Abstract
The live-attenuated yellow fever 17D strain is a potent vaccine and viral vector. Its manufacture is based on embryonated chicken eggs or adherent Vero cells. Both processes are unsuitable for rapid and scalable supply. Here, we introduce a high-throughput workflow to identify suspension cells that are fit for the high-yield production of live YF17D-based vaccines in an intensified upstream process. The use of an automated parallel ambr15 microbioreactor system for screening and process optimization has led to the identification of two promising cell lines (AGE1.CR.pIX and HEKDyn) and the establishment of optimized production conditions, which have resulted in a >100-fold increase in virus titers compared to the current state of the art using adherent Vero cells. The process can readily be scaled up from the microbioreactor scale (15 mL) to 1 L stirred tank bioreactors. The viruses produced are genetically stable and maintain their favorable safety and immunogenicity profile, as demonstrated by the absence of neurovirulence in suckling BALB/c mice and consistent seroprotection in AG129 mice. In conclusion, the presented workflow allows for the rapid establishment of a robust, scalable, and high-yield process for the production of live-attenuated orthoflavivirus vaccines, which outperforms current standards. The approach described here can serve as a model for the development of scalable processes and the optimization of yields for other virus-based vaccines that face challenges in meeting growing demands.
Keywords: live-attenuated vaccine, process intensification, virus yield, high cell density, suspension cells, YF17D, Zika vaccine
1. Introduction
The Zika virus (ZIKV) and yellow fever virus (YFV) are enveloped, single-stranded RNA viruses within the Orthoflavivirus genus. Both viruses are primarily transmitted by Aedes mosquitoes and cause widespread infections in more than 80 countries, particularly in the Americas, Africa [1,2], and, for ZIKV, Asia (Indian subcontinent and Thailand) [3,4]. Due to the occurrence of severe congenital malformations in fetuses [5] and neurological disorders such as Guillain–Barré Syndrome [6] in adults following recent ZIKV infections, the WHO has declared ZIKV a global health emergency. Vaccination would provide a cost-effective and efficient prevention strategy, but currently, licensed vaccines are only available against Orthoflavivirus infections with the YFV (i.e., live-attenuated YF17D vaccine), the Japanese encephalitis virus (JEV), the four dengue viruses, and the tick-borne encephalitis virus. Currently, there are more than 50 ZIKV vaccine candidates in various stages of research and development [7], including inactivated [8], subunit [9], live virus [10], viral vector [11,12], and DNA or RNA [13,14] vaccines, with some promising results in pre-clinical and clinical trials [13]. Inactivated and subunit vaccines, while safe, often necessitate the use of high antigen doses and periodic boosting [15]. Live-attenuated vaccines such as YF17D, conversely, typically induce a more comprehensive and lasting immune response. While emerging vaccine technologies such as mRNA vaccines have demonstrated high efficacy in preventing symptomatic COVID-19 infection and disease [16], dependence on ultra-low temperatures for storage and transport, limited production capacity, high cost, and the need for repeated booster dosing hinder widespread use in regions with limited medical infrastructure. As ZIKV is primarily endemic in developing regions in the Southern Hemisphere, the practical significance of a low-cost and single-dose vaccine that does not require specialized cold-chain storage would be advantageous.
The YF17D vaccine is renowned for its exceptional efficacy and safety profile. Over 1 billion doses have been administered globally since its development in the 1930s [17], and the vaccine is associated with a very low incidence of serious adverse side effects (~1 per million [18]). A single dose of YF17D induces well-balanced and durable immunity [19]. By inserting foreign antigens into the viral polyprotein [20], YF17D can also be further used as a platform to engineer novel vaccines against unmet medical needs [12,21,22,23,24,25]. This approach has undergone extensive validation, exemplified by the approval of two human YF17D-based chimeric vaccines targeting Japanese encephalitis virus (Imojev®) and dengue virus (Dengvaxia®). Nevertheless, many aspects of contemporary vaccinology remain empirical and confined to conventional methodology, including means of manufacture. Realistically, “one-size-fits-all” manufacturing solutions do not exist. However, the exploration of new production platforms and the use of advanced process technologies could open new avenues as seen in the development of first-generation COVID-19 vaccines. Alternative manufacturing modes, besides egg-based production and production in anchorage-dependent cell lines, such as adherent Vero (African green monkey kidney) cells, need to be investigated to satisfy the increasing vaccine demand [26] and to enable rapid, sustainable, robust, and scalable manufacturing of novel vaccine candidates based on the YF17D platform.
