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ת¸öÎÒ¿´µ½µÄ¹úÍâÏûÏ¢£º ¡°Earlier this year I discussed Vical (VICL), one of those biotechnology companies that appear to be flying under almost everyone's radar. The corporation, based in San Diego, CA, has, for a young biotech company, a deep pipeline as well as two products on the market, one to protect farm-raised salmon and another to increase the survival time of dogs with oral melanoma. But what really excites me about Vical, in addition to its work on cancer immunotherapies and, specifically, its Phase III study of Allovectin®, is the company¡¯s seminal research and development in the area of the herpes simplex virus and the development of the corporation¡¯s herpes simplex virus type 2 or HSV-2 vaccine. ÔÚÃÀguo¼ÓÖݵÄÕâ¼Ò¹«Ë¾¾ÍÊÇ vical ËüÊÇÒ»¼ÒÖ÷ÒªÖÂÁ¦Ñо¿ÖÎÁÆÉúÖ³Æ÷ðåÕîµÄÉú»¯¹«Ë¾¡££¨ ÃÔºýÒÔǰÌá¼°¹ýÕâ¸öÒ©¶øÇÒ¶à´ÎÌá¼°¡£ £©Õâ¼Ò¹«Ë¾Ä¿Ç°Ö÷Ҫר¹¥°©Ö¢µÄÃâÒßÁ¦ÖÎÁÆ»¹ÓоÍÊÇÒѾ½øÈëÈýÆÚʵÑéµÄ׍֯ÉúÖ³Æ÷ðåÕîµÄÒ©Ãû½Ð allovectin Ŀǰ´ËÒ©ÒѾÉêÇëרÀû²¢×¢²á¡£ ÕâÊÇÒ»¸öÒßÃçÒ©Îï¡£ Of the two serotypes identified, HSV-1 and HSV-2, the latter is most common in the United States. HSV-2 is a sexually transmitted virus which is the leading cause of genital herpes. Approximately one out of every six individuals in the United States and an estimated one out of every four worldwide is infected by HSV-2 before age 50. Even more disconcerting, perhaps, as noted by Vical at the recent BIO International Convention, ¶þÐÍðåÕîÊÇÐÔ²¡ÔÚÃÀguoºÜÆÕ±é¡£ ÿÁù¸öÈËÖоÍÓÐÒ»¸öÈËÓÐÕâ¸ö²¡£¬ ÊÀ½ç·¶Î§ÄÚÎåÊ®Ëê֮ǰµÄÈËÿËĸöÈ˾ÍÓÐÒ»¸öÈËÓд˲¡¡£ ÔÚ½ñÄêÕÙ¿ªµÄÄÇ´ÎÉú»¯»áÒéÉÏ Õâ¼Ò¹«Ë¾°ÑÕâЩ¶¼×öÁËÂÛÊö ¡°[I]n the United States, at least 40 million people are infected with HSV-2, and approximately 1.6 million people are newly infected each year, with approximately 500,000 of those suffering from disease symptoms. Even higher infection rates are evident in developing countries, with further complications in people also infected with HIV.¡± ÔÚÃÀguoËÄǧÍòÈË»¼Óд˲¡¡£ ÿһÄêв¡ÈË160ÍòÈË¡£ ÆäÖÐÕâЩ²¡ÈËÖÐ50ÍòÈËÊÇÓм²²¡Ö¢×´µÄ¡£ £¨Õâ˵Ã÷´ó¶àÊýÈ˵ò¡Ã»ÓÐÖ¢×´£¬ ¶øÎÒÃÇÕâЩµ¹Ã¹µ°¶¼ÊÇÓÐÖ¢×´µÄ£© ·¢Õ¹ÖÐguo¼Ò³ÊÏÖÉÏÉýÇ÷ÊÆ£¬ °¬×Ì»¼ÕßµÄÖ¢×´¸ü¸´ÔÓ Importantly, there is, currently, no cure for genital herpes. It is a recurrent, lifelong viral infection. But under a grant from the National Institute of Allergy and Infectious Diseases Division of the National Institutes of Health ((NIH)), the effort mounted by Vical is directed at developing a plasmid DNA-based vaccine to inhibit recurring lesions in patients latently infected with HSV-2. And while still in the preclinical stage, results have shown a reproducible statistically significant reduction in viral lesion occurrence in guinea pigs latently infected with HSV-2. ´Ë²¡ÎÞ·¨ÖÎÓú¡£ ÊÇÖÕÉúµÄ²¡¶¾¸ÐȾ £¨ÕæÄѹý£© µ«ÊÇÔÚguo¼Ò½¡¿µ²¿ÃŵÄÊÚȨÏ£¬ Õâ¼Ò¹«Ë¾ÕýÖÂÁ¦Ñо¿¶Ô¸¶¶þÐÍðåÕîµÄ»ùÒò»ù´¡µÄÒßÃçÀ´¶Ô¸¶ðåÕîµÄ¸´·¢¡£ ËäÈ»»¹Ã»ÓÐÈËÌåÊÔÑ飬 µ«ÊÇÔÚÖíÉíÉϵÄÊÔÑéÒѾ³É¹¦£¬ Äܹ»ÒÖÖÆ¸´·¢ Development of the HSV-2 vaccine is being done in collaboration with the University Of Washington School Of Medicine and the Sealy Center for Vaccine Development at the University of Texas Medical Branch under the NIH grant cited above. The initial focus will be for