large quantities of virus is critical. Various cell lines have been used for this type of
vaccine, of which Vero and MRC-5 are prominent (Table 4.2).
Sub-unit vaccines are based on purified antigens, either isolated from whole
virions or produced as single component with recombinant technology. The anti-
gens are highly purified and well characterized. There is no risk of reversion. Sub-
unit vaccines usually require adjuvantation. Several doses and regular boosters are
often needed to confer long-term protection. In the case of purified antigens from
whole virions, cell-line selection is driven by the capacity of the cell line to pro-
pagate large quantities of virus, as is for whole inactivated vaccines. With regard to
recombinant technology, other cell lines are considered. The main criteria for cell
line selection are based on the ability to harbor the gene of interest (i.e., the gene
coding for the sub-unit antigen) and express it appropriately. Several expression
systems have been developed over the past 40 years (for a review, see [4]).
Cell cultures suitable for the development of vaccines can be categorized into three
types: cultures based on (i) primary cells, (ii) diploid cell lines, and (iii) continuous
cell lines (Table 4.3). Primary cells were the first substrates used for the development
of vaccines. Primary cells consist of cells extracted from the tissue source and used
without passage in tissue culture, in accordance with WHO guidance. Primary cells
are not stored (in cell banks), and no longer accepted for the manufacture of new
vaccines. Because the sources of the cells are not homogeneous, manufacturing
consistency is difficult to guarantee; for example, CEFs are isolated from numerous
different chicken flocks to manufacture each batch of vaccine. In addition, the
TABLE 4.2
Cell lines used for marketed inactivated vaccines (non-exhaustive list)
Cell Line
Marketed Vaccine
Disease
CEF (chicken-
embryo fibroblasts)
Rabipur/RabAvert, Encepur (TBE),
FMSE-Immun (TBE)
Rabies, tick-borne encephalitis
MRC-5
Havrix (HAV), Avaxim (HAV), Epaxal
(HAV), VAQTA (HAV), Twinrix (HAV),
Poliovax (discontinued), Imovax (rabies)
Hepatits A, poliomyelitis, rabies
Vero
Poliorix ∗, Boostrix ∗, Infanrix ∗, Pediarix ∗,
Kinrix ∗, Quadracel ∗, Pentacel ∗,
Pediacel ∗, IPOL (IPV), IMOVAX Polio,
Adacel (IPV), Celvapan (p-flu), Preflucel
(s-flu), Ixiaro (JEV), Jespect (JEV),
Jenvac (JEV), Jeev (JEV), Encevac
(JEV), VERORAB (Rab), Abhayrab
(Rab), Speeda (Rab)
Poliomyelitis, pandemic and
seasonal flu, Japanese
encephalitis, rabies
Continuous cell lines
MDCK
Optaflu, Flucelvax
Seasonal flu
Note
∗ IPV (inactivated polio virus) antigens are part of these vaccines.
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Bioprocessing of Viral Vaccines