NAVA's acellular pertussis vaccine is based on highly purified pertussis to
xin (PT) inactivated with H2O2. PT was analysed using advanced biochemical
methodology including mass spectroscopy (LC/MS), yielding mass and peptide
mapping information on the subunits. Pertactin, adenylate cyclase, and Fim
1, 2 were below detection levels and only trace amounts of filamentous haem
agglutinin (FHA) have been identified as a minor impurity. The vaccine does
not induce anti-FHA antibodies during the course of a 3-dose primary immun
ization series in infants. B and T cell epitopes are preserved to a higher
extent after H2O2 detoxification when compared with chemical inactivation w
ith formaldehyde, thus providing new information explaining why vaccines em
ploying formaldehyde detoxified PT may need additional pertussis components
added to induce high levels of protection. Anti-PT antibodies generated by
NAVA diphtheria, tetanus, and acellular pertussis vaccine (DTaP) showed a
positive correlation with protection against WHO-defined pertussis. The saf
ety profiles for these vaccines showed low reactogenicity with no serious a
dverse events due to the vaccines; (C) 1999 The International Association f
or Biologicals.