Wednesday, April 29, 2020

Subunit


This type of vaccine contains only a small amount of the antigenic portion of the of the pathogen needed to create an immune response in order to provide protection. They are becoming the most popular design for modern vaccines because they do not contain any live components of the pathogens which means anyone is able to receive the vaccine (2). Therefore, they are considered safer than live attenuated vaccines (3). This also makes them easier to produce (1).

However, they do have some downsides, since they do not contain any live components this the body sometimes will not to create a proper immune response because the vaccine fails to stimulate the immune system (2, 3). So the proper combination of antigens with the correct properties to stimulate the immune system is needed. There is no guarantee of lasting immunity so boosters are needed (3). Therefore, adjuvants are added to these vaccines in order to help the vaccine to elicit a strong protective immune response to induce long term immunity (1). Subunit Vaccines can also be further categorized into Protein-based, polysaccharide, and conjugate, toxoid, virus-like particles (VLPs), and nanoparticles (1).

In 1980’s with the help of genetic engineering protein-based vaccines were developed using recombinant DNA technology allowing DNA from two or more sources to be combined. The first protein-based vaccine or protein based vaccine to be develop is the hepatitis B vaccine that uses antigens from a hepatitis B virus protein that was produced by yeast cells to code for that protein (1).  They function by also presenting the antigen to the immune system without any live components by using a specific isolated protein of the pathogen. However, a downside is that if they are denatured they could bind to different antibodies the protein pathogen (3). Another vaccine commonly made with this method is acellular pertussis (aP). It has inactivated pertussis toxin (protein) and could have one or more other bacterial components, of course the toxin is detoxified so it is does not cause harm (3).

Polysaccharides, or sugars, actually form the outer coating of many bacteria (1). Polysaccharide vaccines are used to prevent bacterial infections by creating a response against the molecules in the pathogens capsule, and while small they are not very immunogenic (1, 3). Consequence they tend to not be as effect in young children and infants under 18 to 24 months old. They also induce only short term immunity since the immune response is slow and there is a slow rise in antibodies. Therefore, not creating an immune memory (3). The first ever licensed vaccine using this method was Haemophilus influenza type B (Hib), however failed to create proper immune responses in infants (1).

Conjugate vaccines also create a response against the pathogens capsule. However, compared to polysaccharide vaccines they are created by using technology to bind the polysaccharide to a carrier protein that is actually able to induce a long term response. This type of vaccine is even able to work in infants. Today Hib, pneumococcal, and meningococcal infections have conjugate vaccines (1,3).

Toxoid vaccines use the inactivated form of toxin, called toxoid, that the bacteria secrete to create an immune response against disease causing proteins/toxins. Vaccines such diphtheria and tetanus are examples this type of vaccine (1).

Virus-like particles (VLPs) are also based on recombinant protein antigens. They induce an immune response similar to natural viruses but VLPs are non-infectious since they do not have the genetic material that the virus need in order to replicate inside cells (1).

Scientist are currently developing new ways to present subunit antigens to the immune system. NIAID scientist actually develop an experimental vaccine that uses the protein ferritin, that is able to self-assemble into microscopic pieces called nanoparticles that display a protein antigen. Currently there is an experimental nanoparticle-based influenza vaccine being evaluated in early stages of human trials. It is also being tested for the development of vaccines against MERS coronavirus respiratory virus (RSV) and Epstein Barr virus (1).

Resources:
  1. National Institute of Allergy and Infectious Diseases. (2019, July 1). Vaccine Types. Retrieved April 29, 2020, from https://www.niaid.nih.gov/research/vaccine-types
  2. Skwarczynski, M., & Toth, I. (2017). Introduction. Micro and Nanotechnology in Vaccine Development, xvii-xviii. doi: 10.1016/b978-0-323-39981-4.00027-0
  3. World Health Organization. (n.d.). Subunit Vaccines. Retrieved April 29, 2020, from https://vaccine-safety-training.org/subunit-vaccines.html