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Study of a tick-borne encephalitis vaccine 蜱传脑炎疫苗的研究
Pub Date : 2023-09-13 DOI: 10.30895/2221-996x-2023-23-3-1-389-399
O. V. Stronin, A. A.  Epanchintsev, A.  A. Koltunov
Scientific relevance. Tick-borne encephalitis is one of the most significant anthropozoonoses   for public health in the Russian Federation. Wide vaccination coverage is required to control  this zoonotic infection. However, large-scale immunisation is not feasible without developing novel vaccines with improved safety and efficacy profiles, such as vaccines based on the continuous Vero cell line.Aim. This extended study aimed to investigate the key quality attributes of VeroKSEN, a new tick-borne encephalitis vaccine that was obtained using Vero cells.Materials and methods. The authors implemented current approaches to vaccine development, including propagation of tick-borne encephalitis strain 205 (Far Eastern subtype) in Vero cells, fine purification of the viral antigen by size-exclusion chromatography on polymeric resins, and introduction of additional quality control methods. For VeroKSEN production, the authors used the method protected by utility patent No. 2678431.  Quality control of the finished product  was performed according to the State Pharmacopoeia of the Russian Federation. The laboratory study of the vaccine and its intermediates in Balb/с mice used novel control methods developed by the authors. Additional methods included polyacrylamide gel electrophoresis, enzyme immunoassay, immunoblotting with total antibodies to tick-borne encephalitis virus  and monoclonal antibodies to glycoprotein E, reverse transcription–polymerase chain reaction, and high-performance liquid chromatography. The extended potency study used test strains of different subtypes, including Absettarov (Western), Sofjin (Far Eastern), and Korzukhin (Siberian). The authors studied the infectious activity of tick-borne encephalitis virus in outbred mice using the pharmacopoeial titration method. Statistical analysis of the study results involved calculating the arithmetic mean and the root-mean-square deviation.Results. The authors studied the key quality attributes of VeroKSEN and its intermediates. Selected inactivation conditions reduced the infectious activity of the viral harvest to an undetectable level within 24 h, while its antigenic activity remained approximately 100% of the baseline. The fine purification stages and the methods and techniques developed by the authors provided a whole-virion fraction with a purity of up to 98.2% and removed process-related impurities (residual host-cell DNA, bovine serum albumin, formaldehyde, and bacterial endotoxins) to the levels required by national legislation. The stability study demonstrated    that the vaccine met the requirements for up to 36 months.Conclusions. The study showed the high potency of the new vaccine in terms of protection against the Western, Siberian, and Far Eastern subtypes of tick-borne encephalitis, with minimum immunising doses (MID50) of 0.007, 0.00125, and 0.00093 mL, respectively.
科学相关性。蜱传脑炎是俄罗斯联邦公共卫生最重要的人畜共患病之一。为控制这种人畜共患感染,需要广泛接种疫苗。然而,如果不开发出安全性和有效性更高的新型疫苗,例如基于连续Vero细胞系的疫苗,大规模免疫是不可行的。的目标。这项扩展研究旨在调查VeroKSEN的关键质量属性,VeroKSEN是一种使用Vero细胞获得的新型蜱传脑炎疫苗。材料和方法。作者实施了目前的疫苗开发方法,包括在Vero细胞中繁殖蜱传脑炎菌株205(远东亚型),通过聚合物树脂的大小隔离层析对病毒抗原进行精细纯化,以及引入额外的质量控制方法。对于VeroKSEN的生产,作者使用了受实用专利号2678431保护的方法。成品的质量控制按照俄罗斯联邦国家药典进行。该疫苗及其中间体在Balb/ r小鼠中的实验室研究使用了作者开发的新控制方法。其他方法包括聚丙烯酰胺凝胶电泳、酶免疫测定、蜱传脑炎病毒总抗体和糖蛋白E单克隆抗体免疫印迹、逆转录-聚合酶链反应和高效液相色谱法。扩展效力研究使用了不同亚型的试验菌株,包括Absettarov(西部),Sofjin(远东)和Korzukhin(西伯利亚)。采用药检滴定法研究了蜱传脑炎病毒在远交种小鼠体内的传染活性。研究结果的统计分析包括计算算术平均值和均方根偏差。结果。作者研究了VeroKSEN及其中间体的关键质量属性。选定的失活条件将病毒收获的感染活性降低到24小时内检测不到的水平,而其抗原活性保持在基线的100%左右。作者开发的精细纯化阶段和方法和技术提供了纯度高达98.2%的全病毒粒子部分,并将过程相关的杂质(残余宿主细胞DNA、牛血清白蛋白、甲醛和细菌内毒素)去除到国家立法要求的水平。稳定性研究表明,该疫苗符合长达36个月的要求。结论。该研究表明,新疫苗在预防西部、西伯利亚和远东蜱传脑炎亚型方面具有很高的效力,最低免疫剂量(MID 50)分别为0.007、0.00125和0.00093 mL。
