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Original Articles
- Novel prophylactic and therapeutic multi-epitope vaccine based on Ag85A, Ag85B, ESAT-6, and CFP-10 of Mycobacterium tuberculosis using an immunoinformatics approach
- Muhammad Fikri Nugraha, Daniel Alexander Changestu, Rizky Ramadhan, Tasya Salsabila, Arsila Nurizati, Sari Eka Pratiwi, Ysrafil Ysrafil
- Osong Public Health Res Perspect. 2024;15(4):286-306. Published online July 26, 2024
- DOI: https://doi.org/10.24171/j.phrp.2024.0026
- 1,128 View
- 61 Download
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Graphical Abstract
Abstract
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- Objectives
Current tuberculosis (TB) control strategies face limitations, such as low antibiotic treatment compliance and a rise in multidrug resistance. Furthermore, the lack of a safe and effective vaccine compounds these challenges. The limited efficacy of existing vaccines against TB underscores the urgency for innovative strategies, such as immunoinformatics. Consequently, this study aimed to design a targeted multi-epitope vaccine against TB infection utilizing an immunoinformatics approach.
Methods
The multi-epitope vaccine targeted Ag85A, Ag85B, ESAT-6, and CFP-10 proteins. The design adopted various immunoinformatics tools for cytotoxic T lymphocyte (CTL), helper T lymphocyte (HTL), and linear B lymphocyte (LBL) epitope prediction, the assessment of vaccine characteristics, structure modeling, population coverage analysis, disulfide engineering, solubility prediction, molecular docking/dynamics with toll-like receptors (TLRs), codon optimization/cloning, and immune simulation.
Results
The multi-epitope vaccine, which was assembled using 12 CTL, 25 HTL, and 21 LBL epitopes associated with CpG adjuvants, showed promising characteristics. The immunoinformatics analysis confirmed the antigenicity, immunogenicity, and lack of allergenicity. Physicochemical evaluations indicated that the proteins were stable, thermostable, hydrophilic, and highly soluble. Docking simulations suggested high-affinity binding to TLRs, including TLR2, TLR4, and TLR9. In silico immune simulation predicted strong T cell (cytokine release) and B cell (immunoglobulin release) responses.
Conclusion
This immunoinformatics-designed multi-epitope vaccine targeting Ag85A, Ag85B, ESAT-6, and CFP-10 proteins showed promising characteristics in terms of stability, immunogenicity, antigenicity, solubility, and predicted induction of humoral and adaptive immune responses. This suggests its potential as a prophylactic and therapeutic vaccine against TB.
- Immunoinformatics approach for design novel multi-epitope prophylactic and therapeutic vaccine based on capsid proteins L1 and L2 and oncoproteins E6 and E7 of human papillomavirus 16 and human papillomavirus 18 against cervical cancer
- Nicholas Ryan, Sari Eka Pratiwi, Mardhia Mardhia, Ysrafil Ysrafil, Delima Fajar Liana, Mahyarudin Mahyarudin
- Osong Public Health Res Perspect. 2024;15(4):307-328. Published online July 23, 2024
- DOI: https://doi.org/10.24171/j.phrp.2024.0013
- 1,221 View
- 65 Download
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Graphical Abstract
Abstract
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- Objectives
This study aimed to identify the optimal protein construction for designing a multi-epitope vaccine with both prophylactic and therapeutic effects against cervical cancer, utilizing an immunoinformatics approach. The construction process involved using capsid epitopes L1 and L2, as well as oncoproteins E5, E6, and E7 from human papillomavirus (HPV) types 16 and 18.
Methods
An experimental in silico analysis with an immunoinformatics approach was used to develop 2 multi-epitope vaccine constructs (A and B). Further analysis was then conducted to compare the constructs and select the one with the highest potential against cervical cancer.
Results
This study produced 2 antigenic, non-allergenic, and nontoxic multi-epitope vaccine constructs (A and B), which exhibited the ideal physicochemical properties for a vaccine. Further analysis revealed that construct B effectively induced both cellular and humoral immune responses.
Conclusion
The multi-epitope vaccine construct B for HPV 16 and 18, designed for both prophylactic and therapeutic purposes, met the development criteria for a cervical cancer vaccine. However, these findings need to be validated through in vitro and in vivo experiments.
- Therapeutic Intervention for Visuo-Spatial Neglect after Stroke: A Meta-Analysis of Randomized Controlled Trials
- Jae-Sung Kwon
- Osong Public Health Res Perspect. 2018;9(2):59-65. Published online April 30, 2018
- DOI: https://doi.org/10.24171/j.phrp.2018.9.2.04
- 6,749 View
- 79 Download
- 5 Crossref
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Abstract
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Objectives The aims of this meta-analysis were to examine intervention methods of qualitatively, well-designed studies from the past 10 years for treating visuo-spatial neglect (VSN) in patients who had suffered a stroke, and to evaluate the combined effects of intervention.
Methods Studies published between 2008 and 2017 on the theme of VSN were collected from PubMed, CINAHL, and MEDLINE, representative academic databases and search engines. The PEDro scale was used for evaluating the quality of methodology. The sample size, mean, and standard deviation of identified studies were used for meta-analysis.
Results Eight studies were selected for analysis. The PEDro scores of the selected studies were ≥ 7, with 237 subjects analyzed. The results of intervention were classified into “mental function” and “activity and participation” based on the International Classification of Functioning, Disability and Health. The analyzed effect sizes for combined outcomes, mental function and, activity and participation, were 0.728 (medium effect size), 0.850 (large effect size), and 0.536 (medium effect size), respectively.
Conclusion Intervention methods for treating VSN had a short-term effect on cognitive function (visual perception). In particular, non-invasive brain stimulation therapy showed a large effect size for VSN treatment.
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Citations
Citations to this article as recorded by
- Non-pharmacological interventions for spatial neglect or inattention following stroke and other non-progressive brain injury
Verity Longley, Christine Hazelton, Calvin Heal, Alex Pollock, Kate Woodward-Nutt, Claire Mitchell, Gorana Pobric, Andy Vail, Audrey Bowen
Cochrane Database of Systematic Reviews.2021;[Epub] CrossRef - Neural Mechanisms of Spatial Attention Deficits in Trauma
Stefanie R. Russman Block, Daniel H. Weissman, Chandra Sripada, Mike Angstadt, Elizabeth R. Duval, Anthony P. King, Israel Liberzon
Biological Psychiatry: Cognitive Neuroscience and .2020; 5(10): 991. CrossRef - Updated Approach to Stroke Rehabilitation
Leroy R. Lindsay, Diane A. Thompson, Michael W. O’Dell
Medical Clinics of North America.2020; 104(2): 199. CrossRef - Implementing a Rehabilitation Protocol for Spatial Neglect Assessment and Treatment in an Acute Care Hospital
Kimberly Hreha, Peii Chen, Jennifer LaRosa, Christopher Santos, Cindy Gocon, A.M. Barrett
Journal of Acute Care Physical Therapy.2020; 11(2): 59. CrossRef - Alertness Training Improves Spatial Bias and Functional Ability in Spatial Neglect
Thomas Van Vleet, Paolo Bonato, Eric Fabara, Sawsan Dabit, Sarah‐Jane Kim, Christopher Chiu, Antonio Luigi Bisogno, Michael Merzenich, Maurizio Corbetta, Joseph DeGutis
Annals of Neurology.2020; 88(4): 747. CrossRef
- Non-pharmacological interventions for spatial neglect or inattention following stroke and other non-progressive brain injury
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