ABSTRACT:
The antibody response to rabies virus (RABV) induced by commercial vaccines in heifers was investigated. For this, 84 heifers were vaccinated twice (30 days interval) with each of four vaccines (G1 = 14 animals; G2 = 24; G3 = 22 and G4 = 24) and received a booster vaccination 360 days later. Serum samples collected at different intervals after vaccination and 30 days after booster were submitted to a virus neutralizing (VN) assay for RABV antibodies. Thirty days after the second vaccine dose, 92% of the immunized animals presented VN titers ≥0.5UI/mL (geometric medium titers [GMT] 1.7 to 3.8UI/mL). At the day of the booster (360 days post-vaccination); however, the percentage of animals harboring antibody titers ≥0.5UI/mL had dropped to 31% (0-80% of the animals, depending on the vaccine), resulting in lower GMT (0.1 to 0.6UI/mL). Booster vaccination at day 360 resulted in a detectable anamnestic response in all groups, resulting in 83% of animals (65 to 100%) harboring VN titers ≥0.5UI/mL thirty days later (GMT 0.6 to 4.3UI/mL). These results indicated that these vaccines were able to induce an adequate anti-RABV response in all animals after prime vaccination (and after booster as well). However, the titers decreased, reaching titers <0.5UI/mL in approximately 70% of animals within the interval before the recommended booster. Thus, booster vaccination for rabies in cattle using the current vaccines should be performed before the recommended one-year interval, as to maintain neutralizing antibodies levels in most vaccinated animals.
Key words: rabies; cattle; vaccines; neutralizing antibodies
RESUMO:
A resposta sorológica contra o vírus da raiva (RABV) induzida por vacinas comerciais foi investigada em bovinos. Para isso, 84 novilhas foram vacinadas duas vezes (30 dias de intervalo) com cada vacina (G1 = 14 animais; G2 = 24; G3 = 22 e G4 = 24) e receberam uma vacinação de reforço 360 dias depois. Amostras de soro coletadas em diferentes momentos após a vacinação e após o reforço vacinal foram submetidas ao teste de vírus neutralização (VN) para detecção de anticorpos contra o RABV. Trinta dias após a segunda dose vacinal, 92% dos animais apresentaram títulos neutralizantes ≥0,5UI/mL (GMT 1,7 a 3,8UI/mL). Porém, no dia do reforço (360 dias pós-vacinação), a porcentagem de animais que ainda apresentava títulos ≥0,5UI/mL havia se reduzido a 31% dos animais (0 a 80%, dependendo da vacina), resultando em baixos TMGs (0,1 a 0,6UI/mL). A vacinação de reforço no dia 360 resultou em resposta anamnéstica em todos os grupos, resultando em 83% (65 a 100%) de animais com títulos VN ≥0,5UI/mL trinta dias após (GMT 0,6 a 4,3UI mL-1). Esses resultados indicam que as vacinas avaliadas induzem uma resposta adequada de anticorpos anti-RABV após a vacinação (e também após o reforço). No entanto, os títulos reduzem-se, atingindo níveis <0,5UI/mL em 70% dos animais durante o intervalo antes do reforço. Assim, vacinação de reforço contra a raiva em bovinos, utilizando-se as vacinas atuais, deve ser realizada em intervalo inferior a um ano, de forma a manter os níveis de anticorpos neutralizantes na maioria dos animais.
Palavras-chave: raiva; bovinos; vacinas; anticorpos neutralizantes
INTRODUCTION:
Rabies is an acute and generally fatal neurological disease of mammals, including humans. Annually, an estimated number of 60.000 people die of rabies worldwide, manly in African and Asian countries (OIE, 2016). The disease is caused by rabies virus (RABV), an enveloped RNA virus belonging to the family Rhabdoviridae, genus Lyssavirus (ICTV, 2015). RABV is maintained in nature in cycles involving wild and domestic animals, noticeably carnivores and bats (CONDORI-CONDORI et al., 2013). In South America, the bat Desmodus rotundus is the main reservoir of RABV in nature, with frequent transmission to livestock, mainly cattle, horses and sheep (SCHNEIDER et al., 2009).
