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Marsh RE Awad ZT Cornet DA Tomonaga T Smyrk T Filipi CJ 《Irish journal of medical science》2003,172(1):20-23
Aim To determine the usefulness of endoscopically-delivered small intestinal submucosa (SIS) as a scaffold in enhancing the lower
oesophageal sphincter (LOS) pressures.
Methods Six dogs were endoscopically injected - four with the SIS and two with its glycerin carrier. Manometry was performed prior
to injection and every four weeks post-op.
Results Adequate and site correct injections were made in four dogs. In one dog, significant augmentation of pressures were obtained
at four weeks. None had significant changes in pressure at eight weeks, differences in length at either four or eight weeks
or significant differences in the thickness of the examined layers. Four of the six had capillary cushions on pathological
examination. The dog injected with the carrier had a loose and disorganised collection, while the others were well organised.
Conclusion SIS is a biologically compatible material. Lack of an animal model for gastro-oesophageal reflux disease (GORD) makes determining
the ability of injections of SIS to combat reflux problematic. 相似文献
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Madhun AS Haaheim LR Nøstbakken JK Ebensen T Chichester J Yusibov V Guzman CA Cox RJ 《Vaccine》2011,29(31):4973-4982
Vaccination is the best available measure of limiting the impact of the next influenza pandemic. Ideally, a candidate pandemic influenza vaccine should be easy to administer and should elicit strong mucosal and systemic immune responses. Production of influenza subunit antigen in transient plant expression systems is an alternative to overcome the bottleneck in vaccine supply during influenza pandemic. Furthermore, a needle-free intranasal influenza vaccine is an attractive approach, which may provide immunity at the portal of virus entry.The present study investigated the detailed humoral and cellular immune responses in mice vaccinated intranasally or intramuscularly with plant-derived influenza H5N1 (A/Anhui/1/05) antigen alone or formulated with bis-(3′,5′)-cyclic dimeric guanosine monophosphate (c-di-GMP) as adjuvant. The use of c-di-GMP as intramuscular adjuvant did not enhance the immune response to plant-derived influenza H5 antigen. However, intranasal c-di-GMP-adjuvanted vaccine induced strong mucosal and systemic humoral immune responses. Additionally, the intranasal vaccine elicited a balanced Th1/Th2 profile and, most importantly, high frequencies of multifunctional Th1 CD4+ cells. Our results highlight that c-di-GMP is a promising mucosal adjuvant for pandemic influenza vaccine development. 相似文献
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Ideally, a candidate pandemic influenza vaccine should elicit rapid and strong cell-mediated and humoral immune responses, which are long-lasting and exhibit broad cross-reactivity against drifted strains. The present study investigated the detailed humoral and cellular immune responses in mice vaccinated intranasally or intramuscularly with inactivated influenza H5N1 (NIBRG-14) virosomal vaccine alone or formulated with Matrix-M adjuvant. The intramuscular Matrix-M-adjuvanted vaccine induced a strong immediate and long-term humoral immune response with high cross-reactivity against drifted H5N1 viruses and showed a dose-sparing potential. Additionally, the vaccine induced a balanced Th1/Th2 cytokine profile and most importantly high frequencies of multifunctional Th1 CD4+ cells. Our results highlight that Matrix-M adjuvant is a promising parenteral adjuvant for formulating pandemic candidate vaccines. 相似文献