In the present study, we have established a workflow that allows for efficient process optimizations by screening multiple parameters in a parallel high-throughput manner using our chimeric YF17D-based Zika virus vaccine candidate YF-ZIK [12,27] as an example. Ultimately, this results in the definition of reliable and efficient process parameters for the establishment of an upstream process for the production of live orthoflavivirus vaccines, with yields that far exceed the current state of the art based on a single cell line. Starting from 14 potential cell lines grown in suspension format, we rapidly identified host cell candidates for subsequent process optimization using a fully automated single-use ambr15 microbioreactor system (Sartorius). Commercially relevant infectious virus titers were obtained with two suspension cell lines (AGE1.CR.pIX and HEKDyn) in batch and fed-batch mode, exceeding the productivity of adherent Vero cells by more than 100-fold at different scales (15 mL to 1 L). Finally, the produced YF-ZIK maintained the expected high genetic stability, favorable safety, and immunogenicity as assessed by sequence analysis and plaque assay in vitro, and in suckling BALB/c mice and AG129 mice. Our approach of rapid process intensification for the production of live orthoflavivirus vaccines should be translatable to a broader spectrum of live viral vaccines.
2. Materials and Methods
2.1. Cell Lines, Media, and Viral Seed Stock
Detailed information on all used cell lines (e.g., origin, media, and supplier) is provided in Table S1 in the Supplementary file. All suspension cell line cultures (Supplementary Table S1) were cultivated in a Multitron Pro incubator (Infors AG, Bottmingen, Switzerland) at their respective rpms (50 mm orbital throw, Supplementary Table S2) using non-baffled or baffled shake flasks (Corning, Corning, NY, USA, Supplementary Table S2) with a 50 mL working volume (wv) of their specific media (Supplementary Table S1). Cells were seeded at viable cell concentrations (VCCs) between 5.0 and 8.0 × 105 cells/mL and passaged twice a week. Adherent cells (Supplementary Table S1) were cultivated at 37 °C in a 5% CO2 atmosphere in T175 cell culture flasks (Greiner, Pleidelsheim, Germany) or 490 cm2 roller bottles (Greiner, Germany) with an initial VCC of 3.0–5.0 × 105 cells/mL and a working volume (wv) of 50 mL or 200 mL, respectively. For cell passaging, cells were detached by washing twice with PBS followed by incubation with 1× trypsin/EDTA solution for 10 min. Cell diameter, VCC, and percentage of viability were measured using an automated Vi-CELL XR cell counter (Beckman Coulter, Brea, CA, USA).
The construction and rescue of YF-ZIKprM/E virus (YF-ZIK), a derivative of the YF17D vaccine strain expressing an Asian-lineage ZIKV prM/E envelope, has been described previously [12,27]. After 3 consecutive passages of YF-ZIK in dividing cells, viral seed stocks were prepared. Here, adherent Vero E6 cells were seeded into T175 flasks at 0.5 × 105 cells/mL in 50 mL GMEM-Z medium. After 24 h of growth, the cells in one flask were detached to determine the VCC. The other flasks were washed twice with PBS, and cells were infected at a multiplicity of infection (MOI) of 10−4 using 10 mL serum-free VPSFM infection medium containing YF-ZIK. Following a 4 h incubation period, the infection medium was removed, the flasks were washed twice with PBS, and 40 mL of fresh VPSFM was added. The viral stock material was harvested at 5 dpi, centrifuged, and stored at −80 °C until use (7.4 × 106 PFU/mL, passage 4).
2.2. YF-ZIK Batch Production
For batch infection experiments, cells were seeded at 8.0 × 105 cells/mL in either an ambr15 vessel (Sartorius, Göttingen, Germany) or 1 L stirred DASGIP bioreactors (STR; Eppendorf AG, Hamburg, Germany) with a starting wv of 15 mL or 350 mL, respectively. Dissolved oxygen was controlled at 50% saturation by sparging of an air–oxygen mixture through a pipe sparger (ambr15) or drilled hole L-sparger (1 L STR). The addition of 1 M sodium bicarbonate (NaHCO3) or CO2 enrichment were used to control pH. Optionally, antifoam C (3% stock solution) was added to prevent foaming. During cell growth, culture temperature was maintained at 37 °C and pH value was controlled at 7.2 for all cell lines. Ambr15 agitation rates (Supplementary Table S2) were scaled down based on tip speeds described in the literature for 1 L STR runs and kept constant across scaling. For infection in the ambr15 system, the wv was decreased by half and filled up with fresh medium containing YF-ZIK, resulting in a 1.7-fold dilution. For the 1 L STR, the wv was directly increased by the addition of 350 mL fresh medium containing YF-ZIK to achieve a 1:2 dilution. Cell lines were infected at MOIs ranging from 0.1 to 10−4. After infection, the cultivation temperature was either maintained at 37 °C or lowered to 32–34 °C. Ambr15 vessels and 1 L STRs were sampled daily to measure VCC, offline pH, and virus titer.
