Vaccine Safety: Pathogenesis of Virus Vaccine Neurotoxicity
Principal Investigator
K. M. Carbone
Laboratory
Laboratory of Pediatric and Respiratory Viral Diseases; Division of Viral
Products; Office of Vaccines Research and Review
Project Summary
Since the developing nervous system is uniquely sensitive to damage following
virus infection, postnatal CNS development during the first several years of
life provides for continued susceptibility of the infant CNS to damage by viral
infection after birth. Administering insufficiently attenuated vaccines to
infants may place the child's CNS at increased risk for injury. Thus, it is
imperative to develop methods of pre-clinical neurovirulence testing with which
to predict which vaccines might have significant neurovirulence potential for
human CNS.
Thus, it is important to develop valid molecular biological, in vitro and in
vivo models to evaluate the pathogenesis of the neurotoxic effects of vaccine
viruses. Development of these models will lead to improved safety of childhood
vaccines, cost saving and improved predictability of neurovirulence testing, and
information obtained in these studies will be useful in testing potentially
neurovirulent vaccines (e.g., measles, mumps, HIV, parainfluenza, Japanese
encephalitis).
Progress: 2001 CBER Outstanding Regulatory Research Project
Molecular Markers of Neurotoxicity: We have identified vaccine
virus-related perturbations in CNS gene expression by standard
semiquantitative RT-PCR and by differential display techniques, including
endogenous immune mediators of the CNS. We have recovered un-characterized
gene products from new genes that are altered by virus infection of the
brain. We have initiated RPA to compare changes in endogenous immune
mediators in the CNS in animals infected with low and high neurovirulence
strains of mumps virus.
Animal Models of CNS Diseases Following Childhood Virus Infection:
Autism. Viruses are known etiologic agents of autism (e.g., rubella).
Therefore, concerns are raised regarding a possible relationship between
childhood vaccines and autism. Because no valid animal models existed to
study the pathogenesis of the neuroanatomical and behavioral signs of
autism, we developed a rat model of autism using neonatal infection with
neurotropic viruses. We have characterized autistic-like changes in
neuroanatomy, neurochemistry, neurological disease and behavior in these
rats. In addition, we have identified regional and developmental changes
in neurotransmitters, including serotonin and norepinephrine. A
developmental study of damage to developing brain (e.g., cerebellum) in
virus infected rats was performed demonstrating anatomical, behavioral and
neurological consequences.
Publications
J Virol 1998 Oct;72(10):8037-42
Comparison of the neurovirulence of a vaccine and a wild-type mumps virus
strain in the developing rat brain.
Rubin SA, Pletnikov M, Carbone KM Pub Med
J Vet Diagn Invest 1998 Oct;10(4):338-43
Clinical, serologic, and histopathologic characterization of experimental
Borna disease in ponies.
Katz JB, Alstad D, Jenny AL, Carbone KM, Rubin SA, Waltrip RW 2nd Pub Med
Behav Brain Res 1999 Apr;100(1-2):43-50
Developmental brain injury associated with abnormal play behavior in
neonatally Borna disease virus-infected Lewis rats: a model of autism.
Pletnikov MV, Rubin SA, Vasudevan K, Moran TH, Carbone KM Pub Med
Brain Res Bull 1999 Jan 1;48(1):23-30
Borna disease virus-induced hippocampal dentate gyrus damage is associated
with spatial learning and memory deficits.
Rubin SA, Sylves P, Vogel M, Pletnikov M, Moran TH, Schwartz GJ, Carbone
KM Pub Med
J Infect Dis 1999 Aug;180(2):521-525
The Mumps Virus Neurovirulence Safety Test in Rhesus Monkeys:A Comparison
of Mumps Virus Strains.
Rubin SA, Snoy PJ, Wright KE, Brown EG, Reeve P, Beeler JA, Carbone KM Pub Med
Physiol Behav 1999 Jul;66(5):823-31
Persistent neonatal Borna disease virus (BDV) infection of the brain
causes chronic emotional abnormalities in adult rats.
Pletnikov MV, Rubin SA, Schwartz GJ, Moran TH, Sobotka TJ, Carbone KM Pub Med
J Virol 2000 Jun 1;74(11):5382-5384
Evaluation of a Neonatal Rat Model for Prediction of Mumps Virus
Neurovirulence in Humans.
Rubin SA, Pletnikov M, Taffs R, Snoy PJ, Kobasa D, Brown EG, Wright KE,
Carbone KM Pub Med
Dev Brain Res 2000 Feb 7;119(2):179-85
Effects of neonatal rat Borna disease virus (BDV) infection on the
postnatal development of the brain monoaminergic systems.
Pletnikov MV, Rubin SA, Schwartz GJ, Carbone KM, Moran TH Pub Med
Ann N Y Acad Sci 2001 Jun;939:318-9
Rat model of autism spectrum disorders. Genetic background effects on
Borna disease virus-induced developmental brain damage.
Pletnikov MV, Jones ML, Rubin SA, Moran TH, Carbone KM Pub Med
Clin Microbiol Rev 2001 Jul;14(3):513-27
Borna disease virus and human disease.
Carbone KM Pub Med
Mol Psychiatr 2000 Nov;5(6):577
Borna again, starting from the beginning.
Carbone KM, Pletnikov M Pub Med
Ann Clin Biochem 2001 Jul;38(Pt 4):348-55
Synthetic peptide-based electrochemiluminescence immunoassay for
anti-Borna disease virus p40 and p24 antibodies in rat and horse serum.
Yamaguchi K, Sawada T, Yamane S, Haga S, Ikeda K, Igata-Yi R, Yoshiki K,
Matsuoka M, Okabe H, Horii Y, Nawa Y, Waltrip RW 2nd, Carbone KM Pub Med
Brain Res Dev Brain Res 2001 Jan 31;126(1):1-12
Neonatal Borna disease virus infection (BDV)-induced damage to the
cerebellum is associated with sensorimotor deficits in developing Lewis
rats.
Pletnikov MV, Rubin SA, Carbone KM, Moran TH, Schwartz GJ Pub Med
Curr Opin Microbiol 2001 Aug;4(4):467-75
Borna disease: virus-induced neurobehavioral disease pathogenesis.
Carbone KM, Rubin SA, Nishino Y, Pletnikov MV Pub Med
DISCLAIMER: All
information, data, and material contained, presented, or provided here is for
general information purposes only and is not to be construed as reflecting the
knowledge or opinions of the publisher, and is not to be construed or intended
as providing medical or legal advice. The decision whether or not to vaccinate
is an important and complex issue and should be made by you, and you alone, in
consultation with your health care provider.