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Journal of Virology, September 2007, p. 9238-9248, Vol. 81, No. 17
0022-538X/07/$08.00+0 doi:10.1128/JVI.00893-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Department of Veterinary Medicine, University of Maryland, College Park, and Virginia-Maryland Regional College of Veterinary Medicine, 8075 Greenmead Drive, College Park, Maryland 20742-3711,1 Facultad de Medicina Veterinaria y Zootecnia, Universidad Nacional de Colombia, Bogotá, Colombia2
Received 26 April 2007/ Accepted 13 June 2007
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There are major limitations in the implementation of vaccination campaigns in Asia due to the endemicity and spread of low pathogenic avian influenza (LPAI) and highly pathogenic avian influenza (HPAI) viruses. Inactivated whole avian influenza virus vaccine and recombinant fowlpox virus vaccine carrying avian influenza virus H5 hemagglutinin (HA) require the administration of the vaccine to each bird individually by parenteral inoculation; an approach that cannot realistically achieve the mass vaccination that would be required to eradicate the disease. Inactivated vaccines elicit strong humoral responses; however, it is commonly accepted that no adequate mucosal or cellular immunity is achieved (48). Previous exposure to the fowlpox virus would cause inconsistent protection for the birds immunized with the fowlpox virus-vectored vaccine (44). Therefore, the major concern is that the current vaccines may only be effective at lessening disease symptoms, not at preventing virus shedding below transmissible levels. Under these circumstances, the vaccine could allow the virus to circulate undetected among birds, further enhancing antigenic drift and spread (19, 21, 38). This is particularly important in the vaccination of domestic ducks, and perhaps other domestic aquatic birds, in which the high efficacy of the vaccine is critical.
Live attenuated (att) vaccines have been shown to protect against diseases in humans and animals while eliminating the risk of infection and/or transmission of the disease. Smallpox and polio in humans and rinderpest in animals are two examples of complete or almost complete eradication of viral diseases by using live att vaccines (9, 24, 37). In poultry, viral diseases are also effectively controlled by using modified live vaccines, such as those for Newcastle disease, Gumboro, infectious laringotracheitis, and Marek's disease (29, 31, 39, 47). In ovo administration of live att vaccines to 18-day-old embryos has been widely applied to commercial broilers in the United States, mainly against Marek's disease. In addition, automated in ovo vaccination delivers a more uniform dose of vaccine to the embryo and elicits earlier immunity than manual vaccination of the posthatching chicks (1, 40).
In the 1960s, Maassab and collaborators developed live att vaccines for type A and B human influenza viruses by serial passage of the wild-type virus at successively lower temperatures in chicken embryo kidney (CEK) cells (22). Recently, a trivalent, live att, cold-adapted (ca), temperature-sensitive (ts) reassortant vaccine (Flumist) has been licensed for use in humans in the United States (27). The ca/ts/att influenza A virus contains HA and neuraminidase (NA) gene segments derived from the currently circulating wild-type strain and the PB2, PB1, PA, NP, M, and NS gene segments from the ca/ts/att master donor virus, A/Ann Arbor/6/60 (H2N2). The viruses replicate efficiently at 25°C (ca) but are restricted at 39°C (ts) and do not replicate in the lungs of infected ferrets (att). The ca/ts/att influenza vaccines are safe, genetically stable, nontransmissible, and likely more immunogenic than inactivated vaccines (18, 28). Administered intranasally, live att vaccines provide long-lasting protection and induce both systemic and secretory immunoglobulin A (IgA) antibodies and cell-mediated immunity, which closely resembles the result of the natural infection (5, 7).
Live att influenza vaccines are also currently used in horses (32, 46). In contrast, live att avian influenza vaccines for poultry have not yet been developed. Sequence analysis revealed 11 amino acid mutations in att A/Ann Arbor/6/60 (H2N2) when compared to the sequence of the wild-type virus (6). Among these mutations, five ts loci only, three in the PB1 gene (K391E, E581G, and A661T), one in the PB2 gene (N265S), and one in the NP gene (D34G), were sufficient to confer to influenza virus A/Puerto Rico/8/34 (H1N1) the ts phenotype in vitro and the att phenotype in ferrets (17). In this report, we show that these same ts mutations conferred the ts phenotype in vitro to an avian influenza virus. Further genetic modifications were introduced into the PB1 gene of the avian virus to enhance the att phenotype in chickens and to discriminate by reverse transcription-PCR (RT-PCR) the vaccinated from the infected birds during acute stages of infection. Our studies showed that a single-dose posthatching or in ovo vaccination promoted efficient levels of protection for vaccinated birds in both the LPAI and HPAI challenge models.