2.3. YF-ZIK Fed-Batch Production
Seeding and process control strategies for fed-batch experiments in the ambr15 system were identical to those for batch experiments. Cells were already infected one day after inoculation at an MOI of 10−3 for both HEKDyn and AGE1.CR.pIX (abbreviated as pIX for the remainder of the text) cells. Feeds used for fed-batch mode were the respective media (Dynamis and CD-U7; FB1), CHO Feed 1 (FB2; Sigma Aldrich, St. Louis, MO, USA), or HEKFS (FB3; Sartorius, Germany). The daily volume of concentrated feeds varied from 3 to 10% (v/v) of the current culture volume and was derived from the manufacturer’s instructions. In total, 33% (v/v) of total culture volume was added for FB3, 18% (v/v) for FB2, and 20% (v/v) for FB1.
2.4. Plaque Assay
Infectious YF-ZIK titers were determined by a plaque assay with a coefficient of variance of 25% (±0.15 log). Here, porcine stable kidney (PS) cells (courtesy of A. Teichmann, Robert Koch Institute, Berlin, Germany) were seeded in 24-well plates at a concentration of 0.2 × 105 cells/well. After 2 days of growth, the medium was removed, and diluted virus samples were added and incubated for 4 h at 37 °C. Subsequently, the mixture was overlaid with 1.6% (w/v) carboxyl-methyl-cellulose (CMC) in Z-Medium and incubated for four days at 37 °C in 5% CO2. After removing the supernatant from each well, the infectious virus was inactivated and the cells were fixed by adding glyoxal solution (197.3 mL 96% ethanol, 78.3 mL 40% glyocal, 7.5 mL acetic acid, filled to 1 L with ddH2O) for 15 min and stained with napthalin black (1 g naphthol blue black, 13.6 g sodium acetate, 60 mL glacial acetic acid, added to 1 L ddH2O) for 1 h (adapted from [28]). Plaques were manually counted and reported as PFU/mL.
To determine infectious virus input for mice experiments and to analyze plaque phenotypes, selected samples were re-measured with an alternative plaque assay using BHK-21J cells, exactly as described elsewhere [12], with the only modification of a 2 h incubation period at 37 °C (instead of 1 h at room temperature) for virus absorption prior to removal of the inoculum and agar overlay.
2.5. Reverse-Transcription Chain Reaction (RT-PCR) and Sequencing
Final harvest samples produced in CR, pIX, HEKDyn, and HEKFS cells in 1 L STRs were subjected to whole-genome sequencing. Using QIAamp Viral RNA Kits (Qiagen, Hilden, Germany), viral RNA was extracted as previously described [12,29]. Subsequently, cDNA fragments spanning the complete genome were synthesized from the extracted RNA using the qScriptTM one-step RT-PCR (Quanta bioscience, Beverly, MA, USA) with Kapa Hifi DNA polymerase (Kapa Biosystems, London, UK) according to the manufacturer’s instructions. RT-PCR amplicons were generated using the primers and amplification strategy listed in Supplementary Table S3. These amplicons were designed to cover the entire viral genome with overlapping regions, with each amplicon ranging in size from 1.8 to 3 kb and having a 250–500 bp overlap. For single amplicons, the RT-PCR products were purified using an affinity column purification kit QIAquick Gel Extraction Kit (Qiagen, Germantown, MD, USA) with 30–50 µL of elution buffer. Subsequently, 20 μL of the purified product was mixed with 2 μL of corresponding primers, and the resulting mixture was subjected to Sanger sequencing (Macrogen, Amsterdam, The Netherlands). Final de novo assembly of the viral genome was carried out using Snapgene v6.2 (GSL Biotech, San Diego, CA, USA).
2.6. Mice
Pregnant BALB/c dams were purchased from Janvier Labs (Le Genest-Saint-Isle, France). After delivery, to evaluate neurovirulence, 3–6-day-old pups (n = 6–11 per group) were intracranially (i.c.) inoculated with 10 PFU/10 µL or 1000 PFU/10 µL of YF-ZIK YF-ZIK grown on HEKDyn or pIX cells, 10 PFU/10 µL YF17D (positive control), or medium only (sham; negative control). All pups were monitored daily for morbidity and mortality for 3 weeks after inoculation, as described previously [12].
AG129 mice (Interferon-α/β and γ receptor-deficient; B&K Universal, Marshall Bio resources, Hull, UK) were bred in-house at the University of Leuven (Experimental Animal Facilities) and randomly assigned for this study. The standards outlined by the Federation of European Laboratory Animal Science Associations and Belgian guidelines for animal experimentation were rigorously followed for all mouse experiments. Ethical approval for all experiments was obtained from the Ethical Committee of the Animal Research Center at the University of Leuven (project number P100/2019). Male and female mice (n = 5 per group) aged 6–8 weeks were either sham vaccinated (MEM with 2% FBS) or vaccinated intraperitoneally (i.p.) with 100 PFU/200 µL and 1 × 104 PFU/200 µL YF-ZIK grown on either HEKDyn or pIX cells, or 270 PFU/200 µL and 2.7 × 104 PFU/200 µL of YF-ZIK grown on Vero E6 cells. Vaccinated animals were bled on days 7, 14, 21, and 28 for determination of serum antibodies.
