Table 1.                      Properties of Genetic Vaccines

 

Recombinant viruses

Bacteria

DNA

RNAa

Access to class I MHC processing/ presentation pathway

Yes

Yes

Yes

Yes

Access to class II MHC processing/ presentation pathway

Yes

Yes

Yes

?

Ability to target APC

+

++

+

?

Built-in adjuvant

dsRNA, unknown PAMPs

LPS, lipoteichoic acid, unknown PAMPs

CpG motifs

Cell death induction, dsRNA

Immunogenicity

High

Moderate

Low

High

Response to vector determinants precluding repeated administrations

Yes

Yes

Nob

No

Efficacy reduced by existing antibodies (maternal or previous exposure) or memory T cells

Yes

Yes

Nob

No

Safety in immunocompromised hosts

No

No

Yes

Yes

Reversion to virulence

Possible

Possible

No

No

Heterologus gene expression

Transient

Transient/ prolonged

Transient/ prolonged

Transient

Vaccine manufacture and distribution

Not easy

Not easy

Easy

Not easy

Vaccine stability

Low

Low

High

Low

a  Replicon-based, self-replicating RNA

b CTL response to a cryptic determinat encoded by an open reading frame in the backbone sequence of a plasmid expression vector  was recently described [van Hall et al., 1998].

PAMP= Pathogen-Associated Molecular Patterns.