Hutchings Claire L, Birkett Ashley J, Moore Anne C, Hill Adrian V S
Wellcome Trust Centre for Human Genetics, University of Oxford, Roosevelt Drive, Oxford OX3 7BN, United Kingdom.
Infect Immun. 2007 Dec;75(12):5819-26. doi: 10.1128/IAI.00828-07. Epub 2007 Oct 1.
The search for an efficacious vaccine against malaria is ongoing, and it is now widely believed that to confer protection a vaccine must induce very strong cellular and humoral immunity concurrently. We studied the immune response in mice immunized with the recombinant viral vaccines fowlpox strain FP9 and modified virus Ankara (MVA), a protein vaccine (CV-1866), or a combination of the two; all vaccines express parts of the same preerythrocytic malaria antigen, the Plasmodium berghei circumsporozoite protein (CSP). Mice were then challenged with P. berghei sporozoites to determine the protective efficacies of different vaccine regimens. Two immunizations with the protein vaccine CV-1866, based on the hepatitis B core antigen particle, induced strong humoral immunity to the repeat region of CSP that was weakly protective against sporozoite challenge. Prime-boost with the viral vector vaccines, FP9 followed by MVA, induced strong T-cell immunity to the CD8+ epitope Pb9 and partially protected animals from challenge. Physically mixing CV-1866 with FP9 or MVA and then immunizing with the resultant combinations in a prime-boost regimen induced both cellular and humoral immunity and afforded substantially higher levels of protection (combination, 90%) than either vaccine alone (CV-1866, 12%; FP9/MVA, 37%). For diseases such as malaria in which different potent immune responses are required to protect against different stages, using combinations of partially effective vaccines may offer a more rapid route to achieving deployable levels of efficacy than individual vaccine strategies.
针对疟疾的有效疫苗的研究仍在进行中,目前人们普遍认为,一种疫苗若要提供保护,必须同时诱导非常强烈的细胞免疫和体液免疫。我们研究了用重组病毒疫苗禽痘病毒株FP9和改良安卡拉病毒(MVA)、一种蛋白疫苗(CV - 1866)或两者组合免疫的小鼠的免疫反应;所有疫苗均表达相同的疟原虫前体红细胞期疟疾抗原——伯氏疟原虫环子孢子蛋白(CSP)的部分片段。然后用伯氏疟原虫子孢子攻击小鼠,以确定不同疫苗接种方案的保护效果。基于乙肝核心抗原颗粒的蛋白疫苗CV - 1866进行两次免疫接种,可诱导对CSP重复区域的强烈体液免疫,对孢子体攻击的保护作用较弱。用病毒载体疫苗进行初免 - 加强免疫,即先接种FP9再接种MVA,可诱导对CD8 + 表位Pb9的强烈T细胞免疫,并部分保护动物免受攻击。将CV - 1866与FP9或MVA物理混合,然后以初免 - 加强免疫方案接种所得组合疫苗,可同时诱导细胞免疫和体液免疫,并提供比单独使用任何一种疫苗(CV - 1866,12%;FP9/MVA,37%)高得多的保护水平(组合疫苗,90%)。对于像疟疾这样需要不同有效免疫反应来抵御不同阶段感染的疾病,使用部分有效疫苗的组合可能比单一疫苗策略提供一条更快达到可部署有效水平的途径。
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