题名

新冠疫苗研發技術回顧

并列篇名

Overview of COVID-19 Vaccine Development

作者

黃立中(Li-Chung Huang);曾詩雁(Shih-Yen Tseng);湯念湖(Ni-Hu Tang);黃敏偉(Min‐Wei Huang);李世強(Shi-Cheng Lee)

关键词

新冠肺炎 ; 新冠疫苗 ; SARS-CoV-2 ; COVID-19 ; Coronavirus vaccine

期刊名称

醫學與健康期刊

卷期/出版年月

11卷1期(2022 / 03 / 01)

页次

71 - 80

内容语文

繁體中文

中文摘要

全球目前仍處於新型冠狀病毒(COVID-19)的流行期間。世界各國透過持續追蹤調查病毒流行情形,提供與疫情相關之指引與各式防疫措施,分發重要醫療用品等方式來共同應對疫情,並競相開發安全且有效的疫苗。目前已知有數家藥廠成功開發出疫苗,可以預防人們因感染新型冠狀病毒而導致重症或死亡,例如:阿斯特捷利康(AstraZeneca)、嬌生(Johnson & Johnson)、莫德納(Moderna)與輝瑞(Pfizer-BioNTech)。這些世界衛生組織(WHO)認可的疫苗在緊急使用授權協議下可使用於臨床。更重要的是,臺灣高端生物製劑公司於2021年宣布MVC-COV1901疫苗可用於預防新型冠狀病毒,且該疫苗已獲得臺灣第1張緊急使用授權。因此,本研究旨在討論不同疫苗彼此之間研究和設計技術的差異。本研究另外討論的面相是有關於美國和臺灣,對緊急使用授權藥物開發及使用的監管差異,以及一般藥品上市之規定。本篇文章的討論能為醫生或醫療專業人員(如藥師、護理師或醫療技術人員)提供新冠疫苗技術剖析與深入的臨床建議。

