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This combined experience provides concern for trials with SARS-CoV
vaccines in humans. Clinical trials with SARS coronavirus vaccines have
been conducted and reported to induce antibody responses and to be “safe” [29],
[30]. However, the evidence for safety is for a short period of observation.
The concern arising from the present report is for an immunopathologic
reaction occurring among vaccinated individuals on exposure to infectious
SARS-CoV, the basis for developing a vaccine for SARS. Additional safety
concerns relate to effectiveness and safety against antigenic variants of
SARS-CoV and for safety of vaccinated persons exposed to other coronaviruses,
particularly those of the type 2 group. Our study with a VLP SARS vaccine
contained the N protein of mouse hepatitis virus and Bolles, et al., reported
the immunopathology in mice occurs for heterologous Gp2b CoV vaccines after
challenge [25]. This concern emanates from the proposal that the N protein
may be the dominant antigen provoking the immunopathologic reaction.
Immunization
with SARS Coronavirus Vaccines Leads to Pulmonary Immunopathology on Challenge
with the SARS Virus par Tseng et al.
doi : 10.1371/journal.pone.0035421
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