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1.
J Infect Dis ; 222(11): 1920-1927, 2020 11 09.
Article in English | MEDLINE | ID: mdl-32492703

ABSTRACT

BACKGROUND: Next-generation sequencing (NGS) analysis was compared to the current MAPREC (mutational analysis by polymerase chain reaction and restriction enzyme cleavage) assay for quality control of live-attenuated oral polio vaccine (OPV). METHODS: MAPREC measures reversion of the main OPV attenuating mutations such as uracil (U) to cytosine (C) at nucleotide 472 in the 5' noncoding region of type 3 OPV. Eleven type 3 OPV samples were analyzed by 8 laboratories using their in-house NGS method. RESULTS: Intraassay, intralaboratory, and interlaboratory variability of NGS 472-C estimates across samples and laboratories were very low, leading to excellent agreement between laboratories. A high degree of correlation between %472-C results by MAPREC and NGS was observed in all laboratories (Pearson correlation coefficient r = 0.996). NGS estimates of sequences at nucleotide 2493 with known polymorphism among type 3 OPV lots also produced low assay variability and excellent between-laboratory agreement. CONCLUSIONS: The high consistency of NGS data demonstrates that NGS analysis can be used as high-resolution test alternative to MAPREC, producing whole-genome profiles to evaluate OPV production consistency, possibly eliminating the need for tests in animals. This would be very beneficial for the quality assessment of next-generation polio vaccines and, eventually, for other live-attenuated viral vaccines.


Subject(s)
High-Throughput Nucleotide Sequencing/methods , Poliomyelitis/prevention & control , Poliovirus Vaccine, Oral/standards , Quality Control , Vaccines, Attenuated/standards , Animals , Humans , Mutation , Poliovirus , Polymerase Chain Reaction/methods
2.
Biologicals ; 67: 29-37, 2020 Sep.
Article in English | MEDLINE | ID: mdl-32855039

ABSTRACT

Leningrad-Zagreb strain of mumps vaccine virus was grown on two different cell substrates viz. MRC-5 cells and Vero cells besides its original cell substrate i.e. Chicken Embryo Cells. Homogeneous virus pools prepared from each set of experiments were then lyophilized as per standard in-house protocol. Critical Quality Attributes (CQAs) such as the titer of the bulk vaccine and potency and stability of the lyophilized vaccine were then estimated using the CCID50 method to understand the lyophilization losses and thermal losses respectively in the vaccine. Another CQA viz. the genetic homogeneity of the vaccine was also tested using the single base extension method for identifying the nucleotides present at the three known locations of single nucleotide polymorphism (SNP). Comparison of CQA results across different cell substrates indicated encouraging results for Vero cell grown L-Zagreb virus compared to the MRC-5 cells grown L-Zagreb mumps virus. Significant improvement in productivity was also observed in the dynamic culture conditions compared to the static culture conditions. Progressive work in this research area can lead to development of a cGMP manufacturing process for mumps vaccine with easy scale up potential in future.


Subject(s)
Bioreactors , Mumps Vaccine/immunology , Mumps virus/immunology , Mumps/immunology , Animals , Cell Line , Chlorocebus aethiops , Freeze Drying/methods , Humans , Mumps/prevention & control , Mumps/virology , Mumps Vaccine/administration & dosage , Mumps Vaccine/standards , Mumps virus/genetics , Mumps virus/physiology , Quality Control , Vaccination , Vaccines, Attenuated/administration & dosage , Vaccines, Attenuated/immunology , Vaccines, Attenuated/standards , Vero Cells , Virus Cultivation/instrumentation , Virus Cultivation/methods
3.
BMC Microbiol ; 18(1): 78, 2018 07 20.
Article in English | MEDLINE | ID: mdl-30029593

ABSTRACT

BACKGROUND: Salmonella vaccination is one of the control measure that farmers can use to reduce bacterial shedding in their flocks. This study aimed to examine the efficacy of the Vaxsafe® ST (Strain STM-1) attenuated live vaccine administered as ocular and oral doses followed by an intramuscular (IM) dose in rearing, in reducing contamination by Salmonellae of both eggs and the environment in the commercial multi-age cage layer sheds. A randomised controlled trial was conducted up to 26 weeks post last vaccine on two different multi-age caged egg farms. RESULTS: No clinical symptoms were observed following IM administration of STM-1 during rearing. Following the first two STM-1 doses, both vaccinated and unvaccinated birds exhibited antibody titres below the positive cut-off value, however after IM administration of STM-1, antibody titres in the vaccinated group were above the cut-off value. Wild type Salmonella Typhimurium was not detected during the rearing of pullets. During production, the antibody titres were significantly higher in the vaccinated group at all sampling points during this trial. There was no significant difference in the prevalence of Salmonella (detected by culture and PCR method) between the vaccinated and unvaccinated groups on the egg belt and faeces in early lay. Wild-type Salmonella spp. were consistently found in dust samples. Quantitative PCR (qPCR) assay was able to differentiate between the live vaccine strain and wild type Salmonella. The load of wild-type Salmonella in shed environment was relatively low (1.3 log10 ± 0.48 CFU/m2 of surface area). CONCLUSION: Given that Salmonella Typhimurium and other serovars are able to survive/persist in the shed environment (such as in dust), regular cleaning and or removal of dust from shed is important. Use of the Vaxsafe® ST vaccine in multi-age flocks is "not an ultimate intervention" for reduction of Salmonella Typhimurium because of the complexities involved in achieving control, such as the efficacy of cleaning of sheds, the lack of resting periods between batches and the possible carry over of contamination from existing flocks. Hence implementation of more than one or several interventions strategies is essential.


