Vaccine 29 (2011) 3390–3397
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Vaccine
journal homepage: www.elsevier.com/locate/vaccine
Characterization and standardization of Sabin based inactivated polio vaccine:
Proposal for a new antigen unit for inactivated polio vaccines
Janny Westdijk
a,∗
, Debbie Brugmans
a
, Javier Martin
b
, Aart van’t Oever
a
,
Wilfried A.M. Bakker
a
, Lonneke Levels
c
, Gideon Kersten
a
a
National Institute for Public Health, Unit Vaccinology, Antonie van Leeuwenhoeklaan 9, 3720 AL Bilthoven, The Netherlands
b
National Institute for Biological Standards and Control, Blanche Lane, South Mimms, Potters Bar, Hertfordshire, UK
c
Netherlands Vaccine Institute Antonie van Leeuwenhoeklaan 11, 3720 AL Bilthoven, The Netherlands
article info
Article history:
Received 1 July 2010
Received in revised form 27 January 2011
Accepted 25 February 2011
Available online 11 March 2011
Keywords:
Inactivated polio vaccine
Sabin
Antigenicity
Immunogenicity
abstract
GMP-batches of Sabin-IPV were characterized for their antigenic and immunogenic properties. Antigenic
fingerprints of Sabin-IPV reveal that the D-antigen unit is not a fixed amount of antigen but depends
on antibody and assay type. Instead of the D-antigen unit we propose standardization of IPV based on a
combination of protein amount for dose and D-antigenicity for quality of the vaccine. Although Sabin-IPV
type 2 is less immunogenic than regular wild type IPV type 2, the immunogenicity (virus neutralizing
titers) per microgram antigen for Sabin-IPV type 2 is in the same order as for wild type serotypes 1 and
3. The latter observations are in line with data from human trials. This suggests that a higher dose of
Sabin-IPV type 2 to compensate for the lower rat immunogenicity may not be necessary.
© 2011 Elsevier Ltd. All rights reserved.
1. Introduction
Thanks to the Sabin oral poliovirus vaccine (OPV), the wild-type
inactivated poliovirus vaccine (wt IPV) and the successful WHO
campaign for Global Eradication of Polio [1,2] eradication of wild-
type polio virus is at hand. One major disadvantage of attenuated
OPV is that it can cause vaccine-associated paralytic poliomyeli-
tis or outbreaks of vaccine-derived poliovirus [3]. If because of
that OPV use is discontinued, the only vaccine available to induce
and maintain immunity against polio will be IPV. To prepare for
the post-eradication period and meet the demands for IPV, the
production capacity of wt IPV would need to increase. However
a major drawback of producing wt IPV is that the strains used
require stringent containment measures, which restricts produc-
tion to industrialized countries [4]. Therefore the development of
Sabin IPV that can be produced economically on an large scale in
developing countries may constitute an attractive option.
WHO has requested NVI to develop a safe and effective
candidate Sabin IPV. Different studies have reported the poor
immunogenicity of Sabin type 2 and the lack of comparability
between wt IPV and Sabin IPV with regard to antigenicity [5–8]. IPV
antigenicity is expressed in D-antigen units. A complicating mat-
ter in the comparison of antigenic and immunogenic properties is
∗
Corresponding author. Tel.: +31 302742474; fax: +31 302744426.
E-mail address: janny.westdijk@rivm.nl (J. Westdijk).
the fact that the D-antigen is not well defined. Manufacturers and
Official Medicines Control Laboratories use their own antibodies
and procedures. Collaborative studies have shown that this often
causes problems when IPV-samples have to be quantified. This is
the case for both antigenicity [9] as well as in immunoassays [10].
In this paper we have extended the study on antigenic and
immunogenic properties of Sabin IPV with a panel of monoclonal
antibodies (mabs) and two different methods to come to a pre-
cise antigenic fingerprint of Sabin IPV. By quantification of protein
and virus and measuring potency, we were able to compare anti-
genic and immunogenic profiles of Sabin IPV and wt IPV. Based on
the results of the characterization and standardization study we
propose a better defined unit for inactivated poliovirus vaccines.
2. Materials and methods
2.1. Vaccine preparation
wt IPV and International Reference (Pu91-01) [11] were pro-
duced under cGMP conditions according to a routine production
process [12,13]. Sabin IPV was produced under cGMP according
to a slightly modified wt IPV production process. Vero cells were
cultivated on micro carriers (Cytodex 1, GE Healthcare) suspended
in fermentors, followed by infection with wild strains (Mahoney,
MEF-1 or Saukett) or Sabin (LSc 2ab KP
2
; P7
12
Ch2ab-KP
2
or
Pfizer 457-III) strains. Virus was purified by filtration (clarifica-
tion followed by ultra filtration, both Millipore), gel permeation
0264-410X/$ – see front matter © 2011 Elsevier Ltd. All rights reserved.
doi:10.1016/j.vaccine.2011.02.085