CN108498795A - The one-step preparation process of therapeutic type drug resistance AIDS self-plasma virus deactivation vaccine - Google Patents

The one-step preparation process of therapeutic type drug resistance AIDS self-plasma virus deactivation vaccine Download PDF

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CN108498795A
CN108498795A CN201810241657.5A CN201810241657A CN108498795A CN 108498795 A CN108498795 A CN 108498795A CN 201810241657 A CN201810241657 A CN 201810241657A CN 108498795 A CN108498795 A CN 108498795A
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blood
aids
vaccine
drug resistance
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孙昊明
孙刚
孙锦山
耿艳春
孙琪
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61P31/18Antivirals for RNA viruses for HIV
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/51Medicinal preparations containing antigens or antibodies comprising whole cells, viruses or DNA/RNA
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/57Medicinal preparations containing antigens or antibodies characterised by the type of response, e.g. Th1, Th2
    • A61K2039/572Medicinal preparations containing antigens or antibodies characterised by the type of response, e.g. Th1, Th2 cytotoxic response
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K2039/57Medicinal preparations containing antigens or antibodies characterised by the type of response, e.g. Th1, Th2
    • A61K2039/575Medicinal preparations containing antigens or antibodies characterised by the type of response, e.g. Th1, Th2 humoral response
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    • C12N2740/00011Details
    • C12N2740/10011Retroviridae
    • C12N2740/16011Human Immunodeficiency Virus, HIV
    • C12N2740/16211Human Immunodeficiency Virus, HIV concerning HIV gagpol
    • C12N2740/16234Use of virus or viral component as vaccine, e.g. live-attenuated or inactivated virus, VLP, viral protein

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Abstract

A kind of one-step preparation process of therapeutic type drug resistance AIDS self-plasma virus deactivation vaccine, from blood collection, blood plasma separation, blood-plasma virus killing, directly it is prepared into vaccine and the also defeated inoculation of vein, all processes are completed in enclosed disposable consumptive material, preparation process Zhong polluted dye risks can be effectively prevented from, it is ensured that the safety of vaccine preparation.Not only preparation process is simple, at low cost, and can simplify vaccine program, meets the technology requirement of large dosage of (600 800ml) blood-plasma virus killing vaccine inoculation.More importantly the viral seed culture of viruses of inactivated vaccine is patient itself, and blood plasma is also patient itself, has apparent safety, validity, feasibility.And meet the principle of Medical Ethics, and can solve the problems, such as that AIDS vaccine research and development lack animal model.It is suitable for the continual cure to the aids patient of drug resistance and treatment failure;Aids patient to not generating drug resistance is initial and conventional therapy;To the urgent blocking treatment of occupational exposure person.

Description

The one-step preparation process of therapeutic type drug resistance AIDS self-plasma virus deactivation vaccine
Technical field
The present invention relates to a kind of preparation processes of blood-plasma virus killing vaccine, the especially self blood of therapeutic type drug resistance AIDS Starch the one-step preparation process of viral inactivation vaccine.It is suitable for AIDS preventing and controlling especially AIDS virus drug resistance and treatment failure The treatment of patient.
Background technology
AIDS be the mankind facing newly send out health problem and public health problem special.And the whole world is all being closed The hot spot and problem of note.It is found so far from 1981, has been known to the whole world to the calamitous harm of the mankind over 36 years.World Health Organization Oneself causes more than 3,500 ten thousand people dead to the digital up to the present AIDS of announcement, and there be 36,700,000 HIV infection in the whole world within 2016 Person, about 1,800,000 new infections persons, has 1,000,000 people to die of AIDS for the year.Although various countries put into huge financial resources, material resources, section Skill and social resources develop drug, and vaccine development, so far, seedling does not find the drug and means that can cure the disease completely yet, There is no effective vaccine to come out, so, it is whole world urgency to innovate AIDS preventing and controlling strategy and prevention intervention means and method Demand.