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引用次数: 0
Lyophilisation of bacterial test strains in a manifold-type apparatus: Effects of freezing and drying parameters, ampoule fill volume, and cotton filter density 歧管式装置中细菌试验菌株的冻干:冷冻和干燥参数、安瓿填充体积和棉花过滤器密度的影响
Pub Date : 2023-09-08 DOI: 10.30895/2221-996x-2023-23-3-348-360
A. A. Voropaev, O. V. Fadeikina, T. N. Ermolaeva, D. S.  Davydov
Scientific relevance. Lyophilisation is the preferred method at the National Collection of Pathogenic Microorganisms (NCPM) of the Scientific Centre for Expert Evaluation of Medicinal Products of the Ministry of Health of the Russian Federation. Lyophilisation is used to provide for high standards of test-strain deposition, storage, and transportation and to ensure that test strains maintain their properties. Successful lyophilisation requires conducting experiments to establish the key parameters and critical conditions of the process. Aim. The study aimed to evaluate the effects that the speed and time of freezing, the time of drying, the fill volume of ampoules, and the density of cotton filters have on the quality of NCPM indicator microorganisms lyophilised in a manifold-type apparatus. Materials and methods. Pseudomonas aeruginosa NCTC 12924, Staphylococcus aureus NCTC 10788, and Salmonella Abony NCTC 6017 were freeze-dried using a manifold-type apparatus (M. S. R. 18, Usifroid). The authors used a low-temperature freezer at –70±2 °C for slow freezing and a mixture of dry ice and alcohol for quick freezing. The statistical analysis was performed using Microsoft Excel and Statistica 10. Results. The minimum time needed for freezing the samples in a low-temperature freezer at –70±2 °C was 4 hours. Further storage at this temperature for up to 1 month was shown possible without compromising the quality of the final product. The time needed for freezing the samples in a mixture of dry ice and alcohol was under 1 minute. No differences in quality parameters were observed between the lyophilised samples frozen slowly or quickly, except for the cake appearance. Quick freezing resulted in cakes that were non-uniform, crumbled, and pulled away from the ampoule walls, which is considered undesirable. The primary drying stage for ampoules with a fill volume of 0.2 mL took 6–8 hours. The secondary drying stage of 11, 18, 35, and 59 hours resulted in comparable lyophilisate quality: the authors observed no statistically significant differences in viable cell counts (CFU/mL) at the end of lyophilisation and at the end of stress testing. The residual moisture content after 59-hour secondary drying was less than 2%. The cotton filter density had a critical influence on the lyophilisate quality. Therefore, the authors recommend using cotton filters weighing 50 mg or less. Conclusions. The authors analysed the main stages of the lyophilisation process used for NCPM test strains and considered the effects that the speed and time of freezing, the time of drying, the fill volume of ampoules, and the density of cotton filters have on the quality of the final lyophilised product. The NCPM has implemented the results of this study in its work.
