HIV uses several routes to escape immune system pressure

Washington, September 19 (ANI): Researchers at the Emory Vaccine Center have shown that HIV relies upon a number of strategies rather than use any preferred escape route to escape immune system pressure.

The human immune system has the ability to temporarily overpower HIV in early infection.

Studies conducted in the recent past have shown that most newly infected patients develop neutralizing antibodies. These are blood proteins that glob onto the virus and would allow patients to defend themselves – if they were facing only one target.

However, the problem occurs when HIV mutates, and disguises itself enough to get away from the antibodies. The virus eventually wears down the immune system into exhaustion.

The Emory team’s findings attain significance as they suggest that even if any scientist succeeds in identifying a vaccine component that can stimulate neutralizing antibodies, HIV’s capacity for rapid mutation could still be a confounding factor.

Dr. Cynthia Derdeyn, associate professor of pathology at Emory University School of Medicine, Emory Vaccine Center and Yerkes National Primate Research Center, says that a single type of neutralizing antibody may not be enough to contain HIV.

“These neutralizing antibodies work really well – they hit the virus fast and hard. But so far, every time we look, the virus escapes,” she says.

During the study, the researchers took blood samples from the participants a few weeks after infection occurred, and then later as two participants’ immune responses continued.

They isolated individual viruses over the first two years of HIV infection, and tested how well the patients’ own antibodies could neutralize them.

“In one patient where we had very early samples, there was evidence that neutralizing antibody came up within weeks, and that’s earlier than what was previously thought,” Derdeyn says.

In both patients, some viruses mutated part of their outer proteins so that after the mutation, an enzyme would be likely to attach a sugar molecule to it.

Though the sugar molecule interferes with antibody attack, this tactic, known as the “glycan shield”, was not observed in all cases.

Other viruses mutated the part of the outer protein that the neutralizing antibodies stick to directly. In both patients, many changes in the virus’ genetic code were necessary for escape.

“We need to understand early events in the immune response if we are going to figure out what a potential vaccine should have in it. What we can show is that even in one patient, several escape strategies are going on,” Derdeyn says.

According to her, that means that in order to be immune to HIV infection, someone may need to have several types of neutralizing antibodies ready to go.

Seeing how the virus mutates will allow researchers to choose the best parts to put in a vaccine, she says.

The results are online and scheduled for publication in the September issue of the journal Public Library of Science Pathogens.(ANI)

Vaccine for urinary tract infections comes closer to reality

Washington, Sept 18 (ANI): A simple vaccine may soon be available to protect against urinary tract infections, thanks to researchers from University of Michigan.

The study conducted over mice showed that the vaccine prevented infection and produced key types of immunity.

It alerts the immune system to iron receptors on the surface of Escherichia coli bacteria that perform a critical function allowing infection to spread.

Administered in the nose, it induces an immune response in the body’s mucosa, a first line of defense against invading pathogens. The response, also produced in mucosal tissue in the urinary tract, should help the body fight infection where it starts.

The researchers used novel systematic approach, combining bioinformatics, genomics and proteomics, to look for key parts of the bacterium that could be used in a vaccine to elicit an effective immune response.

The team, led by Dr. Harry L.T. Mobley, screened 5,379 possible bacterial proteins and identified three strong candidates to use in a vaccine to prime the body to fight E. coli.

Mobley’s team is currently testing more strains of E. coli obtained from women treated at U-M.

If the robust immunity achieved in mice can be reproduced in humans, it could be the first ever vaccine for urinary tract infections.

Most of the strains produce the same iron-related proteins that can be vaccine targets, an encouraging sign that the vaccine could work against many urinary tract infections.

The findings are published in the open-access journal PLoS Pathogens. (ANI)

2009 H1N1 influenza vaccines well tolerated, induce strong immune response in adults

Washington, September 12 (ANI): Early results from various clinical trials of 2009 H1N1 influenza vaccines in healthy adults seem to be quite encouraging, say U.S. health experts.

