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mRNA 疫苗预防猴痘感染概述。

An overview on mRNA-based vaccines to prevent monkeypox infection.

机构信息

Department of Urology, Shahid Mohammadi Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

Faculty of Pharmacy, Jondi Shapour University, Ahvaz, Iran.

出版信息

J Nanobiotechnology. 2024 Mar 1;22(1):86. doi: 10.1186/s12951-024-02355-1.

Abstract

The human monkeypox virus (Mpox) is classified as a member of the Poxviridae family and belongs to the Orthopoxvirus genus. Mpox possesses double-stranded DNA, and there are two known genetic clades: those originating in West Africa and the Congo Basin, commonly known as Central African clades. Mpox may be treated with either the vaccinia vaccination or the therapeutics. Modifying the smallpox vaccine for treating and preventing Mpox has shown to be beneficial because of the strong link between smallpox and Mpox viruses and their categorization in the same family. Cross-protection against Mpox is effective with two Food and Drug Administration (FDA)-approved smallpox vaccines (ACAM2000 and JYNNEOSTM). However, ACAM2000 has the potential for significant adverse effects, such as cardiac issues, whereas JYNNEOS has a lower risk profile. Moreover, Mpox has managed to resurface, although with modified characteristics, due to the discontinuation and cessation of the smallpox vaccine for 40 years. The safety and efficacy of the two leading mRNA vaccines against SARS-CoV-2 and its many variants have been shown in clinical trials and subsequent data analysis. This first mRNA treatment model involves injecting patients with messenger RNA to produce target proteins and elicit an immunological response. High potency, the possibility of safe administration, low-cost manufacture, and quick development is just a few of the benefits of RNA-based vaccines that pave the way for a viable alternative to conventional vaccines. When protecting against Mpox infection, mRNA vaccines are pretty efficient and may one day replace the present whole-virus vaccines. Therefore, the purpose of this article is to provide a synopsis of the ongoing research, development, and testing of an mRNA vaccine against Mpox.

摘要

人类猴痘病毒(Mpox)被归类为痘病毒科的一员,属于正痘病毒属。Mpox 具有双链 DNA,有两个已知的遗传分支:起源于西非和刚果盆地的分支,通常称为中非分支。Mpox 可以用天花疫苗或治疗方法治疗。由于天花病毒和猴痘病毒之间的紧密联系以及它们在同一科中的分类,修改天花疫苗来治疗和预防 Mpox 已被证明是有益的。针对 Mpox 的交叉保护作用,两种经美国食品和药物管理局(FDA)批准的天花疫苗(ACAM2000 和 JYNNEOS)是有效的。然而,ACAM2000 有可能引起重大不良反应,如心脏问题,而 JYNNEOS 的风险较低。此外,尽管天花疫苗已停用 40 年,但由于天花病毒的特征发生了改变,猴痘仍得以重新出现。两种针对 SARS-CoV-2 及其多种变体的领先 mRNA 疫苗的安全性和有效性已在临床试验和随后的数据分析中得到证实。这种首次使用的 mRNA 治疗模型涉及向患者注射信使 RNA 以产生目标蛋白并引发免疫反应。高效力、安全给药的可能性、低成本制造和快速开发只是 RNA 疫苗的一些好处,为传统疫苗提供了可行的替代方案。在预防猴痘感染方面,mRNA 疫苗非常有效,有朝一日可能会取代现有的全病毒疫苗。因此,本文旨在概述针对猴痘的 mRNA 疫苗的研究、开发和测试。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c90c/10908150/6030470bce44/12951_2024_2355_Fig1_HTML.jpg

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