科学的相关性。冻干法是俄罗斯联邦卫生部药品专家评价科学中心国家病原微生物收集(NCPM)的首选方法。冻干用于提供高标准的试验菌株沉积、储存和运输,并确保试验菌株保持其特性。成功的冻干需要进行实验来确定过程的关键参数和关键条件。的目标。本研究旨在评价冷冻的速度和时间、干燥的时间、安瓿的填充体积和棉花过滤器的密度对在歧管式装置中冻干的NCPM指示微生物的质量的影响。材料和方法。铜绿假单胞菌NCTC 12924、金黄色葡萄球菌NCTC 10788和Abony沙门氏菌NCTC 6017采用多管式冻干装置(m.s.r.18, Usifroid)进行冻干。作者使用-70±2°C低温冷冻器进行慢速冷冻,使用干冰和酒精的混合物进行速冻。采用Microsoft Excel和Statistica 10进行统计分析。结果。样品在-70±2°C低温冷冻室中冷冻的最短时间为4小时。在此温度下进一步储存长达1个月是可能的,而不会影响最终产品的质量。在干冰和酒精的混合物中冷冻样品所需的时间不到1分钟。除了蛋糕外观外,在缓慢或快速冷冻的冻干样品之间没有观察到质量参数的差异。快速冷冻导致蛋糕不均匀,易碎,并从安瓿瓶壁上脱落,这是不受欢迎的。填充量为0.2 mL的安瓿瓶的初级干燥阶段需要6-8小时。第二次干燥阶段11,18,35和59小时的冻干液质量相当:作者在冻干结束和压力测试结束时观察到活细胞计数(CFU/mL)无统计学显著差异。二次干燥59 h后残余水分含量小于2%。棉花过滤密度对冻干液品质有重要影响。因此,作者建议使用重量不超过50毫克的棉质过滤器。结论。作者分析了用于NCPM试验菌株的冻干过程的主要阶段,并考虑了冷冻的速度和时间、干燥的时间、安瓿的填充体积和棉花过滤器的密度对最终冻干产品质量的影响。NCPM在其工作中实施了这项研究的结果。
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引用次数: 0
Evaluation of the immune response to diphtheria and tetanus toxoids by the serological methods 用血清学方法评价白喉和破伤风类毒素免疫反应
Pub Date : 2023-09-08 DOI: 10.30895/2221-996x-2023-23-3-321-332
Е. I. Komarovskaya, A. A. Soldatov
Scientific relevance . Currently, two types of methods are used to evaluate the potency of diphtheria and tetanus toxoids: the gold standard, which involves administering toxins to immunised animals, and serological methods, which involve quantifying protective antibodies in the serum of immunised animals. International validation studies of serological methods for assessing the potency of diphtheria and tetanus toxoids have resulted in revisions to the relevant chapters of the WHO Manual for Quality Control of Diphtheria, Tetanus and Pertussis Vaccines, as well as the European, Japanese, and several other pharmacopoeias. Consequently, some diphtheria and tetanus vaccine manufacturers have substituted the potency evaluation methods that require administering toxins to animals with alternative serological methods. Aim . The study aimed to assess the suitability, reproducibility, and feasibility of an alternative enzyme immunoassay method (ELISA) for assessing the potency of diphtheria and tetanus components of diphtheria, tetanus, and whole-cell pertussis (DTwP) vaccines and to determine the possibility of implementing this method in Russia using standards and reagents manufactured in the country. Materials and methods . The study used combined vaccines for diphtheria prophylaxis, diphtheria toxin, and reference vaccines. The potency of diphtheria and tetanus toxoids was determined in guinea pigs and mice by the pharmacopoeial lethal challenge method and an alternative ELISA method. Results . ELISA and lethal challenge methods demonstrated comparable results of potency determination: 230 IU/mL vs 264 IU/mL (diphtheria toxoid), 188 IU/mL vs 160 IU/mL (tetanus toxoid), respectively. As opposed to the lethal challenge, the serological method allows testing the efficacy of several antigens in the same animals. The study showed the possibility of using purified diphtheria and tetanus toxoids manufactured in Russia as coating antigens. The authors obtained comparable antibody titres for each animal, using plates coated with international standards and Russian-made diphtheria and tetanus toxoids. Conclusions . The authors demonstrated the possibility of using ELISA to determine the potency of diphtheria and tetanus toxoids in DTwP vaccines. Moreover, the study demonstrated the suitability of Russian purified diphtheria and tetanus toxoids as coating antigens. Researchers should continue working on enzyme immunoassay validation with a view to harmonising national and international methods for assessing the potency of diphtheria and tetanus toxoid vaccines, as these efforts will not only facilitate the registration of foreign vaccines in Russia but also accelerate the approval of Russian vaccines in other countries.
