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解析:对发病机制、免疫逃逸及有效疫苗研发进展的洞察

Unraveling : Insights into Pathogenesis, Immune Evasion, and Progress Toward Effective Vaccination.

作者信息

Elbehiry Ayman, Marzouk Eman, Abalkhail Adil

机构信息

Department of Public Health, College of Applied Medical Sciences, Qassim University, P.O. Box 6666, Buraydah 51452, Saudi Arabia.

出版信息

Vaccines (Basel). 2025 Jul 3;13(7):725. doi: 10.3390/vaccines13070725.

DOI:10.3390/vaccines13070725
PMID:40733702
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12299425/
Abstract

() is one of the most prevalent chronic bacterial infections globally, significantly contributing to gastritis, peptic ulcers, and gastric malignancies. Its pathogenesis involves a complex array of virulence factors-including , , and urease-which facilitate mucosal colonization, immune evasion, and persistent inflammation. A major challenge in vaccine development is the bacterium's ability to manipulate both innate and adaptive immune responses, resulting in limited natural clearance and long-term persistence. This review synthesizes pathogenesis and host immune dynamics, highlighting their implications for vaccine design. By elucidating the molecular and cellular mechanisms underlying host-pathogen interactions, we explore how these insights inform antigen selection, adjuvant optimization, and delivery strategies. By integrating basic science with translational objectives, this review aims to support the development of an effective vaccine, addressing global health needs, particularly in regions with a high infection burden and limited access to treatment.

摘要

(某细菌)是全球最普遍的慢性细菌感染之一,对胃炎、消化性溃疡和胃癌有显著影响。其发病机制涉及一系列复杂的毒力因子,包括(列举的毒力因子)和尿素酶,这些因子有助于黏膜定植、免疫逃逸和持续炎症。疫苗开发中的一个主要挑战是该细菌操纵先天免疫和适应性免疫反应的能力,导致自然清除有限和长期持续存在。本综述综合了(某细菌)的发病机制和宿主免疫动态,强调了它们对疫苗设计的影响。通过阐明宿主 - 病原体相互作用的分子和细胞机制,我们探讨了这些见解如何为抗原选择、佐剂优化和递送策略提供信息。通过将基础科学与转化目标相结合,本综述旨在支持开发一种有效的(某细菌)疫苗,以满足全球健康需求,特别是在感染负担高且治疗机会有限的地区。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d485/12299425/bd92de699762/vaccines-13-00725-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d485/12299425/aeaabef2a55d/vaccines-13-00725-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d485/12299425/11eb0cd7a094/vaccines-13-00725-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d485/12299425/2420735bcad6/vaccines-13-00725-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d485/12299425/bd92de699762/vaccines-13-00725-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d485/12299425/aeaabef2a55d/vaccines-13-00725-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d485/12299425/11eb0cd7a094/vaccines-13-00725-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d485/12299425/2420735bcad6/vaccines-13-00725-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d485/12299425/bd92de699762/vaccines-13-00725-g004.jpg

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本文引用的文献

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Vaccine: Mechanism of Pathogenesis, Immune Evasion and Analysis of Vaccine Types.疫苗:发病机制、免疫逃逸及疫苗类型分析
Vaccines (Basel). 2025 May 15;13(5):526. doi: 10.3390/vaccines13050526.
2
The urease E subunit vaccine stimulate the immune response versus Helicobacter pylori in animal model.脲酶E亚基疫苗在动物模型中刺激针对幽门螺杆菌的免疫反应。
Immunol Res. 2025 Apr 22;73(1):74. doi: 10.1007/s12026-025-09625-6.
3
Bibliometric analysis of vaccine development from 1993 to 2023.1993年至2023年疫苗研发的文献计量分析。
Front Microbiol. 2025 Mar 17;16:1479195. doi: 10.3389/fmicb.2025.1479195. eCollection 2025.
4
Overcoming antibiotic-resistant infection: Current challenges and emerging approaches.克服抗生素耐药性感染:当前挑战与新出现的方法。
World J Gastroenterol. 2025 Mar 14;31(10):102289. doi: 10.3748/wjg.v31.i10.102289.
5
Chitosan Nanoparticles for Enhanced Immune Response and Delivery of Multi-Epitope Vaccines in a BALB/c Mouse Model.壳聚糖纳米颗粒增强BALB/c小鼠模型的免疫反应及多表位疫苗递送
Pharmaceutics. 2025 Jan 18;17(1):132. doi: 10.3390/pharmaceutics17010132.
6
The role and mechanisms of Helicobacter pylori outer membrane vesicles in the pathogenesis of extra-gastrointestinal diseases.幽门螺杆菌外膜囊泡在胃肠道外疾病发病机制中的作用及机制
Microb Pathog. 2025 Mar;200:107312. doi: 10.1016/j.micpath.2025.107312. Epub 2025 Jan 22.
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Pivotal role of virulence genes in pathogenicity and vaccine development.毒力基因在致病性和疫苗开发中的关键作用。
Front Med (Lausanne). 2025 Jan 6;11:1523991. doi: 10.3389/fmed.2024.1523991. eCollection 2024.
8
: Routes of Infection, Antimicrobial Resistance, and Alternative Therapies as a Means to Develop Infection Control.感染途径、抗菌药物耐药性以及作为制定感染控制手段的替代疗法
Diseases. 2024 Dec 3;12(12):311. doi: 10.3390/diseases12120311.
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Global prevalence of Helicobacter pylori antibiotic resistance among children in the world health organization regions between 2000 and 2023: a systematic review and meta-analysis.2000年至2023年世界卫生组织各区域儿童幽门螺杆菌抗生素耐药性的全球流行情况:一项系统评价和荟萃分析。
BMC Med. 2024 Dec 23;22(1):598. doi: 10.1186/s12916-024-03816-y.
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