It is widely applied effective treatment side within the scope of our times that " cocktail ", which strengthens antiviral treatment (HAART), Method.AIDS morbidity and mortality are made all significantly to decline, but AIDS antiviral treatment is only capable of effectively inhibiting virus Proliferation, can not but thoroughly remove AIDS virus.The HIV/AIDS the infected for receiving treatment must take medicine on time daily, and It cannot be discontinued throughout one's life.The toxic side effect of drug, the monopolization control of big medicine enterprise of developed country, improves the medicine valence of antiviral therapy And medical expense and drug can and difficulty, make patient and society all feel to be difficult to bear, especially the drug resistant generation of AIDS Criticality problem increases eager expectation of the human society to effective AIDS vaccine and new treatment, only leans on current drug, The expectation target of the year two thousand thirty termination AIDS is all unable to reach in world wide.Therefore it is necessary to be visited from general prevention and treatment strategy Ask new prevention and treatment technology and means.
China's AIDS antiretroviral therapy is carried out compared with Dinner, and government in 2003 proposes the policy of " four exempt from a care ", infection Person and patient can obtain HIV antiviral first-line drug treatments, defend within 2009 and do (2009) No. 36 text notices of doctor's political affairs word and open comprehensively Open up AIDS two wires anti-AIDS drug and treat work, so far oneself more than 8 years.
Receiving the AIDS patients for the treatment of, to show the drug resistant ratios of HIV more and more, have become influence antiviral therapy One of the main reason for effect and treatment failure.For having generated drug resistant patient, countermeasure principle is to be replaced with sensitivity New drug, that is to say, that if a line antiviral drugs drug resistance and treatment failure can replace two wires medicine, and in China and all More low income developing countries, due to fund, resource and can and anti-Chinese mugwort types of drugs it is limited, if Second line Drug is resistance to again Medicine and treatment failure, it is interchangeable without new drug to face these the infecteds, and causes the available helpless situation of no medicine.With regard to world's layer For face, the research and development of anti-Chinese mugwort new drug also lag behind current demand and it is expected to develop AIDS vaccine safely, effectively, cheap forever Have become global common objective.
It is known that " vaccine ", which is the mankind, fights greatest invention in virus infection history.By vaccine, the mankind eliminate Smallpox, Eradication ridge ash is scorching, and controls the infectious diseases such as measles, and for the research and development of AIDS vaccine, respectively State scientist is from being found that AIDS virus has been switched on comprehensive research and development, depth, range, the technology of input and fund and money Source has been more than any vaccine in human history, and research and development in unfortunate more than 30 years suffer defeat after defeat, until the present No has effective vaccine appearance. The research and development for making a general survey of domestic and international AIDS vaccine, fail breakthrough bottleneck and technical barrier always.Mainly existing Research idea and Conceptual design Hai No, which are found, can overcome characteristic related with AIDS virus itself and AIDS virus pathogenesis and human body pair The path of the immune response feature of AIDS virus and specific method.
Invention content
AIDS vaccine is divided into prevention type vaccine and therapeutic type vaccine according to purpose purposes.Preventative vaccine is suitable for not The general health crowd of infected by HIV, it is intended that utilize the pre- preventing HIV infection of vaccine primary immune response.Therapeutic type vaccine, is suitable for The patient and carrier infected, it is therefore an objective on the basis of oneself passes through primary immune response in the infected, carry out vaccine two again It is secondary immune, to induce more effective specific cellular immunity and humoral immunity, achieve the purpose that Kong He Cheongju removes HIV infection.
The purpose of the present invention is to provide a kind of one-step method of therapeutic type drug resistance AIDS self-plasma virus deactivation vaccine Preparation process.It complies with the inherent characteristic of HIV, draws domestic and international AIDS vaccine development failure or stranded lesson and experience, Dissolve the conceptual design encountered in current AIDS vaccines research and development, work with translational medicine and the precisely innovative idea of medical treatment, " targeting " Skill technology, Medical Ethics are various main " barrier point ", with the ripe practical technique in the country of integration and equipment, consumptive material, design The one-step technology that excess of export simplifies is used to prepare target and has generated drug resistance for growing number of both at home and abroad, especially domestic It is resistance to carry out the secondary active immunity therapeutic type of specificity by HIV/AIDS the infected of two wires anti-AIDS drugs drug resistance and treatment failure Medicine AIDS self-plasma virus deactivation vaccine, for control and have dropped out treatment through HAART strengthen antiviral treatment and And oneself is through generating HIV/AIDS the infected of drug resistance, initiative provide one kind can continue to obtain in addition to drug therapy it is effectively special The therapeutic type drug resistance AIDS self-plasma virus deactivation vaccine of the property immunization therapy means of services.
Specific step of preparation process is as follows:
Step 1, the separation of centrifugal plasma seed culture of viruses.
