TY - JOUR
T1 - Safety and immunogenicity of a recombinant protein influenza a vaccine in adult human volunteers and protective efficacy against wild-type H1N1 virus challenge
AU - Fries, Louis F.
AU - Dillon, Susan B.
AU - Hildreth, James E.K.
AU - Karron, Ruth A.
AU - Funkhouser, Ann W.
AU - Friedman, Carl J.
AU - Jones, Christopher S.
AU - Culleton, Vasantha G.
AU - Clements, Mary Lou
PY - 1993/3
Y1 - 1993/3
N2 - A recombinant influenza A vaccine (D protein), comprising a carboxy-terminal sequence from the hemagglutinin HA2 subunit of A/Puerto Rico/8/34 virus (HINl, A/PR/34) fused to 81 amino-terminal residues of the NSI nonstructural protein, has previously protected mice against influenza A challenge by inducing HINl/H2N2 cross-reactive cytotoxic T cells (CTL) without hemagglutination-inhibiting (HI) or neutralizing antibody. In our dose-escalating study, the vaccine was safe in humans and induced both IgG and T cell proliferative responses to D protein but little antibody to A/PR/34 or A/Kawasakij8/86 (HINl, A/KW/86) viruses. Among an additional group of A/KW/86-seronegative volunteers immunized with 500 µg of D protein, none had a rise in serum HI or neutralizing antibody to A/KW/86, 20% had minimal IgG responses to A/KW/86 by EIA, and a minority had any increase in A/KW/86-specific CTL activity. However, viral shedding and clinical illness score were reduced in vaccinees relative to A/KW/86-seronegative unimmunized controls after intranasal challenge with wild-type A/KW/86. D protein immunization conferred significant protective immunity not currently explained by any of the immune parameters measured.
AB - A recombinant influenza A vaccine (D protein), comprising a carboxy-terminal sequence from the hemagglutinin HA2 subunit of A/Puerto Rico/8/34 virus (HINl, A/PR/34) fused to 81 amino-terminal residues of the NSI nonstructural protein, has previously protected mice against influenza A challenge by inducing HINl/H2N2 cross-reactive cytotoxic T cells (CTL) without hemagglutination-inhibiting (HI) or neutralizing antibody. In our dose-escalating study, the vaccine was safe in humans and induced both IgG and T cell proliferative responses to D protein but little antibody to A/PR/34 or A/Kawasakij8/86 (HINl, A/KW/86) viruses. Among an additional group of A/KW/86-seronegative volunteers immunized with 500 µg of D protein, none had a rise in serum HI or neutralizing antibody to A/KW/86, 20% had minimal IgG responses to A/KW/86 by EIA, and a minority had any increase in A/KW/86-specific CTL activity. However, viral shedding and clinical illness score were reduced in vaccinees relative to A/KW/86-seronegative unimmunized controls after intranasal challenge with wild-type A/KW/86. D protein immunization conferred significant protective immunity not currently explained by any of the immune parameters measured.
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U2 - 10.1093/infdis/167.3.593
DO - 10.1093/infdis/167.3.593
M3 - Article
C2 - 8440931
AN - SCOPUS:0027459268
SN - 0022-1899
VL - 167
SP - 593
EP - 601
JO - Journal of Infectious Diseases
JF - Journal of Infectious Diseases
IS - 3
ER -