Huang Joanne, D'Souza Ajit J, Alarcon Jason B, Mikszta John A, Ford Brandi M, Ferriter Matthew S, Evans Michelle, Stewart Todd, Amemiya Kei, Ulrich Robert G, Sullivan Vincent J
BD Technologies, North Carolina 27709, USA.
Clin Vaccine Immunol. 2009 May;16(5):719-25. doi: 10.1128/CVI.00447-08. Epub 2009 Mar 4.
The potential use of Yersinia pestis as a bioterror agent is a great concern. Development of a stable powder vaccine against Y. pestis and administration of the vaccine by minimally invasive methods could provide an alternative to the traditional liquid formulation and intramuscular injection. We evaluated a spray-freeze-dried powder vaccine containing a recombinant F1-V fusion protein of Y. pestis for vaccination against plaque in a mouse model. Mice were immunized with reconstituted spray-freeze-dried F1-V powder via intramuscular injection, microneedle-based intradermal delivery, or noninvasive intranasal administration. By intramuscular injection, the reconstituted powder induced serum antibody responses and provided protection against lethal subcutaneous challenge with 1,000 50% lethal doses of Y. pestis at levels equivalent to those elicited by unprocessed liquid formulations (70 to 90% protection). The feasibility of intradermal and intranasal delivery of reconstituted powder F1-V vaccine was also demonstrated. Overall, microneedle-based intradermal delivery was shown to be similar in efficacy to intramuscular injection, while intranasal administration required an extra dose of vaccine to achieve similar protection. In addition, the results suggest that seroconversion against F1 may be a better predictor of protection against Y. pestis challenge than seroconversion against either F1-V or V. In summary, we demonstrate the preclinical feasibility of using a reconstituted powder F1-V formulation and microneedle-based intradermal delivery to provide protective immunity against plague in a mouse model. Intranasal delivery, while feasible, was less effective than injection in this study. The potential use of these alternative delivery methods and a powder vaccine formulation may result in substantial health and economic benefits.
鼠疫耶尔森菌作为生物恐怖制剂的潜在用途备受关注。研发一种针对鼠疫耶尔森菌的稳定粉末疫苗,并通过微创方法进行疫苗接种,可为传统液体制剂和肌肉注射提供替代方案。我们评估了一种含有鼠疫耶尔森菌重组F1-V融合蛋白的喷雾冷冻干燥粉末疫苗,用于在小鼠模型中预防鼠疫。通过肌肉注射、基于微针的皮内给药或无创鼻内给药,用重构的喷雾冷冻干燥F1-V粉末对小鼠进行免疫。通过肌肉注射,重构粉末诱导了血清抗体反应,并在相当于未处理液体制剂引发的水平下(70%至90%的保护率),对1000个50%致死剂量的鼠疫耶尔森菌致死性皮下攻击提供了保护。还证明了重构粉末F1-V疫苗皮内和鼻内给药的可行性。总体而言,基于微针的皮内给药在疗效上与肌肉注射相似,而鼻内给药需要额外剂量的疫苗才能实现类似的保护。此外,结果表明,针对F1的血清转化可能比针对F1-V或V二者之一的血清转化更能预测对鼠疫耶尔森菌攻击的保护作用。总之,我们证明了在小鼠模型中使用重构粉末F1-V制剂和基于微针的皮内给药来提供针对鼠疫的保护性免疫的临床前可行性。在本研究中,鼻内给药虽然可行,但不如注射有效。这些替代给药方法和粉末疫苗制剂的潜在用途可能会带来巨大的健康和经济效益。