The National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health in the U.S., has revealed that the early data from these trials suggest that 2009 H1N1 influenza vaccines are well tolerated, and induce a strong immune response in most healthy adults, when administered in a single unadjuvanted 15-microgram dose.

It has even congratulated the companies that have carried out these trials, which it claims are an important part of the ongoing worldwide effort to develop vaccines to protect the public from 2009 H1N1 influenza.

The National Institute of Allergy and Infectious Diseases is also conducting clinical trials of 2009 H1N1 influenza vaccines, produced by Sanofi Pasteur and CSL Limited.

The trials are testing two different dosages-15 micrograms versus 30 micrograms-and evaluating the immune response to one and two doses of these vaccines.

More than 2,800 people are said to be participating in the ongoing NIAID trials of these vaccines.

The institute says that preliminary analyses of early data from its trials align with the recently announced findings, and those to be announced imminently by other companies.

Additional data from the NIAID trials are forthcoming.

“However, on the basis of these strong early data, our results are consonant with other reports that a single 15-microgram dose of unadjuvanted 2009 H1N1 influenza vaccine is well tolerated and induces a robust immune response in healthy adults between the ages of 18 and 64. For adults aged 65 and older, the immune response to 2009 H1N1 influenza vaccine is somewhat less robust, as is the case with seasonal influenza vaccines,” the institute said in a press release.

“We note that the slight discrepancies seen in our trials between the Sanofi Pasteur and CSL Limited vaccines may be due to technical differences in the preliminary measurement of the amounts of antigen in the doses used in the clinical trial lots and the relatively limited numbers of samples studied to date, as well as the fact that our data are drawn from a very early time point after immunization,” the institute added. (ANI)

Swine flu could kill as many as 30,000 to 90,000 people in US

Washington, August 25 (ANI): In a recently released report, the Obama administration’s advisory group on Science and Technology has said that the H1N1 flu virus, dubbed ‘Swine flu’, could cause as many as 30,000 and 90,000 deaths in the United States and pose a serious health threat.

According to Fox News, deaths would be concentrated among children and young adults, determined the report.

In contrast, the typical seasonal flu kills between 30,000 and 40,000 annually – mainly among people over 65.

The report predicts 1.8 million will be hospitalized during the epidemic, with up to 300,000 patients requiring intensive care units.

These patients could occupy 50-100 percent of all ICU beds in affected regions at the peak of the epidemic and would place “enormous stress” on ICU units.

More needs to be done to speed up the “preparation of flu vaccine for distribution to high-risk individuals,” otherwise the vaccine campaign – currently scheduled to begin in mid October – will have potentially missed the peak of the epidemic, according to the report.

The report from the President’s Council of Advisors on Science and Technology, PCAST, shows a sober assessment of the dangers of a pandemic, but also serves as a pat on the back for a White House preparing for its first public health crisis.

“Based on the history of influenza pandemics over the past hundred years, PCAST places the current outbreak somewhere between the two extremes that have informed public opinion about influenza,” stated the report.

“On the one hand, the 2009-H1N1 virus does not thus far seem to show the virulence associated with the devastating pandemic of 1918-19. On the other hand, the 2009-H1N1 virus is a serious threat to our nation and the world,” it added.

This is due to the likelihood that more people will be infected because so few people have immunity to the strain.

As a result, PCAST recommends that the Food and Drug Administration “accelerate a decision about the availability of antiviral drugs for intravenous use.”

The current expectation is that the vaccine will be available in mid-October.

According to Harold Varmus, PCAST co-chair and President of Memorial Sloan-Kettering Cancer Center, despite the long ‘to-do’ list, the Obama administration has thus far done a good job of preparing for a national outbreak.

“The Federal Government’s response has been truly impressive and we’ve all been pleased to see the high level of cooperation among the many departments and agencies that are gearing up for the expected fall resurgence of H1N1 flu,” he said. (ANI)

Encephalitis kills 200 children in northern India

London, August 25 (ANI): Health officials have said that at least 200 children have died in an outbreak of Japanese encephalitis in northern India.