科学相关性。目前,有两种方法用于评估白喉和破伤风类毒素的效力:金标准方法,涉及给免疫动物注射毒素;血清学方法,涉及定量免疫动物血清中的保护性抗体。对评估白喉和破伤风类毒素效力的血清学方法进行的国际验证研究已导致对世卫组织《白喉、破伤风和百日咳疫苗质量控制手册》以及欧洲、日本和其他几个药典的相关章节进行修订。因此,一些白喉和破伤风疫苗生产商已经用其他血清学方法取代了需要给动物注射毒素的效力评估方法。的目标。本研究旨在评估一种用于评估白喉、破伤风和全细胞百日咳(DTwP)疫苗中白喉和破伤风成分效力的替代酶免疫测定法(ELISA)的适用性、可重复性和可行性,并确定使用俄罗斯生产的标准和试剂在俄罗斯实施该方法的可能性。材料和方法。该研究使用了预防白喉的联合疫苗、白喉毒素疫苗和参比疫苗。采用药典致死激发法和ELISA法分别测定豚鼠和小鼠白喉和破伤风类毒素的效力。结果。ELISA和致死激发法的效价测定结果具有可比性:分别为230 IU/mL和264 IU/mL(白喉类毒素),188 IU/mL和160 IU/mL(破伤风类毒素)。与致命攻击相反,血清学方法允许在同一只动物中测试几种抗原的效力。该研究显示了使用俄罗斯生产的纯化白喉和破伤风类毒素作为涂层抗原的可能性。作者使用涂有国际标准和俄罗斯制造的白喉和破伤风类毒素的板,获得了每只动物的可比抗体滴度。结论。作者证明了使用ELISA测定白喉和破伤风类毒素在白喉和破伤风双联疫苗中的效力的可能性。此外,该研究还证实了俄罗斯纯化的白喉和破伤风类毒素作为包衣抗原的适用性。研究人员应继续开展酶免疫测定验证工作,以期统一评估白喉和破伤风类毒素疫苗效力的国家和国际方法,因为这些努力不仅将促进外国疫苗在俄罗斯的注册,而且还将加速俄罗斯疫苗在其他国家的批准。
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引用次数: 0
<i>In vitro</i> antiviral activity of a double-stranded RNA sodium salt-based medicinal product against SARS-CoV-2 & lt; i&gt vitro&lt; / i&gt;基于双链RNA钠盐的药物对SARS-CoV-2的抗病毒活性
Pub Date : 2023-08-31 DOI: 10.30895/2221-996x-2023-23-3-290-299
G. M. Ignatyev, E. Yu. Shustova, E. A. Rogozhina, P. A. Belyi, K. Ya. Zaslavskaya, V. A. Merkulov
Scientific relevance. Innate immune activation in the early phases of COVID-19 infection and subsequent interferon induction may help control viral replication and protect cells not yet infected with SARS-CoV-2. Thus, immunostimulants that induce interferon (IFN), including double-stranded RNA-based agents, are a promising means of post-exposure prophylaxis and treatment of COVID-19 at early stages. Aim. The study evaluated the in vitro antiviral activity of a double-stranded RNA sodium salt-based medicinal product against SARS-CoV-2. Materials and methods. The authors analysed the double-stranded RNA sodium salt-based medicinal product RADAMIN ® VIRO using Vero cells and the Delta variant of SARS-CoV-2 (B.1.617). The virus titre was calculated as the tissue cytopathic dose that caused 50% cell death. The authors measured the content of IFN-α and IFN-γ in the culture fluid by enzyme immunoassay and assessed the viral load by real-time polymerase chain reaction (using the cycle threshold value) and by titration (using Vero cells). Results. The studied double-stranded RNA sodium salt-based medicinal product at a concentration of 250 or 500 μg/mL induced IFN-α and IFN-γ expression by Vero cells, thus increasing their resistance to SARS-CoV-2. The authors evaluated the antiviral activity of the medicinal product based on the virus titre, viral load, and cell monolayer damage. The antiviral activity became clear 24 h after treatment, which confirmed the ability of the medicinal product to inhibit the replication of the SARS-CoV-2 virus in vitro as early as the first day after infection. Conclusions. The double-stranded RNA sodium salt-based medicinal product induced IFN-α and IFN-γ synthesis in Vero cells, increasing their resistance to SARS-CoV-2 infection in vitro . These results demonstrate the immunomodulatory and antiviral potential of the medicinal product.
