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Correlation analysis of gene expression between children with type 1 diabetes and Coxsackie viruses B 1 型糖尿病患儿与柯萨奇病毒 B 基因表达的相关性分析
Pub Date : 2024-04-01 DOI: 10.1016/j.vacune.2024.05.009
Zeyad Thonnoon Al-Rrassam

Type 1 diabetes is classified as an autoimmune disorder. Researchers observed the presence of viral Coxsackie virus B proteins within the β-cells in islets shortly after inoculating mice. This observation led them to establish a link between children who have T1D and an infection with the CVB. The objective of this research was to measure the degree of gene expression of highly expressed genes in individuals who were both infected with Coxsackie viruses B and previously had T1D. Additionally, levels of CVB IgG and HbA1c were assessed in the blood serum of patients with T1D.This correlation was assessed by analyzing the expression of genes with significantly extreme expression levels using logarithmic analysis with specialized mathematical software. This study revealed that there is an association between CVB IgG and HbA1c levels in T1D patients. Additionally, T1D patients with a family history of diabetes showed associations with genetic factors and gene expression. Interestingly, no significant differences in HbA1c levels were observed between patients based on their gender. Furthermore, the genes IGFBP5, GPNMB, and GJA1 exhibited a strong association with CVB. We propose a new strategy that may open up new therapy options for T1D caused by CVB through monitoring the physiological pathways of these genes.

1 型糖尿病被归类为自身免疫性疾病。研究人员观察到,小鼠接种后不久,胰岛β细胞内就出现了病毒性柯萨奇病毒B蛋白。这一观察结果使他们确定了患 T1D 的儿童与感染柯萨奇病毒 B 之间的联系。这项研究的目的是测量既感染过柯萨奇病毒 B 又曾患过 T1D 的人体内高表达基因的基因表达程度。此外,还对 T1D 患者血清中的 CVB IgG 和 HbA1c 水平进行了评估。通过使用专门的数学软件进行对数分析,对表达水平明显极端的基因的表达情况进行了分析,从而评估了这种相关性。这项研究表明,T1D 患者的 CVB IgG 与 HbA1c 水平之间存在关联。此外,有糖尿病家族史的 T1D 患者与遗传因素和基因表达也有关联。有趣的是,不同性别患者的 HbA1c 水平没有明显差异。此外,基因 IGFBP5、GPNMB 和 GJA1 与 CVB 有很强的相关性。我们提出了一种新策略,即通过监测这些基因的生理通路,为 CVB 导致的 T1D 开启新的治疗方案。
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引用次数: 0
Perceptions, attitude, and knowledge of Saudi parents towards the human papilloma virus vaccine 沙特父母对人类乳头瘤病毒疫苗的看法、态度和知识
Pub Date : 2024-04-01 DOI: 10.1016/j.vacune.2024.05.008
Muazzam Sheriff Maqbul , Fatemah Saad Allihaydan , Rania Hisham Elfaham , Lina Abdulaziz Ahmed Baragaa , Shireen Hisham Elfaham , Nahlaa Saad Allihaydan , Abdulrahman Khalid Alswat , Salam Omar Alhilal , Reem Saleh Alzaki , Walaa Ebrahim Jaafar Jasim , Yousef Ahmed Alduhailan , Abdullah Dhafer Alshehri , Saeed Ayidh Alshahrani , Abdulrahman Musaed Al Sumaih

Objectives

HPV infection is a widely acknowledged cause of infection-related cancers globally. However, HPV vaccine is a reliable and risk-free method to avert HPV infection and is advised for children aged from 9 to 14, irrespective of their gender. Therefore, when considering the vaccination for human papilloma virus (HPV), viewpoints held by parents hugely impact their decision to vaccinate their daughters. This study aims to evaluate Saudi parents' comprehension and perception of HPV (human papilloma virus) and the HPV vaccine and its acceptability.

Methods

A cross-sectional study was conducted to investigate parents of adolescent daughters. An online questionnaire was conducted using Google form to gather information about socio-demographic data, awareness, and knowledge of HPV, and the willingness to accept the HPV vaccine.