According to a report by BBC News, so far, 900 affected children have been admitted to hospitals in Uttar Pradesh state. Some patients have come from neighbouring Bihar state and Nepal.

Japanese encephalitis, which causes high fever, vomiting and can leave patients comatose, usually hits Uttar Pradesh state in July-August, during India’s monsoon.

There is no specific cure for the mosquito-borne disease that has killed thousands in India since 1978.

Health experts complain that red tape has prevented development of an effective vaccination programme.

Doctors say children between the age of six months to 15 years are worst affected and most of the victims are poor people from rural areas.

“The attack of the encephalitis virus is extremely ferocious this year,” said Dr Rashmi Kumar, an expert on Japanese encephalitis at Lucknow Medical College hospital.

“Children are developing a serious condition within a day or two of getting infected,” she said.

Health officials in Lucknow, capital of the state of Uttar Pradesh (UP), say cases of acute encephalitis are being reported mostly from 14 districts of eastern UP in the foothills of the Himalayas.

The low-lying areas are prone to annual floods, and severe water-logging and a lack of sanitation provide a breeding ground for mosquitoes.

According to doctors, Gorakhpur town is the epicentre of the disease.

Last year, the government said it would spend 60 million rupees to upgrade facilities at Gorakhpur Medical College hospital.

But, according to doctors, the hospital does not have adequate numbers of medical staff to deal with the large numbers of patients.

Doctors say the children who survive will have to face lifelong problems as the disease has a crippling effect.

While there is no specific cure for the disease after it has been contracted, three vaccines are in use worldwide that have reportedly been successful in preventing the disease.

But India has so far failed to develop an effective vaccination programme.

After the disease killed 1,500 children in 2005, a public outcry forced the government to import vaccines from China and a mass vaccination project was started.

However, doctors say the vaccine coverage has not been satisfactory this year, with many parents of affected children saying no vaccination was done in their areas. (ANI)

New discovery may lead to therapies for RSV, influenza A

London, Aug 24 (ANI): A research team led by Indian-origin scientist claims to have identified a cellular molecule that not only helps recognize viruses that cause respiratory problems but also direct cells to produce defensive immune response.

Dr Santanu Bose and colleagues have identified a cellular molecule, called NOD2, that detects respiratory viruses and can instruct cells to defend against them.

The team from The University of Texas Health Science Centre at San Antonio hope that the new discovery could lead to therapies for human respiratory syncytial virus (RSV) and influenza A (commonly known as flu).

“This molecule could be used to boost host immune defenses and stimulate vaccine efficacy against RSV and influenza A, especially among high-risk individuals,” Nature quoted senior author Dr Santanu Bose, assistant professor of microbiology and immunology as saying.

The study showed that mice lacking the sensor survive for only 10 days after infection, compared with up to eight weeks for normal animals.

Researchers said that identifying this sensor and understanding its key role could result in therapies that activate the NOD2 gene during or prior to infection, leading to enhanced protective immunity.

The NOD2 sensor also has the potential to recognize other viruses, such as West Nile virus, yellow fever, Ebola and rabies.

The findings appear in the journal Nature Immunology. (ANI)

Painless ‘microneedle’ patch may end jab fear

Washington, Aug 20 (ANI): Scientists at the Georgia Institute of Technology have designed a painless patch that may someday make hypodermic needles as well as annual flu shots a thing of the past.

These patches, lined with tiny ‘microneedles,’ could make treatment of diabetes and a wide range of other diseases safer, more effective and less painful, according to the researchers.

Used as tiny hypodermic needles, they could improve treatment of macular degeneration and other diseases of the eye.

“It’s our goal to get rid of the need for hypodermic needles in many cases and replace them with a patch that can be painlessly and simply applied by a patient,” said Mark Prausnitz from the Georgia Institute of Technology.

“If you can move to something that’s as easy to apply as a band-aid, you’ve now opened the door for people to self-administer their medicine without special training,” he added.

