<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">biopreparat</journal-id><journal-title-group><journal-title xml:lang="ru">БИОпрепараты. Профилактика, диагностика, лечение</journal-title><trans-title-group xml:lang="en"><trans-title>Biological Products. Prevention, Diagnosis, Treatment</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2221-996X</issn><issn pub-type="epub">2619-1156</issn><publisher><publisher-name>Scientific Centre for Expert Evaluation of Medicinal Products</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30895/2221-996X-2026-26-2-230-240</article-id><article-id custom-type="elpub" pub-id-type="custom">biopreparat-737</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>СТАНДАРТИЗАЦИЯ И КОНТРОЛЬ КАЧЕСТВА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>QUALITY CONTROL AND STANDARDISATION</subject></subj-group></article-categories><title-group><article-title>Липоолигосахарид в цельноклеточных коклюшных вакцинах: корреляция его содержания с параметрами специфической безопасности у мышей</article-title><trans-title-group xml:lang="en"><trans-title>Lipooligosaccharide in whole-cell pertussis vaccines: Correlation of its content with specific safety parameters in mice</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5586-2933</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алексеева</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Alekseeva</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Алексеева Ирина Андреевна, д-р мед. наук</p><p>Петровский б-р, д. 8, стр. 2, Москва, 127051</p></bio><bio xml:lang="en"><p>Irina A. Alekseeva, Dr. Sci. (Med.)</p><p>8/2 Petrovsky Blvd., Moscow 127051</p></bio><email xlink:type="simple">alekseevai@expmed.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0305-7769</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шаповалова</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shapovalova</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шаповалова Ольга Владимировна, канд. фарм. наук</p><p>Петровский б-р, д. 8, стр. 2, Москва, 127051</p></bio><bio xml:lang="en"><p>Olga V. Shapovalova, Cand. Sci. (Pharm.)</p><p>8/2 Petrovsky Blvd., Moscow 127051</p></bio><email xlink:type="simple">shapovalova@expmed.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0379-5980</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сапожникова</surname><given-names>Г. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Sapozhnikova</surname><given-names>G. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сапожникова Галина Алексеевна</p><p>Петровский б-р, д. 8, стр. 2, Москва, 127051</p></bio><bio xml:lang="en"><p>Galina A. Sapozhnikova</p><p>8/2 Petrovsky Blvd., Moscow 127051</p></bio><email xlink:type="simple">sapozhnikova@expmed.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8615-952X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Неугодова</surname><given-names>Н. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Neugodova</surname><given-names>N. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Неугодова Наталия Петровна, канд. биол. наук</p><p>Петровский б-р, д. 8, стр. 2, Москва, 127051</p></bio><bio xml:lang="en"><p>Nataliia P. Neugodova, Cand. Sci. (Biol.)</p><p>8/2 Petrovsky Blvd., Moscow 127051</p></bio><email xlink:type="simple">neugodova@expmed.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-4061-8892</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лепихова</surname><given-names>Д. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Lepikhova</surname><given-names>D. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лепихова Дарья Николаевна</p><p>Петровский б-р, д. 8, стр. 2, Москва, 127051</p></bio><bio xml:lang="en"><p>Darya N. Lepikhova</p><p>8/2 Petrovsky Blvd., Moscow 127051</p></bio><email xlink:type="simple">lepihova@expmed.