Subject(s)
Eggs/microbiology , Environmental Microbiology , Salmonella Infections, Animal/microbiology , Salmonella Vaccines/immunology , Salmonella typhimurium/immunology , Animal Husbandry , Animals , Antibodies, Bacterial/blood , Bacterial Load , Chickens , Feces/microbiology , Female , Random Allocation , Salmonella Infections, Animal/immunology , Salmonella Infections, Animal/prevention & control , Salmonella Vaccines/standards , Vaccines, Attenuated/immunology , Vaccines, Attenuated/standards
4.
J Infect Dis ; 214(suppl 5): S488-S496, 2016 Dec 15.
Article in English | MEDLINE | ID: mdl-27920179

ABSTRACT

Chikungunya fever, an acute and often chronic arthralgic disease caused by the mosquito-borne chikungunya virus (CHIKV), has reemerged since 2004 to cause millions of cases. Because CHIKV exhibits limited antigenic diversity and is not known to be capable of reinfection, a vaccine could serve to both prevent disease and diminish human amplification during epidemic circulation. Here, we review the many promising vaccine platforms and candidates developed for CHIKV since the 1970s, including several in late preclinical or clinical development. We discuss the advantages and limitations of each, as well as the commercial and regulatory challenges to bringing a vaccine to market.


Subject(s)
Chikungunya Fever/immunology , Chikungunya Fever/prevention & control , Chikungunya virus/immunology , Viral Vaccines , Animals , Antibodies, Neutralizing/blood , Antibodies, Neutralizing/immunology , Antibodies, Viral/blood , Antibodies, Viral/immunology , Arthralgia/prevention & control , Arthralgia/virology , Chikungunya Fever/virology , Clinical Trials as Topic , Epidemics/prevention & control , Humans , Vaccines, Attenuated/immunology , Vaccines, Attenuated/standards , Viral Vaccines/immunology , Viral Vaccines/standards
5.
J Infect Dis ; 213(10): 1562-72, 2016 May 15.
Article in English | MEDLINE | ID: mdl-26704612

ABSTRACT

BACKGROUND: A safe, effective tetravalent dengue vaccine is a global health priority. The safety and immunogenicity of a live attenuated, recombinant tetravalent dengue vaccine candidate (TDV) were evaluated in healthy volunteers from dengue-endemic countries. METHODS: This multicenter, double-blind, phase 2 study was conducted in Puerto Rico, Colombia, Singapore, and Thailand. During stage I, 148 volunteers aged 1.5-45 years were sequentially enrolled into 4 age-descending groups and randomized at a ratio of 2:1 to receive TDV or placebo. In stage II (group 5), 212 children aged 1.5-11 years were randomized at a ratio of 3:1 to receive TDV or placebo. Participants received a subcutaneous injection of TDV or placebo on days 0 and 90 and were followed for analysis of safety, seropositivity, and neutralizing antibodies to DENV-1-4. RESULTS: Injection site pain, itching, and erythema (mostly mild) were the only solicited adverse events more frequently reported with TDV than with placebo in all age groups. After 2 TDV doses, seropositivity was >95% in all 5 groups for DENV-1-3 and 72.7%-100% for DENV-4; geometric mean titers ranged from 582 to 1187 for DENV-1, from 582 to 1187 for DENV-2, from 196 to 630 for DENV-3, and from 41 to 210 for DENV-4 among the 5 groups. CONCLUSIONS: TDV was well tolerated and immunogenic in volunteers aged 1.5-45 years, irrespective of prevaccination dengue exposure.