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Cloning and generation of viruses by reverse genetics.
The HA and NA genes of CK/04 (H7N2) were cloned using a set of universal primers as described previously (14, 15). The cloning of the eight genes of the WF10 virus has been described in separate studies (36). The H5
(with the deletion of the polybasic amino acid sequence) and N1 genes from A/VN/1203/04 were cloned from the 6PR8:2H5
N1 recombinant virus, a kind gift from Ruben Donis, CDC. The cloned genes were sequenced, and the sequences compared to the corresponding viral sequences to determine that the clones did not carry spurious mutations. Sequences were generated by using a Big Dye Terminator v3.1 cycle sequencing kit 1 (Applied Biosystems, Foster City, CA) and a 3100 genetic analyzer (Applied Biosystems), according to the instructions of the manufacturers. The ts mutations in PB1 and PB2 were introduced by site-directed mutagenesis using a commercially available kit (Stratagene, La Jolla, CA). The PB1 gene of the WF10 virus was further modified by PCR, incorporating an HA tag sequence (8 amino acids derived from the influenza virus H3 HA protein sequence [tag]) in frame with the PB1 open reading frame while preserving the essential assembly sequences (30). The HA tag was incorporated in the context of wild-type and ts PB1 sequences as indicated in the text and in Fig. 1. Thus, the C terminus of the PB1 gene at the HA tag junction contains the following sequence: EDMYPYDVPDYASRICSTIEELRRQK-C terminus, in which the underlined amino acids correspond to artificially introduced amino acids, those in italics correspond to the HA tag, and the rest to PB1. For in vitro studies, the HA gene derived from influenza virus A/Mallard/Alberta/24/01 (H7N3) (Mal/01) adapted to MDCK cells, a kind gift from R. Webster, was used because it provides a large-plaque phenotype in MDCK cells in the presence of trypsin (H. Song and D. R. Perez, unpublished).
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FIG. 1. Schematic representation of avian influenza virus PB1 and PB2 constructs for the generation of ts and HA-tagged mutant viruses. (A) Site-directed mutagenesis was used to introduce three ts mutations (K391E, E581G, and A661T) into the PB1 gene and one (N265S) into the PB2 gene of the WF10 (H9N2) virus. The PB1 gene was further modified by incorporating an HA tag sequence in frame with the C terminus of the PB1 protein. The HAtagR primer is unique for the HA tag sequences, whereas the PB1-2147F and PB1-2341R primers anneal to sequences in the PB1 gene. (B) Viral RNA was isolated from the recombinant viruses grown in embryonated chicken eggs. The RNA was RT-PCR amplified using two sets of primers as indicated. The RT-PCR products were analyzed on a 2% agarose gel in the presence of ethidium bromide. A 100-bp ladder was used as a molecular weight marker. WT, tag, ts, and att correspond to four different virus strains: 7WF10:1malH7, 7tagWF10:1malH7, 7tsWF10:1malH7, and 7attWF10:1malH7.
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8 µg) was mixed with 18 µl of TransIT LT-1 (Mirus, Madison, WI). After 45 min of incubation at room temperature, the mixture was added to the cells. Six h later, the DNA transfection mixture was replaced by OptiMEM I. Thirty h after transfection, 1 ml of OptiMEM I containing 1 µg/ml tosylsulfonyl phenylalanyl chloromethyl ketone (TPCK)-trypsin was added to the cells. The viruses were propagated in 10-day-old embryonated chicken eggs and titrated by the EID50. The recovery of recombinant viruses was verified by sequencing using specific primers. The wild-type and HA-tagged viruses were differentiated by RT-PCR using the specific primer sets PB1-2147F and HAtagR and PB1-2147F and PB1-2431R, as shown in Fig. 1 (sequences of the primers provided upon request). The genetic stability of the mutant viruses was evaluated by serial passage (10 times) of virus stocks at a 1:10,000 dilution in 10-day-old embryonated eggs. Plaque assays and immunostaining. The ca/ts phenotypes of the recombinant viruses were examined by plaque assay in MDCK cells and CEK cells at 32°C, 37°C, 39°C, and 41°C. Confluent cell monolayers in six-well plates were infected with 10-fold dilutions of virus in a total volume of 0.4 ml of phosphate-buffered saline (PBS) for 1 h at 37°C. Cells were washed once with PBS and covered with an overlay of modified Eagle's medium containing 0.9% agar, 0.02% bovine serum albumin, 1% glutamine, and 1 µg/ml TPCK-trypsin. The plates were then incubated at 32°C, 37°C, 39°C, and 41°C under 5% CO2. After 3 days of incubation at 37°C, 39°C, and 41°C or 4 days at 32°C, the overlays were removed and the cells were fixed with 4% paraformaldehyde and permeabilized with 0.2% Triton X-100. The potential endogenous peroxidase activity was destroyed by incubation with 1% H2O2-methanol. After being blocked with 1% bovine serum albumin in PBS, the cells were incubated with mouse anti-WF10 polyclonal antibody prepared in our laboratory, followed by incubation with peroxidase-conjugated goat anti-mouse IgG (Jackson Immuno Research, West Grove, PA). The viral antigen was visualized by incubating the cells in a solution of aminoethylcarbazol (Dakocytomation, Carpinteria, CA). The size and number of plaques were obtained at each temperature and compared to determine the ts phenotype of each virus. The nonpermissive temperature was defined as the lowest temperature that had a titer reduction of 100-fold or greater compared to the titer at 37°C.
