Ameri Ali, Gandomkar Hossein, Ahmed Hanan Hassan, Kareem Radhwan Abdul, Sameer Hayder Naji, Yaseen Ahmed, Athab Zainab H, Adil Mohaned, Ghasemzadeh Iman
Department of Pharmacology and Toxicology, Faculty of Pharmacy, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Department of Surgical Oncology, Tehran University of Medical Medicine, Tehran, Iran.
Pathol Res Pract. 2025 Jul;271:156025. doi: 10.1016/j.prp.2025.156025. Epub 2025 May 14.
Hepatitis B virus (HBV) infections that last a long time are a significant public health problem worldwide. About 254 million people around the world are chronically sick with HBV. Each year, 1.2 million new cases occur, and in 2022, 1.1 million people will die from the disease. So, it has been essential to work on finding ways to treat and avoid HBV. The process of therapeutic vaccination involves giving people a non-infectious form of a virus to start or improve immune reactions specific to HBV. This helps keep HBV infections under control. Dendritic cells (DCs) play a significant part in beginning the adaptive immune response, which could decide how well an HBV infection is treated. DC-based treatment has been looked into for people with chronic HBV (CHB) infection and has shown some sound effects. Vaccines for CHB that use DCs boost antiviral immunity by improving T cells and breaking the immune system's resistance against HBV. In these vaccines, DCs are loaded with HBV antigens (like HBsAg, HBcAg, or peptides) outside of the body and then put back into the patient to make the immune system work better. In conclusion, this DC treatment is a biological therapy method with a good chance of being used. This study examined the different DC-based medicines that can treat and prevent HBV. Finally, we've talked about clinical studies, the current problems, how to fix them, and the future of this vaccine for treating and preventing HBV.
长期的乙型肝炎病毒(HBV)感染是全球一个重大的公共卫生问题。全球约有2.54亿人长期感染HBV。每年有120万新发病例,2022年有110万人死于该疾病。因此,致力于寻找治疗和预防HBV的方法至关重要。治疗性疫苗接种过程是给人们注射一种无传染性的病毒形式,以启动或增强针对HBV的特异性免疫反应。这有助于控制HBV感染。树突状细胞(DCs)在启动适应性免疫反应中起重要作用,而适应性免疫反应可能决定HBV感染的治疗效果。针对慢性HBV(CHB)感染患者的基于DC的治疗方法已得到研究,并显示出一些良好效果。使用DCs的CHB疫苗通过改善T细胞和打破免疫系统对HBV的抵抗力来增强抗病毒免疫力。在这些疫苗中,DCs在体外负载HBV抗原(如HBsAg、HBcAg或肽),然后再注入患者体内,以使免疫系统更好地发挥作用。总之,这种DC治疗是一种很有应用前景的生物治疗方法。本研究考察了不同的基于DC的治疗和预防HBV的药物。最后,我们讨论了临床研究、当前存在的问题、如何解决这些问题以及这种治疗和预防HBV疫苗的未来发展。