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信使核糖核酸技术在登革病毒疫苗研发中的机遇与挑战

Opportunities and challenges of mRNA technologies in development of dengue virus vaccine.

作者信息

Liu Xiaoyang

机构信息

Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.

出版信息

Front Immunol. 2025 Mar 5;16:1520968. doi: 10.3389/fimmu.2025.1520968. eCollection 2025.

DOI:10.3389/fimmu.2025.1520968
PMID:40109333
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11919880/
Abstract

Dengue virus (DENV) is a mosquito-borne virus with a significant human health concern. With 390 million infections annually and 96 million showing clinical symptoms, severe dengue can lead to life-threatening conditions like dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS). The only FDA-approved vaccine, Dengvaxia, has limitations due to antibody-dependent enhancement (ADE), necessitating careful administration. The recent pre-approval of TAK-003 by WHO in 2024 highlights ongoing efforts to improve vaccine options. This review explores recent advancements in dengue vaccine development, emphasizing potential utility of mRNA-based vaccines. By examining current clinical trial data and innovations, we aim to identify promising strategies to address the limitations of existing vaccines and enhance global dengue prevention efforts.

摘要

登革病毒(DENV)是一种通过蚊子传播的病毒,对人类健康构成重大威胁。每年有3.9亿人感染,9600万人出现临床症状,严重登革热可导致危及生命的情况,如登革出血热(DHF)和登革休克综合征(DSS)。唯一获得美国食品药品监督管理局(FDA)批准的疫苗登革热疫苗(Dengvaxia)由于抗体依赖增强(ADE)存在局限性,因此需要谨慎接种。世界卫生组织(WHO)于2024年对TAK - 003的近期预批准凸显了在改善疫苗选择方面的持续努力。本综述探讨了登革热疫苗研发的最新进展,强调了基于mRNA的疫苗的潜在效用。通过研究当前的临床试验数据和创新成果,我们旨在确定有前景的策略,以解决现有疫苗的局限性并加强全球登革热预防工作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ab/11919880/7926cba4f587/fimmu-16-1520968-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ab/11919880/7926cba4f587/fimmu-16-1520968-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ab/11919880/7926cba4f587/fimmu-16-1520968-g001.jpg

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本文引用的文献

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Safety and durability of mRNA-1273-induced SARS-CoV-2 immune responses in adolescents: results from the phase 2/3 TeenCOVE trial.mRNA-1273诱导的SARS-CoV-2免疫反应在青少年中的安全性和持久性:2/3期青少年COVE试验结果
EClinicalMedicine. 2024 Jul 18;74:102720. doi: 10.1016/j.eclinm.2024.102720. eCollection 2024 Aug.
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A tetravalent dengue virus-like particle vaccine induces high levels of neutralizing antibodies and reduces dengue replication in non-human primates.四价登革热病毒样颗粒疫苗可诱导产生高水平的中和抗体,并降低非人类灵长类动物中的登革热病毒复制。
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四价减毒活疫苗 TV005 的人体感染控制研究支持其疗效。
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mRNA-based VP8* nanoparticle vaccines against rotavirus are highly immunogenic in rodents.基于信使核糖核酸的抗轮状病毒VP8*纳米颗粒疫苗在啮齿动物中具有高度免疫原性。
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Understanding antibody-dependent enhancement in dengue: Are afucosylated IgG1s a concern?了解登革热中的抗体依赖性增强作用:去岩藻糖基化IgG1是否值得关注?
PLoS Pathog. 2023 Mar 30;19(3):e1011223. doi: 10.1371/journal.ppat.1011223. eCollection 2023 Mar.
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