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Digital Droplet PCR for Influenza Vaccine Development 用于流感疫苗研制的数字液滴PCR
Pub Date : 2015-01-01 DOI: 10.1016/j.provac.2015.05.014
Alexander J. Veach, Clayton Beard, Frederick Porter, Mark Wilson, Francesco Berlanda Scorza

Development of influenza vaccine processes requires virus quantification to optimize conditions in cell culture or in the associated downstream purification steps. Modern methods include qPCR, which utilizes TaqMan chemistry to detect and quantify viral RNA by comparison of a RNA standard of known concentration. Digital droplet PCR (ddPCR) is similar to qPCR in that it shares the same chemistry for nucleic acid detection. However, in ddPCR, the sample is diluted into partitions (‘droplets’) in order to separate and isolate single molecules. Upon PCR amplification, the droplet's fluorescent intensity depends on the presence or absence of the target; as such, positive and negative droplets are identified, which allows for absolute quantification of the viral genomes. The digital approach has enabled several key advantages. First, a standard is no longer required. Second, efficiency of the reverse transcription and the kinetics of the amplification, principles in qPCR, have no impact on the final digital PCR quantification. For this reason, the extracted RNA does not need to be purified from the reagents needed to lyse the virus. Also, viral associated RNA released by infected cells can be measured directly, further improving the quality of the data generated. Additional improvements to the approach include duplexing with a second assay that measures host cell DNA concentration. The method has been successfully implemented with automation in support of multiple upstream and downstream process development efforts for influenza vaccine manufacturing.

流感疫苗工艺的发展需要病毒量化,以优化细胞培养或相关下游纯化步骤的条件。现代方法包括qPCR,它利用TaqMan化学通过比较已知浓度的RNA标准来检测和量化病毒RNA。数字液滴PCR (Digital droplet PCR, ddPCR)与qPCR相似,在核酸检测方面具有相同的化学性质。然而,在ddPCR中,样品被稀释成分区(“液滴”),以便分离和分离单个分子。经PCR扩增后,液滴的荧光强度取决于目标物的存在与否;因此,阳性和阴性液滴被识别,这使得病毒基因组的绝对定量成为可能。数字化方法实现了几个关键优势。首先,不再需要标准。其次,逆转录的效率和扩增的动力学,qPCR的原理,对最终的数字PCR定量没有影响。因此,提取的RNA不需要从裂解病毒所需的试剂中纯化。此外,可以直接测量受感染细胞释放的病毒相关RNA,进一步提高生成数据的质量。该方法的其他改进包括与测量宿主细胞DNA浓度的第二种分析的双工。该方法已成功实施自动化,以支持流感疫苗生产的多个上游和下游工艺开发工作。
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引用次数: 3
Dissolving Microneedle Arrays for Intradermal Immunization of Hepatitis B Virus DNA Vaccine 溶解微针阵列用于乙型肝炎病毒DNA疫苗皮内免疫
Pub Date : 2015-01-01 DOI: 10.1016/j.provac.2015.05.004
Yuqin qiu , Lei Guo , Panyong Mao , Yunhua Gao

DNA vaccines are simple to produce and can generate strong cellular and humoral immune response, making them attractive vaccine candidates. However, a major shortcoming of DNA vaccines is their poor immunogenicity when administered intramuscularly. Transcutaneous immunization (TCI) via microneedles is a promising alternative delivery route to enhance the vaccination efficacy. A novel dissolving microneedle array (DMA)-based TCI system loaded with cationic liposomes encapsulated with hepatitis B DNA vaccine and adjuvant CpG ODN was developed and characterized. The pGFP expression in mouse skin using DMA was imaged over time. In vivo immunity tests in mice were performed to observe the capability of DMA to induce immune response after delivery of DNA. The results showed that pGFP could be delivered into skin by DMA and expressed in skin. Further, the amount of expressed GFP was likely to peak at day 4. The immunity tests showed that the DMA-based DNA vaccination could induce effective immune response. CpG ODN significantly improved the immune response. The cationic liposomes could further improve the immunogenicity of DNA vaccine. In conclusion, the novel DMA-based TCI system can effectively deliver hepatitis B DNA vaccine into skin, and induce effective immune response.

