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LIVE POLIO IRUS VACCINES

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Development and Persistence of Polio Antibodies in Young Adults 229<br />

in this school was very high. None of the subjects<br />

investigated had been vaccinated previously<br />

by either Salk vaccine or by other attenuated<br />

strains.<br />

Just before the vaccination, a new blood sample<br />

and a stool sample were taken. Further blood and<br />

stool specimens were sampled on the fourth,<br />

seventh, 10th, 14th, 21st, 28th, 35th, and 42nd<br />

day after feeding the virus. An additional blood<br />

sample was taken again on the 84th day.<br />

The sera were inactivated at 56 ° C. for 30<br />

minutes and antibiotics were added. Until investigation,<br />

the serum and stool specimens were<br />

kept at -20 ° C.<br />

METHODS<br />

1. The following methods of neutralization<br />

test were used:<br />

(a) the routine CP test with one hour incubation<br />

of the virus-serum mixture at room temperature<br />

(CP/1);<br />

(b) the cytopathogenic test with six hours<br />

incubation at 370 C. and overnight at +4 ° C.<br />

(CP/6);<br />

(c) the pH test with one hour incubation of<br />

the virus-serum mixture at room temperature<br />

(pH/1);<br />

(d) the pH test with six hours incubation of<br />

the virus-serum mixture at 37 ° C. and overnight<br />

at +4 ° C. (CP/6); and<br />

(e) the immunoinactivation test according to<br />

S. Gard 5' 0 (IIT).<br />

In tests (a) to (d), approximately 100 TCD.o<br />

of the virus strains Brunhilde (Type 1), MEF-1<br />

(Type 2), and Leon 12, ab (Type 3) were used.<br />

The sera from each subject were investigated<br />

simultaneously in all tests, using the same virus<br />

and serum dilutions as in Parker's medium with<br />

0.3 per cent of glucose. The sera were diluted in<br />

fourfold steps from 1:4 to 1:1024, for IIT up to<br />

4096. The same virus concentrations were used<br />

in CP and pH tests. In the investigation of each<br />

subject virus titrations were included, using per<br />

dilution five tissue-culture tubes in CP tests, 10<br />

tubes in IIT and eight cups in pH tests. A<br />

standard human antiserum containing antibodies<br />

to all three types of polioviruses was tested<br />

simultaneously in all five tests performed.<br />

Cytopathogenic tests. Tissue-culture tubes<br />

from versenated monkey-kidney cells with 1.3<br />

ml. of Earle-LAH (0.3 per cent) medium without<br />

serum were inoculated with 0.2 ml. of the virusserum<br />

mixture. Every dilution of serum was<br />

assayed on three tubes; when testing the standard<br />

serum four tubes were used. The results<br />

were read repeatedly in all but two cases after<br />

two, three, five, and seven days.<br />

pH tests were carried out in polystyrene panels.<br />

The 0.4 ml. amounts of the virus serum mixtures<br />

were covered with paraffin oil, and 0.2 ml. of cell<br />

suspension containing 25,000 versenated monkeykidney<br />

cells in the above medium, enriched by<br />

15 per cent of monkey serum previously tested<br />

for the absence of polioviruses inhibitors, was<br />

added. The final concentration of monkey-kidney<br />

serum was then 5 per cent. Every dilution of<br />

serum was tested against every type of virus in<br />

two cups.<br />

TABLE 1. THE MEAN TITERS ACHIEVED IN CONTROL V<strong>IRUS</strong> TITRATIONS PERFORMED<br />

SIMULTANEOUSLY WITH DIFFERENT TESTS USED<br />

THE TITERS EXPRESSED AS LOG 10<br />

TEST<br />

TYPE 1<br />

TYPE 2<br />

TYPE 3<br />

CP/1<br />

6,70 - 0,103<br />

6,53 - 0,107<br />

6,51 t- 0,088<br />

CP/6<br />

6,71 - 0,116<br />

6,45 - 0,060<br />

6,37 :- 0,081<br />

PH/ 1 6,83 - 0,070 6,30 - 0,114 6,43 - 0,153<br />

pH/6 6,65 - 0,109 6,33 - 0,117 6,31 - 0,164<br />

IIT N D N D 6,47 - 0,097

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