people already infected with HSV-2, with the goal of reducing or eliminating periodic viral flare-ups as well as viral shedding and transmission. ÕâÏîÊÔÑéÊÇÓ뻪ʢ¶Ù´óѧºÍµÂ¿ËÈøË¹´óѧһÆðÁªºÏ½øÐеġ£ ÊÇÕë¶ÔÒѾ¸ÐȾÉúÖ³Æ÷ðåÕÈ˵ġ£ ÒÖÖÆ¸´·¢£¬ ·ÀÖδ«È¾ÒѾ¼õÇáÖ¢×´¡£ »¹ÓÐÏûÃ𲡶¾µÄ»îÔ¾ What had researchers and medical practitioners excited at this year¡¯s BIO International Convention were data presented by Vical that showed its therapeutic vaccine ¡°¡significantly reduced the recurrence of HSV-2 lesions in guinea pigs with latent infection (p<0.05).¡± Vical also presented data for a related prophylactic vaccine that demonstrated how this version ¡°¡protected mice against lethal HSV-2 challenge (p<0.0001), provided sterilizing immunity(p<0.05) and inhibited post-challenge viral shedding at the primary infection site (p<0.05) and viral load at the latent infection site (p=0.007).¡± ÔÚ½ñÄêµÄÊÀ½çÉú»¯´ó»áÉÏ£¬ Õâ¼Ò¹«Ë¾¹«²¼ÁËÔÚÖíÉíÉÏʵÑéµÄËùÓÐÊý¾Ý¡£ ÒÔ¼°ÔÚºÄ×ÓÉíÉϵÄÊÔÑé½á¹û¡£ Êý¾ÝÏÔʾ³¹µ×±»ÒÖÖÆ¡£ What some consider even more exciting were the results announced a month later at the DNA Vaccines 2011 Conference. According to Sean M. Sullivan, Ph.D., Vical's Executive Director of Pharmaceutical Sciences, °ËÔµĴó»áÕâ¼Ò¹«Ë¾µÄÀϰåÓÖÐû²¼Á˺ÃÏûÏ¢¡£ ÓÃÁËÕâ¸öÒßÃç¸ù±¾²»»á¸´·¢£¬ ÔÚÖíÉíÉÏÏÔʾ³É¹¦ ¡°[A] Vaxfectin®-formulated trivalent therapeutic version of the vaccine ¡ significantly reduced (p<0.05) the recurrence of lesions in guinea pigs with latent infection as well as viral shedding.¡± In addition ¡°¡ a 0.1 µg dose of the prophylactic vaccine provided 100% protection of mice against challenge with 50 times a lethal dose, and a 100 µg dose of the prophylactic vaccine provided 100% protection of mice against challenge with 500 times a lethal dose. The 100 µg dose of the prophylactic vaccine also significantly reduced viral shedding at the primary infection site (p<0.001) and inhibited viral counts at the latent infection site (pd0.05). Both the monovalent and trivalent vaccines completely eliminated primary disease and recurrent disease in a prophylactic guinea pig model.¡± To say these results are significant is understatement. However, whether or not Vical can achieve equally compelling results in the clinic with human subjects obviously is the key question, and one for which both the medical and financial communities await an answer. After all, according to Vical, estimated direct costs of treating HSV-2 in the United States alone are close to $1 billion annually, primarily for drugs and outpatient medical care, plus additional indirect costs of more than $200 million. If the company is successful in developing an FDA-approved HSV-2 vaccine formulated with its Vaxfectin® adjuvant, the revenues in the US alone would push VICL into biotech¡¯s major leagues. ÖíÉíÉϳɹ¦Á˲»ÄÜ˵Ã÷ÎÊÌ⣬ ÈËÉíÉϳɹ¦²ÅÊǹؼü¡£ ÿһÄêÔÚÃÀguoÔÚ¶þÐÍðåÕîÉϵIJ¡ÈËÂòÒ©Ïû·Ñ´ïµ½Ê®ÒÚÃÀ½ð¡£ »¹ÓнüÁ½ÒÚÃÀ½ðµÄ¼ä½ÓÏû·Ñ¡£ Èç¹ûÕâ¼Ò¹«Ë¾³É¹¦°Ñ´ËÒ©ÍÆÏòÊг¡ ÄǹâÊÇÃÀguoµÄÓªÒµ¶î¾ÍÊÇÒ»¸öÌìÎÄÊý×ÖÁ˰ɡ£ £¨Èç¹ûÄļҹ«Ë¾ÔÚÕâ¸÷·½Ãæ³É¹¦Äǽ«ÊÇ´´ÔìÉñ»°£¬ ²»¹âÊÇÓ¡³®»úÁË£© ¡± ÎÒµÄÎÊÌâÊÇ£¬ÈËÌåÊÔÑé³É¹¦¿ÉÄÜÐÔÊDz»ÊÇÈÔÈ»ºÜСÁУ¿ ¶ÔÓÚÒ©ÎïÑз¢£¬ÊDz»ÊÇ´ó¶àÊýÊÇÔÚÈËÌåÊÔÑé½×¶Îʧ°ÜµÄ°¡£¿ лл£¡ |
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