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“Today, owing to strict health and safety issues of vaccine manufacturing, vaccines must meet higher standards of safety and biochemical characterization than they did in the past.”
The biggest triumph in vaccination is the eradication of smallpox. Ironically, no methods to measure vaccine immunity were set in place. Protection and immunity was achieved without detailed analysis nor knowledge of cellular or humoral immunity induction. Today, owing to strict health and safety issues of vaccine manufacturing, vaccines must meet higher standards of safety and biochemical characterization than they did in the past. This has led to the production of highly purified vaccines, and the identification and isolation of the antigens responsible for protection. A vaccine cannot move forward without the demonstration of effective immunity induced by the regime. Moreover, contrary to the vaccination strategy that eradicated smallpox and other acute viral infections, several modern vaccines aim at the eradication of established chronic diseases such as chronic viral infections or cancer. As the pathogens or cancer antigens are generally intracellular, modern vaccines can rely less effectively on the neutralizing properties of antibody responses that cannot cross the cell membrane, and depend predominantly on T-cell-based recognition of affected cells for their elimination. Thus, new technologies have to be developed to measure vaccine immunity.
Are we going round and round in circles? Are we making it harder for ourselves? Is vaccine development getting too hard? Why do we have to demonstrate immunity, if we can show protection? No regulatory agency will take a vaccine forward that is not highly purified and can demonstrate immunity induction.
Several methods of measuring humoral and cellular immunity have been required to be developed to meet this criteria. Some methods include ELISA, cytotoxic T-lymphocyte (CTL) assay, CTL precursor frequency assay, T-cell proliferation assays, carboxyfluorescein diacetate succinimidyl ester assays, intracellular and extracellular cytokine production by cells in culture using either ELISA or multiplex and flow cytometry, polyfunctional T-cell assays, ELISpot and MHC class I/II tetramers. Thus, there is an enormous amount of information and reagents available for guiding vaccine and immunotherapeutics development.
This special issue on ‘Methods to measure vaccine immunity’ focuses on a number of recent and promising approaches used to measure immunity induced following vaccination. Topics included in this special focus issue are as follows:
There is a vast amount of information already available to promote a greater understanding into the role of specific immune induction to a vaccination regime. The use of newer immune monitoring tools as described in this special focus issue will serve to improve immune monitoring and determine the effectiveness of vaccine strategies for the treatment or immunotherapeutic approaches to diseases.
Francesco M Marincola
Financial & competing interests disclosure
The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.
No writing assistance was utilized in the production of this manuscript.
Vasso Apostolopoulos, Immunology and Vaccine Laboratory, Centre for Immunology, Burnet Institute, 85 Commercial Road, Melbourne, VIC 3004, Australia, Tel.: +61 392 822 111, Fax: +61 392 822 100, Email: ua.ude.tenrub@ossav.
Francesco M Marincola, Infectious Disease and Immunogenetics Section, Department of Transfusion Medicine, Clinical Center and Trans-NIH Center for Human Immunology, National Institutes of Health, MD 20892, USA.