Prausnitz said that advances in the electronics industry in microfabricating very small objects like transistors enabled the development of microneedles.

“We’ve built off those technological advances to address a need in medicine. We’re trying to bring the two worlds together,” he said.

Each needle is only a few hundred microns long, about the width of a few strands of human hair.

Prausnitz and his colleagues suggest that the microneedle patch could, for instance, replace yearly trips to the doctor for flu shots.

In a collaboration with Emory University, Prausnitz and his team administered flu vaccines via conventional injections and microneedle patches in mice.

After exposing the mice to the flu, they compared the resulting immune response and antibody levels. They found that the antibody levels were the same by either route.

Taking a closer look, they discovered that microneedle delivery resulted in a better protective immune response by other measures.

“Toward the goal of a flu vaccine patch, we are continuing the animal studies, but we’re also working toward our first human trial, which we hope to do in 2010,” Prausnitz said.

Microneedles are not just able to deliver drugs through the skin they can also be used for targeted drug delivery in the eye.

They may help create an improved treatment for macular degeneration.

The study has been presented at the 238th National Meeting of the American Chemical Society. (ANI)

Scientists identify how meningitis bacteria invade the brain

Washington, Aug 19 (ANI): Scientists in the U.S. have discovered that a specific protein on the surface of a common bacterial pathogen allows the bacteria to leave the bloodstream and enter the brain, initiating the deadly infection known as meningitis.

The new finding may lead to the development of improved vaccines to protect those most vulnerable, including young infants and the elderly.

“Streptococcus pneumoniae, commonly known as pneumococcus, is responsible for half the cases of bacterial meningitis in humans,” said the study’s senior author, Victor Nizet, MD, professor of paediatrics and pharmacy at the University of California, San Diego’s School of Medicine and Skaggs School of Pharmacy and Pharmaceutical Sciences.

Meningitis develops when bacteria penetrate the “blood-brain barrier.”

The blood-brain barrier, comprised of a single layer of highly specialized microvascular endothelial cells, prevents most large molecules from entering into the cerebrospinal fluid, preserving an optimal biochemical environment for brain function.

The research team examined the functions of a protein known as NanA in order to discover how an entire bacterium can breech the blood-brain barrier and gain access to the central nervous system.

NanA is produced by all strains of pneumococcus and displayed prominently on the bacteria’s outer surface.

Through genetic manipulations, the researchers were able to remove the entire NanA protein, or just specific sections of the molecule, from the pathogen.

They found that while normal pneumococci were able to bind, enter and penetrate through human brain microvascular endothelial cells, mutant bacteria lacking the NanA protein -or those expressing only a truncated version of the protein – largely lost these abilities.

Conversely, when the full-length pneumococcal NanA protein was cloned and expressed on the surface of a nonpathogenic laboratory strain, the transformed bacteria gained the ability to bind and enter the same endothelial cells.

Satoshi Uchiyama, MD, a postdoctoral fellow in the Nizet Laboratory and lead author on the study, said: “Our tissue culture studies showed that the NanA protein was both necessary and sufficient for bacterial penetration of the blood brain barrier endothelial cells.”

“After infecting mice intravenously, we also found that far fewer NanA-deficient bacteria left the bloodstream and entered the brain, in comparison to mice infected with the normal pneumococcus,” Uchiyama added.

NanA is best known as an enzyme that cleaves and releases the sugar molecule known as sialic acid, which is present in abundance on the surface of all human cells.

While this enzymatic activity played a small part in promoting NanA-mediated blood-brain barrier interactions, a much stronger role was identified for the outer tip of the protein.

This tip seems to directly attach to the brain microvascular endothelial cells and then stimulate them to take in the pneumococcus.

According to Nizet, because NanA is expressed on the surface of all pneumococcal strains, it is an attractive candidate to include in a universal protein-based vaccine against pneumococcal infection.

