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RiVax™
(Ricin toxine vaccine)
What
is Ricin Toxin?
Ricin
toxin is a protein derived from the beans of the castor
plant (Ricin communis). The toxin is a waste byproduct
from the production of castor oil.
What
are the Effects of Exposure to Ricin Toxin?
Ricin
is extremely toxic; the lethality is dependent to a
large degree on the route of exposure. The amount of
ricin that would fit onto the head of a pin would be
lethal to an adult if injected into the blood stream.
Roughly the same amount would kill an adult if properly
aerosolized and inhaled. A slightly larger amount (approximately
10 times) would be necessary to kill if the toxin was
ingested.
Ricin toxin works by irreversibly binding to, and entering,
cells in the body that the toxin comes into contact
with. Once inside the cell, the toxin inhibits protein
synthesis which leads to cell death. One molecule of
ricin toxin is enough to destroy a single cell. If ricin
is injected into the blood stream, it can cause severe
local necrosis of the muscle and regional lymph nodes
with organ involvement and rapid death. If ricin is
inhaled into the lungs, it will cause severe respiratory
distress and death within 36-72 hours. When a large
enough amount is ingested, ricin toxin causes severe
gastroenteritis, bleeding of the gastrointestinal tract,
and necrosis of the liver, kidney, and spleen, leading
to death within a few days. e
How
Is Ricin Poisoning Treated?
There
is no known treatment or vaccine available for ricin
poisoning. Ricin poisoning is treated by supportive
care only.
Why
is Ricin Considered a Bioterror Threat?
Ricin
is extremely deadly in small doses. Ricin beans are
widely available and the toxin is easy and inexpensive
to produce. The toxin is stable in powder and aerosolized
form, can be disseminated as an aerosol, an injection,
or as a food or water contaminant, and has no known
treatment or vaccine. The availability, ease of manufacture,
and lethality make it an attractive bioterror or biowarfare
weapon.
Has
Ricin Toxin Been Used as a Weapon Before?
Yes,
and evidence is suggesting that it’s appeal as a weapon
is increasing in the U.S. and abroad.
In the U.S. there have been 5 instances of ricin-related
threats since 1991. On January 12, 2003, the FBI issued
a nationwide alert to 17,000 law enforcement agencies
as well as food and beverage processors and suppliers
across the U.S. to be on the lookout for use of ricin
as a contaminate. The CDC began a daily ricin watch
in November, 2003 after ricin was found in an airport
mail center in Greenville, NC. The most recent case
resulted in the closing of three U.S. Senate office
buildings on February 3rd, 2004 after ricin was found
in U. S. Senator Bill Frist’s mailroom.
A recent article published in the Washington Post (May
5, 2004) reported that evidence is mounting that al
Qaeda is experimenting with manufacturing ricin for
the purposes of using it as a bioterror weapon. French
authorities, who are investigating an al Qaeda chemist
in Lyon, France, recently discovered that he had been
producing jars of ricin in his apartment; the number
and whereabouts of these jars is unknown and of great
concern to the French government amid rising speculation
of future bioterror attacks in Europe. Ricin-making
equipment or evidence of the toxin has been identified
in al Qaeda-related cells in Britain, France, Spain,
Russia, Georgia and northern Iraq in the past 2 ½ years.
Materials seized from al Qaeda members recently included
terrorist manuals with detailed instructions on how
to manufacture and use ricin toxin.
Perhaps the most famous ricin poisoning case was that
of dissident Bulgarian writer Georgi Markov and what’s
commonly known as the “Umbrella Assassination.” Markov
was a controversial political author and playwright
who was forced to flee communist Bulgaria in 1969 after
warnings that his life may be in danger. Markov spent
the next 10 years living in various European countries
and finally settled in London. On September 7, 1978,
Markov was waiting at a bus stop when he experienced
a sudden stinging pain in the back of his right thigh.
He turned and saw a man bending to pick up a dropped
umbrella, the tip of which had poked Markov in the back
of the right thigh. Later that evening, Markov developed
a high fever and was taken to a hospital, where he was
treated for an undetermined form of blood poisoning.
He went into shock, and after three days of agony, he
died. During the post-mortem, a 1.52 mm pellet was excised
from the wound in the back of his thigh and the British
government chemical defense group at Porton Down determined
that it had contained ricin toxin, the source of Markov’s
death.
About
RiVax™
In
September 2002, DOR BioPharma, Inc. executed an exclusive,
worldwide licensing agreement for the rights to an experimental
ricin vaccine (RiVax) from the University of Texas Southwestern
Medical Center (UT Southwestern). The vaccine, which
is being developed in collaboration with UT Southwestern,
is a modified subunit of the native ricin toxin which
has been genetically engineered to eliminate both its
enzymatic activity and its ability to induce vascular
leak syndrome (VLS). Complete elimination of both types
of toxicity is likely to render this vaccine safe at
effective doses and when administered as an intramuscular
injection, RiVax induces protective antibody production
in mice (Smallshaw et al. 2002. Vaccine. 20:3422-27).
In parallel to the development of this intramuscular
vaccine, we are testing a variety of vehicles incorporating
RiVax for nasal administration. The rationale for a
nasally-administered ricin vaccine are two-fold: a)
Convenience in the event that a large number of people
require vaccination in a short period of time, and b)
ricin toxin can destroy any cells it comes into contact
with, increasing the need for protection of exposed
mucosal surfaces. Since likely routes of exposure to
the toxin include inhalation or ingestion, protecting
the mucosal lining of the lungs and gut is important.
Preclinical experiments are ongoing to determine whether
a nasal formulation is stable and capable of conferring
mucosal immunity.
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