Western blot assay. MDCK cells grown in six-well plates were infected with the recombinant viruses and A/Memphis/98 (H3N2) as control. After infection, the cells were trypsinized and collected by centrifugation. The cells were washed once with ice-cold PBS, resuspended in 50 µl of PBS, and mixed with 100 µl Laemmli sample buffer (Bio-Rad, Hercules, CA). The samples were then boiled for 5 min and centrifuged at 13,000 x g for 3 min at 4°C. For immunoblotting, the cell lysates were fractionated by 10% sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), and the proteins were transferred onto nitrocellulose membrane (Bio-Rad, Hercules, CA) for immunoblot analysis. The membranes were blocked in 5% nonfat milk in PBS for 1 h at room temperature, and then incubated for 1 h with primary antibodies for NP (mouse anti-WF10 polyclonal antibody), M1 (mouse anti-M1 monoclonal antibody [ATCC, Manassas, VA]), actin (mouse antiactin monoclonal antibody [Chemicon, Temecula, CA]) or the HA tag (rat anti-HA monoclonal antibody [Roche Diagnostics, Indianapolis, IN]). The immunoblots were washed three times with PBS containing 0.05% Tween 20 and subsequently incubated with a 1:10,000 dilution of goat anti-mouse or goat anti-rat IgG conjugated to horseradish peroxidase (Jackson Immuno Research, West Grove, PA). Finally, the membranes were washed three times and visualized by enhanced chemiluminescence (Pierce, Rockford, IL).
Virus replication and transmission study. Animal studies were approved by the Animal Care and Use Committee of the University of Maryland, College Park. Three 3-week-old White Leghorn chickens (Charles River Laboratories, MA) were inoculated intraocularly, intranasally, orally, and intratracheally with 5 x 106 EID50 of avian influenza virus contained in 1 ml inoculum. Eight drops (0.2 ml) were introduced through the eyes and nares, and 0.8 ml of the virus dilution was equally distributed between oral and tracheal inoculations. The day after infection, three naïve birds were introduced to the same cage with the infected birds, in order to monitor the transmissibility of the virus. Tracheal and cloacal swabs were collected from both the infected and contact birds at days 1, 3, 5, 7, and 9 postinfection. The samples were stored in glass vials diluted in 1 ml freezing medium (50% glycerol-PBS containing antibiotics) and titrated for infectivity in 10-day-old embryonated chicken eggs. Sera were collected 2 weeks after infections and tested for antibodies against HA by an HA inhibition (HI) test. In a separate study, three 3-week-old White Leghorn chickens were infected as described above, except that an additional 0.5 ml of the virus dilution was administrated through the cloaca. At 3 days postinfection, tracheal and cloacal swabs were collected, the birds were sacrificed, lung homogenates were prepared, and the virus was titrated by inoculating 10-day-old embryonated eggs. The birds were observed and scored daily for clinical signs of illness. The experiments were carried out under BSL2 conditions.
