The BCG vaccine, advantages, and disadvantages of introducing new generation vaccines against Mycobacterium tuberculosis.

IF 2.1 Q4 IMMUNOLOGY Clinical and Experimental Vaccine Research Pub Date : 2024-07-01 Epub Date: 2024-07-31 DOI:10.7774/cevr.2024.13.3.184
Marzie Mahdizade Ari, Masoumeh Beig, Mohammad Sholeh, Majid Khoshmirsafa
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Abstract

Tuberculosis (TB) is consistently ranked among the deadliest diseases worldwide, causing millions of deaths annually. Mycobacterium tuberculosis is the causative agent for this infection. Different antibiotics and vaccines have been discussed as potential treatments and prevention. Currently, there is only one licensed vaccine against TB, Bacillus Calmette-Guérin (BCG). Despite its protective efficacy against TB in children, BCG has failed to protect adults against pulmonary TB, lacks therapeutic value, and can cause complications in immunocompromised individuals. In this review, BCG, the most widely administered vaccine, is discussed, and the newest vaccines available in medicine are discussed. Based on the restrictions that prevent optimal BCG efficacy and the vaccines that are now being tested in various clinical studies, some criteria need to be considered in designing future vaccines.

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卡介苗、引入新一代结核分枝杆菌疫苗的利弊。
结核病(TB)一直被列为全球最致命的疾病之一,每年造成数百万人死亡。结核分枝杆菌是这种感染的病原体。人们一直在讨论不同的抗生素和疫苗作为潜在的治疗和预防手段。目前,只有一种获得许可的结核病疫苗,即卡介苗(BCG)。尽管卡介苗对儿童肺结核有保护作用,但对成人肺结核却没有保护作用,缺乏治疗价值,而且会给免疫力低下的人带来并发症。在这篇综述中,我们讨论了卡介苗这种最广泛使用的疫苗,并讨论了医学界现有的最新疫苗。基于阻碍卡介苗发挥最佳疗效的限制因素以及目前正在各种临床研究中进行测试的疫苗,在设计未来疫苗时需要考虑一些标准。
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来源期刊
CiteScore
3.70
自引率
3.70%
发文量
29
审稿时长
8 weeks
期刊介绍: Clin Exp Vaccine Res, the official English journal of the Korean Vaccine Society, is an international, peer reviewed, and open-access journal. It covers all areas related to vaccines and vaccination. Clin Exp Vaccine Res publishes editorials, review articles, special articles, original articles, case reports, brief communications, and correspondences covering a wide range of clinical and experimental subjects including vaccines and vaccination for human and animals against infectious diseases caused by viruses, bacteria, parasites and tumor. The scope of the journal is to disseminate information that may contribute to elaborate vaccine development and vaccination strategies targeting infectious diseases and tumors in human and animals. Relevant topics range from experimental approaches to (pre)clinical trials for the vaccine research based on, but not limited to, basic laboratory, translational, and (pre)clinical investigations, epidemiology of infectious diseases and progression of all aspects in the health related issues. It is published printed and open accessed online issues (https://ecevr.org) two times per year in 31 January and 31 July. Clin Exp Vaccine Res is linked to many international databases and is made freely available to institutions and individuals worldwide
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