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Preclinical safety and immunogenicity evaluation of a nonavalent PorA native outer membrane vesicle vaccine against serogroup B meningococcal disease
Authors:Patricia Kaaijk  Ineke van Straaten  Bas van de Waterbeemd  Elmieke PJ Boot  Lonneke MAR Levels  Harry H van Dijken  Germie PJM van den Dobbelsteen
Institution:1. Unit Vaccinology, Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands;2. Netherlands Vaccine Institute, Quality Control Department, Bilthoven, The Netherlands
Abstract:

Background

An improved nonavalent PorA native outer membrane vesicle vaccine was developed with intrinsic adjuvating activity due to presence of less-toxic (lpxL1) LPS. In the present study, the safety and immunogenicity of this next-generation NonaMen vaccine were evaluated following repeated vaccination in rabbits and mice.

Methods

A repeated–dose toxicology study was performed in rabbits. Immunogenicity of next-generation NonaMen was evaluated by determining the serum bactericidal antibody (SBA) titers against meningococcal serogroup B strains containing several PorA subtypes. Release of the pro-inflammatory cytokine, interleukin-6 (IL-6), by the human monocytic cell line (MM6) was measured to estimate pyrogenic activity.

Results

No toxicologically relevant findings were noted in vaccinated rabbits receiving plain next-generation NonaMen. In agreement, next-generation NonaMen induced reduced amounts of the pro-inflammatory cytokine, IL-6, released by human monocyte cell line. In both rabbits and mice, next-generation NonaMen induced high SBA titers against all tested MenB strains regardless of whether or not aluminium phosphate adjuvant is used.

Conclusions

The data suggest that next-generation NonaMen is a safe vaccine with the potential to develop a broadly protective immune response and encourage the start of the first clinical studies.
Keywords:MenB  Neisseria meningitidis serogroup B  OMV  outer membrane vesicles  DOMV  detergent OMV  NOMV  native OMV  PorA  outer membrane porin A protein  LPS  lipopolysaccharide  MAT  monocyte activation test  SBA  serum bactericidal antibody  LAL  limulus amebocyte lysate  DTwcP-IPV  diphtheria toxoid  tetanus toxoid  whole cell pertussis  inactivated poliomyelitis virus type 1  2  3
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