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-8002-2407</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ибрагимхалилова</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Ibragimkhalilova</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ибрагимхалилова Ильхамья Вейсаловна, канд. биол. наук</p><p>Петровский б-р, д. 8, стр. 2, Москва, 127051</p></bio><bio xml:lang="en"><p>Ilkhamya V. Ibragimkhalilova, Cand. Sci. (Biol.)</p><p>8/2 Petrovsky Blvd., Moscow 127051</p></bio><email xlink:type="simple">ibragimhalilova@expmed.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Научный центр экспертизы средств медицинского применения» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Centre for Expert Evaluation of Medicinal Products</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>04</day><month>07</month><year>2026</year></pub-date><volume>26</volume><issue>2</issue><fpage>230</fpage><lpage>240</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Алексеева И.А., Шаповалова О.В., Сапожникова Г.А., Неугодова Н.П., Лепихова Д.Н., Ибрагимхалилова И.В., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Алексеева И.А., Шаповалова О.В., Сапожникова Г.А., Неугодова Н.П., Лепихова Д.Н., Ибрагимхалилова И.В.</copyright-holder><copyright-holder xml:lang="en">Alekseeva I.A., Shapovalova O.V., Sapozhnikova G.A., Neugodova N.P., Lepikhova D.N., Ibragimkhalilova I.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.biopreparations.ru/jour/article/view/737">https://www.biopreparations.ru/jour/article/view/737</self-uri><abstract><sec><title> </title><p> </p></sec><sec><title>ВВЕДЕНИЕ</title><p>ВВЕДЕНИЕ. Реактогенность цельноклеточных коклюшных вакцин (ЦКВ) в основном обусловлена присутствием липоолигосахарида (ЛОС) – бактериального эндотоксина (БЭ) наружной мембраны Bordetella pertussis. Оценка содержания ЛОС в ЦКВ и его корреляции со специфической безопасностью позволит определить приемлемый уровень ЛОС, не усиливающий реактогенность. </p></sec><sec><title>ЦЕЛЬ</title><p>ЦЕЛЬ. Определение содержания липоолигосахарида в цельноклеточных коклюшных вакцинах и установление корреляции с параметрами специфической безопасности у мышей (изменением массы тела и показателем специфической безопасности). </p></sec><sec><title>МАТЕРИАЛЫ И МЕТОДЫ</title><p>МАТЕРИАЛЫ И МЕТОДЫ. Исследовали экспериментальные серии ЦКВ из производственных (38, 475, 703) и циркулирующих штаммов B. рertussis (1-20, 2-20, 16-16, 25-16, 28(1)-18, 30-18, 33-18), выделенных от больных коклюшем детей. Содержание БЭ определяли гель- тромб тестом и турбидиметрическим методом. Параметры специфической безопасности оценивали через 24 ч и 7 сут после введения препарата по изменению массы тела аутбредных мышей обоего пола, а также по значению показателя специфической безопасности (%). </p></sec><sec><title>РЕЗУЛЬТАТЫ</title><p>РЕЗУЛЬТАТЫ. Определено содержание БЭ на протяжении следующих сроков хранения: 1 год после изготовления ЦКВ (до сведения ЦКВ с другими компонентами АКДС-вакцины); от 1 до 2,5 года (срок годности ЦКВ в составе АКДС-вакцины); от 2,5 до 6 лет (после истечения срока годности). Средние значения содержания БЭ в ЦКВ из циркулирующих штаммов при хранении 1 год и 1–2,5 года составили 41872,9–70576,0 ЕЭ/мл; в ЦКВ из производственного штамма при хранении 1–2,5 года – 43980,6 ЕЭ/мл. В вакцинах с продолжительностью хранения 2,5–6 лет средние значения БЭ составляли 1353,8–26655,0 ЕЭ/мл. Установлен широкий диапазон значений содержания БЭ в изготовленных сериях: от &lt;1000–1270 ЕЭ/мл (штамм 30-18) до 36430–94270 ЕЭ/мл (штамм 703). Показатели специфической безопас­ности образцов, кроме свежеизготовленных 