疫苗中铝含量的管制限制尚未根据毒理学研究确定

IF 4.2 3区 环境科学与生态学 Q2 ENVIRONMENTAL SCIENCES
Loïc Angrand , Romain K. Gherardi , Guillemette Crépeaux
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引用次数: 0

摘要

自20世纪20年代以来,铝基佐剂(ABAs)一直用于疫苗中以增强免疫反应。尽管它们被广泛使用,但它们的作用机制仍然只是部分地被了解,而且人们越来越关注它们的长期安全性,特别是在脆弱人群中。本研究考察了疫苗中铝含量限制的监管历史,并确定了毒理学和流行病学评估方面的主要差距。通过对监管记录、历史档案、《信息自由法》(FOIA)的要求和回应以及科学文献的详细审查,我们发现,目前每剂量0.85 毫克的铝阈值是在20世纪中期根据免疫功效设定的,而不是根据毒理学数据设定的,尽管疫苗接种时间表和累积暴露量发生了变化,但该阈值仍然存在。支持这一限制的关键文件可追溯到1947年和1952年,没有评估aba的潜在毒性,而且无论如何也不再与当前的疫苗接种计划相关。目前迫切需要进行独立的药代动力学和毒理学研究,透明地获得专有的佐剂化合物,以及回归到更安全的替代品,如生物相容性磷酸钙。更新这些标准对于加强公众对疫苗接种政策的信心至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Regulatory limits of aluminium content of vaccines have not been set based on toxicological studies
Aluminium-Based Adjuvants (ABAs) have been used in vaccines since the 1920s to boost immune responses. Despite their widespread use, their mechanisms of action remain only partially understood, and growing concerns exist about their long-term safety, particularly in vulnerable populations. This study examines the regulatory history of the aluminium content limit in vaccines and identifies major gaps in toxicological and epidemiological evaluation.
Through a detailed review of regulatory records, historical archives, Freedom of Information Act (FOIA) requests and responses, and scientific literature, we found that the current aluminium threshold of 0.85 mg per dose was set in the mid-20th century based on immunological efficacy - not on toxicological data- and remains in place despite changes in vaccination schedules and cumulative exposure. The key documents supporting this limit, which date back to 1947 and 1952, do not evaluate the potential toxicity of ABAs and are, in any case, no longer relevant to the current vaccination schedule.
There is an urgent need for independent pharmacokinetic and toxicological studies, transparent access to proprietary adjuvant compound, and a comeback to safer alternatives such as biocompatible calcium phosphate. Updating these standards is crucial for strengthening public confidence in vaccination policies.
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来源期刊
CiteScore
7.00
自引率
4.70%
发文量
185
审稿时长
34 days
期刊介绍: Environmental Toxicology and Pharmacology publishes the results of studies concerning toxic and pharmacological effects of (human and veterinary) drugs and of environmental contaminants in animals and man. Areas of special interest are: molecular mechanisms of toxicity, biotransformation and toxicokinetics (including toxicokinetic modelling), molecular, biochemical and physiological mechanisms explaining differences in sensitivity between species and individuals, the characterisation of pathophysiological models and mechanisms involved in the development of effects and the identification of biological markers that can be used to study exposure and effects in man and animals. In addition to full length papers, short communications, full-length reviews and mini-reviews, Environmental Toxicology and Pharmacology will publish in depth assessments of special problem areas. The latter publications may exceed the length of a full length paper three to fourfold. A basic requirement is that the assessments are made under the auspices of international groups of leading experts in the fields concerned. The information examined may either consist of data that were already published, or of new data that were obtained within the framework of collaborative research programmes. Provision is also made for the acceptance of minireviews on (classes of) compounds, toxicities or mechanisms, debating recent advances in rapidly developing fields that fall within the scope of the journal.
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