If successful in humans,
vaccine could eliminate annual flu shot
PHILADELPHIA - Globally, the influenza virus, or flu, is thought to cause
between three and five million cases of severe illness and between 250,000 and
500,000 deaths annually, according to the World Health Organization. New strains
of the virus emerge each year, so that the U.S. Centers for Disease Control and
other public health services must produce and distribute a new vaccine against
the new flu strains each year. And each year, people seeking to avoid a flu
infection must arrange to receive a flu shot - rarely a pleasant experience -
from their doctor or other health-care provider. Also, the effectiveness of the
vaccine is known to decline in the elderly, a population for whom flu infections
can be particularly dangerous.
A new prototype vaccine developed by researchers at The Wistar Institute,
however, might be able to protect recipients not only against this year's
strains of the virus, but also against those yet to come, possibly eliminating
the need for an annual shot. In fact, because the vaccine would be administered
as a nasal spray, it could eliminate the need for a shot of any kind. A report
on the new findings appears in the June 2 issue of the journal Vaccine.
"Current vaccines are quite effective, but they are based on regions of the
virus that mutate rapidly, so health officials are constantly faced with the
problem of updating the vaccines," says Walter Gerhard, M.D., senior author on
the Vaccine report and a professor in the immunology program at The Wistar
Institute. "A vaccine directed against a more stable region of the virus would
offer important public-health advantages, and this is what we are hoping to be
able to develop."
Current flu vaccines trigger an immune response to a pair of prominent
viral-coat proteins that mutate constantly, which is the reason last year's flu
vaccine is ineffective against this year's flu strains. The experimental vaccine
contains an engineered peptide that mimics a third, smaller viral-coat protein
called M2 that remains largely constant from year to year.
Mice vaccinated with the vaccine generated a strong antibody response against
M2. In fact, the mice generated a more powerful antibody response to the vaccine
than to infections by the flu virus itself, according to Gerhard.
"We saw a significant antibody response to our peptide vaccine," he says.
"Actually, the response was much stronger than what we saw in mice recovering
from infections, which was surprising. This may be meaningful in terms of the
potential effectiveness of the vaccine as we go forward."
The experimental vaccine was administered twice intranasally to mice. After
vaccination, a steep rise in M2-specific antibodies was seen in blood samples
from the mice, and the mice exhibited significant resistance to viral
replication in the respiratory tract.
Ongoing experiments in the Gerhard laboratory are exploring the questions of
how and why the new flu vaccine is able to produce a stronger antibody response
than infections, which are generally considered the best way to generate
resistance to any pathogen.
Also, Gerhard is looking into whether the M2 element of the virus might begin
to mutate in the presence of the anti-M2 antibodies generated by the new
vaccine. His concern is that the observed viral stability in the M2 region of
the flu virus may simply be a reflection of the fact that the immune system does
not mount a vigorous response to it, so that evolutionary pressure on that
region of the virus is not great.
"Among human influenza virus strains, there is little variation in the M2
region," Gerhard says. "That could be due to the fact that humans do not
generate a significant antibody response to it, so that the virus does not need
to change to escape those antibodies."
Wistar associate professor Laszlo Otvos, Jr., Ph.D., collaborated on the
study. Krystyna Mozdzanowska was the lead author. The remaining coauthors, all
Wistar-based, are JingQi Feng, Mark Eid, Goran Kragol, and Mare Cudic.
Support for the research was provided by the National Institutes of Health.
The Wistar Institute is an independent nonprofit biomedical research
institution dedicated to discovering the causes and cures for major diseases,
including cancer, cardiovascular disease, autoimmune disorders, and infectious
diseases. Founded in 1892 as the first institution of its kind in the nation,
The Wistar Institute today is a National Cancer Institute-designated Cancer
Center - one of only eight focused on basic research. Discoveries at Wistar have
led to the development of vaccines for such diseases as rabies and rubella, the
identification of genes associated with breast, lung, and prostate cancer, and
the development of monoclonal antibodies and other significant research
technologies and tools.
News releases from The Wistar Institute are available to reporters by direct
e-mail or fax upon request. They are also posted electronically to Wistar's home
page (http://www.wistar.upenn.edu),
and to EurekAlert! (http://www.eurekalert.org),
an Internet resource sponsored by the American Association for the Advancement
of Science.
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.
"A foolish faith in authority is the worst enemy of truth."
-- Albert Einstein, letter to a friend, 1901
"I know of no safe depository of the ultimate powers of the society but the people themselves, and if we think them not enlightened enough to exercise control with a wholesome discretion, the remedy is not to take it from them, but to inform their discretion by education."
-- Thomas Jefferson, letter to William C. Jarvis, September 28, 1820
"What's the point of vaccination if it doesn't protect you from the unvaccinated?"
-- Sandy Gottstein
"Who gets to decide what the greater good is and how many will be sacrificed to it?"