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2.
Vaccine ; 13(18): 1793-8, 1995 Dec.
Article in English | MEDLINE | ID: mdl-8701595

ABSTRACT

Influenza virus neuraminidase (NA) has been shown to induce protective but infection-permissive immunity in experimental animals. Challenge infection following such immunization is attended by decreased viral replication and disease manifestations but is sufficient to provide antigenic stimulation and definitive immunity to the virus. The present report describes the preparation and characterization of a purified NA vaccine (NAV) used in Phase 1 (immunogenicity and toxicity) trials in humans. In essence, virion NA was isolated from detergent-disrupted virus by affinity chromatography on oxamic acid-agarose, treated with formalin and tested for its enzymatic activity and for its immunogenicity in Balb/c mice and New Zealand rabbits. The preparation was essentially free of viral hemagglutinin but contained residual NP and M1 proteins. Both dispersed and aggregated NA tetrameric heads were seen in electron micrographs. Enzymatic activity was preserved, and minimal immunogenic doses in mice and rabbits, respectively, were 3.7 and 0.027 micrograms per kg.


Subject(s)
Antigens, Viral/immunology , Influenza Vaccines/immunology , Neuraminidase/immunology , Animals , Female , Influenza Vaccines/isolation & purification , Mice , Mice, Inbred BALB C , Microscopy, Electron
3.
Vaccine ; 13(18): 1799-803, 1995 Dec.
Article in English | MEDLINE | ID: mdl-8701596

ABSTRACT

The immunogenicity and toxicity of a purified influenza virus (N2) neuraminidase vaccine (NAV) were investigated in 88 human subjects aged 18-40, and compared to response to a conventional trivalent influenza vaccine, Fluogen (Parke-Davis). NAV doses ranged from 2.6 to 69.9 micrograms and were given intramuscularly. Serologic neuraminidase-inhibiting (NI) and neuraminidase-specific ELISA responses in this N2-primed population were roughly proportional to the dose administered. Maximal response was seen in 14-21 days and NI antibody titers persisted unabated for the 6-month post-vaccination follow-up period. All doses were well tolerated with respect to local and systemic reactions. NI tests performed with the putative (1975) priming N2 antigen demonstrated anamnestic response but did not reveal responses not already shown with the homologous (1992) antigen. Response to this purified, non-adjuvanted preparation encourages continuing investigation of the induction of infection-permissive immunity with influenza virus neuraminidase.


Subject(s)
Influenza A virus/immunology , Influenza Vaccines/immunology , Neuraminidase/immunology , Adolescent , Adult , Antibody Formation , Antibody Specificity , Chromatography, Affinity , Humans , Influenza Vaccines/adverse effects
6.
J Gen Virol ; 74 ( Pt 7): 1311-6, 1993 Jul.
Article in English | MEDLINE | ID: mdl-8336120

ABSTRACT

Genetic reassortment of the A/Shanghai/11/87 (H3N2) variant of influenza A virus with A/PR8/34 (H1N1) virus [the standard donor of high yield (hy) genes for influenza vaccine viruses] resulted in the isolation of two reassortants with differing H3 haemagglutinin (HA) phenotypes, X-99 and X-99a. The two HA phenotypes were derived from individual subpopulations of the H3N2 wild-type virus during the reassortment event. The HA mutants and their respectively derived reassortants (identical in RNA genotype) differed in antigenicity, replication characteristics, yield in chick embryos and haemagglutinin gene sequence. Despite antigenic differences in reactions to polyclonal rabbit antisera of 60%, both X-99 and X-99a, the hy reassortants, were equally immunogenic and protective in BALB/c mice to challenge by parental wild-type virus. Differences in HA phenotype were related to a Ser to Ile change at amino acid position 186. These findings emphasize the polymorphism of influenza virus strains as well as the need for caution in selection of vaccine strains from among antigenically distinct viral subpopulations.


Subject(s)
Hemagglutinins, Viral/immunology , Influenza A Virus, H3N2 Subtype , Influenza A virus/genetics , Polymorphism, Genetic , Amino Acid Sequence , Animals , Base Sequence , Chick Embryo , Female , Genetic Variation , Genotype , Hemagglutination Inhibition Tests , Hemagglutinin Glycoproteins, Influenza Virus , Hemagglutinins, Viral/genetics , Influenza A virus/immunology , Mice , Mice, Inbred BALB C/immunology , Molecular Sequence Data , Neutralization Tests , Oligodeoxyribonucleotides , Phenotype , RNA, Viral/genetics , RNA, Viral/isolation & purification , Rabbits/immunology , Viral Envelope Proteins/immunology
7.
Am Nurse ; 24(5): 6, 1992 May.
Article in English | MEDLINE | ID: mdl-1595981
8.
Virology ; 171(2): 634-6, 1989 Aug.
Article in English | MEDLINE | ID: mdl-2474896

ABSTRACT

A panel of monoclonal antibodies to the M1 protein of A/PR8/34 (H1N1) (PR8) influenza A virus was found to distinguish in ELISA high-yielding reassortant viruses derived from reassortment of PR8 and X-31 (H3N2) viruses with recently prevalent field strains of H1N1 or H3N2 subtype. These findings are concordant with results of genotyping that demonstrated the presence of PR8 RNA 7 or M1 protein in high-yield reassortants by RNA or protein PAGE. All high-yield vaccine candidate reassortants Application of the M1 monoclonal antibody panel facilitates the isolation of high-yield vaccine candidate reassortants bearing the PR8 M1 gene, and should aid in epidemiologic strain tracking as well.


Subject(s)
Antibodies, Monoclonal/immunology , Antigens, Viral/immunology , Influenza A virus/immunology , Viral Proteins/immunology , Antibodies, Viral/immunology , Blotting, Western , Enzyme-Linked Immunosorbent Assay , Epitopes
9.
Nurs Clin North Am ; 20(4): 641-55, 1985 Dec.
Article in English | MEDLINE | ID: mdl-3852296

ABSTRACT

It is essential to establish some clinical validity for the defining characteristics of the nursing diagnoses proposed to date. The application of one type of descriptive study to the nursing diagnosis of knowledge deficit is presented. Limited clinical support is provided for some defining characteristics, but no critical indicator is identified.


Subject(s)
Cognition , Nursing Assessment , Nursing Process , Patients/psychology , Adult , Aged , Behavior , Female , Humans , Learning , Length of Stay , Male , Middle Aged , Models, Theoretical , Patient Education as Topic , Patient Participation
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