DNA疫苗生产简单,可以产生强烈的细胞和体液免疫反应,使其成为有吸引力的候选疫苗。然而,DNA疫苗的一个主要缺点是肌肉注射时免疫原性差。通过微针经皮免疫(TCI)是一种有前途的替代递送途径,以提高疫苗接种的效力。建立了一种新型的微针阵列(DMA)负载阳离子脂质体的TCI系统,该脂质体包被乙肝DNA疫苗和佐剂CpG ODN。使用DMA对小鼠皮肤中的pGFP表达随时间的变化进行成像。在小鼠体内进行免疫试验,观察DMA在传递DNA后诱导免疫反应的能力。结果表明,pGFP可以通过DMA传递到皮肤中并在皮肤中表达。此外,GFP的表达量可能在第4天达到峰值。免疫试验表明,以dma为基础的DNA疫苗接种可诱导有效的免疫应答。CpG ODN显著改善免疫应答。阳离子脂质体可进一步提高DNA疫苗的免疫原性。综上所述,基于dma的TCI系统可以有效地将乙肝DNA疫苗送入皮肤,并诱导有效的免疫反应。
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引用次数: 7
Antibody Response of Dogs After Immunisation with Chimeric Vaccine Against Borreliosis 犬用嵌合疫苗免疫疏螺旋体病后的抗体反应
Pub Date : 2015-01-01 DOI: 10.1016/j.provac.2015.05.005
J. Nepereny , V. Vrzal , M. Raska , E. Weigl , M. Krupka , J. Turanek , J. Masek

Two chimeric recombinant fusion proteins (ch-rOspC and ch-rOspA) were created. They are composed of the immunodominant domains of OspC and OspA proteins described in the clinically most important strains of Borrelia. The gene constructs for these chimeric proteins were inserted into plasmids pET28 allowing induced gene expressions in a bacterial system.

The proteins were expressed in E. coli BL21 strains, purified and used for preparation of the vaccine.

One dose of the tested vaccines contained 50 μg of each relevant protein (ch-rOspC, ch-rOspA, or ch-rOspC + ch-rOspA). PET GEL A (Seppic) or Aluminium hydroxide gel as the immune adjuvants were used.

The dogs were vaccinated three times at 21 days intervals subcutaneously or intradermally and unvaccinated controls were also included.

The vaccine-elicited serum action antibodies specific to OspA and OspC were determined using in-house ELISA sets.

The immunisation induced specific antibody response in the vaccinated animals and OspC and OspA from representative genospecies B. garinii, B. afzelii, and B. burgdorferi sensu stricto were recognized. The control dogs were without antibody response.

ELISA examination enables determination of specific post-vaccination antibodies against OspA and OspC. Detection of these antibodies and their quantification may be used for evaluation of efficiency of vaccines.

构建了两个嵌合重组融合蛋白ch-rOspC和ch-rOspA。它们由临床最重要的伯氏疏螺旋体菌株中描述的OspC和OspA蛋白的免疫优势结构域组成。这些嵌合蛋白的基因结构被插入到质粒pET28中,允许在细菌系统中诱导基因表达。这些蛋白在大肠杆菌BL21株中表达,纯化后用于制备疫苗。每种相关蛋白(ch-rOspC、ch-rOspA或ch-rOspC + ch-rOspA)各含50 μg。采用PET GEL A (Seppic)或氢氧化铝凝胶作为免疫佐剂。这些狗每隔21天注射三次皮下或皮内疫苗,未接种疫苗的对照组也包括在内。疫苗诱导的OspA和OspC特异性血清作用抗体采用内部ELISA试剂盒测定。免疫接种动物和典型基因种B. garinii、B. afzelii和B. burgdorferi的OspC和OspA均产生特异性抗体反应。对照犬无抗体反应。ELISA检测能够确定接种后针对OspA和OspC的特异性抗体。这些抗体的检测和定量可用于评估疫苗的效率。
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引用次数: 2
Construction and Synergistic Effect of Recombinant Yeast Co-expressing Pig IL-2/4/6 on Immunity of Piglets to PRRS Vaccination 重组酵母共表达猪IL-2/4/6的构建及其对仔猪PRRS免疫的协同效应
Pub Date : 2015-01-01 DOI: 10.1016/j.provac.2015.05.011
Gongming Luo , Luyi Yang , Ge Liang , Xiaoping Wan , Chi Chen , Bing Wang , Jianlin Chen , Kai Zeng , Suqiong Zhan , Xiaohui Chen , Sancheng Ying , Jianglin Li , Xuebin Lu , Zezhou Wang , Rong Gao

