[Achievements and perspectives of research into development of a vaccine against malaria].

Wiadomosci parazytologiczne Pub Date : 2010-01-01
Marcin Wiśniewski, Dagmara Joanna Zak
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Abstract

Malaria is caused by parasites of the genus Plasmodium. Every year from 350 to 500 million of malaria cases are recorded with an estimated annual death toll of over 1.1 million deaths, making malaria the global health problem. Malaria deepens the poverty, limits the education and causes absences at schools and workplaces--what makes the progress of civilization and economy slower. This is why beside the classical methods of malaria prevention, such as the elimination of the places of mosquito breeding and, application of insecticides or chemoprophylaxis, the elaboration of effective malaria vaccine is a necessity. Despite considerably high financial investments for long term malaria research, so far it has not been possible to develop an efficient vaccine against this disease. This is why the main topic of the present review is presenting of achievements and perspectives of research on development of vaccine against malaria with special consideration of tested antigens. Our review also contains an attempt to typify the most prospective vaccine. Currently developed and tested vaccines against malaria may be divided in three groups depending on the parasite living stage which the vaccine influences: pre-erythrocytic stage vaccines, blood stage vaccines and transmission blocking vaccines. At the moment it seems that the most promising vaccine against malaria is RTS,S/ASO2A which represent the pre-erythrocytic stage vaccines. However developing a completely safe, efficient and budget-friendly vaccine still remains the far-reaching goal and requires further years of research.

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[研制疟疾疫苗的研究成就和前景]。
疟疾是由疟原虫属寄生虫引起的。每年记录的疟疾病例在3.5亿至5亿之间,估计每年死亡人数超过110万人,使疟疾成为全球健康问题。疟疾加剧了贫困,限制了教育,导致学校和工作场所缺勤——这使得文明和经济的进步放缓。这就是为什么除了传统的疟疾预防方法,例如消除蚊子滋生的地方和使用杀虫剂或化学预防外,还必须研制有效的疟疾疫苗。尽管为长期疟疾研究投入了相当高的资金,但到目前为止还不可能研制出一种有效的疟疾疫苗。这就是为什么本综述的主要主题是介绍疟疾疫苗开发的研究成果和前景,并特别考虑已检测的抗原。我们的综述也包含了对最有前景的疫苗进行分类的尝试。根据疫苗影响的寄生虫生存阶段,目前开发和测试的疟疾疫苗可分为三组:红细胞前期疫苗、血液期疫苗和传播阻断疫苗。目前看来,最有希望的疟疾疫苗是RTS,S/ASO2A,它们代表红细胞前阶段疫苗。然而,开发一种完全安全、有效和预算友好的疫苗仍然是一个深远的目标,需要进一步多年的研究。
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