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灭活分枝杆菌疫苗雾化吸入:一种预防和治疗呼吸道疾病的有效疗法?

Inactivated Mycobacterial Vaccine Nebulized Inhalation: A Effective Therapy for the Prevention and Treatment of Respiratory Diseases?

作者信息

Jiang Xiaohong, Sun Qixiang, Huang Yujia, Deng Yuetian, Li Chaoqian

机构信息

Department of Geriatric Respiratory Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.

Department of Respiratory and Critical Care Medicine, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, Guangxi, China.

出版信息

Clin Respir J. 2025;19(7):e70101. doi: 10.1111/crj.70101.

DOI:10.1111/crj.70101
PMID:40592802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12213138/
Abstract

Nebulized inhalation therapy is an important method in the prevention and treatment of respiratory diseases, and inactivated mycobacterial vaccine nebulized inhalation has received a wide attention recently, but the roles and mechanisms are still not fully understood. A literature search showed there is a strong scientific rationale and evidence that nebulized inhalation of inactivated mycobacterial vaccine is effective in the prevention and treatment of respiratory diseases. Clinically available mycobacterial vaccines include Mycobacterium phlei (M. phlei), BCG, and Mycobacterium vaccae (M. vaccae). Nebulized inhalation of inactivated mycobacterial vaccine, especially M. vaccae, has been used in the prevention and treatment of respiratory diseases, such as asthma, respiratory syncytial virus (RSV), coronavirus disease 2019 (COVID-19), and sepsis. It acts on the respiratory tract directly, thus stimulating the body to produce an immune response, enhance respiratory immunity, and achieve prevention and treatment effects. Nebulized inhalation of inactivated mycobacterial vaccine will be an effective therapy in the prevention and treatment of respiratory diseases.

摘要

雾化吸入疗法是防治呼吸道疾病的重要方法,近年来灭活分枝杆菌疫苗雾化吸入受到广泛关注,但其作用及机制仍未完全明确。文献检索表明,有充分的科学依据和证据显示,雾化吸入灭活分枝杆菌疫苗对防治呼吸道疾病有效。临床上可用的分枝杆菌疫苗包括草分枝杆菌、卡介苗和母牛分枝杆菌。雾化吸入灭活分枝杆菌疫苗,尤其是母牛分枝杆菌,已用于防治呼吸道疾病,如哮喘、呼吸道合胞病毒(RSV)、2019冠状病毒病(COVID-19)和脓毒症。它直接作用于呼吸道,从而刺激机体产生免疫反应,增强呼吸道免疫力,达到防治效果。雾化吸入灭活分枝杆菌疫苗将成为防治呼吸道疾病的有效疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3f0/12213138/2f5960904365/CRJ-19-e70101-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3f0/12213138/2f5960904365/CRJ-19-e70101-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3f0/12213138/2f5960904365/CRJ-19-e70101-g002.jpg

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本文引用的文献

1
Nebuliser therapy in critical care: The past, present and future.重症监护中的雾化治疗:过去、现在与未来。
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Mycobacterium vaccae attenuates airway inflammation by inhibiting autophagy and activating PI3K/Akt signaling pathway in OVA-induced allergic airway inflammation mouse model.牛分枝杆菌通过抑制自噬和激活 PI3K/Akt 信号通路减轻卵清蛋白诱导的过敏性气道炎症小鼠模型中的气道炎症。
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Therapeutic vaccines for advanced non-small cell lung cancer.
晚期非小细胞肺癌的治疗性疫苗。
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A perspective current and past modes of inhalation therapy.吸入疗法的现状和过去模式透视。
Microb Biotechnol. 2024 Feb;17(2):e14419. doi: 10.1111/1751-7915.14419.
5
Mycobacterium vaccae alleviates allergic airway inflammation and airway hyper-responsiveness in asthmatic mice by altering intestinal microbiota.母牛分枝杆菌通过改变肠道微生物群来减轻哮喘小鼠的过敏性气道炎症和气道高反应性。
Immunology. 2024 Apr;171(4):595-608. doi: 10.1111/imm.13750. Epub 2024 Jan 11.
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Prevention and Treatment Strategies for Respiratory Syncytial Virus (RSV).呼吸道合胞病毒(RSV)的预防与治疗策略
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BCG-induced trained immunity: history, mechanisms and potential applications.BCG 诱导的训练免疫:历史、机制与潜在应用。
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Mycobacterium Vaccae Regulate γδT17 and γδTreg Cells in Mice Asthmatic Lung.牛分枝杆菌调节哮喘小鼠肺部的 γδT17 和 γδTreg 细胞。
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Respiratory syncytial virus, recurrent wheeze and asthma: A narrative review of pathophysiology, prevention and future directions.呼吸道合胞病毒、反复喘息和哮喘:病理生理学、预防和未来方向的叙述性综述。
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Genomic, Metabolic, and Immunological Characterization of GMP-Grade Mycobacterium phlei.GMP 级草分枝杆菌的基因组、代谢和免疫特征。
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