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Comparative immunogenicity in children of mammalian cell-derived recombinant hepatitis B vaccine and plasma-derived hepatitis B vaccine.

Abstract
Three doses of hepatitis B vaccine were given at 2, 4 and 9 months of age to 220 Senegalese infants living in the Dakar area of Senegal. Half of the infants received 5 micrograms plasma-derived hepatitis B vaccine (Hevac B) and the remainder 20 micrograms mammalian cell-derived recombinant hepatitis B vaccine (GenHevac B). Both vaccines contain S and pre-S2 encoded proteins; however, the recombinant vaccine had a much higher pre-S2 content than the plasma-derived vaccine. Adverse reactions to both vaccines were limited to mild and transient soreness at the injection site. Fever was reported in 14-21% of the infants and was likely to be related to DTP-polio vaccine which was given simultaneously. After the two first doses, seroconversion rates and geometric mean titres of anti-HBs were higher in infants receiving the recombinant vaccine than in infants receiving the plasma-derived vaccine. After completion of vaccination, all infants in both groups had protective levels of anti-HBs antibodies. The recombinant vaccine induced more rapidly antibodies directed against S and pre-S2 epitopes. Anti-pre-S2 antibodies were detected after the first injection of GenHevac B and only after the third injection of Hevac B. From the data, GenHevac B vaccine is expected to be as effective as Hevac B vaccine for controlling hepatitis B infection.
AuthorsP Coursaget, L Bringer, G Sarr, C Bourdil, B Fritzell, C Blondeau, B Yvonnet, J P Chiron, E Jeannée, S Guindo
JournalVaccine (Vaccine) Vol. 10 Issue 6 Pg. 379-82 ( 1992) ISSN: 0264-410X [Print] Netherlands
PMID1534640 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Hepatitis B Antibodies
  • Hepatitis B Antigens
  • Hepatitis B Vaccines
  • Vaccines, Synthetic
  • Viral Hepatitis Vaccines
Topics
  • Amino Acid Sequence
  • Hepatitis B Antibodies (analysis, immunology)
  • Hepatitis B Antigens (immunology)
  • Hepatitis B Vaccines
  • Hepatitis B virus (genetics, immunology)
  • Humans
  • Infant
  • Molecular Sequence Data
  • Vaccination
  • Vaccines, Synthetic (administration & dosage, adverse effects, immunology)
  • Viral Hepatitis Vaccines (adverse effects, immunology, pharmacology)

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