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胎盘内轮状病毒 IgG 干扰印度婴儿对口服活轮状病毒疫苗 ORV-116E 的免疫应答。

Transplacental rotavirus IgG interferes with immune response to live oral rotavirus vaccine ORV-116E in Indian infants.

机构信息

Vaccine and Infectious Disease Research Centre, Translational Health Science and Technology Institute, Gurgaon 122016, India.

Fogarty International Centre, NIH, Bethesda, MD 20892, USA.

出版信息

Vaccine. 2014 Feb 3;32(6):651-6. doi: 10.1016/j.vaccine.2013.12.017. Epub 2013 Dec 25.

Abstract

The lower immune response and efficacy of live oral rotavirus (RV) vaccines tested in developing countries may be due in part to high levels of pre-existing RV antibodies transferred to the infant from mother via the placenta. The candidate RV vaccine strain 116E was isolated from a newborn indicating that it might grow well even in the presence of this transplacental rotavirus antibody. Since the immune response to this vaccine among infants in the Indian subcontinent has been greater than that of the commercially licensed vaccines, we questioned whether this might be due to the ability of RV 116E to grow well in infants despite the presence of maternal RV antibody. To this end, we tested pre-immunization sera from Indian infants enrolled in a phase Ia/IIb trial of candidate RV vaccine ORV-116E for transplacental RV IgG to see whether it affected the immune responses and seroconversion to the vaccine. We found that the high titers of transplacental RV IgG diminished the immune responses of infants to ORV-116E vaccine. However, the vaccine was able to overcome the inhibitory effect of this RV IgG in a dose-dependent manner. This report clearly demonstrates the interference of maternal antibody on RV vaccine immunogenicity in infants in a field study as well as the ability of ORV-116E to overcome this interference when used at a higher dose.

摘要

在发展中国家进行的口服活轮状病毒(RV)疫苗的免疫反应和效果较低,部分原因可能是大量来自母体胎盘的预先存在的 RV 抗体转移到婴儿体内。候选 RV 疫苗株 116E 是从一名新生儿中分离出来的,这表明它即使在存在这种胎盘 RV 抗体的情况下也可能生长良好。由于 RV 116E 在印度次大陆婴儿中的免疫反应大于商业许可疫苗,我们质疑这是否是由于 RV 116E 能够在存在母体 RV 抗体的情况下在婴儿中良好生长所致。为此,我们测试了在候选 RV 疫苗 ORV-116E 的 Ia/IIb 期临床试验中入组的印度婴儿的预免疫血清中的胎盘 RV IgG,以观察其是否影响疫苗的免疫反应和血清转化率。我们发现,高滴度的胎盘 RV IgG 降低了婴儿对 ORV-116E 疫苗的免疫反应。然而,疫苗能够以剂量依赖性方式克服这种 RV IgG 的抑制作用。本报告清楚地表明,在现场研究中,母体抗体对婴儿 RV 疫苗免疫原性的干扰,以及在高剂量使用时,ORV-116E 克服这种干扰的能力。

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