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| 1. Introduction |
| To develop effective vaccines, it is important to understand
the protective mechanisms of vaccines and to identify
reliable technologies for accurately measuring vaccine
efficacy. The Humoral Immunology Section in IVI was initiated
March 1, 2004 to study the immunological properties of
vaccines and to improve technologies essential for vaccine
evaluation. Our current research activities include: 1)
elucidation of immune responses to bacterial polysaccharide
antigens, 2) development of standardized assays for evaluating
vaccine efficacy, and 3) application and improvement of
existing diagnostic technologies. Currently, we are working
on projects targeting enteric disease such as typhoid
fever, cholera, shigellosis and invasive pneumococcal
diseases. |
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| 2. Ongoing projects |
| 2.1. Elucidation of immune responses to bacterial
polysaccharide antigens |
| Most infectious bacteria produce a capsular polysaccharide
(PS) surrounding the bacterial cell body. PS is a major
virulence factor which protects bacteria from host phagocytosis.
Although purified PS (e.g. 23-valent pneumococcal PS vaccine
and typhoid Vi PS vaccine) is often used as a vaccine
because anti-capsular PS antibody is protective against
subsequent infection, however, PS vaccines have limitations
including: 1) poor immunogenicity when administered to
young children and the elderly, 2) inability to induce
germinal center formation necessary for affinity maturation
of antibody, 3) poor induction of immune memory response,
and 4) induction of immune tolerance. To improve current
PS vaccines, we must have better understanding of human
immune responses to bacterial PS antigens. We are investigating
innate- and adaptive-immune responses to bacterial PS
antigens with model antigens such as lipopolysaccharide
of Gram-negative bacteria, lipoteichoic acid of Gram-positive
bacteria, and their capsular PS. |
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| 2.2. Development of standardized assays for evaluating
vaccine efficacy |
| Current vaccines are formulated with attenuated whole
cells, and their genes or surface antigens, such as polysaccharide
capsules, lipidated polysaccharides and surface proteins.
For evaluating the efficacy of vaccines, enzyme-linked
immunosorbent assays (ELISA) are widely used to measure
concentrations of antigen-specific antibodies. Despite
the importance of this assay, each laboratory often generates
different results in serum antibody levels. These variable
results have placed an urgent need on the development
of reliable and standardized ELISA. At the same time,
because antigen-specific antibody may not be protective
against infection, in vitro functional assays (e.g. opsonophagocytic-killing
assay or bacteriocidal assay) have been developed for
measurement of protective antibody titers following vaccine
administration. We are now developing ELISA and the functional
assays to provide information on protection induced by
typhoid fever, cholera and pneumococcal vaccines. |
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| 2.3. Application and improvement of existing diagnostic
technologies |
| Currently, definitive diagnosis of bacterial infections
is obtained with bacterial culture of biological samples
such as sputum, cerebrospinal fluid, blood, bone marrow,
and stool. However, bacterial culture-based diagnosis
has limitations including: 1) difficulty in obtaining
adequate clinical specimens from patients, particularly
infants and young children, and 2) the possibility that
bacterial blood cultures may yield no growth of pathogenic
bacteria due either to inadequate culture technique or
to inappropriate use of antibiotics. Our research in this
area is aimed at improvement of diagnostic technologies
based on identification of microbial products (e.g. bacterial
antigens) and analysis of host immune response. For these
studies, we are working on sero-diagnosis to quantify
antibody against etiologic agents in biological fluids,
reverse transcription-polymerase chain reaction to detect
microbial genes, and immuologic assays to detect bacterial
polysaccharides or proteins. |
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