关于BCG疫苗接种政策,自然增强和儿科大脑和中枢神经系统瘤发病率
Samer Singh1, Amita Diwakar2, Rakesh K Singh3
1Centre of Experimental Medicine & Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Frontiers in immunology
|June 29, 2023
概括
巴西尔·卡尔梅特-盖林 (BCG) 疫苗接种和自然的Mycobacterium再暴露可能显著降低儿童早期大脑和中枢神经系统瘤的发生率. 这表明免疫训练可能是预防儿童癌症的保护因素.
科学领域:
- 免疫学 免疫学 免疫学
- 儿科瘤学 儿科瘤学
- 疫苗学 疫苗学 疫苗学
背景情况:
- 众所周知,Bacille Calmette-Guérin (BCG) 疫苗可以诱导"训练免疫力",增强对各种病原体的免疫反应.
- 全球BCG疫苗接种政策发生了变化,发达国家的授权减少,其他地方的新生儿单剂量减少.
- 已经观察到早期儿童大脑和中枢神经系统 (BCNS) 瘤的同时增加,促使对免疫因素的调查.
研究的目的:
- 调查BCG疫苗接种政策与儿科BCNS瘤发病率之间的潜在关联.
- 探索"训练免疫力"和自然菌根菌暴露的作用,作为预防儿童BCNS癌症的保护变量.
- 综合现有证据,并强调需要进一步研究癌症预防的免疫调节.
主要方法:
- 在BCG疫苗接种政策不同的国家对BCNS癌症发病率的比较分析.
- 在幼儿中BCG接种状态,自然Mycobacterium再暴露的可能性和BCNS癌症率之间的统计相关性.
- 对影响儿科癌症发展的免疫学因素的现有文献进行审查和综合.
主要成果:
- 与非BCG国家相比,新生儿BCG疫苗接种的国家在0-4岁儿童中BCNS瘤的发病率明显较低 (P<0.0001).
- 更高的可能性是自然的Mycobacterium spp. 再暴露与BCNS癌症发生率有负相关性 (r=-0.6085,P<0.0001).
- 新生儿BCG疫苗接种和自然增强似乎与BCNS癌症发病率减少15-20倍有关.
结论:
- 新生儿BCG疫苗接种和自然暴露于Mycobacterium可能会对儿童早期的BCNS癌症提供显著的保护.
- 由BCG或自然感染诱导的免疫训练是对儿科BCNS瘤的一种合理的保护机制.
- 进一步的受控临床试验和基于注册表的研究是有必要的,以评估免疫训练作为减少儿童BCNS癌症发病率的战略.
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