Enhanced pulmonary immunopathology following neonatal priming with formalin-inactivated respiratory syncytial virus but not with the BBG2NA vaccine candidate

Vaccine. 2003 Jun 2;21(19-20):2651-60. doi: 10.1016/s0264-410x(03)00055-0.

Abstract

Prevention of respiratory syncytial virus (RSV) disease will implicate neonatal priming. However, neonatal antigen exposure frequently results into Th2-like responses, some of which are critical for formalin-inactivated RSV (FI-RSV)-associated lung immunopathology. Neonatal immunization of mice may thus represent a more stringent model of RSV-enhanced pathology than adults. Indeed, after RSV challenge, lung cell infiltration, lymphocyte activation, and eosinophilia were higher following neonatal compared with adult FI-RSV priming of BALB/c mice. Unexpectedly, similar findings were obtained with Al(OH)(3)-adsorbed live RSV. In contrast, neonatal priming with BBG2Na, a recombinant RSV subunit vaccine candidate, formulated in either Al(OH)(3) or TiterMax (a Th1-driving adjuvant) resulted in predominant Th2- or Th1-like responses, respectively, but never elicited lung immunopathology post-challenge. Importantly, our data emphasize that the induction of Th2-like responses by RSV subunit vaccines do not necessarily imply lung immunopathology.

MeSH terms

  • Animals
  • Animals, Newborn
  • Antibodies, Viral / blood
  • CD4-Positive T-Lymphocytes / immunology
  • Enzyme-Linked Immunosorbent Assay
  • Formaldehyde
  • Lung / drug effects
  • Lung / pathology*
  • Lymphocyte Activation
  • Mice
  • Mice, Inbred BALB C
  • Models, Animal
  • Respiratory Syncytial Virus Infections / immunology*
  • Respiratory Syncytial Virus Infections / pathology
  • Respiratory Syncytial Virus Infections / prevention & control
  • Respiratory Syncytial Virus Vaccines / immunology*
  • Respiratory Syncytial Virus Vaccines / toxicity*
  • Vaccines, Inactivated / immunology*
  • Vaccines, Inactivated / toxicity

Substances

  • Antibodies, Viral
  • BBG2Na vaccine
  • Respiratory Syncytial Virus Vaccines
  • Vaccines, Inactivated
  • Formaldehyde