Subject(s)
Antibodies, Viral/immunology , Dengue Vaccines/immunology , Dengue Virus/immunology , Dengue/prevention & control , Adolescent , Adult , Antibodies, Neutralizing/immunology , Child , Child, Preschool , Colombia , Dengue/immunology , Dengue Vaccines/administration & dosage , Dengue Vaccines/standards , Double-Blind Method , Female , Humans , Infant , Injections, Subcutaneous , Male , Middle Aged , Puerto Rico , Safety , Singapore , Thailand , Vaccines, Attenuated/administration & dosage , Vaccines, Attenuated/immunology , Vaccines, Attenuated/standards , Young Adult
6.
PLoS Med ; 13(11): e1002181, 2016 Nov.
Article in English | MEDLINE | ID: mdl-27898668

ABSTRACT

BACKGROUND: Large Phase III trials across Asia and Latin America have recently demonstrated the efficacy of a recombinant, live-attenuated dengue vaccine (Dengvaxia) over the first 25 mo following vaccination. Subsequent data collected in the longer-term follow-up phase, however, have raised concerns about a potential increase in hospitalization risk of subsequent dengue infections, in particular among young, dengue-naïve vaccinees. We here report predictions from eight independent modelling groups on the long-term safety, public health impact, and cost-effectiveness of routine vaccination with Dengvaxia in a range of transmission settings, as characterised by seroprevalence levels among 9-y-olds (SP9). These predictions were conducted for the World Health Organization to inform their recommendations on optimal use of this vaccine. METHODS AND FINDINGS: The models adopted, with small variations, a parsimonious vaccine mode of action that was able to reproduce quantitative features of the observed trial data. The adopted mode of action assumed that vaccination, similarly to natural infection, induces transient, heterologous protection and, further, establishes a long-lasting immunogenic memory, which determines disease severity of subsequent infections. The default vaccination policy considered was routine vaccination of 9-y-old children in a three-dose schedule at 80% coverage. The outcomes examined were the impact of vaccination on infections, symptomatic dengue, hospitalised dengue, deaths, and cost-effectiveness over a 30-y postvaccination period. Case definitions were chosen in accordance with the Phase III trials. All models predicted that in settings with moderate to high dengue endemicity (SP9 ≥ 50%), the default vaccination policy would reduce the burden of dengue disease for the population by 6%-25% (all simulations: -3%-34%) and in high-transmission settings (SP9 ≥ 70%) by 13%-25% (all simulations: 10%- 34%). These endemicity levels are representative of the participating sites in both Phase III trials. In contrast, in settings with low transmission intensity (SP9 ≤ 30%), the models predicted that vaccination could lead to a substantial increase in hospitalisation because of dengue. Modelling reduced vaccine coverage or the addition of catch-up campaigns showed that the impact of vaccination scaled approximately linearly with the number of people vaccinated. In assessing the optimal age of vaccination, we found that targeting older children could increase the net benefit of vaccination in settings with moderate transmission intensity (SP9 = 50%). Overall, vaccination was predicted to be potentially cost-effective in most endemic settings if priced competitively. The results are based on the assumption that the vaccine acts similarly to natural infection. This assumption is consistent with the available trial results but cannot be directly validated in the absence of additional data. Furthermore, uncertainties remain regarding the level of protection provided against disease versus infection and the rate at which vaccine-induced protection declines. CONCLUSIONS: Dengvaxia has the potential to reduce the burden of dengue disease in areas of moderate to high dengue endemicity. However, the potential risks of vaccination in areas with limited exposure to dengue as well as the local costs and benefits of routine vaccination are important considerations for the inclusion of Dengvaxia into existing immunisation programmes. These results were important inputs into WHO global policy for use of this licensed dengue vaccine.


Subject(s)
Dengue Vaccines/economics , Dengue Vaccines/standards , Models, Theoretical , Public Health , Safety , Vaccination/methods , Child , Cost-Benefit Analysis , Dengue Vaccines/adverse effects , Humans , Seroepidemiologic Studies , Vaccination/adverse effects , Vaccination/economics , Vaccines, Attenuated/adverse effects , Vaccines, Attenuated/economics , Vaccines, Attenuated/standards , Vaccines, Synthetic/adverse effects , Vaccines, Synthetic/economics , Vaccines, Synthetic/standards
7.
Fish Shellfish Immunol ; 49: 351-4, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26772477

ABSTRACT

Nasal vaccines are very effective but the olfactory organ provides direct access of antigens to the brain. Infectious hematopoietic necrosis virus (IHNV) is known to cause high mortalities in salmonids. The purpose of this study is to evaluate the safety of a live attenuated IHNV nasal (I.N) vaccine in rainbow trout (Oncorhynchus mykiss). In the olfactory organ, the vaccine was detected 1 and 4 days after primary I.N vaccination but not in the intramuscular (i.m) or control groups. In the brain, IHNV was detected by RT-qPCR 4 and 21 days after i.m primary vaccination. One i.m and one I.N vaccinated trout were positive at days 4 and 28 days post-boost, respectively. Presence of IHNV in the brain of i.m vaccinated fish correlated with moderate increases in IL-1ß and TNF-α expression in this tissue. These results demonstrate that IHNV vaccine lasts for 4 days in the local nasal environment and that nasal vaccination appears to be safe to the CNS of rainbow trout.


