Cold-Adapted Viral Attenuation (CAVA): Highly Temperature Sensitive Polioviruses as Novel Vaccine Strains for a Next Generation Inactivated Poliovirus Vaccine

Autor: Lewis John Alfred, Javier Martin, Isabel de los Rios Oakes, Vladimir van Hoek, Viki Bockstal, Laura Crawt, Taco G. Uil, Gillian Cooper, Yutong Song, Eckard Wimmer, Diana Edo-Matas, Roland Zahn, Barbara Petronella Sanders, Hanneke Schuitemaker, Jerome Custers, Jeronimo Cello, Tobias Kamphuis
Rok vydání: 2016
Předmět:
RNA viruses
0301 basic medicine
Hot Temperature
Physiology
Pathology and Laboratory Medicine
medicine.disease_cause
Biochemistry
Enteroviruses
Serial passage
Immune Physiology
Medicine and Health Sciences
Public and Occupational Health
CD155
Biology (General)
Neutralizing antibody
Internal Ribosome Entry Site
Vaccines
Immune System Proteins
Attenuated vaccine
Viral Vaccine
Poliovirus
Vaccination
Microbial Mutation
Vaccination and Immunization
Cold Temperature
Phenotype
Medical Microbiology
Viral Pathogens
Viruses
Inactivated Poliovirus Vaccine
RNA
Viral

Pathogens
Research Article
Attenuated Vaccines
QH301-705.5
Immunology
Mice
Transgenic

Biology
Microbiology
03 medical and health sciences
Virology
Genetics
medicine
Animals
Antigens
Microbial Pathogens
Molecular Biology
Organisms
Biology and Life Sciences
Proteins
RC581-607
Viral Replication
Rats
Poliovirus Vaccine
Inactivated

030104 developmental biology
Viral replication
Poliovirus Vaccine
Oral

Mutation
biology.protein
Parasitology
Preventive Medicine
Immunologic diseases. Allergy
Poliomyelitis
Zdroj: PLoS Pathogens, Vol 12, Iss 3, p e1005483 (2016)
PLoS Pathogens
ISSN: 1553-7374
DOI: 10.1371/journal.ppat.1005483
Popis: The poliovirus vaccine field is moving towards novel vaccination strategies. Withdrawal of the Oral Poliovirus Vaccine and implementation of the conventional Inactivated Poliovirus Vaccine (cIPV) is imminent. Moreover, replacement of the virulent poliovirus strains currently used for cIPV with attenuated strains is preferred. We generated Cold-Adapted Viral Attenuation (CAVA) poliovirus strains by serial passage at low temperature and subsequent genetic engineering, which contain the capsid sequences of cIPV strains combined with a set of mutations identified during cold-adaptation. These viruses displayed a highly temperature sensitive phenotype with no signs of productive infection at 37°C as visualized by electron microscopy. Furthermore, decreases in infectious titers, viral RNA, and protein levels were measured during infection at 37°C, suggesting a block in the viral replication cycle at RNA replication, protein translation, or earlier. However, at 30°C, they could be propagated to high titers (9.4–9.9 Log10TCID50/ml) on the PER.C6 cell culture platform. We identified 14 mutations in the IRES and non-structural regions, which in combination induced the temperature sensitive phenotype, also when transferred to the genomes of other wild-type and attenuated polioviruses. The temperature sensitivity translated to complete absence of neurovirulence in CD155 transgenic mice. Attenuation was also confirmed after extended in vitro passage at small scale using conditions (MOI, cell density, temperature) anticipated for vaccine production. The inability of CAVA strains to replicate at 37°C makes reversion to a neurovirulent phenotype in vivo highly unlikely, therefore, these strains can be considered safe for the manufacture of IPV. The CAVA strains were immunogenic in the Wistar rat potency model for cIPV, inducing high neutralizing antibody titers in a dose-dependent manner in response to D-antigen doses used for cIPV. In combination with the highly productive PER.C6 cell culture platform, the stably attenuated CAVA strains may serve as an attractive low-cost and (bio)safe option for the production of a novel next generation IPV.
Author Summary The vaccines that are used to protect against poliovirus infection have been available since the 1950s and have brought the eradication of poliomyelitis to our doorstep. For the post-eradication era, an Inactivated Poliovirus Vaccine (IPV) based on attenuated Sabin strains is recommended, as these strains are currently the only option to move to safer manufacturing of IPV. Here we describe three novel poliovirus strains that cannot replicate at 37°C. Their lack of pathogenicity was confirmed by intracerebral inoculation of susceptible transgenic mice that subsequently did not develop any symptoms of poliomyelitis. The inability to replicate at 37°C is caused by multiple mutations which do not revert to virulence after passage in cells. Furthermore, when used as vaccines, these viruses were capable of inducing a potent immune response in rats. At low temperature (30°C) these viruses showed high productivity on the PER.C6 cell line, which has the potential to significantly reduce costs of goods, as previously shown for conventional poliovirus strains. Taken together, these new strains could contribute to a safe, genetically stable, efficacious and affordable IPV.
Databáze: OpenAIRE