Current status of Zika vaccine development: Zika vaccines advance into clinical evaluation.

Current status of Zika vaccine development: Zika vaccines advance into clinical evaluation.
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DOI:
10.1038/s41541-018-0061-9
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发表时间:
2018
期刊:
影响因子:
9.2
通讯作者:
Barrett ADT
Barrett ADT
中科院分区:
医学1区
文献类型:
--
作者:
Barrett ADT

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寨卡病毒 (ZIKV) 是一种蚊媒黄病毒,于 20 世纪 40 年代在非洲乌干达首次发现,并于 2015 年 5 月在美洲巴西出现。自 ZIKV 成为重大公共卫生问题以来的 30 个月里,疫苗开发取得了巨大进展,并于 2017 年第四季度发布了三份一期临床试验报告。涉及候选 DNA 和纯化灭活病毒的临床试验疫苗显示,所有疫苗在少数志愿者中都是安全且耐受性良好的,并且所有疫苗均诱导产生中和抗体,尽管这些疫苗因候选疫苗和给药方案而异。这些结果表明寨卡疫苗是可以开发出来的,并且有必要进行二期临床试验。然而,很难比较不同一期研究的结果或与许可的黄病毒疫苗(日本脑炎、蜱传脑炎和黄热病)诱导的中和抗体的结果,因为中和抗体测定各不相同,不幸的是,寨卡病毒中和抗体没有标准。除了临床研究外,非临床开发也继续取得实质性进展,特别是在候选疫苗保护生殖组织的能力以及单克隆抗体用于被动预防的潜在用途方面。
Zika virus (ZIKV), a mosquito-borne flavivirus, was first identified in the 1940s in Uganda in Africa and emerged in the Americas in Brazil in May 2015. In the 30 months since ZIKV emerged as a major public health problem, spectacular progress has been made with vaccine development cumulating with the publication of three reports of phase 1 clinical trials in the 4th quarter of 2017. Clinical trials involving candidate DNA and purified inactivated virus vaccines showed all were safe and well-tolerated in the small number of volunteers and all induced neutralizing antibodies, although these varied by vaccine candidate and dosing regimen. These results suggest that a Zika vaccine can be developed and that phase 2 clinical trials are warranted. However, it is difficult to compare the results from the different phase 1 studies or with neutralizing antibodies induced by licensed flavivirus vaccines (Japanese encephalitis, tick-borne encephalitis, and yellow fever) as neutralizing antibody assays vary and, unfortunately, there are no standards for Zika virus neutralizing antibodies. In addition to clinical studies, substantial progress continues to be made in nonclinical development, particularly in terms of the ability of candidate vaccines to protect reproductive tissues, and the potential use of monoclonal antibodies for passive prophylaxis.
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