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Expert Rev Vaccines ; 18(6): 597-613, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-31132024

RESUMEN

Introduction: Human adenovirus (HAdV)-derived vectors have been used in numerous pre-clinical and clinical trials during the last 40 years. Current research in HAdV-based vaccines focuses on improving transgene immunogenicity and safety. Because pre-existing humoral immunity against HAdV types correlate with reduced vaccine efficacy and safety, many groups are exploring the development of HAdV types vectors with lower seroprevalence. However, global seroepidemiological data are incomplete. Areas covered: The goal of this review is to centralize 65 years of research on (primarily) HAdV epidemiology. After briefly addressing adenovirus biology, we chronical HAdV seroprevalence studies and highlight major milestones. Finally, we analyze data from about 50 studies with respect to HAdVs types that are currently used in the clinic, or are in the developmental pipeline. Expert opinion: Vaccination is among the most efficient tools to prevent infectious disease. HAdV-based vaccines have undeniable potential, but optimization is needed and antivector immunity remains a challenge if the same vectors are to be administrated to different populations. Here, we identify gaps in our knowledge and the need for updated worldwide epidemiological data.


Asunto(s)
Infecciones por Adenovirus Humanos/epidemiología , Infecciones por Adenovirus Humanos/inmunología , Infecciones por Adenovirus Humanos/prevención & control , Adenovirus Humanos/inmunología , Infecciones por Adenovirus Humanos/clasificación , Vacunas contra el Adenovirus/inmunología , Adenovirus Humanos/genética , Adenovirus Humanos/aislamiento & purificación , Ensayos Clínicos como Asunto , ADN Viral/genética , ADN Viral/aislamiento & purificación , Terapia Genética , Vectores Genéticos , Humanos , Incidencia , Estudios Seroepidemiológicos , Vacunación
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