1.Zoonotic encephalitides caused by arboviruses: transmission and epidemiology of alphaviruses and flaviviruses.
Yun Young GO ; Udeni B R BALASURIYA ; Chong Kyo LEE
Clinical and Experimental Vaccine Research 2014;3(1):58-77
In this review, we mainly focus on zoonotic encephalitides caused by arthropod-borne viruses (arboviruses) of the families Flaviviridae (genus Flavivirus) and Togaviridae (genus Alphavirus) that are important in both humans and domestic animals. Specifically, we will focus on alphaviruses (Eastern equine encephalitis virus, Western equine encephalitis virus, Venezuelan equine encephalitis virus) and flaviviruses (Japanese encephalitis virus and West Nile virus). Most of these viruses were originally found in tropical regions such as Africa and South America or in some regions in Asia. However, they have dispersed widely and currently cause diseases around the world. Global warming, increasing urbanization and population size in tropical regions, faster transportation and rapid spread of arthropod vectors contribute in continuous spreading of arboviruses into new geographic areas causing reemerging or resurging diseases. Most of the reemerging arboviruses also have emerged as zoonotic disease agents and created major public health issues and disease epidemics.
Africa
;
Alphavirus*
;
Animals, Domestic
;
Arboviruses*
;
Arthropod Vectors
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Asia
;
Encephalitis
;
Encephalitis Virus, Venezuelan Equine
;
Encephalitis Virus, Western Equine
;
Encephalitis Viruses
;
Encephalomyelitis, Equine
;
Epidemiology*
;
Flaviviridae
;
Flavivirus*
;
Global Warming
;
Humans
;
Population Density
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Public Health
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South America
;
Togaviridae
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Transportation
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Urbanization
;
Zoonoses
2.Vaccine allergies.
Clinical and Experimental Vaccine Research 2014;3(1):50-57
Currently, the increasing numbers of vaccine administrations are associated with increased reports of adverse vaccine reactions. Whilst the general adverse reactions including allergic reactions caused by the vaccine itself or the vaccine components, are rare, they can in some circumstances be serious and even fatal. In accordance with many IgE-mediated reactions and immediate-type allergic reactions, the primary allergens are proteins. The proteins most often implicated in vaccine allergies are egg and gelatin, with perhaps rare reactions to yeast or latex. Numerous studies have demonstrated that the injectable influenza vaccine can be safely administered, although with appropriate precautions, to patients with severe egg allergy, as the current influenza vaccines contain small trace amounts of egg protein. If an allergy is suspected, an accurate examination followed by algorithms is vital for correct diagnosis, treatment and decision regarding re-vaccination in patients with immediate-type reactions to vaccines. Facilities and health care professionals should be available to treat immediate hypersensitivity reactions (anaphylaxis) in all settings where vaccines are administered.
Allergens
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Anaphylaxis
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Delivery of Health Care
;
Diagnosis
;
Egg Hypersensitivity
;
Gelatin
;
Humans
;
Hypersensitivity*
;
Hypersensitivity, Immediate
;
Influenza Vaccines
;
Influenza, Human
;
Latex
;
Ovum
;
Vaccines
;
Yeasts
3.Microneedle patches for vaccine delivery.
Hyemee SUH ; Juhyung SHIN ; Yeu Chun KIM
Clinical and Experimental Vaccine Research 2014;3(1):42-49
In today's medical industry, the range of vaccines that exist for administration in humans represents an eclectic variety of forms and immunologic mechanisms. Namely, these are the live attenuated viruses, inactivated viruses, subunit proteins, and virus-like particles for treating virus-caused diseases, as well as the bacterial-based polysaccharide, protein, and conjugated vaccines. Currently, a new approach to vaccination is being investigated with the concept of DNA vaccines. As an alternative delivery route to enhance the vaccination efficacy, microneedles have been devised to target the rich network of immunologic antigen-presenting cells in the dermis and epidermis layers under the skin. Numerous studies have outlined the parameters of microneedle delivery of a wide range of vaccines, revealing comparable or higher immunogenicity to conventional intramuscular routes, overall level of stability, and dose-sparing advantages. Furthermore, recent mechanism studies have begun to successfully elucidate the biological mechanisms behind microneedle vaccination. This paper describes the current status of microneedle vaccine research.
