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利用现有疫苗的非特异性免疫原性效应来对抗 COVID-19。

Harnessing the non-specific immunogenic effects of available vaccines to combat COVID-19.

机构信息

Pharmaceutical Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Pharmaceutical Biotechnology, School of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Hum Vaccin Immunother. 2021 Jun 3;17(6):1650-1661. doi: 10.1080/21645515.2020.1833577. Epub 2020 Nov 13.

Abstract

No proven remedy is identified for COVID-19 yet. SARS-CoV-2, the viral agent, is recognized by some endosomal and cytosolic receptors following cell entry, entailing innate and adaptive immunity stimulation, notably through interferon induction. Impairment in immunity activation in some patients, mostly elderlies, leads to high mortalities; thus, promoting immune responses may help. BCG vaccine is under investigation to prevent COVID-19 due to its non-specific effects on the immune system. However, other complementary immune-induction methods at early stages of the disease may be needed. Here, the potentially preventive immunologic effects of BCG and influenza vaccination are compared with the immune response defects caused by aging and COVID-19. BCG co-administration with interferon-α/-β, or influenza vaccine is suggested to overcome its shortcomings in interferon signaling against COVID-19. However, further studies are highly recommended to assess the outcomes of such interventions considering their probable adverse effects especially augmented innate immune responses and overproduction of proinflammatory mediators.

摘要

目前尚未发现针对 COVID-19 的有效治疗方法。病毒 SARS-CoV-2 在进入细胞后被一些内体和细胞质受体识别,引发先天和适应性免疫刺激,特别是通过干扰素诱导。一些患者(主要是老年人)的免疫激活受损导致高死亡率;因此,促进免疫反应可能会有所帮助。由于卡介苗(BCG)对免疫系统具有非特异性作用,因此正在研究其预防 COVID-19 的效果。然而,在疾病的早期阶段可能还需要其他补充的免疫诱导方法。在此,比较了卡介苗和流感疫苗的潜在预防免疫作用,以及衰老和 COVID-19 引起的免疫反应缺陷。建议卡介苗与干扰素-α/-β联合使用,或接种流感疫苗,以克服其针对 COVID-19 的干扰素信号转导缺陷。然而,强烈建议开展更多研究来评估这些干预措施的结果,特别是要考虑到它们可能产生的不良影响,如增强的先天免疫反应和促炎介质的过度产生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5959/8115622/b8554ddc25b3/KHVI_A_1833577_F0001_OC.jpg

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