Several approaches are in progress to develop vaccines against H5N1 viruses

To date, products tested in humans have not been effective at producing a strong immune response in a large percentage of subjects tested in clinical trials. However, many of these previous H5N1 vaccine candidates were derived from clade 1 or clade 3 isolates that required multiple doses and/or the use of various adjuvants to achieve levels of antibodies believed to correlate with seroprotection in a majority of subjects tested. Results presented in this report indicate that our A/Indonesia/05/2005 VLP vaccine elicited higher HAI antibody Mepiroxol titers than the A/Viet Nam/1203/2004 VLP vaccine without the use an adjuvant and elicited a robust and broadly reactive immune response following two vaccinations. Interestingly, a single immunization was able to protect mice from virus-induced death, albeit mice administered lower doses of VLPs or rHA had viral replication in the lungs and transient weight loss. These results are similar to recent live attenuated vaccines that required two vaccinations to prevent weight loss, but were able to protect ferrets following a single vaccination. The ability to protect humans using a ”one-shot”vaccination regimen is highly desirable for a vaccine against influenza isolates with pandemic potential. Following an outbreak, vaccines that reduce viral titers in the lung and nasal mucosa may slow the transmission of the virus among humans; there may not be sufficient time for a booster shot of vaccine to achieve optimal antibody titers. The VLP vaccine described in this report demonstrates that a one-dose regimen is potentially possible in rodents using a Gomisin-D non-replicating immunogen that can elicit cross-clade protective immune responses and is worthy of evaluation in the clinic. One of the challenges faced by influenza vaccine developers is the ability to protect populations in the face of a spreading pandemic. The next influenza pandemic may be caused by a H5N1 virus and if so, it is not known which clade or subclade will be responsible. Correlates for protection from infection by H5N1 isolates have not been determined. Historically, the HAI assay is the most widely used serological assay for monitoring influenza immunity and is the accepted standard for measuring functional influenza-specific serum antibodies to the hemagglutinin following vaccination. An HAI titer that is greater than 1:40 against a seasonal influenza strain is believed to be protective for,50% of the vaccinated population. However, this does not appear to hold true for avian H5N1 viruses, since no correlation between HAI titer and protective efficacy against H5N1 infection has been reported in animal or human systems. Therefore, new correlates may be necessaryto assess the efficacy of potential H5N1 vaccines. One interesting finding in this study was the correlation between the slower disassociation rates of the VLP-elicited antibody to HA compared to antibodies produced in response to rHA vaccines. In addition, antibodies elicited to the homologous clade 2 rHA had faster association rates compared to antibody binding the heterologous clade 1 rHA. The increase in antibody association ratesinvivo couldbindHAon viruses quickly and perhaps decrease the number of infected cells in the lung, and thus could act to reduce the amount of viral replication to allow the immune system opportunity to better control the infection. In addition, antibodies that are slow to dissociate from the virion may continue to reduce the ability to uncoat and thus restrict the virus post-infection. Further analysis is needed; however, the use of antibody association/dissociation rates may be a more accurate assessment of vaccine efficacy that could potentially correlate with enhanced efficacy.

Leave a Reply

Your email address will not be published.