16-16 и 33-18, составили &gt;60%. Установлена обратная корреляционная связь умеренной силы между содержанием БЭ и изменением массы тела мышей и показателем специфической безопасности. </p></sec><sec><title>ВЫВОДЫ</title><p>ВЫВОДЫ. Содержание БЭ в образцах ЦКВ с продолжительностью хранения 1 год и 1–2,5 года статистически не различалось. Показатели специфической безопасности образцов (&gt;60%) свидетельствуют о соответствии уровня БЭ требованиям безопасности. Обратная корреляция между содержанием БЭ (in vitro) и показателем специфической безопасности (in vivo) подтверждает роль ЛОС в специфической токсичности препарата, что обосновывает актуальность дальнейшего изучения его уровня в штаммах B. pertussis и влияния на безопасность ЦКВ.</p></sec><sec><title> </title><p> </p></sec></abstract><trans-abstract xml:lang="en"><sec><title>INTRODUCTION</title><p>INTRODUCTION. The reactogenicity of whole-cell pertussis vaccines (wPV) is largely attributable to the presence of lipooligosaccharide (LOS), a bacterial endotoxin (BE) from the outer membrane of Bordetella pertussis. Assessing the LOS content in wPV and its correlation with specific safety parameters would help establish an acceptable LOS level that does not increase reactogenicity.</p></sec><sec><title>AIM</title><p>AIM. This study aimed to determine the lipooligosaccharide content in whole-cell pertussis vaccines and establish its correlation with specific safety parameters in mice (body weight change and specific safety index).</p></sec><sec><title>MATERIALS AND METHODS</title><p>MATERIALS AND METHODS. Experimental batches of wPV manufactured from production strains (38, 475, 703) and from B. pertussis circulating strains (1-20, 2-20, 16-16, 25-16, 28(1)-18, 30-18, 33-18), isolated from children with pertussis, were studied. BE content was measured using the gel-clot test and the turbidimetric method. Specific safety parameters were assessed 24 hours and 7 days after administration by monitoring body weight changes in outbred mice of both sexes and by calculating the specific safety index (%).</p></sec><sec><title>RESULTS</title><p>RESULTS. BE content was determined at three time intervals: within 1 year after wPV manufacture (prior to combining with other diphtheria, tetanus, and pertussis (DTP) vaccine com­ponents); from 1 to 2.5 years (shelf life of wPV as part of the DTP vaccine); and from 2.5 to 6 years (after expiry). Mean BE content in wPV from circulating strains stored for 1 year and for 1–2.5 years ranged from 41,872.9 to 70,576.0 EU/mL; in wPV from the production strain stored for 1–2.5 years, it was 43,980.6 EU/mL. Vaccines stored for 2.5–6 years showed mean BE values ranging from 1353.8 to 26,655.0 EU/mL. A wide range of BE content was observed across manufactured batches, varying from &lt;1000–1270 EU/mL (strain 30-18) to 36,430–94,270 EU/mL (strain 703). Specific safety index values for all samples, except for the freshly prepared 16-16 and 33-18, were &gt;60%. A moderate inverse correlation was found between BE content and both mouse body weight change and the specific safety index.</p></sec><sec><title>CONCLUSIONS</title><p>CONCLUSIONS. BE content did not differ statistically between wPV samples stored for 1 year and those stored for 1–2.5 years. The specific safety index values (&gt;60%) indicate that the BE levels comply with safety requirements. The inverse correlation between BE content (in vitro) and the specific safety index (in vivo) confirms the role of LOS in the specific toxicity of the vaccine, supporting further investigation into its levels in B. pertussis strains and its impact on wPV safety.