Sawada Akihito, Nakayama Tetsuo
Laboratory of Viral Infection I, Kitasato Institute for Life Sciences, Kitasato University, Shirokane 5-9-1, Minatoku, Tokyo, 108-8641, Japan.
Microbiol Immunol. 2016 Apr;60(4):234-42. doi: 10.1111/1348-0421.12365.
Formalin-inactivated respiratory syncytial virus (FI-RSV) vaccine was developed in the 1960s. However, this vaccine does not prevent infection in RSV-naïve recipients and has the paradoxical effect of increasing the severity of RSV illness following natural infection, which has been a major obstacle to developing RSV vaccines. Several experimental animal models for determining the cause of the severe symptoms in FI-RSV recipients have been developed. In the present study, cotton rats immunized with FI-RSV were challenged with RSV and histopathological findings and recovery of infectious virus were studied. Copy numbers of mRNA of Th1 and Th2 cytokines were measured in lung tissues to gain better understanding of their immune responses. Infiltration of inflammatory cells and prominent interstitial pneumonitis were observed in the FI-RSV group, as was induction of mRNA of Th2 cytokines such as IL-4, IL-10, IL-13 and RANTES. Rats immunized with recombinant measles virus expressing the RSV F protein (MVAIK/RSV/F) and those treated with anti-RSV mAb (palivizumab) showed very mild interstitial pneumonitis. Amounts of mRNA of IL-1β, IFN-γ and IL-4 were higher in the MVAIK/RSV/F group. Administration of palivizumab before RSV challenge decreased the severity of interstitial pneumonitis in the FI-RSV group. FI-RSV induced skewed Th2 responses, resulting in severe inflammatory responses.
福尔马林灭活呼吸道合胞病毒(FI-RSV)疫苗于20世纪60年代研发。然而,这种疫苗无法预防初次接触呼吸道合胞病毒的受种者感染,而且具有矛盾的效应,即会增加自然感染后呼吸道合胞病毒疾病的严重程度,这一直是研发呼吸道合胞病毒疫苗的主要障碍。已经建立了几种用于确定FI-RSV受种者出现严重症状原因的实验动物模型。在本研究中,用FI-RSV免疫的棉鼠受到呼吸道合胞病毒攻击,并对组织病理学结果和传染性病毒的恢复情况进行了研究。测量肺组织中Th1和Th2细胞因子的mRNA拷贝数,以更好地了解它们的免疫反应。在FI-RSV组中观察到炎性细胞浸润和明显的间质性肺炎,以及Th2细胞因子如IL-4、IL-10、IL-13和RANTES的mRNA诱导。用表达呼吸道合胞病毒F蛋白的重组麻疹病毒(MVAIK/RSV/F)免疫的大鼠和用抗呼吸道合胞病毒单克隆抗体(帕利珠单抗)治疗的大鼠表现出非常轻微的间质性肺炎。MVAIK/RSV/F组中IL-1β、IFN-γ和IL-4的mRNA量更高。在呼吸道合胞病毒攻击前给予帕利珠单抗可降低FI-RSV组中间质性肺炎的严重程度。FI-RSV诱导Th2反应失衡,导致严重的炎症反应。