摘要
抗生素仍然是治疗感染性疾病的主要途径,但是抗生素耐药性的增长频率是世界范围内主要关心的一个医疗保健问题。抗生素在复发性感染疾病中的应用引起了其他的问题,例如它们在治疗不同微生物方面的局限性,对病人微生物群的有害影响,和可能的副作用。最近几年中,通过粘膜途径给药的新颖的聚合细菌疫苗的开发已经取得进展。这些药物在大多数病原体进入的实际点上同时针对先天免疫和适应性免疫系统。除了推进免疫应答外,粘膜细菌疫苗还具有一种有趣的免疫调节活动,这种调节活动对传染性病原体的功效具有不妥协性。我们对当前关于这些预防和治疗复发性感染的粘膜疫苗的有效性和安全性的临床证据进行了总结。我们也对这些生物活性制剂的潜在临床应用的前景进行了综述。
关键词: 免疫调节,粘膜免疫系统,粘膜菌苗,复发性感染
Current Drug Targets
Title:Extending the Clinical Horizons of Mucosal Bacterial Vaccines: Current Evidence and Future Prospects
Volume: 15 Issue: 12
Author(s): Silvia Sanchez-Ramon, Rebeca Perez de Diego, Romina Dieli-Crimi and Jose-Luis Subiza
Affiliation:
关键词: 免疫调节,粘膜免疫系统,粘膜菌苗,复发性感染
摘要: Antibiotics remain the mainstay of treatment for infectious diseases, but the growing frequency of antibiotic resistance represents a major concern for healthcare worldwide. The use of antibiotics in recurrent infections raises other issues, such as their limitations for treating diverse microorganisms, deleterious effects on the microbiota of the patient and potential adverse effects. In recent years, progress has been made towards the development of novel polybacterial vaccines administered via the mucosal route. These drugs target both the innate and adaptive immune systems, at the actual point of entry of most pathogens. In addition to boosting immune responses, mucosal bacterial vaccines have an intriguing immunomodulatory activity that does not compromise their efficacy against infectious agents. We review here the current clinical evidence concerning the efficacy and safety of these mucosal vaccines for the prevention and treatment of recurrent infection. We also provide an overview completing the landscape of the potential clinical uses of these active biological agents.
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Cite this article as:
Sanchez-Ramon Silvia, Diego Perez de Rebeca, Dieli-Crimi Romina and Subiza Jose-Luis, Extending the Clinical Horizons of Mucosal Bacterial Vaccines: Current Evidence and Future Prospects, Current Drug Targets 2014; 15 (12) . https://dx.doi.org/10.2174/1389450115666141020160705
DOI https://dx.doi.org/10.2174/1389450115666141020160705 |
Print ISSN 1389-4501 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5592 |
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