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>коклюш</kwd><kwd>Bordetella pertussis</kwd><kwd>цельноклеточная коклюшная вакцина</kwd><kwd>липоолигосахарид</kwd><kwd>бактериальный эндотоксин</kwd><kwd>циркулирующие штаммы</kwd><kwd>ЛАЛ-тест</kwd><kwd>ТАЛ-тест</kwd><kwd>реактогенность</kwd><kwd>специфическая безопасность</kwd></kwd-group><kwd-group xml:lang="en"><kwd>pertussis</kwd><kwd>Bordetella pertussis</kwd><kwd>whole-cell pertussis vaccine</kwd><kwd>lipooligosaccharide</kwd><kwd>bacterial endotoxin</kwd><kwd>circulating strains</kwd><kwd>LAL test</kwd><kwd>TAL test</kwd><kwd>reactogenicity</kwd><kwd>specific safety</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Работа выполнена в рамках государственного задания ФГБУ «НЦЭСМП» Минздрава России № 056-00061-26-00 на проведение прикладных научных исследований (номер государственного учета НИР № 124022200103-5)</funding-statement><funding-statement xml:lang="en">This study was conducted at the Scientific Centre for Expert Evaluation of Medicinal Products as part of the applied research funded under State Assignment No. 056-00061-26-00 (R&amp;D state registration No. 124022200103-5)</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Gendrel D, Raymond J. Pertussis worldwide. Vaccinating children and adults. Med Trop Sante Int. 2023;3(4): mtsi.v3i4.2023.446 (In French). https://doi.org/10.48327/mtsi.v3i4.2023.446</mixed-citation><mixed-citation xml:lang="en">Gendrel D, Raymond J. Pertussis worldwide. Vaccinating children and adults. Med Trop Sante Int. 2023;3(4): mtsi.v3i4.2023.446 (In French). https://doi.org/10.48327/mtsi.v3i4.2023.446</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Liu Y, Yu D, Wang K, Ye Q. Global resurgence of pertussis: A perspective from China. J Infect. 2024;89(5):106289. https://doiorg/10.1016/j.jinf.2024.106289</mixed-citation><mixed-citation xml:lang="en">Liu Y, Yu D, Wang K, Ye Q. Global resurgence of pertussis: A perspective from China. J Infect. 2024;89(5):106289. https://doiorg/10.1016/j.jinf.2024.106289</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Winter K, Harriman K, Murray E, et al. Risk factors associated with infant death from pertussis: A case-control study. Clin Infect Dis. 2015;61(7):1099–106. https://doi.org/10.1093/cid/civ472</mixed-citation><mixed-citation xml:lang="en">Winter K, Harriman K, Murray E, et al. Risk factors associated with infant death from pertussis: A case-control study. Clin Infect Dis. 2015;61(7):1099–106. https://doi.org/10.1093/cid/civ472</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Guzman-Holst A, Luna-Casas G, Cervantes-Apolinar MY, et al. Pertussis infant morbidity and mortality trends after universal maternal immunisation in Mexico: An ecological database study with time-series analysis. Vaccine. 2021;39(16):2311–18. https://doi.org/10.1016/j.vaccine.2021.02.038</mixed-citation><mixed-citation xml:lang="en">Guzman-Holst A, Luna-Casas G, Cervantes-Apolinar MY, et al. Pertussis infant morbidity and mortality trends after universal maternal immunisation in Mexico: An ecological database study with time-series analysis. Vaccine. 2021;39(16):2311–18. https://doi.org/10.1016/j.vaccine.2021.02.038</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Macina D, Evans KE. Bordetella pertussis in school-age children, adolescent and adults: A systematic review of epidemiology and mortality in Europe. Infect Dis Ther. 2021;10(4):2071–118. https://doi.org/10.1007/s40121-021-00520-9</mixed-citation><mixed-citation xml:lang="en">Macina D, Evans KE. Bordetella pertussis in school-age children, adolescent and adults: A systematic review of epidemiology and mortality in Europe. Infect Dis Ther. 2021;10(4):2071–118. https://doi.org/10.1007/s40121-021-00520-9</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Decker