Cancer Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Jiangsu Center for the Collaboration and Innovation of Cancer Biotherapy, Cancer Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Front Immunol. 2024 Feb 1;15:1332939. doi: 10.3389/fimmu.2024.1332939. eCollection 2024.
Vaccines have proven effective in the treatment and prevention of numerous diseases. However, traditional attenuated and inactivated vaccines suffer from certain drawbacks such as complex preparation, limited efficacy, potential risks and others. These limitations restrict their widespread use, especially in the face of an increasingly diverse range of diseases. With the ongoing advancements in genetic engineering vaccines, DNA vaccines have emerged as a highly promising approach in the treatment of both genetic diseases and acquired diseases. While several DNA vaccines have demonstrated substantial success in animal models of diseases, certain challenges need to be addressed before application in human subjects. The primary obstacle lies in the absence of an optimal delivery system, which significantly hampers the immunogenicity of DNA vaccines. We conduct a comprehensive analysis of the current status and limitations of DNA vaccines by focusing on both viral and non-viral DNA delivery systems, as they play crucial roles in the exploration of novel DNA vaccines. We provide an evaluation of their strengths and weaknesses based on our critical assessment. Additionally, the review summarizes the most recent advancements and breakthroughs in pre-clinical and clinical studies, highlighting the need for further clinical trials in this rapidly evolving field.
疫苗在治疗和预防许多疾病方面已被证明是有效的。然而,传统的减毒和灭活疫苗存在一些缺点,如制备复杂、疗效有限、潜在风险等。这些局限性限制了它们的广泛应用,尤其是在面对越来越多样化的疾病时。随着基因工程疫苗的不断发展,DNA 疫苗作为一种治疗遗传性疾病和获得性疾病的方法,具有很大的应用前景。虽然一些 DNA 疫苗在疾病的动物模型中取得了显著的成功,但在应用于人体之前,还需要解决一些挑战。主要障碍在于缺乏最佳的传递系统,这极大地降低了 DNA 疫苗的免疫原性。我们通过关注病毒和非病毒 DNA 传递系统,对 DNA 疫苗的现状和局限性进行了全面的分析,因为它们在探索新型 DNA 疫苗方面发挥着关键作用。我们根据我们的批判性评估对它们的优缺点进行了评价。此外,该综述总结了临床前和临床研究中的最新进展和突破,强调了在这个快速发展的领域需要进一步的临床试验。
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