In order to develop cost-effective immunomodulator, the recombinant Pichia pastoris were firstly constructed to co-express porcine IL-2/4/6 genes, and then fermented to feed 45-days Tibetan piglets at different doses to evaluate its effects on immunity of piglets to PRRS vaccination, which simultaneously received intramuscular injection of inactivated PRRS vaccine. The results were found that the leukocytes, IgG and specific antibody to PRRSV, Th and Tc cells increased significantly in the blood of treated piglets in comparison with those of the control (P < 0.05); the mRNA expression of TLRs (TLR-2, 3, 4, 7, 9), IFN-γ, IL-2, IL-4, IL-6, IL-7, IL-12 and IL-15 genes were elevated significantly in the immune cells from the blood of treated piglets (P < 0.05). Moreover, the growth of the treated piglets also markedly improved whose average net weight gain was significantly higher than the control on 58 days post inoculation (P < 0.05). These results suggest that the recombinant yeast can effectively enhance the systematic innate and adaptive immunity of piglets as well as promote the growth of piglet, which could be further developed as cost-effective promising immunomodulator to improve the control of pig PRRS disease.

为了开发经济高效的免疫调节剂,首先构建重组毕赤酵母共表达猪IL-2/4/6基因,然后以不同剂量发酵饲喂45日龄藏仔猪,同时肌肉注射灭活疫苗,观察其对猪PRRS疫苗免疫的影响。结果发现,与对照组相比,处理仔猪血液中白细胞、IgG、PRRSV特异性抗体、Th和Tc细胞显著升高(P <0.05);处理仔猪血液免疫细胞中tlr (TLR-2、3、4、7、9)、IFN-γ、IL-2、IL-4、IL-6、IL-7、IL-12和IL-15基因mRNA表达量显著升高(P <0.05)。此外,在接种后58 d,处理仔猪的生长也显著改善,平均净增重显著高于对照组(P <0.05)。综上所述,重组酵母能有效增强仔猪的系统性先天免疫和适应性免疫,促进仔猪的生长发育,可作为一种经济有效的免疫调节剂进一步开发用于猪PRRS病的防治。
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引用次数: 3
Production and Characterization of Human Monoclonal Antibodies from the Cells of A(H1N1)pdm2009 Influenza Virus Infected Indian Donors 从感染甲型H1N1流感病毒的印度供体细胞中提取人单克隆抗体的研究
Pub Date : 2015-01-01 DOI: 10.1016/j.provac.2015.05.009
Latika Saxena, Madhu Khanna

Analysis of human monoclonal antibodies (mAbs) developed from influenza infected donors have enormously contributed to the identification of neutralization sensitive epitopes of influenza virus. The HA protein is a crucial target of neutralizing antibodies and at monoclonal level only Abs binding to HA have been able to neutralize the virus. In this study, eight A (H1N1)pdm 2009 seropositive patients within the age range of 20-50 years (median = 36 years) were recruited. Two anti-HA mAbs secreting stable clones, 2D8 and 2F12 were established under optimized conditions from the peripheral blood mononuclear cells (PBMCs) of the volunteers. These antibodies efficiently neutralized the homologous laboratory isolated strain of the pandemic virus as well as the reference strain. Our study suggests that the anti-HA antibodies derived from infected Indian patients display neutralization potential against the A(H1N1)pdm 2009 virus. This is the first ever study of generation of mAbs against the pandemic influenza virus involving the immune repertoire if Indian patients. Molecular characterization of the target regions will help in identifying potential immunogens in the Indian pandemic isolates and confer protective immunity against this virus.