Subject(s)
Central Nervous System/immunology , Fish Diseases/immunology , Infectious hematopoietic necrosis virus/immunology , Oncorhynchus mykiss , Rhabdoviridae Infections/veterinary , Viral Vaccines/immunology , Administration, Intranasal/veterinary , Animals , Fish Diseases/prevention & control , Rhabdoviridae Infections/immunology , Rhabdoviridae Infections/prevention & control , Vaccines, Attenuated/administration & dosage , Vaccines, Attenuated/immunology , Vaccines, Attenuated/standards , Viral Vaccines/administration & dosage , Viral Vaccines/standards
8.
BMC Vet Res ; 12(1): 154, 2016 Jul 26.
Article in English | MEDLINE | ID: mdl-27457539

ABSTRACT

BACKGROUND: Rift Valley fever is an emerging zoonotic viral disease, enzootic and endemic in Africa and the Arabian Peninsula, which poses a significant threat to both human and animal health. The disease is most severe in ruminants causing abortions in pregnant animals, especially sheep animals and high mortality in young populations. High mortality rates and severe clinical manifestation have also been reported among camel populations in Africa, to attend however none of the currently available live vaccines against RVF have been tested for safety and efficacy in this species. In this study, the safety and efficacy (through a neutralizing antibody response) of the thermostable live attenuated RVF CL13T vaccine were evaluated in camels in two different preliminary experiments involving 16 camels, (that 12 camels and 4 pregnant camels). RESULTS: The study revealed that the CL13T vaccine was safe to use in camels and no abortions or teratogenic effects were observed. The single dose of the vaccine stimulated a strong and long-lasting neutralizing antibody response for up to 12 months. CONCLUSION: The presence of neutralization antibodies is likely to correlate with protection; however protection would need to be confirmed by challenge experiments using the virulent RVF virus.


Subject(s)
Antibodies, Viral/blood , Camelus , Rift Valley fever virus/immunology , Viral Vaccines/standards , Animals , Antibodies, Neutralizing/blood , Female , Pregnancy , Rift Valley Fever/immunology , Rift Valley Fever/prevention & control , Vaccines, Attenuated/immunology , Vaccines, Attenuated/standards , Viral Vaccines/immunology
9.
PLoS Pathog ; 8(1): e1002494, 2012 Jan.
Article in English | MEDLINE | ID: mdl-22275868

ABSTRACT

In contrast with common human infections for which vaccine efficacy can be evaluated directly in field studies, alternative strategies are needed to evaluate efficacy for slowly developing or sporadic diseases like tularemia. For diseases such as these caused by intracellular bacteria, serological measures of antibodies are generally not predictive. Here, we used vaccines varying in efficacy to explore development of clinically useful correlates of protection for intracellular bacteria, using Francisella tularensis as an experimental model. F. tularensis is an intracellular bacterium classified as Category A bioterrorism agent which causes tularemia. The primary vaccine candidate in the U.S., called Live Vaccine Strain (LVS), has been the subject of ongoing clinical studies; however, safety and efficacy are not well established, and LVS is not licensed by the U.S. FDA. Using a mouse model, we compared the in vivo efficacy of a panel of qualitatively different Francisella vaccine candidates, the in vitro functional activity of immune lymphocytes derived from vaccinated mice, and relative gene expression in immune lymphocytes. Integrated analyses showed that the hierarchy of protection in vivo engendered by qualitatively different vaccines was reflected by the degree of lymphocytes' in vitro activity in controlling the intramacrophage growth of Francisella. Thus, this assay may be a functional correlate. Further, the strength of protection was significantly related to the degree of up-regulation of expression of a panel of genes in cells recovered from the assay. These included IFN-γ, IL-6, IL-12Rß2, T-bet, SOCS-1, and IL-18bp. Taken together, the results indicate that an in vitro assay that detects control of bacterial growth, and/or a selected panel of mediators, may ultimately be developed to predict the outcome of vaccine efficacy and to complement clinical trials. The overall approach may be applicable to intracellular pathogens in general.


Subject(s)
Bacterial Vaccines , Biomarkers/metabolism , Francisella tularensis/immunology , Tularemia/prevention & control , Animals , Bacterial Vaccines/standards , Coculture Techniques , Cytokines/genetics , Cytokines/immunology , Disease Models, Animal , Francisella tularensis/genetics , Francisella tularensis/growth & development , Gene Expression Regulation, Bacterial/genetics , Kaplan-Meier Estimate , Lymphocytes/cytology , Lymphocytes/immunology , Macrophages/cytology , Macrophages/microbiology , Male , Mice , Mice, Inbred C57BL , Spleen/cytology , Spleen/immunology , Tularemia/immunology , Tularemia/microbiology , Up-Regulation/genetics , Vaccines, Attenuated/standards
10.
Exp Parasitol ; 145: 125-34, 2014 Oct.
Article in English | MEDLINE | ID: mdl-25131774