MD, Edwards KM. Pertussis (whooping cough). J Infect Dis. 2021;224(12 Suppl 2):S310-S320. https//doi.org/10.1093/infdis/jiaa469</mixed-citation><mixed-citation xml:lang="en">Decker MD, Edwards KM. Pertussis (whooping cough). J Infect Dis. 2021;224(12 Suppl 2):S310-S320. https//doi.org/10.1093/infdis/jiaa469</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Ayme G, Caroff M, Chaby R, et al. Biological activities of fragments derived from Bordetella pertussis endotoxin: isolation of a nontoxic, Shwartzman-negative lipid A possessing high adjuvant properties. Infect Immun. 1980;27(3): 739–45. https://doi.org/10.1128/iai.27.3.739-745.1980</mixed-citation><mixed-citation xml:lang="en">Ayme G, Caroff M, Chaby R, et al. Biological activities of fragments derived from Bordetella pertussis endotoxin: isolation of a nontoxic, Shwartzman-negative lipid A possessing high adjuvant properties. Infect Immun. 1980;27(3): 739–45. https://doi.org/10.1128/iai.27.3.739-745.1980</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Watanabe M, Takimoto H, Kumazawa Y, Amano K. Biological properties of lipopolysaccharides from Bordetella species. J Gen Microbiol. 1990;136(3):489–93. https://doi.org/10.1099/00221287-136-3-489</mixed-citation><mixed-citation xml:lang="en">Watanabe M, Takimoto H, Kumazawa Y, Amano K. Biological properties of lipopolysaccharides from Bordetella species. J Gen Microbiol. 1990;136(3):489–93. https://doi.org/10.1099/00221287-136-3-489</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Алексеева ИА, Перелыгина ОВ, Колышкина ЕД. Коклюшные вакцины и роль липоолигосахарида Bordetella pertussis в иммунном ответе на коклюшную инфекцию и вакцинацию. БИОпрепараты. Профилактика, диагностика, лечение. 2021;21(1):10–9. https://doi.org/10.30895/2221-996X-2021-21-1-10-19</mixed-citation><mixed-citation xml:lang="en">Alekseeva IA, Perelygina OV, Kolyshkina ED. Pertussis vaccines and the role of Bordetella pertussis lipooligosaccharide in the immune response to pertussis infection and vaccination. BIOpreparations. Prevention, Diagnosis, Treatment. 2021;21(1):10–9. https://doi.org/10.30895/2221-996X-2021-21-1-10-19</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Brito LA, Singh M. Acceptable levels of endotoxin in vaccine formulations during preclinical research. J Pharm Sci. 2011;100(1):34–7. https://doi.org/10.1002/jps.22267</mixed-citation><mixed-citation xml:lang="en">Brito LA, Singh M. Acceptable levels of endotoxin in vaccine formulations during preclinical research. J Pharm Sci. 2011;100(1):34–7. https://doi.org/10.1002/jps.22267</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Nazirov MR, Poddubikov AV, Kukes VG, et al. Quantitative assay of B. pertussis lipopolysaccharide. Bull Exp Biol Med. 2022; 172(6):718–20. https://doi.org/10.1007/s10517-022-05463-w</mixed-citation><mixed-citation xml:lang="en">Nazirov MR, Poddubikov AV, Kukes VG, et al. Quantitative assay of B. pertussis lipopolysaccharide. Bull Exp Biol Med. 2022; 172(6):718–20. https://doi.org/10.1007/s10517-022-05463-w</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Dias WO, van der Ark AAJ, Sakauchi MA, et al. An improved whole cell pertussis vaccine with reduced content of endotoxin. Hum Vaccin Immunother. 2013;9(2):339–48. https://doi.org/10.4161/hv.22847</mixed-citation><mixed-citation xml:lang="en">Dias WO, van der Ark AAJ, Sakauchi MA, et al. An improved whole cell pertussis vaccine with reduced content of endotoxin. Hum Vaccin Immunother. 2013;9(2):339–48. https://doi.org/10.4161/hv.22847</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Moylett EH, Hanson IC. Mechanistic actions of the risks and adverse events associated with vaccine administration. J Allergy Clin Immunol. 