Global Research and Development, Baxter BioScience, Vienna, Austria.
PLoS One. 2010 Feb 23;5(2):e9349. doi: 10.1371/journal.pone.0009349.
The recent emergence and rapid spread of a novel swine-derived H1N1 influenza virus has resulted in the first influenza pandemic of this century. Monovalent vaccines have undergone preclinical and clinical development prior to initiation of mass immunization campaigns. We have carried out a series of immunogenicity and protection studies following active immunization of mice, which indicate that a whole virus, nonadjuvanted vaccine is immunogenic at low doses and protects against live virus challenge. The immunogenicity in this model was comparable to that of a whole virus H5N1 vaccine, which had previously been demonstrated to induce high levels of seroprotection in clinical studies. The efficacy of the H1N1 pandemic vaccine in protecting against live virus challenge was also seen to be equivalent to that of the H5N1 vaccine. The protective efficacy of the H1N1 vaccine was also confirmed using a severe combined immunodeficient (SCID) mouse model. It was demonstrated that mouse and guinea pig immune sera elicited following active H1N1 vaccination resulted in 100% protection of SCID mice following passive transfer of immune sera and lethal challenge. The immune responses to a whole virus pandemic H1N1 and a split seasonal H1N1 vaccine were also compared in this study. It was demonstrated that the whole virus vaccine induced a balanced Th-1 and Th-2 response in mice, whereas the split vaccine induced mainly a Th-2 response and only minimal levels of Th-1 responses. These data supported the initiation of clinical studies with the same low doses of whole virus vaccine that had previously been demonstrated to be immunogenic in clinical studies with a whole virus H5N1 vaccine.
新型猪源 H1N1 流感病毒的近期出现和迅速传播导致了本世纪的首次流感大流行。单价疫苗在大规模免疫接种活动开始前已经经过了临床前和临床开发。我们在对小鼠进行主动免疫后进行了一系列的免疫原性和保护研究,结果表明,未经佐剂的全病毒疫苗在低剂量下具有免疫原性,并能预防活病毒的攻击。该模型中的免疫原性与先前已证明在临床研究中能诱导高水平血清保护的全病毒 H5N1 疫苗相当。H1N1 大流行疫苗在预防活病毒攻击方面的疗效也与 H5N1 疫苗相当。使用严重联合免疫缺陷(SCID)小鼠模型也证实了 H1N1 疫苗的保护效果。实验表明,在主动 H1N1 免疫接种后产生的小鼠和豚鼠免疫血清,在被动转移免疫血清和致死性攻击后,能使 SCID 小鼠得到 100%的保护。本研究还比较了全病毒大流行 H1N1 疫苗和季节性 H1N1 疫苗的免疫反应。结果表明,全病毒疫苗在小鼠中诱导了平衡的 Th1 和 Th2 反应,而分裂疫苗主要诱导了 Th2 反应,仅产生最低水平的 Th1 反应。这些数据支持了以相同的低剂量全病毒疫苗开始临床研究的提议,此前的研究已经证明,全病毒 H5N1 疫苗的临床研究中具有免疫原性。