科学的相关性。COVID-19感染早期的先天免疫激活和随后的干扰素诱导可能有助于控制病毒复制并保护尚未感染SARS-CoV-2的细胞。因此,诱导干扰素(IFN)的免疫刺激剂,包括基于双链rna的药物,是一种很有希望的暴露后预防和早期治疗COVID-19的手段。的目标。本研究评价了以双链RNA钠盐为基础的药物对SARS-CoV-2的体外抗病毒活性。材料和方法。作者使用Vero细胞和SARS-CoV-2的Delta变体(B.1.617)分析了以双链RNA钠盐为基础的药品RADAMIN®VIRO。病毒滴度计算为导致50%细胞死亡的组织细胞病变剂量。作者通过酶免疫分析法测定培养液中IFN-α和IFN-γ的含量,并通过实时聚合酶链反应(使用循环阈值)和滴定法(使用Vero细胞)评估病毒载量。结果。所研究的双链RNA钠盐制剂在250或500 μg/mL浓度下诱导Vero细胞表达IFN-α和IFN-γ,从而增强其对SARS-CoV-2的抗性。作者根据病毒滴度、病毒载量和细胞单层损伤来评估药物的抗病毒活性。治疗24 h后抗病毒活性明显,证实了该制剂早在感染后第一天就能在体外抑制SARS-CoV-2病毒的复制。结论。以双链RNA钠盐为基础的药物诱导Vero细胞合成IFN-α和IFN-γ,增强其体外对SARS-CoV-2感染的抵抗力。这些结果表明该药物具有免疫调节和抗病毒的潜力。
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引用次数: 0
Possibility of using mathematical analysis methods to evaluate the potency of antibodies to hepatitis B virus surface antigen in human immunoglobulin preparations 用数学分析方法评价人免疫球蛋白制剂中乙型肝炎病毒表面抗原抗体效价的可能性
Pub Date : 2023-08-17 DOI: 10.30895/2221-996x-2023-23-3-300-309
E. L. Postnova, A. A. Movsesyants
Scientific relevance. Anti-hepatitis B virus surface-antigen (HBsAg) immunoglobulins are used to prevent hepatitis B in adults and children after exposure and to treat mild to moderate acute viral hepatitis B. The clinical effectiveness of human immunoglobulin preparations is determined by their potency, which is assessed by the content of antibodies to hepatitis B virus surface antigen (anti-HBs antibodies). Currently, this assessment involves using immunoassay techniques, such as enzyme-linked immunosorbent assay (ELISA). Aim. This study examined several mathematical methods for analysing the experimental data obtained in ELISA-based anti-HBs antibody potency assays of human immunoglobulin preparations. Materials and methods. This study used the international standard for human anti-HBs immunoglobulin, two immunoglobulin preparations, and an ELISA test kit for the detection and quantification of anti-HBs antibodies in serum or plasma samples. Results. Using sandwich ELISA, the authors ascertained that the measured anti-HBs antibody concentration depended on the choice of calibration curve calculation method (i.e. manual analysis, parallel-line analysis using PARALINE software, linear regression, and 4-parameter logistic regression). The measured anti-HBs antibody concentrations varied by ± 19 IU/mL. According to the study results, an incorrectly selected method of data analysis can lead to an erroneous calculation of the analyte potency (concentration) in the test sample. Conclusions. The study demonstrated the need for improved mathematical methods for the evaluation of experimental data used to determine the anti-HBs antibody concentration in human immunoglobulin preparations. It is essential to switch from manual to automated calculation (for example, using a 4-parameter logistic model), taking into account the requirements for bioanalytical methods and the capabilities of the available equipment.
