新型流感疫苗的最新进展

K. Ohyama, N. Uchide, H. Toyoda
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摘要

我们现在正在经历由2009年新型甲型H1N1流感病毒感染引起的21世纪第一次大流行。使用有效的疫苗接种是预防流感病毒感染的最可靠措施。表面病毒糖蛋白的血凝素(HA)在我们体内自然感染或疫苗接种诱导的免疫原性中起主要作用。从流行性流感病毒株的灭活病毒颗粒制备分离产物疫苗,并在世界范围内使用。然而,注射灭活疫苗并不总是有效的。血凝素蛋白的抗原性根据其基因的突变而不断改变,以逃避宿主免疫系统。因此,需要每年重复接种针对具有突变的流行毒株的疫苗。与流行毒株相反,流感病毒大流行毒株由于其毒力难以繁殖。因此,不能获得足够数量的抗原。因此,目前许可的流感疫苗存在许多不可避免的问题。为了解决这些问题,已经测试了流感疫苗的新发展,如适应感冒的活疫苗、反向基因疫苗、DNA疫苗、通用疫苗和与佐剂共同接种。值得注意的是,利用基因工程制备疫苗的发展进展迅速。因此,本文综述了以下方面的最新知识:(1)流感病毒HA,(2)目前许可的流感疫苗,以及(3)开发流感疫苗的新设备。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Current Advances in Developments of New Influenza Vaccines
We have been now experiencing the first pandemic in the 21st century by a 2009 novel influenza A (H1N1) virus infection. The use of effective vaccination is the most reliable prophylactic measures against influenza virus infection. Hemagglutinin (HA) of surface viral glycoproteins plays a principal role as immunogenecity induced by natural infection or vaccination in our bodies. A split-product vaccine is prepared from inactivated influenza virus particles of epidemic strains and used worldwide. However, the administration of inactivated vaccine is not always effective. The antigenicity of HA proteins is continuously changed according to mutations in its gene for escaping from host immune systems. Therefore, vaccination against epidemic strains with mutations is needed to repeat annually. Contrary to epidemic strains, it is difficult to propagate pandemic strains of influenza viruses owing to the virulence. Consequently, a sufficient quantity of antigen cannot be obtained. Thus, currently licensed influenza vaccine has a lot of inevitable problems. New developments for influenza vaccination, such as live cold-adapted vaccine, reverse genetics vaccine, DNA vaccine, universal vaccine and co-administration with adjuvant, have been tested in order to solve the problems. It is noted that the development of vaccine preparation using genetic engineering progressed rapidly. This article, therefore, reviews recent knowledge regarding (1) influenza virus HA, (2) currently licensed influenza vaccines, and (3) new devices for developing influenza vaccines.
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