Melioidosis Vaccines A Systematic Review and Appraisal of the Potential to Exploit Biodefense Vaccines for Public Health Purposes 英文参考文献.docVIP
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Melioidosis Vaccines A Systematic Review and Appraisal of the Potential to Exploit Biodefense Vaccines for Public Health Purposes 英文参考文献
MelioidosisVaccines:ASystematicReviewandAppraisal
ofthePotentialtoExploitBiodefenseVaccinesforPublic
HealthPurposes
SharonJ.Peacock1,2,3.,DirekLimmathurotsakul2,4*.,YoelLubell2,GavinC.K.W.Koh2,3,LisaJ.White2,
NicholasP.J.Day2,5,RichardW.Titball6
1DepartmentofMicrobiologyandImmunology,FacultyofTropicalMedicine,MahidolUniversity,Bangkok,Thailand,2Mahidol-OxfordTropicalMedicineResearchUnit,
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand, 3Department of Medicine, Cambridge University, Addenbrooke’s Hospital, Cambridge, United
Kingdom,4DepartmentofTropicalHygiene,FacultyofTropicalMedicine,MahidolUniversity,Bangkok,Thailand,5NuffieldDepartmentofClinicalMedicine,Centrefor
ClinicalVaccinologyandTropicalMedicine,UniversityofOxford,ChurchillHospital,Oxford,UnitedKingdom,6CollegeofLifeandEnvironmentalSciences,Universityof
Exeter,Exeter,UnitedKingdom
Abstract
Background: Burkholderia pseudomallei is a Category B select agent and the cause of melioidosis. Research funding for
vaccinedevelopmenthaslargelyconsideredprotectionwithinthebiothreatcontext,buttheresultingvaccinescouldbe
applicable to populations who are at risk of naturally acquired melioidosis. Here, we discuss target populations for
vaccination,considerthecost-benefitofdifferentvaccinationstrategiesandreviewpotentialvaccinecandidates.
MethodsandFindings:MelioidosisishighlyendemicinThailandandnorthernAustralia,whereabiodefensevaccinemight
beadoptedforpublichealthpurposes.Acost-effectivenessanalysismodelwasdeveloped,whichshowedthatavaccine
could be a cost-effective intervention in Thailand, particularly if used in high-risk populations such as diabetics. Cost-
effectivenesswasobservedinamodelinwhichonlypartialimmunitywasassumed.Thereviewsystematicallysummarized
allmelioidosisvaccinecandidatesandstudiesinanimalmodelsthathadevaluatedtheirprotectiveness.Possiblecandidates
includedliveattenuated,wholecellkilled,sub-unit,plasmidDNAanddendriticcellvaccines.Liveattenuatedvaccineswere
notconsideredfavorab
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