Dose-dependent immunization and low pathogenic H7N2 challenge study. Two-week-old White Leghorn chickens were immunized with 50, 500, 5,000, 5 x 104, 5 x 105, or 1 x 106 EID50 vaccine virus (6attWF10:2ckH7N2) in 0.5 ml of diluent through intraocular, intranasal, oral, and intratracheal inoculation. At 3 and 5 days postvaccination, tracheal swabs from all the vaccinated birds were collected. The presence of both the ts mutation and the HA tag in the recombinant vaccine virus were confirmed by RT-PCR and sequencing as described above. Two weeks after vaccination, the chickens were challenged by intranasal inoculation with 5 x 105 EID50 of influenza virus CK/04, corresponding to 500 50% chicken infectious doses (data not shown). A group of eight chickens immunized only with PBS served as challenge control for virus shedding. To evaluate the level of virus shedding, both tracheal and cloacal swab samples were collected at 3, 5, and 7 days postchallenge. Sera were collected 2 weeks after vaccination and 2 weeks after challenge, respectively. Sera were treated with receptor-destroying enzyme (Denka Seiken Co., Tokyo, Japan) and tested for antibodies against eight HA units of Ck/04 by HI assay following the World Health Organization (WHO) protocol.
Immunization and highly pathogenic H5N1 challenge study.
In ovo vaccination of 18-day-old embryonated specific-pathogen-free chicken eggs was performed as described previously (45). Briefly, the eggs were candled, and a small hole was made through the air cell with a drill. The eggs were injected with 100 µl of high-dose (106 EID50) or low-dose (104 EID50) live att vaccine (6attWF10:2H5
N1) or PBS only by using a 21-gauge needle at a depth of 1 in. At 2 weeks posthatching, a boost vaccination was performed, when indicated. Eight chickens from each of the in ovo-vaccinated groups were boosted with either a high dose (106 EID50/0.5 ml) or low dose (104 EID50/0.5 ml). Serum samples were collected from the jugular or wing vein on a weekly basis for the determination of HI antibody titers. At 4 weeks old, the chickens were challenged by intranasal inoculation of 1 x 105 EID50/0.2 ml of A/VN/1203/04 (H5N1) virus. Two groups of eight chickens that were immunized in ovo with 106 EID50 single-dose vaccine were kept until they were 9 or 12 weeks old, at which time the chickens were challenged with 3 x 105 EID50/0.6 ml of A/VN/1203/04 virus. Tracheal and cloacal swab samples were collected on days 2, 4, and 7 postchallenge for virus titration. After challenge, the birds were observed and scored daily for morbidity and mortality for the next 14 days. The survivors were bled and humanely sacrificed at 14 days after challenge. HI antibody titers were determined against eight HA units of the A/VN/1203/04 virus. Challenge studies with the HPAI H5N1 virus were performed in an enhanced biosafety level 3 facility approved by the USDA.
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To determine whether the ts mutations found in the ca/ts A/Ann Arbor/6/60 strain would impart the same ts phenotype to an avian influenza virus, the PB1 and PB2 genes of WF10 were mutated accordingly (Fig. 1). Both the ts mutant and wild-type viruses carrying the H7 HA gene from an MDCK cell-adapted Mal/01 (H7N3) virus were recovered. The HA gene from the cell-adapted Mal/01(H7N3) virus provides a large-plaque phenotype in MDCK cells (H. Song and D. R. Perez, unpublished). The mutant virus was designated 7tsWF10:1malH7, whereas its wild-type counterpart was labeled 7WF10:1malH7. We tested the abilities of these viruses to form plaques at different temperatures in MDCK cells (Fig. 2A). Plaque assays were carried out, and 3 days postinfection at 37°C, 39°C, and 41°C or 4 days postinfection at 32°C, the cells were immunostained with mouse anti-WF10 polyclonal antibody. Compared with the titer of the wild-type virus, the 7tsWF10:1malH7 recombinant virus showed a 100-fold reduction in virus titer at 39°C relative to its titer at 37°C. At 41°C, the wild type showed pinpoint plaques, whereas none of the mutants were able to form plaques at this temperature, even at low dilutions (10–3; Fig. 2A).
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FIG. 2. Plaque morphologies of mutant avian influenza viruses at various temperatures. Confluent MDCK cells (A) or CEK cells (B) seeded in six-well plates were infected with recombinant viruses. The numbers 10–7, 10–6, 10–5, 10–4, and 10–3 on the plaque pictures indicate the virus dilution used to infect cells at the indicated temperature. At 3 days postinfection for cells incubated at 37°C, 39°C, or 41°C and 4 days postinfection for those incubated at 32°C, cell monolayers were fixed and the viral antigen was visualized by immunostaining as described in Materials and Methods. The plaques were counted, and virus titers were represented as the log10 PFU/ml, as indicated below the individual plaque picture. A titer of <3.0 log10 PFU/ml) indicates that no virus was detected at 10–3 dilution. The nonpermissive temperature was defined as the lowest temperature that had a titer reduction of 100-fold or greater compared to 37°C. Titers that define the shutoff temperature are shown in bold. Arrows in panel A indicate pinpoint plaques. Note: Adobe Photoshop version 7.0 was used for panel A to enhance the contrast of the plaque immunostaining in MDCK cells.
