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Preclinical and Clinical Demonstration of Immunogenicity by mRNA Vaccines against H10N8 and H7N9 Influenza Viruses

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  • Preclinical and Clinical Demonstration of Immunogenicity by mRNA Vaccines against H10N8 and H7N9 Influenza Viruses

    Mol Ther. 2017 Apr 11. pii: S1525-0016(17)30156-9. doi: 10.1016/j.ymthe.2017.03.035. [Epub ahead of print]
    Preclinical and Clinical Demonstration of Immunogenicity by mRNA Vaccines against H10N8 and H7N9 Influenza Viruses.

    Bahl K1, Senn JJ2, Yuzhakov O1, Bulychev A2, Brito LA2, Hassett KJ1, Laska ME2, Smith M2, Almarsson ?2, Thompson J2, Ribeiro AM1, Watson M1, Zaks T2, Ciaramella G3.
    Author information

    Abstract

    Recently, the World Health Organization confirmed 120 new human cases of avian H7N9 influenza in China resulting in 37 deaths, highlighting the concern for a potential pandemic and the need for an effective, safe, and high-speed vaccine production platform. Production speed and scale of mRNA-based vaccines make them ideally suited to impede potential pandemic threats. Here we show that lipid nanoparticle (LNP)-formulated, modified mRNA vaccines, encoding hemagglutinin (HA) proteins of H10N8 (A/Jiangxi-Donghu/346/2013) or H7N9 (A/Anhui/1/2013), generated rapid and robust immune responses in mice, ferrets, and nonhuman primates, as measured by hemagglutination inhibition (HAI) and microneutralization (MN) assays. A single dose of H7N9 mRNA protected mice from a lethal challenge and reduced lung viral titers in ferrets. Interim results from a first-in-human, escalating-dose, phase 1 H10N8 study show very high seroconversion rates, demonstrating robust prophylactic immunity in humans. Adverse events (AEs) were mild or moderate with only a few severe and no serious events. These data show that LNP-formulated, modified mRNA vaccines can induce protective immunogenicity with acceptable tolerability profiles.
    Copyright ? 2017 The Authors. Published by Elsevier Inc. All rights reserved.


    KEYWORDS:

    H10N8; H7N9; immunogenicity; influenza; mRNA; mRNA vaccines; pandemic; vaccines

    PMID: 28457665 DOI: 10.1016/j.ymthe.2017.03.035
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