Hoshino Yasutaka, Jones Ronald W, Ross Jerri, Kapikian Albert Z
Epidemiology Section, Laboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892-8026, USA.
Vaccine. 2005 May 31;23(29):3791-9. doi: 10.1016/j.vaccine.2005.02.024. Epub 2005 Mar 16.
Rotavirus gastroenteritis remains the leading cause of severe diarrheal disease in infants and young children worldwide, and thus, a safe and effective rotavirus vaccine is urgently needed in both developing and developed countries. Various candidate rotavirus vaccines that were developed by us and others have been or are being evaluated in different populations in various parts of the world. We have recently confirmed that a porcine rotavirus Gottfried strain bears a P (VP4) serotype (P2B[6]) closely related to human rotavirus P serotype 2A[6] which is of epidemiologic importance in some regions of the world. Based on the modified Jennerian approach to immunization, we have constructed 11 Gottfried-based single VP7 or VP4 gene substitution reassortant vaccine candidates which could provide: (i) an attenuation phenotype of a porcine rotavirus in humans; and (ii) antigenic coverage for G serotypes 1-6 and 8-10 and P serotype 1A[8], 1B[4] and 2A[6]. In addition, following immunization of guinea pigs with Gottfried VP4, we found low but consistent levels of neutralizing antibodies to VP4 with P1A[8] or P1B[4] specificity, both of which are of global epidemiologic importance. Thus, porcine-based VP7 reassortant rotavirus vaccines may provide an advantage over rhesus- or bovine-based VP7 reassortant vaccines since the VP4s of the latter vaccines do not evoke antibodies capable of neutralizing the viruses bearing P1A[8], P1B[4] or P2A[6] VP4.
轮状病毒肠胃炎仍然是全球婴幼儿严重腹泻疾病的主要病因,因此,无论是发展中国家还是发达国家都迫切需要一种安全有效的轮状病毒疫苗。我们和其他机构研发的各种候选轮状病毒疫苗已在世界不同地区的不同人群中进行了评估或正在评估。我们最近证实,猪轮状病毒戈特弗里德株携带的P(VP4)血清型(P2B[6])与人类轮状病毒P血清型2A[6]密切相关,而2A[6]血清型在世界某些地区具有流行病学重要性。基于改良的詹纳免疫法,我们构建了11种基于戈特弗里德株的单VP7或VP4基因替换重配疫苗候选株,这些候选株可提供:(i)猪轮状病毒在人体内的减毒表型;(ii)对G血清型1-6、8-10以及P血清型1A[8]、1B[4]和2A[6]的抗原覆盖。此外,用戈特弗里德株VP4免疫豚鼠后,我们发现针对具有P1A[8]或P1B[4]特异性的VP4产生了低水平但持续的中和抗体,这两种特异性在全球流行病学中都具有重要意义。因此,基于猪的VP7重配轮状病毒疫苗可能比基于恒河猴或牛的VP7重配疫苗具有优势,因为后一种疫苗的VP4不能诱导产生能够中和携带P1A[8]、P1B[4]或P2A[6] VP4的病毒的抗体。