Why the study?
Current live rotavirus vaccines are costly and carry an increased risk of intussusception, creating a need for new vaccines with improved safety and cost-effectiveness.
Does P24-VP8* nanoparticle vaccine prevent rotavirus diarrhea and virus shedding in gnotobiotic pigs?
Does P24-VP8* nanoparticle vaccine prevent rotavirus diarrhea and virus shedding in gnotobiotic pigs?
The P24-VP8* nanoparticle vaccine is highly immunogenic and confers strong protection against rotavirus diarrhea and shedding in a gnotobiotic pig model, supporting future clinical trials.
Supports P24-VP8* nanoparticle vaccine development; leaves open human efficacy and safety trials.
Current live rotavirus vaccines are costly with increased risk of intussusception due to vaccine replication in the gut of vaccinated children. New vaccines with improved safety and cost-effectiveness are needed. In this study, we assessed the immunogenicity and protective efficacy of a novel P24-VP8* nanoparticle vaccine using the gnotobiotic (Gn) pig model of human rotavirus infection and disease. Three doses of P24-VP8* (200 μg/dose) intramuscular vaccine with Al(OH)3 adjuvant (600 μg) conferred significant protection against infection and diarrhea after challenge with virulent Wa strain rotavirus. This was indicated by the significant reduction in the mean duration of diarrhea, virus shedding in feces, and significantly lower fecal cumulative consistency scores in post-challenge day (PCD) 1–7 among vaccinated pigs compared to the mock immunized controls. The P24-VP8* vaccine was highly immunogenic in Gn pigs. It induced strong VP8*-specific serum IgG and Wa-specific virus-neutralizing antibody responses from post-inoculation day 21 to PCD 7, but did not induce serum or intestinal IgA antibody responses or a strong effector T cell response, which are consistent with the immunization route, the adjuvant used, and the nature of the non-replicating vaccine. The findings are highly translatable and thus will facilitate clinical trials of the P24-VP8* nanoparticle vaccine.
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Ramesh et al. (2019) studied this question.
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