The study is available online in the Journal of Experimental Medicine. (ANI)

Flying rabbis fight swine flu in Israel with prayers

London, Aug 13 (ANI): A group of ultra-orthodox rabbis and Jewish mystics flew over Israel singing prayers and blowing traditional ram horns in a bid to stop the spread of swine flu.

About 50 people, most of them bearded and cloaked in black, boarded a charter plane and circled the country chanting their prayers.

“The purpose of the flight was to stop the (swine flu) epidemic so that people will not keeping dying from it,” the Telegraph quoted Rabbi Yitzhak Basri, one of the participants as telling Yediot Achronot.

About 2,000 cases of swine flu have been confirmed in Israel and five people are known to have died.

Israeli Prime Minister Benjamin Netanyahu has promised that the government will buy enough of the vaccine, once it is developed, to protect its citizens from the flu. (ANI)

India to be rabies free country in next ten years

New Delhi July 10 (ANI): Minister of State for Environment and Forest, Jairam Ramesh said here today that India would be a rabies free country within next ten years.

Speaking after releasing a book on animal birth control, Ramesh said, government has taken up the issue of rabies control as a challenge, and allotted 200 crore rupees for the project.

Animal birth control programme for stray dogs and their effective anti-rabies immunization will be implemented seriously, Ramesh said.

Ramesh also informed that country imports rabies vaccine of worth Rs 400 crore every year.

He suggested that a rabies free road map and a mission document should be prepared which also include the over all cost, role of state governments, civic and local bodies, organizational plan etc. with a target to achieve it in 10 years time. (ANI)

Expert says swine flu child toll will double in next year

Melbourne, July 2 (ANI): A leading expert on swine flu has warned that twice as many children will die of the disease in the next 12 months compared to the number of deaths from regular influenza.

Professor Robert Booy, however, said the number of deaths would still be fairly small – around 10 or 12 in a year.

Three to six children die every year from regular influenza. It (death from swine flu) can occur in a healthy child although most of them we believe will occur in a child with a problem, say a chronic heart problem, long-standing lung, kidney, liver (problems) or diabetes,” Professor Booy told ABC radio.

“The likelihood is with this virus we’ll see more of the small number of severe (cases) than we do normally.”

Yesterday a three-year-old Victorian boy with swine flu died. The family requested the boy’s medical history not be released.

Prof Booy is the co-director of the National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases at The Children’s Hospital at Westmead in Sydney. (ANI)

WHO says TB vaccine too risky for HIV-infected infants

Geneva, July 1 (ANI): HIV-infected infants are at risk of contracting a deadly form of tuberculosis from the Bacille Calmette-Guerin (BCG) vaccine, instead of receiving protection against the disease, according to research published today in the international public health journal, the Bulletin of the World Health Organization (WHO).

While the BCG vaccine is given to approximately 75 percent of newborn babies worldwide, a South African study has found that its harm may outweigh the benefits for HIV-infected infants.

The study recommends delaying vaccination until the infant’s HIV status is known.

“There is an urgent need to assess the risk versus benefits of this vaccine in settings where both HIV infection and tuberculosis burdens are high,” says co-author Professor Simon Schaaf, from the Desmond Tutu TB Centre at Stellenbosch University in South Africa.

The Bulletin of the World Health Organization is one of the world’s leading public health journals. It is the flagship periodical of the World Health Organization, with a special focus on developing countries.(ANI)

Novel vaccine to prevent ear infections on the anvil

Washington, July 1 (ANI): Scientists are working on a novel vaccine that may one day help prevent ear infections.

Presently, ear infections are generally treated through antibiotics or surgery, in case they occur often enough.

“The emergence of antibiotic-resistant microorganisms and the invasive nature of the surgical procedure raise the need to develop different ways to treat or, preferably, prevent ear infections,” said Dr Lauren Bakaletz, director of the Centre for Microbial Pathogenesis in The Research Institute at Nationwide Children’s Hospital.