With the more filial generation HIV carried in drug resistance HIV/AIDS the infected's self blood plasma, as the specific special for treating of preparation The seed culture of viruses of type vaccine is disposably singly adopted using DiZiPia-90 centrifugal plasmas replacing machine and matched P-1000 types Plasma separator, anticoagulant for storage of whole blood(1), according to procedure operation step and parameter that plasma exchange machine is set, grasped with normal sterile Make technology, oneself is punctured by drug resistance HIV/AIDS the infected that medical institutions confirm, acquires blood plasma and separates and collects in P- In the disposable single blood-sampling plasm separator blood plasma collecting bag of 1000 types, each 200ml of two journeys collects the blood plasma containing AIDS virus altogether 400ml completes sampled plasma as vaccine seed culture of viruses;
Step 2, closed blood-plasma virus killing.
MB- photochemistry blood-plasma virus killing technologies the most universal are applied using domestic and international safe transfusion field in recent years, Step 1 is collected into the blood plasma 400ml containing AIDS virus, as primary product, when using standby after also defeated of blood cell Between, the flow-stop valve of the blood plasma collecting bag is closed, the blood plasma collecting bag is removed, a concentration of 1.0-1.3 μm of ol/ of final volume is added The dilution of the 1% injection serge blue of L after mixing well, will wait inactivating as MB photosensitizers added with the packed of MB photosensitizers Blood plasma is lain against in the glass drawer of JY-1 type blood-plasma virus killing instrument illumination storehouse, opens blood-plasma virus killing instrument operating switch, Under the intensity of illumination of the 35000-40000LX of setting, Continuous irradiation 30-35 minutes makes to contain HIV/AIDS in blood plasma collecting bag The self-contained blood plasma mostly for totivirus spectrum of the infected, by MB- photochemistry blood-plasma virus killings, a step is processed into difference Change, the ultimate product therapeutic type drug resistance AIDS self-plasma virus deactivation vaccine of totivirus spectrum feature.
MB- photochemistry blood-plasma virus killing technologies are the appropriate technologies of safe transfusion field application and popularization, since it can The inactivation of virus effect leaned on and safety are used by multiple developed countries and Chinese blood collecting and supplying system.The serge blue inactivation Virus mechanism be:The G-C base-pairs and peplos of serge blue and viral nucleic acid have larger compatibility, work as serge blue After absorbing luminous energy, it can excite and generate singlet oxygen and oxygen radical, the energy modalities of this molecular oxygen can destroy the nucleic acid of virus, especially It is guanosint, keeps nucleic acid break and peplos damaged so as to cause the destruction of viral gene, HIV is made to be inactivated, by HIV in blood plasma, which is inactivated, does not destroy its antigenicity, therefore is suitably applied HIV vaccine making.
Step 3, displaced type blood plasma vaccine inoculation.
After the completion of above-mentioned steps 2, closes blood-plasma virus killing instrument and take out the blood plasma collecting bag after inactivation treatment, open blood Collecting bag flow-stop valve is starched, the also defeated program of DiZiPia-90 centrifugal plasmas replacing machine is restarted, passes through the centrifugal blood of DiZiPia-90 The also defeated channel for starching replacing machine, directly to the also defeated vaccine therapy of the drug resistant HIV/AIDS the infected, or the infusion by separately building Pipeline is directly to the also defeated vaccine therapy of the drug resistant HIV/AIDS the infected.
Vaccine of the present invention is applied to the age more than 18 one full year of life or weight more than 30 kilograms, has regular HIV/AIDS to diagnose It reports and meets People's Republic of China's health industry (WS293-2008)-《AIDS AIDS viral infection standard》, have just The own report through to ART drug resistances and drug-resistant intensity of formula, and inhibition of HIV carrying capacity is 1000 copies/ml or more at present, is resistant to By this treatment and know that the infected agreed to is personal;
It, three months or six months can be with the according to treatment restrovirus and immunological condition for drug resistance HIV/AIDS the infected Secondary sampled plasma, blood-plasma virus killing handle-also defeated inoculation, it repeats to reinforce treatment primary.
The DiZiPia-90 centrifugal plasma replacing machines are not unique type, other centrifugal plasma replacing machines, As long as can be general with the matching used type of the disposable single blood-sampling plasm separator of P-1000 types.
The JY-1 type blood-plasma virus killing instrument is not unique type, other modifieds such as LED light source same type machine It is verified also can be with general.
