Bello Muhammad Bashir, Alsaadi Ahlam, Naeem Asif, Almahboub Sarah A, Bosaeed Mohammad, Aljedani Safia S
Infectious Disease Research Department, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University of Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Department of Medicine, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Front Immunol. 2025 Jan 7;15:1475886. doi: 10.3389/fimmu.2024.1475886. eCollection 2024.
Due to their widespread geographic distribution and frequent outbreaks, mosquito-borne flaviviruses, such as DENV (DENV), Zika virus (ZIKV), Japanese encephalitis virus (JEV), yellow fever virus (YFV), and West Nile virus (WNV), are considered significant global public health threats and contribute to dramatic socioeconomic imbalances worldwide. The global prevalence of these viruses is largely driven by extensive international travels and ecological disruptions that create favorable conditions for the breeding of and species, the mosquito vectors responsible for the spread of these pathogens. Currently, vaccines are available for only DENV, YFV, and JEV, but these face several challenges, including safety concerns, lengthy production processes, and logistical difficulties in distribution, especially in resource-limited regions, highlighting the urgent need for innovative vaccine approaches. Nucleic acid-based platforms, including DNA and mRNA vaccines, have emerged as promising alternatives due to their ability to elicit strong immune responses, facilitate rapid development, and support scalable manufacturing. This review provides a comprehensive update on the progress of DNA and mRNA vaccine development against mosquito-borne flaviviruses, detailing early efforts and current strategies that have produced candidates with remarkable protective efficacy and strong immunogenicity in preclinical models. Furthermore, we explore future directions for advancing nucleic acid vaccine candidates, which hold transformative potential for enhancing global public health.
由于其广泛的地理分布和频繁爆发,蚊媒黄病毒,如登革病毒(DENV)、寨卡病毒(ZIKV)、日本脑炎病毒(JEV)、黄热病病毒(YFV)和西尼罗河病毒(WNV),被视为全球重大公共卫生威胁,并导致全球范围内严重的社会经济失衡。这些病毒在全球的流行在很大程度上是由广泛的国际旅行和生态破坏推动的,这些因素为负责传播这些病原体的蚊媒——蚊子的繁殖创造了有利条件。目前,仅登革病毒、黄热病病毒和日本脑炎病毒有疫苗可用,但这些疫苗面临一些挑战,包括安全问题、漫长的生产过程以及在分发方面的后勤困难,特别是在资源有限的地区,这凸显了对创新疫苗方法的迫切需求。基于核酸的平台,包括DNA疫苗和mRNA疫苗,由于能够引发强烈的免疫反应、促进快速开发并支持规模化生产,已成为有前景的替代方案。本综述全面更新了针对蚊媒黄病毒的DNA疫苗和mRNA疫苗的开发进展,详细介绍了早期工作和当前策略,这些工作和策略已在临床前模型中产生了具有显著保护效力和强免疫原性的候选疫苗。此外,我们探讨了推进核酸候选疫苗的未来方向,这些方向在增强全球公共卫生方面具有变革潜力。