2004;114(5):1010–20. https://doi.org/10.1016/j.jaci.2004.09.007</mixed-citation><mixed-citation xml:lang="en">Moylett EH, Hanson IC. Mechanistic actions of the risks and adverse events associated with vaccine administration. J Allergy Clin Immunol. 2004;114(5):1010–20. https://doi.org/10.1016/j.jaci.2004.09.007</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Pérez-Ortega J, van Boxtel R, de Jonge EF, Tommassen J. Regulated expression of lpxC allows for reduction of endotoxicity in Bordetella pertussis. Int J Mol Sci. 2022;23(14):8027. https://doi.org/10.3390/ijms23148027</mixed-citation><mixed-citation xml:lang="en">Pérez-Ortega J, van Boxtel R, de Jonge EF, Tommassen J. Regulated expression of lpxC allows for reduction of endotoxicity in Bordetella pertussis. Int J Mol Sci. 2022;23(14):8027. https://doi.org/10.3390/ijms23148027</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Baffeta F, Cecchi R, Guerrini E, et al. Relationship between endotoxin content in vaccine preclinical formulations and animal welfare: An extensive study on historical data to set an informed threshold. Vaccines 2024;12(7):815. https://doi.org/10.3390/vaccines12070815</mixed-citation><mixed-citation xml:lang="en">Baffeta F, Cecchi R, Guerrini E, et al. Relationship between endotoxin content in vaccine preclinical formulations and animal welfare: An extensive study on historical data to set an informed threshold. Vaccines 2024;12(7):815. https://doi.org/10.3390/vaccines12070815</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Koj S, Ucieklak K, Lugowski C, Niedziela T. Structure and immunogenicity of the Bordetella pertussis LOS-derived oligosaccharides in the endosomal-like pre-processing mice model. Vaccines (Basel). 2021;9(6):645. https://doi.org/10.3390/vaccines9060645</mixed-citation><mixed-citation xml:lang="en">Koj S, Ucieklak K, Lugowski C, Niedziela T. Structure and immunogenicity of the Bordetella pertussis LOS-derived oligosaccharides in the endosomal-like pre-processing mice model. Vaccines (Basel). 2021;9(6):645. https://doi.org/10.3390/vaccines9060645</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Geurtsen J, Steeghs L, Hamstra HJ, et al. Expression of the lipopolysaccharide-modifying enzymes PagP and PagL modulates the endotoxic activity of Bordetella pertussis. Infect Immun. 2006;74(10):5574–85. https://doi.org/10.1128/IAI.00834-06</mixed-citation><mixed-citation xml:lang="en">Geurtsen J, Steeghs L, Hamstra HJ, et al. Expression of the lipopolysaccharide-modifying enzymes PagP and PagL modulates the endotoxic activity of Bordetella pertussis. Infect Immun. 2006;74(10):5574–85. https://doi.org/10.1128/IAI.00834-06</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Arenas J, Pupo E, Phielix C, et al. Shortening the lipid A acyl chains of Bordetella pertussis enables depletion of lipopolysaccharide endotoxic activity. Vaccines (Basel). 2020;8(4):594. https://doi.org/10.3390/vaccines8040594</mixed-citation><mixed-citation xml:lang="en">Arenas J, Pupo E, Phielix C, et al. Shortening the lipid A acyl chains of Bordetella pertussis enables depletion of lipopolysaccharide endotoxic activity. Vaccines (Basel). 2020;8(4):594. https://doi.org/10.3390/vaccines8040594</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Pérez-Ortega J, van Boxtel R, Plisnier M, et al. Biosynthesis of the inner core of Bordetella pertussis lipopolysaccharides: Effect of mutations on LPS structure, cell division, and Toll-like receptor 4 activation. Int J Mol Sci. 2023;24(24):17313. https://doi.org/10.3390/ijms242417313</mixed-citation><mixed-citation xml:lang="en">Pérez-Ortega J, van Boxtel R, Plisnier M, et al. Biosynthesis of the inner core of Bordetella pertussis lipopolysaccharides: Effect of mutations on LPS structure, cell division, and Toll-like receptor 4 activation. Int J Mol Sci. 2023;24(24):17313. https://doi.org/10.3390/ijms242417313</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Skopova K, Holubova J, Bockova B, et al. Less reactogenic whole-cell pertussis vaccine confers protection from Bordetella pertussis infection. mSphere. 