2.7. Serum Neutralizing Titers
Zika (ZIKV-mCherry) reporter virus construction and the serum neutralizing titer (SNT) assay have been described in detail previously [22]. Briefly, serum dilutions were incubated with 10 TCID50 ZIKA-mCherry virus in 96-well plates for 1 h at 37 °C. Following this, serum–virus complexes were transferred to 1.0 × 104 BHK-21J cells grown in 96-well plates and incubated for 72 h. The percentage of mCherry-expressing cells was quantified using a Cell Insight CX5/7 High Content Screening platform (ThermoFisher Scientific, Waltham, MA, USA). Neutralization half-maximal inhibitory concentration values were determined by fitting the serum neutralization dilution curve, which was normalized to a virus (100%) and cell control (0%), using Graphpad Prism (GraphPad Software V9.0).
2.8. Calculations
Cell-specific growth rate (µ) and cell-specific virus yield (CSVY) were determined using the following equations:
(1) |
(2) |
Here, VCC represents the viable cell concentration (cells/mL), VCCmax the maximum viable cell concentration post infection (cells/mL), t cultivation time (h), n sampling time point (h), and PFUmax the maximum infectious virus titer (PFU).
2.9. Statistical Analysis
All statistical evaluations were performed using GraphPad Prism V9 (GraphPad Software, San Diego, CA, USA). The data are presented as either mean values ± standard error of the mean (SEM) or ±standard deviation (STD), as indicated in the figure or table legend. Statistical significance was assessed using a two-way ANOVA followed by Šidák’s multiple comparison test or Kruskal–Wallis test, unless otherwise stated. The log-rank (Mantel–Cox) test was employed to compare survival between groups. Statistical differences between groups are denoted by p-values < 0.05: * p-values < 0.05, ** p-values < 0.01, *** p-values < 0.001, **** p-values < 0.0001.
3. Results
3.1. Identification of High-Producing Host Cell Lines
As a first step of process development, we evaluated 14 suspension cell lines (some growing in varying media, Supplementary Table S1) in parallel using the ambr15 system in various GMP-compliant media for efficient YF-ZIK production (a total of 18 variations, all infected at about 2 × 106 cells/mL, MOI 0.05). Productivity was evaluated based on CSVYs and infectious virus titers in the supernatant and compared to an optimized production in adherent Vero cells (Table 1).
Table 1.
Cell Line | VCCmax p.i. (106 Cells/mL) |
µ (1/h) | µinf (1/h) | inf. vir. Titer (106 PFU/mL) |
CSVY (PFU/Cell) |
---|---|---|---|---|---|
VeroPDM | 4.0 ± 0.4 | 0.02 ± 0.003 | 0.015 | <0.01 | <0.1 |
VeroPDM/MDXK | 5.6 ± 0.4 | 0.022 | 0.014 | <0.01 | <0.1 |
pIX | 14.1 ± 0.1 | 0.024 | 0.024 | 55.9 ± 29.1 | 4 ± 2 |
CR | 14.8 ± 0.9 | 0.026 ± 0.002 | 0.021 ± 0.001 | 6.0 ± 2.7 | <1 |
CCX.E10 | 5.7 ± 0.1 | 0.020 | 0.010 | 0.8 ± 0.1 | <0.1 |
BHKPEM | 10.0 ± 0.3 | 0.024 ± 0.002 | 0.017 ± 0.001 | <0.01 | <0.1 |
BHKHIP | 12.4 ± 0.1 | 0.027 | 0.018 | 0.02 | <0.1 |
BHK-PPEM | 4.8 ± 0.3 | 0.024 ± 0.001 | 0.022 ± 0.001 | <0.01 | <0.1 |
HEKPEM | 6.2 ± 0.4 | 0.021 ± 0.002 | 0.020 ± 0.001 | 1.1 ± 0.4 | <1 |
HEKFS | 2.6 ± 0.7 | 0.008 | 0.010 ± 0.002 | 10.6 ± 5.8 | 4 ± 2 |
HEKDyn | 6.1 ± 0.3 | 0.018 | 0.014 | 55.0 ± 13.7 | 9 ± 2 |
HEKvs | 6.8 ± 0.4 | 0.017 ± 0.002 | 0.017 ± 0.002 | 0.3 ± 0.1 | <0.1 |
PBG.PK-21 | 7.7 ± 0.5 | 0.014 ± 0.001 | 0.011 | 0.1 | <0.1 |
MDCKMDXK | 16.2 ± 0.3 | 0.035 ± 0.001 | 0.028 | <0.01 | <0.1 |
MDCKDM | 8.1 ± 0.1 | 0.02 ± 0.002 | 0.017 | <0.01 | <0.1 |
MDCK4C | 8.4 ± 0.3 | 0.023 ± 0.001 | 0.013 | <0.01 | <0.1 |
MDCKS | 16.3 ± 0.2 | 0.031 ± 0.002 | 0.027 | <0.01 | <0.1 |
Veroadh | 2.5 ± 0.1 | 0.028 ± 0.001 | 0.003 ± 0.001 | 1.5 ± 0.1 | <1 |
Maximum viable cell concentration (VCCmax) post infection (p.i.); cell-specific growth rate before (µ) and after infection (µinf); maximum infectious virus titer (inf. vir. titer); cell-specific virus yield (CSVY). Orange: high producers; white: low producers; gray: no producers. All runs carried out in duplicates. Values mean ± STD. If no deviation is given, values are too small to be displayed.
