Institute for Glycomics, Griffith University, Southport, Queensland, Australia.
The Peter Doherty Institute for Infection and Immunity, University of Melbourne, Melbourne, Victoria, Australia.
mBio. 2023 Dec 19;14(6):e0254723. doi: 10.1128/mbio.02547-23. Epub 2023 Nov 14.
Malaria is a devastating disease that has claimed many lives, especially children <5 years of age in Sub-Saharan Africa, as documented in World Malaria Reports by WHO. Even though vector control and chemoprevention tools have helped with elimination efforts in some, if not all, endemic areas, these efforts have been hampered by serious issues (including drug and insecticide resistance and disruption to social cohesion caused by the COVID-19 pandemic). Development of an effective malaria vaccine is the alternative preventative tool in the fight against malaria. Vaccines save millions of lives each year and have helped in elimination and/or eradication of global diseases. Development of a highly efficacious malaria vaccine that will ensure long-lasting protective immunity will be a "game-changing" prevention strategy to finally eradicate the disease. Such a vaccine will need to counteract the significant obstacles that have been hampering subunit vaccine development to date, including antigenic polymorphism, sub-optimal immunogenicity, and waning vaccine efficacy.
疟疾是一种毁灭性疾病,已夺走许多人的生命,尤其是撒哈拉以南非洲地区 5 岁以下的儿童,这在世界卫生组织的《世界疟疾报告》中有记录。尽管病媒控制和化学预防工具在一些(如果不是全部)流行地区的消除工作中有所帮助,但这些努力受到了严重问题的阻碍(包括药物和杀虫剂耐药性以及 COVID-19 大流行对社会凝聚力的破坏)。开发有效的疟疾疫苗是对抗疟疾的另一种预防工具。疫苗每年拯救数百万人的生命,并有助于消除和/或根除全球疾病。开发一种高效的疟疾疫苗,以确保持久的保护免疫力,将是一种“改变游戏规则”的预防策略,最终将消除这种疾病。这种疫苗需要克服迄今为止阻碍亚单位疫苗开发的重大障碍,包括抗原多态性、免疫原性不理想和疫苗效力下降。