2025;10(4):e0063924. https://doi.org/10.1128/msphere.00639-24</mixed-citation><mixed-citation xml:lang="en">Skopova K, Holubova J, Bockova B, et al. Less reactogenic whole-cell pertussis vaccine confers protection from Bordetella pertussis infection. mSphere. 2025;10(4):e0063924. https://doi.org/10.1128/msphere.00639-24</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Mohamed YF, Fernandez RC. Programming Bordetella pertussis lipid A to promote adjuvanticity. Microbial Cell Factories. 2024;23(1):250. https://doi.org/10.1128/s12934-024-02518-7</mixed-citation><mixed-citation xml:lang="en">Mohamed YF, Fernandez RC. Programming Bordetella pertussis lipid A to promote adjuvanticity. Microbial Cell Factories. 2024;23(1):250. https://doi.org/10.1128/s12934-024-02518-7</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">de Gouw D, Diavatopoulos DA, Bootsma HJ, et al. Pertussis: A matter of immune modulation. FEMS Microbiol Rev. 2011;35(3):441–74. https://doi.org/10.1111/j.1574-6976.2010.00257.x</mixed-citation><mixed-citation xml:lang="en">de Gouw D, Diavatopoulos DA, Bootsma HJ, et al. Pertussis: A matter of immune modulation. FEMS Microbiol Rev. 2011;35(3):441–74. https://doi.org/10.1111/j.1574-6976.2010.00257.x</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Flak TA, Goldman WE. Signalling and cellular specificity of airway nitric oxide production in pertussis. Cell Microbiol. 1999;1(1):51–60. https://doi.org/10.1046/j.1462-5822.1999.00004.x</mixed-citation><mixed-citation xml:lang="en">Flak TA, Goldman WE. Signalling and cellular specificity of airway nitric oxide production in pertussis. Cell Microbiol. 1999;1(1):51–60. https://doi.org/10.1046/j.1462-5822.1999.00004.x</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Flak TA, Heiss LN, Engle JT, Goldman WE. Synergistic epithelial responses to endotoxin and a naturally occurring muramyl peptide. Infect Immun. 2000;68(3):1235–42. https://doi.org/10.1128/IAI.68.3.1235-1242.2000</mixed-citation><mixed-citation xml:lang="en">Flak TA, Heiss LN, Engle JT, Goldman WE. Synergistic epithelial responses to endotoxin and a naturally occurring muramyl peptide. Infect Immun. 2000;68(3):1235–42. https://doi.org/10.1128/IAI.68.3.1235-1242.2000</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Trollfors B, Lagergård T, Taranger J, et al. Serum immunoglobulin G antibody responses to Bordetella pertussis lipo­oligosaccharide and B. parapertussis lipopolysaccharide in children with pertussis and parapertussis. Clin Diagn Lab Immunol. 2001;8(5):1015–17. https://doi.org/10.1128/CDLI.8.5.1015-1017.2001</mixed-citation><mixed-citation xml:lang="en">Trollfors B, Lagergård T, Taranger J, et al. Serum immunoglobulin G antibody responses to Bordetella pertussis lipo­oligosaccharide and B. parapertussis lipopolysaccharide in children with pertussis and parapertussis. Clin Diagn Lab Immunol. 2001;8(5):1015–17. https://doi.org/10.1128/CDLI.8.5.1015-1017.2001</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Belcher T, Dubois V, Rivera-Millot A, et al. Pathogenicity and virulence of Bordetella pertussis and its adaptation to its strictly human host. Virulence. 2021;12(1):2608–32. https://doi.org/10.1080/21505594.2021.1980987</mixed-citation><mixed-citation xml:lang="en">Belcher T, Dubois V, Rivera-Millot A, et al. Pathogenicity and virulence of Bordetella pertussis and its adaptation to its strictly human host. Virulence. 