Eldridge J H, Staas J K, Chen D, Marx P A, Tice T R, Gilley R M
Department of Medicine, University of Alabama at Birmingham.
Semin Hematol. 1993 Oct;30(4 Suppl 4):16-24; discussion 25.
Successful application of the next generation of vaccines will require that protection be induced with a minimal number of administrations, and that a practical approach to inducing immunity at mucosal surfaces be developed. For these reasons, vaccine-containing microspheres were formulated from the biodegradable and biocompatible copolymer poly(DL-lactide-co-glycolide) [DL-PLG]. Subcutaneous immunization of mice with 1- to 10-microns microspheres containing a toxoid vaccine of staphylococcal enterotoxin B (SEB) induced a 500-fold potentiation of the circulating antitoxin response. Strong adjuvant activity was dependent on the microspheres being no more than 10 microns in diameter and required that the antigen was within the particles. The rate of DL-PLG biodegradation is a function of the ratio of lactide to glycolide, and the co-injection of SEB toxoid microspheres formulated with two different DL-PLG ratios stimulated both a primary and an anamnestic secondary antitoxin response. When it was administered by the oral or intratracheal (IT) route, microencapsulated SEB toxoid was found to be effective in the induction of concurrent circulating and disseminated mucosal antibody responses. Female rhesus macaques immunized with a microencapsulated simian immunodeficiency virus (SIV) vaccine produced high levels of circulating anti-SIV antibodies, and following oral or IT boosting, specific antibodies were found in vaginal wash fluids. Vaginal challenge with viable homologous SIV resulted in the infection of three out of four nonimmunized but only one out of seven microsphere-immunized macaques. Thus, DL-PLG microspheres are a promising approach to the delivery of vaccines, combining adjuvant activity with controlled release and effective presentation to mucosally associated lymphoid tissues (MALT).
新一代疫苗的成功应用将需要通过最少次数的接种来诱导保护作用,并且需要开发一种在黏膜表面诱导免疫的实用方法。基于这些原因,含疫苗的微球由可生物降解且生物相容的共聚物聚(DL-丙交酯-共-乙交酯)[DL-PLG]制成。用含有葡萄球菌肠毒素B(SEB)类毒素疫苗的1至10微米微球对小鼠进行皮下免疫,可使循环抗毒素反应增强500倍。强大的佐剂活性取决于微球直径不超过10微米,并且要求抗原在颗粒内。DL-PLG的生物降解速率是丙交酯与乙交酯比例的函数,同时注射用两种不同DL-PLG比例配制的SEB类毒素微球可刺激初次和回忆性二次抗毒素反应。当通过口服或气管内(IT)途径给药时,发现微囊化的SEB类毒素在诱导同时发生的循环和弥散性黏膜抗体反应方面是有效的。用微囊化的猴免疫缺陷病毒(SIV)疫苗免疫的雌性恒河猴产生了高水平的循环抗SIV抗体,并且在口服或IT加强免疫后,在阴道灌洗液中发现了特异性抗体。用活的同源SIV进行阴道攻击导致4只未免疫的猕猴中有3只被感染,但7只微球免疫的猕猴中只有1只被感染。因此,DL-PLG微球是一种很有前景的疫苗递送方法,它将佐剂活性与控释以及有效递呈给黏膜相关淋巴组织(MALT)相结合。