Antigen-Presenting Cells
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Bacterial Vaccines
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Dermis
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Epidermis
;
Humans
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Skin
;
Vaccination
;
Vaccines
;
Vaccines, DNA
4.Prophylactic and therapeutic vaccines for obesity.
Ha Na NA ; Hun KIM ; Jae Hwan NAM
Clinical and Experimental Vaccine Research 2014;3(1):37-41
Chronic diseases such as obesity and diabetes are major causes of death and disability throughout the world. Many causes are known to trigger these chronic diseases, and infectious agents such as viruses are also pathological factors. In particular, it is considered that adenovirus 36 infections may be associated with obesity. If this is the case, a vaccine against adenovirus 36 may be a form of prophylaxis to combat obesity. Other types of therapeutic vaccines to combat obesity are also being developed. Recently, hormones such as glucagon-like peptide-1, ghrelin, and peptide YY have been studied as treatments to prevent obesity. This review describes the ongoing development of therapeutic vaccines to treat obesity, and the possibility of using inactivated adenovirus 36 as a vaccine and an anti-obesity agent.
Adenoviridae
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Cause of Death
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Chronic Disease
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Ghrelin
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Glucagon-Like Peptide 1
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Obesity*
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Peptide YY
;
Vaccines*
5.Hepatitis E virus infections in humans and animals.
Young Jo SONG ; Woo Jung PARK ; Byung Joo PARK ; Joong Bok LEE ; Seung Yong PARK ; Chang Seon SONG ; Nak Hyung LEE ; Kun Ho SEO ; Young Sun KANG ; In Soo CHOI
Clinical and Experimental Vaccine Research 2014;3(1):29-36
Hepatitis E has traditionally been considered an endemic disease of developing countries. It generally spreads through contaminated water. However, seroprevalence studies have shown that hepatitis E virus (HEV) infections are not uncommon in industrialized countries. In addition, the number of autochthonous hepatitis E cases in these countries is increasing. Most HEV infections in developed countries can be traced to the ingestion of contaminated raw or undercooked pork meat or sausages. Several animal species, including pigs, are known reservoirs of HEV that transmit the virus to humans. HEVs are now recognized as an emerging zoonotic agent. In this review, we describe the general characteristics of HEVs isolated from humans and animals, the risk factors for human HEV infection, and the current status of human vaccine development.
Animals*
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Developed Countries
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Developing Countries
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Eating
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Endemic Diseases
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Hepatitis E virus*
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Hepatitis E*
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Hepatitis*
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Humans*
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Meat
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Risk Factors
;
Seroepidemiologic Studies
;
Swine
;
Vaccines
;
Viruses
;
Water Pollution
;
Zoonoses
6.New vaccines against influenza virus.
Young Tae LEE ; Ki Hye KIM ; Eun Ju KO ; Yu Na LEE ; Min Chul KIM ; Young Man KWON ; Yinghua TANG ; Min Kyoung CHO ; Youn Jeong LEE ; Sang Moo KANG
Clinical and Experimental Vaccine Research 2014;3(1):12-28
Vaccination is one of the most effective and cost-benefit interventions that prevent the mortality and reduce morbidity from infectious pathogens. However, the licensed influenza vaccine induces strain-specific immunity and must be updated annually based on predicted strains that will circulate in the upcoming season. Influenza virus still causes significant health problems worldwide due to the low vaccine efficacy from unexpected outbreaks of next epidemic strains or the emergence of pandemic viruses. Current influenza vaccines are based on immunity to the hemagglutinin antigen that is highly variable among different influenza viruses circulating in humans and animals. Several scientific advances have been endeavored to develop universal vaccines that will induce broad protection. Universal vaccines have been focused on regions of viral proteins that are highly conserved across different virus subtypes. The strategies of universal vaccines include the matrix 2 protein, the hemagglutinin HA2 stalk domain, and T cell-based multivalent antigens. Supplemented and/or adjuvanted vaccination in combination with universal target antigenic vaccines would have much promise. This review summarizes encouraging scientific advances in the field with a focus on novel vaccine designs.
