传染病免疫疗法的最新进展

IF 4.1 Q2 IMMUNOLOGY Immunotherapy advances Pub Date : 2020-11-25 eCollection Date: 2021-01-01 DOI:10.1093/immadv/ltaa007
Dharanidharan Ramamurthy, Trishana Nundalall, Sanele Cingo, Neelakshi Mungra, Maryam Karaan, Krupa Naran, Stefan Barth
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引用次数: 0

摘要

免疫疗法是针对或操纵免疫系统成分的疾病管理策略。传染病对人类健康构成重大威胁,各国继续努力应对几种新出现和再次出现的疾病,最近的全球健康威胁是严重急性呼吸系统综合征冠状病毒2型大流行。因此,越来越多的人将各种免疫治疗方法作为传染病的替代疗法进行研究,从而在揭示病原体-宿主免疫相互作用方面取得了重大进展。为了克服现有传染病预防和控制方法通常面临的挑战,如缺乏足够的疗效、药物毒性和耐药性的出现,需要新的创新治疗策略。单克隆抗体(mAbs)等药物的最新发展和成功证明,免疫疗法已经显示出克服这些限制的巨大前景,同时也推进了医学的前沿。在这篇综述中,我们总结了主要在过去5年中,通过使用免疫疗法,如疫苗、基于单克隆抗体的疗法、基于T细胞的疗法、细胞因子水平的操纵和检查点抑制,在对抗传染病方面取得的一些最显著进展。虽然其最普遍的应用建立在癌症治疗方面,但在治疗人类免疫缺陷病毒、结核病、疟疾、寨卡病毒以及最近的新冠肺炎方面取得的进展,加强了免疫治疗策略在更广泛的疾病控制领域中的作用。最终,免疫疗法的综合特异性、安全性和成本将影响其广泛实施。
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Recent advances in immunotherapies against infectious diseases.

Immunotherapies are disease management strategies that target or manipulate components of the immune system. Infectious diseases pose a significant threat to human health as evidenced by countries continuing to grapple with several emerging and re-emerging diseases, the most recent global health threat being the SARS-CoV2 pandemic. As such, various immunotherapeutic approaches are increasingly being investigated as alternative therapies for infectious diseases, resulting in significant advances towards the uncovering of pathogen-host immunity interactions. Novel and innovative therapeutic strategies are necessary to overcome the challenges typically faced by existing infectious disease prevention and control methods such as lack of adequate efficacy, drug toxicity, and the emergence of drug resistance. As evidenced by recent developments and success of pharmaceuticals such as monoclonal antibodies (mAbs), immunotherapies already show abundant promise to overcome such limitations while also advancing the frontiers of medicine. In this review, we summarize some of the most notable inroads made to combat infectious disease, over mainly the last 5 years, through the use of immunotherapies such as vaccines, mAb-based therapies, T-cell-based therapies, manipulation of cytokine levels, and checkpoint inhibition. While its most general applications are founded in cancer treatment, advances made towards the curative treatment of human immunodeficiency virus, tuberculosis, malaria, zika virus and, most recently COVID-19, reinforce the role of immunotherapeutic strategies in the broader field of disease control. Ultimately, the comprehensive specificity, safety, and cost of immunotherapeutics will impact its widespread implementation.

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