Results

Out of 424 participants, three-quarters of the participants were mothers 319 (75.2%) and 105 (24.8%) were fathers. Over half of the respondents (53.8%) were acknowledged that HPV is a cause of cervical cancer where the relationship was found to be significant in relation to gender. Almost half of the participants (47.0%) were acknowledged that HPV vaccine is used to prevent cervical cancer which was statistically significant in relation to gender (P = .034) but (47.9%) did not know. Encouragingly, levels of vaccine acceptance were high (54.7%) although (41.0%) had a negative attitude towards the effectiveness of HPV vaccine with strong belief that the vaccine can cause serious side effects (67.0%). Parents with family history of cervical cancer and were aware that the vaccine can prevent cervical cancer were positively associated.

目标 人类乳头瘤病毒感染是全球公认的与感染有关的癌症病因。然而,人乳头瘤病毒疫苗是避免人乳头瘤病毒感染的可靠且无风险的方法,建议 9 至 14 岁的儿童接种,不论其性别如何。因此,在考虑接种人乳头状瘤病毒(HPV)疫苗时,父母所持的观点会对他们是否为女儿接种疫苗产生巨大影响。本研究旨在评估沙特父母对人类乳头瘤病毒(HPV)和 HPV 疫苗的理解和看法及其可接受性。使用谷歌表格进行了在线问卷调查,以收集有关社会人口学数据、对人乳头瘤病毒的认识和知识以及接受人乳头瘤病毒疫苗的意愿等信息。结果在 424 名参与者中,四分之三的参与者是母亲,占 319 人(75.2%),105 人(24.8%)是父亲。超过一半的受访者(53.8%)承认人乳头瘤病毒是宫颈癌的病因之一,并认为这与性别有显著关系。近一半的受访者(47.0%)知道 HPV 疫苗用于预防宫颈癌,这与性别有显著的统计学关系(P = .034),但也有 47.9% 的受访者不知道。令人欣慰的是,尽管(41.0%)的受访者对 HPV 疫苗的有效性持否定态度,并坚信疫苗会产生严重的副作用(67.0%),但他们对疫苗的接受程度很高(54.7%)。有宫颈癌家族史的家长和知道疫苗可以预防宫颈癌的家长呈正相关。
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引用次数: 0
New potent vaccine against brucellosis based on multi-epitope prediction method of inf C protein. In silico study 基于 inf C 蛋白多表位预测方法的新型高效布鲁氏菌病疫苗。硅学研究
Pub Date : 2024-04-01 DOI: 10.1016/j.vacune.2024.05.006
Laref Nora , Belkheir Khadidja

Purpose

Brucellosis infection could be eradicated by using an effective vaccine. Inf C gene expression generates one of the main Brucella pathogenesis proteins. The purpose of this study was to design a new vaccine against Brucella disease by in silico determination of epitopes of inf C protein.

Methods

In the first, Inf C amino acid sequences were extracted from the UniProt database and subjected to in silico analysis, including multiple sequence alignment, conserved region determination, allergenicity, antigenicity, and toxicity of the selected epitopes for TCL, HTL, and BCl. Vaccine-target (MHC alleles and TLRs) interactions, binding affinities, and dynamical stabilities were inspected through molecular docking and molecular dynamic simulation (MD) using Cluspro 2 server and GROMACS packages respectively. Further, the codon adaptation of the designed vaccine was determined by the JCat server and the obtained sequence was cloned in pET19b(+)vector by pDRAW32 software. Finally, the ability of the newer vaccine to stimulate the immune response was assessed using a computational immune simulation.

Results

Results allowed us to select a peptide vaccine on basis of its good binding affinities with TLR-8 allele. The multi-peptide vaccine showed also to be highly antigenic, non-allergenic, non-toxic, and potential expression in E coli. Results showed also good stability of the vaccine–TLR8 complex and strong cellular and humoral immune response after three in silico injections of the vaccine construct.

Conclusion

All these theoretical results reveal that the conserved region of inf C protein could be used for designing of a new potent vaccine against Brucella.