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TABLE 1. Replication of the reassortant viruses in chickensa
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FIG. 3. Immunoblot analysis of HA epitope expression in virus-infected cells. MDCK cells were infected with different recombinant viruses or A/Memphis/98 (H3N2) (positive control for HA tag expression) at an MOI of 1.0 at 37°C and harvested at 16 h postinfection. After lysis, cellular proteins were separated by 10% SDS-PAGE, blotted onto nitrocellulose, and incubated with monoclonal rat anti-HA (upper panel) or mouse anti-WF10 polyclonal antibody (lower panel). The membrane was subsequently incubated with goat anti-mouse or goat anti-rat IgG conjugated to horseradish peroxidase and developed by enhanced chemiluminescence. A 90-kDa band corresponding to the PB1-HA fusion protein is observed in extracts of cells infected with the HA tag-expressing viruses. HA0 and HA1 of the H3 virus are shown. The expression of NP is shown as loading control. The size of protein markers (in kDa) is shown on the left. WT, tag, ts, and att correspond to four different virus strains: 7WF10:1malH7, 7tagWF10:1malH7, 7tsWF10:1malH7, and 7attWF10:1malH7.
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FIG. 4. Viral protein accumulation at various temperatures in infected cells. MDCK and CEK cells were infected with recombinant viruses at an MOI of 10 at 37°C, 39°C, and 41°C, and harvested at 6 h postinfection. Cell lysates were prepared and run on a 10% SDS-PAGE. As described in the legend of Fig. 3 and in Materials and Methods, the expression of viral proteins NP and M1 was detected with a mouse anti-WF10 polyclonal antibody and mouse anti-M1 monoclonal antibody, respectively. As loading control, the expression of actin was monitored by using a mouse antiactin monoclonal antibody. WT, tag, ts, and att correspond to four different virus strains: 7WF10:1malH7, 7tagWF10:1malH7, 7tsWF10:1malH7, and 7attWF10:1malH7.
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TABLE 2. Replication of recombinant viruses at various temperatures in CEK cellsa
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TABLE 3. Transmission studies of the recombinant viruses in chickensa
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A single vaccination dose of the 6attWF10:2ckH7N2 virus protects chickens from challenge with an LPAI H7 virus.
In order to evaluate the protective efficacy of the modified live att virus at different doses, 2-week-old chickens were vaccinated intranasally, intraocularly, orally, and intratracheally with 50, 500, 5,000, 5 x 104, 5 x 105, or 106 EID50 of the 6attWF10:2ckH7N2 virus (Table 4). At 2 weeks postvaccination, the chickens were challenged with 100 50% chicken infectious doses of the low pathogenic Ck/04 (H7N2) virus by the intranasal route. Eight unvaccinated chickens were used as positive controls to determine the replication efficiency of the challenge virus. The protective efficacy of the vaccine is shown as the reduction of virus shedding in both trachea and cloaca compared to the level of virus shedding in unvaccinated controls. Both tracheal and cloacal swab samples were collected at days 3, 5, and 7 postchallenge to determine the amount of virus shedding. The chickens vaccinated with equal or more than 5 x 103 EID50 of 6attWF10:2ckH7N2 virus were protected from virus reinfection. Two birds in the group vaccinated with 500 EID50, which seroconverted at 14 days postvaccination, were also fully protected from virus infection. Our results indicate that a relatively small amount of vaccine virus inoculum (
5 x 103 EID50) was sufficient to provide adequate protection against challenge with an LPAI virus strain. In contrast, the eight unvaccinated control chickens shed a substantial amount of virus after challenge (Table 4).
