BBC HomepageWorld ServiceEducation
BBC Homepagelow graphics version | feedback | help
BBC News Online
 You are in: Health
News image
Front Page 
World 
UK 
UK Politics 
Business 
Sci/Tech 
Health 
Background Briefings 
Medical notes 
Education 
Entertainment 
Talking Point 
In Depth 
AudioVideo 
News image

Monday, 6 November, 2000, 14:25 GMT
Clues to vaccine failure
Vaccination
Vaccines may have to be re-designed
The effectiveness of vaccines may depend on how many prior infections a patient has suffered, scientists have found.

The finding, from a team at Imperial College London, could mean that the timing and design of the vaccines may have to change.

The researchers, working on vaccines for lung infections, have shown for the first time that the previous infection history of an individual greatly affects the duration and severity of subsequent infections.


One viral infection in the lung profoundly changes the way we respond to an unrelated infection at the same site

Dr Tracy Hussell, Imperial College London
Currently, most vaccines are tested on animals that have not previously been exposed to other lung infections.

This means their development takes no account of the potential impact that previous infections may have had on the individuals who are to be vaccinated.

Lead researcher Dr Tracy Hussell said: "This is quite unrealistic when you are trying to vaccinate a human population which would have seen a number of infections at various stages of their lives."

Dr Hussell and her collaborators have been working on Respiratory Syncytial Virus (RSV).

They have shown that mice which have been previously infected with influenza do not suffer the characteristic symptoms of RSV - weight loss, illness and lung eosinophilia - when they are subsequently infected with RSV.

Dr Hussell said: "What we have found is that one viral infection in the lung profoundly changes the way we respond to an unrelated infection at the same site.

"By 'educating' itself, the immune system actually improves the way we respond to a second unrelated infection."

At present, there is no human vaccine for RSV, but scientists are carrying out work on animals.

Vaccine withdrawn

A vaccine containing an inactivated, dead form of the RSV virus was tested on children in the 1960s.

But it had to be withdrawn following the deaths of some vaccinated children who were infected by RSV in the community - illustrating the point that vaccines do not work in the same way for all who take them.

The youngest children with the less mature immune systems were those who were found to be most at risk.

However, the older children who had more experienced immune systems were not so badly affected.

Co-researcher Dr Gerhard Walzl said: "Presumably, the older children would have encountered a number of infections in their lungs before they received the vaccine.

"This will have protected them from the harmful effects of the inactivated RSV vaccine."

RSV is the most common cause of viral bronchiolitis, an inflammatory reaction in the lower airways, in infants and young children in the western world.

It may lead to asthma and allergies in later life. A life-threatening infection, RSV affects very young children because of their immature immune system, and because their lungs are not fully developed.

Elderly people are affected too, because of their waning immunity.

The research is published in the Journal of Experimental Medicine.

News imageSearch BBC News Online
News image
News image
News imageNews image
Advanced search options
News image
Launch console
News image
News image
News imageBBC RADIO NEWS
News image
News image
News imageBBC ONE TV NEWS
News image
News image
News imageWORLD NEWS SUMMARY
News image
News image
News image
News image
News imageNews imageNews imageNews imagePROGRAMMES GUIDE
See also:

20 Oct 00 | Health
How vaccines are made
02 Aug 00 | Health
Jabs in the womb for babies?
Internet links:


The BBC is not responsible for the content of external internet sites

Links to more Health stories are at the foot of the page.


E-mail this story to a friend

Links to more Health stories



News imageNews image