目的 通过使用有效的疫苗可以根除布鲁氏菌感染。Inf C 基因的表达产生了布鲁氏菌的主要致病蛋白之一。方法首先,从 UniProt 数据库中提取 Inf C 氨基酸序列,并对其进行硅学分析,包括多序列比对、保守区确定、过敏性、抗原性和所选表位对 TCL、HTL 和 BCl 的毒性。利用 Cluspro 2 服务器和 GROMACS 软件包,分别通过分子对接和分子动力学模拟(MD)检验了疫苗与靶标(MHC 等位基因和 TLRs)之间的相互作用、结合亲和力和动态稳定性。此外,还利用 JCat 服务器确定了设计疫苗的密码子适应性,并通过 pDRAW32 软件将获得的序列克隆到 pET19b(+)vector 中。最后,利用计算免疫模拟评估了新疫苗刺激免疫反应的能力。结果我们根据多肽疫苗与 TLR-8 等位基因良好的结合亲和力选择了一种多肽疫苗。多肽疫苗还具有高抗原性、非过敏性、无毒性以及在大肠杆菌中表达的潜力。结果还显示,疫苗-TLR8 复合物具有良好的稳定性,在注射三次该疫苗构建体后,可产生强烈的细胞和体液免疫反应。
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引用次数: 0
Analysis of the level of protective serum antibody after third dose of different COVID-19 vaccines 不同 COVID-19 疫苗第三次接种后保护性血清抗体水平分析
Pub Date : 2024-04-01 DOI: 10.1016/j.vacune.2024.04.001
Atena Mansouri , Mitra Rafiee , Seyed-Alireza Esmaeili , Saboura Nikpour , Alireza Fereidouni , Mohammad Fereidouni

A new coronavirus (SARS-CoV-2), causing COVID-19 (coronavirus disease 2019), is a member of the Coronaviridae family. The benefits of the primary COVID-19 vaccination far outweigh the risks. Nevertheless, the risks associated with too early and too frequent boosters should be considered, especially when vaccines have immune-mediated effects like myocarditis, which is more commonly associated with the second dose of some mRNA vaccines. Booster vaccinations against SARS-CoV-2 are needed because of either reduced immunity to the original vaccine or evolved viruses producing immunity to the initial vaccine antigens. So, the aim of this study was to detect the difference in neutralizing anti-RBD antibodies between the third and second doses of COVID-19 vaccines. A study was performed among 29 eligible participants in Birjand (Iran). Blood samples were taken from all participants 2–4 weeks after the third dose. In the next step, humoral responses were assessed with a kit detecting neutralization of SARS-CoV-2. SPSS software version 22.0 (SPSS Inc., Chicago, IL) was used to analyze the data. The mean age of cases was 35.62 ± 8.72 years, with a range of 21–53 years. The obtained results showed that all vaccines significantly had a higher efficacy in the third dose than the second. Participants who received Vaxzevria in the second dose and PastoCovac Plus in the third dose had more immunogenicity. According to the results of this study, a third dose of the vaccine should be given to persons aged ≥ 20 years to provide an increased level of protection against COVID-19. Especially, participants who received Sputnik-V and Vaxzevria in the second dose and PastoCovac Plus in the third dose showed a more effective immune response against the virus.

一种新的冠状病毒(SARS-CoV-2)会引起 COVID-19(冠状病毒病 2019),它属于冠状病毒科。初次接种 COVID-19 疫苗的益处远远大于风险。不过,过早和过于频繁地接种加强免疫疫苗也会带来风险,尤其是当疫苗具有免疫介导效应时,如心肌炎,而心肌炎更常见于某些 mRNA 疫苗的第二剂。需要加强接种 SARS-CoV-2 疫苗的原因要么是对原始疫苗的免疫力下降,要么是进化病毒产生了对原始疫苗抗原的免疫力。因此,本研究的目的是检测 COVID-19 疫苗第三剂和第二剂之间抗 RBD 中和抗体的差异。研究在比尔詹德(伊朗)29 名符合条件的参与者中进行。所有参与者在接种第三剂疫苗 2-4 周后被采集血样。下一步,使用检测 SARS-CoV-2 中和的试剂盒对体液反应进行评估。数据分析采用 SPSS 软件 22.0 版(SPSS Inc.病例的平均年龄为(35.62 ± 8.72)岁,年龄范围为 21-53 岁。结果显示,所有疫苗第三剂的效力都明显高于第二剂。第二剂接种 Vaxzevria 和第三剂接种 PastoCovac Plus 的参与者具有更高的免疫原性。根据这项研究的结果,年龄超过20岁的人应该接种第三剂疫苗,以提高对COVID-19的保护水平。特别是,接种第二剂 Sputnik-V 和 Vaxzevria 以及第三剂 PastoCovac Plus 的参与者对病毒的免疫反应更为有效。
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引用次数: 0
The co-infection of SARS-CoV-2 with atypical bacterial respiratory infections: A mini review SARS-CoV-2 与非典型细菌性呼吸道感染的合并感染:微型综述
Pub Date : 2024-04-01 DOI: 10.1016/j.vacune.2024.05.012
Fateme Taheri , Soheil Vesal , Parnian Goudarzi , Zahra Sahafnejad , Amin Khoshbayan