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TABLE 4. Dose-dependent att H7N2 vaccination study in chickens challenged with LPAI virus Ck/04 (H7N2)a
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N1 virus, which contains the HA and NA genes of the A/VN/1203/04 virus vaccine strain (6PR8:2H5
N1) in which the multiple basic amino acids of the HA cleavage site have been removed (as provided by the CDC). The internal genes of the 6attWF10:2H5
N1 virus correspond to the WF10 att backbone (ts and HA tag). Replication and transmission studies using the 6attWF10:2H5
N1 virus were carried out on 2-week-old White Leghorn chickens. Once again we found that the virus is highly att: only trace amounts of virus shedding were detected at 3 days postinfection through the trachea, with no virus shedding detected in lung or cloaca; the virus was not able to transmit to the direct contact chickens (data not shown).
Based on our previous studies with the H7 vaccine virus, we chose two doses of the 6attWF10:2H5
N1 virus to immunize the chickens: a high dose (106 EID50) or low dose (104 EID50). In ovo administration of the 6attWF10:2H5
N1 live att vaccine virus was performed as described in Materials and Methods. Thirty eggs per group were inoculated with either a high or low dose of the vaccine virus or with PBS as mock vaccine control. The hatchability of the high-dose group was 85%, whereas those of the low-dose and PBS groups were 90%. Ten tracheal and cloacal swab samples were taken from each of the two in ovo-vaccinated groups at 3 days postvaccination (1 day posthatching). Only trace amounts of virus shedding were detected from the tracheal swab samples of 3 out of 10 chickens in the low-dose group and 4 out of 10 chickens in the high-dose group (Table 5). No virus shedding was detected from cloacal swab samples in any of the groups. Subsequently, a subset (eight/group) of the in ovo-vaccinated birds received a second, boost vaccination at 2 weeks posthatching. The boost vaccination consisted of either a low dose or a high dose of vaccine virus, which were administered to the low-dose and high-dose in ovo-vaccinated groups, respectively. Analysis of vaccine virus shedding in birds that received the boost dose showed traces of virus in only one out of eight chickens in the low-dose group and none in the high-dose group. In addition, a group of eight 2-week-old naïve chickens received a high dose of the vaccine, with evidence of low virus shedding in only two of the chickens. At 4 weeks of age, blood samples were collected from the chickens in the different vaccination groups to determine the serum HI titers. Subsequently, the chickens were challenged intranasally with 105 EID50 of the A/VN/1203/04 H5N1 HPAI virus, which is equivalent to 200 50% chicken lethal doses. As shown in Table 5, HI titers were observed at 4 weeks of age in 6/10 chickens that were vaccinated in ovo with either the high dose or low dose of virus. The chickens that received a boost dose of the vaccine at the high dose showed HI titers in eight/eight birds, whereas only four/eight birds that received a boost dose at the low dose showed HI titers. In all cases, HI titers were modest, although clearly discernible. Survival after challenge with the HPAI H5N1 virus was observed in all vaccine groups with different efficiencies: 6/10 and 7/10 chickens that received a single in ovo high dose or low dose of vaccine virus, respectively, survived the challenge, whereas 16/16 chickens that received the boost vaccination survived the challenge. Chickens that received a single high dose of the vaccine at 2 weeks posthatching were also protected, although three/eight chickens died after challenge. In comparison, none of the unvaccinated chickens survived after challenge and the median time to death (MDT) was 1.6 days. Birds that received a single in ovo vaccine dose and did not survive the challenge had an MDT of between 2.75 and 3 days, whereas those that were vaccinated at 2 weeks posthatching and did not survive the challenge had an MDT of 6 days. Interestingly, two other groups of chickens (eight/group) that were vaccinated in ovo with a single high dose of the vaccine virus and that were subsequently challenged with the HPAI H5N1 virus at either 9 weeks or 12 weeks of age showed 100% protection against challenge with no signs of disease (three times more challenge virus was used in these groups in order to compensate for differences in body weight compared to the weight of the 4-week-old birds). Only birds that died from the infection showed signs of disease; none of the survivors (vaccinated) showed overt signs of disease. With respect to virus shedding, vaccinated birds showed reductions of between 2 and >4 log10 EID50 in virus titers compared to the titers in unvaccinated birds in samples taken from tracheal swabs. The effect on the reduction of virus shedding was more evident when using samples obtained from the cloaca: only the two 4-week-old groups that received a single dose of the vaccine in ovo showed reductions in virus titers, of approximately 2 log10 EID50/ml, whereas the other vaccinated groups showed no evidence of cloacal virus shedding. It is worth mentioning that no detectable virus shedding was found in both tracheal and cloacal swab samples in the high-dose prime-boost group. Increased HI antibody titers from surviving birds at 14 days postchallenge suggested that all birds in the vaccine groups did actually respond to the challenge virus.
