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Inactivated human rotavirus vaccine induces heterotypic antibody response: Correction and development of IgG avidity assay a

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Daniel E. Velasquez , Yuhuan Wang & Baoming Jiang

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Division of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, USA Accepted author version posted online: 18 Feb 2015.

Click for updates To cite this article: Daniel E. Velasquez, Yuhuan Wang & Baoming Jiang (2015): Inactivated human rotavirus vaccine induces heterotypic antibody response: Correction and development of IgG avidity assay, Human Vaccines & Immunotherapeutics, DOI: 10.4161/21645515.2014.988553 To link to this article: http://dx.doi.org/10.4161/21645515.2014.988553

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Letter to the Editor Inactivated human rotavirus vaccine induces heterotypic antibody response: Correction and development of IgG avidity assay Daniel E. Velasquez, Yuhuan Wang, Baoming Jiang

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Division of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, USA Address of correspondence:

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for Immunization and Respiratory Diseases, MS G04, 1600 Clifton Road NE, Atlanta, GA 30329. E-mail: [email protected].

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Abstract: To improve lower efficacy among infants in low income countries and the safety (e.g., rare but severe intussusception) of live oral rotavirus vaccines, we have developed CDC-9 strain

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with G1P[8] specificity as a candidate inactivated rotavirus vaccine (IRV). This IRV of three

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doses elicits high titers of IgG, neutralizing activity to homotypic and heterotypic human strains and IgG avidity in guinea pigs, thus is a promising alternative to enhance global immunization

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against rotavirus in children

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Keywords: rotavirus, IRV, CDC-9, heterotypic protection, IgG-avidity

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Dr. Baoming Jiang, Gastroenteritis and Respiratory Viruses Laboratory Branch, National Center

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To improve the safety (e.g., rare but severe intussusception) and lower immunogenicity and efficacy of live oral rotavirus vaccines among infants in low income countries, we have developed CDC-9 strain with G1P[8] specificity as a candidate inactivated rotavirus vaccine (IRV).

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This strain possesses desired biophysical, biochemical and virological characteristics

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for an IRV, as it grows to high titer (up to 108 ffu/ml) in Vero cells and maintains predominant

triple-layered particles (>95%) during upstream manufacture and downstream purification

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was highly immunogenic even at a fractional dose of an intramuscular dose in mice. 3 Inactivated CDC-9 strain when formulated with alum adjuvant and administered intramuscularly induced

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robust antibody response and protection from an oral challenge with a virulent homotypic human strain in gnotobiotic piglets. 4

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We further conducted studies to address the heterotypic immunity and reported that a monovalent IRV induced broad cross-reactive neutralizing activity (NA) against human G1P[8],

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G9P[8], and G8P[4] strains in gnotobiotic piglets and guinea pigs 5. Regrettably, we reported

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rotavirus-specific IgG and NA in sera of IRV-immunized guinea pigs on incorrect days of post vaccination. Here we present correct kinetic data on homotypic and heterotypic antibody

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response in immunized guinea pigs (new Table 1). One dose of IRV significantly increased titers of IgG and NA against the two human strains, homotypic Wa G1P[8] (mean = 320, p =

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processes. Inactivated CDC-9 strain alone when administered to skin using a microneedle patch

0.005) and heterotypic MW333 G8P[4] (mean = 176, p = 0.005). Meanwhile, the NA against the bovine WC3-human WI79 reassortant (G1P[5]) was low (mean = 28) and undetectable against the parent WC3 bovine strain. A second dose boosted IgG and NA against the strains Wa (mean = 2048; p = 0.008) and MW333 (mean = 704; p = 0.010) as well as the G1P[5] reassortant (mean = 176; p = 0.007). However, it barely improved NA against the WC3 strain (mean = 44). A third

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dose further boosted IgG and NA against the strains Wa (mean = 3,072) and MW333 (mean = 1,152), but did not enhance NA against the WC3 strain and the G1P[5] reassortant virus. Of note, NA titers to the G1P[5] reassortant were significantly higher than the WC3 virus at post doses 2 (p = 0.010) and 3 (p = 0.007). No NA to the bovine-human WC3-WI79 (G6P[8]) reassortant was

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detected in any of pre and post sera.

We also employed this collection of guinea pig sera to examine the kinetics and

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by developing a rotavirus-specific IgG avidity assay (Figure). All animals had undetectable levels of IgG or IgG avidity index in pre-bled sera. Like IgG titers, IgG avidity index increased

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to a median value of 13% after dose 1, 42% after dose 2 and 51% after dose 3. The increases in avidity index from dose 1 to dose 2 and from dose 2 to dose 3 were significant.

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In summary, we have demonstrated that IgG and NA responses to IRV in guinea pigs

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were dose-dependent. While one dose of IRV was able to induce elevated IgG and NA against homotypic and heterotypic human strains, two doses were needed to prompt NA against the

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G1P[5] reassortant or the parent WC3 virus. A third injection further boosted the titers of IgG and NA to homotypic and heterotypic human strains but also augmented the avidity of IgG, thus

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a three-dose regimen of a monovalent IRV is recommended for further clinical development in humans.

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accumulated strength of IgG interactions with the multiple antigenic epitopes in virus particles

Acknowledgments

We thank W.J. Bellini and S. Mercader for assistance in developing rotavirus-specific IgG avidity assay and Stan Cryz of PATH for sponsoring the immunogenicity testing of IRV in guinea pigs.

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The finding and conclusions in this report are those of the authors and do not necessarily

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represent the official positions of Centers for Disease Control and Prevention

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References 1.

Jiang B, Gentsch JR, Glass RI. Inactivated rotavirus vaccines: a priority for accelerated

vaccine development. Vaccine 2008; 26:6754-8. 2.

Esona MD, Foytich K, Wang Y, Shin G, Wei G, Gentsch JR, Glass RI, Jiang B.

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Molecular characterization of human rotavirus vaccine strain CDC-9 during sequential passages in Vero cells. Human vaccines 2010; 6:247-253.

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Moon S, Wang Y, Edens C, Gentsch JR, Prausnitz MR, Jiang B. Dose sparing and

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enhanced immunogenicity of inactivated rotavirus vaccine administered by skin vaccination using a microneedle patch. Vaccine 2013; 31:3396-402.

Wang Y, Azevedo M, Saif LJ, Gentsch JR, Glass RI, Jiang B. Inactivated rotavirus

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vaccine induces protective immunity in gnotobiotic piglets. Vaccine 2010; 28:5432-6. Jiang B, Wang Y, Glass RI. Does a monovalent inactivated human rotavirus vaccine

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induce heterotypic immunity? Evidence from animal studies. Human vaccines & immunotherapeutics 2013; 9:1634-7.

Jiang B, Wang Y, Saluzzo JF, Bargeron K, Frachette MJ, Glass RI. Immunogenicity of a

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thermally inactivated rotavirus vaccine in mice. Human vaccines 2008; 4:143-7. Mercader S, Garcia P, Bellini WJ. Measles virus IgG avidity assay for use in

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immunology 2012; 19:1810-7.

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Table 1. Rotavirus specific IgG and neutralizing activity in IRV-vaccinated guinea pigs

IgG

Pre (day 0)

Post dose 1 (day 30)

Post dose 2 (day 60)

Post dose 3 (day 74)

Inactivated human rotavirus vaccine induces heterotypic antibody response: correction and development of IgG avidity assay.

To improve lower efficacy among infants in low income countries and the safety (e.g., rare but severe intussusception) of live oral rotavirus vaccines...
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