疟疾疫苗的发展:挑战与前景

E. Etefia, Paul Inyang- Etoh
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摘要

背景:由于疟原虫复杂的多阶段生命周期、抗原变异和遗传多样性,获得许可的疟疾疫苗的开发一直具有挑战性。针对不同阶段的疟原虫已经开发了许多疫苗,包括红细胞前、血液期、胎盘期和传播阻断疫苗。然而,这些疫苗都不是完全有效的,而且有很高的反应原性。目的:本综述的目的是审查开发有效疟疾疫苗的挑战和前景,重点是开发多阶段或多价疟疾疫苗。材料和方法:作者对疟疾疫苗开发方面的文献进行了综述,重点介绍了开发有效疟疾疫苗的挑战和前景。结果:人们正在努力开发一种多阶段或多价疟疾疫苗(MultiMalVax),这种疫苗可能最好地针对孢子子的发育并中和裂殖子、肝细胞和红细胞。彻底了解潜在的疫苗目标以及免疫如何起作用,对于开发完全有效的疟疾疫苗至关重要。结论:由于疟原虫生命周期的复杂性,与开发有效的疟疾疫苗相关的挑战是重大的。然而,多阶段或多价疟疾疫苗的开发为克服这些挑战和开发完全有效的疟疾疫苗提供了前景。更好地了解潜在的疫苗目标以及免疫如何起作用对于开发有效的疟疾疫苗至关重要。
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Malaria Vaccine Development: Challenges and Prospects
Background: The development of a licensed malaria vaccine has been challenging due to the complex multi-stage life cycle, antigenic variation, and genetic diversity of Plasmodium. Numerous vaccines have been developed for various stages of Plasmodium, including pre-erythrocytic, blood stage, placenta, and transmission-blocking vaccines. However, none of these vaccines are completely effective and have high reactogenicity.Aim: The aim of this review is to examine the challenges and prospects in developing an effective malaria vaccine, with a focus on the development of a multi-stage or multivalent malaria vaccine.Materials and Methods: The authors conducted a review of the literature on malaria vaccine development, focusing on the challenges and prospects of developing an effective malaria vaccine.Results: Efforts are underway to develop a multi-stage or multivalent malaria vaccine (MultiMalVax) that may best target sporozoite development and neutralize merozoites, hepatocytes, and erythrocytes. A thorough understanding of potential vaccine targets and how immunity works is critical to developing a fully effective malaria vaccine.Conclusion: The challenges associated with developing an effective malaria vaccine are significant due to the complex nature of the Plasmodium life cycle. However, the development of a multi-stage or multivalent malaria vaccine offers prospects for overcoming these challenges and developing a fully effective malaria vaccine. A better understanding of potential vaccine targets and how immunity works is crucial in developing an effective vaccine against malaria.
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