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肝胆相照论坛 论坛 学术讨论& HBV English 存档 1 治疗性乙型肝炎疫苗的总结
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治疗性乙型肝炎疫苗的总结 [复制链接]

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发表于 2004-12-3 23:26
以下是引用hemming在2004-6-2 17:40:00的发言: --------------------------------------------------------------------------------   来源:中国医药网  时间:2004.03.30 新华社信息北京3月30日电 美国宾夕法尼亚州立医学院的研究人员开发出了一种微型载体,能够找到并杀死小鼠肝脏中80%的乙肝病毒。      该医学院教授加里·克劳森和他 的研究小组开发出了SNIPAA盒式载体,其中包含一种双倍剂量的特殊核酶,称为交互作用锤头核酶。核酶是核糖核酸(RNA)的片断,像酶一样可导致RNA其他片断的化学变化和分裂。RNA对“生命之书”DNA的复制极为关键,同时也是病毒复制的关键。      SNIPAA盒以脂质体形式包装(脂质体是在身体内释放药物的重要工具),然后脂质体又反过来为蛋白质所改造,这样它就能找出乙肝病毒在其中进行复制的肝脏细胞。      找到肝脏细胞后,SNIPAA盒就被释放入细胞并直达细胞核,在那里产生活性核酶。核酶通过切断病毒RNA破坏其产生蛋白质的能力,从而使其不能发挥作用。蛋白质是病毒复制的关键。      克劳森等人首先确定乙肝病毒RNA中的最佳目标区域,然后用培养的细胞检验SNIPAA盒的有效性。在细胞培养组织中,他们发现,在3-5天的时间里,含有双倍剂量核酶的SNIPAA盒比含单倍剂量的SNIPAA盒能杀死更多的病毒。      克劳森说:“这是为数不多的在动物活体实验中减少乙肝病毒产生的有效疗法之一。虽然这次针对的是乙肝病毒,但我们有针对性地包装核酶的方法也应适用于其他病毒疗法。”(完) BR80559263.0

附上英文:http://www.news-medical.net/?id=93

News-Medical.Net Tiny Ribozyme package could be future treatment of Hepatitis B virusPosted By: News-Medical in Pharmaceutical NewsPublished: Monday, 22-Mar-2004 Printer Friendly

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Penn State College of Medicine researchers have developed a tiny package that searches for and destroys up to 80 percent of hepatitis B virus in the livers of mice.

“This marks one of the few successful in vivo, or in-animal, models of an effective therapy to reduce the production of hepatitis B virus,” said Gary Clawson, M.D., Ph.D., professor of pathology, biochemistry and molecular biology, Penn State College of Medicine. “Although this work focused on hepatitis B virus, our method of targeting and packaging ribozymes should also be applicable to the development of therapies to fight other viruses.”

The study was published March 5 in the online version of the journal, Molecular Therapy, the official journal of the American Society of Gene Therapy, and will appear in the journal’s April print edition.

Hepatitis B virus (HBV) attacks the liver and can cause lifelong infection, liver cancer and, eventually, death. Although HBV is treated with drugs, it cannot be cured. The chronic disease affects about 1.25 million Americans, 20 percent to 30 percent of whom acquired the virus in childhood. HBV is transmitted via blood or sexual activity, but also may be transmitted from mother to child during childbirth. Once infected, the virus continues to reproduce in the liver.

Clawson, who is also director of the Jake Gittlen Cancer Research Center at Penn State Milton S. Hershey Medical Center, and his team developed the SNIPAA cassette, which contains a double-dose of a special type of ribozyme called a trans-acting hammerhead ribozyme. Ribozymes are ribonucleic acid (RNA) segments that, like enzymes, cause chemical changes or splitting in other RNA segments. RNA, which is critical to the replication of DNA - life’s instruction book - also is critical to the replication of viruses. The SNIPAA cassette was packaged in liposomes, typical vehicles for delivering drugs in the body, and the liposomes in turn were modified with proteins so that they would seek out the liver cells where the HBVs replicate.

Once at the liver cell, the SNIPAA cassette package is released into the cell and finds its way to the cell nucleus, where the active ribozymes are produced. The ribozymes destroy the viral RNA’s ability to produce proteins by cleaving, or cutting, the viral RNAs, rendering them useless. Proteins are critical to virus replication.

First, Clawson and co-workers used proprietary in vitro selection techniques to identify the best target sites in HBV RNA, and then used cells in culture to test the effectiveness of the cassette. In the cell cultures, he found that the SNIPAA cassette containing a double-dose of ribozymes eliminated more of the virus over a period of three to five days than did cassettes containing a single dose of the ribozymes.

Specialized transgenic mice, which contain the HBV in their DNA and which are chronic carriers of HBV, were treated with the tiny HBV-fighting packages. Clawson and co-workers chose the dosage and schedule of the drug delivery to the mice based on their cell culture work. Studies with the transgenic mice were performed with John Morrey, Ph.D., at Utah State, under the auspices of an NIH contract which supports testing of antiviral reagents.

“The treatment effects were quite dramatic,” Clawson said. “We recorded a greater than 80 percent reduction in the HBV liver DNA, meaning far less virus was being produced, and staining for the virus using antibodies also showed a dramatic decrease in residual viral production. This is significant because there are so few examples of successful in vivo applications of ribozymes against bona fide naturally-occurring, disease-causing organisms.”

Clawson believes this cassette is more effective than previous ones for a number of reasons. First, the best target sites were chosen using a “library selection” process. Second, the ribozyme cassette is engineered to cut itself into pieces, thereby freeing the HBV-targeted ribozymes from extraneous sequences that could interfere with their activity. In addition, Clawson’s cassette included two distinct trans-acting ribozymes, whereas previous versions included only one. With two trans-acting hammerhead ribozymes in the SNIPAA cassette, twice the amount of “medicine” was present and was delivered over a longer period.

