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皮下接种麻疹-腮腺炎-风疹疫苗后呼吸道中减毒活麻疹病毒的检测

Detection of Live Attenuated Measles Virus in the Respiratory Tract Following Subcutaneous Measles-Mumps-Rubella Vaccination.

作者信息

Watkins Timothy A, Brockhurst Jacqueline K, Germain Gregory, Griffin Diane E, Foxman Ellen F

机构信息

Department of Laboratory Medicine, Yale School of Medicine, New Haven, Connecticut, USA.

Department of Immunobiology, Yale School of Medicine, New Haven, Connecticut, USA.

出版信息

J Infect Dis. 2025 Apr 15;231(4):1089-1093. doi: 10.1093/infdis/jiae537.

DOI:10.1093/infdis/jiae537
PMID:39504437
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11998556/
Abstract

The live attenuated measles vaccine is extremely effective in preventing measles and induces mucosal immunity in the respiratory tract; however, the mechanism is not known. We show that live attenuated measles virus (LAMV) RNA is frequently detected in the respiratory tract 7-21 days after subcutaneous measles-mumps-rubella (MMR) vaccination in healthy children (n = 5/20) and macaques (n = 6/8). Replicating LAMV was isolated from the lungs of 2 macaques, with no evidence of transmission to unvaccinated individuals. These observations suggest that LAMV in the respiratory tract may play a role in the development of robust mucosal immunity following MMR vaccination.

摘要

减毒活麻疹疫苗在预防麻疹方面极为有效,并能诱导呼吸道黏膜免疫;然而,其机制尚不清楚。我们发现,在健康儿童(n = 5/20)和猕猴(n = 6/8)皮下接种麻疹-腮腺炎-风疹(MMR)疫苗后7-21天,呼吸道中经常检测到减毒活麻疹病毒(LAMV)RNA。从2只猕猴的肺中分离出正在复制的LAMV,没有证据表明其传播给未接种疫苗的个体。这些观察结果表明,呼吸道中的LAMV可能在MMR疫苗接种后强大的黏膜免疫发展中发挥作用。

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本文引用的文献

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High burden of viruses and bacterial pathobionts drives heightened nasal innate immunity in children.病毒和细菌共生病原体的高负担导致儿童鼻腔固有免疫增强。
J Exp Med. 2024 Sep 2;221(9). doi: 10.1084/jem.20230911. Epub 2024 Jul 1.
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Shedding of measles vaccine RNA in children after receiving measles, mumps and rubella vaccination.儿童接种麻疹、腮腺炎和风疹疫苗后麻疹疫苗 RNA 的脱落。
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Implications of Measles Inclusion by Commercial Syndromic Polymerase Chain Reaction Panels - United States, May 2022-April 2023.商业综合征聚合酶链反应检测试剂盒纳入麻疹检测的影响-美国,2022 年 5 月至 2023 年 4 月。
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Sci Rep. 2023 Apr 20;13(1):6463. doi: 10.1038/s41598-023-33572-7.
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Vaccines for measles, mumps, rubella, and varicella in children.儿童麻疹、腮腺炎、风疹和水痘疫苗。
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Vaccine-Associated Measles in a Hematopoietic Cell Transplant Recipient: Case Report and Comprehensive Review of the Literature.造血干细胞移植受者中与疫苗相关的麻疹:病例报告及文献综述
Open Forum Infect Dis. 2021 Jul 28;8(8):ofab326. doi: 10.1093/ofid/ofab326. eCollection 2021 Aug.
7
Primary differentiated respiratory epithelial cells respond to apical measles virus infection by shedding multinucleated giant cells.原代分化的呼吸道上皮细胞通过脱落多核巨细胞来应对麻疹病毒的顶端感染。
Proc Natl Acad Sci U S A. 2021 Mar 16;118(11). doi: 10.1073/pnas.2013264118.
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Natural mucosal barriers and COVID-19 in children.儿童的天然黏膜屏障与 COVID-19。
JCI Insight. 2021 May 10;6(9):148694. doi: 10.1172/jci.insight.148694.
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