Kiyono Hiroshi, Ernst Peter B
Chiba University-UCSD Center for Mucosal Immunology, Allergy and Vaccines (CU-UCSD cMAV), Departments of Medicine and Pathology, University of California, San Diego, CA, USA.
Synergy Institute for Futuristic Mucosal Vaccine Research and Development, Chiba University (cSIMVa), Chiba, Japan.
Nature. 2025 May;641(8062):321-330. doi: 10.1038/s41586-025-08910-6. Epub 2025 May 7.
Beginning with Edward Jenner's discovery of the smallpox vaccine, the ever-expanding repertoire of vaccines against pathogens has saved many lives. During the COVID-19 pandemic, a revolutionary mRNA injectable vaccine emerged that effectively controlled the severity of disease caused by SARS-CoV-2. This vaccine induced potent antigen-specific neutralizing serum IgG antibodies, but was limited in its ability to prevent viral invasion at the respiratory surfaces. Nasal vaccines have attracted attention as a potential strategy to combat respiratory infections and prepare for future pandemics. Input from disciplines such as microbiology, biomaterials, bioengineering and chemistry have complemented the immunology to create innovative delivery systems. This approach to vaccine delivery has yielded nasal vaccines that induce secretory IgA as well as serum IgG antibodies, which are expected to prevent pathogen invasion, thereby diminishing transmission and disease severity. For a nasal vaccine to be successful, the complexity of the relevant anatomical, physiological and immunological properties, including the proximity of the central nervous system to the nasal cavity, must be considered. In this Review, we discuss past and current efforts as well as future directions for developing safe and effective nasal vaccines for the prevention of respiratory infections.
从爱德华·詹纳发现天花疫苗开始,针对病原体的疫苗种类不断增加,挽救了许多生命。在新冠疫情期间,一种革命性的mRNA注射疫苗出现,有效控制了由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的疾病严重程度。这种疫苗诱导产生了强效的抗原特异性中和血清IgG抗体,但其预防病毒在呼吸道表面入侵的能力有限。鼻用疫苗作为对抗呼吸道感染和为未来大流行做准备的潜在策略受到了关注。微生物学、生物材料学、生物工程学和化学等学科的投入补充了免疫学,从而创造出创新的递送系统。这种疫苗递送方法产生了能诱导分泌型IgA以及血清IgG抗体的鼻用疫苗,有望预防病原体入侵,从而减少传播和疾病严重程度。要使鼻用疫苗成功,必须考虑相关解剖学、生理学和免疫学特性的复杂性,包括中枢神经系统与鼻腔的接近程度。在这篇综述中,我们讨论了过去和当前为开发预防呼吸道感染的安全有效鼻用疫苗所做的努力以及未来方向。
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