Shams H, Heron I
Bacterial Vaccines Department, Statens Serum Institut, Copenhagen, Denmark.
APMIS. 1998 May;106(5):526-34. doi: 10.1111/j.1699-0463.1998.tb01380.x.
Immunogenicity and vaccine potency of carrier proteins of two different PRP-tetanus toxoid (PRP-T) conjugated vaccines, produced using different size PRP (Act-Hib & Amvax Hib-T), and one PRP-CRM197 (Hib-TITER) were studied. The immunogenicity and the vaccine potency of the carrier component of the tested PRP-conjugated vaccines, and their influences on the potency of the tetanus toxoid (T) and of the diphtheria toxoid (D) component of diphtheria toxoid-tetanus toxoid-acellular pertussis-inactivated polio vaccine (DTaP-IPV) were variable. The T component of Act-Hib (large size PRP) was as immunogenic and potent as the T component of the DTaP-IPV vaccine, and a combination of Act-Hib and DTaP-IPV resulted in a more than five-fold increase in the potency of the T However, Amvax Hib-T (small size PRP) did not show any anti-T response on its own, and a combination of Amvax Hib-T and DTaP-IPV did not affect the T potency of the DTaP-IPV vaccine. In immunogenicity studies with multiple shots, Hib-TITER (small size PRP) produced significantly less anti-D antibodies than non-conjugated D. Hib-TITER did not show any D potency on its own, while a combination of a Hib-TITER and DTaP-IPV increased the potency of the D component of DTaP-IPV vaccine significantly. Thus, in the case of a combination of T-and D-containing vaccines with a PRP-conjugated vaccine in which either T or CRMI 97 has been used as the carrier, the influence of these carriers on basic immunogenicity and vaccine potency of T and D, respectively, should be considered carefully. We propose the techniques employed in this study for the quality control of combined vaccines consisting of diphtheria, tetanus, and PRP-conjugated vaccines.
研究了两种不同的PRP-破伤风类毒素(PRP-T)结合疫苗(使用不同大小的PRP生产,即Act-Hib和Amvax Hib-T)以及一种PRP-CRM197(Hib-TITER)的载体蛋白的免疫原性和疫苗效力。所测试的PRP结合疫苗的载体成分的免疫原性和疫苗效力,以及它们对白喉类毒素-破伤风类毒素-无细胞百日咳-灭活脊髓灰质炎疫苗(DTaP-IPV)中破伤风类毒素(T)和白喉类毒素(D)成分效力的影响各不相同。Act-Hib(大尺寸PRP)的T成分与DTaP-IPV疫苗的T成分具有相同的免疫原性和效力,Act-Hib与DTaP-IPV联合使用导致T的效力增加了五倍以上。然而,Amvax Hib-T(小尺寸PRP)自身未显示任何抗T反应,Amvax Hib-T与DTaP-IPV联合使用未影响DTaP-IPV疫苗的T效力。在多次接种的免疫原性研究中,Hib-TITER(小尺寸PRP)产生的抗D抗体明显少于非结合D。Hib-TITER自身未显示任何D效力,而Hib-TITER与DTaP-IPV联合使用显著提高了DTaP-IPV疫苗D成分的效力。因此,在含T和D的疫苗与以T或CRMI 97作为载体的PRP结合疫苗联合使用的情况下,应仔细考虑这些载体分别对T和D的基本免疫原性和疫苗效力的影响。我们提出了本研究中用于由白喉、破伤风和PRP结合疫苗组成的联合疫苗质量控制的技术。