Serogroup B Protein Meningococcal Vaccines and the Formation of Immune Protection against Gonorrhea

N. N. Kostyukova, V. A. Bekhalo
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Abstract

Relevance. Gonorrhea is a widespread infection. More than 80 million cases of this disease occur annually. The problem is compounded by the growing resistance of gonococcus to antibiotics worldwide. The only way out in this situation may be the immunization of certain groups of the population against this infection. Despite the numerous efforts of specialists, there is currently no registered vaccine against gonorrhea, which is due to the characteristics of the pathogen. However, over the past 30 years, reliable observations have accumulated that vaccines containing N. meningititidis serogroup B outer membrane proteins (OMP), developed for prophylaxis meningococcal infection, can also prevent a significant proportion of gonorrhea cases. Aims. To give a brief overview of publications on the reduction of the incidence of gonorrhea in individuals who received vaccines containing N. meningitidis serogroup B outer membrane vesicles, followed by an analysis of information about the nature of these proteins and methods of their study, as a promising platform for creating a vaccine against gonococcus. Conclusions. There is a theoretical and real possibility of creating a preventive drug against gonorrhea. Our analysis of literature sources showed that during the period 2006–2016 from 31% to 59% of those vaccinated with the protein meningococcal vaccine В were protected from gonorrhea. It is necessary to continue studying meningococcal OMV in terms of their preventive properties against gonorrhea, improve the set of models to identify their protective effect, and find adjuvants that enhance the immunogenicity of potential vaccine candidates. 
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血清 B 群蛋白脑膜炎球菌疫苗与淋病免疫保护的形成
相关性。淋病是一种广泛的传染病。每年有超过 8000 万例感染病例。淋球菌对抗生素的耐药性在全球范围内不断增强,使问题变得更加复杂。在这种情况下,唯一的出路可能就是对某些人群进行淋病免疫接种。尽管专家们做出了许多努力,但由于淋病病原体的特性,目前还没有注册的淋病疫苗。然而,在过去 30 年中,可靠的观察结果表明,为预防脑膜炎球菌感染而开发的含有 B 型脑膜炎球菌血清外膜蛋白(OMP)的疫苗也能预防相当一部分淋病病例。目的简要概述有关接种含有 B 型脑膜炎球菌血清外膜囊泡的疫苗可降低淋病发病率的出版物,然后分析有关这些蛋白的性质及其研究方法的信息,以此作为开发淋球菌疫苗的一个有前途的平台。结论。理论上和现实中都有可能研制出预防淋病的药物。我们对文献资料的分析表明,在 2006-2016 年期间,接种脑膜炎球菌疫苗 В 蛋白的人中有 31% 至 59% 的人免受淋病感染。有必要继续研究脑膜炎球菌 OMV 对淋病的预防特性,改进确定其保护效果的模型集,并找到能增强潜在候选疫苗免疫原性的佐剂。
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