Original Article
Evaluation of live attenuated canine parvovirus
vaccines using real-time PCR
Evaluación de vacunas vivas atenuadas contra el parvovirus canino
mediante PCR
Nermeen Gouda Shafik ORCID: https://orcid.org/0000-0002-1792-1629
Sara El Sawy Ahmed
ORCID: https://orcid.org/0009-0009-8368-4236
Mohamed Sammy Abousenna* ORCID: https://orcid.org/0000-0003-2202-9544
Fady Abd El-Mohsen Shasha ORCID: https://orcid.org/0000-0002-2356-9289
Darwish
Mahmoud Darwish ORCID: https://orcid.org/0000-0003-2542-1058
Heba Khafagy ORCID: https://orcid.org/0000-0003-4548-1824
Amal Abd El-Moneim
Mohamed* ORCID:
https://orcid.org/0000-0001-5494-7169
Central Laboratory for Evaluation of Veterinary Biologics
(CLEVB), Agricultural Research Center (ARC), Cairo, Egypt.
Corresponding author: mohamedsamy2020@hotmail.com;
dr.amal1984@gmail.com
ABSTRACT
Canine parvovirus infections pose a
significant global threat to canine health, necessitating effective vaccination
strategies. This study evaluates the viral content in 20 batches of live
attenuated canine parvovirus vaccines using real-time
polymerase chain reaction and compares the results with the immunofluorescence test. The study involved canine
parvovirus strain 39, adapted to Madin-Darby canine
kidney cells, and vaccine batches sourced from various local and international
suppliers. The immunofluorescence test results showed 18
batches met the permissible titer level of 3 log10 fluorescent
antibody infective dose 50%/mL, while two batches (3 and 18) did not.
Similarly, real-time polymerase chain reaction analysis confirmed the same 18
batches met the permissible titer level, with no significant difference between
the methods as indicated by the 95% confidence interval for the difference in
results (lower: 4.3949, upper: 5.3600). The findings support integrating
advanced diagnostic technologies like real-time polymerase chain reaction into
routine vaccine evaluation protocols, ensuring higher standards of veterinary
biologics assessment; this transition aims to enhance the accuracy, efficiency,
and overall quality of canine parvovirus vaccine evaluation, ultimately improving
canine health protection.
Keywords: vaccine potency; canine parvovirus; vaccines; diagnostic testing;
real-time polymerase chain reaction.
RESUMEN
Las infecciones por parvovirus canino suponen una importante amenaza
mundial para la salud canina, lo que exige estrategias de vacunación eficaces.
En el presente estudio se evalúa el contenido viral en 20 lotes de vacunas
vivas atenuadas contra el parvovirus canino mediante la reacción en cadena de
la polimerasa en tiempo real y se comparan los resultados con la prueba de
inmunofluorescencia. En el estudio se utilizó la cepa 39 del parvovirus canino,
adaptada a células de riñón canino Madin-Darby y
lotes de vacunas procedentes de diversos proveedores locales e internacionales.
Los resultados de la prueba de inmunofluorescencia mostraron que 18 lotes cumplieron
el nivel de título permitido de 3 log10 dosis infecciosa determinada
por inmunofluorescencia 50%/mL, mientras que dos
lotes (3 y 18) no. Del mismo modo, el análisis de la reacción en cadena de la
polimerasa en tiempo real confirmó que los 18 lotes cumplieron el nivel de
título permitido, sin diferencias significativas entre los métodos, como indica
el intervalo de confianza del 95% (inferior: 4,3949, superior: 5,3600). Los
resultados apoyan la integración de tecnologías avanzadas de diagnóstico como
la reacción en cadena de la polimerasa en tiempo real en los protocolos
rutinarios de evaluación de vacunas, garantizando estándares más altos en la
evaluación de biológicos veterinarios; esta transición pretende mejorar la
precisión, la eficiencia y la calidad general de la evaluación de vacunas
contra el parvovirus canino y, en última instancia, mejorar la protección de la
salud canina.
Palabras clave: potencia de la vacuna;
parvovirus canino; vacunas; pruebas de diagnóstico; reacción en cadena en
tiempo real de la polimerasa.
