Protective efficacy against respiratory syncytial virus following murine neonatal immunization with BBG2Na vaccine: Influence of adjuvants and maternal antibodies
Ca. Siegrist et al., Protective efficacy against respiratory syncytial virus following murine neonatal immunization with BBG2Na vaccine: Influence of adjuvants and maternal antibodies, J INFEC DIS, 179(6), 1999, pp. 1326-1333
Alum-adsorbed BBG2Na, a recombinant vaccine derived in part from the respir
atory syncytial virus (RSV) subgroup A G protein, induced moderate antibody
titers after 1 immunization in I-week-old mice but conferred complete lung
protection upon RSV challenge. The anti-BBG2Na IgG1-IgG2a neonatal isotype
profile was suggestive of dominant Th2 responses compared with those in ad
ults. Formulation of BBG2Na with a Th1-driving adjuvant efficiently shifted
neonatal responses toward a more balanced and adultlike IgG1-IgC2a profile
without compromising its protective efficacy, BBG2Na-induced protective im
munity was maintained even after early life immunization in the presence of
high titers of maternal antibodies, Under these conditions, the protective
efficacy (86%-100%) reflected the high capacity of the nonglycosylated G2N
a immunogen to escape inhibition by RSV-A-induced maternal antibodies. Thus
, immunization with BBG2Na protected against viral challenge despite neonat
al immunologic immaturity and the presence of maternal antibodies, two majo
r obstacles to neonatal RSV vaccine development.