Egg-free Flu Vaccines Provide Faster Pandemic Response
eggboard writes "Jen A. Miller has an egg allergy of a variety that her doctor has told her could produce a severe reaction if she were vaccinated for the flu, as flu vaccines are grown from viral strains incubated in chicken eggs. But, she explains, two new approaches have been approved by the FDA and are in production that don't use eggs at all; they're on the market in small amounts already, but will be available in much larger quantities soon. It's not just about egg allergies: the new vaccine types (one relying in insect proteins and the other on animal proteins) provide a much faster turnaround time in response to flu pandemics — as little as two to three months from isolation of a strain to mass production instead of at least six months with eggs."
I know that I'm missing the human-interest angle of the story here, but as someone who works at a company that has performed some large-scale DNA vaccine production research (Vandalia Research, but please don't google us because the website is an embarrassment), I'm a little disappointed that the article didn't try harder to explain the difference between these new vaccines and the old egg-grown ones. I think a little science education is a good thing to provide, to pull back the curtain on the good that genetic engineering can do. The first-pass explanation was "Flublok uses insect proteins instead of eggs. (The other is Flucelvax, which relies on animal proteins.)" which is rather poor since the proteins don't replace the eggs, the insect/animal culture cells those proteins are grown in do. I don't expect an in-depth discussion of promoters or vectors, but more about the recombinant engineering involved than "insect cells are used to cultivate hemagglutinin" would be nice. For anyone interested in a more academic explanation of Flublok's approach, along with several other possible vaccine design strategies that will hopefully be coming soon, a good page to read would be http://www.ncbi.nlm.nih.gov/pm...
I received the Flublok vaccine several months ago, having sought it out due to a egg allergy. Paid around ~$30 at my local pharmacy, and had to wait a few days after my initial inquiry, for them to get it in stock. While my allergy is mild, the traditional flu vaccine still leaves me with mild muscle aches and malaise that lasts for several days.
As a medical student, I am required receive the flu vaccination each year (exemptions for certain severe reactions only). This year's flu vaccination was the easiest ever -- over the next few days, there were no noticeable adverse reaction at all.
Yeah, it was a puff piece written in first-person form, but this whole egg-free stuff actually gained momentum back in the 2001 and came to a tipping point back during the 2009 H1N1 pandemic scare...
Two of the first widely deployed cell-based, mono-valent flu vaccines (2009-H1N1-only) were Celtura (made by Novartis) and Celvapan (made by Baxter). The shortage of egg-based virus production during the 2009 H1N1 pandemic scare and the controversy over the use of adjuvant MF59 (e.g., in Pandemrix, an egg-based flu-vaccine developed as a supplemental flu shot that year) used to amp the immune response in order to *stretch/cut* the available virus production tended to obscure the difference between egg and cell-based vaccines to most of the public...
FWIW...
Novartis makes a few variants (Celtura, Optaflu, Flucelvax) grown in cells derived from the MDCK** line of cells.
Baxter makes another variant (Celvapan, Preflucel) grown in cells derived from the VERO*** line of cells.
Protein Sciences' FluBlok is quite different, though. An insect line (expresSF+) of cells is infected with a baculovirus which was GM-ed to encode the desired HA protein (e.g., a specific H1 flu-variant). No flu virus present.
**MDCK: cell line extracted by S. H. Madin, N. B. Darby from Canine (adult female cocker spaniel) Kidney tissue in September 1958.
***VERO: cell line extracted by Yasumura and Kawakita from a VErda (green) monkey RinO (kidney) tissue in March 1962.
expresSF+: private cell line isolated in 1983 by C. Cherry and G. Smith from some unknown mixture of cells originated from a fall armyworm (a type of caterpillar) started in 1970.
It has already been removed from single dose vials since around 2001.