Recibido: 19 de agosto de 2024
Aceptado: 13 de noviembre de 2024
Introduction
Parvoviruses of the family Parvoviridae are non-enveloped, negative-sense
single-stranded DNA viruses. Several parvoviruses infect different animal
species worldwide, including domestic and wild mammals, crustaceans, and arthropods.(1) Canine parvovirus (CPV)
infects domestic dogs and is transmitted via oral or nasal contact with
excreta, fomites, or feces containing the virus.(2)
Canine parvovirus type 2
(CPV2) was recognized as a new virus in 1978 and is thought to have originated
from feline panleukopenia virus (FPLV). There have been several outbreaks of
this virus in raccoons in the southeastern United States. CPV2 is believed to
be responsible for morbidity and mortality in wolf populations surrounding
Yellowstone National Park, United States. There are three known strains of
CPV2: CPV2a, CPV2b, and CPV2c. CPV2c has been found to infect captive Asian
small-clawed otters. CPV1, another parvovirus that infects dogs, is of lesser
concern to wildlife. Most CPV2 infections present with little or mild clinical signs.(3) Severe cases include anorexia,
vomiting, bloody feces, and foul-smelling diarrhea. The disease can be more
severe if there are co-infections with pathogens such as Salmonella spp. or
Giardia spp. Rarely, young animals develop myocardial injury between 1 and 2
months of age. Raccoon dogs develop gastroenteritis.(4)
Vaccination against
parvovirus is recommended for some captive wildlife to prevent the spread of
the virus and safeguard animal health. The vaccination with commercial modified
live virus (MLV) CPV-2 vaccines induces immunity against all three CPV-2
strains. Immunity is mediated primarily by IgG neutralizing antibodies, which
provide long-term protection. Secretory IgA and cell-mediated immunity play a
role, but may be less critical in initiating immediate protection after vaccination.(5)
Evaluating the efficacy of
CPV vaccines involves determining the antibody titers in the serum of
vaccinated animals through several tests. These tests include enzyme-linked
immunosorbent assay (ELISA), immunofluorescent techniques (IFT), hemagglutination
inhibition (HI), and neutralization test (NT). Additionally, the titer of the
vaccinal strain within the vaccine can be detected using IFT.
These evaluations ensure that the vaccine induces a sufficient immune response
to protect against the virus.(6)
In this study, we aimed to
employ real-time polymerase chain reaction (qPCR) to detect and quantify the
vaccinal strain within the vaccine. We compared the qPCR
results with those obtained from the IFT to determine the relationship between
the titers measured by IFT and qPCR. The use of qPCR for detection and
quantification, not only enhances the efficiency of the evaluation process, but
also reduces the reliance on experimental animals.
Materials and
Methods
Virus
CPV
strain 39, which has been adapted on Madin-Darby
canine kidney (MDCK) cells and has a titer of 6 log10 tissue culture
infective dose 50% (TCID50)/mL, was supplied by the Reference Strain
Bank in Central Laboratory for Evaluation of Veterinary Biologics (CLEVB) in Abbassia, Cairo, Egypt. This virus was used as a positive
control in the IFT and for generating the standard curve in the qPCR assay.(7)
Cell line
MDCK
cells were provided by the Strain Bank at CLEVB. These
cells were utilized in the IFT for vaccine titration and identification
purposes.
Canine parvovirus vaccines
Twenty
different batches of live attenuated CPV vaccines (n=20), including monovalent,
bivalent, and polyvalent formulations sourced from both local manufacturers and
international suppliers, were submitted to the CLEVB. These
vaccines underwent rigorous evaluation for sterility, safety, and potency over
the preceding two-year period.
