艾滋病疫苗研究曙光乍现? 艾滋病疫苗研究曙光乍现? 克莱尔·托马斯(ClareThomas)关于艾滋病疫苗前景的悲观判断近日似乎遇到了挑战。这位《自然-医学》杂志的资深编辑在采访了25位权威艾滋病专家后,得出“艾滋病有效疫苗似乎在未来10至15年内不会被发现”的结论,这一观点发表在今年8月的《自然-医学》杂志上。 挑战这一观点的,是源自正在泰国进行的一项新型艾滋病疫苗临床试验的新进展。9月24日,美国和泰国研究人员在泰国首都曼谷联合宣布,一种新型试验疫苗可使人体感染艾滋病病毒的风险降低31.2%。这是研究人员在泰国选取1.6万多名志愿者经过6年测试后得出的结果。 宛如黑夜中擦亮的一丝火花,这一结果让全世界的艾滋病研究者感到振奋。美联社报道称,这是目前全球第一种确认有一定免疫效果的艾滋病疫苗,这让人们重新看到未来艾滋病疫苗研究的希望。 但是,这丝火花能否燃烧成引领艾滋病疫苗走出黑暗的火炬? 同日,世界卫生组织和联合国艾滋病规划署发表联合声明,在肯定这一试验结果的“重大意义”的同时,冷静地表示,“仅仅基于目前的试验结果,还不能批准生产这种疫苗”,人类战胜艾滋病的道路依然漫长。 这项名为RV144的项目,由美国军方、泰国公共卫生部等机构联手从2003年开始实施。自2007年9月美国默克公司全球艾滋病疫苗人体试验失败之后,该项目成为全世界惟一一项万人以上参与的大规模艾滋病疫苗临床试验。 该试验的研究策略建立在之前两个失败的艾滋病疫苗研究基础上。2003年,数十名科学家对研制出的两种艾滋病疫苗ALVAC和AIDSVAX分别进行了大规模的早期测试,结果两种疫苗均未起到免疫作用,试验宣告失败。 随后,美国和泰国的研究者把两种失败疫苗的联合作为新的研究方式,采用“初免-增强”(Prime-Boost)免疫策略,让第一株疫苗ALVAC负责刺激免疫系统,使其做好攻击艾滋病病毒的准备,第二株疫苗AIDSVAX则加强攻击力度,负责增强免疫发应。RV144试验正式开始于2003年10月,试验对象是在泰国选取的1.6万多名年龄在18岁至30岁的志愿者。其艾滋病病毒检测均为阴性,且其感染风险与普通人群的平均水平相当。其中,一组志愿者被注射了联合疫苗,另一对照组则只被注射了安慰剂。 最新的结果显示,在8197名接受疫苗注射的志愿者中,51人感染了艾滋病病毒,而在对照组的8198人中,有74人感染,也就是说,注射疫苗组感染风险降低了31.2%。 美国陆军军医处处长埃里克斯·库梅克说,这是“第一个备选艾滋病疫苗成功减少艾滋病感染危险”的实例。 世界卫生组织和联合国艾滋病规划署9月24日发表联合声明表示,由美国和泰国联合开发试验的新型艾滋病疫苗获得的结果“令人鼓舞”。“虽然免疫效果有限,但在统计学上显示出降低艾滋病病毒感染风险的重要意义。”法国赛诺菲-巴斯德公司研发副总裁米歇尔·德维尔德说,“自从1983年发现艾滋病病毒以来,这是科学界首次获得具体证据证明,研发艾滋病疫苗是可行的。”参与该研究的美国国家过敏和传染病研究所所长安东尼·福奇(AnthonyFauci)审慎地表示,这并非“艾滋病疫苗研究的终点”。包括联合国艾滋病规划署、世界卫生组织等机构也都表示“谨慎的乐观”。 路透社的报道指出,这种疫苗的局限还在于,如果人们已经感染上了艾滋病毒,即使接种了疫苗,病毒对免疫系统的破坏同样严重,这意味着一旦病毒进入体内,疫苗根本没有作用。 目前,一系列针对新疫苗的基础研究尚未有结论。比如,针对不同的艾滋病病毒,针对不同人群,新型疫苗是否都有相同的免疫效果?新型疫苗的有效免疫期有多久?新型疫苗为何只表现出十分有限的免疫效果? 据悉,这项试验的具体情况将在巴黎10月召开的疫苗会议上得到进一步披露。 泰国艾滋病疫苗研究的进展,也为中国在此领域的研究带来了希望。据了解,今年3月,由国家食品药品监督管理局正式批准,我国自行研制的艾滋病疫苗已经在广西正式进入Ⅱ期临床试验。 (本文来源:南方周末 作者:赵威) [ 作者:佚名 转贴自:本站原创 点击数:196 更新时间:2009-10-8 文章录入:nnb ]
艾滋病或不再是绝症
2009-10-07 10:11:21 来源: 南方周末(广州)
世界卫生组织和联合国艾滋病规划署9月24日发表联合声明表示,由美国和泰国联合开发试验的新型艾滋病疫苗获得的结果“令人鼓舞”。“虽然免疫效果有限,但在统计学上显示出降低艾滋病病毒感染风险的重要意义。”
2009-10-07 10:11:21 Source: Southern Weekend (Guangzhou)
World Health Organization and UNAIDS September 24 issued a joint statement by the United States and Thailand jointly developed a new AIDS vaccine trial results "encouraging." "Although the immune effect is limited, but statistically shown to reduce the risk of HIV infection in the importance of."