During 72–96 h of initial cell growth, all but one of the cell lines displayed similar growth characteristics with high viabilities above 95%, achieving µ values from 0.014 to 0.035 1/h (exception: poorly growing HEKFS). However, following infection, the cells started to display different cell growth characteristics. While most cell lines continued to grow to VCCs between 4.8 and 10.0 × 106 cells/mL, some such as pIX, CR, MDCKs, and MDCKMDXK reached VCCs above 14 × 106 cells/mL (Table 1, Figure 1a–f). Cell-specific growth rates of all infected cell lines were reduced compared to uninfected growth (Table 1). After maximum VCCs (VCCmax) were reached, viabilities declined rapidly, resulting in final culture viabilities between 50 and 80%, depending on the cell line (Figure 1a–f).
In general, a prolonged growth phase after infection resulted in higher culture viabilities at later stages of infection (e.g., CCX.E10, MDCKMDXK, MDCKDM, HEKvp) (Figure 1a–f). Plaque assay was used to determine the number of infectious virus particles in the supernatants. Cell lines could be categorized into three groups: high producers, low producers, and no producers (Table 1). Surprisingly, when grown in suspension, Vero, MDCK, and BHK cells showed no evidence of virus replication, regardless of the used media or source. Here, the infectious virus titer either remained stable (at the calculated input titer corresponding to an MOI of 0.05) or decreased over time (Figure 1g). Low producers, including CCX.E10, HEKvp, and PBG.PK-21, were found to be susceptible to YF-ZIK, yet viral titers in the supernatant reached only low levels (1.0–8.0 × 105 PFU/mL). The highest infectious virus titers were achieved in the duck cell lines pIX and CR, as well as HEKDyn, HEKFS, and HEKPEM (Figure 1g and Table 1). However, only low CSVYs up to 9 PFU/cell were reached.
This observation shows the profound effects of not only cell origin, but also cell line history and culture media on virus replication.
3.2. Accelerated Parallel Assessment of Critical Process Parameters
Next, we investigated parameters relevant to productivity in a batch process, while minimizing additional process complexity. For this, we selected six host cell lines including all four high producers (pIX, CR, HEKDyn, HEKFS), one low producer (HEKPEM), and one no producer (BHKPEM) under previous standard cultivation conditions. We assessed the effect of two process parameters (MOI and temperature) on infectious virus titers and confirmed the robustness of the resulting optimized process conditions in three biologically independent experiments (Figure 2). Cells were infected at MOIs ranging from 0.1 to 10−4 at 37 °C, or after reducing the temperature to 34 °C.
Higher amounts of virus input (MOI 0.1 or 0.01) resulted in higher (pIX, BHKPEM, HEKPEM, HEKDyn) or similar infectious virus titers (CR, HEKFS) compared to lower virus inputs (MOI 10−3 or 10−4) (Figure 2a). Interestingly, no impact on VCCmax was observed for BHKPEM, HEKPEM, HEKDyn, and HEKFS cells regardless of virus input, while higher MOIs resulted in lower VCCsmax for both duck cell lines pIX and CR (Supplementary Table S4). Peak titers were reached between days 4 and 5 regardless of the initial virus input (except pIX at MOI 0.1; Figure 2a). However, each cell line clearly had a different optimal MOI. The highest maximum titers observed were 4.1 × 107 PFU/mL at an MOI of 0.01 for pIX, 1.2 × 107 PFU/mL at an MOI of 0.001 for CR, 4.4 × 105 PFU/mL at an MOI of 0.1 for BHKPEM, 1.0 × 107 PFU/mL at an MOI of 0.1 for HEKPEM, 2.4 × 108 PFU/mL at an MOI of 0.01 for HEKDyn, and 9.2 × 107 PFU/mL at an MOI of 0.001 for HEKFS (Figure 2a). Both HEKDyn and HEKFS achieved strongly improved CSVYs of 35 and 19 PFU/cell, respectively (Supplementary Table S3). In the next step, the impact of reducing cultivation temperature to 34 °C on VCCsmax and infectious virus titers was evaluated using the optimal MOIs identified. While µ and VCCmax (Table 1 and Table 2) were generally lower at reduced temperatures for both duck cell lines, as well as for BHKPEM, this decrease was only significant for pIX cells (Figure 2b). There was no measurable effect on VCCmax or general growth kinetics (Table 1 and Table 2) for any HEK-derived cell line. Lowering the temperature to 34 °C at time of infection (TOI) resulted in higher infectious virus titers for all host cell lines; however, only for HEKDyn and HEKFS were the 3.4-fold and 13.2-fold increases significant (p = 0.022 and p = 0.049; two-way ANOVA followed by Šidák’s multiple comparison test). As BHKPEM and HEKPEM remained either no or low producers, both were excluded from further investigations. The reproducibility and robustness of the identified optimizations were subsequently confirmed in three independent experiments (Figure 2c, Table 2).