科学的相关性。抗乙型肝炎病毒表面抗原(HBsAg)免疫球蛋白用于成人和儿童接触后预防乙型肝炎和治疗轻中度急性病毒性乙型肝炎。人免疫球蛋白制剂的临床有效性取决于其效力,而效力是通过对乙型肝炎病毒表面抗原(抗hbs抗体)的抗体含量来评估的。目前,这种评估涉及使用免疫测定技术,如酶联免疫吸附测定(ELISA)。的目标。本研究探讨了几种数学方法,用于分析基于elisa的人免疫球蛋白制剂的抗hbs抗体效价测定中获得的实验数据。材料和方法。本研究采用人抗hbs免疫球蛋白国际标准,两种免疫球蛋白制剂,ELISA检测试剂盒对血清或血浆样品中抗hbs抗体进行检测和定量。结果。采用夹心ELISA法,确定了测定的抗- hbs抗体浓度取决于校准曲线计算方法的选择(即手工分析、使用paralline软件的平行线分析、线性回归和4参数logistic回归)。测定的抗hbs抗体浓度变化±19 IU/mL。根据研究结果,错误选择数据分析方法可能导致测试样品中分析物效价(浓度)的错误计算。结论。该研究表明,需要改进数学方法来评估用于测定人免疫球蛋白制剂中抗hbs抗体浓度的实验数据。考虑到生物分析方法的要求和可用设备的能力,必须从手动计算切换到自动计算(例如,使用4参数逻辑模型)。
{"title":"Possibility of using mathematical analysis methods to evaluate the potency of antibodies to hepatitis B virus surface antigen in human immunoglobulin preparations","authors":"E. L. Postnova, A. A. Movsesyants","doi":"10.30895/2221-996x-2023-23-3-300-309","DOIUrl":"https://doi.org/10.30895/2221-996x-2023-23-3-300-309","url":null,"abstract":"Scientific relevance. Anti-hepatitis B virus surface-antigen (HBsAg) immunoglobulins are used to prevent hepatitis B in adults and children after exposure and to treat mild to moderate acute viral hepatitis B. The clinical effectiveness of human immunoglobulin preparations is determined by their potency, which is assessed by the content of antibodies to hepatitis B virus surface antigen (anti-HBs antibodies). Currently, this assessment involves using immunoassay techniques, such as enzyme-linked immunosorbent assay (ELISA). Aim. This study examined several mathematical methods for analysing the experimental data obtained in ELISA-based anti-HBs antibody potency assays of human immunoglobulin preparations. Materials and methods. This study used the international standard for human anti-HBs immunoglobulin, two immunoglobulin preparations, and an ELISA test kit for the detection and quantification of anti-HBs antibodies in serum or plasma samples. Results. Using sandwich ELISA, the authors ascertained that the measured anti-HBs antibody concentration depended on the choice of calibration curve calculation method (i.e. manual analysis, parallel-line analysis using PARALINE software, linear regression, and 4-parameter logistic regression). The measured anti-HBs antibody concentrations varied by ± 19 IU/mL. According to the study results, an incorrectly selected method of data analysis can lead to an erroneous calculation of the analyte potency (concentration) in the test sample. Conclusions. The study demonstrated the need for improved mathematical methods for the evaluation of experimental data used to determine the anti-HBs antibody concentration in human immunoglobulin preparations. It is essential to switch from manual to automated calculation (for example, using a 4-parameter logistic model), taking into account the requirements for bioanalytical methods and the capabilities of the available equipment.","PeriodicalId":32767,"journal":{"name":"Biopreparaty Profilaktika diagnostika lechenie","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136337868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Current trends and risks associated with the use of therapies based on genome editing 使用基于基因组编辑的疗法的当前趋势和风险
Pub Date : 2023-07-27 DOI: 10.30895/2221-996x-2023-23-3-247-261
O. A. Rachinskaya, E. V. Melnikova, V. A. Merkulov
Scientific relevance. To date, multiple approaches to genome editing have been developed based on different genome-editing systems (GESs) and genome modifications that result in single- or double-strand DNA breaks, either in vivo or ex vivo , followed by homologous recombination or non-homologous end joining to restore the sequence. However, the use of GESs is associated with a number of potential risks arising from the complex biology of such medicinal products and the fundamental role of their target, i.e. the DNA molecule. Aim. This study analysed the most relevant trends and risks associated with medicinal products based on genome editing, the ways taken to overcome these risks, and the research methods used to identify and control the development of undesirable effects. According to the literature, the adverse effects of GESs may arise both from the methods used to deliver GES components into the cell and from the functional activity of the GES itself, which includes insufficient on-target or undesirable off-target effects. This review indicates the main risks associated with the use of GESs. Preferable strategies to mitigate the risks of using GESs include repairing DNA breaks by homologous recombination, selecting GESs and related endonucleases that have greater specificity and restriction accuracy, increasing guide RNA specificity (for CRISPR/Cas), correcting the activity of the system regulating the cell cycle and apoptosis in a controlled manner, regulating the duration of expression and persistence of GES components in cells, etc. Conclusions. The requirement to include quality, efficacy, and safety data when submitting registration dossiers for advanced therapy medicinal products prompts the discussion of the main risks associated with such products.
