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登革热流行特征及疫苗研究进展

Dengue epidemic characteristics and vaccine research progress--a review

  • 摘要: 登革热是一种通过伊蚊叮咬传播登革病毒(DENV)所引起的虫媒病毒性传染病,目前已在热带、亚热带100多个国家和地区流行,2019年被WHO列为“全球十大健康威胁”。DENV共有4种血清型,均可导致感染者罹患登革热,而且继发感染异种血清型DENV后往往导致更严重的临床症状,这也使得登革热疫苗研制困难重重。目前登革热治疗尚无特效药物,疫苗开发研制依然是防控登革热的首选战略手段。本文对登革热基本情况、流行特点、感染与免疫应答以及疫苗研制现状进行综述并分析登革热疫苗研制面临的困境,为后续登革热防控以及相关研究提供参考。

     

    Abstract: Dengue fever is a mosquito-borne viral infectious disease transmitted by Aedes mosquitoes carrying the dengue virus (DENV). It is currently prevalent in over 100 tropical and subtropical countries and regions, and was listed by the WHO as one of the "Top Ten Global Health Threats" in 2019. DENV has four serotypes, all of which can cause dengue fever. Secondary infection with a different serotype often leads to more severe clinical symptoms, making dengue vaccine development challenging. Currently, there are no specific drugs for the treatment of dengue fever, and vaccine development remains the preferred strategic approach for prevention and control. This review summarizes the basic characteristics, epidemiological features, infection and immune responses, and current status of dengue vaccine development, and analyzes the challenges faced in dengue vaccine development, providing a reference for future dengue prevention and control and related research.

     

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