In 2019, the Coronavirus disease (COVID-19) rapidly spread worldwide and posed a global threat. The co-infection among COVID-19 patients was reported variable in different studies. However, it could reach 50% of non-survivor patients. Chlamydia pneumoniae, Mycoplasma pneumoniae, and Legionella pneumophila are responsible for respiratory infections and also can act as co-pathogens with COVID-19, making their detection challenging. These bacteria exhibit similar clinical signs to COVID-19, leading to potential oversight. Furthermore, treating these bacteria requires a different antibiotic regimen compared to typical respiratory bacterial agents. Thus, recognizing the clinical characteristics, laboratory findings, and outcomes of co-infections is crucial for improving understanding and treatment strategies.

2019 年,冠状病毒病(COVID-19)迅速蔓延全球,对全球构成威胁。据不同研究报告,COVID-19 患者的合并感染情况各不相同。然而,在非幸存者患者中,合并感染率可达 50%。肺炎衣原体、肺炎支原体和嗜肺军团菌是呼吸道感染的罪魁祸首,它们也可能与 COVID-19 共同致病,因此对它们的检测具有挑战性。这些细菌表现出与 COVID-19 相似的临床症状,可能导致疏忽。此外,与典型的呼吸道细菌病原体相比,治疗这些细菌需要不同的抗生素方案。因此,认识合并感染的临床特征、实验室检查结果和治疗效果对于加深理解和改进治疗策略至关重要。
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引用次数: 0
Innate and adaptative immune mechanisms of COVID-19 vaccines. Serious adverse events associated with SARS-CoV-2 vaccination: A systematic review COVID-19疫苗的先天和适应性免疫机制。与 SARS-CoV-2 疫苗接种相关的严重不良事件:系统综述
Pub Date : 2024-04-01 DOI: 10.1016/j.vacune.2024.05.002
Rocío Morlanes Pallás

Introduction

The present review focuses on innate–adaptative immune stimulation by COVID-19 vaccines, especially by mRNA-iLNP vaccines. It describes iLNP and nucleoside-modified mRNA technologies, reverse transcription, inflammatory signals linked to reactogenicity, including vascular endothelial growth factor-mediated vascular cross-talk, induced by systemic and spike protein, which mimic COVID-persistent. Finally, the connection between the manifestation of severe forms of adverse reactions to vaccination and molecular mimicry, the production of particular autoantibodies and the role of certain vaccine adjuvants are discussed in detail.

Objectives

To identify articles that publish information on the adverse effects produced after the administration of COVID-19 vaccines in order to demonstrate their therapeutic potential in the treatment–prevention of disease; as well as to demonstrate the association of causality and temporal ocurrence.

Methodology

Systematic review of the scientific literature published between July 2021 and July 2023, which analyses all reports of inflammatory signatures of serious adverse effects caused by COVID-19 vaccines.

Results

The systematic review identified 2033 records which, after a screening process according to the inclusion criteria and the elimination of duplicated papers, work with methodological problems and work without open access, were reduced to 58 articles, of which 50 articles are human models and 2 are cellular models.

Conclusion

The results of this systematic review reveal the causal and temporal association of the various serious adverse events following administration of COVID-19 vaccines and the “peak effect” of COVID-19 vaccines is recognised.

引言本综述主要介绍 COVID-19 疫苗,特别是 mRNA-iLNP 疫苗对先天适应性免疫的刺激。它介绍了 iLNP 和核苷修饰的 mRNA 技术、反转录、与致反应性相关的炎症信号,包括血管内皮生长因子介导的血管交联,以及模仿 COVID-persistent 的全身蛋白和尖峰蛋白诱导的血管交联。最后,还详细讨论了疫苗接种严重不良反应的表现形式与分子模拟、特定自身抗体的产生和某些疫苗佐剂的作用之间的联系。方法对 2021 年 7 月至 2023 年 7 月间发表的科学文献进行系统综述,分析 COVID-19 疫苗引起严重不良反应的炎症特征的所有报告。结果该系统综述共发现 2033 条记录,根据纳入标准进行筛选并剔除重复论文、存在方法学问题的作品和未公开获取的作品后,筛选出 58 篇文章,其中 50 篇为人体模型,2 篇为细胞模型。结论该系统综述的结果显示,接种 COVID-19 疫苗后发生的各种严重不良反应具有因果关系和时间关联,COVID-19 疫苗的 "峰值效应 "已得到认可。
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引用次数: 0
Knowledge, attitudes, and adherence of the Cape Verdean population to the COVID-19 vaccine 佛得角人对 COVID-19 疫苗的了解、态度和接种情况
Pub Date : 2024-04-01 DOI: 10.1016/j.vacune.2024.05.010
Maria de Fátima Carvalho Alves, Janice de Jesus Soares, Maria da Luz Lima Mendonça

