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流感病毒亚单位疫苗。II. 人类的免疫原性与原始抗原性原罪

Influenza virus subunit vaccines. II. Immunogenicity and original antigenic sin in humans.

作者信息

Webster R G, Kasel J A, Couch R B, Laver W G

出版信息

J Infect Dis. 1976 Jul;134(1):48-58. doi: 10.1093/infdis/134.1.48.

Abstract

Subunit vaccines containing hemagglutinin, neuraminidase, and nucleocapsids of A/Port Chalmers/1/73 (H3N2) influenza virus were prepared after treatment of purified virus with ammonium deoxycholate. The immunogenicity of these subunits and the response to the common and specific antigenic determinants on the hemagglutinin subunits were studied in man. The subunits were as immunogenic in man as intact inactivated influenza virus vaccine at an equivalent concentration. Booster doses of antigen did not increase the antibody responses. Intact influenza B virus vaccine did not potentiate the immune response to the type A subunits in man. Volunteers responded differently to the common and specific determinants on the hemagglutinin subunits. The predominant antibody response was to the common or cross-reacting determinants present on hemagglutinins of both A/Hong Kong/1/68 (H3N2) and Port Chalmers/73 virus. Some men who failed to produce specific antibodies to the hemagglutinin of Port Chalmers/73 virus responded to the specific determinants on the Hong Kong/68 hemagglutinin. Higher doses of the subunit vaccines (1,400 chick cell-agglutinating units) did induce antibodies to the specific determinants on the Port Chalmers/73 virus hemagglutinin as well as to the common and specific determinants on Hong Kong/68 influenza virus.

摘要

用脱氧胆酸铵处理纯化的A/查尔默斯港/1/73(H3N2)流感病毒后,制备了含有血凝素、神经氨酸酶和核衣壳的亚单位疫苗。在人体中研究了这些亚单位的免疫原性以及对血凝素亚单位上共同和特异性抗原决定簇的反应。在同等浓度下,这些亚单位在人体中的免疫原性与完整的灭活流感病毒疫苗相同。加强剂量的抗原并未增加抗体反应。完整的乙型流感病毒疫苗不能增强人体对甲型亚单位的免疫反应。志愿者对血凝素亚单位上的共同和特异性决定簇反应不同。主要的抗体反应针对A/香港/1/68(H3N2)和查尔默斯港/73病毒血凝素上存在的共同或交叉反应决定簇。一些未能产生针对查尔默斯港/73病毒血凝素特异性抗体的人对香港/68血凝素上的特异性决定簇有反应。更高剂量的亚单位疫苗(1400个鸡细胞凝集单位)确实诱导了针对查尔默斯港/73病毒血凝素上特异性决定簇以及香港/68流感病毒上共同和特异性决定簇的抗体。

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