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The TLR4 agonist, monophosphoryl lipid A, attenuates the cytokine storm associated with respiratory syncytial virus vaccine-enhanced disease.

Abstract
Formalin-inactivated respiratory syncytial virus vaccine (FI-RSV) induces a poorly understood immunopathological response that leads to disease enhancement upon RSV infection of vaccinees. In the cotton rat model, inclusion of monophosphoryl lipid A (MPL) in the FI-RSV formulation was found to mitigate the lung pathology associated with vaccine-enhanced disease. Here we report that the protective effect of MPL on FI-RSV vaccine-enhanced disease is associated with a dramatic reduction in levels of Th1- and Th2-type cytokines and chemokines normally elicited in response to RSV challenge. Our data illustrate the complexity of proinflammatory response elicited by FI-RSV vaccination and RSV infection and the potential importance of MPL in modifying this response.
AuthorsMarina S Boukhvalova, Gregory A Prince, Layla Soroush, Dolores C Harrigan, Stefanie N Vogel, Jorge C G Blanco
JournalVaccine (Vaccine) Vol. 24 Issue 23 Pg. 5027-35 (Jun 05 2006) ISSN: 0264-410X [Print] Netherlands
PMID16675071 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
Chemical References
  • Adjuvants, Immunologic
  • Cytokines
  • Lipid A
  • Respiratory Syncytial Virus Vaccines
  • Toll-Like Receptor 4
  • monophosphoryl lipid A
Topics
  • Adjuvants, Immunologic (pharmacology)
  • Animals
  • Cytokines (antagonists & inhibitors, immunology, metabolism)
  • Gene Expression Regulation
  • Lipid A (analogs & derivatives, pharmacology)
  • Lung (metabolism, pathology)
  • Respiratory Syncytial Virus Vaccines (adverse effects, immunology)
  • Respiratory Syncytial Viruses (immunology)
  • Sigmodontinae (immunology)
  • Toll-Like Receptor 4 (agonists)

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