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[弓形虫:疫苗展望]

[Toxoplasma gondii: perspectives for a vaccine].

作者信息

Gottstein B

机构信息

Institut für Parasitologie der Veterinärmedizinischen, Medizinischen Fakultät, Universität Bern.

出版信息

Schweiz Med Wochenschr Suppl. 1995;65:89S-95S.

PMID:7716458
Abstract

To date no single vaccine has been commercialized in the field of human parasitology, and therefore a practical approach to a potential Toxoplasma vaccine in the field can only be discussed theoretically. The aim of such a vaccine would consist either in inhibiting endogenous parasite multiplication (tachyzoite formation) and thus dissemination, or in preventing the final formation of Toxoplasma cysts (bradyzoite formation). Immune protectivity should confer resistance to disease and parasite dissemination in pregnant women, in order to prevent congenital toxoplasmosis in the unborn infant, and prevent cyst formation in order to avoid reactivation in case of future immunosuppression of the individual. The establishment of a successful protective immunity was elucidated in the mouse model: the number of formed Toxoplasma cysts is primarily regulated by the function of Toxoplasma-specific CD8(+)-T-cells. Direct effector functions of cytotoxic CD8+ lymphocytes directly depend on local periparasitic gamma-interferon- and TNF alpha-concentrations. Immunological aberrance occurs if locally (cerebral) synthesized Il-10 and Il-6 induce anergistic immunosuppression. An experimental vaccine in the mouse demonstrated primary dependence of a protective immune response on CD8+ and CD4+ (Th) cells. Experimental vaccines within domestic animals concentrate mainly on the development of temperature-sensitive mutants of the T. gondii RH-strain, which will protect animals from disease but not from infection and cyst formation.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

迄今为止,在人类寄生虫学领域还没有单一疫苗实现商业化,因此对于该领域潜在的弓形虫疫苗,只能从理论上探讨一种切实可行的方法。这种疫苗的目标要么是抑制寄生虫的内源性增殖(速殖子形成)从而阻止其传播,要么是防止弓形虫包囊的最终形成(缓殖子形成)。免疫保护应赋予孕妇对疾病和寄生虫传播的抵抗力,以防止未出生婴儿患先天性弓形虫病,并防止包囊形成,以避免个体在未来免疫抑制情况下的再激活。在小鼠模型中阐明了成功建立保护性免疫的机制:形成的弓形虫包囊数量主要受弓形虫特异性CD8(+) - T细胞功能的调节。细胞毒性CD8 + 淋巴细胞的直接效应功能直接取决于局部寄生虫周围γ - 干扰素和肿瘤坏死因子α的浓度。如果局部(脑内)合成的白细胞介素 - 10和白细胞介素 - 6诱导无反应性免疫抑制,就会发生免疫异常。小鼠实验性疫苗表明,保护性免疫反应主要依赖于CD8 + 和CD4 +(Th)细胞。家畜的实验性疫苗主要集中在开发弓形虫RH株的温度敏感突变体,这种突变体将保护动物免受疾病侵害,但不能防止感染和包囊形成。(摘要截短于250字)

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