VOA慢速英语 | 马里兰公司两种新疫苗有望预防疟疾

小白老师2017/02/28英语学习

摘要: 马里兰州生物技术公司Sanaria开发的两种新型疟疾疫苗在临床试验中展现出显著效果,其中一种在德国试验中实现了100%的短期保护率,另一种在马里试验中将再感染率从93%降至66%,为全球疟疾防控提供了新希望。

  • Sanaria公司研发的两种疟疾疫苗均针对最致命的恶性疟原虫(Plasmodium falciparum),采用完整的减毒子孢子(sporozoites)激活免疫系统。
  • 在德国进行的试验中,最高剂量组的9名受试者在接种后10周内对疟疾实现100%防护,结果发表于《自然》期刊。
  • 在马里的再感染试验中,疫苗将6个月内再感染率从93%(安慰剂组)降至66%,被研究者称为非洲疫苗试验中迄今最高的有效性。
  • Sanaria计划在非洲多国开展更大规模临床试验,目标是通过大规模接种阻断疟疾传播链,最终消除寄生虫。
  • 疟疾每年导致全球超40万人死亡,其中绝大多数为非洲儿童,新型疫苗若成功推广将带来重大公共卫生影响。

小白老师说:这条新闻来自美国 VOA 慢速英语节目,字正腔圆,速度缓慢,生词很少。适合精听、模仿、跟读。

关键词:

  • vaccine 疫苗
  • malaria 疟疾
  • mosquito 蚊子

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Experimental Malaria Vaccines Offer Promise

Two vaccines developed by a Maryland company are showing promise in the fight against malaria.

One vaccine was 100 percent effective in preventing the deadly disease malaria. That is according to the biotech company Sanaria Inc. of Rockville, Maryland that developed the vaccines.

Malaria is a disease caused by parasites and carried by mosquitoes.

Parasites are organisms that live on or in an organism of another species and feed off it or get protection from it. Mosquitos spread the disease to people by biting on their skin.

The World Health Organization says there are 214 million cases of malaria each year. And the deadly disease kills over 400,000 people a year worldwide.

People who have malaria often have fever, chills, and flu-like illness. Serious complications happen, including death, when the disease is left untreated.

The new vaccines work by preparing the immune system to fight the disease. They do this by introducing live, but weakened, young parasites called sporozoites. They are injected into the body by infected mosquitoes.

Both vaccines target Plasmodium Falciparum, which is the most common and deadly form of the disease.

图片

135 children hospitalized in the children’s ward of Pawa General Hospital, most of them for severe malaria.

Successful vaccine study

The more successful of the two trials was carried out in Germany. Different doses, or amounts, of the vaccine were injected into 27 healthy people who volunteered for the study. Another group of 15 was given a placebo, which is a substance given to a patient like a drug, but it has no physical effect on the person.

An unidetified mother as watches over her child who is suffering from malaria, as other children lay nearby, in the Siaya hospital in Western Kenya. Photo taken on Oct. 30, 2009.

Eight to 10 weeks after the last vaccine dose, both groups were then exposed to the parasites that carried the malaria.

Stephen Hoffman is chief executive and scientific officer of Sanaria. He says the researchers were surprised by the results from nine of the people who received the highest vaccine dose.

“We got 100% protection against malaria at ten weeks, two-and-a-half weeks after the last dose of the vaccine. That is really beginning to look like something quite extraordinary and that’s never been done before.”

The results of the study were published in the journal Nature.

Reinfection study

A second trial involving another sporozoite vaccine was carried out in Mali. It tested whether the vaccine prevented reinfection in the people already exposed to malaria.

More than half—66 percent—of those who got the vaccine dose became re-infected with malaria within six months after they were vaccinated. For the people in the placebo group, those who did not get any healing treatment, the number was higher. Ninety-three percent of the people who were in the placebo group were re-infected.

While 66 percent is not the best number the researchers would have hoped for, Hoffman calls the results a good first step.

“This is the highest level of efficacy against malaria infection ever seen in a vaccine trial in Africa.”

The results of that trial were reported at the same time in the journal The Lancet Infectious Diseases.

Anopheles gambiae mosquito, which spreads the malaria parasite

Hoffman thinks Sanaria vaccines show more promise than others because they use the whole sporozoite to help the immune system.

He says other vaccine makers only use a small part of P. falciparum to try to get a good immune response against the malaria parasite. He believes this is not as effective as his idea of using the whole sporozoite.

Sanaria plans more clinical trials of both vaccines throughout Africa, including in Mali, Burkina Faso, Kenya, Equitorial Guinea and Tanzania.

“For us, our raison d’etre [reason to be] for Sanaria is to develop a vaccine that can be used in what we call mass vaccination campaigns to immunize the entire population in a geographically defined area so that one can halt transmission and eliminate the parasite.”

The vaccine news comes after a recent study says there are now malaria “superbugs” emerging in Southeast Asia. Researchers reporting in the journal The Lancet Infectious Diseases found that a kind of the P. falciparum parasite—the one being used for the vaccines by Sanaria-- is now becoming resistant to the most effective malaria drug. They say the resistance is spreading.

Many people would benefit if they are successful, but those who would benefit the most are children in Africa.

The U.S. Centers for Disease Control and Prevention says most of the people who die from malaria are children in the African Region. It says most of the cases in the United States are in travelers and immigrants coming to the U.S. from countries where malaria is present—including many from sub-Saharan Africa and South Asia.

I’m Anne Ball.

常见问题

这两种疟疾疫苗是如何起作用的?

它们通过注射活的但已减弱的恶性疟原虫子孢子(sporozoites),训练人体免疫系统识别并抵御疟疾感染。

为什么Sanaria的疫苗被认为比其他疟疾疫苗更有潜力?

因为其使用完整的子孢子作为抗原,而其他疫苗通常只使用疟原虫的某一部分,Sanaria认为完整结构能引发更强、更全面的免疫反应。

疫苗在非洲的实际效果如何?

在马里进行的试验显示,疫苗将6个月内的再感染率从93%降至66%,虽未达理想水平,但已是非洲疟疾疫苗试验中报告的最高有效性。

这些疫苗主要惠及哪些人群?

主要受益者是撒哈拉以南非洲的儿童,他们占全球疟疾死亡病例的绝大多数。

参考资料

Nature期刊发表Sanaria疫苗德国试验结果

文章提及该研究发表于《Nature》,但未提供具体链接;可查证2010年代后期Sanaria相关论文。

The Lancet Infectious Diseases发表马里疫苗试验及疟疾耐药性研究

文中指出两项研究同期发表于《The Lancet Infectious Diseases》,包括疫苗再感染试验和东南亚恶性疟原虫耐药性报告。

世界卫生组织(WHO)疟疾事实简报

支持文中关于全球每年2.14亿病例和40万以上死亡的数据(需注意数据年份可能为2015-2020年间)。

美国CDC关于疟疾流行病学信息

支持文中关于美国病例来源及非洲儿童高死亡率的描述。