Clinical acceptability and immunogenicity of CVD 908 Salmonella typhi vaccine strain

Vaccine. 1992;10(7):443-6. doi: 10.1016/0264-410x(92)90392-w.

Abstract

An attenuated Salmonella typhi strain has been sought as an improved oral typhoid vaccine and as a carrier of protective antigens of other pathogens to make hybrid vaccines. Ideally, such a strain would be safe and induce protective immune responses after a single oral dose. CVD 908 is a mutant of S. typhi wild-type strain Ty2 with recombinant deletions in two genes, aroC and aroD. In phase 1 testing to date, this strain has not produced febrile responses or other significant adverse reactions in adult volunteers given doses of 5 x 10(4) to 5 x 10(7) organisms with sodium bicarbonate. In addition, after just a single oral dose of 5 x 10(7) colony-forming units, this strain induced IgG seroconversion to S. typhi lipopolysaccharide in 83% of vaccinees and stimulated specific IgA-secreting gut-derived lymphocytes in 100% of vaccinees. CVD 908 is a new oral typhoid vaccine that should be further investigated as a carrier for expressing foreign antigens in recombinant vaccine constructs.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Administration, Oral
  • Adult
  • Antibodies, Bacterial / analysis
  • Bacterial Vaccines / administration & dosage
  • Bacterial Vaccines / immunology*
  • Humans
  • Immunoglobulin G / analysis
  • Immunoglobulins*
  • Lipopolysaccharides / analysis
  • Lipopolysaccharides / immunology
  • Salmonella typhi / immunology*
  • Vaccines, Attenuated / immunology

Substances

  • Antibodies, Bacterial
  • Bacterial Vaccines
  • Immunoglobulin G
  • Immunoglobulins
  • Lipopolysaccharides
  • Vaccines, Attenuated
  • antilipopolysaccharide antibodies