Rabies Vaccine for Prophylaxis and Treatment of Rabies: A Narrative Review

被引:2
作者
Kaye, Alan D. [1 ]
Perilloux, Dominique M. [2 ]
Field, Elizabeth [2 ]
Orvin, Cody A. [2 ]
Zaheri, Spencer C. [2 ]
Upshaw, William C. [2 ]
Behara, Raju [1 ]
Parker-Actlis, Tomasina Q. [1 ]
Kaye, Adam M. [3 ]
Ahmadzadeh, Shahab [1 ]
Shekoohi, Sahar [1 ]
Varrassi, Giustino [4 ]
机构
[1] Louisiana State Univ, Hlth Sci Ctr, Dept Anesthesiol, Shreveport, LA 71103 USA
[2] Louisiana State Univ, Sch Med, Hlth Sci Ctr, Shreveport, LA USA
[3] Univ Pacific, Thomas J Long Sch Pharm & Hlth Sci, Dept Pharm Practice, Stockton, CA USA
[4] Paolo Procacci Fdn, Pain Med, Rome, Italy
关键词
next -generation vaccines; post -exposure prophylaxis; one health; vaccination; rabies; ONE HEALTH; VIRUS; RECOMBINANT; ELIMINATION; SAFETY;
D O I
10.7759/cureus.62429
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Rabies, a millennia -old viral infection transmitted through animal bites, poses a lethal threat to humans, with a historic fatality rate of 100% if left untreated. Louis Pasteur's introduction of the rabies vaccine in 1885 marked a turning point in the battle against rabies, preventing numerous cases. The purpose of this paper is to review the historical development, current challenges, and future prospects of rabies vaccination and treatment, with emphasis on the importance of continued research and collaborative efforts in the quest to eradicate this deadly infection. Historical vaccine development progressed from inactivated to liveattenuated forms, with modern recombinant techniques showing promise. The preventive measures at present primarily involve vaccination, but challenges persist, such as differing safety profiles and immunogenicity among vaccine types. Pre -exposure prophylaxis with a three -dose vaccine series is crucial, especially in high -risk scenarios. Post -exposure prophylaxis combines human rabies immunoglobulin and inactivated rabies virus vaccine. The quest for the next generation of vaccines explores genetically modified and viral vector -based approaches; emerging treatments include gene therapy, virus -like particles, and monoclonal antibodies, offering hope for improved outcomes. Economic barriers to post -exposure prophylaxis, limited education, and awareness challenge rabies control. Cost-effective solutions and comprehensive awareness campaigns are vital for the successful eradication of rabies. More research and collaborative endeavors remain pivotal in the ongoing journey to eradicate rabies, one of the deadliest infectious diseases known to humans, if not met with prophylactic measures.
引用
收藏
页数:9
相关论文
共 40 条
[1]   A New Rabies Vaccine Based on a Recombinant Orf Virus (Parapoxvirus) Expressing the Rabies Virus Glycoprotein [J].
Amann, Ralf ;
Rohde, Joerg ;
Wulle, Ulrich ;
Conlee, Douglas ;
Raue, Rudiger ;
Martinon, Olivier ;
Rziha, Hanns-Joachim .
JOURNAL OF VIROLOGY, 2013, 87 (03) :1618-1630
[2]   Rabies vaccine development by expression of recombinant viral glycoprotein [J].
Astray, Renato Mancini ;
Calil Jorge, Soraia Attie ;
Pereira, Carlos Augusto .
ARCHIVES OF VIROLOGY, 2017, 162 (02) :323-332
[3]  
Baer GM, 1991, The Natural History of Rabies., DOI [10.1201/9780203736371, DOI 10.1201/9780203736371]
[4]   Louis Pasteur (1822-1895) [J].
Bordenave, G .
MICROBES AND INFECTION, 2003, 5 (06) :553-560
[5]   IMMUNIZATION WITH CANARYPOX VIRUS EXPRESSING RABIES GLYCOPROTEIN [J].
CADOZ, M ;
STRADY, A ;
MEIGNIER, B ;
TAYLOR, J ;
TARTAGLIA, J ;
PAOLETTI, E ;
PLOTKIN, S .
LANCET, 1992, 339 (8807) :1429-1432
[6]   ONE HEALTH Rabies control and elimination: a test case for One Health [J].
Cleaveland, Sarah ;
Lankester, Felix ;
Townsend, Sunny ;
Lembo, Tiziana ;
Hampson, Katie .
VETERINARY RECORD, 2014, 175 (08) :188-193
[7]   Fundamentals of Vaccine Immunology [J].
Clem, Angela S. .
JOURNAL OF GLOBAL INFECTIOUS DISEASES, 2011, 3 (01) :73-78
[8]   Advances in rabies prophylaxis and treatment with emphasis on immunoresponse mechanisms [J].
El-Sayed, A. .
INTERNATIONAL JOURNAL OF VETERINARY SCIENCE AND MEDICINE, 2018, 6 (01) :8-15
[9]   Advances in the progress of monoclonal antibodies for rabies [J].
Fan, Linlin ;
Zhang, Li ;
Li, Jingxin ;
Zhu, Fengcai .
HUMAN VACCINES & IMMUNOTHERAPEUTICS, 2022, 18 (01)
[10]   Rabies virus-like particles expressed in HEK293 cells [J].
Fontana, Diego ;
Kratje, Ricardo ;
Etcheverrigaray, Marina ;
Prieto, Claudio .
VACCINE, 2014, 32 (24) :2799-2804