Background

The spread of the COVID-19 pandemic at the end of 2019, with its well-known consequences in terms of morbidity and mortality, has triggered an intense mobilization of the scientific community in the search for knowledge about the SARS-Cov2 virus and the development of a vaccine.

Objective

This study aims to investigate the knowledge, perceptions, attitudes, and intentions of the resident Cape Verdean population regarding the COVID-19 vaccine.

Methods

This was a descriptive, cross-sectional, and analytical study involving 1704 resident Cape Verdeans, whose ages ranged from 16 to 60 years old and the majority of participants were male (52.6%). The data was collected using the Google form platform between March 9 and 15, 2021.

Results

The data indicated that the majority of participants (95.8%) knew of at least one approved vaccine against COVID-19, and this knowledge (74.9%) was obtained from television, radio, and newspapers. The Oxford-AstraZeneca vaccine was the best known (54.1%) among the study subjects and the majority of respondents (69.7%) had enough information to consciously decide whether or not to get vaccinated against COVID-19. The majority (68.0%) of participants were in favor of the COVID-19 vaccine being administered to all interested people. About 59% of participants considered the COVID-19 vaccine to be safe and 49.6% of participants intended to get vaccinated when the time came. The greatest vaccine hesitancy was related to fear of side effects (21.4%), followed by the fact that it was developed too quickly (12.8%). Health professionals were seen as the priority group (81.5%) to be vaccinated.

Conclusions

The results show that the Cape Verdean population had a good level of knowledge about the COVID-19 vaccine. Despite initial hesitation, the vast majority of participants were willing to get vaccinated. These data suggest that awareness-raising, education, and information campaigns about the COVID-19 vaccine should be strengthened to reduce hesitation and increase confidence and adherence to the COVID-19 vaccine among Cape Verdean residents.

背景2019年底COVID-19大流行病的蔓延及其在发病率和死亡率方面众所周知的后果,引发了科学界的强烈动员,以寻求有关SARS-Cov2病毒的知识和疫苗的开发。本研究旨在调查佛得角常住人口对 COVID-19 疫苗的了解、看法、态度和意向。方法这是一项描述性、横断面和分析性研究,涉及 1704 名佛得角常住人口,他们的年龄从 16 岁到 60 岁不等,大多数参与者为男性(52.6%)。数据显示,大多数参与者(95.8%)至少知道一种已获批准的 COVID-19 疫苗,这些知识(74.9%)是从电视、广播和报纸上获得的。牛津-阿斯利康公司的疫苗在研究对象中知名度最高(54.1%),大多数受访者(69.7%)掌握了足够的信息,可以有意识地决定是否接种COVID-19疫苗。大多数参与者(68.0%)赞成为所有感兴趣的人接种 COVID-19 疫苗。约 59% 的参与者认为 COVID-19 疫苗是安全的,49.6% 的参与者打算在时机成熟时接种疫苗。对疫苗犹豫不决的最大原因是担心副作用(21.4%),其次是疫苗开发太快(12.8%)。结果表明,佛得角人对 COVID-19 疫苗的了解程度较高。尽管最初有些犹豫,但绝大多数参与者都愿意接种疫苗。这些数据表明,应加强有关 COVID-19 疫苗的宣传、教育和信息活动,以减少佛得角居民的犹豫,增强他们对 COVID-19 疫苗的信心并坚持接种。
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引用次数: 0
Addressing cholera vaccine scarcity in Turkey and Syria amidst earthquake situation: Call for an urgent action 解决土耳其和叙利亚地震中霍乱疫苗短缺问题:呼吁采取紧急行动
Pub Date : 2024-04-01 DOI: 10.1016/j.vacune.2024.05.003
Harendra Kumar , Dattatreya Mukherjee , Sumitaksha Banerjee , Prashant Upadhyay , Vagisha Sharma , Moubani Dutta
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引用次数: 0
The impact of magnesium sulfate on the gene expression of Bordetella pertussis (ptxP1 and ptxP3) strains and the incidence of whooping cough in Nineveh 硫酸镁对尼尼微百日咳杆菌(ptxP1 和 ptxP3)菌株基因表达和百日咳发病率的影响
Pub Date : 2024-04-01 DOI: 10.1016/j.vacune.2024.05.011
Ali Adel Dawood

Introduction

The incidence of Bordetella pertussis infections in the Nineveh is affected by living conditions and the density of the population in specific geographic regions.