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TABLE 5. Protective efficacy of the live att vaccine against highly pathogenic A/VN/1203/04 (H5N1) challenge in chickensa
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FIG. 5. Kinetics of HI antibody production in chickens after single-dose (106 EID50) in ovo vaccination with H5N1 live att vaccine. Eighteen-day-old embryos were vaccinated with 106 EID50 6attWF10:2H5 N1 virus in ovo. Sera were collected randomly from eight chickens on a weekly basis and tested for neutralizing antibodies against the A/VN/1203/04 (H5N1) virus by the HI test. GMT, geometric mean reciprocal end-point tier. Horizontal lines indicate the mean HI titer.
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The 6attWF10:2H5
N1 vaccine virus appears either more att or less immunogenic than the 6attWF10:2H7N2 counterpart, since only two out of eight birds showed HI titers when it was administered at a high dose of 106 EID50 at 2 weeks posthatching; in fact the 6attWF10:2H7N2-vaccinated birds showed measurable HI antibody titers even when the chickens received a dose of vaccine virus of just 5 x 103 EID50. Therefore, in order to maximize the humoral response against the H5 virus, we administered 6attWF10:2H5
N1 to 18-day-old chicken embryos in ovo. Our results show that a single dose of the vaccine in ovo induced protective immunity, which provided 100% protection against HPAI H5N1 virus challenge for chickens between 9 and 12 weeks old. The neutralizing antibody titers induced by the vaccine peaked around 6 weeks posthatching, tempting us to speculate that the chickens could be fully protected from 6 weeks old. A boost immunization at 2 weeks posthatching was required to confer 100% protection to challenge at 4 weeks old. In both our H7 and H5 vaccination studies, some of the immunized chickens did not show high levels of seroconversion, although they were fully protected against challenge. Since our approach utilizes a live att virus, it is plausible that local mucosal immunity and/or cell-mediated immunity also contribute to the protection. Coincidentally, it has been shown that a ca avian pneumovirus vaccine achieved full protection in turkeys showing very low levels of seroconversion (33).
The generation of an att avian influenza virus was based on the incorporation of ts mutations found on the PB1 and PB2 genes of the ca/ts/att influenza A/Ann Arbor/6/60 (H2N2) strain and the cloning of an HA tag in frame with the C terminus of the PB1 gene. An important distinction between avian and human influenza viruses relates to their optimal temperature of replication. While human influenza A viruses replicate in the upper respiratory tract at a temperature around 33°C, avian viruses tend to replicate in the intestinal tracts of aquatic birds at a temperature of about 41°C. It is reasonable to speculate that amino acid differences in the internal genes of avian and human influenza viruses are responsible for the optimal temperature of replication. For example, amino acid position 627 in PB2 has been shown to play a role in host range and virulence. Typical avian influenza viruses code for glutamic acid at position 627, whereas human influenza viruses and some of the most lethal forms of H5N1 viruses that have crossed to humans code for a lysine. It has been shown that glutamic acid at position 627 is also a determinant of the cold sensitivity of avian influenza viruses; i.e., it prevents them from growing at temperatures below 33°C (26, 41, 42). The avian influenza virus used in this study possesses glutamic acid at position 627 in PB2. Therefore, incorporation of the ts mutations would not necessarily imply the same level of ts phenotype for an avian influenza virus as for a human influenza virus. Thus, the nonpermissive temperature for the ca/ts/att human virus is around 38°C in MDCK cells (17), whereas for the WF10 virus, it was 39°C.
Host factors may also play a role in determining the ts phenotype, since our studies using cells of mammalian and avian origin showed differences in the abilities of our mutant viruses to form plaques and in protein synthesis. For example, the three different mutant viruses (7tsWF10:1malH7, 7tagWF10:1malH7, and 7attWF10:1malH7) exhibited more-evident ts phenotypes in mammalian cells than in chicken cells. This observation correlates with the observation that viruses containing the WF10 ts backbone are not att in chickens; however, they are substantially att in mice (M. J. Hossain, H. Song, and D. R. Perez, unpublished). Previous studies showed that the heat-shock protein of 70 kDa expressed at 41°C in MDCK cells inhibited the binding of the viral M1 protein to viral ribonucleoproteins and their subsequent nuclear export (12). The different growth characteristics of WF10 in MDCK and CEK cells may reflect distinct interaction patterns between viral proteins and host factors induced in different host cells at higher temperatures.
