Mechanisms of M. tuberculosis Immune Evasion as Challenges to TB Vaccine Design.

Mechanisms of M. tuberculosis Immune Evasion as Challenges to TB Vaccine Design.
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结核分枝杆菌免疫逃避的机制是对结核病疫苗设计的挑战。

DOI:
10.1016/j.chom.2018.06.004
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发表时间:
2018-07-11
影响因子:
30.3
通讯作者:
Ernst JD
Ernst JD
中科院分区:
医学1区
文献类型:
--
作者:
Ernst JD

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结核病 (TB) 是一个严重的全球健康问题,部分原因是病原体结核分枝杆菌及其人类宿主长期共同进化。结核病在全球持续流行的一个主要因素是缺乏足够有效的疫苗。虽然预防结核病的基本免疫机制已经确定,但通过疫苗接种来提高结核病免疫力的尝试却令人失望。本综述讨论了结核分枝杆菌逃避先天性和适应性免疫的机制,这些机制可能限制了迄今为止开发的疫苗的功效。尽管存在多种免疫逃避机制,但最近的试验表明,有效的结核病疫苗仍然是一个可以实现的目标。本综述讨论了其他系统的知识如何为当前疫苗方法的改进提供信息。
Tuberculosis (TB) is a large global health problem, in part because of the long period of coevolution of the pathogen, Mycobacterium tuberculosis, and its human host. A major factor that sustains the global epidemic of TB is the lack of a sufficiently effective vaccine. While basic mechanisms of immunity that protect against TB have been identified, attempts to improve immunity to TB by vaccination have been disappointing. This Review discusses the mechanisms used by M. tuberculosis to evade innate and adaptive immunity and that likely limit the efficacy of vaccines developed to date. Despite multiple mechanisms of immune evasion, recent trials have indicated that effective TB vaccines remain an attainable goal. This Review discusses how knowledge from other systems can inform improvements on current vaccine approaches.
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