针对黄疹病毒的免疫接种目前的情况
Anthony Lawrence Cunningham1,2, Kerrie Jane Sandgren1,2, Janette Taylor1,3
1Centre for Virus Research, The Westmead Institute for Medical Research, Westmead, NSW, Australia.
Human vaccines & immunotherapeutics
|January 6, 2025
概括
一种新的复合性疹疫苗显示在老年人中对带状疹 (疹) 和其并发症具有很高的疗效 (>90%). 它在免疫功能受损的个体中也是安全有效的.
科学领域:
- 免疫学 免疫学 免疫学
- 疫苗学 疫苗学 疫苗学
- 流行病学 流行病学
背景情况:
- 带状疹 (HZ) 发病率随着年龄的增长以及免疫功能受损的个体增加.
- HZ会导致严重的疼痛,降低生活质量,并发症,如后神经痛 (PHN) 和眼部并发症.
- 在严重免疫功能受损的患者中,传播性疹可能会影响大脑和肝脏.
研究的目的:
- 评估第二代复合性疹疫苗 (RZG) 在免疫能力强和免疫功能低下的人群中的疗效和安全性.
- 评估疫苗疗效的持续时间.
- 为了确定特定患者群体的疫苗免疫性,包括那些接受JAK抑制剂和皮质类固醇治疗的患者.
主要方法:
- 该研究评估了复合性疹疫苗 (RZG),由复合性病毒葡萄糖蛋白E和辅助系统01 (AS01B) 组成.
- 从具有免疫能力的个体和严重免疫功能受损的患者中收集了疗效和安全数据.
- 在接受JAK抑制剂和皮质类固醇治疗的患者中评估了免疫性.
主要成果:
- 在具有免疫能力的个体中,RZG对HZ和相关并发症的疗效超过90%.
- 疫苗的疗效至少在11年内保持在80%以上.
- 在严重免疫功能受损的患者中,RZG显示出安全性,有效性和/或免疫性为68-87%,在服用JAK抑制剂和皮质类固醇的患者中具有很好的免疫性.
结论:
- 复合性疹疫苗代表了老龄化和免疫受损人群的成功和持久的免疫策略.
- RZG对疹及其并发症提供了显著的保护.
- 疫苗是预防易受伤害的群体中HZ的宝贵工具.
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