The MB photoinactivations technology is not only available technology, other to can be used for handling single bag of blood plasma and go out Physics living, photoinactivation technology, such as pressures cycle method, psoralea corylifolia, riboflavin, photochemical method are by verification and registration Putting on record also can independent or combination.
The present invention uses above-mentioned technical proposal, use value to be the innovative existing AIDS vaccine technology of preparing of breakthrough Design route and method.Prepared for therapeutic AIDS vaccine, have found the super simplified version of a safety, general favour it is global , particularly low income developing country conceptual design;For drug resistance HIV/AIDS the infected, especially domestic two wires medicine drug resistance Crowd, provide the possibility for continuing to be effectively treated and feasible method;The therapeutic type drug resistance AIDS prepared by the present invention Sick self-plasma virus deactivation vaccine and the specific active immunotherapy established by it, can be not only used for drug resistance crowd, together Sample is also adapted for not generating drug resistance HIV/AIDS the infected, breaches current aids patient treatment and depends merely on antiretroviral agent Object, only medicine, the situation that is covered with dust solely controlled, to realize that Comprehensive HIV/AIDS Prevention increases a policing option;It can be to People living with HIV Active treatment is carried out, AIDS infectious degree and infection sources quantity can be effectively reduced, be likewise supplied with the value of active prevention;This hair Bright one-step method conceptual design, the more progeny virus self-contained using the infected are as vaccine seed culture of viruses, and directly inactivation is at therapeutic Vaccine eliminates and the AIDS virus of high standard conditions is needed to detach, cultivate, purify, identify equimolecular biological processes mistake Journey and carrier seed culture of viruses, with seedling, adjuvant, storage and transportation, do not need experimental animal model yet, can effectively simplify preparation work Skill process greatly reduces preparation and application charges, also breaches the skill that totivirus spectrum antigen can not be provided in research and development both at home and abroad Art problem has and applies well and promotion prospect;The therapeutic type drug resistance AIDS self-plasma virus deactivation prepared by the present invention The specific active immunotherapy that vaccine and inoculation are established, between the 2-8 months in 2017, by certain medical university of city, in Henan Province Certain AIDS fixed hospital of county has carried out open double-blind study clinical verification experiment, and formal report is shown, receives this vaccine therapy The infected of six HIV/AIDS AIDS two wires medicine drug resistances and treatment failure for the treatment of has five inhibition of HIV carrying capacity detection knots Fruit shows that inhibition of HIV carrying capacity drops to 40copies/ml by 3442---757462copies/ml, and cd4 cell obviously rises, With good virology and immunological effect, and safety, tolerance are good.
That is, the present invention designs the one-step method for the therapeutic type drug resistance AIDS self-plasma virus deactivation vaccine established Preparation process, from blood collection, blood plasma separation, blood-plasma virus killing to the also defeated inoculation of vaccine vein, all processes are all to seal Completed in the disposable consumptive material of enclosed, preparation process Zhong polluted dye risks can be effectively prevented from, it is ensured that vaccine preparation and The safety of inoculation.Using the also defeated vaccination ways of direct vein, vaccine program can be simplified and meet large dosage (600- 800ml) the technology requirement of blood-plasma virus killing vaccine inoculation.More importantly the viral seed culture of viruses of inactivated vaccine is patient itself , blood plasma is also patient itself, and in clinical blood transfusion field, autotransfusion is the generally acknowledged safest blood transfusion of medical field, thus Autologous plasma virus prepared by the one-step preparation process of therapeutic type drug resistance AIDS self-plasma virus deactivation vaccine of the present invention Inactivated vaccine and its inoculation method, the clear superiority with safety, validity, feasibility, and meet the original of Medical Ethics Then, it and can solve the problems, such as to lack ideal animal model when AIDS vaccine research and development.In short, it not only preparation process was simple, but also Manufacturing cost can be reduced, moreover it is possible to which the technical bottleneck of totivirus spectrum antigen covering can not be provided by solving HIV vaccine, be provided more completely The totivirus spectrum antigenic virus particle being inactivated, can more effectively induce the secondary specific cellular immunity of body and body fluid to exempt from Epidemic disease response, to obtain more effective virology, immunology and clinical therapeutic efficacy.It is suitable for losing drug resistance and treatment The continual cure of the AIDS patients lost;AIDS patients to not generating drug resistance are initial and conventional therapy;To occupational exposure The urgent combined occlusion treatment of person.
