Beijing Key Laboratory of New Techniques of Tuberculosis Diagnosis and Treatment, Senior Department of Tuberculosis, The Eighth Medical Center of PLA General Hospital, Beijing, China.
Postgraduate Department of Heibei North University, Zhangjiakou, China.
J Aerosol Med Pulm Drug Deliv. 2024 Oct;37(5):284-298. doi: 10.1089/jamp.2023.0025. Epub 2024 Apr 26.
Traditional vaccines have played an important role in the prevention and treatment of infectious diseases, but they still have problems such as low immunogenicity, poor stability, and difficulty in inducing lasting immune responses. In recent years, the nucleic acid vaccine has emerged as a relatively cheap and safe new vaccine. Compared with traditional vaccines, nucleic acid vaccine has some unique advantages, such as easy production and storage, scalability, and consistency between batches. However, the direct administration of naked nucleic acid vaccine is not ideal, and safer and more effective vaccine delivery systems are needed. With the rapid development of nanocarrier technology, the combination of gene therapy and nanodelivery systems has broadened the therapeutic application of molecular biology and the medical application of biological nanomaterials. Nanoparticles can be used as potential drug-delivery vehicles for the treatment of hereditary and infectious diseases. In addition, due to the advantages of lung immunity, such as rapid onset of action, good efficacy, and reduced adverse reactions, pulmonary delivery of nucleic acid vaccine has become a hot spot in the field of research. In recent years, lipid nanocarriers have become safe, efficient, and ideal materials for vaccine delivery due to their unique physical and chemical properties, which can effectively reduce the toxic side effects of drugs and achieve the effect of slow release and controlled release, and there have been a large number of studies using lipid nanocarriers to efficiently deliver target components into the body. Based on the delivery of tuberculosis (TB) nucleic acid vaccine by lipid carrier, this article systematically reviews the advantages and mechanism of liposomes as a nucleic acid vaccine delivery carrier, so as to lay a solid foundation for the faster and more effective development of new anti-TB vaccine delivery systems in the future.
传统疫苗在传染病的预防和治疗中发挥了重要作用,但仍存在免疫原性低、稳定性差、难以诱导持久免疫应答等问题。近年来,核酸疫苗作为一种相对廉价和安全的新型疫苗应运而生。与传统疫苗相比,核酸疫苗具有一些独特的优势,如易于生产和储存、可扩展性以及批次间的一致性。然而,裸核酸疫苗的直接给药效果并不理想,需要更安全、更有效的疫苗递送系统。随着纳米载体技术的快速发展,基因治疗与纳米递药系统的结合拓宽了分子生物学的治疗应用和生物纳米材料的医学应用。纳米颗粒可用作治疗遗传性和传染性疾病的潜在药物递送载体。此外,由于肺部免疫具有起效迅速、疗效好、不良反应少等优点,核酸疫苗肺部递送已成为研究领域的热点。近年来,由于脂质纳米载体具有独特的物理化学性质,可有效降低药物的毒副作用,实现缓慢释放和控制释放的效果,因此成为疫苗递送的安全、高效、理想材料,已有大量研究采用脂质纳米载体将靶向成分高效递送至体内。基于脂质载体对结核病(TB)核酸疫苗的递送,本文系统综述了脂质体作为核酸疫苗递送载体的优势和作用机制,为未来更快、更有效地开发新型抗 TB 疫苗递送系统奠定基础。