Immunologic correlates of protection induced by vaccination

被引:173
作者
Plotkin, SA
机构
[1] Aventis Pasteur, Doylestown, PA 18901 USA
[2] Univ Penn, Dept Pediat, Philadelphia, PA 19104 USA
[3] Wistar Inst Anat & Biol, Philadelphia, PA 19104 USA
关键词
immunology; protection; vaccines; antibodies; cellular responses;
D O I
10.1097/00006454-200101000-00013
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Vaccine design and licensing depend on the choice of protective antigens and the demonstration of their efficacy. Ideally efficacy correlates with some measurement of immune response, although occasionally the correlation is weak and in the case of some vaccines uncertain. This paper attempts to review what is known about correlates of vaccine-induced protection. Although mucosal and cellular immune responses are clearly important to protection by some vaccines, most vaccines licensed today depend for their efficacy on serum antibodies. Particular levels of antibodies can be identified that confer protection most of the time. A condition for the efficacy of antibodies is functionality, i.e, their ability to kill or inactivate pathogens. The immune system is redundant, and the different types of responses to vaccines act synergistically.
引用
收藏
页码:63 / 75
页数:13
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