The new vaccine being developed in collaboration with Dr John Clements, at Tulane University School of Medicine in New Orleans, was recently tested by placing a droplet of formula on the outer ears of chinchillas and then rubbed into the skin.

The vaccine works by activating cells, which can be found just under the surface of the skin.

When the liquid touches the skin the cells deliver the vaccine to the lymphoid organs, where it can generate an immune response rapidly reducing or eliminating NTHI, one of the bacteria commonly responsible for ear infections, from the nose and ears.

Bakaletz said that it was extremely effective, and that her research team was excited about the ability to immunize without needles.

“These studies lay the foundation for an effective, yet simple, inexpensive and potentially transformative way to deliver vaccines,” said Bakaletz.

“It’s our hope the method of applying the vaccine to the skin will allow us to distribute it to some of the poorest children in the world,” she added.

In addition to protecting against ear infections, the research could have important implications for the prevention of other diseases of the respiratory tract caused by NTHI. (ANI)

Shanghai firm rolls out antiviral drug to combat swine flu

Shanghai, June 27 (ANI): A pharmaceutical company in Shanghai has rolled out the first batch of antiviral drugs to combat Influenza A (H1N1) virus, which is responsible for the swine flu pandemic around the world.

The Shanghai Pharmaceutical (Group) Co. Ltd. has manufactured 256,000 Oseltamivir Phosphate Capsules, after all the quality tests required were passed.

“The antiviral drug, or the Chinese version of Tamiflu by Swiss drugmaker Roche Holding, was first produced in 2005 to cope with the bird flu outbreak with the authorization of Roche,” said Xinhua quoted Wu Jianwen, president of Shanghai Pharmaceutical, as saying.

The Shanghai Pharmaceutical had closed down production of Oseltamivir Phosphate Capsules in 2007, however, following a call from the central government to combat the A(H1N1) flu, it resumed production of the pill in April 2009.

“Currently, we’ll be able to turn out 2 million pills per month, and we can expand the output capacity in the future if the flu epidemic shows new changes,” said Wu Jianwen.

According to the Chinese Ministry of Health, China has at least 570 confirmed cases of A(H1N1) flu, but no fatalities have been reported.

Meanwhile, China has also set up laboratory tests on the country’s first developed A(H1N1) flu vaccine, with the help of the seed virus that they have received from a World Health Organization (WHO) lab.

The vaccine will undergo a 14 day safety tests in labs and two-month of clinical tests from July. Subsequently, it is expected to be available in markets in September. (ANI)

One more tests positive for swine flu in Hyderabad

Hyderabad, June 26 (ANI): A foreign national was tested positive for swine flu on Thursday in Hyderabad taking the number of swine flu cases to 17 in Andhra Pradesh.

The fifteen-year-old girl who tested positive for swine flu arrived on June 19 from Hong Kong by Silk Airways. She showed symptoms of swine flu on June 22 and her sample was sent to National Institution of Communicable Diseases (NICD) in Delhi.

After she was found positive for swine flu, nine other passengers who had accompanied her were also quarantined.

“On 22nd the report was sent on the same day. It was tested positive yesterday night from NICD Delhi. So I have isolated the other nine who accompanied her. We have sent the samples to NICD Delhi. This is the first foreign national tested positive in India,” said Dr. K Sudhakar, Physician, Government Chest Hospital, Hyderabad.

Out of the 17 cases reported in Andhra Pradesh, 14 have been treated and discharged, while three are still undergoing treatment. Ten other patients presently under observation are awaiting reports.

Another 45-year-old man who had travelled from Doha has also been admitted in the hospital for suspected HINI infection, after the initial screening at Hyderabad airport showed signs of the flu affliction in him.

So far, a total of 60 persons have been found positive for swine flu across India, out of which 32 patients have been treated as inpatients in isolation wards and discharged.

Out of the total 60 patients, 54 came from abroad while six contracted the disease within the country. In all, 413 suspected cases were quarantined.

The World Health Organisation (WHO) elevated the H1N1 strain to pandemic status earlier this month.

