Vaccination in newborns and infants
The present invention relates to vaccines comprising at least one mRNA encoding at least one antigen for use in the treatment of a disease in newborns and/or infants, preferably exhibiting an age of not more than 2 years, preferably of not more than 1 year, more preferably of not more than 9 months or even 6 months, wherein the treatment comprises vaccination of the newborn or infant and eliciting an immune response in said newborn or infant. The present invention is furthermore directed to kits and kits of parts comprising such a vaccine and/or its components and to methods applying such a vaccine or kit.
1. A method for stimulating an immune response in an infant subject comprising, administering an effective amount of a composition comprising a purified mRNA encoding an antigen to the infant subject thereby stimulating an antigen-specific immune response in the subject, said infant subject being no more than 2 years of age, wherein the composition is administered via injection and wherein the mRNA encodes:
(i) an antigenic fragment of a respiratory syncytial virus (RSV) F-protein antigen; or
(ii) an antigenic fragment of an influenza virus hemagglutinin (HA) antigen.
2. The method of claim 1 , wherein the mRNA encodes an antigenic fragment of a RSV F-protein antigen.
3. The method of claim 1 , wherein the mRNA encodes an antigenic fragment of an influenza virus HA antigen.
4. The method of claim 1 , wherein the mRNA comprises an increased G/C content relative to a wild type RNA encoding the antigen, a cap and/or a polyA tail.
5. The method of claim 1 , wherein the subject is no more than 1 year of age.
6. The method of claim 5 , wherein the subject is no more than 6 months of age.
7. The method of claim 1 , wherein the composition is administered intramuscularly.
8. The method of claim 1 , wherein the composition is administered intradermally.
9. The method of claim 1 , wherein the composition comprises the mRNA in an aqueous solution.
10. The method of claim 9 , wherein the aqueous solution is a Ringer's lactate solution.
11. The method of claim 1 , wherein at least a portion of the mRNA is complexed with a cationic or polycationic compound.
12. The method of claim 11 , wherein a portion of the mRNA is complexed with the cationic or polycationic compound and a portion of the mRNA is free from complex.
13. The method of claim 11 , wherein the cationic or polycationic compound is a polypeptide.
14. The method of claim 13 , wherein the polypeptide is protamine.
15. The method of claim 11 , wherein the cationic or polycationic compound is a cationic lipid.
16. The method of claim 1 , wherein at least a portion of the mRNA encoding the antigen is complexed with a polymeric carrier formed by disulphide-crosslinked cationic polypeptides.
17. The method of claim 1 , further comprising administering an adjuvant to the infant subject.
18. The method of claim 17 , wherein the adjuvant is an immunostimulatory RNA (isRNA).
19. The method of claim 1 , wherein antigen-specific immune response comprises production of antigen-specific antibodies.
20. The method of claim 1 , wherein antigen-specific immune response comprises an antigen-specific Th1 immune response.