune response to protect against future fungal infection. The success of mRNA-based anti-fungal vaccines will heavily depend on the identification of fungal surface proteins which are highly immunogenic and have no or least side effects in human subjects. The present review discusses why it is essential to look for anti-fungal vaccines and how vaccines, in general, and mRNA-based vaccines, in particular, can be the right choice in tackling the problem of rising anti-fungal resistance.

摘要

在病毒和细菌之后,真菌感染仍然是对社会生存和福祉的严重威胁。常用抗真菌药物耐药性的不断出现是一个严重问题。真菌细胞的真核性质使得新型抗真菌药物的研发缓慢且困难。全球气温上升以及有利于真菌生长的潮湿环境可能导致真菌地方病或大流行。免疫功能低下个体数量的持续增加和免疫力下降迫使制药公司寻求更好管理全球真菌负担的替代策略。通过疫苗预防传染病可能是正确的选择。基于mRNA的疫苗最近的成功和安全应用在我们克服抗真菌耐药性的探索中可以发挥关键作用。使用mRNA技术在人体中表达真菌细胞表面蛋白可能足以引发免疫反应,以预防未来的真菌感染。基于mRNA的抗真菌疫苗的成功将在很大程度上取决于对真菌表面蛋白的鉴定,这些蛋白具有高度免疫原性,并且在人体中没有或只有最少的副作用。本综述讨论了为何寻找抗真菌疫苗至关重要,以及一般而言疫苗,特别是基于mRNA的疫苗,如何能够成为解决抗真菌耐药性上升问题的正确选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1209/10512234/ace7324cb8a6/ffunb-04-1241539-g001.jpg

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