He X Y, Cai L K, Yang J S
Institute of Medical Biology, Chinese Academy of Medical Science Peking Union Medical College, Kunming 650118, China.
Institute of Medical Biology, Chinese Academy of Medical Science Peking Union Medical College, Kunming 650118, China Kumming Science and Technology Inovation Center for Research, Development and Industrialization of Vaccines against New and Sudden High Pathogenic Pathogen, Kunming 650118, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2025 Mar 6;59(3):390-396. doi: 10.3760/cma.j.cn112150-20240628-00518.
Mucosal immunity can effectively prevent pathogen invasion of the mucosa at the initial stage of infection and inhibit pathogen replication within the body at later stages of infection. Therefore, the development of mucosal vaccines is of great significance for the prevention and control of infectious diseases. Intranasal vaccines can induce cellular, humoral, and mucosal immunity in the nasal mucosa and nasal-associated lymphoid tissue, producing secretory IgA, which plays a crucial role in preventing respiratory infections. However, the dilution of antigens by nasal mucus, clearance of antigens by cilia, and the barrier function of nasal epithelial cells in the nasal cavity can reduce the bioavailability of antigens and limit the efficacy of intranasal vaccines. This article reviews the structure of the nasal mucosal immune system and its mediated immune response, as well as intranasal vaccines that have been launched or are currently in clinical research, and explores the challenges faced in intranasal vaccine research.
黏膜免疫在感染初期可有效防止病原体侵袭黏膜,并在感染后期抑制病原体在体内复制。因此,黏膜疫苗的研发对于传染病的防控具有重要意义。鼻内疫苗可在鼻黏膜和鼻相关淋巴组织中诱导细胞免疫、体液免疫和黏膜免疫,产生分泌型IgA,其在预防呼吸道感染中起关键作用。然而,鼻腔黏液对抗原的稀释、纤毛对抗原的清除以及鼻腔鼻上皮细胞的屏障功能,均可降低抗原的生物利用度,限制鼻内疫苗的效力。本文综述了鼻黏膜免疫系统的结构及其介导的免疫反应,以及已上市或正在进行临床研究的鼻内疫苗,并探讨了鼻内疫苗研究面临的挑战。