Instituto Nacional de Controle de Qualidade em Saúde (INCQS), Fundação Oswaldo Cruz (FIOCRUZ), Av. Brasil, 4365, Manguinhos, CEP: 21040-900, Rio de Janeiro, RJ, Brazil.
Instituto Nacional de Controle de Qualidade em Saúde (INCQS), Fundação Oswaldo Cruz (FIOCRUZ), Av. Brasil, 4365, Manguinhos, CEP: 21040-900, Rio de Janeiro, RJ, Brazil; Centro Brasileiro de Validação de Métodos Alternativos (BraCVAM), INCQS, FIOCRUZ, Brazil.
J Virol Methods. 2019 Feb;264:31-37. doi: 10.1016/j.jviromet.2018.11.005. Epub 2018 Nov 15.
Rabies lethality is close to 100% and annually 15 million people receive post-exposure prophylaxis. Testing for vaccines against this zoonosis should ensure its quality. A standardized test by the National Institutes of Health (NIH) test, based on mice immunization and challenge, has been used to determine the potency of vaccine lots. It has several disadvantages, the main one being its significant variability. Several in vitro methods like an Enzyme-linked immunosorbent assay (ELISA) have been proposed based on the quality and quantity of glycoprotein (Glptn) of rabies virus, but may also present limitations such as low sensitivity, instability and imprecision. The estimate of immunogenicity based on neutralizing antibody titer (Nab) evaluated by a serological test (ST) such as the Modified Rapid Fluorescent Focus Inhibition Test (mRFFIT), is not yet efectively applied for human vaccine. Nevertheless, a Nab concentration can be used as a predictor of clinical efficacy of this product in vaccinated humans, so, that can be applied in estimating the vaccine potency. The aim of this study was to verify the lower limit of immunogenicity of the viral Glptn content in mice using mRFFIT. The lower Glptn content by ELISA able to induce Nab response was determined. The results were correlated and demonstrated that ST was able to determine the Glptn immunogenicity lower limit. Our findings suggest that a test based on rabies Nabs may represent an additional alternative for the evaluation of rabies vaccines.
狂犬病的致死率接近 100%,每年有 1500 万人接受暴露后预防。针对这种人畜共患病的疫苗检测应确保其质量。美国国立卫生研究院(NIH)基于小鼠免疫和挑战的标准化检测已被用于确定疫苗批次的效力。它有几个缺点,主要是其显著的可变性。已经提出了几种基于狂犬病病毒糖蛋白(Glptn)的质量和数量的体外方法,如酶联免疫吸附试验(ELISA),但也可能存在灵敏度低、稳定性和不精确性等限制。基于中和抗体滴度(Nab)的免疫原性估计通过血清学试验(ST)如改良快速荧光灶抑制试验(mRFFIT)进行评估,但尚未有效地应用于人类疫苗。然而,Nab 浓度可作为疫苗接种人群中该产品临床疗效的预测指标,因此可用于评估疫苗效力。本研究旨在使用 mRFFIT 验证小鼠中病毒 Glptn 含量的免疫原性下限。确定了能够诱导 Nab 反应的 ELISA 中较低的 Glptn 含量。结果进行了相关性分析,表明 ST 能够确定 Glptn 的免疫原性下限。我们的研究结果表明,基于狂犬病 Nab 的检测可能是评估狂犬病疫苗的另一种替代方法。