Description of the drawings
Attached drawing is the one-step preparation process flow chart of therapeutic type drug resistance AIDS self-plasma virus deactivation vaccine.
Specific implementation mode
Detailed description of the present invention specific implementation mode below in conjunction with the accompanying drawings.
The present invention preparation process include:To blood collection-blood plasma separation-inactivation of virus of HIV/AIDS the infected, directly It connects and is prepared into therapeutic type AIDS self-plasma virus deactivation vaccine, and carry out also defeated inoculation self to the AIDS patient.
Specific step of preparation process is as follows:
Step 1, the separation of centrifugal plasma seed culture of viruses.
With the more filial generation HIV carried in drug resistance HIV/AIDS the infected's self blood plasma, as the specific special for treating of preparation The seed culture of viruses of type vaccine is disposably singly adopted using DiZiPia-90 centrifugal plasmas replacing machine and matched P-1000 types Plasma separator, anticoagulant for storage of whole blood(1), according to procedure operation step and parameter that plasma exchange machine is set, grasped with normal sterile Make technology, oneself is punctured by drug resistance HIV/AIDS the infected that medical institutions confirm, acquires blood plasma and separates and collects in P- In the disposable single blood-sampling plasm separator blood plasma collecting bag of 1000 types, each 200ml of two journeys collects the blood plasma containing AIDS virus altogether 400ml completes sampled plasma as vaccine seed culture of viruses;The DiZiPia-90 centrifugal plasmas replacing machine is by Sichuan Nan Geersheng Object Science and Technology Ltd. produces, number of registration:State eats medicine and supervises tool(It is accurate)Word 2015 the 3450501st.The P-1000 types are primary Property single blood-sampling plasm separator by Sichuan Nan Geer biotechnologies have Ken companies production, number of registration:Medical instruments are eaten by state(It is accurate)Word 2,014 No. 3451006.
Step 2, closed blood-plasma virus killing.
MB- photochemistry blood-plasma virus killing technologies the most universal are applied using domestic and international safe transfusion field in recent years, Step 1 is collected into the blood plasma 400ml containing AIDS virus, as primary product, when using standby after also defeated of blood cell Between, the flow-stop valve of the blood plasma collecting bag is closed, the blood plasma collecting bag is removed, a concentration of 1.0-1.3 μm of ol/ of final volume is added The dilution of the 1% injection serge blue of L after mixing well, will go out as MB photosensitizers added with the packed of MB photosensitizers Promoting blood circulation slurry, lies against in the glass drawer of JY-1 type blood-plasma virus killing instrument illumination storehouse, opens blood-plasma virus killing instrument operating switch, Under the intensity of illumination of the 35000-40000LX of setting, Continuous irradiation 30-35 minutes makes to contain HIV/ in blood plasma collecting bag The self-contained blood plasma mostly for totivirus spectrum of AIDS the infected, by MB- photochemistry blood-plasma virus killings, a step, which is processed into, to be had The ultimate product therapeutic type drug resistance AIDS self-plasma virus deactivation vaccine of differentiation, totivirus spectrum feature.The JY-1 types Blood-plasma virus killing instrument is produced by Beijing sources Kang get biotechnology development corporation, Ltd., number of registration:State eats medicine and supervises tool(It is accurate)Word 2009 No. 3451019.
Step 3, displaced type blood plasma vaccine inoculation.Therapeutic type drug resistance AIDS autologous plasma virus described in step 2 is gone out After the completion of the ultimate product of live vaccine, closes JY-1 type blood-plasma virus killing instrument and take out the blood plasma collecting bag after inactivation treatment, beat Blood plasma collecting bag flow-stop valve is opened, the also defeated program of DiZiPia-90 centrifugal plasmas replacing machine is restarted, is centrifuged by DiZiPia-90 The also defeated channel of formula plasma exchange machine, directly to the also defeated vaccine therapy of the drug resistant HIV/AID the infected, or it is defeated by what is separately built Liquid pipeline is directly to the also defeated vaccine therapy of the drug resistant HIV/AID the infected.
The technical standard that the present invention applies is GB18469-2001《Whole Blood & Blood Components quality requirement》
It is printed and distributed with the former Ministry of Public Health《Blood station standard》、《Blood product removal/inactivation of viruses technical method and verification guide principle》、 《Middle Country blood transfusions regulations for technical operation (blood station part)》.