Co-authors on the study were: Wei-Hua Pan, Pin Xin, Departments of Pathology and Biochemistry and Molecular Biology, The Gittlen Cancer Research Institute, Penn State Milton S. Hershey Medical Center, and John D. Morrey, Institute for Antiviral Research, Utah State University.

This work was supported by a research and development contract with Biosan Laboratories/Hexal AG and by a contract from the National Institutes of Health.

“人人生而平等”是最大公理! 无良医药资本不会主动放弃疯狂追逐暴利,所以要剥下这匹恶狼披着的人皮! 生而为人的基本权利是上天赋予的,但是需要我们自己去捍卫! “等找到好工作再来出力”是自欺欺人的美丽谎言! 一棵树木微不足道,一片森林改变气候!

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发表于 2004-12-6 02:08

我刚得到重庆疫苗的新进展

这是他们的网站http://cqtoday.cqnews.net/system/2004/11/26/000421228.shtml

http://health.cqnews.net/system/2004/09

大家看看有何感想

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发表于 2004-12-6 02:21
您当前的位置:华龙网 > 健康频道 > 健康新闻 正文 乙肝3至5年内可望临床治愈 只携带病毒不发病

  华龙网讯  南方医院感染科专家及香港大学医学专家昨天表示,在未来3至5年内,世界上将有四五种新药推出,乙肝治疗可实现真正临床治愈。这是记者在昨日举行的推广“世代无乙肝”宣传活动中获悉的。

  广东是乙肝高发地之一。最新统计数字显示,在广东至少有70%的人正在感染或已经感染乙肝病毒,这当中包括了病毒携带者和病发者。南方医院感染科主任侯金林说:“广州乙肝的发病率高达10%,平均每十个人就有一个患有乙肝。南方医院体查中心去年为7万人做了体检,结果就发现有超过一成人染了乙肝。”

  乙肝难治,病情反复。“这主要是抗病毒药物研制速度比较慢造成的,目前可供选择的药物只有一两种,治疗方法相对单一,导致部分病人对药物产生耐药性。”侯教授透露,这种局面很快会被打破,因为目前已有四五种对付乙肝的新药已进入最后的临床试验阶段,预计3-5年内就可问世。

  据介绍,即将推出的新药皆属抗病毒药物(核苷类药),均由世界知名药厂生产,包括因地卡韦、阿德福韦、LDT等。另外还会有一种长效干扰素面世,该药目前正在南方医院进行最后临床试验,其药效一次性可维持一周。

  侯教授说,新药应用可使乙肝患者病毒复制控制在低水平,而且多个药同时应用可避免耐药性,也就是说,患者接受治疗后只携带有病毒,但不会病发,不会有肝炎,不会传染人,转氨酶水平也维持正常,体征与常人无异。

  香港“十大杰出青年”、香港大学玛丽医院的乙肝权威廖家杰教授昨日来到广州推广“世代无乙肝”活动,该活动包括为乙肝患者提供免费验血、培养乙肝疫苗、成立乙肝病人俱乐部等活动。(记者林靖峻实习生曾文源通讯员宁习源)

  验乙肝几分钟搞定

  时下很多乙肝携带者、患者感染病毒后一无所知,主要原因是他们没有定期验血的习惯。廖家杰教授说,目前验血技术已经很先进,只需几分钟时间就可以知道有否感染乙肝病毒,准确率在95%以上,且受检人抽血前可以吃早餐。验血有两个好处,一旦发现感染可以进行早期治疗,如果没有感染可及时注射疫苗防范。

编辑: 诸君 来源: 金羊网-新快报 2004-09-14 15:49 [发表评论] 还有一个网站我忘了了,是说重庆一期实验已成功结束,正在把二三期实验合在一起申请,应该快出结果了吧?这次应该有希望了

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发表于 2004-12-8 10:34

重啤乙肝疫苗上市还需等5年

  华龙网讯 重庆啤酒(股票代码:600132)昨日发布消息:其控股子公司佳辰公司与三军医大联合开发的治疗用合成肽乙型肝炎疫苗Ⅰ期临床试验于近期结束,并即将进入Ⅱ、Ⅲ期临床试验。

  此举标志着重啤造药计划已取得重要突破。不过,专家认为这还仅仅是个阶段性胜利。按照乐观的估计,该药正式上市最少还需等上5年。

  三军医大一位教授昨日说:事实上,对此项药品的研究工作,到目前为止已经进行了19年之久。而按照我国一类新药临床试验所需要的时间和新药审批程序来看,最乐观的估计,该药正式上市时间最少也还需要5年。(记者曾欢)

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发表于 2004-12-11 13:54
好期待!!!!!可是好象还要等很久,很久。

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发表于 2004-12-13 10:58
我也是在打这个治疗性疫苗,也不知道作用大尖大,所以主要还是配合在吃其它药.

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发表于 2004-12-13 11:40

兄弟用疫苗的效果咋样啊?有啥新的进程别忘里和论坛上的兄弟们一起分享,期待你能成功,我们的偶像!英雄!我也是一个饱受挫折但从不服输的人.qq:443929115

[em01]

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发表于 2004-12-22 02:23

谁在用这个疫苗啊?

说出来分享一下啊?

QQ63527761

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发表于 2004-12-22 04:32

哪位给指点一下在哪能现在就能用上治疗性乙型肝炎疫苗。

谢谢!

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发表于 2004-12-24 08:50
在这里,感受到的是沉重的期望……众多患者沉重的期望。愿上天不要辜负大家的一片厚望!
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