沈灵智, 陈永弟, 蒋征刚, 李倩, 陈恩富, 梁晓峰, 崔富强, 姚军. 不同剂次重组乙型病毒性肝炎疫苗(汉逊酵母)加强免疫效果研究[J]. 疾病监测, 2011, 26(10): 811-814.
引用本文: 沈灵智, 陈永弟, 蒋征刚, 李倩, 陈恩富, 梁晓峰, 崔富强, 姚军. 不同剂次重组乙型病毒性肝炎疫苗(汉逊酵母)加强免疫效果研究[J]. 疾病监测, 2011, 26(10): 811-814.
SHEN Ling-zhi, CHEN Yong-di, JIANG Zheng-gang, LI Qian, CHEN En-fu, LIANG Xiao-feng, CUI Fu-qiang, YAO Jun. Evaluation on booster immunization efficacy of 10 μg recombinant hepatitis B vaccine made by recombinant Deoxyribonucleic Acid Techniques in Hansenula Polymorpha Yeast by different dosage in children[J]. Disease Surveillance, 2011, 26(10): 811-814.
Citation: SHEN Ling-zhi, CHEN Yong-di, JIANG Zheng-gang, LI Qian, CHEN En-fu, LIANG Xiao-feng, CUI Fu-qiang, YAO Jun. Evaluation on booster immunization efficacy of 10 μg recombinant hepatitis B vaccine made by recombinant Deoxyribonucleic Acid Techniques in Hansenula Polymorpha Yeast by different dosage in children[J]. Disease Surveillance, 2011, 26(10): 811-814.

不同剂次重组乙型病毒性肝炎疫苗(汉逊酵母)加强免疫效果研究

Evaluation on booster immunization efficacy of 10 μg recombinant hepatitis B vaccine made by recombinant Deoxyribonucleic Acid Techniques in Hansenula Polymorpha Yeast by different dosage in children

  • 摘要: 目的 比较不同剂次重组乙型病毒性肝炎(乙肝)疫苗(汉逊酵母)(HepB-HPY)加强免疫效果。 方法 选择出生时完成乙肝疫苗(HepB)基础免疫的5岁儿童1981例,采集血清,使用化学发光法检测乙肝病毒表面抗原(HBsAg)、乙肝病毒表面抗体(抗-HBs)、乙肝病毒核心抗体(抗-HBc),对仅抗-HBs阳性者接种1剂次、抗-HBs阴性者接种3剂次10 g HepB-HPY,免后1月采血检测抗-HBs。 结果 加强免疫前、加强免疫1剂次和3剂次HepB-HPY后抗-HBs阳性率分别为38.62%、95.66%和99.75%,三者两两之间差异均有统计学意义(2=73.794~1736.113,均P0.05)。抗-HBs阴性者加强免疫1剂次和3剂次后抗-HBs阳转率分别为92.93%和99.67%,差异有统计学意义(2=77.582,P0.05);加强免疫1剂次、3剂次HepB-HPY后抗-HBs几何平均浓度(GMC)分别为783.23 mIU/ml和2463.97 mIU/ml,抗体滴度差异有统计学意义(t=-14.201, P0.05)。与免前抗体浓度水平1 mIU/ml的儿童相比,抗-HBs滴度在1~10 mIU/ml的儿童加强免疫1剂后抗体阳转率和GMC都要更高,差异有统计学意义(所有P0.05)。 结论 采用10 g HepB-HPY对5~8岁抗-HBs阴性儿童加强免疫1剂次、对9岁以上抗-HBs阴性儿童加强免疫3剂次,免疫效果良好。

     

    Abstract: Objective To analyze the efficacy of booster immunization with 10 g hepatitis B vaccine made by recombinant deoxyribonucleic acid(DNA)techniques in Hansenula Polymorpha Yeast (HepB-HPY) by different dosage. Methods Totally 1981 children aged over 5 years were selected, who completed the basic immunization of hepatitis B vaccine at birth, the blood plasma specimens of all sampled children were detected for hepatitis B virus (HBV) surface antigen (HBsAg), antibody to hepatitis B virus surface antigen (Anti-HBs) and antibody to hepatitis B virus core antigen (Anti-HBc) by chemiluminescence assay. Then, they were classified into Anti-HBs positive group and negative groups The children in positive group were immunized with one dose of 10 g HepB-HPY, while those in negative group were immunized with three doses of 10 g HepB-HPY. Their blood samples were collected after 1 month to detected Anti-HBs. Results The Anti-HBs positive rates were 38.62%, 95.66% and 99.75% respectively before booster immunization, after booster immunization with one dosage and after booster immunization with three dosages, the difference was statistical significant (2=73.794-1736.113, all P0.05). For the negative group, the Anti-HBs positive conversion rate after booster immunization with one dosage and three dosages were 92.93% and 99.67% respectively, the significant difference was observed (2=77.582, P0.05), while the Geometric Mean Concentration (GMC) of Anti-HBs negative children immunized with one dosage and three dosages were 783.23 mIU/ml and 2463.97 mIU/ml respectively, there was statistical significant difference (t=-14.201, P0.05). Compared with the children with Anti-HBs titers of0-1 mIU/ml before booster immunization, the positive conversion rate and GMC were significantly higher in those with the titers of 1-10 mIU/ml after booster immunization (all P0.05). Conclusion It is suitable to use 10 g HepB-HPY in Anti-HBs negative children aged between 5 and 8 years for one dose booster immunization,and in Anti-HBs negative children aged over 9 years for three dose booster immunization.

     

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