Leiden University Medical Center, Department of Infectious Diseases, Leiden, The Netherlands.
Vaccine. 2010 Apr 30;28(20):3571-81. doi: 10.1016/j.vaccine.2010.02.094. Epub 2010 Mar 11.
Though widely used, the BCG vaccine has had little apparent effect on rates of adult pulmonary tuberculosis. Moreover, the risk of disseminated BCG disease in immunocompromised individuals means that improved TB vaccines ideally need to be able to efficiently prime mycobacterially-naïve individuals as well as boost individuals previously vaccinated with BCG. Protective immunity against Mycobacterium tuberculosis is thought to depend on the generation of a Th1-type cellular immune response characterized by interferon-gamma (IFN-gamma) production. In the present study, we monitored safety and IFN-gamma responses in healthy TB-naïve humans receiving an entirely novel vaccine, composed of the fusion protein Ag85B-ESAT-6, administered at 0 and 2 months either as recombinant protein alone or combined with two concentrations of the novel adjuvant IC31. Vaccination did not cause local or systemic adverse effects besides transient soreness at the injection site, but it elicited strong antigen-specific T cell responses against H1 and both the Ag85B and the ESAT-6 components. These strong responses persisted through 2.5 years of follow-up, indicating the induction of a substantial memory response in the vaccine recipients.
尽管卡介苗(BCG)疫苗被广泛应用,但它对成人肺结核的发病率几乎没有明显影响。此外,由于免疫功能低下者存在播散性卡介苗病的风险,因此改良的结核疫苗理想情况下需要能够有效地为初次感染分枝杆菌的个体以及先前接种过卡介苗的个体提供免疫。针对结核分枝杆菌的保护性免疫被认为依赖于 Th1 型细胞免疫应答的产生,其特征是产生干扰素-γ(IFN-γ)。在本研究中,我们监测了健康的结核初治人群在接受新型疫苗(由融合蛋白 Ag85B-ESAT-6 组成)时的安全性和 IFN-γ 应答,该疫苗在 0 月和 2 月时单独使用重组蛋白或与两种浓度的新型佐剂 IC31 联合使用。除了注射部位短暂的疼痛外,疫苗接种没有引起局部或全身不良反应,但它能诱导针对 H1 以及 Ag85B 和 ESAT-6 成分的强烈的抗原特异性 T 细胞应答。这些强烈的应答持续了 2.5 年的随访期,表明疫苗接种者诱导了实质性的记忆应答。
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