Novavax, Inc., 9920 Belward Campus Drive, Rockville, MD 20850, USA.
Vaccine. 2013 Sep 13;31(40):4305-13. doi: 10.1016/j.vaccine.2013.07.043. Epub 2013 Jul 26.
The recent emergence of severe human illness caused by avian-origin influenza A(H7N9) viruses in China has precipitated a global effort to rapidly develop and test vaccine candidates. To date, non-A(H7N9) H7 subtype influenza vaccine candidates have been poorly immunogenic and difficulties in production of A(H7N9) virus seed strains have been encountered. A candidate recombinant A(H7N9) vaccine consisting of full length, unmodified hemagglutinin (HA) and neuraminidase (NA) from the A/Anhui/1/2013 and the matrix 1 (M1) protein from the A/Indonesia/05/2005 (H5N1) were cloned into a baculovirus vector. Baculovirus infected Spodoptera frugiperda (Sf9) insect cells secreted virus like particles (VLP) composed of HA, NA, and M1 that resemble mature influenza virions. Genetic construction of vaccine from acquisition of an H7N9 genomic sequence to production of A(H7N9) VLP occurred in 26 days. The immunogenicity and efficacy of A/Anhui/1/2013 (H7N9) VLP vaccine administered on days 0 and 14 were evaluated in a lethal wild-type challenge Balb/c mouse model. Control groups included a non-homologous H7 vaccine (A/chicken/Jalisco/CPA1/2012 (H7N3)-VLP), and A/Indonesia/05/2005 (H5N1)-VLP, or placebo. All vaccines were administered with or without ISCOMATRIX. A(H7N9) VLP elicited hemagglutination-inhibition (HAI) antibody titers of ≥ 1:64 against the homologous virus, cross-reactive HAI against the heterologous A(H7N3), and 3- to 4-fold higher HAI responses in corresponding ISCOMATRIX subgroups. Similarly, all doses of H7N9 VLP elicited anti-neuraminidase (NA) antibody, with 3- to 4-fold higher responses measured in the corresponding ISCOMATRIX subgroups. The non-homologous H7 vaccine induced both H7N3 and H7N9 HAI but no N9 anti-NA antibodies. A lethal murine wild-type A/Anhui/1/2013 (H7N9) challenge demonstrated 100% survival of all animals receiving A(H7N9) and A(H7N3) vaccine, versus 0% survival in A(H5N1) vaccine and placebo groups. Together, the data demonstrate that recombinant H7N9 vaccine can be rapidly developed that was immunogenic and efficacious supporting testing in man as a pandemic influenza H7N9 vaccine candidate.
近期在中国出现的由禽流感 A(H7N9)病毒引起的严重人类疾病促使全球迅速开发和测试疫苗候选物。迄今为止,非 A(H7N9) H7 亚型流感疫苗候选物的免疫原性较差,并且遇到了 A(H7N9)病毒种株生产的困难。一种由全长、未经修饰的血凝素 (HA)和神经氨酸酶 (NA)组成的重组 A(H7N9)疫苗,其来源于 A/Anhui/1/2013 和基质 1 (M1)蛋白来源于 A/Indonesia/05/2005 (H5N1),被克隆到杆状病毒载体中。杆状病毒感染的 Spodoptera frugiperda (Sf9)昆虫细胞分泌的病毒样颗粒 (VLP)由 HA、NA 和 M1 组成,类似于成熟的流感病毒。从获得 H7N9 基因组序列到生产 A(H7N9) VLP 的疫苗的遗传构建在 26 天内完成。在致死性野生型挑战 Balb/c 小鼠模型中评估了 A/Anhui/1/2013 (H7N9) VLP 疫苗在第 0 天和第 14 天的免疫原性和功效。对照组包括非同源 H7 疫苗 (A/chicken/Jalisco/CPA1/2012 (H7N3)-VLP)和 A/Indonesia/05/2005 (H5N1)-VLP,或安慰剂。所有疫苗均与或不与 ISCOMATRIX 一起给药。A(H7N9) VLP 引起针对同源病毒的血凝抑制 (HAI)抗体滴度≥1:64,对异源 A(H7N3)的交叉反应性 HAI,以及在相应的 ISCOMATRIX 亚组中 3-4 倍更高的 HAI 反应。同样,所有剂量的 H7N9 VLP 均诱导抗神经氨酸酶 (NA)抗体,在相应的 ISCOMATRIX 亚组中测量到 3-4 倍更高的反应。非同源 H7 疫苗诱导了 H7N3 和 H7N9 的 HAI,但没有 N9 抗 NA 抗体。致命性的野生型 A/Anhui/1/2013 (H7N9) 挑战显示,接受 A(H7N9)和 A(H7N3)疫苗的所有动物的存活率均为 100%,而 A(H5N1)疫苗和安慰剂组的存活率均为 0%。总的来说,这些数据表明,可以快速开发重组 H7N9 疫苗,该疫苗具有免疫原性和功效,支持作为大流行性流感 H7N9 疫苗候选物在人类中的测试。