Abstract
Hepatitis B is one of the most common, complex, and dangerous human diseases. One third of the global population still lives in regions of a high prevalence of hepatitis B virus (HBV). Among infected people, up to 40 % develop major liver dysfunction or chronic hepatitis, cirrhosis, and hepatocellular carcinoma, which in total cause up to 1 million deaths/year. Mass immunization programs using highly effective subunit vaccines resulted in partial control of the virus. Nowadays, several tens of prophylactic vaccines are available based mainly on the small-surface antigen of HBV, and also on other surface antigens, as well as some therapeutics are exploited. However, the epidemiologic situation has improved only in industrialized countries, while the others remain under the threat of HBV. Hence, plant-based oral vaccines have been supposed as an alternative to classic injections. Yet, years of research have brought not only successes but stoppages, too. Production technology of the viral antigens in plants progressed significantly, and obtained yields reached several tens or even hundreds of micrograms per gram of tissue. However, the elaboration of a vaccine form, both effective and practical in use, appeared to be a real challenge. Plant-based vaccines evolved from edible vaccines to processed formulations, e.g., tablets or pellets, administered as a part of combined parenteral–oral immunization. In parallel, immunization trials via injection using purified plant-produced HBV antigens were performed. Both vaccine types revealed comparable effectiveness to commercial products. In conclusion, while the original idea of plant-based vaccines needs revision, they still can be considered as one of the possible tools for economical, simple, and mass vaccination against HBV.
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Abbreviations
- AlMV:
-
Alfalfa mosaic virus
- BeYDV:
-
Bean yellow dwarf virus
- CaMV 35S promoter:
-
Promoter of 35S RNA of cauliflower mosaic virus
- CHO:
-
Cell line derived from Chinese hamster ovary
- CLPs:
-
Capsid-like particles
- CPMV:
-
Cowpea mosaic virus
- CTB:
-
Cholera toxin subunit B
- DW:
-
Dry weight
- EFE:
-
Ethylene forming enzyme
- ER:
-
Endoplasmic reticulum
- FW:
-
Fresh weight
- GALT:
-
Gut-associated lymphoid tissue
- GMP:
-
Good manufacture practice
- HAV:
-
Hepatitis A virus
- HBV:
-
Hepatitis B virus
- HCV:
-
Hepatitis C virus
- HDV:
-
Hepatitis D (delta) virus
- HBcAg:
-
Hepatitis B core Antigen
- HBsAg = HBs antigen(s):
-
(any) Hepatitis B surface Antigen(s)
- rHBsAg:
-
Recombinant Hepatitis B surface Antigen
- S-, M-, L-HBsAg:
-
Small, medium or large HBsAg
- HCC:
-
Hepatocellular carcinoma
- HepB:
-
Hepatitis B
- HIV:
-
Human immunodeficiency virus
- i.m.:
-
Intramuscular
- i.n.:
-
Intranasal
- i.p.:
-
Intraperiteoneal
- LT-B:
-
Heat-labile enterotoxin subunit B
- MALT:
-
Mucosa-associated lymphoid tissue
- MAS:
-
Mannopine synthase
- mIU/ml:
-
Milli-international unit/ml = unit of titer of anti-HBs antibodies
- NOS:
-
Nopaline synthase
- OCS:
-
Octopine synthase
- PVX:
-
Potato virus X
- S-IgA:
-
Secretory IgA
- SVP:
-
Subviral particle
- TEV:
-
Tobacco etch virus
- TSP:
-
Total soluble protein
- 5′-UTR:
-
5′-untranslated region of mRNA
- VLPs:
-
Virus-like particles
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Pniewski, T. (2014). Plant-Based Vaccines Against Hepatitis B. In: Rosales-Mendoza, S. (eds) Genetically Engineered Plants as a Source of Vaccines Against Wide Spread Diseases. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0850-9_10
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