ABSTRACT

Necrotic enteritis (NE) is an important disease in poultry caused by Clostridium perfringens combined with predisposing factors, mainly eimeriosis. In the present study, we investigated the protective effect of a commercial attenuated anticoccidial live vaccine against NE in a clinical infection model using 60 day-old chicks. Vaccination was performed on study day (SD) 1 with natural booster-infections for 4 weeks from Eimeria spp. oocysts present in litter. On SD 28, five groups were formed (n=12): group V+/C-E- (vaccinated, uninfected), group V+/C-E+ (vaccinated, infected with Eimeria spp.), group V+/C+E+ (vaccinated, infected with clostridia and Eimeria spp.), group V-/C+E+ (unvaccinated, infected with clostridia and Eimeria spp.), and group NC (negative control). Efficacy was measured by clinical parameters, pathogen multiplication, and pathological parameters assessed during two necropsies on SD 34 and SD 40, respectively. Additionally, cytokine expression was measured in gut and spleen tissues at necropsy. Clinical signs of NE were observed only in the coinfected groups, mainly in group V-/C+E+. Accordingly, lowest body weight gain was observed in group V-/C+E+ (301.8 g from SD 28 to SD 40; group NC: 626.2 g). Oocyst excretion varied significantly (P<0.01) between all Eimeria spp. infected groups and was highest in group V-/C+E+, followed by V+/C+E+, and lowest in group V+/C-E+. NE typical intestinal lesions showed only in groups V+/C+E+ and V-/C+E+. The intestinal mucosa featured partly severe lesions in the jejunum, C. perfringens colonization was histologically visible. Upregulation of IFN-γ, was observed in the jejunal tissue of group V-/C+E+ (P<0.01 (SD 34) or P<0.05 (SD 40) compared to all other groups). IL-10 and IL-12 were upregulated in group V-/C+E+, IL-10 also in group V+/C+E+ (SD 40) while IL-2 expression remained unaltered. In conclusion, vaccination against coccidiosis was effective in preventing NE in a mixed infection comparable to field situations.


Subject(s)
Chickens/parasitology , Coccidiosis/veterinary , Eimeria/immunology , Enteritis/veterinary , Poultry Diseases/prevention & control , Protozoan Vaccines/standards , Animals , Antibodies, Protozoan/blood , Clostridium Infections/microbiology , Clostridium Infections/prevention & control , Clostridium Infections/veterinary , Clostridium perfringens/genetics , Clostridium perfringens/pathogenicity , Coccidiosis/complications , Coccidiosis/prevention & control , Cytokines/metabolism , Eimeria tenella/immunology , Enteritis/microbiology , Enteritis/parasitology , Enteritis/prevention & control , Feces/parasitology , Jejunum/pathology , Necrosis/veterinary , Parasite Egg Count/veterinary , Poultry Diseases/microbiology , Poultry Diseases/parasitology , Vaccines, Attenuated/standards
11.
J Biopharm Stat ; 23(4): 744-55, 2013.
Article in English | MEDLINE | ID: mdl-23786578

ABSTRACT

We develop a simple statistic for comparing rates of rare adverse events between treatment groups in postmarketing safety studies where the events have uncertain status. In this setting, the statistic is asymptotically equivalent to the logrank statistic, but the limiting distribution has Poisson and binomial components instead of being Gaussian. We develop two new procedures for computing critical values: a Gaussian approximation and a parametric bootstrap. Both numerical and asymptotic properties of the procedures are studied. The test procedures are demonstrated on a postmarketing safety study of the RotaTeq vaccine. This vaccine was developed to reduce the incidence of severe diarrhea in infants.


Subject(s)
Consumer Product Safety , Medical Records/statistics & numerical data , Models, Statistical , Product Surveillance, Postmarketing/methods , Product Surveillance, Postmarketing/statistics & numerical data , Uncertainty , Humans , Rotavirus Vaccines/standards , Vaccines, Attenuated/standards
12.
Article in English | MEDLINE | ID: mdl-24170085

ABSTRACT

The German Standing Committee on Vaccination (STIKO) recommends seasonal influenza vaccination for children and adolescents with chronic medical conditions that put them at risk for severe influenza illness. In addition to trivalent inactivated influenza vaccines (TIV), a trivalent live-attenuated influenza vaccine (LAIV) was licensed for children and adolescents aged 2-17 years in the European Union in 2011. Employing the methodology of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) working group, we examined the evidence for efficacy and safety of LAIV relative to TIV to guide STIKO's decision on whether LAIV should be preferentially recommended for at-risk children. In our meta-analysis of data from two randomized trials directly comparing LAIV and TIV in children aged ≤ 6 years, the protective efficacy of LAIV against laboratory-confirmed influenza was 53 % [95 % confidence interval (CI): 45-61 %] higher than that of TIV. A similar study in individuals aged 6-17 years showed a 32 % (95 % CI: 3-52 %) higher efficacy of LAIV. The quality of the evidence for a superior protective efficacy of LAIV against all relevant clinical outcomes was rated 'moderate' for children aged 2-6 years and 'low' for the age group 7-17 years. Regarding safety outcomes, the available data suggest no significant differences between LAIV and TIV. Based on these results, STIKO recommends that LAIV should be used preferentially for influenza vaccination of at-risk children aged 2-6 years. In children and adolescents aged 7-17 years, either LAIV or TIV may be used without specific preference. Possible contraindications and the vaccinee's and his/her guardians' preferences should be taken into account.


