Feng Lei, Zhang Jiarui, Ma Chunyan, Li Kai, Zhai Jianxiu, Cai Shuang, Yin Jun
Department of Pharmacy, the First Hospital of China Medical University, Shenyang 110001, China; School of Pharmacy, China Medical University, Shenyang 110122, China.
Department of Intensive Care Medicine, the First Hospital of China Medical University, Shenyang 110001, China.
Int J Biol Macromol. 2025 Mar;297:139845. doi: 10.1016/j.ijbiomac.2025.139845. Epub 2025 Jan 15.
Vaccination is an effective strategy for preventing infectious diseases. Subunit vaccines offer more precise targeting and safer protection compared with traditional inactivated virus vaccines. However, due to their poor immunogenicity, subunit vaccines necessitate the use of adjuvants to stimulate the immune system. Adjuvants have long been incorporated into vaccines to enhance the body's immune response, allowing for reduced dosage and lower production costs. Despite the development of numerous vaccine adjuvants, few exhibit the necessary potency and low toxicity for clinical use, often due to limited efficacy or adverse side effects. This underscores the urgent need for novel human vaccine adjuvants that are safe, effective, and cost-efficient. Recent studies have identified certain natural polysaccharides as promising human vaccine adjuvants due to their immunostimulatory properties, low toxicity, and high safety profiles, which enhance both humoral and cellular immunity. These natural polysaccharides are primarily derived from traditional Chinese medicine (TCM) plants, bacteria, and yeast. This review comprehensively analyzes several promising polysaccharide adjuvants, discussing their clinical applications, market potential, and immunoregulatory activities. In summary, the future prospects of polysaccharides provide valuable insights for the application and development of vaccine adjuvants.
疫苗接种是预防传染病的有效策略。与传统的灭活病毒疫苗相比,亚单位疫苗具有更精确的靶向性和更安全的保护作用。然而,由于其免疫原性较差,亚单位疫苗需要使用佐剂来刺激免疫系统。长期以来,佐剂一直被纳入疫苗中以增强机体的免疫反应,从而可以减少剂量并降低生产成本。尽管已经开发了许多疫苗佐剂,但很少有佐剂表现出临床使用所需的效力和低毒性,这通常是由于疗效有限或存在不良副作用。这凸显了对安全、有效且具有成本效益的新型人类疫苗佐剂的迫切需求。最近的研究已经确定某些天然多糖因其免疫刺激特性、低毒性和高安全性而有望成为人类疫苗佐剂,它们可以增强体液免疫和细胞免疫。这些天然多糖主要来源于中药植物、细菌和酵母。本综述全面分析了几种有前景的多糖佐剂,讨论了它们的临床应用、市场潜力和免疫调节活性。总之,多糖的未来前景为疫苗佐剂的应用和开发提供了有价值的见解。