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Clinical and Vaccine Immunology, September 2006, p. 1010-1013, Vol. 13, No. 9
1071-412X/06/$08.00+0     doi:10.1128/CVI.00191-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.

Vaccines with the MF59 Adjuvant Do Not Stimulate Antibody Responses against Squalene

Giuseppe Del Giudice,1* Elena Fragapane,1 Roberto Bugarini,1 Maninder Hora,2 Thomas Henriksson,2 Emanuela Palla,1 Derek O'Hagan,2 John Donnelly,2 Rino Rappuoli,1 and Audino Podda1

Novartis Vaccines, 53100 Siena, Italy,1 Novartis Vaccines, Emeryville, California 94608-29162

Received 26 May 2006/ Returned for modification 5 July 2006/ Accepted 14 July 2006

Squalene is a naturally occurring oil which has been used in the development of vaccine adjuvants, such as the oil-in-water emulsion MF59. In past years, by use of noncontrolled and nonvalidated assays, a claim was made that antisqualene antibodies were detectable in the sera of individuals with the so-called Gulf War syndrome. Using a validated enzyme-linked immunosorbent assay for the quantitation of immunoglobulin G (IgG) and IgM antibodies against squalene, we demonstrated that antisqualene antibodies are frequently detectable at very low titers in the sera of subjects who were never immunized with vaccines containing squalene. More importantly, vaccination with a subunit influenza vaccine with the MF59 adjuvant neither induced antisqualene antibodies nor enhanced preexisting antisqualene antibody titers. In conclusion, antisqualene antibodies are not increased by immunization with vaccines with the MF59 adjuvant. These data extend the safety profile of the MF59 emulsion adjuvant.


* Corresponding author. Mailing address: Research Center, Novartis Vaccines, Via Fiorentina 1, 53100 Siena, Italy. Phone: 39-0577-243261. Fax: 39-0577-243564. E-mail: giuseppe_del_giudice{at}chiron.com.


Clinical and Vaccine Immunology, September 2006, p. 1010-1013, Vol. 13, No. 9
1071-412X/06/$08.00+0     doi:10.1128/CVI.00191-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.