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Mixing is required for uniform reconstitution of filter-dried protein antigens in a single-injection vaccine formulation

机译:在一次注射疫苗配方中均匀重构过滤干燥的蛋白抗原的均匀重构需要混合

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Ambient temperature filter dried vaccine formulations have been proposed to simultaneously achieve thermostability and offer a ready-to-use immunisation device that combines reconstitution and injection. Vaccine concentration should be uniform at the point of injection, but the uniformity following direct reconstitution of filter-dried vaccines has not been reported. We present here a study of vaccine mixing and release following dissolution of filter-dried model protein and toxoid antigens within a single syringe, filter and needle unit. Release was better for filters made from glass than cellulose. Without additional mixing, uniformity was poor and only 41% of input protein was released from protein filter-dried onto glass fiber. In contrast, adding a simple glass bead and mixing by inversion, 100% release antigen solution was achieved, with uniform concentration at exit from the needle throughout a simulated injection. Adsorption onto alum adjuvant had no detectable effect on vaccine dissolution and mixing. The uniformity and yield of low doses of diphtheria and tetanus toxoid was also improved by mixing, albeit with a lower yield of 60–68%. We conclude that uniformity and mixing should be studied to ensure safety and efficacy of directly reconstituted filter-dried vaccine formulations.
机译:已经提出了环境温度过滤器干燥的疫苗制剂以同时实现热稳定性,并提供结合重构和注射的即用的免疫装置。疫苗浓度应在注射点处均匀,但尚未报告过滤干燥的疫苗直接重建后的均匀性。我们在此提出疫苗混合的研究,并在单个注射器,过滤器和针单元内溶解过滤干燥的模型蛋白和毒素抗原后释放。从玻璃比纤维素制成的过滤器更好。不额外混合,均匀性差,只有41%的输入蛋白从蛋白质干燥到玻璃纤维上释放出来。相反,通过在整个模拟注射过程中,在达到100%释放抗原溶液中达到简单的玻璃珠和混合,在整个模拟注射时从针出均匀浓度。对alum佐剂的吸附对疫苗溶解和混合没有可检测的影响。通过混合,还提高了低剂量的白喉和破伤风毒素的均匀性和产量,尽管较低的产率为60-68%。我们得出结论,应研究均匀性和混合,以确保直接重构过滤干燥的疫苗制剂的安全性和功效。

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