Department of Biological Sciences, University of Idaho, Moscow, ID, USA.
Department of Mathematics, University of Idaho, Moscow, ID, USA.
Expert Rev Vaccines. 2024 Jan-Dec;23(1):294-302. doi: 10.1080/14760584.2024.2320845. Epub 2024 Feb 28.
Transmissible vaccines offer a novel approach to suppressing viruses in wildlife populations, with possible applications against viruses that infect humans as zoonoses - Lassa, Ebola, rabies. To ensure safety, current designs propose a recombinant vector platform in which the vector is isolated from the target wildlife population. Because using an endemic vector creates the potential for preexisting immunity to block vaccine transmission, these designs focus on vector viruses capable of superinfection, spreading throughout the host population following vaccination of few individuals.
We present original theoretical arguments that, regardless of its R value, a recombinant vaccine using a superinfecting vector is not expected to expand its active infection coverage when released into a wildlife population that already carries the vector. However, if superinfection occurs at a high rate such that individuals are repeatedly infected throughout their lives, the immunity footprint in the population can be high despite a low incidence of active vaccine infections. Yet we provide reasons that the above expectation is optimistic.
High vaccine coverage will typically require repeated releases or release into a population lacking the vector, but careful attention to vector choice and vaccine engineering should also help improve transmissible vaccine utility.
可传播疫苗为抑制野生动物种群中的病毒提供了一种新方法,可能适用于作为人畜共患病感染人类的病毒 - 拉萨热、埃博拉、狂犬病。为了确保安全性,目前的设计方案提出了一种重组载体平台,其中载体与目标野生动物种群隔离。由于使用地方性载体可能会产生预先存在的免疫力,从而阻止疫苗传播,因此这些设计方案专注于能够超级感染的载体病毒,在少数个体接种疫苗后,在整个宿主种群中传播。
我们提出了原创的理论观点,即无论其 R 值如何,当将使用超级感染载体的重组疫苗释放到已经携带载体的野生动物种群中时,预计不会扩大其活性感染的覆盖范围。然而,如果超级感染以高速率发生,使得个体在其一生中反复感染,那么尽管活性疫苗感染的发病率低,人群中的免疫足迹仍然可以很高。然而,我们提供了一些理由表明上述预期过于乐观。
高疫苗覆盖率通常需要重复释放或释放到缺乏载体的人群中,但仔细注意载体选择和疫苗工程也应有助于提高可传播疫苗的效用。