综述

血吸虫病候选疫苗临床研究进展

  • 陈兵 ,
  • 张国莉 ,
  • 张高红
展开
  • 1.昆明学院医学院,昆明 650214
    2.昆明医科大学药学院,昆明 650500
陈兵(1982-),男,博士,从事寄生适应性进化与寄生虫病防治研究。E-mail: chenbing0318@126.com
*张高红(1977-),女,博士,副研究员,从事肿瘤病因与免疫机制研究。E-mail: zghwbj@163.com

收稿日期: 2021-12-27

  修回日期: 2022-01-20

  网络出版日期: 2022-09-07

基金资助

云南省教育厅科学研究基金项目(2021J0711);国家自然科学基金面上项目(81860486)

Research progress on clinical trials of schistosomiasis vaccine candidates

  • CHEN Bing ,
  • ZHANG Guo-li ,
  • ZHANG Gao-hong
Expand
  • 1. School of Medicine, Kunming University, Kunming 650214, China
    2. School of Pharmaceutical Sciences, Kunming Medical University, Kunming 650500, China
*E-mail: zghwbj@163.com

Received date: 2021-12-27

  Revised date: 2022-01-20

  Online published: 2022-09-07

Supported by

Scientific Research Fund Project of Yunnan Education Department(2021J0711);National Natural Science Foundation of China(81860486)

摘要

血吸虫病是由血吸虫寄生而引起的人兽共患寄生虫病,严重危害人类健康,影响社会经济发展。血吸虫病疫苗一直备受关注,有助于降低对吡喹酮的过度依赖,推进控制和消除血吸虫病目标的实现。目前虽然尚无商业化的血吸虫病疫苗,但谷胱甘肽S-转移酶、脂肪酸结合蛋白、四跨膜蛋白-2和钙蛋白酶大亚基等4种候选疫苗已进入不同阶段的人体临床试验。本文对4种血吸虫病候选疫苗的临床研究进展、面临的挑战进行综述,以期为我国血吸虫病疫苗与其他蠕虫病疫苗的研发提供线索和借鉴。

本文引用格式

陈兵 , 张国莉 , 张高红 . 血吸虫病候选疫苗临床研究进展[J]. 中国寄生虫学与寄生虫病杂志, 2022 , 40(4) : 511 -515 . DOI: 10.12140/j.issn.1000-7423.2022.04.015

Abstract

Schistosomiasis is a wide-spread parasitic zoonosis caused by Schistosoma, which seriously harms human health and affects socioeconomic development worldwide. Schistosomiasis vaccines have attracted much attention as they will contribute not only to reducing the over-reliance on praziquantel for the treatment of this disease but also to achieving the goal of disease control and elimination. There have been no schistosomiasis vaccines available until now; however, four schistosomiasis vaccine candidates, glutathione S-transferase, fatty acid binding protein, tetraspanin-2 and calpain, have entered human clinical trials. This paper reviewed the clinical research progress and challenges of the four schistosomiasis vaccine candidates to provide insights into developing vaccines for schistosomiasis and other helminthiases in China.

