Post-exposure anti-rabies vaccination for individuals who have not previous
ly been immunized against rabies includes a cell culture-derived vaccine an
d a one time injection of rabies immune globulin. Recent studies have shown
DNA vaccinations to be highly effective in rabies pre-exposure experiments
, but post-exposure protection has not been achieved. This failure is likel
y due to the slow onset of DNA vaccine induced antibody production. In an a
ttempt to accelerate the onset of the antibody response, we manipulated var
iables, such as the route of vaccination and booster frequency. Anti-rabies
virus antibody was detected 5 days after the initial DNA vaccination. Usin
g this vaccination protocol and a single non-protective dose of anti-rabies
immune serum, we questioned whether mice injected 6 h previously with rabi
es virus would be protected if a DNA vaccine was substituted for the cell c
ulture-derived human diploid cell vaccine (HDCV). The DNA vaccine protected
87% of the mice (P = 0.00005. compared with unvaccinated control mice). So
me 75% of mice receiving HDCV were protected (P = 0.00097. compared with un
vaccinated control mice). Mice receiving only anti-rabies immune serum were
not protected (P > 0.05 compared to unvaccinated control mice). Thus, post
-exposure therapy, substituting a DNA vaccine for HDCV, did not compromise
protection against rabies virus. published by Elsevier Science Ltd.