Ari Marzie Mahdizade, Beig Masoumeh, Sholeh Mohammad, Khoshmirsafa Majid
Department of Microbiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Department of Bacteriology, Pasteur Institute of Iran, Tehran, Iran.
Clin Exp Vaccine Res. 2024 Jul;13(3):184-201. doi: 10.7774/cevr.2024.13.3.184. Epub 2024 Jul 31.
Tuberculosis (TB) is consistently ranked among the deadliest diseases worldwide, causing millions of deaths annually. is the causative agent for this infection. Different antibiotics and vaccines have been discussed as potential treatments and prevention. Currently, there is only one licensed vaccine against TB, Bacillus Calmette-Guérin (BCG). Despite its protective efficacy against TB in children, BCG has failed to protect adults against pulmonary TB, lacks therapeutic value, and can cause complications in immunocompromised individuals. In this review, BCG, the most widely administered vaccine, is discussed, and the newest vaccines available in medicine are discussed. Based on the restrictions that prevent optimal BCG efficacy and the vaccines that are now being tested in various clinical studies, some criteria need to be considered in designing future vaccines.
结核病(TB)一直位列全球最致命疾病之中,每年导致数百万人死亡。 是这种感染的病原体。人们已讨论了不同的抗生素和疫苗作为潜在的治疗方法和预防手段。目前,针对结核病只有一种获得许可的疫苗,即卡介苗(BCG)。尽管卡介苗对儿童结核病具有保护效力,但它未能保护成年人免受肺结核感染,缺乏治疗价值,并且会在免疫功能低下的个体中引发并发症。在本综述中,将讨论使用最广泛的疫苗卡介苗,并探讨医学领域现有的最新疫苗。基于阻碍卡介苗发挥最佳效力的限制因素以及目前正在各种临床研究中进行测试的疫苗,在设计未来疫苗时需要考虑一些标准。