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针对革兰氏阴性菌肺炎的型特异性疫苗接种与交叉保护性疫苗接种

Type-specific vs. cross-protective vaccination for gram-negative bacterial pneumonia.

作者信息

Pennington J E, Menkes E

出版信息

J Infect Dis. 1981 Dec;144(6):599-603. doi: 10.1093/infdis/144.6.599.

Abstract

Groups of guinea pigs received four injections intramuscularly of lipopolysaccharide vaccine derived from Pseudomonas aeruginosa, cross-protective core glycolipid vaccine derived from the J-5 mutant of Escherichia coli O111, or saline during a two-week period. Titers of passive hemagglutinating antibody to vaccine antigens in serum routinely increased fourfold or more. Experimental hemorrhagic pseudomonas pneumonia was then induced, from which the rates of survival were 15% among animals receiving saline, 81% among animals receiving pseudomonas vaccine (P less than 0.001), and 42% among animals receiving J-5 vaccine. Thus, only weak cross-protection against pseudomonas pneumonia was detected in the recipients of J-5 vaccine. Further studies revealed no protection against pneumonia due to either E. coli or Klebsiella in animals receiving J-5 vaccine. From these data, species-specific vaccination appears to be superior to vaccination with cross-protective antigen against experimental pseudomonas pneumonia.

摘要

在两周时间内,给几组豚鼠分别进行四次肌肉注射:注射源自铜绿假单胞菌的脂多糖疫苗、源自大肠杆菌O111 J-5突变株的交叉保护性核心糖脂疫苗或生理盐水。血清中针对疫苗抗原的被动血凝抗体效价通常会增加四倍或更多。然后诱发实验性出血性假单胞菌肺炎,接受生理盐水的动物存活率为15%,接受假单胞菌疫苗的动物存活率为81%(P小于0.001),接受J-5疫苗的动物存活率为42%。因此,在接受J-5疫苗的动物中仅检测到对假单胞菌肺炎的微弱交叉保护作用。进一步研究发现,接受J-5疫苗的动物对大肠杆菌或克雷伯菌引起的肺炎没有保护作用。根据这些数据,针对实验性假单胞菌肺炎,种特异性疫苗接种似乎优于使用交叉保护性抗原进行疫苗接种。

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