从流感感染供体获得的人单克隆抗体(mab)的分析极大地促进了流感病毒中和敏感表位的鉴定。HA蛋白是中和抗体的关键靶点,在单克隆水平上,只有与HA结合的抗体能够中和病毒。本研究招募了8例年龄在20-50岁(中位年龄36岁)的甲型H1N1 pdm 2009血清阳性患者。以志愿者外周血单个核细胞(PBMCs)为样本,在优化条件下建立稳定克隆的抗ha单克隆抗体2D8和2F12。这些抗体有效地中和了大流行病毒的同源实验室分离株以及参考株。我们的研究表明,来自受感染印度患者的抗ha抗体对甲型H1N1 pdm 2009病毒具有中和潜力。这是有史以来第一次研究针对大流行性流感病毒的单克隆抗体,涉及印度患者的免疫库。目标区域的分子特征将有助于确定印度大流行分离株中潜在的免疫原,并赋予对该病毒的保护性免疫。
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引用次数: 0
Stabilization of Outer Domain of gp120 from HIV-1 Subtype C for Vaccine Immunogen Design 用于疫苗免疫原设计的HIV-1亚型C的gp120外结构域的稳定
Pub Date : 2015-01-01 DOI: 10.1016/j.provac.2015.05.002
Jesse Thompson , Pankaj Kumar , Jizu Yi , Dane Bowder , Charles Wood , Shi-Hua Xiang

The outer domain of gp120 is a relatively stable domain compared to the inner domain and bridging sheet at the CD4-binding site for the HIV-1 primary receptor. Therefore, the outer domain has been considered as an immunogen candidate for vaccine design. In this report, we focused on the VRC01 antibody binding epitope in the outer domain and evaluated the effects of introducing two disulfides to further stabilize the outer domain structure where the antibody binds for the purpose of generating a more effective immunogen. Our experimental data based on neutralization activities against HIV-1 of anti-sera produced from immunized guinea pigs demonstrated that this stabilized outer domain-based immunogen significantly enhances the specific immune response when compared to its wild-type outer domain counterpart. These findings strongly suggest that this structure-based designed epitope is effective in eliciting specific neutralizing antibodies against diverse HIV-1strains, including subtype C.

与HIV-1初级受体cd4结合位点的内结构域和桥接片相比,gp120的外结构域是一个相对稳定的结构域。因此,外结构域已被认为是疫苗设计的候选免疫原。在本报告中,我们重点关注VRC01抗体外域结合表位,并评估引入两种二硫化物进一步稳定抗体结合的外域结构的效果,以产生更有效的免疫原。我们基于免疫豚鼠抗血清对HIV-1的中和活性的实验数据表明,与野生型外结构域相比,这种稳定的外结构域免疫原显著增强了特异性免疫应答。这些发现有力地表明,这种基于结构设计的表位可以有效地激发针对多种hiv -1毒株(包括亚型C)的特异性中和抗体。
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引用次数: 3
Use of Yeast Lysate in Women with Recurrent Vulvovaginal Candidiasis 酵母裂解液在女性外阴阴道念珠菌病复发中的应用
Pub Date : 2015-01-01 DOI: 10.1016/j.provac.2015.05.006
V. Vrzal, L. Bittner, J. Nepereny

Vulvovaginal candidiasis (VVC) affects a significant number of women, especially in working age. In an estimated 75% of women an episode of acute vulvovaginal candidiasis occurs during lifetime and another 5–10% of women develop recurrent vulvovaginal candidiasis (RVVC). This is mainly characterized by intense burning, itching, pain, abnormal discharge, dyspareunia. Immune response to candidiasis is both cellular (CMI) (natural protection mechanisms) and humoral (antibody production). Understanding the principles of immunity in candidiasis is also important for development of candida vaccines.

CANDIVAC contains lyophilized Candida lysate (C. albicans, C. krusei, C. glabrata) together with immunostimulatory bacterial strain of Propionibacterium acnes. The product is taken orally in capsules for 10 days followed by a 20-day pause. It is administered for 3 to 6 months. The product has been tested in a total of 75 women at the age of 18–45 years. In these women at least 4 episodes of vulvovaginal candidiasis have been microscopically or laboratory diagnosed during the last 12 months. Following CANDIVAC administration, statistically significant changes occurred in the evaluation of subjective and some objective criteria. The most important marker of product efficiency is a significant reduction in recurrence compared to the recent state. This criterion has a fundamental importance in patient satisfaction. Before medication the patients suffered from at least 4 attacks, while after medication an attack occurred in only 31% of women and more than 2 attacks in only 3% of treated women.

Compromised balance of immune system plays a major role in recurrent vulvovaginal candidiasis. Specific oral product CANDIVAC, prepared from the most common strains of yeast infections, supports immune mechanisms, ensuring resistance of the human organism against yeasts. Its administration significantly prolongs remission, leads to a reduction in application of antimycotics and also changes properties of cellular and humoral immunity in medicated patients.

