One day following passive immunization (day 0), PCA levels were significantly higher for groups that received RSV F anti-sera (p < 0.01) than those given a similar dose of palivizumab, as measured by the PCA assay ( Fig. 6A). In palivizumab treated animals, PCA serum titers were at or below the LOD for the assay except at the highest dose, whereas the PCA serum levels in cotton rats passively immunized with anti-RSV F serum were 183 μg/ml and 53 μg/ml at the 5.6 and 1.4 mg/kg dose levels, respectively. All groups were challenged 24 hours after passive immunization (day 0) with 105 pfu RSV-A Long virus. Lung tissues were collected Alectinib concentration on day 4 post challenge to determine viral titer by plaque assay on
homogenized tissue. The highest doses of anti-RSV F immune sera (5.6 mg/kg) and palivizumab (5.0 mg/kg) conferred apparently complete protection (Fig. 6B), reducing virus replication in the lungs >100-fold relative to the placebo. Virus replication was also significantly reduced in animals given 1.6 and 0.6 mg/kg anti-RSV F immune sera compared to the group that received pre-immune sera (p < 0.01) ( Fig. 6B). Palivizumab at 1.3 and 0.6 mg/kg induced a slight reduction in lung virus titers, but were not statistically significant when compared to the group that received pre-immune sera ( Fig. 6B). Beeler et al.  have identified multiple neutralizing
epitopes on RSV F protein using competitive binding assays with a Z-VAD-FMK purchase panel of RSV F monoclonal antibodies and monoclonal antibody resistant mutant (MARMs) and subsequently, antigenic sites I, II, IV, V and IV were mapped on RSV F . A competitive ELISA was performed using monoclonal antibodies 1107, 1112, 1153, 1243 to identify neutralizing antibodies induced by the RSV F vaccine. Antibodies 1107, 1153 and 1243 map to antigenic sites II and I while the 1112 is more broadly reactive to sites IV, V, and VI (Table 1). Polyclonal cotton rat sera raised against much RSV F nanoparticle vaccine
was competitive against these RSV F monoclonal antibodies (Table 1). Antibodies competitive for antigenic site II monoclonal antibodies 1107 and 1153 were induced by the vaccine without and with adjuvant, respectively while no or minimal site II competitive antibodies were detected in sera from FI-RSV immunized and RSV infected animals (Table 1). The RSV F vaccine also induced polyclonal responses competitive with neutralizing antibodies 1112 and 1243 that recognize RSV F antigenic sites I, IV, V and VI (Table 1). RSV-related lower respiratory tract disease is the most common cause of hospitalization in infants, a common basis for infant and pediatric medical visits and a significant pathogen in the elderly and high-risk adults. Severe RSV infections in young children are clearly associated with ongoing and repeat episodes of wheezing ,  and .