Lymphoproliferative responses to recombinant HIV-1 envelope antigens in neonates and infants receiving gp120 vaccines

Lymphoproliferative responses to recombinant HIV-1 envelope antigens in neonates and infants receiving gp120 vaccines
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DOI:
10.1086/315298
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发表时间:
2000-03-01
影响因子:
6.4
通讯作者:
Jimenez, E
Jimenez, E
中科院分区:
医学2区
文献类型:
--
作者:
Borkowsky, W;Wara, D;Jimenez, E

文献摘要

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母亲感染人类免疫缺陷病毒1型(HIV-1)的儿童在出生时以及1、3和5个月时接种3剂由SF-2或MN HIV-1毒株制备的重组gp 120疫苗中的1剂。共有126名儿童未被感染; 21名仅接受佐剂。疫苗接种者发生淋巴组织增生反应的次数大于或等于2次,对同源HIV-1抗原的反应比佐剂接种者更频繁(56%对14%; P <0.001)。在2次免疫接种后,应答得到赞赏,并在最后一次免疫接种后维持>84周。在加速免疫接种方案(出生、2周、2个月和5个月)中,SF-2疫苗的最低剂量在所有11名接种者中产生应答,持续4周。还检测到对异源包膜抗原的应答。在可以预防某些感染(围产期或母乳暴露相关)的年龄,接种疫苗可获得免疫应答。
Children of mothers infected with human immunodeficiency virus type 1 (HIV-1) were immunized at birth and at 1, 3, and 5 months with 1 of 3 doses of recombinant gp 120 vaccines prepared from SF-2 or MN strains of HIV-1. A total of 126 children were not infected; 21 received adjuvant only. Vaccine recipients developed lymphoproliferative responses on greater than or equal to 2 occasions, responding more often to homologous HIV-1 antigens than did adjuvant recipients (56% vs. 14%; P < .001). Responses were appreciated after 2 immunizations and were maintained for >84 weeks after the last immunization, hn accelerated immunization schedule(birth, 2 weeks, 2 months, and 5 months) with the lowest dose of the SF-2 vaccine produced responses in all 11 vaccinees by 4 weeks. Responses to heterologous envelope antigens were also detected. Immune responses to vaccination are achievable at an age when some infection (perinatal or breast milk exposure related) may be prevented.