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

Melioidosis Vaccines A Systematic Review and Appraisal of the Potential to Exploit Biodefense Vaccines for Public Health Purposes 英文参考文献.doc

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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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