英文摘要

The world is still during a Corona virus disease 2019 (COVID-19) pandemic. As world health organization (WHO) and countries around the world to work together on the response by tracking the pandemic, advising on critical interventions, distributing vital medical supplies to those in need, they are racing to develop and deploy safe and effective vaccines. However, several pharmaceutical companies have developed successfully the safe and effective vaccines that prevent people from getting seriously ill or dying from COVID-19, such as AstraZeneca, Johnson & Johnson, Moderna and Pfizer-BioNTech. All these world regulatory organization recognized vaccines were under the agreement to use by the emergency use authorization (EUA). More importantly, Taiwan biotech company Medigen Vaccine Biologic corp. also announced their MVC-COV1901 for preventing severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) which permitted by Taiwan 1st EUA authorization this year. Thus, our study aims to discuss about the deference between the different vaccines according to the of their research and design (R&D) technologies. Another issue we address is about the regulation of drug development and usage of EUA between Unite Sates and Taiwan. The results of our argument might provide the insight of technologies of COVID-19 vaccine and information for medical practitioner or people who are medical professional, such as pharmacist, registered nurse or medical technologist.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. Abe, S,Okuda, K,Ura, T(2009).Adenovirus type 5 with modified hexons induces robust transgene‐specific immune responses in mice with pre‐existing immunity against adenovirus type 5.The Journal of Gene Medicine: A cross‐disciplinary journal for research on the science of gene transfer and its clinical applications,11,570-579.
  2. Altmann, DM,Boyton, RJ,Beale, R(2021).Immunity to SARS-CoV-2 variants of concern.Science,371,1103-1104.
  3. Andreadakis, Z,Kumar, A,Román, RG(2020).The COVID-19 vaccine development landscape.Nature reviews. Drug discovery,19,305-306.
  4. Baden, LR,El Sahly, HM,Essink, B(2021).Efficacy and safety of the mRNA-1273 SARS-CoV-2 vaccine.New England Journal of Medicine,384,403-416.
  5. Baldo, A,Leunda, A,Willemarck, N,Pauwels, K(2021).Environmental Risk Assessment of Recombinant Viral Vector Vaccines against SARS-Cov-2.Vaccines,9,453.
  6. Doerfler, W(2021).Viral Vector DNA-and RNA-Based SARS-CoV-2 Vaccines: Possible Integration into the Human Genome Are Adenoviral Genes Expressed in Vector-based Vaccines?.Virus Research,198466.
  7. Frater, J,Ewer, KJ,Ogbe, A(2021).Safety and immunogenicity of the ChAdOx1 nCoV-19 (AZD1222) vaccine against SARS-CoV-2 in HIV infection: a single-arm substudy of a phase 2/3 clinical trial.The Lancet HIV,8,474-485.
  8. Goepfert, PA,Fu, B,Chabanon, AL(2021).Safety and immunogenicity of SARS-CoV-2 recombinant protein vaccine formulations in healthy adults: interim results of a randomised, placebo-controlled, phase 1-2, dose-ranging study.The Lancet Infectious Diseases,21,1257-1270.
  9. Herishanu, Y,Avivi, I,Aharon, A(2021).Efficacy of the BNT162b2 mRNA COVID-19 vaccine in patients with chronic lymphocytic leukemia.Blood, The Journal of the American Society of Hematology,137,3165-3173.
  10. Hsieh, SM,Liu, WD,Huang, YS(2021).Safety and Immunogenicity of a Recombinant Stabilized Prefusion SARS-CoV-2 Spike Protein Vaccine (MVC-COV1901) Adjuvanted With CpG 1018 and Aluminum Hydroxide in Healthy Adults: A Phase 1, Dose-Escalation Study.EClinicalMedicine,38,100989.
  11. Khurana, A,Allawadhi, P,Khurana, I(2021).Role of nanotechnology behind the success of mRNA vaccines for COVID-19.Nano Today,38,101142.
  12. Khuroo, MS,Khuroo, M,Khuroo, MS,Sofi, AA,Khuroo, NS(2020).COVID-19 vaccines: A race against time in the middle of death and devastation!.Journal of clinical and experimental hepatology,10,610-621.
  13. King, RG,Silva-Sanchez, A,Peel, JN(2021).Single-Dose Intranasal Administration of AdCOVID Elicits Systemic and Mucosal Immunity against SARS-CoV-2 and Fully Protects Mice from Lethal Challenge.Vaccines,9,881.
  14. Korokhov, N,Noureddini, SC,Curiel, DT,Santegoets, SJAM,Scheper, RJ,deGruijl, TD(2005).A single-component CD40-targeted adenovirus vector displays highly efficient transduction and activation of dendritic cells in a human skin substrate system.Molecular pharmaceutics,2,218-223.
  15. Li, H,Xue, Q,Xu, X(2020).Involvement of the nervous system in SARS-CoV-2 infection.Neurotoxicity research,38,1-7.
  16. Lien, CE,Chou, YJ,Shen, YJ(2022).Evaluating the neutralizing ability of a CpG-adjuvanted S-2P subunit vaccine against SARS-CoV-2 Variants of Concern.Clinical Infectious Diseases,74(11)
  17. Logunov, DY,Dolzhikova, IV,Shcheblyakov, DV(2021).Safety and efficacy of an rAd26 and rAd5 vector-based heterologous prime-boost COVID-19 vaccine: an interim analysis of a randomised controlled phase 3 trial in Russia.The Lancet,397,671-681.
  18. Lurie, N,Saville, M,Hatchett, R,Halton, J(2020).Developing Covid-19 vaccines at pandemic speed.New England Journal of Medicine,382,1969-1973.
  19. Mathew, S,Faheem, M,Hassain, NA(2021).Platforms exploited for SARS-CoV-2 vaccine development.Vaccines,9,11-11.
  20. Mathew, S,Faheem, M,Hassain, NA(2021).Platforms exploited for SARS-CoV-2 vaccine development.Vaccines,9,11.
  21. Meng, FY,Gao, F,Jia, SY(2021).Safety and immunogenicity of a recombinant COVID-19 vaccine (Sf9 cells) in healthy population aged 18 years or older: two single-center, randomised, double-blind, placebo-controlled, phase 1 and phase 2 trials.Signal transduction and targeted therapy,6,1-11.
  22. Naughton, CC,Roman, FA,Alvarado, AGF(2021).,未出版
  23. Organization WH(2021).Draft landscape and tracker of COVID-19 candidate vaccines.Genova, Switzerland:World Health Organization.
  24. Reichmuth, AM,Oberli, MA,Jaklenec, A,Langer, R,Blankschtein, D(2016).mRNA vaccine delivery using lipid nanoparticles.Therapeutic delivery,7,319-334.
  25. Sadoff, J,Gars Le, M,Shukarevet, G(2021).Interim results of a phase 1-2a trial of Ad26. COV2. S Covid-19 vaccine.New England Journal of Medicine,384,1824-1835.
  26. Thomson, K,Nachlis, H(2020).Emergency use authorizations during the COVID-19 pandemic: lessons from hydroxychloroquine for vaccine authorization and approval.Jama,324,1282-1283.
  27. Wiersinga, WJ,Rhodes, A,Cheng, AC,Peacock, SJ,Prescott, HC(2020).Pathophysiology, transmission, diagnosis, and treatment of coronavirus disease 2019 (COVID-19): a review.Jama,324,782-793.
  28. Yusuf, H,Kett, V(2017).Current prospects and future challenges for nasal vaccine delivery.Human vaccines & immunotherapeutics,13,34-45.
  29. Zhang, L,Shen, F,Chen, F,Lin, Z(2020).Origin and evolution of the 2019 novel coronavirus.Clinical Infectious Diseases,71,882-883.
  30. Zhang, Y,Geng, X,Tan, Y(2020).New understanding of the damage of SARS-CoV-2 infection outside the respiratory system.Biomedicine & pharmacotherapy,127,110195.
  31. Zhang, Z,Zhou, L,Xie, N(2020).Overcoming cancer therapeutic bottleneck by drug repurposing.Signal transduction and targeted therapy,5,1-25.
被引用次数
  1. 張弘遠,林雅鈴(2022)。科技治理模式對新冠肺炎疫苗研發的影響:舉國體制與公私混合模式的比較。中國大陸研究,65(4),81-121。
  2. (2024)。以健康信念模式分析新冠疫苗混打之認知差異與接受度。管理實務與理論研究,18(1),36-50。