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.