Wood D J, Heath A B
National Institute for Biological Standards and Control, Potters Bar, Herts, U.K.
Biologicals. 1995 Dec;23(4):301-11. doi: 10.1006/biol.1995.0049.
Ten laboratories studied the immunogenicity of six trivalent inactivated poliovirus vaccines in a WHO Collaborative Study. The antigenic content of all six vaccines had previously been estimated in an earlier study (Wood et al., 1995). In collaboration with the European Pharmacopoeia Commission an additional preparation, European Pharmacopoeia Biological Reference Preparation Batch 1, was also included. Laboratories were requested to use established immunogenicity assays and six used the European Pharmocoepia guinea pig/chick test while three used a rat potency test. One laboratory contributed data from both methods. Apart from one laboratory, within laboratory variation was low (less than five-fold). However, very large (greater than 100-fold) variation was seen between laboratories for ED50 results in the guinea pig/chick test. Different decisions on pass/fail outcome would have occurred for some of the samples tested. Between laboratory variation was much lower (less than five-fold) in the rat test. Expression of results as potencies relative to a standard reduced between laboratory variation for both methods, substantially so for the guinea pig/chick test. The correlation between in vivo and in vitro results was generally good with the exception of the type 3 component of one preparation. This showed that the relationship between immunogenicity and antigenicity was not necessarily predictable. There is an urgent need to revise the European Pharmocoepia immunogenicity test but it is premature, on the basis of this study, to recommend either the rat test or in vitro tests as replacements. Two candidate reference materials were both found suitable for in vivo assay of inactivated poliovirus vaccine.
十个实验室在世卫组织的一项协作研究中对六种三价灭活脊髓灰质炎疫苗的免疫原性进行了研究。之前在一项早期研究(Wood等人,1995年)中已对所有六种疫苗的抗原含量进行了估算。与欧洲药典委员会合作,还纳入了一种额外的制剂,即欧洲药典生物参考制剂第1批。要求各实验室使用既定的免疫原性检测方法,六个实验室使用欧洲药典豚鼠/鸡试验,三个实验室使用大鼠效力试验。一个实验室提供了两种方法的数据。除一个实验室外,实验室内差异较小(小于五倍)。然而,在豚鼠/鸡试验中,各实验室之间的ED50结果存在非常大的差异(大于100倍)。对于一些测试样品,会出现不同的合格/不合格判定结果。大鼠试验中的实验室间差异要低得多(小于五倍)。将结果表示为相对于标准品的效力,两种方法的实验室间差异均有所降低,豚鼠/鸡试验尤其如此。体内和体外结果之间的相关性总体良好,但有一种制剂的3型成分除外。这表明免疫原性和抗原性之间的关系不一定是可预测的。迫切需要修订欧洲药典免疫原性检测方法,但基于本研究,推荐大鼠试验或体外试验作为替代方法还为时过早。两种候选参考物质均被发现适用于灭活脊髓灰质炎疫苗的体内检测。