百日咳菌苗免疫力水平测定两种统计方法的比较

利用生物统计软件对兰州生研所１２年间生产的１４７批百日咳菌苗原液的免疫力进行质反应平行线测定分析（平行线法）,并与《中国生物制品规程》９５版中Ｗｉｌｓｏｎ Ｗｏｒｃｅｓｔｅｒ法（Ｗ－Ｗ）比较,结果表明,质反应平行线测定法的各剂量反应百分率落在经验区间内;ＥＤ５０可信限区间为０．０１６～０．０１４;相对效价９５％可信限区间为０７７５～０．６５５。按合格、不合格、复试三个水平对１４７批百日咳菌苗的免疫力进行了分析与评价。并以中国百日咳菌苗免疫力试验用参考品为对照,对待检菌苗的稳定性及实验一致性进行了质量检测,计得总体回归系数分别为１．５８７９（ｘ２＝６０．９０）和１．３８４９（ｘ２＝１６３．２４）;总体ＥＤ５０分别为０．０１４和０．０１５;待检菌苗总体相对效价０７１４,两法的ＥＤ５０值间及相对效价值间存在很好的相关性（ｒ＝０．８３７６及ｒ＝０．９９４０）。     

吸附精制百日咳菌苗、白喉、破伤风类毒素混合制剂稳定性的研究

将连续生产并已申报人体接种反应观察的三批吸附精制百日咳菌苗、白喉、破伤风类毒素混合制剂,分别于４～８℃、１８～２２℃、３７℃贮存半年、１年、１年半和３０天,然后以小鼠法或豚鼠法对该制剂进行安全稳定性、效力稳定性以及毒性逆转等测试。其毒力安全稳定性试验表明,三批混合制剂中的精制百日咳菌苗在４～８℃贮半年、１年、１年半后、它们的ＢＷＤＵ／ｍｌ、ＬＰＵ／ｍｌ、ＨＳＵ／ｍｌ均无显著性差异（Ｐ＞０．０５）;白喉及破伤风类毒素在４～８℃贮存半年,１年、１年半以及１８～２２℃贮存半年和３７℃贮存３０天后,三批测试组的豚鼠均健存且体重增加。在效力稳定性试验中,４～８℃贮存１年和１年半后精制百日咳菌苗的效力与贮存前（分别为２６．７３ＩＵ／ｍｌ、２１．０２ＩＵ／ｍｌ、１９．１７ＩＵ／ｍｌ）无显著性差异（ｔ＝０．１１４;Ｐ＞０．０５）;白喉及破伤风类毒素４～８℃贮存长达１年半后,效力仍在２～３．２ＩＵ／ｍｌ,动物保护率仍可达８０～１００％。三批混合制剂在３７℃贮存３０天后,通过Ｓｃｈｉｃｋ毒性试验及测定ＢＷＤＵ／ｍｌ、ＬＰＵ／ｍｌ、ＨＳＵ／ｍｌ各指标显示,精制百日咳菌苗、白喉和破伤风类毒素无毒性逆转。说明该吸附精制百、白、破混合     

无细胞百日咳疫苗的质量控制及其标准化

无细胞百日咳疫苗在全世界范围内已逐渐用于婴幼儿的计划免疫和加强注射中,但到目前为止没有完全令人满意的效力试验方法。小鼠保护试验不适合对无细胞百日咳疫苗进行效力评估,免疫原性试验在衡量制品一致性方面是有用的,但与临床保护之间缺乏相关性,最近建立的气雾攻击主动保护试验为功能性效力试验开创了美好的前景。用生物学结合物理化学方法对疫苗抗原含量,纯度,安全性和免疫原性的研究,对新开发的尚无有效效力试验方法的同类疫苗质量控制及标准化问题提供了指导。     