Immunofluorescence
technique
IFT was employed for titration and identification of
the tested vaccinal strain of live attenuated CPV vaccines and the positive
control parvovirus. This method utilized MDCK cell tissue culture in microtiter
plates coated for immunofluorescence.(8)
The fluorescent antibody infective dose 50% (FAID50) of the test
vaccines and positive control were calculated using the Spearman method.(9)
Real-time polymerase chain
reaction for quantification of attenuated parvovirus vaccine
DNA
extraction and dilution
First,
DNA was extracted from both the reference parvovirus containing 106
TCID50/mL and 20 batches of the vaccinal strain. This extraction was
done using the Fast-Pure Viral DNA/RNA Mini Kit following the manufacturer's
instructions (version 1). Next, the extracted DNA was serially diluted six
times in a 10-fold dilution series.
qPCR
Each
dilution of the extracted DNA, including those from the reference virus and all
20 vaccine batches, was then tested in triplicate using qPCR. The Taq PCR Master Mix kit (cat. nos. 201443 and 201445) was
used for the PCR reaction itself. Primers and probe targeting the VP2 gene were
designed according to Decaro, et
al.(10) The specific sequences of these primers
and probe are shown in Table 1.
Table
1. Primers and probe of qPCR for CPV.
Assay |
Primer/probe |
Sequence 5′ to 3′ |
Polarity |
Position |
Amplicon size |
TaqMan assay |
CPV-For |
AAACAGGAATTAACTATACTAATATATTTA |
+ |
4104–4135 |
93 bp |
|
CPV-Rev |
AAATTTGACCATTTGGATAAACT |
- |
4176–4198 |
|
|
Probe |
FAM-TGGTCCTTTAACTGCATTAAATAATGTACC-
TAMRA |
+ |
4143–4172 |
|
Thermal
cycling conditions and Ct values
The
qPCR reaction was conducted using a thermal cycling protocol that began with an
initial activation of DNA polymerase at 95°C for 10 min. This was followed by
40 cycles consisting of denaturation at 95°C for 15 sec, primer annealing at
52°C for 30 sec, and extension at 60°C for 1 min. A cycle threshold (Ct) value
of 37 or higher was considered negative, indicating no amplification was
detected, whereas any reaction with a recorded Ct value was deemed positive,
indicating amplification.
Standard
curve, quantification, and limits
Standard
curve was established using the Ct values obtained from the serially diluted
reference virus, according to the guidelines of Abousenna et al.(11) The linear equation was
then used to determine the quantity of viral particles in each vaccine batch
based on their respective Ct values. Finally, the limit of detection (LOD) and
limit of quantification (LOQ) for the qPCR assay were determined by analyzing
each concentration only once for both the reference virus and vaccine batches.(12)
Statistical analysis
The
data was analyzed using IBM SPSS Statistics version 21 for Windows. This
software facilitated a comprehensive statistical analysis, including the
calculation of confidence intervals for both the qPCR and the conventional IFT
methods.
By
employing confidence intervals, the analysis provided a nuanced understanding
of the precision associated with the measurements from these two diagnostic
methods. Confidence intervals essentially capture the range of values within
which the true population mean is likely to lie, with a certain level of
confidence (usually 95%).
Results
Immunofluorescence technique titration
The potency of each vaccine batch (n-20) was initially assessed using
the IFT. Eighteen of the 20 batches achieved a
protective level of no less than 3 log₁₀ FAID50/mL(13)
Two batches recorded a titer below 3 log₁₀ FAID50/mL. The detailed results of the IFT titration, including
the titer for each vaccine batch, are presented in Table 2.
Table 2. IFT titers of canine
parvovirus vaccine batches.
No of batch |
*IFT titer |
1 |
4 |
2 |
5 |
3 |
2 |
4 |
5.5 |
5 |
5.5 |
6 |
5 |
7 |
5.5 |
8 |
5.5 |
9 |
4.5 |
10 |
5 |
11 |
4.9 |
12 |
5.5 |
13 |
5.5 |
14 |
5.5 |
15 |
5 |
16 |
4.9 |
17 |
5.3 |
18 |
2 |
19 |
5 |
20 |
5.5 |
IFT titer: titer determined
by immunofluorescence technique; it is expressed as fluorescent antibody
infective dose 50% (FAID50)/mL. *: IFT titers ≥3 log 10
FAID50/mL were considered for a protective level.
Real-time polymerase chain reaction
Standard curve
Serial dilutions of a
reference CPV stock were used to generate a standard curve, allowing for the
correlation between Ct values and the actual amount of
viral particles present (Fig. 1). The minimal concentration of CPV detectable
by the assay was 10¹ TCID₅₀/mL. The
linear equation relating Ct values to viral concentration, along with the mean
Ct values for each dilution and the R² value, are presented in Figure 1 and
Table 3. A high R² value indicates a strong correlation between Ct values and
viral load.
