在高风险和研究不足的群体中,HPV疫苗的免疫性:女性性工作者
Trang Van Nguyen1, Le Anh Tuan1, Chu Thi Ngoc Mai1
1National Institute of Hygiene and Epidemiology, Hanoi, Vietnam.
The Journal of infectious diseases
|March 1, 2026
概括
女性性工作者 (FSW) 对四价HPV疫苗 (4vHPV) 显示出强烈的免疫反应,所有参与者在7个月后都会产生保护性抗体. 这表明4vHPV疫苗接种是这个高风险群体的可行策略.
科学领域:
- 免疫学 免疫学 免疫学
- 疫苗学 疫苗学 疫苗学
- 公共卫生 公共卫生
背景情况:
- 女性性工作者 (FSW) 因多个性伴侣而面临人类乳头瘤病毒 (HPV) 感染的风险增加.
- 在FSW疫苗接种HPV疫苗的免疫性尚不清楚,特别是关于潜在的先前存在的HPV暴露.
研究的目的:
- 评估四价HPV疫苗 (4vHPV) 在越南FSW中的免疫性.
- 评估与基线HPVDNA状态相关的HPV疫苗中和抗体 (NAb) 反应.
主要方法:
- 一项试点研究涉及越南63名年龄在18-26岁的FSW.
- 参与者接受了4vHPV疫苗的三剂计划.
- 收集了宫拭片和血液样本,以评估HPV DNA和NAb对HPV16,18,52和58的反应.
主要成果:
- 高风险HPVDNA的基线患病率为28.6%,其中9.5%的检测结果为HPV16/18阳性.
- 在第一剂后,对HPV16和HPV18的血清阳性分别达到90%和55%.
- 到第7个月,所有参与者都获得了HPV16和HPV18的血清阳性,在HPV-DNA阴性个体中观察到更高的NAb反应.
结论:
- 三剂4vHPV疫苗接种方案在FSW中引起了针对HPV16和HPV18的强大的中和抗体反应.
- 需要进一步的研究来证实HPV疫苗在这个人群中的有效性.
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