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3. Potatoes vs. cholera!
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The wonders of mucus
Antigens in plant-derived vaccines can survive the stomach and reach the immune system because the tough outer wall of plant cells protects cell contents from stomach acidity. When the wall breaks up in the intestines, the cells release their antigenic goods and initiate the mucosal immune response. The systemic response follows when the antigens reach the blood, offering a double punch and better protection against droves of microorganisms. Back on the "pharm"... The newest wave, still in its infancy, is called bio-pharming, and it's sweeping through academia and industry to produce medicines, hormones, and -- eventually -- vaccines within modified leaves and fruits, turning crops into protein-producing factories. The National Corn Growers Association estimates that at least 400 plant-based drugs are under development worldwide. The scourge of developing countries
One reason for the enthusiasm for plant-derived vaccines is that mucosal immunity is crucial to preventing these illnesses, says William Langridge, a molecular biologist at Loma Linda University in California. "Rotavirus, E. coli, and cholera are major killers in developing countries, especially among children," he says. Because these diseases usually invade through the nose or mouth, the mucosal immune response is the principal - sometimes only -- line of defense. In the mid-1990's, Langridge inserted a toxin protein from the cholera virus into tomato and potato plants. When mice ate the potatoes, they developed resistance to cholera and showed a 50 percent reduction in diarrhea. The toxin proved effective at sparking the mucosal immunity. Could he use the toxin to deliver other antigens to the blood? "It turns out that the receptors for the cholera toxin subunit are located on a group of cells located directly over the Peyer's patches," he says. These groups of cells inside the gut deliver foreign antigens to immune cells. Bullseye! Langridge is now working on linking antigens from other diseases to the cholera toxin in plant tissue. The technique allows one delivery mechanism, from one plant, to make multiple vaccines. He hopes to someday offer such a vaccine for rotavirus, E. coli, and cholera all in one pill. "We were able to demonstrate that we do protect against all three illnesses in mice," he says, "and we're working to get to the clinical trial area."
Funds for researching vaccines against these illnesses are scarce, since they are little problem in countries where such funds are available. World Health Organization- sponsored studies have demonstrated an effective vaccine for cholera, but it's not available due to cost. Australian scientists at Monash University have used tobacco plants to develop a vaccine for another punishing illness: measles. Before you ask, "What has this guy been smoking?" remember that tobacco is easy to genetically engineer. Trials in mice show the vaccine works, and testing has begun in primates. The Australian researchers are also working on a more palatable version, in rice. As they see it, the vaccine would eventually be given to children in a paste of rice flour. The New Hepatitis Vaccine: Better than V-8
It was the first sub-unit vaccine, and the World Health Organization has been recommending it for nearly a decade. Still, the disease, which causes acute hepatitis and often cancer, kills more than a million people each year. At the Boyce Thompson Institute for Plant Research at Cornell, where Charles Arntzen began his work in edible vaccines, limited clinical trials with the hepatitis B vaccine, carried in potatoes and tomatoes, have produced the desired immune response in mice and humans. There were no major side effects, but the subjects had to eat a lot of raw potatoes. Cooking the potatoes would denature the antigens, leaving them ineffective, and each potato carried only a small amount of antigen. So much for vaccines 'n chips... In the hepatitis B trial, the Food and Drug Administration only restricted participation to people who had already been immunized with injected hepatitis B vaccine, because of safety concerns. Arntzen's Arizona team has modified the vaccine tomatoes to produce vaccines against hepatitis B and the diarrheal illness Norwalk disease and is growing them in guarded greenhouses. The team recently got enough protein for 4,000 doses of vaccine from just 30 tomato plants. In theory, the vaccine can be dried and stored indefinitely. "It's easy to process the tomato into a dry powder, and the amount of vaccine we can produce in tomato is greater than in potato," says Cornell University's Dwayne Kirk, who is also an adjunct member the ASU group. It's a dirty job, but somebody has to wonder. Will edible vaccines pass the test?
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