Subject(s)
Evidence-Based Medicine , Influenza Vaccines/administration & dosage , Influenza, Human/epidemiology , Influenza, Human/prevention & control , Practice Guidelines as Topic , Vaccination/statistics & numerical data , Vaccination/standards , Child , Child, Preschool , Female , Germany/epidemiology , Humans , Male , Prevalence , Risk Factors , Treatment Outcome , Vaccines, Attenuated/standards , Vaccines, Attenuated/therapeutic use
13.
J Infect Dis ; 204 Suppl 1: S133-48, 2011 Jul.
Article in English | MEDLINE | ID: mdl-21666154

ABSTRACT

BACKGROUND: Information on measles vaccine effectiveness (VE) is critical to help inform policies for future global measles control goals. METHODS: We reviewed results of VE studies published during 1960-2010. RESULTS: Seventy papers with 135 VE point estimates were identified. For a single dose of vaccine administered at 9-11 months of age and ≥12 months, the median VE was 77.0% (interquartile range [IQR], 62%-91%) and 92.0% (IQR, 86%-96%), respectively. When analysis was restricted to include only point estimates for which vaccination history was verified and cases were laboratory confirmed, the median VE was 84.0% (IQR, 72.0%-95.0%) and 92.5% (IQR, 84.8%-97.0%) when vaccine was received at 9-11 and ≥12 months, respectively. Published VE vary by World Health Organization region, with generally lower estimates in countries belonging to the African and SouthEast Asian Regions. For 2 doses of measles-containing vaccine, compared with no vaccination, the median VE was 94.1% (IQR, 88.3%-98.3%). CONCLUSIONS: The VE of the first dose of measles-containing vaccine administered at 9-11 months was lower than what would be expected from serologic evaluations but was higher than expected when administered at ≥12 months. The median VE increased in a subset of articles in which classification bias was reduced through verified vaccination history and laboratory confirmation. In general, 2 doses of measles-containing vaccine provided excellent protection against measles.


Subject(s)
Measles Vaccine/standards , Measles/prevention & control , Age Factors , Child, Preschool , Humans , Immunization Programs , Immunization Schedule , Infant , Measles Vaccine/administration & dosage , Public Policy , Vaccines, Attenuated/administration & dosage , Vaccines, Attenuated/standards
14.
Infect Immun ; 79(12): 5001-9, 2011 Dec.
Article in English | MEDLINE | ID: mdl-21930759

ABSTRACT

A Listeria monocytogenes glcV mutation precludes the binding of certain listerial phages and produces a profound attenuation characterized by the absence of detectable mutants in the livers and spleens of orally inoculated mice. In vitro, we found that the mutant formed plaques on mouse enterocyte monolayers as efficiently as the parent but the plaques formed were smaller. Intracellular growth rate determinations and examination of infected enterocytes by light and fluorescence microscopy established that the mutant was impaired not in intracellular growth rate but in cell-to-cell spreading. Because this property is shared by other immunogenic mutants (e.g., actA mutants), our glcV mutant was tested for vaccine efficacy. Oral immunization with the mutant and subsequent oral challenge (22 days postvaccination) with the parent revealed a ca. 10,000-fold increase in protection afforded by the mutant compared to sham-vaccinated controls. The glcV mutant did not stimulate innate immunity under the dose and route employed for vaccination, and an infectivity index time course experiment revealed pronounced mutant persistence in Peyer's patches. The immunogenicity of the glcV mutant compared to an isogenic actA mutant reference strain was next tested in an experiment with a challenge given 52 days postvaccination. Both mutant strains showed scant vital organ infectivity and high levels of protection similar to those seen using the glcV mutant in the 22-day postvaccination challenge. Our results indicate that oral administration of a profoundly attenuated listerial mutant can safely elicit solid protective immunity.


