Vaccines.

Much progress has been made towards reaching an understanding of immune responses at the molecular level. This has provided much needed information for identifying the antigens which will afford protection against diseases such as rabies, malaria, whooping cough, hepatitis and acquired immune deficiency syndrome, and for presenting them to the immune system.     

Vaccines and global health

Vaccines have made a major contribution to global health in recent decades but they could do much more. In November 2011, a Royal Society discussion meeting, 'New vaccines for global health', was held in London to discuss the past contribution of vaccines to global health and to consider what more could be expected in the future. Papers presented at the meeting reviewed recent successes in the deployment of vaccines against major infections of childhood and the challenges faced in developing vaccines against some of the world's remaining major infectious diseases such as human immunodeficiency virus (HIV), malaria and tuberculosis. The important contribution that development of more effective veterinary vaccines could make to global health was also addressed. Some of the social and financial challenges to the development and deployment of new vaccines were reviewed. The latter issues were also discussed at a subsequent satellite meeting, 'Accelerating vaccine development', held at the Kavli Royal Society International Centre. Delegates at this meeting considered challenges to the more rapid development and deployment of both human and veterinary vaccines and how these might be addressed. Papers based on presentations at the discussion meeting and a summary of the main conclusions of the satellite meeting are included in this issue of Philosophical Transactions of the Royal Society B.     

Helicobacter pylori Immunology and Vaccines

Helicobacter pylori infection causes chronic gastritis, peptic ulcer, and gastric cancer. Colonization of H. pylori in the stomach activates Toll-like and Nod-like receptors to induce not only innate immunity but also adaptive Th1 responses against this organism. Adaptive Th1 response is not sufficient to clear this organism and, as a result, the infection persists. Insufficient adaptive immunity can be explained by poor activation of Toll-like receptors, suppressive effects of bacterial factors, and induction of regulatory T-cell responses. Significant progress in the understanding of innate and adaptive immunity against H. pylori was made during the past year. Recent findings in the fields of vaccines for H. pylori are also reviewed.     

乙型脑炎及其疫苗概况

乙型脑炎是由乙型脑炎病毒引起的,在自然界中主要以鸟、猪为宿主,经蚊为主的虫媒传播的一种人兽共患传染病。该病主要流行于亚洲地区及环西太平洋地区,已成为人类脑炎疾病最主要的病因之一,严重威胁着人类健康,并影响畜牧业特别是养猪业的发展。WHO公布数据显示,每年大约有50 000例乙型脑炎患者,造成至少10 000例死亡及15 000例神精后遗症患者,但至今仍无有效的治疗措施,接种疫苗依然是预防JEV感染的最佳途径。介绍JE的流行病学特点,乙型脑炎的发病情况,重点综述国内外市场上使用的JE疫苗情况及其最新研究进程,希望对我国JE疫苗的使用及研发提供有益参考。     

Vaccines against malaria

There is no licenced vaccine against any human parasitic disease and Plasmodium falciparum malaria, a major cause of infectious mortality, presents a great challenge to vaccine developers. This has led to the assessment of a wide variety of approaches to malaria vaccine design and development, assisted by the availability of a safe challenge model for small-scale efficacy testing of vaccine candidates. Malaria vaccine development has been at the forefront of assessing many new vaccine technologies including novel adjuvants, vectored prime-boost regimes and the concept of community vaccination to block malaria transmission. Most current vaccine candidates target a single stage of the parasite's life cycle and vaccines against the early pre-erythrocytic stages have shown most success. A protein in adjuvant vaccine, working through antibodies against sporozoites, and viral vector vaccines targeting the intracellular liver-stage parasite with cellular immunity show partial efficacy in humans, and the anti-sporozoite vaccine is currently in phase III trials. However, a more effective malaria vaccine suitable for widespread cost-effective deployment is likely to require a multi-component vaccine targeting more than one life cycle stage. The most attractive near-term approach to develop such a product is to combine existing partially effective pre-erythrocytic vaccine candidates.     

Liposome-Based Cancer Vaccines

Abstract

Specific active immunotherapy employing crude or purified tumour cell extracts containing tumour-associated antigens (TAA) is of interest as a therapeutic modality for cancer treatment. Weak immunogenicity of TAA preparations and difficulties associated with the extraction of TAA from tumour cells have been major problems, but may be overcome by various strategies. In this context, we studied the potential of well-characterized reconstituted tumour cell membranes to induce protective tumour immunity. The weakly immunogenic SL2 lymphosarcoma syngeneic to DBA/2 mice was used as a tumour model. It was found that immunization with reconstituted membranes induces specific and systemic tumour immunity. Presentation of TAA on a membrane structure was essential. The tumour rejection potency of the reconstituted membranes was dramatically enhanced by the addition of muramyl tripeptide phosphatidyl-ethanolamine (MTP-PE) and interleukin-2. In addition, the effect of liposome encapsulation of IL-2 on its immunomodulating effect was monitored. Finally, insight was obtained into the immunological basis of the protective tumour immunity. On the basis of these findings, suggestions are made to improve liposome-based cancer vaccines.