一种全细胞百日咳菌苗效力试验替代方法的建立

<正>全细胞百日咳菌苗的效力通过小鼠保护试验(AMPT)来判定。此法是用不同稀释度的百日咳国际参考苗(ZSPV)和待检菌苗免疫小鼠,14天后脑腔攻击Bordetella百日咳菌18323(100-1000LD50)。 从1951年到1959年,由医学研究委员会进行的现场研究表明,能使小鼠抵抗脑腔攻击的百日咳菌苗也可保护儿童。尽管在AMPT的结果和接种的个体产生的保护力之间有高度的相关性,此试验仍有许多操作上的困难:(i)需要大量可对百日咳菌苗的免疫产生应答的小鼠。这些动物须在适宜的环境中喂养一个月,费用很高;(ii)脑腔注射需要毒株;(iii)实验室间和实验室内的结果有很大的     

乙肝血源疫苗效力试验结果质量分析

本文对６个厂家７年间生年的乙肝血源疫苗效力试验结果进行统计分析,结果表明各厂家的相对效价均值间有差异,各年度相对效价呈上升趋势,原因是试验条件不统一、试验误差大及参比苗效力的显著下降。结果提示应统一动物品系、试剂盒及严格操作并监测参比苗效力的下降趋势以便及时更换参比苗。     

鲎试验法检测A群流脑多糖菌苗中内毒素的研究

本文应用鲎试验凝胶法定量测定了２１２批Ａ群流脑多糖菌苗中内毒素含量,并与家兔热原试验结果进行了比较,通过试验求得内毒素标准品对家兔体温升温变化关系的线性方程和内毒素对家兔最小致热剂量。结果表明,占检定总批数９４．３％的制品中内毒素含量＜１００ＩＵ／μｇ多糖,家兔热原试验合格率为１００％,５．７％的制品中内毒素含量≥１００ＩＵ／μｇ多糖,家兔热原试验合格率为５８．３％。根据实验结果,可制订用凝胶法替代家兔法进行Ａ群流脑多糖菌苗的热原质试验的判定标准。作者建议：内毒素含量＜１００ＩＵ／μｇ多糖者,热原质试验判为合格,≥１００ＩＵ／μｇ多糖者,用家兔法予以仲裁。     

关于吸附精制百日咳菌苗、白喉、破伤风类毒素混合制剂配方的实验报告

本文对吸附精制百白破混合制剂的不同配方进行了实验,结果表明,新一代吸附精制百白破混合制剂最佳配方为：精制百日咳菌苗１８μｇＰＮ／ｍｌ、精制白喉类毒素为３０Ｌｆ／ｍｌ、精制破伤风类毒素为１０Ｌｆ／ｍｌ。由该配方组成的吸附精制百白破混合制剂,其中百日咳菌苗的毒性试验ＢＷＤＵ／ｍｌ、ＬＰＵ／ｍｌ、ＨＳＵ／ｍｌ三种指标均符合制检规程要求。其效力单位（ＩＵ／ｍｌ）超过规程要求一倍以上,精制白喉和破伤风类毒素的安全试验均符合规程要求,白类效力试验≥８０－１００％,破类效力试验≥０．５－４．５ＩＵ／ｍｌ。上述结果说明本文提出的配方作为新一代精制百白破混合制剂的配方是适宜和实用的。     

双抗体夹心ELISA与NIH法在狂犬病疫苗抗原检测中的比较

通过用单克隆抗体制备双抗体夹心ELISA,快速检测狂犬病疫苗中狂犬病毒糖蛋白(G)的含量,将狂犬病疫苗的检定时间由28天缩短至2个工作日,以此缩短疫苗库存待检时间,提高疫苗的生产和销售效率,并最终替代NIH动物法.将待检的狂犬病疫苗样品在同一性别12～14g昆明鼠体内作效力检定试验(NIH),同时用双抗体夹心ELISA检测狂犬病疫苗中狂犬病毒G蛋白含量,用Microsoft Office Excel做出标准品和各样品疫苗的线性关系图并计算出疫苗效力值E-NIH.结果用双抗体夹心ELISA所得的E-NIH与对应的小鼠效力试验所得结果M-NIH之间呈正相关性;同一批狂犬病疫苗分次测得E-NIH值在2.41～5.85之间,而相应的M-NIH值在5.11～10.19之间.从而得出E-NIH与相应的M-NIH之间存在明显的线性关系;与NIH法比较,ELISA具有重复性好、成本低、快速等优点;用双抗体夹心ELISA替代小鼠效力试验是可能并可行的.     

