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乙肝疫苗的安全性。常规疫苗生产过程中艾滋病病毒的灭活。

The safety of the hepatitis B vaccine. Inactivation of the AIDS virus during routine vaccine manufacture.

作者信息

Francis D P, Feorino P M, McDougal S, Warfield D, Getchell J, Cabradilla C, Tong M, Miller W J, Schultz L D, Bailey F J

出版信息

JAMA. 1986 Aug 15;256(7):869-72.

PMID:3016352
Abstract

In the United States, one hepatitis B vaccine (Heptavax-B) has been licensed for the prevention of hepatitis B virus infections. Even though this vaccine has been shown to be highly effective and well tolerated in controlled trials and has been recommended for use in those at risk for acquiring infection by hepatitis B virus, many individuals have been reluctant to be immunized for fear of contracting acquired immunodeficiency syndrome (AIDS). In this study, we demonstrate that each of the three inactivation steps used in the manufacture of Heptavax-B independently will inactivate the infectivity of high-titered preparations of the AIDS virus; recipients of the hepatitis B vaccine do not develop antibodies to the AIDS virus; the hepatitis B vaccine does not contain detectable levels of nucleic acids related to the AIDS virus. These observations clearly demonstrate that vaccination with the currently available hepatitis B vaccine poses no demonstrable risk for acquiring AIDS.

摘要

在美国,有一种乙肝疫苗(Heptavax - B)已获许可用于预防乙肝病毒感染。尽管这种疫苗在对照试验中已被证明高度有效且耐受性良好,并已被推荐用于有感染乙肝病毒风险的人群,但许多人因担心感染获得性免疫缺陷综合征(艾滋病)而不愿接种。在本研究中,我们证明了Heptavax - B生产过程中使用的三个灭活步骤中的每一个都能独立灭活高滴度艾滋病病毒制剂的传染性;乙肝疫苗接种者不会产生针对艾滋病病毒的抗体;乙肝疫苗不含可检测到的与艾滋病病毒相关的核酸水平。这些观察结果清楚地表明,接种目前可用的乙肝疫苗不会带来可证明的感染艾滋病的风险。

相似文献

1
The safety of the hepatitis B vaccine. Inactivation of the AIDS virus during routine vaccine manufacture.乙肝疫苗的安全性。常规疫苗生产过程中艾滋病病毒的灭活。
JAMA. 1986 Aug 15;256(7):869-72.
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Absence of antibodies to HTLV-III in health workers after hepatitis B vaccination.乙肝疫苗接种后医护人员中未检测到抗HTLV-III抗体。
JAMA. 1985;254(8):1064-6.
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The prospects for and pathways toward a vaccine for AIDS.艾滋病疫苗的前景与研发途径。
N Engl J Med. 1985 Dec 19;313(25):1586-90. doi: 10.1056/NEJM198512193132506.
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Sequential immunization of macaques with two differentially attenuated vaccines induced long-term virus-specific immune responses and conferred protection against AIDS caused by heterologous simian human immunodeficiency Virus (SHIV(89.6)P).用两种不同减毒疫苗对猕猴进行序贯免疫可诱导长期的病毒特异性免疫反应,并对由异源猴免疫缺陷病毒(SHIV(89.6)P)引起的艾滋病提供保护。
Virology. 2001 Jan 5;279(1):241-56. doi: 10.1006/viro.2000.0695.
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Hepatitis B virus vaccine safety: report of an inter-agency group.乙型肝炎病毒疫苗安全性:一个跨部门小组的报告。
MMWR Morb Mortal Wkly Rep. 1982 Sep 3;31(34):465-7.
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[Hepatitis B vaccination: the danger of AIDS transmission].
Z Hautkr. 1984 Apr 15;59(8):502-6.
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Should the risk of acquired immunodeficiency syndrome deter hepatitis B vaccination? A decision analysis.获得性免疫缺陷综合征的风险是否应阻碍乙肝疫苗接种?一项决策分析。
JAMA. 1984 Dec 28;252(24):3375-7.
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Safety of the hepatitis B vaccine.乙肝疫苗的安全性。
N Engl J Med. 1985 Feb 7;312(6):375-6. doi: 10.1056/NEJM198502073120613.
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Clinical evaluation of low-dose intradermally administered hepatitis B virus vaccine. A cost reduction strategy.低剂量皮内注射乙肝疫苗的临床评估。一种降低成本的策略。
JAMA. 1985 Dec 13;254(22):3203-6.
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A randomized double-blind clinical trial of a mammalian cell-derived recombinant DNA hepatitis B vaccine compared with a plasma-derived vaccine.一项将哺乳动物细胞衍生的重组DNA乙型肝炎疫苗与血浆衍生疫苗进行对比的随机双盲临床试验。
Arch Intern Med. 1990 Jun;150(6):1195-200.

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