牛结核病疫苗

F. Blanco, J. Sabio y García, F. Bigi
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摘要

牛结核(bTB)是一种由牛分枝杆菌引起的主要影响牛的人畜共患疾病。传统的结核分枝杆菌控制策略是屠宰经官方诊断检测呈阳性的动物。然而,这种方法在发展中国家可能在经济上不可行,并且当牛与野生动物感染宿主接触时效果较差。在这些情况下,牛疫苗接种可能是控制bTB的重要策略。在这篇综述中,我们描述了针对bTB的多样化疫苗开发,并确定了目前知识的差距。我们讨论了在临床前模型和现场试验中测试的减毒活疫苗(包括卡介苗)、灭活疫苗和亚单位疫苗方面取得的进展。我们还概述了接种bTB疫苗后保护相关因素和生物标志物的现有知识,以及对结核病保护性免疫反应的最新研究进展。人类和牛对结核和bTB的免疫保护机制的相似性使得人类结核和bTB疫苗的任何进展都是互利的。按照“同一个健康”的理念,这种互惠互利有望在未来取得进展。
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Tuberculosis Vaccines for Cattle
Bovine tuberculosis (bTB) is a zoonotic disease caused by Mycobacterium bovis that mainly affects cattle. The traditional bTB control strategy is to slaughter animals positive for the official diagnostic test. This method, however, may not be economically feasible in developing countries and is less effective when cattle are in contact with wildlife reservoirs of infection. In these scenarios, cattle vaccination could be an important strategy to control bTB. In this review, we describe the diversified vaccine development against bTB and identify gaps in current knowledge. We discuss progress made in live attenuated (including BCG), inactivated and subunit vaccines tested in preclinical models and field trials. We also provide an overview of existing knowledge in the correlates and biomarkers of protection after vaccination against bTB, as well as the most recent advances in the understanding of the protective immune response against tuberculosis. The similarities between the mechanisms of the immune protection elicited by humans and cattle against TB and bTB, respectively, make any advance in human TB and bTB vaccines mutually beneficial. In accordance with the One Health concept, this mutual benefit is expected to progress in the future.
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