Fig. 1. Canine parvovirus qPCR
standard curve with linear equation.
Table 3. Relationship
between Ct values and log10 TCID50/mL for CPV in qPCR
analysis.
Ct values qPCR |
15.4 |
18.1 |
21.4 |
25.8 |
30.9 |
36.5 |
40 |
Titer log10
TCID50/mL |
6 |
5 |
4 |
3 |
2 |
1 |
0 |
Quantification of CPV in
vaccine batches
Following the establishment
of the standard curve, each of the 20 vaccine batches was analyzed using qPCR.
The Ct values obtained were compared to the standard curve equation to
determine the corresponding amount of CPV present in each batch. The detailed
data on the quantified CPV load in each vaccine batch is shown in Table 4.
Comparison of qPCR and IFT
The viral load quantified
by qPCR was compared to the titers obtained using IFT. Eighteen out of the 20
batches reached a permissible limit for viral load according to the qPCR
analysis. This result is comparable to the findings from the IFT assay, which
also identified 18 batches exceeding the minimum potency requirement. Two
batches showed CPV levels below the permissible limit in both qPCR and IFT
analyses, as shown in Table 4.
When the statistical
analysis was performed to assess the agreement between the two methods, a 95%
CI for the difference between the qPCR and IFT measurements was calculated. The
CI ranged from -4.3949 to 5.3600. Since the CI includes zero, there is no
statistically significant difference between the qPCR and IFT results, as shown
in Table 4.
Table 4. Concordance
between qPCR and IFT titers for canine parvovirus vaccines.
Batch no |
Ct |
Equation |
qPCR titer (log10 TCID50 /mL) |
IFT
titer (log10
FAID50 /mL) |
||||
1 |
22.5 |
|
4.02 |
4 |
||||
2 |
17.3 |
|
5.216 |
5 |
||||
3 |
30.5 |
|
2.18 |
2 |
||||
4 |
16.4 |
|
5.423 |
5.5 |
||||
5 |
15.6 |
|
5.60 |
5.5 |
||||
6 |
17.5 |
|
5.17 |
5 |
||||
7 |
16.9 |
|
5.30 |
5.5 |
||||
8 |
15.2 |
|
5.69 |
5.5 |
||||
9 |
19.8 |
|
4.641 |
4.5 |
||||
10 |
18.5 |
Y=-0.230x+9.195 |
4.94 |
5 |
||||
11 |
19.2 |
|
4.77 |
4.9 |
||||
12 |
15.5 |
|
5.63 |
5.5 |
||||
13 |
16.5 |
|
5.4 |
5.5 |
||||
14 |
15.7 |
|
5.58 |
5.5 |
||||
15 |
17.8 |
|
5.1 |
5 |
||||
16 |
18.8 |
|
4.87 |
4.9 |
||||
17 |
16.8 |
|
5.33 |
5.3 |
||||
18 |
31.2 |
|
2.019 |
2 |
||||
19 |
17.6 |
|
5.14 |
5 |
||||
20 |
15.9 |
|
5.53 |
5.5 |
||||
|
|
95% Confidence interval of the difference |
|
|
||||
|
Lower |
|
Upper |
|
||||
|
4.39 |
|
5.36 |
|
||||
Discussion
Parvovirus infections in dogs are a significant global challenge due to
their contagious nature and severe health impacts, particularly on puppies and
unvaccinated dogs. Symptoms include severe vomiting, bloody diarrhea, lethargy,
and fever, and the disease can be fatal without prompt treatment.(14)
Vaccination is the recommended medical prophylaxis against CPV,
providing effective protection and significantly reducing infection rates.
Puppies typically start their vaccination schedule at 6 to 8 weeks old, with
boosters every 3 to 4 weeks until 16 to 20 weeks old. Adult dogs require
regular booster shots to maintain immunity.(15)
The evaluation of live attenuated CPV vaccines at the CLEVB
traditionally relies on IFT using tissue culture for qualitative and quantitative
detection of viral content in the vaccines.(11)
While effective, this method can be time-consuming and labor-intensive.
