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[接种俄罗斯腮腺炎疫苗的儿童和青少年体内的病毒株特异性血清中和抗体]

[Virus strain specific serum neutralizing antibodies in children and adolescents immunized with a Russian mumps vaccine].

作者信息

Otrashevskaia E V, Krasil'nikov I V, Ignat'ev G M

出版信息

Vopr Virusol. 2010 Nov-Dec;55(6):15-9.

Abstract

Postvaccination immunity was studied in the children and teenagers without a history of clinical mumps infection, who had been immunized with the Leningrad-3 mumps vaccine. The level of specific lgG in ELISA and that and spectrum of their neutralizing activity against a vaccine strain and three heterologous mumps virus (MV) strains (genotypes A, C, and H) were measured. The investigation included 151 sera from the vaccinees aged 3 to 17 years, possessing the detectable specific IgG titers in ELISA and the detectable neutralizing titers against the vaccine strain. 97.4% of the vaccinees had neutralizing activity against 1-3 heterologous MV strains. A preponderance of neutralizing titers against heterologous MV strains by 1-log2 in some sera (6.5-32.5 depending on age) was most likely to suggest that the vaccinees' had been in contact with these virus strains in the past. In our investigation, a combination of positive IgG titers and neutralizing titers against the vaccine strain 2-log2 or higher provided the protection of the vaccinated children and teenagers against the symptomatic infection. There was a pronounced buster effect of the second immunization and a drop in the neutralizing activity of the sera from the vaccinated children and adolescents over time after the first and second immunization.

摘要

对未曾有过临床腮腺炎感染史、接种过列宁格勒-3腮腺炎疫苗的儿童和青少年进行了接种后免疫研究。检测了酶联免疫吸附测定(ELISA)中特异性IgG的水平及其针对疫苗株和三种异源腮腺炎病毒(MV)株(A、C和H基因型)的中和活性谱。该研究纳入了151份来自3至17岁接种者的血清,这些血清在ELISA中具有可检测到的特异性IgG滴度以及针对疫苗株的可检测到的中和滴度。97.4%的接种者对1至3种异源MV株具有中和活性。在一些血清中(根据年龄不同,中和滴度比异源MV株高1-log2,即6.5-32.5),这很可能表明接种者过去曾接触过这些病毒株。在我们的研究中,针对疫苗株的IgG滴度和中和滴度呈阳性且达到2-log2或更高,可为接种疫苗的儿童和青少年提供针对有症状感染的保护。第二次免疫有明显的增强效应,并且在第一次和第二次免疫后,接种疫苗的儿童和青少年血清的中和活性随时间下降。

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