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By Richard Black
BBC science correspondent
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Scientists in Scotland have come up with a new way
of making vaccines which they believe would prove especially useful
in developing countries.
The idea is to use bacteriophages - viruses which live on
bacteria but which are harmless to us - as a way of delivering a
vaccine to the human body.
An Indian child is vaccinated against polio
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It is an attractive approach because bacteriophages are
incredibly easy to grow and can multiply billions of times in hours.
The research is in its early stages but experiments in mice have
yielded some intriguing results.
Realising its potential could provide a way to protect children
against many diseases with a single vaccine.
Cheap and easy
The World Health Organization's polio vaccination campaign has
shown how successful a vaccine can be - so successful, in fact, that
the disease could soon be no more than a memory.
But in many parts of the developing world, children routinely
miss out on vaccines. That is partly because making vaccines is a
complex process, beyond the facilities of some developing countries.
The bacteriophage concept could be the answer.
Dr John March from the Moredun Research Institute near Edinburgh
says it is very cheap to make the vaccine and very easy.
"At the moment, with most vaccines, you need very expensive
tissue culture laboratories, trained personnel, very expensive
reagents," he told the BBC.
"To make a bacteriophage vaccine, all you really need is a glass
flask, a small amount of very cheap culture medium, and you grow the
culture overnight."
Multi-protection
Bacteriophages have evolved to live on and eat bacteria.
In the Soviet Union, they were used as medicines against
bacterial diseases - a kind of live antibiotic. But the latest
concept is completely different. The phages are vehicles for
delivering vaccine - in theory, against a number of diseases with a
single shot.
"In theory, we could probably put anywhere up to about 10
vaccines in the same bacteriophage," says Dr March. "So what it
would mean is that you would have one immunisation and hopefully it
would be able to protect against 10 diseases simultaneously."
The bacteriophage concept is related to the idea of DNA
vaccination. Conventional vaccines use a harmless version of the
organism which causes the disease you want to protect against,
whether it is a virus or a bacterium; or it uses proteins which lurk
on the organism's surface.
A decade or so ago, however, scientists realised there was
another possible approach. Rather than injecting bits of the
organism itself, why not inject bits of its DNA? Like many of the
best ideas in science, the concept was discovered by accident, as Dr
Martin Friede, a vaccine specialist with the WHO, explains.
"This shouldn't really work," he says. "This was originally done
as part of a gene therapy experiment. People injected the DNA and
discovered that it expressed protein in the body; and an immune
response was made to the protein.
"So this was really unexpected. People were surprised that DNA
was taken up; and that an immune response was generated against the
product of the expression of the DNA."
Potential drawbacks
In some experiments DNA vaccination proved a spectacular success
- in mice. For some reason, which scientists are still trying to
work out, it has not transferred its success to larger animals,
including humans.
Researchers are still pursuing it avidly, however, because for
some of the world's biggest diseases, such as malaria, the
conventional approach to vaccination simply does not work.
Phage vaccination, John March has shown, does induce immunity in
mice - but will it work in humans?
"I don't want to be negative because if this were to work, it
would be a great thing. But there are a lot of very basic questions
that need to be asked," says the WHO's Martin Friede.
Asking them requires money. So far, the work has been funded by
the development agency Scottish Enterprise - but more will be needed
to scale up research to larger animals.