作者: G.P. Talwar , Om Singh , S.K. Gupta , S.E. Hasnain , R. Pal
DOI: 10.1111/J.1600-0897.1997.TB00207.X
关键词: Pregnancy 、 Medicine 、 Ovulation 、 Immunogenicity 、 Gonadotropin 、 Endocrinology 、 Internal medicine 、 Epitope 、 Toxoid 、 Antibody 、 Tetanus 、 Obstetrics and gynaecology 、 Immunology 、 Immunology and Allergy 、 Reproductive medicine
摘要: Both a Phase I multicenter safety trial in 47 women with elective tubal ligation and II efficacy studies 148 IUD users from India confirmed the feasibility of an HSD-human chorionic gonadotropin (hCG) vaccine for reversible contraception. HSD is heterospecies dimer beta-subunit hCG associated noncovalently alpha-subunit ovine gonadotropin; was selected as target immuno-interception to avert interference pituitary-ovarian axis. In trials all produced anti-hCG antibodies no impairment ovulation or menstrual regularity. were again elicited but only 119 (80%) made above 50 ng/ml bioneutralizing capacity. When titers exceeded this level IUDs removed. Only 1 pregnancy at levels exceeding occurred over 1224 cycles observation. 65 protected 6-24 continuous exposure additional contraceptive method use. As fell below 35 pregnancies occurred. The antibody response humans characterized predominantly epitope recognized by monoclonals 206 P3W80. had low reactivity carboxyl terminal peptide 38-57 region peptide. effectiveness HSD-hCG could be further optimized replacement tetanus diphtheria toxoid carriers T non B determinants development recombinant expressing beta-hCG along membrane anchored carrier.