Article(id=1203002057281204306, tenantId=1146029695717560320, journalId=1189873630562394117, issueId=1203002056400396334, articleNumber=null, orderNo=null, doi=10.11855/j.issn.0577-7402.2023.06.0643, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=research-article, receivedDate=1659888000000, receivedDateStr=2022-08-08, revisedDate=null, revisedDateStr=null, acceptedDate=1670256000000, acceptedDateStr=2022-12-06, onlineDate=1764747641152, onlineDateStr=2025-12-03, pubDate=1687881600000, pubDateStr=2023-06-28, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1764747641152, onlineIssueDateStr=2025-12-03, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1764747641152, creator=13701087609, updateTime=1764747641152, updator=13701087609, issue=Issue{id=1203002056400396334, tenantId=1146029695717560320, journalId=1189873630562394117, year='2023', volume='48', issue='6', pageStart='627', pageEnd='748', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=0, createTime=1764747640943, creator=13701087609, updateTime=1764747714497, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1203002364979540735, tenantId=1146029695717560320, journalId=1189873630562394117, issueId=1203002056400396334, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1203002364979540736, tenantId=1146029695717560320, journalId=1189873630562394117, issueId=1203002056400396334, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=643, endPage=647, ext={EN=ArticleExt(id=1203002057520279636, articleId=1203002057281204306, tenantId=1146029695717560320, journalId=1189873630562394117, language=EN, title=Research progress and challenge of tuberculosis vaccine, columnId=1203002057176342576, journalTitle=Medical Journal of Chinese People’s Liberation Army, columnName=Prevention, Diagnosis and Treatment of Tuberculosis, runingTitle=null, highlight=null, articleAbstract=
Currently, the bacillus Calmette-Guerin (BCG) is the only licensed vaccine against tuberculosis, but its protective effect is highly controversial. Therefore, it is particularly important to develop a new and effective tuberculosis vaccine. Meanwhile, with the in-depth understanding of the pathogenic mechanism of Mycobacterium tuberculosis and the continuous update of vaccine research and development technology, there will be a major breakthrough in tuberculosis vaccine. Considering the safety, economic cost and protective effect, multi-stage antigen subunit vaccine or multi-epitope vaccine has good application prospects. This paper systematically reviews the types and characteristics of current tuberculosis vaccines, and discuss the problems and challenges in four aspects: antigen selection, animal model selection, the evaluation indicators of vaccine efficacy and the population specificity in the research of new tuberculosis vaccines, which lays a theoretical foundation for the research of new tuberculosis vaccine.
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卡介苗是目前唯一应用于预防人类结核病的疫苗,但其保护效果备受争议,研究新型高效的结核病疫苗尤为重要。从安全性、经济成本及保护效果等方面考虑,多阶段抗原亚单位疫苗或多表位疫苗具有较好的应用前景。随着对结核分枝杆菌致病机制的深入了解以及疫苗研发技术的不断更新,结核病疫苗会有重大突破。本文论述结核病疫苗的类型及其特性,并针对结核病新型疫苗研究中抗原选择、动物模型选择、疫苗效果评价指标及人群特异性存在的问题和挑战进行讨论,旨在为新型结核病疫苗的研究提供参考。
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范雪亭,副研究员,主要从事结核病预防与控制的相关研究
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