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模拟人乳头瘤病毒(HPV)16型预防性疫苗的长期抗体反应。

Modeling the long-term antibody response of a human papillomavirus (HPV) virus-like particle (VLP) type 16 prophylactic vaccine.

作者信息

Fraser Christophe, Tomassini Joanne E, Xi Liwen, Golm Greg, Watson Michael, Giuliano Anna R, Barr Eliav, Ault Kevin A

机构信息

Imperial College London, London, UK.

出版信息

Vaccine. 2007 May 22;25(21):4324-33. doi: 10.1016/j.vaccine.2007.02.069. Epub 2007 Mar 12.

DOI:10.1016/j.vaccine.2007.02.069
PMID:17445955
Abstract

The duration over which antibody responses persist following HPV vaccination is unknown. To estimate the longevity of responses induced by HPV-16 vaccination, two models were fitted to serum anti-HPV-16 levels measured during a 48-month study period. The first was a conventional model of antibody decay and the second was a modified model that accounts for long-lived immune memory. Using the antibody decay model, it was estimated that following administration of a three-dose regimen of HPV-16 vaccine in women aged 16-23 years, anti-HPV-16 levels will remain above those induced naturally by HPV-16 infection for 12 years, and above detectable levels for 32 years in 50% of vaccinees. With the modified model, which fitted the data better (p<0.001), it was estimated that near life-long persistence of anti-HPV-16 following vaccination is expected at titer levels above those associated with reduction of natural HPV-16 infection in 76% of these subjects, and above detectable levels in 99% of these subjects.

摘要

人乳头瘤病毒(HPV)疫苗接种后抗体反应持续的时长尚不清楚。为了评估HPV-16疫苗接种所诱导反应的持续时间,对在一项为期48个月的研究期间所测得的血清抗HPV-16水平拟合了两种模型。第一种是抗体衰减的传统模型,第二种是考虑了长期免疫记忆的改良模型。使用抗体衰减模型估计,在16至23岁女性中接种三剂次HPV-16疫苗后,抗HPV-16水平在12年内将维持在高于HPV-16自然感染所诱导的水平之上,并且在50%的接种者中,32年内将维持在可检测水平之上。使用拟合数据效果更佳(p<0.001)的改良模型估计,预计在76%的此类受试者中,接种疫苗后抗HPV-16在高于与减少自然HPV-16感染相关滴度水平时将近乎终生持续存在,在99%的此类受试者中,将维持在可检测水平之上。

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