Subject(s)
Bacterial Vaccines/standards , Bacteriophages/physiology , Listeria monocytogenes/genetics , Listeria monocytogenes/virology , Listeriosis/prevention & control , Administration, Oral , Animals , Bacterial Proteins/genetics , Bacterial Proteins/metabolism , Bacterial Vaccines/administration & dosage , Bacterial Vaccines/immunology , Cells, Cultured , Enterocytes/microbiology , Female , Listeriosis/microbiology , Mice , Mice, Inbred BALB C , Mutagenesis, Insertional , Mutation , Time Factors , Vaccines, Attenuated/administration & dosage , Vaccines, Attenuated/standards
15.
J Virol ; 84(7): 3690-4, 2010 Apr.
Article in English | MEDLINE | ID: mdl-20106919

ABSTRACT

The genomes of all animal species are colonized by endogenous retroviruses (ERVs). Although most ERVs have accumulated defects that render them incapable of replication, fully infectious ERVs have been identified in various mammals. In this study, we isolated a feline infectious ERV (RD-114) in a proportion of live attenuated vaccines for pets. Isolation of RD-114 was made in two independent laboratories using different detection strategies and using vaccines for both cats and dogs commercially available in Japan or the United Kingdom. This study shows that the methods currently employed to screen veterinary vaccines for retroviruses should be reevaluated.


Subject(s)
Animals, Domestic , Endogenous Retroviruses/isolation & purification , Retroviridae/immunology , Vaccination/veterinary , Viral Vaccines/standards , Animals , Cats , Dogs , Vaccines, Attenuated/standards
16.
J Virol ; 84(21): 10974-81, 2010 Nov.
Article in English | MEDLINE | ID: mdl-20739541

ABSTRACT

Two effective (vac+) and two ineffective (vac-) candidate live-attenuated influenza vaccines (LAIVs) derived from naturally selected genetically stable variants of A/TK/OR/71-delNS1[1-124] (H7N3) that differed only in the length and kind of amino acid residues at the C terminus of the nonstructural NS1 protein were analyzed for their content of particle subpopulations. These subpopulations included total physical particles (measured as hemagglutinating particles [HAPs]) with their subsumed biologically active particles of infectious virus (plaque-forming particles [PFPs]) and different classes of noninfectious virus, namely, interferon-inducing particles (IFPs), noninfectious cell-killing particles (niCKPs), and defective interfering particles (DIPs). The vac+ variants were distinguished from the vac- variants on the basis of their content of viral subpopulations by (i) the capacity to induce higher quantum yields of interferon (IFN), (ii) the generation of an unusual type of IFN-induction dose-response curve, (iii) the presence of IFPs that induce IFN more efficiently, (iv) reduced sensitivity to IFN action, and (v) elevated rates of PFP replication that resulted in larger plaques and higher PFP and HAP titers. These in vitro analyses provide a benchmark for the screening of candidate LAIVs and their potential as effective vaccines. Vaccine design may be improved by enhancement of attributes that are dominant in the effective (vac+) vaccines.


Subject(s)
Influenza Vaccines/standards , Vaccines, Attenuated/standards , Virion/classification , Defective Viruses , Genetic Variation , Influenza Vaccines/classification , Interferons/biosynthesis , Methods , Vaccines, Attenuated/classification , Viral Nonstructural Proteins/genetics , Viral Nonstructural Proteins/therapeutic use , Viral Plaque Assay , Virus Replication
17.
J Infect Dis ; 202(11): 1626-33, 2010 Dec 01.
Article in English | MEDLINE | ID: mdl-21028955

ABSTRACT

BACKGROUND: Influenza is an uncontrolled epidemic disease that is vaccine preventable. New recommendations for universal immunization present a challenge to the implementation of vaccine delivery. This field trial examines the effectiveness of school-based clinics for vaccine delivery before an epidemic caused by 3 new influenza virus variants not contained in the vaccine. METHODS: Live attenuated influenza vaccine (LAIV) was offered to eligible children in elementary schools of eastern Bell County, Texas. Age-specific rates of medically attended acute respiratory illness for health plan members at the intervention site were compared with those for members at comparison sites during the epidemic, defined by viral surveillance at all sites. RESULTS: Almost 48% of children in elementary schools were vaccinated. Significant herd protection attributed to LAIV was detected for all age groups except 12-17-year-old students, who were not offered free vaccine. Approximately 2500 medical encounters were prevented at the intervention site. Inactivated vaccine provided marginal protection against the epidemic viruses. CONCLUSIONS: LAIV delivered to elementary-school children before an epidemic caused by 3 new variant influenza viruses generated significant cross-protection for the recipients and indirect (herd) protection for the community.


