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By C. H. Calisher (auth.), C. H. Calisher Ph.D. (eds.)

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W. Lee et al. immunized with our vaccine were completely protected against challenge with homotypic Hantaan virus (Tables 1 and 2) and against challenge with heterotypic Seoul virus (study in progress). It is noteworthy that immunized mice had high titers of IF antibodies and low titer of N antibodies in their sera and that immunized mice were completely protected against Hantaan virus infection. It is remarkable that no anamnestic antibody response was observed in immunized mice and that IF antibodies disappeared after challenge with live virus.

Comparison of titers of antibody to Hantaan virus determined in 121 sera tested by IFA and, A a recombinant baculovirus-expressed antigen-based ELISA; B a viral antigenbased ELISA Fig. 3. Comparison of titers of antibody to Hantaan virus determined in 121 sera tested by ELISA with a recombinant baculovirus-expressed antigen and with a viral antigen 26 Cynthia A. Rossi et al. using two different antigen preparations. 92. Discussion Four serological types currently are recognized within the genus Hantavirus: HTN, SEO, PUU, and Prospect Hill (PH) viruses [13].

Table 8. General symptoms and local reactions of 162 vaccinees after receiving a second dose of 5,120 units of inactivated vaccine SC Symptoms and reactions No. of reactions Disappearance of symptoms after vaccination (days) 3 2 Dizziness Fatigue Myalgia Redness Pain Itching Swelling Induration Hyperpigmentation 1 1 2 2 1 2 8 2 6 2 1 1 4 4 7 6 2 1 2 2 Table 9. General symptoms and local reactions of 37 volunteers after first injection of vaccine diluent SC (placebo) Symptoms and reactions No. of reactions Disappearance of symptoms after vaccination (days) 2 Dizziness Nausea Myalgia Redness Pain Itching Swelling Induration Hyperpigmentation 1 2 2 1 3 4 2 2 Discussion Inactivated Hantaan virus vaccine, to be used to prevent HFRS, was prepared with virus harvested from suckling rat brains because the virus yield in Vero E6 and MRC-9 (human lung, ATCC CCL 212) cell cultures is not high and because in previous attempts to make such a vaccine, immunogenicity of Hantaan virus grown in cell cultures was very poor.

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