Sheets Rebecca L, Stein Judith, Bailer Robert T, Koup Richard A, Andrews Charla, Nason Martha, He Bin, Koo Edward, Trotter Holly, Duffy Chris, Manetz T Scott, Gomez Phillip
Vaccine Research Center, NIH/NIAID, Bethesda, Maryland 20892-7628, USA.
J Immunotoxicol. 2008 Jul;5(3):315-35. doi: 10.1080/15376510802312464.
The Vaccine Research Center has developed vaccine candidates for different diseases/infectious agents (including HIV-1, Ebola, and Marburg viruses) built on an adenovirus vector platform, based on adenovirus type 5 or 35. To support clinical development of each vaccine candidate, pre-clinical studies were performed in rabbits to determine where in the body they biodistribute and how rapidly they clear, and to screen for potential toxicities (intrinsic and immunotoxicities). The vaccines biodistribute only to spleen, liver (Ad5 only), and/or iliac lymph node (Ad35 only) and otherwise remain in the site of injection muscle and overlying subcutis. Though approximately 10(11) viral particles were inoculated, already by Day 9, all but 10(3) to 10(5) genome copies per mu g of DNA had cleared from the injection site muscle. By three months, the adenovector was cleared with, at most, a few animals retaining a small number of copies in the injection site, spleen (Ad5), or iliac lymph node (Ad35). This pattern of limited biodistribution and extensive clearance is consistent regardless of differences in adenovector type (Ad5 or 35), manufacturer's construct and production methods, or gene-insert. Repeated dose toxicology studies identified treatment-related toxicities confined primarily to the sites of injection, in certain clinical pathology parameters, and in body temperatures (Ad5 vectors) and food consumption immediately post-inoculation. Systemic reactogenicity and reactogenicity at the sites of injection demonstrated reversibility. These data demonstrate the safety and suitability for investigational human use of Ad5 or Ad35 adenovector-based vaccine candidates at doses of up to 2 x 10(11) given intramuscularly to prevent various infectious diseases.
疫苗研究中心基于5型或35型腺病毒,在腺病毒载体平台上开发了针对不同疾病/感染因子(包括HIV-1、埃博拉病毒和马尔堡病毒)的候选疫苗。为支持每种候选疫苗的临床开发,在兔子身上进行了临床前研究,以确定它们在体内的生物分布位置、清除速度,并筛选潜在毒性(内在毒性和免疫毒性)。这些疫苗仅在脾脏、肝脏(仅Ad5载体)和/或髂淋巴结(仅Ad35载体)中生物分布,否则会留在注射部位的肌肉和覆盖的皮下组织中。尽管接种了约10¹¹个病毒颗粒,但到第9天,每微克DNA中除了10³至10⁵个基因组拷贝外,其余的都已从注射部位的肌肉中清除。到三个月时,腺病毒载体已被清除,最多只有少数动物在注射部位、脾脏(Ad5载体)或髂淋巴结(Ad35载体)中保留少量拷贝。无论腺病毒载体类型(Ad5或Ad35)、制造商的构建体和生产方法或基因插入物有何差异,这种有限的生物分布和广泛清除的模式都是一致的。重复剂量毒理学研究确定,与治疗相关的毒性主要局限于注射部位、某些临床病理参数以及接种后立即出现的体温(Ad5载体)和食物摄入量方面。注射部位的全身反应原性和反应原性表现出可逆性。这些数据证明了以Ad5或Ad35腺病毒载体为基础的候选疫苗,在肌肉注射高达2×10¹¹剂量以预防各种传染病时,用于人体研究的安全性和适用性。