Animals
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Disease Outbreaks
;
Hemagglutinins
;
Humans
;
Influenza Vaccines
;
Influenza, Human*
;
Mortality
;
Orthomyxoviridae*
;
Pandemics
;
Seasons
;
Vaccination
;
Vaccines*
;
Viral Proteins
;
Viruses
7.Inflammasomes in antiviral immunity: clues for influenza vaccine development.
Tatsuya YAMAZAKI ; Takeshi ICHINOHE
Clinical and Experimental Vaccine Research 2014;3(1):5-11
Inflammasomes are cytosolic multiprotein complexes that sense microbial motifs or cellular stress and stimulate caspase-1-dependent cytokine secretion and cell death. Recently, it has become increasingly evident that both DNA and RNA viruses activate inflammasomes, which control innate and adaptive immune responses against viral infections. In addition, recent studies suggest that certain microbiota induce inflammasomes-dependent adaptive immunity against influenza virus infections. Here, we review recent advances in research into the role of inflammasomes in antiviral immunity.
Adaptive Immunity
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Cell Death
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Cytosol
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Dendritic Cells
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DNA
;
Inflammasomes*
;
Influenza Vaccines*
;
Influenza, Human*
;
Metagenome
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Microbiota
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Multiprotein Complexes
;
Orthomyxoviridae
;
RNA Viruses
8.Towards Vaccine 3.0: new era opened in vaccine research and industry.
Clinical and Experimental Vaccine Research 2014;3(1):1-4
No abstract available.
9.Application of radiation technology in vaccines development.
Clinical and Experimental Vaccine Research 2015;4(2):145-158
One of the earliest methods used in the manufacture of stable and safe vaccines is the use of chemical and physical treatments to produce inactivated forms of pathogens. Although these types of vaccines have been successful in eliciting specific humoral immune responses to pathogen-associated immunogens, there is a large demand for the development of fast, safe, and effective vaccine manufacturing strategies. Radiation sterilization has been used to develop a variety of vaccine types, because it can eradicate chemical contaminants and penetrate pathogens to destroy nucleic acids without damaging the pathogen surface antigens. Nevertheless, irradiated vaccines have not widely been used at an industrial level because of difficulties obtaining the necessary equipment. Recent successful clinical trials of irradiated vaccines against pathogens and tumors have led to a reevaluation of radiation technology as an alternative method to produce vaccines. In the present article, we review the challenges associated with creating irradiated vaccines and discuss potential strategies for developing vaccines using radiation technology.
Antigens, Surface
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Immunity, Humoral
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Nucleic Acids
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Sterilization
;
Vaccines*
10.Safety of influenza vaccination in children with allergic diseases.
Clinical and Experimental Vaccine Research 2015;4(2):137-144
Global guidelines strongly recommend annual influenza vaccination in people age 6 months and older, particularly in asthmatic children. There is no doubt about the benefit of influenza vaccination in asthmatic children. However, some of the vaccine's components may elicit an IgE mediated hypersensitivity or disease exacerbation, including life-threatening events, in children with allergic diseases. As a result, concerns regarding the safety of the vaccine still continue today. The influenza vaccine is grown on hens' eggs and contains a trace of egg protein. Consequently, it can provoke an allergic reaction or anaphylaxis in children with an egg allergy or exacerbation in those with asthma. Therefore, we need to know the risks and benefits of the influenza vaccine and the best strategy for safe vaccination. Although most guidelines have consistently reported the safety of influenza vaccination in children with allergic disease, and have recommended annual administration, safety concerns impede guideline-based performance in practice. The safety and efficacy of influenza vaccination for allergic children are summarized in the present review.
Anaphylaxis
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Asthma
;
Child*
;
Disease Progression
;
Egg Hypersensitivity
;
Eggs
;
Humans
;
Hypersensitivity
;
Hypersensitivity, Immediate
;
Influenza Vaccines
;
Influenza, Human*
;
Ovum
;
Risk Assessment
;
Vaccination*
;
Vaccines