戊型肝炎疫苗上市后质量控制

目的对中国独创的基因重组戊型肝炎(hepatitis E,HE)疫苗Hecolin~?上市后质量的一致性进行评价。方法比较了Hecolin~?批签发疫苗与III期临床试验疫苗的效力试验检测结果,进而通过趋势分析评价Hecolin~?疫苗上市5年来的批间质量一致性。结果批签发疫苗与Ⅲ期临床试验疫苗的体内效力试验结果一致。批签发疫苗体内效力、铝含量、硫柳汞含量、p H等关键指标,中国食品药品检定研究院与企业的趋势分析结果均显示具有较好的一致性。结论趋势分析结果表明,上市后Hecolin~?疫苗批间质量一致性较好,质量稳定。     

双抗夹心ELISA法在无细胞百日咳疫苗生产质控中的应用

实验中对无细胞百日咳疫苗的脱毒工序优化后,采用双抗夹心ELISA法来检测百日咳有效组分含量,同时采用效价试验方法来验证结果。ELISA法定量测定有效成分的结果和效价试验结果均证明达到《中国药典》三部2005版的要求。由于双抗夹心ELISA法特异性强,灵敏度高,适用于无细胞百日咳疫苗生产各个环节的质量控制。     

Immune response to the mumps component of the MMR vaccine in the routine of immunisation services in the Brazilian National Immunisation Program

A non-controlled longitudinal study was conducted to evaluate the combined vaccine against measles, mumps and rubella (MMR) immunogenicity in 150 children vaccinated in the routine of three health units in the city of Rio de Janeiro, Brazil, 2008-2009, without other vaccines administered during the period from 30 days before to 30 days after vaccination. A previous study conducted in Brazil in 2007, in 1,769 children ranging from 12-15 months of age vaccinated against yellow fever and MMR simultaneously or at intervals of 30 days or more between doses, had shown low seroconversion for mumps regardless of the interval between administration of the two vaccines. The current study showed 89.5% (95% confidence interval: 83.3; 94.0) seroconversion rate for mumps. All children seroconverted for measles and rubella. After revaccination, high antibody titres and seroconversion rates were achieved against mumps. The results of this study and others suggest that two MMR doses confer optimal immunoresponses for all three antigens and the possible need for additional doses should be studied taking into account not only serological, but also epidemiological data, as there is no serological correlate of protection for mumps.     

An in vitro growth inhibition test for measuring the potency of Leptospira spp. Sejroe group vaccine in buffaloes

Leptospira spp. serovars Hardjo and Wollfi from Sejroe serogroup have been detected in livestock in Brazil, where the main control procedures rely on vaccination. The potency of two commercial vaccines available in this country was monitored by microagglutination test-MAT and in vitro growth inhibition test-GIT in serum samples from 33 female buffaloes divided into: G1-unvaccinated control; G2-vaccinated with Leptobac-6^® containing serovars Hardjo and Wolffi and G3-vaccinated with Triangle-9^® containing serovar Hardjo. G2 and G3 animals were vaccinated on day zero, and received a booster and two revaccinations on days 30, 210 and 390 and G1 animals received phosphate buffered saline. Serum samples were collected at 15-day intervals between days 0 and 60; and at 30-day intervals between days 60 and 540 and were tested by MAT and GIT with serovars Hardjo and Wolffi. G1 remained negative throughout the experiment. Both vaccines were able to induce agglutinating and growth inhibition antibodies. Six months after the last revaccination, all animals tested negative by MAT, but still were positive by GIT until the end of experimental period. GIT could be a good tool to evaluate the potency and to monitor antibodies responses of vaccines of Sejroe group serovars.     

