Immunogenicity and protective efficacy of a live, oral cholera vaccine formulation stored outside-the-cold-chain for 140 days. 2020

Tew Hui Xian, and Kurunathan Sinniah, and Chan Yean Yean, and Venkateskumar Krishnamoorthy, and Mohd Baidi Bahari, and Manickam Ravichandran, and Guruswamy Prabhakaran
Department of Biotechnology, Faculty of Applied Sciences, AIMST University, 08100, Semeling, Kedah, Malaysia.

Cholera, an acute watery diarrhoeal disease caused by Vibrio cholerae serogroup O1 and O139 across the continents. Replacing the existing WHO licensed killed multiple-dose oral cholera vaccines that demand 'cold chain supply' at 2-8 °C with a live, single-dose and cold chain-free vaccine would relieve the significant bottlenecks and cost determinants in cholera vaccination campaigns. In this direction, a prototype cold chain-free live attenuated cholera vaccine formulation (LACV) was developed against the toxigenic wild-type (WT) V. cholerae O139 serogroup. LACV was found stable and retained its viability (5 × 106 CFU/mL), purity and potency at room temperature (25 °C ± 2 °C, and 60% ± 5% relative humidity) for 140 days in contrast to all the existing WHO licensed cold-chain supply (2-8 °C) dependent killed oral cholera vaccines. The LACV was evaluated for its colonization potential, reactogenicity, immunogenicity and protective efficacy in animal models after its storage at room temperature for 140 days. In suckling mice colonization assay, the LACV recorded the highest recovery of (7.2 × 107 CFU/mL) compared to those of unformulated VCUSM14P (5.6 × 107 CFU/mL) and the WT O139 strain (3.5 × 107 CFU/mL). The LACV showed no reactogenicity even at an inoculation dose of 104-106 CFU/mL in a rabbit ileal loop model. The rabbits vaccinated with the LACV or unformulated VCUSM14P survived a challenge with WT O139 and showed no signs of diarrhoea or death in the reversible intestinal tie adult rabbit diarrhoea (RITARD) model. Vaccinated rabbits recorded a 275-fold increase in anti-CT IgG and a 15-fold increase in anti-CT IgA antibodies compared to those of rabbits vaccinated with unformulated VCUSM14P. Vibriocidal antibodies were increased by 31-fold with the LACV and 14-fold with unformulated VCUSM14P. The vaccine formulation mimics a natural infection, is non-reactogenic and highly immunogenic in vivo and protects animals from lethal wild-type V. cholerae O139 challenge. The single dose LACV formulation was found to be stable at room temperature (25 ± 2 °C) for 140 days and it would result in significant cost savings during mass cholera vaccination campaigns.

UI MeSH Term Description Entries
D008297 Male Males
D008807 Mice, Inbred BALB C An inbred strain of mouse that is widely used in IMMUNOLOGY studies and cancer research. BALB C Mice, Inbred,BALB C Mouse, Inbred,Inbred BALB C Mice,Inbred BALB C Mouse,Mice, BALB C,Mouse, BALB C,Mouse, Inbred BALB C,BALB C Mice,BALB C Mouse
D011817 Rabbits A burrowing plant-eating mammal with hind limbs that are longer than its fore limbs. It belongs to the family Leporidae of the order Lagomorpha, and in contrast to hares, possesses 22 instead of 24 pairs of chromosomes. Belgian Hare,New Zealand Rabbit,New Zealand Rabbits,New Zealand White Rabbit,Rabbit,Rabbit, Domestic,Chinchilla Rabbits,NZW Rabbits,New Zealand White Rabbits,Oryctolagus cuniculus,Chinchilla Rabbit,Domestic Rabbit,Domestic Rabbits,Hare, Belgian,NZW Rabbit,Rabbit, Chinchilla,Rabbit, NZW,Rabbit, New Zealand,Rabbits, Chinchilla,Rabbits, Domestic,Rabbits, NZW,Rabbits, New Zealand,Zealand Rabbit, New,Zealand Rabbits, New,cuniculus, Oryctolagus
D012034 Refrigeration The mechanical process of cooling. Cold Chain,Chain, Cold,Chains, Cold,Cold Chains
D002771 Cholera An acute diarrheal disease endemic in India and Southeast Asia whose causative agent is VIBRIO CHOLERAE. This condition can lead to severe dehydration in a matter of hours unless quickly treated. Vibrio cholerae Infection,Choleras,Infection, Vibrio cholerae,Infections, Vibrio cholerae,Vibrio cholerae Infections
D000284 Administration, Oral The giving of drugs, chemicals, or other substances by mouth. Drug Administration, Oral,Administration, Oral Drug,Oral Administration,Oral Drug Administration,Administrations, Oral,Administrations, Oral Drug,Drug Administrations, Oral,Oral Administrations,Oral Drug Administrations
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D000907 Antibodies, Bacterial Immunoglobulins produced in a response to BACTERIAL ANTIGENS. Bacterial Antibodies
D000917 Antibody Formation The production of ANTIBODIES by proliferating and differentiated B-LYMPHOCYTES under stimulation by ANTIGENS. Antibody Production,Antibody Response,Antibody Responses,Formation, Antibody,Production, Antibody,Response, Antibody,Responses, Antibody
D014611 Vaccination Administration of vaccines to stimulate the host's immune response. This includes any preparation intended for active immunological prophylaxis. Immunization, Active,Active Immunization,Active Immunizations,Immunizations, Active,Vaccinations