The WHO, in an update on the spread of the new flu strain on Saturday (June 20) had observed that the number of worldwide cases had risen to 44,287, with 180 deaths.

Mexico, United States and Canada have borne the brunt of the illness while research work is still on to formulate an effective vaccine to counter the pandemic. (ANI)

China likely to manufacture new flu vaccine by July

New Delhi, May 27 (ANI): A Chinese official has revealed that the country may manufacture an A(H1N1) influenza vaccine for human use by July.

Yin Hongzhang, head of the biology production department under the State Food and Drug Administration (SFDA), says that studies on samples of a flu strain that China is likely to receive by early June may make it possible.

“The country has set up a green channel between the World Health Organization (WHO) and the Chinese drug makers. As soon as the WHO releases the vaccine strain, drug companies will be informed and will start manufacturing as soon as they can,” Xinhua quoted Yin as saying.

Given that vaccine manufacturing requires high-level safety, Yin says that China must produce one in line with WHO protocols.

WHO last week said that drug companies wouldn’t be able to make an A(H1N1) vaccine until mid-July at the earliest as the virus was growing slowly in labs, making it difficult for scientists to get the key ingredient for a vaccine.

According to the China Daily, Yin noted that WHO was not sure yet whether the A(H1N1) flu should be categorized as seasonal or pandemic, which was a problem for drug makers.

Yin also revealed that 11 drug companies in China could produce seasonal flu vaccines, but only one could make pandemic flu vaccines.

“Compared with a 1.3-billion population, our current vaccine producing ability is far from enough,” said Yin.

He further said that China would become the first country to guarantee vaccine supplies for medical staff if the A(H1N1) influenza was confirmed as pandemic.

He further said that a vaccine for A(H1N1) would produce antibodies within two weeks after being injected.

It would take another 45 days to two months to take full effect, which would normally last for more than one year, Yin added. (ANI)

Mystery of potentially fatal reaction to smallpox vaccine unraveled

Washington, May 25 (ANI): A husband-wife scientific team from the La Jolla Institute for Allergy and Immunology have identified the cellular defect that makes eczema sufferers more prone to eczema vaccinatum, a severe and potentially fatal reaction to the smallpox vaccine.

Doctors Toshiaki and Yuko Kawakami have found that activity levels of Natural Killer (NK) cells, which are disease fighting cells of the immune system, play a pivotal role in the development of eczema vaccinatum in the mice.

The researchers found that the activity of the NK cells was significantly lower in the mice that developed eczema vaccinatum than in normal mice that also received the smallpox vaccine.

They say that this knowledge opens the door to one day developing therapies that could potentially boost NK cell activity in eczema sufferers.

“Since atopic dermatitis affects as many as 17 percent of children in the U. S. and since eczema vaccinatum carries a fatality rate of 5-10 percent, therapies that prevent or treat eczema vaccinatum successfully are crucial should the need for mass vaccination against smallpox arise in response to bioterrorism,” said Harvard pediatrics professor Dr. Raif S. Geha, of immunology at Boston Children’s Hospital and a principal investigator in the NIH funded network investigating eczema vaccinatum.

“The discovery of the Kawakami team, who are participants in the NIH network, is an important step towards this goal,” Geha added.

People with active atopic dermatitis (eczema), or who have outgrown it, and those with whom they currently live cannot receive smallpox vaccinations because of the risk of eczema vaccinatum.

While uncommon, eczema vaccinatum can develop when atopic dermatitis patients are given the smallpox vaccine or come into close personal contact with people who recently received the vaccine.

A significant portion of the U.S. population is currently considered to be ineligible for smallpox vaccination.

“This discovery answers an important question that has long eluded the scientific community, why people with atopic dermatitis were susceptible to developing eczema vaccinatum upon receiving the smallpox vaccine, while the general population was not. It marks a significant advance toward the goal of ensuring that everyone can one day be protected against the smallpox virus,” said Mitchell Kronenberg, the La Jolla Institute’s president and scientific director.

