Haller Aurelia A, Mitiku Misrach, MacPhail Mia
MedImmune Vaccines Inc., 297 North Bernardo Avenue, Mountain View, CA 94043, USA.
J Gen Virol. 2003 Aug;84(Pt 8):2153-2162. doi: 10.1099/vir.0.19079-0.
Parainfluenza virus type 3 (PIV3) and respiratory syncytial virus (RSV) are the main causes of ubiquitous acute respiratory diseases of infancy and early childhood, causing 20-25 % of pneumonia and 45-50 % of bronchiolitis in hospitalized children. The primary goal of this study was to create an effective and safe RSV vaccine based on utilizing attenuated bovine PIV3 (bPIV3) as a virus vector backbone. bPIV3 had been evaluated in human clinical trials and was shown to be attenuated and immunogenic in children as young as 2 months of age. The ability of bPIV3 to function as a virus vaccine vector was explored further by introducing the RSV attachment (G) and fusion (F) genes into the bPIV3 RNA genome. The resulting virus, bPIV3/RSV(I), contained an insert of 2900 nt, comprising two translationally competent transcription units. Despite this increase in genetic material, the virus replicated to high titres in Vero cells. This recombinant virus expressed the RSV G and F proteins sufficiently to evoke a protective immune response in hamsters upon challenge with RSV or human PIV3 and to elicit RSV neutralizing and PIV3 haemagglutinin inhibition serum antibodies. In effect, a bivalent vaccine was produced that could protect vaccinees from RSV as well as PIV3. Such a vaccine would vastly reduce the respiratory disease burden, the associated hospitalization costs and, most importantly, decrease morbidity and mortality of infants, immunocompromised individuals and the elderly.
3型副流感病毒(PIV3)和呼吸道合胞病毒(RSV)是婴幼儿普遍发生的急性呼吸道疾病的主要病因,在住院儿童中导致20%-25%的肺炎和45%-50%的细支气管炎。本研究的主要目标是利用减毒牛PIV3(bPIV3)作为病毒载体主干,研发一种有效且安全的RSV疫苗。bPIV3已在人体临床试验中进行了评估,结果表明其在2个月大的儿童中具有减毒和免疫原性。通过将RSV附着(G)和融合(F)基因引入bPIV3 RNA基因组,进一步探索了bPIV3作为病毒疫苗载体的功能。产生的病毒bPIV3/RSV(I)含有一个2900 nt的插入片段,包括两个具有翻译能力的转录单元。尽管遗传物质有所增加,但该病毒在Vero细胞中能高效复制。这种重组病毒充分表达了RSV G和F蛋白,在用RSV或人PIV3攻击仓鼠时能引发保护性免疫反应,并产生RSV中和抗体和PIV3血凝素抑制血清抗体。实际上,制备出了一种二价疫苗,可保护接种者免受RSV和PIV3感染。这样的疫苗将大大减轻呼吸道疾病负担、相关的住院费用,最重要的是,降低婴儿、免疫功能低下者和老年人的发病率和死亡率。