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Should the Human Microbiome Be Considered When Developing Vaccines 英文参考文献
Opinion
ShouldtheHumanMicrobiomeBeConsideredWhen
DevelopingVaccines?
RosanaB.R.Ferreira,L.CaetanoM.Antunes,B.BrettFinlay*
MichaelSmithLaboratories,UniversityofBritishColumbia,Vancouver,BritishColumbia,Canada
The human microbiome, especially in
the intestinal tract has received increased
attention in the past few years due to its
importance in numerous biological pro-
cesses.RecentadvancesinDNAsequenc-
ing technology and analysis now allowus
to better determine global differences in
the composition of the gut microbial
population, and ask questions about its
roleinhealthanddisease.Thusfar,roles
of these commensal bacteria on nutrient
acquisition,vitaminproduction,andintes-
tinal development have been identified
[1]. Furthermore, resistance or suscepti-
bility to a number of diseases, including
inflammatory bowel disease, obesity, en-
tericinfections,andmostrecentlyectopic
diseases,havebeenlinkedtotheintestinal
microbiota[1,2].Dataonthemechanisms
through which the intestinal microbiota
impacts host immune development have
also begun to emerge [2]. The impact of
the intestinal microbiota on host physiol-
ogy is undeniable, and experiments using
some of the discrepancies observed in
vaccine efficacy in different populations
aroundtheworld.
is that the composition of the intestinal
microbiota of these individuals may also
beadeterminingfactorofvaccineefficacy.
In a way analogous to the hygiene hypo-
thesis [14], which states that reduced
exposure to microorganisms at an early
age may lead to increased susceptibility
to allergies, it is possible that the gut
microbiota of individuals with increased
exposuretomicroorganisms(andtherefore
antigens) make them more tolerant to
vaccination, being unable to mount a
proper response compared to individuals
livinginbettersocioeconomicconditions.
Discerning the effects of genetic and
environmental factors on vaccine efficacy
is a challenging task. Large clinical trials
involving individuals from different areas
oftheworldwillli
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