Yasuda Yoko, Isaka Masanori, Taniguchi Tooru, Zhao Yanqiu, Matano Keiko, Matsui Hideyuki, Morokuma Kazunori, Maeyama Jun-ichi, Ohkuma Kunio, Goto Norihisa, Tochikubo Kunio
Department of Microbiology, Nagoya City University Medical School, Mizuho-ku, Nagoya 467-8601, Japan.
Vaccine. 2003 Jun 20;21(21-22):2954-63. doi: 10.1016/s0264-410x(03)00114-2.
Vaccination via a mucosal route is a very attractive means for immunization, because both local and systemic immune responses are inducible and vaccines can be administered easily and safely from infants to elderly persons. For developing widely applicable mucosal vaccines using recombinant cholera toxin B subunit (rCTB) as a safe adjuvant, we examined whether frequent nasal administrations of rCTB-containing same and different vaccines could induce antigen-specific immune responses without induction of systemic tolerance and suppression by pre-existing anti-rCTB immunity. Ten repetitive nasal administrations to mice of tetanus toxoid (TT) + rCTB or diphtheria toxoid (DT) + rCTB raised and maintained high levels of antigen- and rCTB-specific serum IgG including high levels of tetanus/diphtheria antitoxin titres and raised nasal, salivary, lung, vaginal and fecal secreted IgA, suggesting that the regimen did not induce systemic tolerance to TT/DT and rCTB. Mice successively received repetitive five doses of TT as the first antigen and subsequent five doses of DT as the second antigen, and vice versa, raised serum IgG to the second antigen at various levels including low but sufficient protective levels of antitoxin titres and induced mucosal IgA in the lungs, the vaginas and feces, but hardly in the nasal secretions and salivas. After an interval of 22 weeks between the dosage of the first and second antigens, mice induced serum IgG to the second antigen at high levels and mucosal IgA in all sites. In conclusion, anti-TT and -DT serum and mucosal antibody responses induced by repeated intranasal immunization using rCTB adjuvant lasted for a long period, and for improving the effectivity of vaccination, different rCTB-containing vaccines should be administered at appropriate intervals.
通过黏膜途径接种疫苗是一种非常有吸引力的免疫方式,因为它既能诱导局部免疫反应,又能诱导全身免疫反应,而且从婴儿到老年人都可以轻松、安全地接种疫苗。为了开发以重组霍乱毒素B亚单位(rCTB)作为安全佐剂的广泛适用的黏膜疫苗,我们研究了频繁经鼻给予含rCTB的相同和不同疫苗是否能诱导抗原特异性免疫反应,而不会因预先存在的抗rCTB免疫而诱导全身耐受性和抑制作用。对小鼠进行十次重复经鼻给予破伤风类毒素(TT)+rCTB或白喉类毒素(DT)+rCTB,可提高并维持高水平的抗原特异性和rCTB特异性血清IgG,包括高水平的破伤风/白喉抗毒素滴度,并提高鼻、唾液、肺、阴道和粪便中的分泌型IgA,这表明该方案不会诱导对TT/DT和rCTB的全身耐受性。小鼠先连续接受五剂TT作为第一种抗原,随后接受五剂DT作为第二种抗原,反之亦然,可使血清IgG对第二种抗原达到不同水平,包括低但足以产生保护作用的抗毒素滴度,并在肺、阴道和粪便中诱导黏膜IgA,但在鼻分泌物和唾液中几乎没有诱导。在第一种和第二种抗原给药间隔22周后,小鼠诱导血清IgG对第二种抗原达到高水平,并在所有部位诱导黏膜IgA。总之,使用rCTB佐剂经鼻重复免疫诱导的抗TT和抗DT血清及黏膜抗体反应持续时间较长,为提高疫苗接种效果,应在适当间隔给予不同的含rCTB疫苗。