Berthold Inge, Pombo Maria-Luz, Wagner Leslie, Arciniega Juan L
Center for Biologics Evaluation and Research, US FDA, CBER/DBPAP [HFM-443], 1401 Rockville Pike, Rockville, MD 20852, USA.
Vaccine. 2005 Mar 14;23(16):1993-9. doi: 10.1016/j.vaccine.2004.10.014.
The only US-licensed anthrax vaccine for human use, as well as several experimental vaccines containing solely purified recombinant protective antigen (rPA), are formulated using aluminum hydroxide (Al(OH)3) as an adjuvant. It has been suggested that effective adjuvanticity of aluminum salts for protein antigens depends, at least partially, on the degree of adsorption of the antigen to the adjuvant. On the other hand, the ease of antigen desorption from the adjuvant in a quantitative fashion may facilitate the assessment of vaccine characteristics in the laboratory. In this regard, aluminum phosphate (AlPO4), although deemed a "weaker" adjuvant than Al(OH)3, appears superior to the latter. To investigate the possibility of formulating rPA vaccines with AlPO4, as well as the significance of the adsorption of this antigen to the aluminum salt for adjuvanticity, we studied the effect of AlPO4 and Al(OH)3 on the induction of anti-rPA antibodies in mice. In a first immunization experiment the adjuvanticity of AlPO4 combined with rPA was examined. Antibodies against rPA were measured using an ELISA. Results indicated that AlPO4 is able to significantly increase the antibody response to rPA, irrespective of its degree of adsorption to the adjuvant. Based on these results, in a second experiment mice were immunized twice, with different formulations of rPA containing either AlPO4 or Al(OH)3, and rPA-antibodies were measured using ELISA and an in vitro toxin neutralization assay. Comparable immune responses to rPA were obtained with both aluminum salts. Additionally, results with AlPO4 as adjuvant confirmed that, in this mouse model, binding of the protein to the adjuvant is not essential for adjuvanticity, whereas the amount of adjuvant has an influence on the antibody response induced.
美国唯一获得许可用于人类的炭疽疫苗,以及几种仅含有纯化重组保护性抗原(rPA)的实验性疫苗,都使用氢氧化铝(Al(OH)3)作为佐剂来配制。有人提出,铝盐对蛋白质抗原的有效佐剂活性至少部分取决于抗原与佐剂的吸附程度。另一方面,以定量方式使抗原从佐剂中解吸的难易程度可能有助于在实验室评估疫苗特性。在这方面,磷酸铝(AlPO4)虽然被认为是比Al(OH)3“较弱”的佐剂,但似乎优于后者。为了研究用AlPO4配制rPA疫苗的可能性,以及这种抗原与铝盐的吸附对佐剂活性的重要性,我们研究了AlPO4和Al(OH)3对小鼠抗rPA抗体诱导的影响。在首次免疫实验中,检测了AlPO4与rPA联合使用时的佐剂活性。使用酶联免疫吸附测定(ELISA)检测抗rPA抗体。结果表明,AlPO4能够显著增加对rPA的抗体反应,而不论其对佐剂的吸附程度如何。基于这些结果,在第二次实验中,用含有AlPO4或Al(OH)3的不同rPA制剂对小鼠进行两次免疫,并使用ELISA和体外毒素中和试验检测rPA抗体。两种铝盐都获得了对rPA相当的免疫反应。此外,以AlPO4作为佐剂的结果证实,在这个小鼠模型中,蛋白质与佐剂的结合对于佐剂活性并非必不可少,而佐剂的量会影响诱导的抗体反应。