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Vaksin C. difficile
membuktikan aman, efektif 100 persen dalam hewan model
Vaksin
Eksperimental melindungi 100 persen hewan model terhadap bakteri, Clostridium difficile yang sangat menular dan mematikan, yang menyebabkan
penyakit usus yang membunuh sekitar 30.000 orang Amerika setiap tahun.
C. difficile vaccine proves safe, 100 percent effective in animal models
Date:
July 31,
2014
Source:
American Society for Microbiology
Summary:
An experimental vaccine protected 100 percent of
animal models against the highly infectious and virulent bacterium, Clostridium
difficile, which causes an intestinal disease that kills approximately 30,000
Americans annually.
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An experimental vaccine protected 100 percent of animal
models against the highly infectious and virulent bacterium, Clostridium difficile, which causes
an intestinal disease that kills approximately 30,000 Americans annually. The
research is published ahead of print in Infection and Immunity.
In the
study, the vaccine protected the mice and non-human primates against the
purified toxins produced by C. difficile, as well as from an orogastric
spore infection, a laboratory model that mimics the human disease, after only
two immunizations.
"Animals
that received two immunizations did not get sick or show signs of C. difficile-associated
disease," says corresponding author Michele Kutzler, of Drexel University
College of Medicine, Philadelphia.
"While
our research was conducted in animal models, the results are very translatable
to the clinic," says Kutzler. "In some cases, patients who acquire C.
difficile can develop serious complications including severe diarrhea,
toxic megacolon, bowel perforation, multi-organ failure, and death. Once fully
developed, our DNA vaccine could prevent the deadly effects of C. difficile
infection when administered to hospital patients at risk of acquiring C.
difficile."
The
protection following just two immunizations is especially important since the
time window in humans between colonization with C. difficile and the
onset of disease symptoms can be a mere 10-14 days, says Kutzler.
The vaccine
protects against the bacterial toxins by mustering anti-toxin neutralizing
antibodies, says Kutzler.
The cost of
fighting the half million C. difficile infections that occur annually in
the US is estimated to be nearly $10 billion, most of which could be saved by a
successful preventive vaccine, says Kutzler. Morbidity and mortality have risen
over the last decade, likely due to increased prevalence of relapsing disease,
and hypervirulent strains, she adds.
Treating the
disease is especially difficult, as the bacterial spores persist in the
hospital environment, where most infections occur. There is no standard,
effective treatment for recurrent disease, but a small number of experimental
fecal transplants for C. difficile have had a very high success rate,
with no adverse reactions.
"Since
our vaccine was safe, effective after only two immunizations, and performed
exceptionally well, we feel that this success warrants further studies using
human patients," says Kutzler.
Story
Source:
The above
story is based on materials provided by American Society for Microbiology. Note: Materials may be edited
for content and length.
Journal
Reference:
- S. M. Baliban, A. Michael, B. Shammassian, S. Mudakha, A. S. Khan, S. Cocklin, I. Zetner, B. P. Latimer, L. Bouillaut, M. Hunter, P. Marx, N. Y. Sardesai, S. L. Welles, J. M. Jacobson, D. B. Weiner, M. A. Kutzler. An Optimized, Synthetic DNA Vaccine Encoding the Toxin A and Toxin B Receptor Binding Domains of Clostridium difficile Induces Protective Antibody Responses In Vivo. Infection and Immunity, 2014; DOI: 10.1128/IAI.01950-14