Recent advances in the development of vaccines for chronic inflammatory autoimmune diseases

Vaccine. 2018 May 31;36(23):3208-3220. doi: 10.1016/j.vaccine.2018.04.062. Epub 2018 Apr 26.

Abstract

Chronic inflammatory autoimmune diseases leading to target tissue destruction and disability are not only causing increase in patients' suffering but also contribute to huge economic burden for the society. General increase in life expectancy and high prevalence of these diseases both in elderly and younger population emphasize the importance of developing safe and effective vaccines. In this review, at first the possible mechanisms and risk factors associated with chronic inflammatory autoimmune diseases, such as rheumatoid arthritis (RA), multiple sclerosis (MS), systemic lupus erythematosus (SLE) and type 1 diabetes (T1D) are discussed. Current advances in the development of vaccines for such autoimmune diseases, particularly those based on DNA, altered peptide ligands and peptide loaded MHC II complexes are discussed in detail. Finally, strategies for improving the efficacy of potential vaccines are explored.

Keywords: Chronic inflammatory autoimmune diseases; MS; RA; SLE; TID; Vaccines.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adjuvants, Immunologic / pharmacology
  • Arthritis, Rheumatoid / etiology
  • Arthritis, Rheumatoid / prevention & control
  • Autoimmune Diseases / immunology
  • Autoimmune Diseases / prevention & control*
  • Chronic Disease
  • Diabetes Mellitus, Type 1 / etiology
  • Diabetes Mellitus, Type 1 / prevention & control
  • Epitopes
  • Female
  • Genetic Predisposition to Disease
  • Humans
  • Lupus Erythematosus, Systemic / etiology
  • Lupus Erythematosus, Systemic / prevention & control
  • Male
  • Multiple Sclerosis / etiology
  • Multiple Sclerosis / prevention & control
  • Sex Factors
  • Vaccines / administration & dosage
  • Vaccines / pharmacology*
  • Vaccines, DNA / pharmacology

Substances

  • Adjuvants, Immunologic
  • Epitopes
  • Vaccines
  • Vaccines, DNA