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裂谷热病毒 13 型克隆疫苗的免疫原性和安全性随机对照现场试验评估在牲畜中的效果。

Randomized controlled field trial to assess the immunogenicity and safety of rift valley fever clone 13 vaccine in livestock.

机构信息

Division of Global Health Protection, United States Centers for Disease Control and Prevention-Kenya, Nairobi, Kenya; Paul G. Allen School for Global Animal Health, Washington State University, Pullman, Washington, United States of America.

Kenya Ministry of Agriculture Livestock and Fisheries, Nairobi, Kenya.

出版信息

PLoS Negl Trop Dis. 2015 Mar 10;9(3):e0003550. doi: 10.1371/journal.pntd.0003550. eCollection 2015 Mar.

Abstract

BACKGROUND

Although livestock vaccination is effective in preventing Rift Valley fever (RVF) epidemics, there are concerns about safety and effectiveness of the only commercially available RVF Smithburn vaccine. We conducted a randomized controlled field trial to evaluate the immunogenicity and safety of the new RVF Clone 13 vaccine, recently registered in South Africa.

METHODS

In a blinded randomized controlled field trial, 404 animals (85 cattle, 168 sheep, and 151 goats) in three farms in Kenya were divided into three groups. Group A included males and non-pregnant females that were randomized and assigned to two groups; one vaccinated with RVF Clone 13 and the other given placebo. Groups B included animals in 1st half of pregnancy, and group C animals in 2nd half of pregnancy, which were also randomized and either vaccinated and given placebo. Animals were monitored for one year and virus antibodies titers assessed on days 14, 28, 56, 183 and 365.

RESULTS

In vaccinated goats (N = 72), 72% developed anti-RVF virus IgM antibodies and 97% neutralizing IgG antibodies. In vaccinated sheep (N = 77), 84% developed IgM and 91% neutralizing IgG antibodies. Vaccinated cattle (N = 42) did not develop IgM antibodies but 67% developed neutralizing IgG antibodies. At day 14 post-vaccination, the odds of being seropositive for IgG in the vaccine group was 3.6 (95% CI, 1.5 - 9.2) in cattle, 90.0 (95% CI, 25.1 - 579.2) in goats, and 40.0 (95% CI, 16.5 - 110.5) in sheep. Abortion was observed in one vaccinated goat but histopathologic analysis did not indicate RVF virus infection. There was no evidence of teratogenicity in vaccinated or placebo animals.

CONCLUSIONS

The results suggest RVF Clone 13 vaccine is safe to use and has high (>90%) immunogenicity in sheep and goats but moderate (> 65%) immunogenicity in cattle.

摘要

背景

尽管牲畜接种疫苗可有效预防裂谷热 (RVF) 疫情,但人们对唯一市售的 RVF 史密斯伯恩疫苗的安全性和有效性存在担忧。我们开展了一项随机对照现场试验,以评估最近在南非注册的新型 RVF Clone 13 疫苗的免疫原性和安全性。

方法

在一项盲法随机对照现场试验中,肯尼亚三个农场的 404 只动物(85 头牛、168 只绵羊和 151 只山羊)分为三组。A 组包括雄性和未怀孕的雌性,它们被随机分为两组;一组接种 RVF Clone 13,另一组接种安慰剂。B 组包括妊娠前半期的动物,C 组包括妊娠后半期的动物,它们也被随机分为接种疫苗和接种安慰剂两组。对动物进行了为期一年的监测,并在第 14、28、56、183 和 365 天评估病毒抗体滴度。

结果

在接种疫苗的山羊(N=72)中,72%产生了 RVF 病毒 IgM 抗体,97%产生了中和 IgG 抗体。在接种疫苗的绵羊(N=77)中,84%产生了 IgM 抗体,91%产生了中和 IgG 抗体。接种疫苗的牛(N=42)未产生 IgM 抗体,但 67%产生了中和 IgG 抗体。接种疫苗后第 14 天,疫苗组 IgG 抗体阳性的可能性在牛中为 3.6(95%CI,1.5-9.2),在山羊中为 90.0(95%CI,25.1-579.2),在绵羊中为 40.0(95%CI,16.5-110.5)。一只接种疫苗的山羊发生流产,但组织病理学分析并未表明存在 RVF 病毒感染。接种疫苗或安慰剂的动物均未出现致畸性。

结论

结果表明,RVF Clone 13 疫苗在绵羊和山羊中使用安全,免疫原性高(>90%),但在牛中免疫原性中等(>65%)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c1a/4355591/0840ea493919/pntd.0003550.g001.jpg

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