科学的相关性。迄今为止,基于不同的基因组编辑系统(GESs)和基因组修饰,已经开发了多种基因组编辑方法,这些方法导致单链或双链DNA断裂,无论是体内还是体外,然后进行同源重组或非同源末端连接以恢复序列。然而,GESs的使用与此类药品的复杂生物学及其靶标(即DNA分子)的基本作用所产生的许多潜在风险有关。的目标。本研究分析了与基于基因组编辑的医药产品相关的最相关趋势和风险,克服这些风险的方法,以及用于识别和控制不良影响发展的研究方法。根据文献,GESs的不良影响可能来自于将GES成分递送到细胞中的方法,也可能来自于GES本身的功能活性,包括不充分的靶效应或不希望的脱靶效应。本综述指出了与使用GESs相关的主要风险。通过同源重组修复DNA断裂、选择特异性和限制性精度更高的GESs及相关内切酶、提高引导RNA特异性(针对CRISPR/Cas)、调控调控细胞周期和凋亡的系统活性、调控GES组分在细胞中的表达持续时间和持久性等是降低使用GESs风险的优选策略。结论。要求在提交先进治疗药品注册档案时包括质量、疗效和安全性数据,这促使人们讨论与此类产品相关的主要风险。
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引用次数: 0
Using Shewhart charts to monitor quality characteristics of preventive vaccines for tuberculosis 利用休哈特图监测结核病预防疫苗的质量特征
Pub Date : 2023-07-27 DOI: 10.30895/2221-996x-2023-23-3-310-320
A. A. Savina, N. V. Aleksandrova, T. I. Nemirovskaya
Scientific relevance. The quality of medicinal products, particularly vaccines, is contingent on the stability of the manufacturing process at all stages, which can be evaluated using Shewhart charts for data obtained by monitoring the quality attributes of interest.Aim. This study evaluated the stability of the quality and manufacturing processes of the BCG and BCG-M tuberculosis vaccines using Shewhart charts.Materials and methods. This study focused on samples of the BCG tuberculosis vaccine and the BCG-M tuberculosis vaccine, a less reactogenic alternative for primary immunisation. Both vaccines were released to the market in 2019–2022. The quality of samples was assessed for stability based on their potency and total bacterial count, which are the key parameters for immunogenicity evaluation. These quality parameters were compared using test results submitted by the manufacturer and obtained at the testing centre. The authors plotted individuals charts (X-charts) and moving range charts (R-charts) in accordance with national standards GOST R 50779.42-99 and GOST R ISO 7870-2-2015.Results. The quality of the BCG and BCG-M vaccines remained stable during the entire follow-up period (2019–2022). For some periods, the retrospective analysis of R- and X-charts revealed characteristic trends meeting special cause criteria. The Pearson correlation coefficient (r) between the data submitted by the manufacturer and the data obtained at the testing centre ranged from 0.2 to 0.8.Conclusions. The Shewhart charts demonstrated that the quality parameters of the BCG and BCG-M tuberculosis vaccines tested in 2019–2022 were stable. These vaccines had stable manufacturing processes, as shown by the R- and X-charts. However, the warning signs indicated that additional measures should be taken to standardise the manufacturing processes. The findings suggest that Shewhart charts may be recommended for monitoring the production and quality of tuberculosis vaccines.