Table 2.
Cell Line | MOI | VCCmax p.i. (106 Cells/mL) |
µ (1/h) |
µinf (1/h) |
inf. vir. Titer (107 PFU/mL) | CSVY (PFU/Cell) |
---|---|---|---|---|---|---|
pIX | 0.01 | 12.3 ± 0.2 | 0.022 ± 0.006 | 0.016 ± 0.006 | 7.7 ± 2.3 | 6 ± 2 |
CR | 0.001 | 14.3 ± 0.6 | 0.021 ± 0.006 | 0.015 ± 0.004 | 8.5 ± 1.1 | 6 ± 1 |
HEKDyn | 0.01 | 6.0 ± 0.6 | 0.019 ± 0.004 | 0.013 ± 0.008 | 11.3 ± 1.2 | 19 ± 2 |
HEKFS | 0.001 | 3.5 ± 0.2 | 0.028 ± 0.007 | 0.012 ± 0.007 | 8.3 ± 3.6 | 24 ± 11 |
Maximum viable cell concentration (VCCmax) post infection (p.i.); growth rate before (µ) and after infection (µinf); maximum infectious virus titer (inf. vir. titer); cell-specific virus yield (CSVY). Orange, high producers; white, low producers; gray, no producers. All runs carried out in duplicates. Values are given as the mean ± STD with n = 3.
In summary, the optimization of two critical parameters for virus production reliably increased infectious virus titers for all selected cell lines without increasing the complexity of the production process.
3.3. Fed-Batch Process with Early Infection at Low MOI
As YF-ZIK replicates slowly and VCCs continue to increase for up to 4–5 days p.i. (Figure 2c), we previously diluted the suspension culture 1.7–2-fold immediately prior to infection. However, because such a step complicates large-scale industrial batch productions, we omitted this initial cell expansion phase for HEKDyn and pIX cells and instead infected the cells just one day after seeding. Additionally, the previously identified optimum MOI (Table 2) was reduced by 1 log10 to further minimize the input of virus seed and to allow for additional cycles of viral amplification (now referred to as early low infection, ELI mode). Finally, the impact of daily addition of concentrated feeds (three different fed-batch modes, FB1–3) combined with the ELI mode on virus yields was evaluated. For pIX cells, FB3 was omitted, as the respective feed is specifically designed for HEK cells and has previously demonstrated poor performance in another avian cell line. Due to the fixed working volume requirements in the ambr15 systems, no metabolite measurements could be carried out.
As shown in Figure 3a, ELI mode, FB1 and FB2 did not result in higher VCCs compared to the batch process for HEKDyn cells. However, the maximum values were reached earlier (day 5 vs. day 8). For FB3, the cells continued to grow until day 7, reaching a VCCmax of 10.7 × 106 cells/mL (1.8-fold increase compared to batch). Surprisingly, both ELI mode and fed-batch processes resulted in steep declines in cell viability after day 4 (3 days p.i.), with final culture viabilities below 40% (Figure 3a). FB3 resulted in the lowest maximum infectious virus titer of 2.4 × 107 PFU/mL at day 6, followed by a drastic decrease of 3 log10 after culture viability decreased by 40%. The highest maximum titers observed were 5.0 × 107 PFU/mL for ELI, 8.5 × 107 PFU/mL for FB1, 3.8 × 107 PFU/mL for FB2, and 2.4 × 107 PFU/mL for FB3. While all process variations resulted in markedly lower maximum infectious virus titers compared to the batch control (about 1.3–4.8 fold; Table 2), maximal titers were reached 3–4 days earlier. However, both FB1 and FB2 supported cell growth to higher VCCs compared to the batch process (Figure 3b). Here, VCCsmax of 15.4 × 106 cells/mL for FB1 and 14.3 × 106 cells/mL for FB2 were reached on day 8. Infectious virus titers were not improved by FB1 or FB2; however, for HEKDyn cells, maximum infectious virus titers were reached earlier (day 5 compared to day 8 for the batch control).