Claire Thomas (ClareThomas) pessimism about the prospects for an AIDS vaccine has seemed to face a challenge to judge. The "Nature - Medicine" magazine's senior editor in an interview with the authority of 25 AIDS experts, the impression that "an effective AIDS vaccine appears in the next 10 to 15 years will not be found" conclusion, this view was published in August this year, The "Nature - Medicine" magazine.
Challenge this view, is carried out in Thailand from a new type of AIDS vaccine clinical trials, new progress. September 24, the U.S. and Thai researchers in the Thai capital Bangkok, jointly announced a new test human vaccine can reduce the risk of HIV infection 31.2%. This is a study in Thailand, more than 16000 volunteers selected after six years of test results.
Like the night in the polished touch of sparkle, this result so that the world's AIDS researchers are excited. The Associated Press reported that this is the world's first confirmed that the immune effect of certain AIDS vaccine, which allow people to re-see the future of AIDS vaccine research of hope.
However, this wire spark can burn into a leading AIDS vaccine out of the darkness of the torch?
On the same day, the World Health Organization and UNAIDS issued a joint statement affirming the results of this testing "major significance", while calmly said, "just based on current test results, it could not approve the production of such vaccines," Human the fight against AIDS is still a long road.
The project, called RV144, by the U.S. military, the Thai Ministry of Public Health and other organizations jointly launched in 2003. Since September 2007 the U.S. Global AIDS vaccine Merck & Co., after the failure of human trials, the project become the world's only a million or more people involved in large-scale AIDS vaccine clinical trials.
The trial's research strategy based on two prior to the failure of AIDS vaccine research foundation. In 2003, dozens of scientists have developed two kinds of AIDS vaccines ALVAC and AIDSVAX respectively the early large-scale tests, the results of the two vaccines were not immune to play the role of the test failed.
Subsequently, the United States and Thailand, researchers combined two kinds of failure of the vaccine as a new research methods, using "first-free - Enhanced" (Prime-Boost) immunization strategy, so that the first strains of the vaccine ALVAC is responsible for stimulating the immune system to do better prepared to attack the AIDS virus, the second strain of the vaccine is to strengthen attack AIDSVAX efforts should be made responsible for enhancing immunity. RV144 trial officially began in October 2003 the test object is selected in Thailand, more than 16000 aged 18 to 30-year-old volunteers. Of their HIV test were negative, and its risk of infection with the average level of the general population rather. Among them, a group of volunteers were injected with the combination vaccine, another control group was injected with a placebo only.
The latest results showed that in 8197 vaccinated volunteers, 51 people were infected with HIV, while in the control group of 8198 people, 74 people infected, ie, vaccination group 31.2% lower risk of infection .
U.S. Army surgeon general Eric Peter J. Schoomaker said it was "the first AIDS vaccine candidate successful in reducing risk of HIV infection," examples.
World Health Organization and UNAIDS September 24 issued a joint statement by the United States and Thailand jointly developed a new AIDS vaccine trial results "encouraging." "Although the immune effect is limited, but statistically shown to reduce the risk of HIV infection in the importance of." France's Sanofi - Pasteur, Michel De Wilde, vice president of research and development, said, "Since the discovery of HIV in 1983 Since this is the first time, the scientific community to obtain concrete evidence to the development of an AIDS vaccine is feasible. "participate in the study of the U.S. National Institute of Allergy and Infectious Diseases Anthony Fauci (AnthonyFauci) cautiously stated that this is not" AIDS the end of vaccine research. " Including UNAIDS, WHO and other agencies have expressed "cautious optimism."
Reuters reported that the limitations of this vaccine also is that if people have been infected with HIV, even if vaccinated, the virus on the immune system damage as serious, which means that once the virus enters the body, the vaccine did not effect .
At present, a series of basic research for new vaccines have not yet been concluded. For example, for different HIV, for different groups of people, the new vaccine have the same immune effect? New vaccines and effective immune period is how long? New vaccines are shown only very limited immune effect?
It is reported that the specific circumstances of this trial will be held in Paris in October meeting on the vaccine to be further disclosed.
Thailand's progress in AIDS vaccine research, but also for China's research in this field has brought hope. It is understood that in March of this year by the State Food and Drug Administration formally approved, our self-developed AIDS vaccine has been officially entered in Guangxi, Phase Ⅱ clinical trial. (This article Source: Southern Weekly Author: Zhao Wei)
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