Sources of variability in foot and mouth disease vaccine potency estimates based on serum neutralizing antibody assay

Some vaccines can be assayed for potency by measuring the serum antibody response they produce in vaccinated test animals. Using data obtained from potency assays on batches of foot and mouth disease vaccine, the sources of variability in such a method were examined. A linear model is proposed for the analysis of replicate serum neutralizing antibody assays, which represents an improvement on the usual approach of working with only a mean serum assay value for each test animal. Components of variance were calculated, allowing the relative importance of the numbers of test animals, or the numbers of serum assays per test animal, to be estimated in terms of the variability of the overall group mean antibody response. A method is described for calculating fiducial intervals for the serological potency estimates, and it is shown that these intervals are no larger than, and are in fact probably smaller than, those obtained from quantal challenge tests. The results have important implications for the design and analysis of similar biological tests used for other products.     

Comparision of a serological potency assay for furunculosis vaccines (Aeromonas salmonicida subsp. salmonicida) to intraperitoneal challenge in Atlantic salmon (Salmo salar L.)

Batch potency testing of salmonid vaccines is mainly performed by in vivo challenge, which requires a lot of animals and causes severe pain. Due to the animal welfare concerns associated with in vivo immunization challenge tests, methods which could refine, reduce or replace (3Rs) these tests are needed.The aim of this study was to assess the use of serological assay (immunization & antibody estimation with an enzyme-linked immunosorbent assay (ELISA) for batch potency testing of oil adjuvanted, inactivated commercial furunculosis vaccines. In total ten vaccines were included in the study: two commercial multi-component vaccines and two experimental single-component furunculosis vaccines with 5% and 20% antigen content (relative to the commercial vaccine), from two manufacturers. In addition two experimental single component vaccines based on A-layer positive and A-layer negative Aeromonas salmonicida respectively were included. Challenge and blood sampling were conducted 9 weeks post vaccination.There was a correlation between antibody response against A. salmonicida as measured by ELISA and protection in i.p. challenge.This study shows that the ELISA assay can be used for testing different vaccine formulations and can potentially replace in vivo challenge tests for batch potency testing of furunculosis vaccines.     

Reduction of numbers of animals used in the quality control of biologicals

Laboratory animals are used for the quality control of vaccines. In particular, the potency testing of batches of inactivated vaccine requires large numbers of animals. The possibilities for reduction have been evaluated, and the results are summarised in this paper. Several approaches were studied, including the retrospective analysis of test data, with the objectives of determining the minimum number of animals required per vaccine dilution group, and evaluating the feasibility of a single-dose potency test. Other studies focused on the development of serology-based models and the use of genetically uniform animals. Based on the outcome of these studies, a substantial reduction in the number of animals used for the potency testing of toxoid vaccines has been achieved or will be achieved in the near future. As reduction alternatives can generally be explored in a relatively simpler and less time-consuming way than replacement alternatives, more emphasis should be placed on reduction strategies than at present.     

Some Results on the Tukey-Mclaughlin and Yuen Methods for Trimmed Means when Distributions are Skewed

In applied work, distributions are often highly skewed with heavy tails, and this can have disastrous consequences in terms of power when comparing groups based on means. One solution to this problem in the one-sample case is to use the TUKEY and MCLAUGHLIN (1963) method for trimmed means, while in the two-group case YUEN's (1974) method can be used. Published simulations indicate that they yield accurate confidence intervals when distributions are symmetric. Using a Cornish-Fisher expansion, this paper extends these results by describing general circumstances under which methods based on trimmed means can be expected to give more accurate confidence intervals than those based on means. The results cover both symmetric and asymmetric distributions. Simulations are also used to illustrate the accuracy of confidence intervals using trimmed means versus means.     

The use of the Toxin Binding Inhibition (ToBI) test for the estimation of the potency of the diphtheria component of vaccines

The Toxin Binding Inhibition (ToBI) test, previously developed for the estimation of diphtheria and tetanus antitoxin in human sera, was adapted for the estimation of the potency of diphtheria components in vaccines. Data are presented to show that antitoxin titres of individual sera of mice obtained by the ToBI test are in good agreement with those obtained in the Vero cell test. In addition, diphtheria potency and 95% confidence interval of twelve batches of vaccine in different compositions were estimated by the ToBI test and the results were compared with those obtained in Vero cells. A significant correlation could be demonstrated. It is concluded from this study that the ToBI test is a valuable model in the potency assay of diphtheria toxoids, based on antitoxin induction in mice.     