外阴阴道念珠菌病(VVC)影响大量妇女,特别是在工作年龄。据估计,75%的女性一生中会发生一次急性外阴阴道念珠菌病,另有5-10%的女性会复发性外阴阴道念珠菌病。主要表现为剧烈灼烧、瘙痒、疼痛、分泌物异常、性交困难。对念珠菌病的免疫反应是细胞(CMI)(自然保护机制)和体液(抗体产生)。了解念珠菌病的免疫原理对开发念珠菌疫苗也很重要。念珠菌包括冻干的念珠菌裂解液(白色念珠菌、克鲁西念珠菌、光秃念珠菌)和痤疮丙酸杆菌的免疫刺激菌株。该产品以胶囊形式口服10天,然后暂停20天。服用3至6个月。该产品已在75名年龄在18-45岁之间的女性身上进行了测试。这些妇女在过去12个月内至少有4次外阴阴道念珠菌病经显微镜或实验室诊断。在给药后,主观和一些客观标准的评价发生了统计学上显著的变化。产品效率最重要的标志是与最近的状态相比,复发率显著降低。这一标准对患者满意度具有根本的重要性。在服药前,患者至少有4次发作,而服药后,只有31%的女性发作一次,只有3%的接受治疗的女性发作两次以上。免疫系统失衡是外阴阴道念珠菌病复发的主要原因。从最常见的酵母菌感染菌株制备的特定口服产品CANDIVAC支持免疫机制,确保人体机体对酵母菌的抵抗力。它的施用显著延长了缓解期,导致抗真菌药物的应用减少,也改变了服药患者的细胞和体液免疫特性。
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引用次数: 1
Antigen Discovery for the Identification of Vaccine Candidates and Biomarkers Using a T Cell Driven Approach in Combination with Positional Scanning Peptide Libraries 结合定位扫描肽库的T细胞驱动方法用于鉴定候选疫苗和生物标志物的抗原发现
Pub Date : 2015-01-01 DOI: 10.1016/j.provac.2015.05.013
Valeria A. Judkowski , Radleigh G. Santos , Gonzalo Acevedo , Marc A. Giulianotti , Jon R. Appel , Silvia Longhi , Karina A. Gomez , Clemencia Pinilla

The prevention and treatment of infectious diseases is highly dependent on the availability of reliable diagnostic tests and protective or therapeutic vaccines. There also exists an urgent need to develop reliable biomarkers to monitor treatment success and to predict disease progression from asymptomatic to symptomatic disease in several disease scenarios. The elucidation of the disease-relevant antigens that elicit the protective immune responses is critical and required for the development of biomarkers, diagnostics, and vaccines. However; one of the main obstacles to the study of antigen specificity in human T cells is their low frequency in PBMC samples. To overcome this problem we have implemented strategies to generate memory T cell libraries and clones specific to the pathogen of interest. Due to the fact that memory T cells represent a repository of the human T cell response to infection, examination of their antigen specificity can efficiently reveal immunogenic and relevant antigens involved in the in vivo response to infection or vaccines. To examine the specificity of the memory T cells we use an unbiased collection of antigens together with an in silico analysis, namely positional scanning based biometrical analysis. Here we present a summary of our approach and ongoing work on the development of strategies for the culture of memory T cells from patients with Chagas disease. While most studies focus on the identification of vaccine candidates using preselected immunogenic proteins derived from animal models or by or bioinformatics prediction, here we present an innovative approach that directly examines the specificity of the memory response following infection or immunization in humans.