The economic losses associated with bovine rabies in Latin America may reach 15 million dollars, due to approximately 100 at 500 thousand deaths every year (HEINEMANN et al., 2002). Bovine rabies is endemic in most Brazilian regions represents an important sanitary and economic problem (HEINEMANN et al., 2002). Although, rabies is considered endemic in Brazil, the index varies between different regions of the country. Estimates of deaths reach up to 30.000 to 40.000 cattle annually (RODRIGUES DA SILVA et al., 2000; HEINEMANN et al., 2002).
Rabies vaccination is widely used in Brazilian regions where RABV infection is endemic, frequently associated with control of bat populations Desmodus rotundus (JOHNSON et al., 2014). Unfortunately, vaccination seems not to confer complete protection since bovine rabies has been reported even in vaccinated animals (LIMA et al., 2005). Indeed, some studies revealed a fast drop in neutralizing antibodies after vaccination, what could partially explain some vaccine failures (RIBEIRO NETTO et al., 1973; ALBAS et al., 1998; QUEIROZ DA SILVA et al., 2003). In addition, experimental data has demonstrated that booster vaccinations at somewhat short intervals are required for maintain adequate VN antibody titers (ITO et al., 1991; CÔRTES et al., 1993; RODRIGUES DA SILVA et al., 2000). Protection to RABV infection induced by vaccination is based mainly on neutralizing antibodies directed to the envelope glycoprotein G (WIKTOR et al., 1973; WUNDERLI et al., 1991). According to OIE, immunized animals must have levels of neutralizing antibodies of ≥0.5UI/mL.
Several inactivated, adjuvanted vaccines are available commercially and are widely used in Brazilian regions endemic for rabies. Licensed vaccines are subjected to an official quality control (MAPA, 2009). In spite of the manufacturer’s instructions (two 30-days apart initial doses followed by annual boosters), some producers perform only a single prime vaccination followed by occasional boosters, usually when cases of rabies are reported nearby (LIMA et al., 2005). The absence or incomplete vaccination protocols performed in most herds certainly contributes for the reported cases of rabies in vaccinated animals (FILHO et al., 2010; JOHNSON et al., 2014).
In Rio Grande do Sul (RS), the southernmost Brazil State, bovine rabies was historically endemic in well defined, restricted regions (FLORES - verbal report). Hence, vaccination was usually restricted to the affected and nearby herds. Beginning in 2011, an unprecedented rabies outbreak is occurring in the state, with estimates reaching up to 40.000 deaths by 2013 (SEAPA, 2013). In addition to the dramatic increase in the number of cases, the distribution of the disease also changed, with cases/outbreaks occurring in otherwise free areas. As a consequence of the increase in the number of cases and expansion of the affected areas, rabies vaccination has been gradually implemented in many RS regions (FLORES - verbal report). Thus, the objective of this study was to evaluate the serological response of cattle to four commercial rabies vaccines, used according to the manufacturer’s recommendations.
