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ImnPenyTrop 17
Vaccine Development
Widya Asmara
Figure 14-23 part 1 of 2
Figure 14-23 part 2 of 2
Type of vaccine’s antigen
• Whole Organisms
– Killed/Inactivated
– Modified Live/Attenuated
• Conventional
• Genetic
• Purified Fractions/Subunits
– Conventional Subunits
– Genetically Engineered Subunits
– Naked DNA
• Vectored Vaccines
– Bacterial
– Viral
CLASSICAL VACCINE
• In activated / killed vaccine:
– Whole cell / virus particle
• Attenuated strain :
– naturally occuring
– after passages
– Mutagenesis
• Sub unit vaccine
– LPS , protein , peptide, toxoid
Whole agent vaccines -- Killed
by heat or chemical (formaldehyde)
epitopes
epitopes
3 4
Subunit vaccines
Transformed into
bacteria/yeast
Expressed as heterolog protein
Purified & prepared as vaccine
antigen
Cloned into plasmid
Attenuation by Recombinant DNA
• Protozoan parasite
• Traditionally attenuated strains
persist in host (without symptoms)
for extended periods
• Traditional attenuated strains have
undesirable property of reversion.
• Delete DHFR/Thymidylate synthase
• This strain persists only for a few
days in host but provides immunity
Attenuated L. major Immunity
• Better presentation
• Humoral & CTL response
Vectored vaccines
Recombinant live
vectored vaccine
vectored vaccine
Diisolasi fragmen gen yang diinginkan,
dipasang dalam vektor rekombinan
Virus lain (ND,
IBD, ILT, dsb.)
Pox V / HVT
expressing other
virus proteins
Prospect of multivalent vectored vaccine
Two pathogen-
antigen in one
vectored construct
Combine important
epitopes from two or
more pathogens
Conventional Influenza Virus Vaccine Strain
PB2
PB2
PB1
PA
X PB1
PA
HA HA
NA NA
NP NP
M M
NS NS
PB2
PB1
Attenuated PA New
Donor Master HA Virulent
Strain
NA
NP Antigenic
Attenuated Vaccine M Variant
Strain: Coat of Virulent NS
strain with Virulence Strain
Characteristics of
Attenuated Strain
Reverse genetic vaccine
• i.e.: influenza vaccine,
• Isolation of viral RNA
• Synthesize cDNA of each gene segment
• Clone them into special plasmids
• If needed: do site directed mutagenesis to alter virulence
sequence
• Transfect into cell culture (i.e.:MDCK)
• Let the gene fragments to rearrange into a new virus
• Prepare them for vaccine
Generation of H5N1 vaccine with modified HA
using plasmid-based reverse genetics
N1 NA PB2 PB1 PA HA
Mod. H5 NP NA M NS
HP avian HA PR8 h.g.
virus donor
RERRRKKR RETR Bi-directional plasmids
expressing both
mRNA and vRNA
Reassortant Transfect
Modified Vero cells
H5N1 Vaccine
DNA VACCINE ?
GENE FOR AN IMMUNOGEN
IMMUNIZE WITH
IMMUNOGEN EXPRESSING PLASMID
DNA Vaccine
• Create a recombinant plasmid containing a gene encoding a specific antigen.
• Engineered the sequence within bacteria, but enabling it to be expressed in
human
• Introduce it into humans & Let the human cells produce the antigen
• Present it to B-cell & T-cells Provoke immune response humoral & cellular
immunity
DNA Vaccine Mechanisms
DNA vaccines Vs Traditional
vaccines
DNA vaccines Traditional vaccines
Uses only the DNA Uses weakened or
from infectious killed form of
organisms. infectious organism.
Avoids the risk of using Creates possible risk
actual infectious of the vaccine being
organism. fatal.
Provide both Humoral
& Cell mediated Provide primarily
immunity Humoral immunity
Refrigeration is not Usually requires
required Refrigeration.
ADVANTAGES
Elicit both Humoral & cell mediated
immunity
Focused on Antigen of interest
Long term immunity
Refrigeration is not required
Stable for storage
Plasmid with multiple genes provide
immunity against many diseases in one
booster
Malaria: Plasmodium Life Cycle
Pre-erythrocytic stage,
that is the stage that
takes place shortly after
being bitten by an infected
mosquito up to and
including the liver stage.
Sporozoites
Pre-erythrocytic
Stage
Liver Stage
Pre-erythrocytic Stage Vaccines
• How they work:
– Generates Ab response against sporozoites and
prevents them from invading the liver
– Prevents intra-hepatic multiplication by killing
parasite-infected hepatocytes
• Intended Use:
– Ideal for travelers - protects against malaria
infection
Malaria: Plasmodium Life Cycle
Asexual
Erythrocytic Blood Stage
Stage
Merozoites
Asexual Erythrocytic Stage Vaccines
• How they work:
– Elicit antibodies that will inactivate merozoites
and/or target malarial Ag expressed on RBC
surface
– Inhibit development of parasite in RBCs
• Intended Use:
– Morbidity reduction in endemic countries
Malaria: Plasmodium Life Cycle
Sexual
Stage
Gametocytes
Sexual Stage Vaccines
• How they work:
– Induces Ab against sexual stage Ag
– Prevents development of infectious
sporozoites in salivary glands of mosquitoes
– Prevent or decrease transmission of parasite
to new hosts
• Intended Use:
– Decreased malaria transmission
Vaccines stimulate immune memory
Signal 2
From Th
Signal 3
From Th
Mekanisme pembentukan antibodi (vaksinasi)
Killed bacteria (pemberian 1)
Plasma cell,
class switch
IgG; better affinity antibody
Memory B cell
Cytokine
from Th Aktivasi sel Tc MHC1 - epitop
Phase 1
Phase 2
Phase 3
Phase 4
Phase 1
Following submission of IND a candidate vaccine is tested in
a small number (10-30) healthy human adult volunteers who
are not at risk for the disease in question.
Main goal is safety and to a lesser extent immunogenicity
involving different doses and different immunization
schedules.
Phase 1 studies can be done in academic or biotech settings
but need institutional Investigative Review Board approval
Including informed consent to protect volunteer rights
GMP, GCP, & GLP must be used throughout
Phase 2
• Involves a larger number of volunteers (50-500), usually a
mixture of low-risk and higher risk individuals from the
population where phase 3 studies will be done. Informed
consent must be obtained from all participants.
• Main goal is to generate safety data as well as information
for refining dosage and immunization schedule, vaccine
formulations and lot consistency
• May also provide preliminary data relative to efficacy
• If challenge studies are to be included, they must not
include vulnerable populations
• Trials usually take 18-24 months because of screening and
enrolling large numbers of participants
Phase 3
The randomized, controlled clinical trial aimed at
providing scientific evidence about the clinical
performance of vaccines.
Involves 1000s of participants from high risk
populations where individuals, having given informed
consent, are randomized into test and control groups
to be given vaccine or placebo in a blinded study to
avoid bias.
The goal of phase 3 trials is to determine vaccine
safety and efficacy in a large study population sample
leading to licensure application
Phase 4
• Phase 4 trials are done after a vaccine has been
shown to work and has been granted a licence.
So they are looking at vaccines that are already
available for doctors to prescribe, rather than new
vaccines that are still being developed.
• The main reasons pharmaceutical companies run
phase 4 trials are to find out more about the side
effects and safety of the vaccine, what the long
term risks and benefits are, and how well the
vaccine works when it is used more widely than in
clinical trials.
Steps in Vaccine Development
Drug / Vaccine Discovery
Market Authorization