extensive testing protocols for identifying adventitious agents are not applied because
those protocols are only used with cell banks. Nevertheless, European Pharmacopeia
and CBER guidance amongst others, define strict testing programs for CEF-based
vaccines to demonstrate that the appropriate safety criteria are satisfied (see also
Section 4.3).
Diploid cell lines were developed in the 1960s, based on their capacity to withstand
storage in a cell bank (see Section 4.2.2.1). These cells have a finite in vitro life span,
are euploid (diploid) through the life span, and are structurally identical to those cells
in the species from which they were derived. They also display contact inhibition and
senescence. Diploid cell lines used for marketed human vaccines have been derived
from human tissue. One advantage arising from the use of these cell lines is that any
potential residual proteins are of human origin and therefore not susceptible to trig-
gering an immune reaction. One disadvantage is the finite life span.
A continuous cell line is a cell line with an apparently unlimited capacity for
population doubling [5]. The life span is indefinite allowing good cell amplification
to large scale. However, many continuous cell lines display genetic aberrations
manifested by aneuploidy. Therefore, the genetic stability needs to be well char-
acterized: certain mutations could lead to tumor or oncogene activation [6]. The
features of these cell lines led to define specific regulatory considerations.
4.2.2
TECHNICAL CONSIDERATIONS
This paragraph addresses the technical considerations to start development or
manufacturing of a vaccine that requires cell lines for virus propagation or for
TABLE 4.3
Types of cells used in the manufacture of marketed vaccines
Cell-type category
Cell line
Vaccine against
Primary cells
CEFs (Chicken Embryo Fibroblasts)
Measles, mumps, rabies, tick-borne
encephalitis
Diploid cell lines
MRC-5
Measles, mumps, rubella
Hepatitis A, poliomyelitis, rabies
Varicella
WI-38
Rubella, adenoviruses
Continuous cell
lines
Vero
Poliomyelitis (inactivated)
Rotavirus, pandemic and seasonal flu,
Japanese encephalitis, rabies, smallpox
CHO (Chinese Hamster Ovary) ∗
Zoster-shingles
MDCK
Influenza
Hi-5 with BEVS (Baculovirus
Expression Vector System) ∗
HPV (human papilloma virus)
Note
∗ Recombinant systems
Cell lines for vaccine production
61