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Influenza infection occurs in as much as 5%-15% of the world population, resulting in 3-5 million cases of severe illness and up to 500 000 deaths annually. In the U.S. alone, the flu epidemics lead to approximately 300 000 influenza-related hospital admissions and 36 000 influenza-related deaths annually in addition to an estimated cost of $12 billion per year[7, 10]. The current seasonal influenza vaccines are produced using the strains recommended by the World Health Organization about 6-8 months ahead of the targeted season[2]. These vaccines typically contain two sub-type strains of influenza A virus and one influenza B stain, which are predicted to be the most likely strains to circulate in the upcoming year.
At present, the viruses for production of the inactivated vaccine are propagated in the chicken embryo. Although the purification process is effective, the protein of the chicken embryo can't be removed completely and may cause allergic reactions in vaccinated populations. Another disadvantage is that the serial passage in chicken embryo could cause a change in HA antigenicity. Such changes result into a mismatch between the circulating strains and the vaccine components. Additionally, the growth of influenza viruses in eggs often selects variants that differ in their glycosylation patterns from the original clinical isolates. Specifically and most importantly; the insufficient supply of embryonated eggs could limit the production of vaccines when the pandemic influenza occurs.
The use of different cell lines for vaccine virus growth could largely overcome these problems, provided that the yields were satisfactory and safety issues could be addressed[1]. Although Vero cells have already been used for producing many kinds of human vaccines and its safety is generally accepted, influenza virus can't always adapt to Vero cells. In this study, we successfully screened an influenza B virus strain which grows well in Vero cells, suggesting that it is possible to prepare the influenza vaccine using Vero cells as substrate[11].
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Vero cell line were obtained from the American Type Culture Collection (ATCC) and conserved in the Institute of Medical Biology, Kunming. The influenza B viruses in this study (Table 1) were isolated from the patients with an fever over 38℃ and diagnosed as influenza virus infection.
Table 1. The HAT of twelve Strains from Clinical patients after propagation in Vero cells
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Samples from patients infected with influenza B viruses were collected at the Jingping People's Hospital of Yunnan Province. Vero cells were infected with the throat and nose swab material, and incubated at 33℃ until the appearance of cytopathic effect (CPE), the viruses were harvested and used for the later study.
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Viruses were propagated in Vero cells in DMEM/ F12 medium containing 1μg/mL of trypsin at 33℃. The viruses were harvested at 72 h post-infection. The hemagglutination assay was performed to measure the content of viruses with 1% suspension of chicken red blood cells for 30 min, and the results were indicated by HAT (Hemagglutination titer) units.
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HAI (hemagglutination inhibition) test: The reagents for hemagglutination inhibition test were obtained from the Chinese National Influenza Center. The anti-serum of H1, H3, BVintoria, and BYamagata (2-fold serial dilution) were mixed with the viruses (containing 4 HAT units) at 33℃ for 30min respectively. Then the hemagglutination assay was carried out with 1% suspension of chicken red blood cells for 30 min.
RT-PCR: The RNeasy Kit (Qiagen) was used to extract vRNA from 100 μL of virus. The RNA was eluted into 40μL of H2O. For RT-PCR of the HA1 segment, the One Step RT-PCR kit (Qiagen) was used according to the protocol provided. 20 μL of RNA was used for each reaction. The RT reaction was performed for 50 min at 50℃, followed by 15 min at 94℃. PCR reaction was performed by using the B type upstream primer B-HA1-f: CGAATCTGCACTG GGATAACATC, and the B type downstream primer B-HA1-r: TGCACCATGTAATCAACAACAA. At the same time, PCR reaction were performed by using the A type upstream primer A-HA1-f: CTCGAGAGC AAAAGCAGGGG, and the A type downstream primer A-HA1-r: CTGCTATTGCGCTGAATAG [8]. The PCR mixtures were treated for 4 minutes at 94℃ and was followed by 30 cycles of amplification: denaturation at 94℃ for 30 sec, renaturation at 55℃ for 45 sec, and extending at 68℃ for 90 sec.
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The HA1 gene fragment was sequenced by the Takara company (Dalian). The results were analyzed using MEGA 4.0. The cladogram was drawn by neighbor joining method. Genetic distances were calculated by the Kimura two-parameter model.
Cells and Viruses
Primary isolation
Propagation of viruses in Vero cells
Type Identification
Genetic analysis
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Twelve strains of influenza B virus were inoculated into Vero cells. Most of them could not be propagated in Vero cells, and the HAT titer decreased to an undetectable level after 3 generations. However, the B/Yunnan/2/2005va (B) strain, although the HAT titer are lower at the first few passages, could proliferate efficiently in Vero cells, with the hemagglutination titer (HAT) upto 1:512 after being propagated 9 generations in Vero cells (Table 1).
Furthermore, the B/Yunnan/2/2005va (B) virus was propagated consecutively to the 21st generation in Vero cells, and the HAT maintained between 1:512 to 1:1024. The HAT was 1:768 even at the 21st generation.
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HAI test: The results of HAI test showed that the HAI titer of H1 and H3 was at 1:2; the HAI titer of BY was at 1:512 and the HAI titer of BV was at 1:16. According to this data and the introduction of the kit, we can determine the types or lineages of the influenza virus if there were 4 differences between the two HAI titers. So the B/Yunnan/2/2005va (B) could be classified as the Yamagata lineage of influenza B virus.
Identification of genotype: After PCR amplification, a 750bps band was observed on the 1% agarose gel in the PCR products of the B type primers, while not in the products using the A type primers (Fig. 1). The results further proved that B/Yunnan/2/2005va (B) strain belongs to the influenza B virus.
Figure 1. RT-PCR for amplification of the HA1 segments. RT-PCR was performed with the B and A type primers B-HA1-f/B-HA1-r and A-HA1-f/A-HA1-r. The PCR products were subjected to gel electrophoresis on a 1% agarose gel. Lane 1, DNA ladder; 2, PCR products of the B type primers; 3, PCR products of the A type primers.
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Our data included the HA1 gene segments of influenza B viruses from GenBank. The numbers are summarized in Table 2. MEGA 4.0 was used to construct the HA1gene tree (Fig. 2).
Table 2. The GenBank number of these virus strains in the gene tree.
Figure 2. Phylogenetic analysis of the B/Yunnan/2/2005va (B) by the neighbor-joining method. Genetic distances were calculated by the Kimura two-parameter model. The scale indicates the relative phylogenetic distance.
Phylogenetic analysis showed that B/Yunnan/2/ 2005va (B) shared 97% nucleotide sequence similarity with the HA1 gene from the B/Yamagata/K500/2001 strain. The cladogram was constructed using the neighborhood joining method. Genetic distances were calculated by the Kimura two-parameter model. The scale indicates the relative phylogenetic distance. Among these strains of influenza B virus, the genetic distance was in a range from 3% (comparison of B/Yunnan/2/ 2005va (B) with B/Yamagata/K500/2001 and B/Shenzhen/423/99) to 20% (comparison of B/Yunnan/2/2005va (B) with B/Mbagathi/4832/2007 and B/Lee/ 40). The genotypes of the HA1 fragment of the B/ Yunnan/2/2005va (B) strain was determined mainly based on the basic differences among nucleotide sequences on the tree. Thus, the B/Yunnan/2/2005va (B) was classified as belonging to the Yamagata lineage of influenza B virus.