Subject(s)
Influenza A Virus, H1N1 Subtype/immunology , Influenza A Virus, H3N2 Subtype/immunology , Influenza B virus/immunology , Influenza Vaccines/standards , Influenza, Human/prevention & control , Influenza, Human/virology , Administration, Intranasal , Adolescent , Age Distribution , Child , Child, Preschool , Disease Outbreaks/prevention & control , Humans , Immunity, Herd , Influenza Vaccines/administration & dosage , Registries , School Health Services , Texas , Vaccines, Attenuated/administration & dosage , Vaccines, Attenuated/standards
18.
Sci Rep ; 11(1): 7432, 2021 04 01.
Article in English | MEDLINE | ID: mdl-33795759

ABSTRACT

Direct at line monitoring of live virus particles in commercial manufacturing of vaccines is challenging due to their small size. Detection of malformed or damaged virions with reduced potency is rate-limited by release potency assays with long turnaround times. Thus, preempting batch failures caused by out of specification potency results is almost impossible. Much needed are in-process tools that can monitor and detect compromised viral particles in live-virus vaccines (LVVs) manufacturing based on changes in their biophysical properties to provide timely measures to rectify process stresses leading to such damage. Using ERVEBO, MSD's Ebola virus vaccine as an example, here we describe a flow virometry assay that can quickly detect damaged virus particles and provide mechanistic insight into process parameters contributing to the damage. Furthermore, we describe a 24-h high throughput infectivity assay that can be used to correlate damaged particles directly to loss in viral infectivity (potency) in-process. Collectively, we provide a set of innovative tools to enable rapid process development, process monitoring, and control strategy implementation in large scale LVV manufacturing.


Subject(s)
Flow Cytometry/methods , Vaccines, Attenuated/standards , Vaccinology/methods , Vaccinology/standards , Viral Vaccines/standards , Animals , Chlorocebus aethiops , Ebola Vaccines/standards , Humans , Temperature , Vaccines, Synthetic/standards , Vero Cells , Virion/ultrastructure
19.
Rev Argent Microbiol ; 42(1): 4-10, 2010.
Article in English | MEDLINE | ID: mdl-20461286

ABSTRACT

The bacillus Calmette-Guérin (BCG) was obtained in 1920 after successive passages leading to the attenuation of a Mycobacterium bovis strain. For the following 40 years, BCG had been replicated, resulting in substrains with genotypic and phenotypic differences. Several genomic studies have compared two BCG strains, M. bovis and Mycobacterium tuberculosis, and observed that deleted regions in the different strains could be related to differences in antigenic properties. In this work, a working seed lot was obtained from a lyophilized secondary seed lot from the BCG Pasteur strain 1173 P2 and genetically characterized. The genome was analyzed by PCR directed to five regions (RD1, RD2, RD14, RD15, DU2), using the seed lot and different available strains as templates. No genetic differences were found in the fragments studied as compared to the Pasteur strain. A total of 20 passages were carried out and no differences were found in the size of the fragments amplified by PCR. In conclusion, this method allows to control a working seed lot genotypically and to assess the stability of the BCG genome.


Subject(s)
BCG Vaccine/standards , Mycobacterium bovis/genetics , Polymerase Chain Reaction/methods , Animals , Antigens, Bacterial/genetics , Antigens, Bacterial/immunology , BCG Vaccine/immunology , Biological Assay , DNA, Bacterial/analysis , DNA, Bacterial/genetics , Gene Deletion , Genome, Bacterial , Genotype , Guinea Pigs , Mycobacterium bovis/growth & development , Mycobacterium bovis/immunology , Mycobacterium bovis/pathogenicity , Mycobacterium tuberculosis/genetics , Mycobacterium tuberculosis/immunology , Mycobacterium tuberculosis/pathogenicity , Quality Control , Species Specificity , Vaccines, Attenuated/immunology , Vaccines, Attenuated/standards , Virulence
20.
Vet Microbiol ; 246: 108712, 2020 Jul.
Article in English | MEDLINE | ID: mdl-32605749

ABSTRACT

Avian leukosis (AL) is one of the most pandemic immunosuppressive diseases and has been widely spread between 2006 and 2009 in China. The contamination of avian leukosis virus (ALV) in attenuated vaccine is considered as one of the possible transmission routes of this disease. Based on a retrospective survey of 918 batches of attenuated vaccine produced before 2010, three of them were identified as ALV-positive and corresponding ALV strains were successfully isolated from a live Fowlpox virus vaccine, a live Newcastle disease virus vaccine and a live Infectious Bursal Disease virus vaccine, respectively, and whole-genome sequencing showed that these three isolates shared the highest homology with ALV-A wild strains isolated in China (97.7%) over the same period, and the phylogenetic analysis based on their gp85 genes further confirmed that they belong to subgroup A. Meanwhile, although these three ALV-A strains isolated from contaminated vaccines shared a close genetic relationship, their U3 region of genome have a relatively low identity, suggesting that these three strains may have different sources. This study reminds us once again that the possibility of ALV infecting chickens through contaminated live vaccines, requiring us to carry out stricter exogenous virus monitoring in vaccines.


Subject(s)
Avian Leukosis Virus/genetics , Avian Leukosis Virus/isolation & purification , Viral Vaccines/standards , Animals , Avian Leukosis/prevention & control , Chickens , China , Phylogeny , Poultry Diseases/prevention & control , Poultry Diseases/virology , Retrospective Studies , Sequence Analysis, DNA , Vaccines, Attenuated/standards , Whole Genome Sequencing
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