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UK: Universal flu vaccine tests start

Shiloh

Editor, Senior Moderator
Source: http://news.bbc.co.uk/1/hi/health/7577501.stm


Universal flu vaccine tests start
Emma Wilkinson
Health reporter, BBC News

A universal flu vaccine which could mean an end to the annual jab is being tested on UK volunteers.

It targets a different part of the virus to current vaccines, which means it does not have to be altered every year to match circulating strains.


If successful, the vaccine developed by Oxford University researchers would also be a key weapon in a flu pandemic.

Experts said such a vaccine was the "holy grail" for flu researchers but there was still a long way to go.

Study leader, Dr Sarah Gilbert, said traditional influenza vaccines are designed to prompt an immune response to H and N proteins on the outer shell of the virus.

But these proteins are prone to mutation - and every year the vaccine has to be reformulated on the basis of the strains likely to be most prominent.

So instead, the researchers have developed a vaccine on the basis of proteins inside the cell, which are far more similar across different strains.


The vaccine uses a weakened smallpox virus to carry the proteins into the body - a technique that has already been used in malaria and TB vaccines.

Once the virus has invaded the cell and starts to multiply, these inner proteins called matrix protein 1 and nucleo-protein, are revealed to the immune system.

A specific type of immune cell, called a T cell, then learns to recognise and destroy cells containing the proteins the next time it encounters them.

Tests

Initially 12 people will be vaccinated to test the dose before further studies are done to check its effectiveness in people exposed to flu.

Dr Gilbert said if they were successful it could drastically change the way flu vaccine is used.

"With having to make new vaccine every year there's never enough to go around.

"With this vaccine, we could end up having pretty much everyone vaccinated - a situation more like measles where you don't really see it anymore."

In the case of a pandemic, stockpiles of the vaccine could be made in advance instead of having to wait for an outbreak to then identify the particular strain of flu.

Potentially, once people had received the vaccine they would only need a booster once every five to10 years.

But she added the research team had five to 10 years of further tests ahead of them.


Professor John Oxford, a flu vaccine expert at Queen Mary, University of London said such a vaccine would be the "ultimate prize".

"But it's a fairly difficult prize to get - it may just be a question of luck.

"There are people trying all kinds of strategies."

He added that having to manufacture different flu vaccines every year was a "huge burden" on pharmaceutical companies.

"This team have experience with this type of vaccine so they may well get there."
 
Re: UK: Universal flu vaccine tests start

Can we expect influenza to eventually mutate around these internal proteins?

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Re: UK: Universal flu vaccine tests start

normal infection is still the bigger driving force to evade immunity
as compared with vaccine.
And this didn't succeed in thousands of years to overcome that
"problem" by increased mutation of the inner segments.

However, T-cell immunity doesn't seem to play a big role in
influenza-fighting, it's only effective inside the cell, no recognition
of the whole viruses outside the cells.
So how good can it be ?
 
Re: UK: Universal flu vaccine tests start

Oxford :

>But it's a fairly difficult prize to get - it may just be a question
>of luck.
> There are people trying all kinds of strategies."

sounds not so optimistic
 
Re: UK: Universal flu vaccine tests start

normal infection is still the bigger driving force to evade immunity
.........

That doesn't explain the increased mutation of H1N1 in about 1945 - just after the first influenza (H1N1) vaccines. Remember that it was relatively stable since 1918 until the first vaccinations.

...this didn't succeed in thousands of years to overcome that
"problem" by increased mutation of the inner segments.

It clearly is capable of internal proteins adaptations when it perceives a need. That need may not be to evade our immune system, but when the demand arises, the virus is fully capable of delivering the needed product.

I'll place my bets on the virus.

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Re: UK: Universal flu vaccine tests start

> That doesn't explain the increased mutation of H1N1 in about 1945 -
> just after the first influenza (H1N1) vaccines.

I haven't read about this. Do you mean the 1947 intra-subtype
reassortment from a paper ~1/2 year ago ?

> Remember that it was relatively stable since 1918 until the
> first vaccinations.

if vaccines changed the virus as you seem to suggest (quote ?)
then it can only cause a few mutations, not comparable with
30 years of evolution. However there may have been 2 strains
at that time and the non-vaccine-matching one became dominant
as a result of the vaccination. Still unlikely IMO, since flu seems
to come each year newly from Asia and vaccination in America
shouldn't affect its evolution

>> ...this didn't succeed in thousands of years to overcome
>> that "problem" by increased mutation of the inner segments.

> It clearly is capable of internal proteins adaptations when it
> perceives a need.

quote ?

> That need may not be to evade our immune system, but when
> the demand arises, the virus is fully capable of delivering the
> needed product.
> I'll place my bets on the virus.

I take that bet. Influenza without the capability of rapid evading
mutation in HA and multiple serotypes of HA,NA is not very dangerous.
But I have doubts that this intracellular T-cell response will
be strong enough.
 
Re: UK: Universal flu vaccine tests start

The small amount of vaccinees since 1940 may have caused the emersion of drift variants?

Of more than six billions of humans, less than 300 million get vaccine yearly.

Is this enough to drive the evolution of human influenza viruses?

And the other half of humans that catch flu every year doesn't?
 
Re: UK: Universal flu vaccine tests start

for reference to changes in 1947, see this post:
http://www.flutrackers.com/forum/showpost.php?p=137482&postcount=5

I'm not sure whether it's driven by vaccination or otherwise. But I don't think you can discount the impact of vaccination. After all, we're currently watching the anti-viral mutation in strains never exposed to tamiflu.

-internal protein adaptations have been discussed here for years, e.g., NS1 & PB2 mutations. The changes may not be due to evading an immune system, but clearly they are capable of change.

Do we know precisely why influenza decided to make the deadly NS1 change? - no!

There have been too many recent mutations of pathogens once thought to be stable - norovirus, HIV, etc., to discount the possibility of previously unknown types of mutations.

It's too easy to fall into the trap of thinking that when scientists cannot explain and prove something, it cannot exist. So many scientific papers conclude with a phrase about their enormous lack of understanding about influenza and its basic "logic." Even though many of us here are not experts, this forum is not restricted to experts. History has shown that good ideas can come when people work outside their normal field of expertise. A good example is Immanuel Valikovsky.

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