传染病的预防和治疗高度依赖于可靠的诊断测试和保护性或治疗性疫苗的供应。目前还迫切需要开发可靠的生物标志物来监测治疗成功,并预测几种疾病情况下从无症状到有症状的疾病进展。阐明引发保护性免疫反应的疾病相关抗原对于生物标志物、诊断和疫苗的开发至关重要。然而;研究人类T细胞抗原特异性的主要障碍之一是它们在PBMC样本中的低频率。为了克服这个问题,我们已经实施了策略,以产生记忆T细胞库和克隆特异性的感兴趣的病原体。由于记忆T细胞代表了人类T细胞对感染反应的储存库,检查它们的抗原特异性可以有效地揭示参与体内对感染或疫苗反应的免疫原性和相关抗原。为了检查记忆T细胞的特异性,我们使用无偏倚的抗原收集和计算机分析,即基于位置扫描的生物识别分析。在这里,我们总结了我们的方法和正在进行的发展策略,用于培养恰加斯病患者的记忆T细胞。虽然大多数研究都集中在使用从动物模型中提取的预先选择的免疫原性蛋白或通过生物信息学预测来鉴定候选疫苗,但在这里,我们提出了一种创新的方法,直接检查人类感染或免疫后记忆反应的特异性。
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引用次数: 3
Cloning of interleukin-15 gene of Tibetan pig and adjuvant effect of its recombinant plasmids packed with PEG and PEI modified chitosan nanoparticles on immunity of mice to FMD vaccination 藏猪白细胞介素-15基因的克隆及其聚乙二醇和PEI修饰壳聚糖纳米粒重组质粒对小鼠口蹄疫免疫的佐剂作用
Pub Date : 2015-01-01 DOI: 10.1016/j.provac.2015.05.012
Xiaoping Wan , Xiao Yang , Suqiong Zhan , Jianlin Chen , Wenkui Sun , Yihui Chen , Kai Zeng , Jiangling Li , Yiren Gu , Zezhou Wang , Rui Liu , Xuebin Lu , Rong Gao

IL-15 cDNA of Tibetan pig was firstly cloned from its activated lymphocytes, and then was sub-cloned into VR1020 to construct recombinant VRTIL-15 plasmid to study the in vitro and in vivo biological effects on animal. The VRTIL-15 was entrapped with chitosan modified with PEG-PEI (CS-PEG-PEI) to transfect HEK293 cells for the preliminary study of its expression in eukaryotic cells. The total RNA of HEK293 cell was isolated in 48 h, and the successful expression of IL-15 was detected by RT-PCR and the supernatant of HEK293 cells was found to stimulate significant proliferation of lymphoblasts of pig. Subsequently, VRTIL-15 packed with CS-PEG-PEI was utilized to intramuscularly inoculate Kunming female mice at the age of 21 days. Their bloods were collected before and after inoculation on 1, 2, 3, 4 and 5 weeks to detect the changes of innate and adaptive immunity of animals. The results were found that Th and Tc, specific antibody to FMD, IgG, IgG1, IgG2a content markedly increased in the blood of treated mice compared with the control group (P < 0.05). The mRNA expression of TLR1, TLR4 TLR6, TLR9, TGF-β, IL-2, IL-4, IL-6 and IL-23 were significantly higher in the treated group than those of the control (P < 0.05). These results indicate that the VRTIL-15 wrapped with CS-PEG-PEI can significantly improve the innate, humoral and cellular adaptive immunity of animal, which could inspire the development of effective immune adjuvant to improve the comprehensive immune protection of animals against FMD.

首先从藏猪活化淋巴细胞中克隆IL-15 cDNA,然后将其亚克隆到VR1020中构建重组VRTIL-15质粒,研究其在动物体内外的生物学效应。用PEG-PEI修饰的壳聚糖(CS-PEG-PEI)包埋VRTIL-15,转染HEK293细胞,初步研究VRTIL-15在真核细胞中的表达。48 h分离HEK293细胞总RNA, RT-PCR检测IL-15的成功表达,发现HEK293细胞上清能显著刺激猪淋巴细胞增殖。随后,用VRTIL-15包装CS-PEG-PEI,于21日龄昆明雌性小鼠肌内接种。分别于接种前、接种后1、2、3、4、5周采血,检测动物先天免疫和适应性免疫的变化。结果发现,与对照组相比,治疗组小鼠血液中Th、Tc、口蹄疫特异性抗体、IgG、IgG1、IgG2a含量显著升高(P <0.05)。治疗组TLR1、TLR4、TLR6、TLR9、TGF-β、IL-2、IL-4、IL-6、IL-23 mRNA表达量均显著高于对照组(P <0.05)。上述结果表明,CS-PEG-PEI包裹VRTIL-15可显著提高动物的先天免疫、体液免疫和细胞适应性免疫,可启发开发有效的免疫佐剂,提高动物对口蹄疫的综合免疫保护。
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引用次数: 0
Editorial: Preventive Vaccination 社论:预防性疫苗接种
Pub Date : 2015-01-01 DOI: 10.1016/j.provac.2015.05.001
Clarisa B. Palatnik-de-Sousa Editor in Chief
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引用次数: 1
期刊
Procedia in vaccinology
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