MATERIALS AND METHODS:
Eighty-four heifers (12 to 24 months-old) belonging to herds with no historic of vaccination against rabies in the central region of RS were used. Heifers were randomly allocated in four groups, each group receiving one commercial rabies vaccine, as follows: G1 = 14 animals; G2 = 24; G3 = 22 and G4 = 24. The four vaccines have been purchased in veterinary stores, kept refrigerated and used before the expiration date. All vaccines contain the RABV strain Pasteur virus (PV) inactivated and aluminum hydroxide as adjuvant. Animals were vaccinated according to the manufacturer’s instructions, receiving two doses subcutaneously (2mL) with a 30 day-interval, followed by a booster approximately 360 days later. Serum samples were collected at days 0 (first vaccine dose), 30 (second dose), 60, 360 (day of the booster) and 390 (30 days after booster). Serum samples were submitted to a modified RIFFT (rapid inhibition fluorescent focus test) for neutralizing antibodies to RABV, according to SMITH et al. (1973), with minor modifications. Briefly, 10-fold dilutions of serum were incubated with approximately 100-200 TCID50 (50% tissue culture infective dose) of CVS (Challenge Virus Standard - CVS132-11A), kindly provided by Instituto Pasteur, São Paulo, Brazil) for 90min, followed by addition of a suspension of Baby Hamster Kidney cells (BHK-21 - C-13 ATCC® CCL-10™) and incubation at 37ºC - 5% of CO2 for 48h. At the end of this period, the indicator cells were submitted to a fluorescent antibody (FA) assay, using an anti-RABV FITC-conjugate (Instituto Pasteur, São Paulo, Brazil). Mock-infected BHK-21 cells and cells infected with CVS were used as controls. Slides were observed in an UV epifluorescence microscope (Axiolab ZEISS®). The virus neutralizing (VN) titer was considered the highest dilution of serum able to prevent virus replication, as indicated by the absence of viral antigens in indicator cells. A reference serum (containing 0.5UI/mL, provided by Instituto Pasteur, Sao Paulo, Brazil) was used as control in all tests. The neutralizing titer of this serum was used to convert the VN titers of the samples to UI mL-1. Neutralizing titers were converted to GMT according to PERKINS (1958). The GMT for each vaccine group at different intervals were submitted to statistical analysis, using the ANOVA and test of the Tukey in software Assistat version 7.7 beta.
RESULTS AND DISCUSSION:
The results of RIFFT assays for RABV neutralizing antibodies in the sera of heifers immunized with commercial vaccines are presented in table 1 and figure 1. Table 1 presents the number and percentage of seropositive cattle (titers ≥0.5UI/mL) and the GMT of the vaccinated animals after vaccination and booster; figure 1 shows the evolution of VN titers (expressed as GMT) at these time points.
Evolution of the geometric mean titers (GMT) of virus-neutralizing antibodies in the sera of heifers vaccinated with each of four commercial rabies vaccines. G1-G4: vaccine groups. * and ** are different (P<0.05).
None of the vaccinated animals had VN antibodies to RABV at the day of first vaccination, as verified by the RIFFT (not shown). Thirty days after the first vaccine dose, 57% of the animals presented VN titers ≥0.5UI/mL (Table 1). The percentage of seropositive cattle varied among the groups, from 25% (G2) to 86% (G1). The GMT at this day ranged from 0.3 (G2) to 1.4UI/mL (G1). In naïve animals, a single dose of inactivated rabies vaccine has been considered insufficient for adequate immunization (ALBAS et al., 1998; FILHO et al., 2010). ALBAS et al. (2005) compared different vaccination protocols with a commercial vaccine containing inactivated RABV (strain PV) and aluminum hydroxide as adjuvant. When evaluating the neutralizing antibody titers 30 days after the first vaccination, only 30% of the animals had developed neutralizing antibodies in titers ≥0.5UI/mL. Our results corroborated these findings, demonstrating that a single dose of the current inactivated vaccines is insufficient to induce suitable antibody levels. However, it should be emphasized that seroconversion at day 30pv (post-vaccination) should not be considered a definitive indicator of vaccine immunogenicity since the vaccine protocols recommend two initial doses 30 days apart. Unfortunately, many Brazilian farmers do not perform the complete vaccination protocol, applying only a single dose. According to our study and previous results, this simplified protocol results in low antibody titers and/or in a low percentage of seropositive cattle, leaving unprotected a considerable part of the herd (ALBAS et al., 2005).