The one-step preparation process of the present invention, the plasma exchange machine, disposable single blood-sampling plasm separator, blood preseration Liquid(1)And blood-plasma virus killing instrument, it is through state's medical instruments(It is accurate)Word is registered and product is advised in widely applied conjunction, is respectively had in detail Thin operation instruction.
Used technology is all medical service item on the regular payroll to be examined through administrative department of public health, including self blood acquires (Project number 550000004), inactivation of virus(Project number 5500003), plasma exchange(Project number 310905003).
The above, preferred embodiments, And only of the invention it is non-to the present invention in any form with substantial limitation, It is noted that for those skilled in the art, under the premise of not Off is from the method for the present invention, can also make Several improvement and supplement, these also should be regarded as protection scope of the present invention, all those skilled in the art, in not Off from this In the case of the concept and content of invention, when using disclosed above content, and a little variation, modification and evolution made Equivalent variations, be the embodiment of the present invention, meanwhile, all substantial technologicals according to the present invention, made by above-described embodiment Any equivalent variations and change, Xiu decorations develop, within the scope of still belonging to technical scheme of the present invention,
Clinical verification testing data (- 2017 years 2016)
Between -2017 years 2016, clinical verification experiment is carried out.Using open double-blind clinical verification test, third party's detection machine Structure is:Certain attached nosocomial infection center of certain medical university.Carry out clinical verification experiment.According to clinical test final report, now pluck 3 are lifted to be described in detail.
Peasant, man 29 years old, WB confirmations , And start to take a line medicine ART within 2010, and therapeutic scheme is: AZT+3TC+NVP. In the end of the year 2015, because virology therapeutic effect is bad, on January 16th, 2016, change therapeutic scheme was:TDF+3TC+LVP/r, After treatment 13 months, screening CD4+ 17325, VL 173452copies/ml, AZT/TDF/EFV/NVP drug resistances belong to treatment and lose It loses.On 2 19th, 2017, enters group progress therapeutic type drug resistance AIDS self-plasma virus deactivation vaccine specific active immunity and control It treats, by standard design procedures, acquisition and MB- photochemistry blood-plasma virus killings, processing blood plasma 200ml * 3, total 600ml, through blood plasma The blood sampling also defeated inoculation in channel of replacing machine original, treats restrovirus and immunology detection shows good efficacy.On March 30th, 2017 547.49, CD4+ cells are detected, 305 copies/ml of VL detect CD4+ 646.3, VL TND on June 2nd, 2017 again, August detects again on the 12nd within 2017, and CD4+513.11, VL is less than 40copies/ml.
Example 2, BLZH, peasant, 48 years old, WB confirmations , And in 2003 started to take a line medicine ART treatments, resist until changing within 2010 and taking two wires Viral medicine is treated 6 years, and therapeutic scheme is:TDF+3TC+LPV/r detects the equal drug resistances of whole NRTl/NNRTi, CD4+ before entering group 136.21, cell, 14640 copies of VL/ml.Row self-plasma virus deactivation treatment on 2 19th, 2017, according to standard Program Cai Ji And handle 600 ml of blood plasma, and after separately building the also defeated vaccine therapy of infusion channel, virology, immunological effect are good. It is detected within 12nd in August in 2017,163.82, CD4+ cells, VL is less than 40copies/ml.
Example 3, HPQI, peasant, 53 years old, WB confirmations , And took a line medicine ART and treat nearly 10 years, and the property followed is good, immunologic mjury Seriously, CD4+ cells spy is low, enters detection CD4+ Fine born of the same parents only 16.52 before group, VL 84386 copies/ml, 2 months 2017 19, carry out self-plasma virus deactivation vaccine specific active immunity treatment.It acquires, inactivate, going back vaccinating transfusion slurry 600ml, Patient status improves apparent.After 24 weeks, CD4+ cells increase nearly 7 times, and VL declines apparent.August detects on the 12nd within 2017, CD4+ 110.4, cell, VL(Virus load), TND, immunology and virology all show good efficacy.Patient's readme:It treated Journey no pain is willing to accept treatment, feel after treatment with energetically, Long meat, have no interest, clinical efficacy is clearly visible.