Aim

This study amid to assess the monitoring pertussis in Nineveh between 2017 and 2021.

Methods

This work focused on how MgSO4 impacts the activity of ptxP1 and ptxP3 genes in B. pertussis strains.

Results

Mosul, Al-Baaj, and Sinjar recorded higher rates of infection compared to other regions due to population density. The expression BfrD, ptxE, ptxD, ptxB, ptxA, and ptxC was exhibited elevation when exposed to MgSO4 of 0 and 5 mM conc. On the other hand, WbpT, VipC, and KpsM showed high expression at a concentration of 50 mM of MgSO4. Pgm demonstrated elevated expression across all concentrations of MgSO4 for the ptxP1 strain, while maintaining consistently low expression for the ptxP3 strain. The potential of Pgm as a distinct marker, effectively distinguishing between the 2 strains of B. pertussis. This approach will allow for a more detailed exploration of the variations between bacterial strains regarding their genetic responses to MgSO4 concentrations.

Conclusions

Data analysis of microarray was indicated that ptxP3 strains are less affected by the inhibitory effects of sulfate root on undesirable gene expression. This investigation may lead for further studies into the role of sulfite root in pertussis's pathogenicity.

引言尼尼微百日咳杆菌感染的发病率受生活条件和特定地理区域人口密度的影响。方法这项工作的重点是研究 MgSO4 如何影响百日咳杆菌菌株中 ptxP1 和 ptxP3 基因的活性。BfrD, ptxE, ptxD, ptxB, ptxA, 和 ptxC 的表达量在接触浓度为 0 和 5 mM 的 MgSO4 时有所提高。在所有 MgSO4 浓度下,ptxP1 株系的 Pgm 表达量都有所提高,而 ptxP3 株系的 Pgm 表达量则持续较低。Pgm 有可能作为一种独特的标记物,有效区分百日咳杆菌的两种菌株。结论芯片数据分析表明,ptxP3 菌株受硫酸根对不良基因表达的抑制作用影响较小。这项调查可能有助于进一步研究亚硫酸根在百日咳致病性中的作用。
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引用次数: 0
mRNA vaccines in gastric cancer: How close are we? 胃癌 mRNA 疫苗:我们还有多远?
Pub Date : 2024-01-01 DOI: 10.1016/j.vacune.2024.02.012
José Dario Portillo-Miño , David Bettin-Gonzalez , Franco Andrés Montenegro Coral

Gastric cancer (GC) is one of the neoplasms with higher mortality, causing around 700 000 deaths worldwide. Despite efforts in GC research, chemotherapy, radiotherapy, and conventional surgery have not been sufficiently effective. Immunotherapy has been proposed as an alternative, and the most recent guidelines recommend its use as a third-line treatment for advanced GC. In this context, the development of an mRNA vaccine to control GC is presented as a promising alternative, either to stimulate an immune response against tumor cells or as a therapeutic option to restore the immune system and reduce mortality from GC. Although there is still a long way to go, technological advances and ongoing research bring us closer to the development of an mRNA vaccine for GC that can be administered in combination with immune checkpoint inhibitors.

胃癌(GC)是死亡率较高的肿瘤之一,全球约有 70 万人死于胃癌。尽管在胃癌研究方面做出了努力,但化疗、放疗和传统手术的效果并不理想。免疫疗法作为一种替代疗法已被提出,最新的指南建议将其作为晚期 GC 的三线治疗方法。在这种情况下,开发一种 mRNA 疫苗来控制 GC 被认为是一种很有前景的选择,这种疫苗既可以激发针对肿瘤细胞的免疫反应,也可以作为一种治疗方法来恢复免疫系统并降低 GC 的死亡率。尽管还有很长的路要走,但技术的进步和正在进行的研究使我们更接近于开发出一种可与免疫检查点抑制剂联合使用的 mRNA 疫苗来治疗 GC。
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引用次数: 0
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Vacunas (English Edition)
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