科学的相关性。医药产品的质量,特别是疫苗的质量,取决于所有阶段生产过程的稳定性,这可以使用Shewhart图对通过监测感兴趣的质量属性获得的数据进行评估。的目标。本研究利用休哈特图评价了卡介苗和BCG- m结核疫苗的质量稳定性和生产工艺。材料和方法。这项研究的重点是卡介苗结核病疫苗和卡介苗- m结核病疫苗的样本,这是一种较少反应性的初级免疫替代方案。这两种疫苗都于2019-2022年投放市场。根据样品的效价和细菌总数作为免疫原性评价的关键参数,对样品的质量进行稳定性评价。这些质量参数使用由制造商提交并在测试中心获得的测试结果进行比较。作者按照国家标准GOST R 50779.42-99和GOST R ISO 7870-2-2015绘制个体图(x图)和移动范围图(R图)。结果。在整个随访期间(2019-2022年),卡介苗和BCG- m疫苗的质量保持稳定。在某些时期,R图和x图的回顾性分析显示符合特殊病因标准的特征趋势。制造商提交的数据与测试中心获得的数据之间的Pearson相关系数(r)范围为0.2至0.8。结论。Shewhart图显示,2019-2022年检测的卡介苗和BCG- m结核疫苗质量参数稳定。如R图和x图所示,这些疫苗具有稳定的生产工艺。然而,警告标志表明,应该采取额外的措施来标准化生产过程。研究结果表明,休哈特图可能被推荐用于监测结核病疫苗的生产和质量。
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引用次数: 0
Comparative safety evaluation of intranasal and intramuscular immunisation with Ad26 and Ad5-vectored vaccines to prevent coronavirus infection Ad26和ad5载体疫苗经鼻和肌内免疫预防冠状病毒感染的安全性比较评价
Pub Date : 2023-07-27 DOI: 10.30895/2221-996x-2023-23-431
E. V. Zuev, O. L. Evdokimova, O. A. Markova, I. A. Korotkevich, T. V. Grigorieva, R. A. Khamitov
Scientific relevance. Intranasal vaccination may dramatically change current approaches to mass immunisation against various infections, shifting the focus from inducing systemic humoral and cellular immune responses to developing mucosal immunity and protective barriers on the mucous membranes, which are entry points for pathogens. Therefore, the safety of switching from intramuscular to intranasal vaccination should be evaluated. Aim. This study aimed to compare the safety of intranasal and intramuscular vaccination using the intermediate results of the phase III VCI-COV-III clinical trial in healthy volunteers. Materials and methods. The evaluation of the safety profile was based on the adverse events and adverse drug reactions (ADRs) documented by investigators in the interim report on the randomised, double-blind clinical trial of the Salnavac intranasal vaccine (InV) and the Gam-COVID-Vac intramuscular vaccine (ImV) against coronavirus infection. The report covered 42 days of observation in 137 healthy volunteers. Results. ADRs were reported for 17/68 (25%) and 30/69 (43.5%) volunteers in the InV group and the ImV group, respectively (p=0.036). The ADRs reported for the InV group were systemic and local, short-term, mostly mild, and generally consistent in incidence and nature with the ADRs typically observed with other nasal products. Conclusions. According to the preliminary data obtained in the clinical trial, the InV demonstrates a high level of safety. Its safety profile is comparable with those of other intranasal and intramuscular vaccines for the prevention of coronavirus infection.
科学的相关性。鼻内疫苗接种可能会极大地改变目前针对各种感染的大规模免疫接种方法,将重点从诱导全身体液和细胞免疫反应转移到发展粘膜免疫和粘膜保护屏障上,这是病原体的进入点。因此,应该评估从肌肉注射到鼻内接种的安全性。的目标。本研究旨在利用在健康志愿者中进行的III期VCI-COV-III临床试验的中间结果,比较鼻内和肌肉注射疫苗的安全性。材料和方法。安全性评估是基于研究人员在针对冠状病毒感染的Salnavac鼻内疫苗(InV)和Gam-COVID-Vac肌肉注射疫苗(ImV)的随机双盲临床试验中期报告中记录的不良事件和药物不良反应(adr)。该报告对137名健康志愿者进行了42天的观察。结果。InV组和ImV组分别有17/68(25%)和30/69(43.5%)志愿者报告不良反应(p=0.036)。InV组报告的不良反应是全身和局部的,短期的,大多数是轻微的,在发生率和性质上与其他鼻用产品通常观察到的不良反应大体一致。结论。根据临床试验中获得的初步数据,InV显示出高度的安全性。其安全性与其他预防冠状病毒感染的鼻内和肌肉注射疫苗相当。
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Biopreparaty Profilaktika diagnostika lechenie
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