加强全球卫生复原力:马尔堡病毒样颗粒疫苗和 "一个健康 "方法

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摘要

马尔堡病毒(MARV)属于丝状病毒科,对全球健康构成严重威胁,因此迫切需要开发马尔堡病毒样颗粒(VLP)疫苗来缓解疫情。该病毒来势汹汹的特性凸显了对此类疫苗的需求,而安全地模仿其结构的 VLP 有可能克服以往的局限性,从而解决这一问题。历史视角部分探讨了早期的马尔堡疫苗研究及其面临的挑战,随后探讨了作为变革性工具的VLPs,它能够在没有传统风险的情况下激发免疫反应。通过临床前和临床试验,我们看到了马尔堡VLP疫苗开发过程中值得注意的里程碑和成就,它们表明了潜在的交叉保护作用。本综述探讨了目前面临的挑战,包括耐久性、菌株多样性和公平分配,并提出了创新建议,如新型佐剂、mRNA 技术和基于结构的设计,以增强马尔堡 VLP 疫苗。本综述强调了马尔堡VLPs在抗击病毒方面的变革潜力,展示了全球合作、监管作用和健康公平,通过科学、监管和全球努力的和谐互动,实现更安全的未来。
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Strengthening global health resilience: Marburg virus-like particle vaccines and the One Health approach

The Marburg virus (MARV), belonging to the Filoviridae family, poses a significant global health threat, emphasizing the urgency to develop Marburg virus-like particle (VLP) vaccines for outbreak mitigation. The virus's menacing traits accentuate the need for such vaccines, which can be addressed by VLPs that mimic its structure safely, potentially overcoming past limitations. Early Marburg vaccine endeavors and their challenges are examined in the historical perspectives section, followed by an exploration of VLPs as transformative tools, capable of eliciting immune responses without conventional risks. Noteworthy milestones and achievements in Marburg VLP vaccine development, seen through preclinical and clinical trials, indicate potential cross-protection. Ongoing challenges, encompassing durability, strain diversity, and equitable distribution, are addressed, with proposed innovations like novel adjuvant, mRNA technology, and structure-based design poised to enhance Marburg VLP vaccines. This review highlights the transformative potential of Marburg VLPs in countering the virus, showcasing global collaboration, regulatory roles, and health equity for a safer future through the harmonious interplay of science, regulation, and global efforts.

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