Mata-Espinosa Dulce, Lara-Espinosa Jacqueline V, Barrios-Payán Jorge, Hernández-Pando Rogelio
Sección de Patología Experimental, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Belisario Domínguez Sección 16, Tlalpan, Mexico City 14080, Mexico.
Pharmaceuticals (Basel). 2023 Oct 16;16(10):1475. doi: 10.3390/ph16101475.
Tuberculosis (TB), an infection caused by , is one of the primary causes of death globally. The treatment of TB is long and based on several drugs, producing problems in compliance and toxicity, increasing resistance to first-line antibiotics that result in multidrug-resistant TB and extensively drug-resistant TB. Thus, the need for new anti-TB treatments has increased. Here, we review some model strategies to study gene therapy based on the administration of a recombinant adenovirus that encodes diverse cytokines, such as IFNγ, IL12, GM/CSF, OPN, TNFα, and antimicrobial peptides to enhance the protective immune response against . These models include a model of progressive pulmonary TB, a model of chronic infection similar to latent TB, and a murine model of pulmonary transmission to close contacts. We also review new vaccines that deliver antigens via particle- or virus-based vectors and trigger protective immune responses. The results obtained in this type of research suggest that this is an alternative therapy that has the potential to treat active TB as an adjuvant to conventional antibiotics and a promising preventive treatment for latent TB reactivation and transmission. Moreover, Ad vector vaccines are adequate for preventing infectious diseases, including TB.
结核病(TB)是由……引起的一种感染,是全球主要死因之一。结核病的治疗疗程长且基于多种药物,导致依从性和毒性方面的问题,增加了对一线抗生素的耐药性,进而产生耐多药结核病和广泛耐药结核病。因此,对新型抗结核治疗的需求不断增加。在此,我们综述一些基于重组腺病毒给药的基因治疗模型策略,该重组腺病毒编码多种细胞因子,如干扰素γ、白细胞介素12、粒细胞-巨噬细胞集落刺激因子、骨桥蛋白、肿瘤坏死因子α以及抗菌肽,以增强针对……的保护性免疫反应。这些模型包括进行性肺结核模型、类似于潜伏性结核的慢性感染模型以及肺部向密切接触者传播的小鼠模型。我们还综述了通过基于颗粒或病毒的载体递送结核抗原并引发保护性免疫反应的新型疫苗。这类研究获得的结果表明,这是一种有潜力作为传统抗生素辅助手段治疗活动性结核病的替代疗法,也是预防潜伏性结核再激活和传播的有前景的预防性治疗方法。此外,腺病毒载体疫苗足以预防包括结核病在内的传染病。