Claims (3)

1. a kind of one-step preparation process of therapeutic type drug resistance AIDS self-plasma virus deactivation vaccine, which is characterized in that packet Include following processing step:
Step 1, the separation of centrifugal plasma seed culture of viruses are made with the more filial generation HIV carried in drug resistance HIV/AIDS the infected's self blood plasma To prepare the seed culture of viruses of specific special for treating type vaccine, matched using DiZiPia-90 centrifugal plasmas replacing machine and with it The disposable single blood-sampling plasm separator of P-1000 types, anticoagulant for storage of whole blood(1), according to the procedure operation step of plasma exchange machine setting And parameter is punctured oneself by drug resistance HIV/AIDS the infected that medical institutions confirm, is acquired with normal sterile operating technology Blood plasma simultaneously separates and collects in the disposable single blood-sampling plasm separator blood plasma collecting bag of P-1000 types, and each 200ml of two journeys is collected altogether Contain the blood plasma 400ml of AIDS virus as vaccine seed culture of viruses, completes sampled plasma;
Step 2, closed blood-plasma virus killing apply MB- light the most universal in recent years using domestic and international safe transfusion field Step 1 is collected the blood plasma 400ml containing AIDS virus by chemical blood-plasma virus killing technology, as primary product, profit With stand-by time of the blood cell after also defeated, the flow-stop valve of the blood plasma collecting bag is closed, the blood plasma collecting bag is removed, final body is added The dilution of the 1% injection serge blue of a concentration of 1.0-1.3 μm of ol/L of product, will be added with after mixing well as MB photosensitizers The packed blood plasma to be inactivated of MB photosensitizers is lain against in the glass drawer of JY-1 type blood-plasma virus killing instrument illumination storehouse, opens blood plasma Virus inactivation instrument operating switch, under the intensity of illumination of the 35000-40000LX of setting, Continuous irradiation 30-35 minutes makes blood plasma Containing the blood plasma mostly for totivirus spectrum that HIV/AIDS the infected is self-contained in collecting bag, gone out by MB- photochemistry plasma virals Living, a step, which is processed into, has the characteristics that differentiation, the ultimate product therapeutic type drug resistance AIDS autologous plasma virus of totivirus spectrum are gone out Live vaccine;
Step 3, displaced type blood plasma vaccine inoculation after the completion of above-mentioned steps 2, close blood-plasma virus killing instrument and simultaneously take out inactivation treatment Blood plasma collecting bag afterwards opens blood plasma collecting bag flow-stop valve, restarts the also defeated program of DiZiPia-90 centrifugal plasmas replacing machine, leads to The also defeated channel for crossing DiZiPia-90 centrifugal plasma replacing machines is controlled directly to the also defeated inoculation of the drug resistant HIV/AIDS the infected It treats, or the infusion pipeline by separately building is directly to the also defeated vaccine therapy of the drug resistant HIV/AIDS the infected.
2. the one-step preparation process of therapeutic type drug resistance AIDS self-plasma virus deactivation vaccine as described in claim 1, It is characterized in that, vaccine of the present invention is applied to, the age was more than for 18 one full year of life or weight is more than 30 kilograms, there is regular HIV/ AIDS diagnosis reports, and meet People's Republic of China's health industry (WS293-2008)-《AIDS AIDS viral infection mark It is accurate》, have it is formal oneself through the report to ART drug resistances and drug-resistant intensity, and at present inhibition of HIV carrying capacity be 1000 copies/ml with On, it is resistant to this treatment and knows that the infected agreed to is personal;For drug resistance HIV/AIDS the infected, according to treatment restrovirus And immunological condition, three months or six months can second of sampled plasma, blood-plasma virus killing handle-also defeated inoculation, repeat It is primary to reinforce treatment.
3. the one-step preparation process of therapeutic type drug resistance AIDS self-plasma virus deactivation vaccine as described in claim 1, It is characterized in that, the DiZiPia-90 centrifugal plasma replacing machines are not unique type, other centrifugal plasma displacements Machine, as long as can be general with the matching used type of the disposable single blood-sampling plasm separator of P-1000 types;The JY-1 types Blood-plasma virus killing instrument is not unique type, and other modifieds such as LED light source same type machine is verified also can be with general;Institute It is not only available technology to state MB photoinactivation technologies, other physics that can be used for handling single bag of Plasma Inactivation, Photoinactivation technology, such as pressures cycle method, psoralea corylifolia, riboflavin, photochemical method are put on record by verification and registration also may be used Individually or it is combined.
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