At day 60 (30 days after the second vaccine dose), the heifers had seroconverted to RABV in titers ≥0.5UI/mL in percentages of 100% (G1), 95% (G2 and G3) and 76% (G4), respectively. The GMT ranged from 1.0 (G4) to 3.8UI/mL (G1). Again, G1 heifers developed the highest VN titers comparing to the other groups (P<0.05). Thus, considering the recommended protocol of two initial doses, three out of four vaccines were able to induce VN titers above the cut-off value recommended by OIE (≥0.5UI/mL) against RABV in at least 95% of heifers. Surprisingly, only 76% of the animals of one vaccine group (G4) developed antibody titers higher than 0.5UI/mL after the second dose. The reasons for this low performance are unclear and somewhat surprising since these vaccines are expected to fulfill the official requirements that include innocuity, sterility and potency before are made available for commercial use (MAPA, 2009).
In general, the VN titers at day 60 were well above the reference value, in at least three vaccine groups (in some cases they reached up to 8UI/mL). The magnitude of VN titers, as indicated by GMT, was highly variable among the groups, indicating important differences in the immunogenicity among the vaccines. PIZA et al. (2002) verified that the quantification of virus attached rabies glycoprotein present in vaccines, has a strong correlation with VNA elicited in the target species. This could explain the observed differences between the vaccines we tested. However, we did not assess the virus attached rabies glycoprotein, nor total glycoprotein nor free soluble glycoprotein. Thus, it is not possible to attribute the observed differences to this factor. As mentioned before, licensed rabies vaccines are subjected to official control by the Brazilian Ministry of Agriculture Livestock and Supply (MAPA). Our results confirmed the adequate immunogenicity of at least three of these vaccines, as ascertained by VN titers developed in >95% animals at day 60pv.
At the day of the booster, the percentage of animals with titers ≥0.5UI/mL had dropped dramatically comparing to day 60. Percentage of animals with titers ≥0.5UI/mL ranged from 0 (G4) to 80% (G1). These results indicated that approximately 31% (20 to 100%, depending on the vaccine) of the vaccinated animals would become unprotected to rabies (antibody VN titers lower then ≥0.5UI/mL) before the time recommended for booster. At this day, the GMT were also significantly lower (0.1 to 0.6UI/mL), illustrating the VN very low antibody levels after the one year-interval. The fast decline in VN titers induced by inactivated RABV vaccines has also been observed in other studies. ALBAS et al. (2005) evaluated the neutralizing antibody titers 360 after vaccination and observed that none of the nine vaccinated animals was able to maintain adequate antibody titers. In other study, ALBAS et al. (1998) investigated the importance of the booster in the duration of immune response, observing that only 19% of the animals receiving two vaccine doses, 30 days apart, were able to maintain antibody titers >0.5UI/mL at day 360. Our results corroborated these findings, indicating an early decrease of neutralizing antibody titers in most vaccinated animals.
Following the manufacturer’s recommendations, we performed a booster vaccination approximately 360 days after the initial vaccination. Sera of vaccinated animals were tested for RABV neutralizing antibodies at the day of the booster and 30 days later. Analyzing the individual vaccines, only G1 was able to maintain adequate antibody levels in a high proportion of animals (80%) during the one-year interval. Considering that the vaccination protocols recommend a booster vaccination one year after the prime vaccination, a high percentage of animals (69%) would be unprotected before receiving the booster. This window of susceptibility may partially explain some cases of vaccine failure occasionally reported (LIMA et al., 2005; FILHO et al., 2010). Conversely, these results indicated that shortening the interval between vaccination and booster may be necessary as to eliminate this window of susceptibility, reducing the number of animals susceptible to RABV before booster, as observed in other studies (OLIVEIRA et al., 2000; ALBAS et al., 2005), mainly in young cattle (UMEHARA et al., 2002; LIMA et al., 2005). In hiperendemic areas, where the animals are exposed to a high infection pressure or risk, booster vaccinations at every six or eight months may be required for some vaccines, mainly in the first year after the prime vaccination. A 180 days interval between initial vaccination and booster has been proposed by ALBAS et al. (2005) upon evaluating different vaccination protocols.