Taken together, the combination of ELI mode and fed-batch operation resulted in significantly decreased production times; however, maximum infectious virus titers were reduced up to 4.8-fold when neglecting the volume increase by feeding.
3.4. Scale-Up to Laboratory Scale Stirred Tank Bioreactor
To demonstrate translation of the pH-, temperature-, agitation- and DO-controlled processes that had been optimized at a small scale (10−2 L vessels) directly for larger bioreactors, we carried out pilot runs in 1 L benchtop STRs. As temperature p.i. was identified as a significant factor for increased infectious virus titers in HEKDyn cells (Figure 2b), a further reduction to 32 and 33 °C was investigated. Both HEKDyn and pIX cells were seeded exactly as for the ambr15 system at 0.8 × 106 cells/mL and cultivated until a VCC of about 4.0 × 106 cells/mL was obtained (Figure 4a,b).
Here, cell-specific growth rates of 0.018 ± 0.001 1/h and 0.020 ± 0.002 1/h for HEKDyn and pIX cells were reached, which were consistent with previous cultivations in the ambr15 system (Table 1 and Table 2). After infection, HEKDyn cells continued to grow until 5 days p.i, with both reactors infected at 33 °C showing similar cell-specific growth rates of 0.014 ± 0.002 1/h and growth curves before the onset of cell lysis (VCCmax 8.2–8.4 × 106 cells/mL). At 32 °C, µ decreased to 0.008 1/h, and a lower VCCmax of 5.2 × 106 cells/mL was reached (Figure 4a). Despite differing growth kinetics at 32 and 33 °C, infectious virus titers were similar, reaching maximum titers of 0.7–1.2 × 108 PFU/mL and CSVYs of 7–18 PFU/cell, as in the ambr15 system (Figure 4a; Table 1 and Table 2). For pIX cells, there was no discernible difference in cell-specific growth rate (0.009–0.011 1/h) nor VCCmax (7.1–8.2 × 106 cells/mL) p.i., regardless of the temperature (Figure 4b). Interestingly, VCCsmax were 1.5-fold lower compared to the ambr15 system operated at 34 °C. Maximum infectious virus titers were comparable (1.5–3.2 × 107 PFU/mL) across all conditions, but three times lower compared to ambr15 system cultivations (Figure 4b, Table 1 and Table 2). Nevertheless, due to the lower VCCsmax, similar CSVYs of 3–5 PFU/cell were reached.
For HEKFS and CR cells, only one run each at 32 °C was carried out (Supplementary Figure S1a). Here, maximum infectious virus titers of 6.5 × 107 PFU/mL and 2.4 × 106 PFU/mL were reached, respectively. Regardless of the cell line, there was no limitation in glucose or glutamine, nor an accumulation of secondary by-products to critical levels over the entire process time (Supplementary Figure S1b). Reactors operated at 32 °C were harvested at day 5 p.i., the cells were removed by centrifugation at 1500× g at 4 °C for 15 min, and the supernatant was stored at −80 °C.
3.5. In Vitro Characterization of STR YF-ZIK Batches from Different Host Cell Lines
A change of line and growth conditions may induce genetic adaptations in the produced viruses, which could potentially impact the consistency and safety of vaccine lots. Therefore, YF-ZIK produced in 1 L STRs at 32 °C from pIX, CR, HEKDyn and HEKFS cells as well as the YF-ZIK stock produced in Veroadh were selected for further in vitro and in vivo characterization. To obtain the full-length RNA genomic sequence for assessment of the genetic stability (identity and homogeneity) of the different YF-ZIK batches, five cDNA fragments (see Supplementary Table S3) covering the entire genome of YF-ZIK from each batch were amplified by RT-PCR, visualized and purified by agarose gel electrophoresis, and subjected to direct Sanger sequencing. A subsequent sequence comparison showed full identity with passage 1 Veroadh YF-ZIK stock. To determine the accurate virus input for subsequent in vivo studies, the previously determined infectious virus titers were validated using a plaque assay on BHK-21J cells (Supplementary Table S5). Lastly, the plaque morphology of the different YF-ZIK batches was assessed and compared to parental YF17D (Figure 5a). As expected, the resulting plaque sizes of Veroadh-, HEKDyn-, and pIX-derived YF-ZIK were homogenous, and remained all significantly reduced (p < 0.0001) compared to YF17D (Figure 5b) [12], suggesting preservation of an overall high homogeneity, and likewise no emergence of more aggressively growing live vaccine virus variants of general safety concern.
