针对俄罗斯和世界新型冠状病毒感染的疫苗

Filippova A N
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摘要

这篇文章是关于世界和俄罗斯新型冠状病毒感染疫苗的综述。疫苗接种是降低COVID-19发病率和死亡率的一种负担得起且具有成本效益的方法。接种疫苗的重要性是毋庸置疑的,它是一种基于对感染因子形成的免疫记忆而产生主动人工免疫的方法。传统上,疫苗可分为两类:经典疫苗(重组疫苗、多肽疫苗和病毒灭活疫苗)和基因疫苗(载体疫苗和mRNA疫苗)。传统疫苗的基础是将现成的抗原引入体内,这些抗原可以是纯化的病毒蛋白、病毒蛋白片段(多肽)或整个灭活(杀死)病毒颗粒。全病毒粒子灭活疫苗含有弱化或灭活的病毒,可促进抗病毒免疫的发展。亚单位疫苗只含有表面抗原(特定片段亚单位),这减少了疫苗中的蛋白质含量,从而降低了其致敏性。载体疫苗使用不能在人体内繁殖的安全病毒(载体),其中嵌入了冠状病毒基因组的一小部分基因。载体疫苗有效地引起细胞和体液免疫反应,因为进入细胞的载体被人体视为病毒感染。基因疫苗与传统疫苗有很大不同,它在基因水平上产生免疫反应,因为它们不含病毒或蛋白质本身,而是含有SARS-COV-2冠状病毒的遗传物质。基于rna的疫苗向人体细胞提供一套特定的指令,以合成一种特定的蛋白质,人体的免疫系统必须对这种蛋白质做出免疫反应。现阶段,由于出现新型冠状病毒高致病性毒株等流行病学进程因素,使疫苗接种工作复杂化。
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Vaccines against new coronavirus infection in Russia and the world
The article is devoted to the review of vaccines against new coronavirus infection in the world and Russia. Vaccination is an affordable and cost-effective way to reduce morbidity and mortality from COVID-19. The importance of vaccination is beyond doubt and is a method of creating active artificial immunity based on the formed immunological memory to an infectious agent. Conventionally, vaccines can be divided into two groups: classical (recombinant, peptide and virusinactivated), and gene vaccines (vector and mRNA vaccines). Classical vaccines are based on the introduction of ready-made antigens into the body, which can be purified viral proteins, fragments of viral proteins (peptides) or whole inactivated (killed) viral particles. Inactivated whole-virion vaccines contain a weakened or inactivated virus that promotes the development of antiviral immunity. Subunit vaccines contain only surface antigens (specific fragments subunits), which reduces the amount of protein in the vaccine and thereby reduces its allergenicity. Vector vaccines use safe viruses that are unable to reproduce in the human body (vectors), in which a gene is embedded a small section of the coronavirus genome. Vector vaccines effectively cause a cellular and humoral immune response, since the vector, entering the cell, is perceived by the body as a viral infection. Gene vaccines differ significantly from classical ones and produce an immune response at the gene level, since they contain not the virus or protein itself, but the genetic material of the SARS-COV-2 coronavirus. An RNA-based vaccine delivers a specific set of instructions to the body's cells for the synthesis of a specific protein, to which the body's immune system must give an immune response. At the present stage, the tasks of vaccination are complicated by such factors of the epidemiological process as the emergence of new highly pathogenic strains of coronavirus.
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