Kürsteiner O, Moser C, Lazar H, Durrer P
Berna Biotech Ltd., Rehhagstrasse 79, CH-3018 Bern, Switzerland.
Vaccine. 2006 Nov 10;24(44-46):6632-5. doi: 10.1016/j.vaccine.2006.05.084. Epub 2006 Jun 12.
The antigen used in influenza vaccines is directly derived from influenza viruses. It is produced in embryonated chicken eggs for both inactivated and live attenuated influenza vaccines. As a consequence, all influenza vaccines contain varying amounts of residual egg proteins, depending on the specific manufacturing process of the vaccine. The degree of purity of influenza vaccines can be assessed by quantifying the total amount of protein in relation to the amount of specific antigen. Alternatively, ovalbumin can be used as surrogate marker, representing the amount of egg-derived proteins present in the vaccine. Egg proteins, such as ovalbumin, are classified as sensitising agents. Their presence in a vaccine may be linked to adverse reactions. Such a vaccine is not suitable for subjects with a known history of egg-allergy. This population is currently excluded from influenza vaccination programs. Influenza vaccines are intended for annual re-immunisation. This repeated administration may lead to an immunity against ovalbumin and other egg proteins, which in turn may provoke increased local and systemic reactions and a reduced tolerability profile of the product. Comparing several influenza vaccines present on the market, ELISA and Western blot analysis showed clearly a very low level of ovalbumin in Inflexal V. Furthermore, data showed, that Inflexal V is the influenza vaccine with the lowest ovalbumin content.
流感疫苗中使用的抗原直接来源于流感病毒。灭活流感疫苗和减毒活流感疫苗均在鸡胚中生产。因此,所有流感疫苗都含有不同量的残留鸡蛋蛋白,这取决于疫苗的具体生产工艺。流感疫苗的纯度可通过量化总蛋白量与特定抗原量的关系来评估。或者,卵清蛋白可作为替代标志物,代表疫苗中存在的鸡蛋衍生蛋白的量。鸡蛋蛋白,如卵清蛋白,被归类为致敏剂。它们在疫苗中的存在可能与不良反应有关。这种疫苗不适用于有已知鸡蛋过敏史的人群。目前该人群被排除在流感疫苗接种计划之外。流感疫苗旨在每年重新接种。这种重复接种可能导致对卵清蛋白和其他鸡蛋蛋白产生免疫,进而可能引发局部和全身反应增加以及产品耐受性降低。通过对市场上几种流感疫苗进行比较,酶联免疫吸附测定(ELISA)和蛋白质印迹分析清楚地表明,英孚飒(Inflexal V)中的卵清蛋白水平非常低。此外,数据显示,英孚飒是卵清蛋白含量最低的流感疫苗。