Abstract

Structurally distinct nicotine immunogens can elicit independent antibody responses against nicotine when administered concurrently. Co-administering different nicotine immunogens together as a multivalent vaccine could be a useful way to generate higher antibody levels than with monovalent vaccines alone. The immunogenicity and additivity of monovalent and bivalent nicotine vaccines was studied across a range of immunogen doses, adjuvants, and routes to assess the generality of this approach. Rats were vaccinated with total immunogen doses of 12.5 - 100 μg of 3′-aminomethyl nicotine conjugated to recombinant Pseudomonas exoprotein A (3′-AmNic-rEPA), 6-carboxymethylureido nicotine conjugated to keyhole limpet hemocyanin (6-CMUNic-KLH), or both. Vaccines were administered s.c. in alum or i.p. in Freund’s adjuvant at matched total immunogen doses. When administered s.c. in alum, the contributions of the individual immunogens to total nicotine-specific antibody (NicAb) titers and concentrations were preserved across a range of doses. Antibody affinity for nicotine varied greatly among individuals but was similar for monovalent and bivalent vaccines. However when administered i.p. in Freund’s adjuvant the contributions of the individual immunogens to total NicAb titers and concentrations were compromised at some doses. These results support the possibility of co-administering structurally distinct nicotine immunogens to achieve a more robust immune response than can be obtained with monovalent immunogens alone. Choice of adjuvant was important for the preservation of immunogen component activity.

Highlights

  • IntroductionVaccines against nicotine and cocaine have entered clinical trials and immunotherapies against opioids, methamphetamine, and phencyclidine have shown efficacy in animal models [4,5,6,7,8,9]

  • Vaccination is being studied as a treatment for drug addiction

  • Be co-administered over a range of immunogen doses without loss of activity; nicotine-specific antibody (NicAb) titers and concentrations attributable to the individual immunogens were preserved in the bivalent vaccine and mean nicotine-binding affinity of antibodies generated by the bivalent vaccine was comparable to that of the monovalent vaccines

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Summary

Introduction

Vaccines against nicotine and cocaine have entered clinical trials and immunotherapies against opioids, methamphetamine, and phencyclidine have shown efficacy in animal models [4,5,6,7,8,9]. The efficacy of these vaccines in both animals and humans is closely correlated with the level of serum drug-specific antibodies produced. In several clinical trials of nicotine vaccines, the top third of subjects with the highest serum nicotine-specific antibody (NicAb) concentrations or titers had higher smoking cessation rates than controls [8,10]. Reliable production of sufficient NicAb levels appears to be the primary challenge for successfully translating vaccination against nicotine into clinical use

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