Recent advancements in diagnostic technologies aim to provide more
rapid, specific, and accurate methods for vaccine evaluation. For instance,
rapid ELISA tests, such as the SNAP Parvo test, have been investigated for
their sensitivity compared to IFT, offering a quick preliminary assessment of
live attenuated CPV vaccines.(16)
Similarly, the lateral flow assay for CPV (LFA-CPV) antigen test, developed in
this study, emerges as another promising alternative. Positioned as a
point-of-care diagnostic tool for CPV, this assay presents a cost-effective,
user-friendly, and rapid on-site solution for both preliminary evaluation of CPV
vaccines. While demonstrating potential in semi-quantitative analysis,
particularly in detecting CPV titers exceeding 103 TCID50.(11) Furthermore, the
World Organization for Animal Health (WOAH) recommends using qPCR for CPV
identification due to its precision and efficiency.(17)
The use of qPCR has proven effective in evaluating live virus vaccines,
as demonstrated by its application in assessing live attenuated sheep pox virus
vaccines.(18) In this case, qPCR
was found to surpass traditional tissue culture titration in identifying and
rapidly evaluating the vaccinal strain. Similarly, qPCR has been established
for the differential detection of wild-type and vaccine strains of canine
distemper virus in China, showcasing its versatility and reliability in virological assessments.(19)
In this study, we employed qPCR to evaluate the viral content in live
attenuated CPV vaccines across 20 batches. These batches had previously
undergone assessments for sterility, safety, and potency. The qPCR results were
then compared with those obtained from the IFT.
The IFT results for the 20 batches indicated that 18 batches achieved
the permissible titer level of no less than 3 log10 FAID50/mL, indicated that these
batches contain a sufficient viral load to be effective.(13) Only
two batches, specifically batch numbers 3 and 18, recorded titers below this
permissible limit, this suggests that these batches may not meet the minimum potency
requirement for the vaccine. Similarly, the qPCR results, calculated using Ct
values and corresponding equations for the 20 batches, confirmed that the same
18 batches met the permissible titer level, while batches 3 and 18 did not. The
statistical analysis of the results, using a 95% confidence interval of the
difference with lower and upper bounds of 4.3949 and 5.3600, respectively, indicated a strong
concordance between the two methods for potency evaluation of the CPV vaccine,
showing no significant difference between them. This reflects that both qPCR
and IFT are compatible in terms of assessing the titer of the vaccinal strain,
leading to consistent final decisions regarding the vaccine batches.
Our findings align with previous studies,(11,16)
highlighting that while traditional methods like IFT remain valuable, modern
techniques such as qPCR, rapid ELISA and LFA-CPV offer enhanced efficiency and
accuracy for evaluating live attenuated vaccines. This supports the ongoing
transition towards integrating these advanced methods into routine vaccine
evaluation protocols, ensuring higher standards of veterinary biologics
assessment.
Conclusion
The qPCR method proved to
be an accurate, simple, and rapid tool for evaluating the CPV vaccinal strain,
aligning with traditional IFT results. By adopting qPCR as a standard
supervisory method and incorporating tools, veterinary biologics assessment can
become more precise and efficient.
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Conflict of interest
The authors declare that
there is no conflict of interest.
Author’s
contributions
Nermeen Gouda Shafik:
conceptualization, validation, and investigation.
Sara El Sawy Ahmed:
methodology, validation, investigation.
Mohamed Samy Abousenna: conceptualization, methodology, formal analysis,
investigation, data curation, writing-original draft preparation,
writing-review and editing
Fady Abd El Mohsen Shasha:
methodology, formal analysis, investigation.
Darwish Mahmoud Darwish: methodology, formal
analysis, and investigation
Heba A. Khafagy:
methodology, formal analysis, and data curation
Amal Abd El Moneim
Mohamed: methodology, validation, formal analysis, writing-original draft
preparation, writing-review and editing.
All authors read and approved the final
manuscript.
*Associate professor of Virology,
PhD of virology, Central Laboratory for Evaluation of Veterinary
Biologics (CLEVB), Agricultural
Research Center (ARC), Cairo, Egypt.