Rubin Steven A, Qi Li, Audet Susette A, Sullivan Bradley, Carbone Kathryn M, Bellini William J, Rota Paul A, Sirota Lev, Beeler Judy
Division of Viral Products, Center for Biologics Evaluation and Research, United States Food and Drug Administration, Bethesda, Maryland 20892, USA.
J Infect Dis. 2008 Aug 15;198(4):508-15. doi: 10.1086/590115.
Recent mumps outbreaks in older vaccinated populations were caused primarily by genotype G viruses, which are phylogenetically distinct from the genotype A vaccine strains used in the countries affected by the outbreaks. This finding suggests that genotype A vaccine strains could have reduced efficacy against heterologous mumps viruses. The remote history of vaccination also suggests that waning immunity could have contributed to susceptibility. To examine these issues, we obtained consecutive serum samples from children at different intervals after vaccination and assayed the ability of these samples to neutralize the genotype A Jeryl Lynn mumps virus vaccine strain and a genotype G wild-type virus obtained during the mumps outbreak that occurred in the United States in 2006. Although the geometric mean neutralizing antibody titers against the genotype G virus were approximately one-half the titers measured against the vaccine strain, and although titers to both viruses decreased with time after vaccination, antibody induced by immunization with the Jeryl Lynn mumps vaccine strain effectively neutralized the outbreak-associated virus at all time points tested.
近期在已接种疫苗的大龄人群中爆发的腮腺炎主要由G基因型病毒引起,这些病毒在系统发育上与受疫情影响国家所使用的A基因型疫苗株不同。这一发现表明,A基因型疫苗株对异源腮腺炎病毒的效力可能有所降低。疫苗接种的时间间隔较长也表明免疫力下降可能导致了易感性。为了研究这些问题,我们在接种疫苗后的不同时间间隔从儿童中获取连续的血清样本,并检测这些样本中和A基因型杰里尔·林恩腮腺炎病毒疫苗株以及一株在2006年美国腮腺炎疫情期间分离得到的G基因型野生型病毒的能力。尽管针对G基因型病毒的几何平均中和抗体滴度约为针对疫苗株所测滴度的一半,并且针对两种病毒的滴度在接种疫苗后均随时间下降,但用杰里尔·林恩腮腺炎疫苗株免疫诱导产生的抗体在所有测试时间点均能有效中和与疫情相关的病毒。