Preparation and characterization of an immunogenic meningococcal group A conjugate vaccine for use in Africa

被引:56
作者
Lee, Che-Hung
Kuo, Wen-Chun
Beri, Suresh [2 ]
Kapre, Subash [2 ]
Joshi, Jayant S. [2 ]
Bouveret, Nancy [3 ]
LaForce, F. Marc [3 ]
Frasch, Carl E. [1 ]
机构
[1] US FDA, Lab Bacterial Polysaccharides, HFM 428, DBPAP,OVRR,CBER,Ctr Biol Evaluat & Res, Bethesda, MD 20892 USA
[2] Serum Inst India Ltd, Pune, Maharashtra, India
[3] Meningitis Vaccine Project, Ferney Voltaire, France
关键词
Vaccine; Conjugate; Polysaccharide; NEISSERIA-MENINGITIDIS SEROGROUP; SUB-SAHARAN AFRICA; CAPSULAR POLYSACCHARIDE; O-ACETYLATION; GROUP-B; ANTIBODY; IMMUNIZATION; PERSISTENCE; PREVENTION; EPIDEMIC;
D O I
10.1016/j.vaccine.2008.11.065
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Periodic epidemics of group A meningococcal (Mn A) meningitis continue to occur in sub-Saharan Africa. For its prevention, a Mn A polysaccharide (PS)-tetanus toxoid (TT) conjugate vaccine was developed using reductive amination of polysaccharicle aldehydes and toxoid hydrazides. In mouse immunization studies, a schedule of three bi-weekly s.c. immunizations of 0.1 or 1 mu g of the conjugate (PS content) without an adjuvant induced serum antibody levels of >10,000 units/mL measured by enzyme-linked immunosorbent assay (ELISA) as compared to similar to 100 units/mL in PS control mice. The elicited antibodies were active in bactericidal assays using either baby rabbit or human complement (titers >1500 compared to similar to 200 for the PS control group). The synthesis process is reproducible and scalable, and has been successfully used for manufacturing a Mn A PS-TT conjugate vaccine based on a paradigm of shared manufacturing with transfer of new technology [Jodar L, LaForce FM, Ceccarini C, Aguado T, Granoff DM. Meningococcal conjugate vaccine for Africa: a model for development of new vaccine for the poorest countries. Lancet 2003, 361:1092-4]. A phase 1 clinical trial of the manufactured Men A-TT conjugate vaccine has been successfully carried out in adults in India, and a phase 2 clinical trial in young children is currently underway in Africa. Published by Elsevier Ltd.
引用
收藏
页码:726 / 732
页数:7
相关论文
共 35 条
[1]   Effect of O acetylation of Neisseria meningitidis serogroup A capsular polysaccharide on development of functional immune responses [J].
Berry, DS ;
Lynn, F ;
Lee, CH ;
Frasch, CE ;
Bash, MC .
INFECTION AND IMMUNITY, 2002, 70 (07) :3707-3713
[2]  
BUNDLE DR, 1974, J BIOL CHEM, V249, P2275
[3]  
FRASCH CE, 2004, P 14 INT PATH NEISS, P159
[4]   Prevention of meningococcal disease [J].
Gardner, Pierce .
NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (14) :1466-1473
[5]   THE DURATION OF THE ANTIBODY-RESPONSE TO MENINGOCOCCAL VACCINATION IN AN AFRICAN VILLAGE [J].
GREENWOOD, BM ;
WHITTLE, HC ;
BRADLEY, AK ;
FAYET, MT ;
GILLES, HM .
TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE, 1980, 74 (06) :756-760
[6]   Selection of an immunogenic peptide mimic of the capsular polysaccharide of Neisseria meningitidis serogroup A using a peptide display library [J].
Grothaus, MC ;
Srivastava, N ;
Smithson, SL ;
Kieber-Emmons, T ;
Williams, DB ;
Carlone, GM ;
Westerink, MAJ .
VACCINE, 2000, 18 (13) :1253-1263
[7]   Prospects for vaccine prevention of meningococcal infection [J].
Harrison, LH .
CLINICAL MICROBIOLOGY REVIEWS, 2006, 19 (01) :142-+
[8]   DERIVATIZATION OF CROSS-LINKED POLYACRYLAMIDE BEADS . CONTROLLED INTRODUCTION OF FUNCTIONAL GROUPS FOR PREPARATION OF SPECIAL-PURPOSE, BIOCHEMICAL ADSORBENTS [J].
INMAN, JK ;
DINTZIS, HM .
BIOCHEMISTRY, 1969, 8 (10) :4074-&
[9]   Preparation and characterization of group A meningococcal capsular polysaccharide conjugates and evaluation of their immunogenicity in mice [J].
Jin, ZG ;
Chu, CY ;
Robbins, JB ;
Schneerson, R .
INFECTION AND IMMUNITY, 2003, 71 (09) :5115-5120
[10]   Meningococcal conjugate vaccine for Africa:: a model for development of new vaccines for the poorest countries [J].
Jódar, L ;
LaForce, FM ;
Ceccarini, C ;
Aguado, T ;
Granoff, DM .
LANCET, 2003, 361 (9372) :1902-1904