2021;12(1):2608–32. https://doi.org/10.1080/21505594.2021.1980987</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Gao J, Huang L, Luo S, et al. A novel vaccine formulation candidate based on lipooligosaccharides and pertussis toxin against Bordetella pertussis. Front Immunol. 2023; 14:1124695. https://doi.org/10.3389/fimmu.2023.1124695</mixed-citation><mixed-citation xml:lang="en">Gao J, Huang L, Luo S, et al. A novel vaccine formulation candidate based on lipooligosaccharides and pertussis toxin against Bordetella pertussis. Front Immunol. 2023; 14:1124695. https://doi.org/10.3389/fimmu.2023.1124695</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Mountzouros KT, Kimura A, Cowell JL. A bactericidal monoclonal antibody specific for the lipooligosaccharide of Bordetella pertussis reduces colonization of the respiratory tract of mice after aerosol infection with B. pertussis. Infect Immun. 1992;60(12):5316–8. https://doi.org/10.1128/iai.60.12.5316-5318.1992</mixed-citation><mixed-citation xml:lang="en">Mountzouros KT, Kimura A, Cowell JL. A bactericidal monoclonal antibody specific for the lipooligosaccharide of Bordetella pertussis reduces colonization of the respiratory tract of mice after aerosol infection with B. pertussis. Infect Immun. 1992;60(12):5316–8. https://doi.org/10.1128/iai.60.12.5316-5318.1992</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Weiss AA, Patton AK, Millen SH, et al. Acellular pertussis vaccines and complement killing of Bordetella pertussis. Infect Immun. 2004;72(12):7346–51. https://doi.org/10.1128/iai.72.12.7346-7351.2004</mixed-citation><mixed-citation xml:lang="en">Weiss AA, Patton AK, Millen SH, et al. Acellular pertussis vaccines and complement killing of Bordetella pertussis. Infect Immun. 2004;72(12):7346–51. https://doi.org/10.1128/iai.72.12.7346-7351.2004</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Wang P, Ramadan S, Dubey P, et al. Development of carbohydrate based next-generation anti-pertussis vaccines. Bioorg Med Chem. 2022;15(74):117066. https://doi.org/10.1016/j.bmc.2022.117066</mixed-citation><mixed-citation xml:lang="en">Wang P, Ramadan S, Dubey P, et al. Development of carbohydrate based next-generation anti-pertussis vaccines. Bioorg Med Chem. 2022;15(74):117066. https://doi.org/10.1016/j.bmc.2022.117066</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Albitar-Nehme S, Basheer SM, Njamkepo E, et al. Comparison of lipopolysaccharide structures of Bordetella pertussis clinical isolates from pre- and post-vaccine era. Carbohydr Res. 2013;378:56–62. https://doi.org/10.1016/j.carres.2013.05.002</mixed-citation><mixed-citation xml:lang="en">Albitar-Nehme S, Basheer SM, Njamkepo E, et al. Comparison of lipopolysaccharide structures of Bordetella pertussis clinical isolates from pre- and post-vaccine era. Carbohydr Res. 2013;378:56–62. https://doi.org/10.1016/j.carres.2013.05.002</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Steinman RM, Hemmi H. Dendritic cells: Translating innate to adaptive immunity. In: Pulendran B, Ahmed R, eds. From innate immunity to immunological memory. Current topics in microbiology and immunology. Berlin, Heidelberg: Springer; 2006. P. 17–58. https://doi.org/10.1007/3-540-32636-7_2</mixed-citation><mixed-citation xml:lang="en">Steinman RM, Hemmi H. Dendritic cells: Translating innate to adaptive immunity. In: Pulendran B, Ahmed R, eds. From innate immunity to immunological memory. Current topics in microbiology and immunology. Berlin, Heidelberg: Springer; 2006. P. 17–58. https://doi.org/10.1007/3-540-32636-7_2</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