Toshiaki Kawakami said: “We are very excited by these findings. Developing a safer smallpox vaccine is the most important thing in this field.”

A research paper on the study has been published in the online version of the Journal of Experimental Medicine. (ANI)

New approach may pave way for effective HIV vaccine

Washington, May 23 (ANI): Using gene transfer technology, scientists have developed a new approach to overcome the biggest hurdle in the development of an effective HIV vaccine.

The researchers used gene transfer technology, which produces molecules that block infection, to successfully protect monkeys from infection by a virus closely related to HIV-the simian immunodeficiency virus, or SIV-that causes AIDS in rhesus monkeys.

“We used a leapfrog strategy, bypassing the natural immune system response that was the target of all previous HIV and SIV vaccine candidates,” Nature magazine quoted study leader Dr. Philip R. Johnson, chief scientific officer at The Children’s Hospital of Philadelphia, as saying.

Johnson developed the novel approach over a ten-year period, but warned that many hurdles still remain before the technique could be translated into an HIV vaccine for humans.

Most attempts at developing an HIV vaccine have used substances aimed at stimulating the body’s immune system to produce antibodies or killer cells that would eliminate the virus before or after it infected cells in the body. But, the approach has not been proved fruitful until now.

However, the approach used in the current study was divided into two phases-in the first phase, researchers created antibody-like proteins (called immunoadhesins) that were specifically designed to bind to SIV and block it from infecting cells.

After it was proven to work against SIV in the laboratory, DNA representing SIV-specific immunoadhesins was engineered into a carrier virus designed to deliver the DNA to monkeys.

The researchers chose adeno-associated virus (AAV) as the carrier virus because it is a very effective way to insert DNA into the cells of a monkey or human.

In the second part of the study, the team injected AAV carriers into the muscles of monkeys, where the imported DNA produced immunoadhesins that entered the blood circulation.

After a month of administrating the AAV carriers, the immunized monkeys were injected with live, AIDS-causing SIV.

It was found that the majority of the immunized monkeys were completely protected from SIV infection, and all were protected from AIDS, unlike a group of unimmunized monkeys, who were infected by SIV, and two-thirds died of AIDS complications.

“To ultimately succeed, more and better molecules that work against HIV, including human monoclonal antibodies, will be needed,” said Johnson and his co-authors.

The study has appeared in the online version of Nature Medicine. (ANI)

Novel vaccine strategy may offer protection against flu viruses

Washington, May 19 (ANI): Researchers at the University of Pittsburgh suggest that vaccines made up of virus-like particles (VLPs) could provide stronger and longer-lasting protection against flu viruses than conventional vaccines.

VLP vaccines can be developed and produced twice as quickly as conventional vaccines, the researchers said.

In early clinical trials, VLP vaccines appear to provide complete protection against both the H5N1 avian influenza virus and the 1918 Spanish influenza virus, said Ted Ross, an assistant professor at the University of Pittsburgh’s Center for Vaccine Research.

Adopting the new vaccine strategy may allow public health officials to respond more quickly to emerging influenza pandemics, say researchers.

The current injectable vaccine for seasonal influenza is a trivalent, inactivated vaccine. It consists of three different influenza strains that are grown in eggs and then inactivated, or killed, by chemicals that break them into tiny pieces.

Because they no longer look like the circulating virus, conventionally made vaccines strains do not elicit as strong an immune response as VLP vaccines.

VLPs can be quickly and easily produced in several ways, including growing them in cell cultures or in plants.

Also, if the genes in the disease virus are identified, then researchers can generate particles for a vaccine without an actual sample of the agent.

“The sequence for the recent H1N1 ‘swine flu’ virus was online and available to scientists long before physical samples could be delivered,” r. Ross said.

“It would have been possible to produce VLPs in quantity in as little as 12 weeks while conventional vaccines require physical samples of the virus and production can take approximately nine months,” he added.

The study has been presented at the 109th General Meeting of the American Society for Microbiology in Philadelphia. (ANI)