The incorporation of an HA tag in frame with the C terminus of PB1 provided a genetic marker to differentiate the vaccine strain from the field isolates (using real-time RT-PCR, the HA tag sequence was detected in the swab samples from the vaccinated birds but not in the birds infected by the field isolates; data not shown). The introduction of unrelated sequences into the PB1 gene did not affect the viruses viabilities. This is partially due to the fact that the noncoding regions and the last 12 nucleotides of both the 5' and 3' coding regions of the PB1 viral RNA, which have recently been shown to be sufficient for efficient incorporation of the PB1 viral RNAs (30), were not altered. It is interesting to note that the introduction of the HA tag has little attenuating effect by itself, but it acts synergistically with the four ts mutations in PB1 and PB2. Our results indicated that all the ts mutations contribute to the ts phenotype of HA-tagged viruses; among these ts mutations, 391E and 581G in PB1 are sufficient to provide the ts phenotype at the same level as in the 7attWF10:1malH7 virus. The influenza virus RNA polymerase is a heterotrimer comprising the PB1, PB2, and PA subunits; PB1 functions as the RNA polymerase catalytic subunit (3). The N-terminal region of PB1 interacts with the C-terminal region of PA, while the C-terminal region of PB1 interacts with the N-terminal region of the PB2 subunit (10, 34, 35). Further studies are needed to determine whether the incorporation of the HA tag at the C terminus of PB1 harboring the ts mutations affects the interaction with PB2, which potentially may be disrupted at higher temperatures. To determine whether the replication of the double-mutant virus in birds would result in the loss of the ts loci, the HA tag modification, or both, RT-PCR and sequencing were performed on viruses recovered from the vaccinated birds. The results from tracheal samples collected at 5 days postvaccination from all the vaccinated birds revealed the expected integrity of the ts loci and/or HA tag mutations, suggesting that the host did not induce genetic alterations in these viruses (not shown). No changes in the in vitro phenotypes of the mutant viruses, which is consistent with the results of the sequence analysis, were observed. Likewise, serial passage in eggs (10 times) of the att virus did not result in mutations at either the ts loci or the HA tag modification, and the virus maintained its expected ts-restricted phenotype in vitro. We also took advantage of the HA tag in the att virus to discriminate the vaccine virus from the wild-type virus by real-time RT-RCR (data not shown) using the specific set of primers shown in Fig. 1. Therefore, these results suggest that the att virus is genetically stable and that no revertant compensatory mutations have emerged.
Taken together, our results suggest that live att avian influenza viruses could have potential as safe live vaccines and be applied for mass vaccination using the in ovo route. The use of in ovo vaccination would also alleviate concerns regarding potential reassortment with other viral strains, since it is commonly accepted that wild-type avian influenza viruses are not usually found in commercial chicken eggs. However, since reassortment is common among influenza A viruses, particularly in avian species, additional studies are required to evaluate the reassortment potential of our live att virus with other influenza A viruses. Strategies that prevent the reassortment of the vaccine virus with other influenza viruses, particularly the reassortment of the HA gene, will facilitate the use of live influenza virus vaccines in poultry. Further studies are also needed to test other delivery routes for mass-vaccination purposes; i.e., aspersion, through drinking water, etc.
The apparent increase and recurrence of avian influenza outbreaks in poultry demands the development of alternative intervention strategies to help prevent or control the spread of the disease. When avian influenza outbreaks expand beyond the borders of one country, eradication and quarantine alone may be unsuccessful in containing the disease. This is particularly true when the neighboring countries do not posses an adequate surveillance structure capable of quickly detecting and containing the virus. The unprecedented geographic expansion of the current H5N1 situation in Asia is perhaps the best example of such an argument. An approach that would allow mass vaccination would greatly contribute to the control of avian influenza outbreaks, particularly if it is effective in many avian species. Our studies suggest that it is possible to develop live att avian influenza viruses that have vaccine potential and would be amenable for mass vaccination.
We thank Xiaoping Zhu, Hongquan Wan, Jaber Hossain, and Alicia Solorzano for helpful discussions and for critically reading the manuscript. We specifically thank Erin Sorrell and Danielle Hickman for comments and for editing the manuscript. We are indebted to Ivan Gomez Osorio for his assistance with the animal studies and Andrea Ferrero for her laboratory managerial skills. We thank Robert Webster, Ruben Donis, and Dennis Senne for providing highly valuable virus strains.
Published ahead of print on 27 June 2007. ![]()
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