Related Publications

Tew Hui Xian, and Kurunathan Sinniah, and Chan Yean Yean, and Venkateskumar Krishnamoorthy, and Mohd Baidi Bahari, and Manickam Ravichandran, and Guruswamy Prabhakaran
December 2022, Vaccines,
Tew Hui Xian, and Kurunathan Sinniah, and Chan Yean Yean, and Venkateskumar Krishnamoorthy, and Mohd Baidi Bahari, and Manickam Ravichandran, and Guruswamy Prabhakaran
October 2010, BMC biology,
Tew Hui Xian, and Kurunathan Sinniah, and Chan Yean Yean, and Venkateskumar Krishnamoorthy, and Mohd Baidi Bahari, and Manickam Ravichandran, and Guruswamy Prabhakaran
February 2006, The American journal of tropical medicine and hygiene,
Tew Hui Xian, and Kurunathan Sinniah, and Chan Yean Yean, and Venkateskumar Krishnamoorthy, and Mohd Baidi Bahari, and Manickam Ravichandran, and Guruswamy Prabhakaran
January 1989, The Journal of infectious diseases,
Tew Hui Xian, and Kurunathan Sinniah, and Chan Yean Yean, and Venkateskumar Krishnamoorthy, and Mohd Baidi Bahari, and Manickam Ravichandran, and Guruswamy Prabhakaran
January 1998, Vaccine,
Tew Hui Xian, and Kurunathan Sinniah, and Chan Yean Yean, and Venkateskumar Krishnamoorthy, and Mohd Baidi Bahari, and Manickam Ravichandran, and Guruswamy Prabhakaran
January 2019, Frontiers in immunology,
Tew Hui Xian, and Kurunathan Sinniah, and Chan Yean Yean, and Venkateskumar Krishnamoorthy, and Mohd Baidi Bahari, and Manickam Ravichandran, and Guruswamy Prabhakaran
January 1976, Developments in biological standardization,
Tew Hui Xian, and Kurunathan Sinniah, and Chan Yean Yean, and Venkateskumar Krishnamoorthy, and Mohd Baidi Bahari, and Manickam Ravichandran, and Guruswamy Prabhakaran
April 2002, Infection and immunity,
Tew Hui Xian, and Kurunathan Sinniah, and Chan Yean Yean, and Venkateskumar Krishnamoorthy, and Mohd Baidi Bahari, and Manickam Ravichandran, and Guruswamy Prabhakaran
June 1997, Lancet (London, England),
Tew Hui Xian, and Kurunathan Sinniah, and Chan Yean Yean, and Venkateskumar Krishnamoorthy, and Mohd Baidi Bahari, and Manickam Ravichandran, and Guruswamy Prabhakaran
March 1971, Nature,
Copied contents to your clipboard!