Metabolic, humoral, and cellular responses in adult volunteers immunized with the genetically inactivated pertussis toxin mutant PT-9K/129G

J Exp Med. 1990 Sep 1;172(3):861-8. doi: 10.1084/jem.172.3.861.

Abstract

PT-9K/129G, a nontoxic mutant of pertussis toxin (PT) obtained by genetic manipulation, has been shown in animal models to be a promising candidate for new vaccines against whooping cough. To assess the safety and the immunogenicity of PT-9K/129G in humans, a pilot study has been performed in adult volunteers. The protein was found to be safe, capable of inducing high titers of toxin-neutralizing antibodies, and capable of generating immunological memory. In fact, vaccination caused an increase of cell-mediated response to PT, PT-9K/129G, S1 subunit, and B oligomer, indicating that memory T cells are induced by the vaccine. Since PT-9K/129G is mitogenic for T lymphocytes in vitro, it was investigated whether this activity is also present in vivo. No variation was observed in the proportion of T cells (CD3+), T helper cells (CD4+), and cytotoxic T cells (CD8+), as well as in that of other lymphoid populations, by FACS analysis. Interestingly, no thorough correlation was found between humoral and cellular responses. In one case, a very high cellular response was present in absence of detectable antibodies, suggesting that the antibody response, which is the only parameter measured in most clinical trials, may not give a complete picture of the response induced by a vaccine.

MeSH terms

  • Adult
  • Antibody Formation / drug effects*
  • Blood Glucose / metabolism
  • Humans
  • Immunity, Cellular / drug effects*
  • Insulin / blood
  • Killer Cells, Natural / immunology
  • Leukocyte Count
  • Mutation
  • Pertussis Toxin*
  • Pertussis Vaccine*
  • Pilot Projects
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / immunology
  • T-Lymphocytes, Cytotoxic / immunology
  • Virulence Factors, Bordetella / adverse effects
  • Virulence Factors, Bordetella / genetics
  • Virulence Factors, Bordetella / immunology*

Substances

  • Blood Glucose
  • Insulin
  • PT-9K-129G vaccine
  • Pertussis Vaccine
  • Virulence Factors, Bordetella
  • Pertussis Toxin