Booster vaccination at day 360 resulted in a detectable anamnestic response in all groups as demonstrated by 83% of animals harboring VN titers ≥0.5UI/mL at day 390. The GMT also increased significantly (0.6 to 4.3≥0.5UI/mL) (Table 1, Figure 1). Considering the GMT post-booster; however, booster immunization had variable effects among the groups. Only animals in G1 presented a strong anamnestic response, developing GMT (4.3UI/mL) higher that those observed after the complete prime vaccination (3.8UI/mL). The other vaccines provided a boost sufficient to increase the VN titers of all animals above the value of the ≥0.5UI/mL. However, the GMT of groups G2, G3 and G4 post-booster were significantly lower than those measured at day 60pv (Figure 1). As the sera was collected 30 days post-booster and the peak of antibody titers may be observed earlier (RODRIGUES DA SILVA et al., 2005), it is possible that slightly higher titers were indeed reached soon after booster. Interestingly, vaccine G4 had the worst performance at day 60pv, yet provided an adequate immune boost in 90% of the animals upon revaccination. Unfortunately, we could not follow the animals longer as to ascertain the duration of the post-booster antibodies and whether a shortened interval should also be necessary in the following boosters.
CONCLUSION:
Our results showed that the tested vaccines fulfilled the minimum requirements of immunogenicity, e.g. conferring adequate VN levels in the vaccinated animals after completion of the prime vaccination protocol. Booster immunization revealed an anamnestic response in all vaccine groups. The significant differences in GMT; however, indicated an important variation in the immunogenicity among the vaccines. The most important finding was that adequate VN levels were not maintained over the period of one year in 69% of the animals, indicating the need of shortening the interval between vaccination and booster, mainly in regions of high infection pressure
INFORMAL INFORMATION
FLORES, E.F. Setor de Virologia, Departamento de Medicina Veterinária Preventiva, Centro de Ciências Rurais (CCR), Universidade Federal de Santa Maria (UFSM). Av. Roraima, 1000. Camobi, Santa Maria, RS. 97105-900. E-mail: eduardofurtadoflores@gmail.com
BIOETHICS AND BIOSSECURITY COMMITTEE APPROVAL
All procedures were approved by an institutional committee of animal use (Comissão de Ética no Uso de Animais (CEUA/UFSM)) (approval protocol n° 147/2014)
ACKNOWLEDGEMENTS
The authors thank the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) for the scholarships. Mathias M. received doctoral scholarship (process 142148/2011-3), João M.Q. received scientific initiation scholarship (process 135068/2016-9) and Eduardo F.F. (process 301414/2010-6) and Rudi W. (process 304153/2014-1) were supported by research productivity fellowship
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Erratum
In the article "Serological response to rabies virus induced by commercial vaccines in cattle" published in Ciência Rural, volume 47, number 10, DOI http://dx.doi.org/10.1590/0103-8478cr20161044.In several moments in the article, where it reads:UI/mLRead it:UI mL-1In the Abstract, where it reads:At the day of the booster (360 days post-vaccination); howeverRead it:However, at the day of the booster (360 days post-vaccination)In the Resumo, where it reads:GMTRead it:TMG (título médio geométrico)In the Materials and Methods, where it reads:Sao PauloRead it:São PauloIn the table 1, where it reads:pvRead it:dpvWhere it reads:Post-vaccinationRead it:Days post-vaccinationIn the Results and Discussion, where it reads:antibody VN titers lower then ≥0.5UI/mLRead it:antibody VN titers lower then 0.5UI mL-1Where it reads:(0.6 to 4.3 ≥0.5UI mL-1)Read it:(0.6 to 4.3UI mL-1)
Publication Dates
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Publication in this collection
2017
History
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Received
22 Nov 2016 -
Accepted
25 June 2017 -
Reviewed
14 Aug 2017