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KVÄLLSSYMPOSIUM 2008 Vaccinering av hund och katt

KVÄLLSSYMPOSIUM 2008 Vaccinering av hund och katt

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Table 1<br />

Titer of Challenge Virus Standard (CVS-11) and Flury low egg passage<br />

(Flury-LEP), the two rabies virus strains used as the challenge viruses<br />

for each serological testing group<br />

Serological testing group Titer of CVS-11 Titer of Flury-LEP<br />

1 42.1 41.1<br />

2 40.0 41.2<br />

3 41.0 40.0<br />

4 41.4 42.3<br />

5 41.1 40.9<br />

Geometric mean 41.1 41.1<br />

Virus titer is expressed in TCID50. on days 14 and 90, respectively. The GMT for each<br />

group indicates higher RVNA titers were reported when<br />

a homologous challenge virus strain was used in the<br />

serological assay. The RVNA test results of individual<br />

serum samples indicated that there was a clear trend to<br />

report higher titers when a homologous testing system<br />

(CVS-11 used as the challenge virus in the RFFIT for<br />

testing sera from subjects vaccinated with PVRV and<br />

Flury-LEP used as the challenge virus in the RFFIT for<br />

testing sera from subjects vaccinated with PCECV)<br />

rather than a heterologous testing system (Flury-LEP<br />

used as the challenge virus in the RFFIT for testing sera<br />

from subjects vaccinated with PVRV and CVS-11 used<br />

as the challenge virus in the RFFIT for testing sera from<br />

subjects vaccinated with PCECV) was used (Fig. 3).<br />

The RVNA values in both the PCECV and the<br />

PVRV vaccine groups included titers in the low, medium<br />

and high range, regardless of which challenge virus was<br />

used in the assay. Low, medium, and high ranges were<br />

designated for this set of results to determine possible<br />

trends associated with the strength of the antibody<br />

response. Nearly two-thirds of the samples from each<br />

Table 2<br />

Rabies virus neutralizing antibody (RVNA) titers from the Rapid<br />

Fluorescent Focus Inhibition Test (RFFIT) using a homologous<br />

challenge virus testing system and a heterologous challenge virus<br />

testing system<br />

Vaccine RFFIT testing GMT (range)<br />

administered system<br />

Challenge virus Day 14 Day 90<br />

PCECV Homologous 1855 265<br />

Flury-LEP (320e6300) (45e1500)<br />

Heterologous 1275 183<br />

CVS-11 (145e5400) (45e1100)<br />

PVRV Homologous 2364 274<br />

CVS-11 (360e8500) (45e9500)<br />

Heterologous 1448 188<br />

Flury-LEP (70e8500) (45e19700)<br />

Serum samples were obtained from subjects vaccinated with purified<br />

chick embryo cell rabies vaccine (PCECV) or purified Vero cell rabies<br />

vaccine (PVRV) and were assayed using CVS-11 and Flury-LEP as the<br />

challenge viruses in the RFFIT.<br />

S.M. Moore et al. / Biologicals 33 (2005) 269e276<br />

titers (Flury) log dil<br />

4.00<br />

3.50<br />

3.00<br />

2.50<br />

2.00<br />

1.50<br />

1.50 2.00 2.50 3.00 3.50 4.00<br />

vaccine group reported higher titers when a homologous<br />

challenge virus strain was used for the RFFIT assay,<br />

63% for PCECV and 65% for PVRV. Approximately<br />

30% of the serum samples tested in each vaccine group<br />

reported titers that were the same value or similar<br />

(within one standard deviation) regardless of whether<br />

they were assayed using a homologous or a heterologous<br />

challenge virus strain.<br />

The percent reduction of reported RVNA titers,<br />

when switching from a homologous testing system to<br />

a heterologous testing system was 23%, 47%, and 33%,<br />

respectively, for the low, medium, and high response<br />

groups in the PVRV vaccination group and 27%, 25%,<br />

and 40% in the PCECV vaccination group (Fig. 4).<br />

Thus, there was no clear trend of higher or lower RVNA<br />

titers related to the type of testing system, and whether<br />

the serum tested belonged to the low, medium, or high<br />

response group. The overall reduction in RVNA titer<br />

values when switching from a homologous challenge<br />

virus assay to a heterologous challenge virus assay was<br />

33% for the PVRV vaccination group, and a 31%<br />

reduction for the PCECV vaccination group.<br />

On both day 14 (data not shown) and day 90 the<br />

GMTs were higher when a homologous challenge virus<br />

system was used for the PVRV and PCECV vaccination<br />

groups (Fig. 5).<br />

4. Discussion<br />

PCECV Subjects PVRV Subjects<br />

titers (CVS) log dil<br />

Fig. 3. Serum samples from day 90 after administration of purified<br />

chick embryo cell rabies vaccine (PCECV) or purified Vero cell rabies<br />

vaccine (PVRV) given in a post-exposure prophylaxis regimen were<br />

analyzed twice by RFFIT. In one assay CVS-11 was utilized as the<br />

challenge virus in the RFFIT and in the second RFFIT, Flury-LEP<br />

was utilized as the challenge virus. The rabies virus neutralization titer<br />

(RVNA) result obtained for each serum sample was plotted according<br />

to the challenge virus used in the RFFIT. The line of unity represents<br />

expected RFFIT values that would be equivalent regardless of whether<br />

CVS-11 or Flury-LEP rabies virus was used as the challenge virus for<br />

patients vaccinated with PCECV or PVRV. Similar results were seen<br />

with the day 14 results (data not shown).<br />

Neutralizing antibodies play a critical role in immune<br />

protection against rabies infection. Therefore, it is<br />

273

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