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恰加斯病的治疗方法及开发疫苗的前景

Treatments and the Perspectives of Developing a Vaccine for Chagas Disease.

作者信息

Farani Priscila Silva Grijó, Jones Kathryn Marie, Poveda Cristina

机构信息

Department of Biological Sciences, Border Biomedical Research Center, University of Texas at El Paso, El Paso, TX 79902, USA.

Department of Pediatrics, Division of Tropical Medicine, Baylor College of Medicine, Houston, TX 77030, USA.

出版信息

Vaccines (Basel). 2024 Aug 1;12(8):870. doi: 10.3390/vaccines12080870.

DOI:10.3390/vaccines12080870
PMID:39203996
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11359273/
Abstract

Chagas disease (CD) treatment and vaccine development are critical due to the significant health burden caused by the disease, especially in Latin America. Current treatments include benznidazole and nifurtimox, which are most effective in the acute phase of the disease but less so in the chronic phase, often with significant side effects. Here, using the available literature, we summarize the progress in vaccine development and new treatments that promise to reduce CD incidence and improve the quality of life for those at risk, particularly in endemic regions. New treatment options, such as posaconazole and fexinidazole, are being explored to improve efficacy and reduce adverse effects. Vaccine development for CD remains a high priority. The complex life stages and genetic diversity of present challenges, but several promising vaccine candidates are under investigation. These efforts focus on stimulating a protective immune response through various innovative approaches.

摘要

恰加斯病(CD)的治疗和疫苗研发至关重要,因为该疾病造成了巨大的健康负担,尤其是在拉丁美洲。目前的治疗方法包括苯硝唑和硝呋替莫,它们在疾病急性期最为有效,但在慢性期效果较差,且常常伴有严重的副作用。在此,我们利用现有文献总结了疫苗研发和新治疗方法方面取得的进展,这些进展有望降低恰加斯病的发病率,并改善高危人群(尤其是流行地区人群)的生活质量。正在探索新的治疗选择,如泊沙康唑和非昔硝唑,以提高疗效并减少不良反应。恰加斯病的疫苗研发仍然是重中之重。病原体复杂的生命阶段和基因多样性带来了挑战,但有几种很有前景的候选疫苗正在研究中。这些努力聚焦于通过各种创新方法激发保护性免疫反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/324e/11359273/ed62500ebfaa/vaccines-12-00870-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/324e/11359273/ed62500ebfaa/vaccines-12-00870-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/324e/11359273/ed62500ebfaa/vaccines-12-00870-g001.jpg

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本文引用的文献

1
Harnessing RNA Technology to Advance Therapeutic Vaccine Antigens against Chagas Disease.利用 RNA 技术推进抗恰加斯病治疗性疫苗抗原。
ACS Appl Mater Interfaces. 2024 Apr 3;16(13):15832-15846. doi: 10.1021/acsami.3c18830. Epub 2024 Mar 22.
2
Prevalence of clinical forms of Chagas disease: a systematic review and meta-analysis - data from the RAISE study.恰加斯病临床类型的患病率:一项系统评价和荟萃分析——来自RAISE研究的数据。
Lancet Reg Health Am. 2024 Feb 3;30:100681. doi: 10.1016/j.lana.2024.100681. eCollection 2024 Feb.
3
Shorter treatment in chronic Chagas disease: a new promise?
慢性恰加斯病的短程治疗:一个新的希望?
Lancet Infect Dis. 2024 Apr;24(4):333-334. doi: 10.1016/S1473-3099(23)00687-4. Epub 2024 Jan 11.
4
Efficacy of three benznidazole dosing strategies for adults living with chronic Chagas disease (MULTIBENZ): an international, randomised, double-blind, phase 2b trial.三种苯并咪唑剂量方案治疗慢性恰加斯病成人患者的疗效(MULTIBENZ):一项国际、随机、双盲、2b 期试验。
Lancet Infect Dis. 2024 Apr;24(4):386-394. doi: 10.1016/S1473-3099(23)00629-1. Epub 2024 Jan 11.
5
The economic burden of Chagas disease: A systematic review.《恰加斯病的经济负担:系统评价》。
PLoS Negl Trop Dis. 2023 Nov 22;17(11):e0011757. doi: 10.1371/journal.pntd.0011757. eCollection 2023 Nov.
6
Localized cardiac small molecule trajectories and persistent chemical sequelae in experimental Chagas disease.实验性恰加斯病中心脏小分子轨迹和持续的化学后遗症。
Nat Commun. 2023 Oct 25;14(1):6769. doi: 10.1038/s41467-023-42247-w.
7
Heterologous mRNA-protein vaccination with Tc24 induces a robust cellular immune response against , characterized by an increased level of polyfunctional CD8 T-cells.用Tc24进行异源mRNA-蛋白质疫苗接种可诱导针对……的强大细胞免疫反应,其特征是多功能CD8 T细胞水平升高。
Curr Res Immunol. 2023 Jul 20;4:100066. doi: 10.1016/j.crimmu.2023.100066. eCollection 2023.
8
Efficacy and Safety of Nifurtimox in Pediatric Patients with Chagas Disease: Results at 4-Year Follow-Up in a Prospective, Historically Controlled Study (CHICO SECURE).硝呋替莫治疗儿童恰加斯病的疗效和安全性:前瞻性历史对照研究(CHICO SECURE)4 年随访结果。
Antimicrob Agents Chemother. 2023 Apr 18;67(4):e0119322. doi: 10.1128/aac.01193-22. Epub 2023 Mar 28.
9
Vaccine-linked chemotherapy improves cardiac structure and function in a mouse model of chronic Chagas disease.疫苗相关化疗改善慢性恰加斯病小鼠模型的心脏结构和功能。
Front Cell Infect Microbiol. 2023 Feb 9;13:1106315. doi: 10.3389/fcimb.2023.1106315. eCollection 2023.
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Discovery of an orally active benzoxaborole prodrug effective in the treatment of Chagas disease in non-human primates.发现一种口服有效的苯并硼烷前药,可有效治疗非人灵长类动物的恰加斯病。
Nat Microbiol. 2022 Oct;7(10):1536-1546. doi: 10.1038/s41564-022-01211-y. Epub 2022 Sep 5.