参考文献

[1] World Health Organization. Schistosomiasis: key facts[EB/OL]. (2021-11-18)[2021-12-10]. https://www.who.int/news-room/fact-sheets/detail/schistosomiasis.
[2] McManus DP, Dunne DW, Sacko M, et al. Schistosomiasis[J]. Nat Rev Dis Primers, 2018, 4(1): 13.
[3] Colley DG, Andros TS, Campbell CH Jr. Schistosomiasis is more prevalent than previously thought: what does it mean for public health goals, policies, strategies, guidelines and intervention programs?[J]. Infect Dis Poverty, 2017, 6: 63.
[4] Liang YS. Studies on resistance of Schistosoma to praziquantel in China[J]. Chin Trop Med, 2019, 19(7): 603-607. (in Chinese)
  ( 梁幼生. 我国血吸虫对吡喹酮抗药性研究之概要[J]. 中国热带医学, 2019, 19(7): 603-607.)
[5] Cohen J. Unfilled vials[J]. Science, 2016, 351(6268): 16-19.
[6] Stylianou A, Hadjichrysanthou C, Truscott JE, et al. Developing a mathematical model for the evaluation of the potential impact of a partially efficacious vaccine on the transmission dynamics of Schistosoma mansoni in human communities[J]. Parasit Vectors, 2017, 10(1): 294.
[7] Colley DG, Secor WE. Immunology of human schistosomiasis[J]. Parasite Immunol, 2014, 36(8): 347-357.
[8] Fonseca CT, Oliveira SC, Alves CC. Eliminating schistosomes through vaccination: what are the best immune weapons?[J]. Front Immunol, 2015, 6: 95.
[9] Wang SP, Chen XC, Gao DM. Research progress on schistosome vaccine and prospect of its application in China[J]. Chin J Parasitol Parasit Dis, 2009, 27(5): 402-411. (in Chinese)
  ( 汪世平, 陈秀春, 高冬梅. 我国血吸虫疫苗研究进展及应用前景[J]. 中国寄生虫学与寄生虫病杂志, 2009, 27(5): 402-411.)
[10] Molehin AJ. Schistosomiasis vaccine development: update on human clinical trials[J]. J Biomed Sci, 2020, 27(1): 28.
[11] McManus DP. Recent progress in the development of liver fluke and blood fluke vaccines[J]. Vaccines, 2020, 8(3): 553.
[12] Torres-Rivera A, Landa A. Glutathione transferases from parasites: a biochemical view[J]. Acta Trop, 2008, 105(2): 99-112.
[13] Capron A, Riveau G, Capron M, et al. Schistosomes: the road from host-parasite interactions to vaccines in clinical trials[J]. Trends Parasitol, 2005, 21(3): 143-149.
[14] Boulanger D, Warter A, Sellin B, et al. Vaccine potential of a recombinant glutathione S-transferase cloned from Schistosoma haematobium in primates experimentally infected with an homologous challenge[J]. Vaccine, 1999, 17(4): 319-326.
[15] Riveau G, Deplanque D, Remoué F, et al. Safety and immunogenicity of rSh28GST antigen in humans: phase 1 randomized clinical study of a vaccine candidate against urinary schistosomiasis[J]. PLoS Negl Trop Dis, 2012, 6(7): e1704.
[16] Riveau G, Schacht AM, Dompnier JP, et al. Safety and efficacy of the rSh28GST urinary schistosomiasis vaccine: a phase 3 randomized, controlled trial in Senegalese children[J]. PLoS Negl Trop Dis, 2018, 12(12): e0006968.
[17] Chen B, Wen JF. Progress of research on parasitic adaptability of schistosome and its application value[J]. Chin J Schisto Control, 2014, 26(1): 84-89. (in Chinese)
  ( 陈兵, 文建凡. 血吸虫的寄生适应性研究及其应用价值[J]. 中国血吸虫病防治杂志, 2014, 26(1): 84-89.)
[18] Santini-Oliveira M, Coler RN, Parra J, et al. Schistosomiasis vaccine candidate Sm14/GLA-SE: phase 1 safety and immunogenicity clinical trial in healthy, male adults[J]. Vaccine, 2016, 34(4): 586-594.
[19] Tendler M, Almeida MS, Vilar MM, et al. Current status of the Sm14/GLA-SE schistosomiasis vaccine: overcoming barriers and paradigms towards the first anti-parasitic human(Itarian) vaccine[J]. Trop Med Infect Dis, 2018, 3(4): 121.
[20] Tran MH, Pearson MS, Bethony JM, et al. Tetraspanins on the surface of Schistosoma mansoni are protective antigens against schistosomiasis[J]. Nat Med, 2006, 12(7): 835-840.
[21] Kifle DW, Chaiyadet S, Waardenberg AJ, et al. Uptake of Schistosoma mansoni extracellular vesicles by human endothelial and monocytic cell lines and impact on vascular endothelial cell gene expression[J]. Int J Parasitol, 2020, 50(9): 685-696.
[22] Keitel WA, Potter GE, Diemert D, et al. A phase 1 study of the safety, reactogenicity, and immunogenicity of a Schistosoma mansoni vaccine with or without glucopyranosyl lipid A aqueous formulation (GLA-AF) in healthy adults from a non-endemic area[J]. Vaccine, 2019, 37(43): 6500-6509.
[23] Siddiqui AA, Siddiqui SZ. Sm-p80-based schistosomiasis vaccine: preparation for human clinical trials[J]. Trends Parasitol, 2017, 33(3): 194-201.
[24] Zhang WD, Molehin AJ, Rojo JU, et al. Sm-p80-based schistosomiasis vaccine: double-blind preclinical trial in baboons demonstrates comprehensive prophylactic and parasite transmission-blocking efficacy[J]. Ann N Y Acad Sci, 2018, 1425(1): 38-51.
[25] Siddiqui AJ, Molehin AJ, Zhang WD, et al. Sm-p80-based vaccine trial in baboons: efficacy when mimicking natural conditions of chronic disease, praziquantel therapy, immunization, and Schistosoma mansoni re-encounter[J]. Ann N Y Acad Sci, 2018, 1425(1): 19-37.
[26] Ahmad G, Zhang WD, Torben W, et al. Preclinical prophylactic efficacy testing of Sm-p80-based vaccine in a nonhuman primate model of Schistosoma mansoni infection and immunoglobulin G and E responses to Sm-p80 in human serum samples from an area where schistosomiasis is endemic[J]. J Infect Dis, 2011, 204(9): 1437-1449.
[27] Langenberg MCC, Hoogerwerf MA, Koopman JPR, et al. A controlled human Schistosoma mansoni infection model to advance novel drugs, vaccines and diagnostics[J]. Nat Med, 2020, 26(3): 326-332.
[28] Zhang LL, Xu XD, Pan WQ. An investigation of polymorphism in the tetraspanin-2 gene of Schistosoma japonicum[J]. Int J Med Parasit Dis, 2011, 38(5): 257-260. (in Chinese)
  ( 张丽丽, 徐新东, 潘卫庆. 日本血吸虫被膜蛋白Sj-TSP2基因序列多态性分析[J]. 国际医学寄生虫病杂志, 2011, 38(5): 257-260.)
[29] Molehin AJ, Gray SA, Turner C, et al. Process development of sj-p80: a low-cost transmission-blocking veterinary vaccine for asiatic schistosomiasis[J]. Front Immunol, 2021, 11: 578715.
文章导航

/

〈 〉