The influence of the inactivating agent on the antigen content of inactivated Newcastle disease vaccines assessed by the in vitro potency test

An in vitro potency test has recently been included in the European Pharmacopoeia (EP) monograph (01/2007:0870) to assess the potency of inactivated Newcastle disease (ND) vaccines. This enzyme linked immunosorbent assay (ELISA) is an attractive alternative for the existing in vivo potency tests especially with regard to the objective of the European Authorities to Replace, Reduce and Refine the use of laboratory animals for production and quality control of immunobiologicals.In the present study the influence of the inactivant on the antigen content established by ELISA was evaluated. Therefore, oil based vaccines containing similar concentrations of β-propiolactone (BPL) or formaldehyde inactivated Newcastle disease virus (NDV) were examined by ELISA and in the in vivo potency tests outlined in the EP.The results obtained demonstrate that the use of formaldehyde as inactivant lowered the in vitro potency compared to BPL as inactivant. In contrast, the in vivo potency was not affected. Therefore, the ELISA should not be used to compare the potency of commercial ND vaccines containing formaldehyde inactivated NDV with those containing BPL inactivated NDV. However, the ELISA is considered an attractive alternative for the existing in vivo potency tests since it can be used by vaccine manufacturers for the release of inactivated ND vaccines.     

精制狂犬病疫苗纯化方法的比较研究

地鼠肾细胞狂犬病疫苗原液经１００ ｋＤ 膜浓缩 ３０ 倍,分别选用（１）ＤＥＡＥ Ｓｅｐｈａｒｏｓｅ ＣＬ－６Ｂ离子交换层析法;（２）Ｓｅｐｈａｃｒｙ１ Ｓ－２００ ＨＲ 分子筛选层析法;（３）二次蔗糖等密度区带离心法对其进行纯化。用此三种方法各试制３ 批精制疫苗,结果表明,经ＤＥＡＥ Ｓｅｐｈａｒｏｓｅ ＣＬ－６Ｂ离子交换层析纯化后疫苗总蛋白含量减少９９％ 以上,抗原比活性提高１５９ 倍,抗原回收率达５０％ ,纯化疫苗以ＮＩＨ 法效力测定平均为５．４ ＩＵ／２ｍ ｌ;经Ｓｅｐｈａｃｒｙ１ Ｓ－２００ＨＲ 分子筛层析纯化后疫苗总蛋白含量减少 ９８％ 以上,抗原比活性提高４１ 倍,抗原回收率达６３％ ,纯化疫苗效力平均为６．２５ ＩＵ／２ｍ ｌ;经一次蔗糖等密度区带离心法纯化后疫苗总蛋白含量减少９８％ 以上,抗原比活性提高３２１ 倍,抗原回收率达４３％ ,纯化疫苗效力平均为６．１８ ＩＵ／２ｍ ｌ,三种纯化疫苗均符合Ｗ ＨＯ 规程要求。     

Report on the international workshop on alternative methods for human and veterinary rabies vaccine testing: State of the science and planning the way forward

Potency testing of most human and veterinary rabies vaccines requires vaccination of mice followed by a challenge test using an intracerebral injection of live rabies virus. NICEATM, ICCVAM, and their international partners organized a workshop to review the availability and validation status of alternative methods that might reduce, refine, or replace the use of animals for rabies vaccine potency testing, and to identify research and development efforts to further advance alternative methods. Workshop participants agreed that general anesthesia should be used for intracerebral virus injections and that humane endpoints should be used routinely as the basis for euthanizing animals when conducting the mouse rabies challenge test. Workshop participants recommended as a near-term priority replacement of the mouse challenge with a test validated to ensure potency, such as the mouse antibody serum neutralization test for adjuvanted veterinary rabies vaccines for which an international collaborative study was recently completed. The workshop recommended that an in vitro antigen quantification test should be a high priority for product-specific validation of human and non-adjuvanted veterinary rabies vaccines. Finally, workshop participants recommended greater international cooperation to expedite development, validation, regulatory acceptance, and implementation of alternative test methods for rabies vaccine potency testing.