3.6. In Vivo Characterization of STR YF-ZIK Batches from Different Host Cell Lines
YF-ZIK batches produced in pIX and HEKDyn cells at the 1L STR scale were selected for final assessment of neurovirulence and immunogenicity and compared to parental YF17D- and Veroadh-grown YF-ZIK, the starting seed material (Figure 6). Mirroring a classical YF17D neurovirulence/potency test [12], groups of suckling BALB/c pups (n = 8–11) were inoculated intracranially with 10 PFU or 1000 PFU of either Veroadh-, HEKDyn-, or pIX-derived YF-ZIK, or 10 PFU of YF17D (n = 5) or medium (sham) as positive and negative controls, respectively. Intriguingly, even when using up to 100-fold higher input doses (1000 PFU) of YF-ZIK, all pups survived, in contrast to those inoculated with as little as 10 PFU of YF17D (Figure 6d), which is known for its pronounced neurovirulence in suckling mice (p < 0.0001, log-rank test). The body weight was compared between the treatment groups by calculation of the area under the curve (AUC, Figure 6c). There was no significant difference in body weight between the sham group and pups treated with 10 or 1000 PFU YF-ZIK, regardless of the host cell origin. Conversely, the AUC was significantly lower for pups inoculated with YF17D compared to the sham group (p = 0.018) as well as 10 and 1000 PFU of YF-ZIK-Veroadh (p = 0.089 and p = 0.001). In summary, the production process (cell line, medium, and scale of production) did not affect the favorable safety profile of YF-ZIK, which appeared to be improved over the parental YF17D [12,30].
To assess ZIKV-specific immune responses elicited by YF-ZIK produced on Veroadh, HEKDyn, or pIX, and to exclude any neuroinvasive properties, we used adult IFN type I and II receptor-knockout (AG129 [21,22]) mice, which are highly susceptible to lethal orthoflavivirus infection. In line with anticipated vaccine safety and as previously demonstrated for Vero E60derived YF-ZIK [12], i.p. vaccination with YF-ZIK at any dose (Supplementary Table S6) did not result in any overt disease symptoms (normal behavior, coat, gait, and posture). The majority of AG129 mice did not exhibit body weight loss (Figure 7b,c). Only one out of five mice receiving either 100 or 104 PFU of HEKDyn-derived vaccine experienced a significant (>15%) body weight loss, requiring euthanasia. In contrast, YF17D was uniformly lethal in this model at doses as low < 1 PFU [12,31]. Animals vaccinated with a low 100 PFU dose of pIX-derived material showed a slight gain in body weight similar to sham-treated mice (Figure 7b).
Finally, all n = 30 AG129 mice that were vaccinated with YF-ZIK seroconverted to high titers of ZIKV-neutralizing antibodies (nAb) as early as 7 days post vaccination (Figure 7d). Furthermore, the animals remained seropositive until the end of the study (day 28 p.i.), regardless of the host cell origin. This was observed to occur in a dose-dependent manner, though the results were not statistically significant when analyzed using the Kruskal–Wallis test (Figure 7d,e).
4. Discussion
Vaccination is a fundamental strategy for the prevention of endemic or emerging infectious diseases. Therefore, the implementation and development of vaccine technologies that allow for timely and scalable manufacture are highly desired [26]. Despite several advancements, the inherent biological complexity and resulting variability in the manufacturing process, coupled with strict regulatory specifications, add to the lengthy and costly nature of traditional vaccine production [32]. Novel platform solutions entailing multiple alternative approaches for antigen and vector design, production, and formulation [33,34] are required to match both the speed and productivity of emerging technologies such as mRNA as well as the need to adapt processes to yield drug products of highest desirable safety and immunogenicity [35,36]. Overall, it thus becomes evident that universally applicable manufacturing solutions do not exist. Here, we describe a workflow for upstream process development for the high-yield production of live recombinant YF17D-vectored vaccines using YF-ZIK as an example [12]. Our stepwise approach guides efficient process optimization by screening multiple parameters in a targeted high-throughput manner, providing a blueprint that might be applicable to other live-attenuated and vectored viral vaccines both established and currently in development.
4.1. Selection of a Favorable Cell Line
The type, culture format, and origin of the host cell have an enormous impact on the yield and quality of a vaccine production process [37,38,39]. In the current study, we started testing with a large panel of suspension cell lines as possible host cell lines for the YF-ZIK replication. Out of the 14 tested suspension cell lines, only 5 supported notable YF-ZIK production, with select human (HEK) and avian (CR, pIX) cell lines showing the most promising productivity (Table 1, Figure 1g). Intriguingly, besides MDCK (canine) cells that had not been tested before for YF-ZIK, BHK-21 (hamster) and Vero (simian) cells were poor producers. This is unexpected as the latter cells—yet originating from different sources and grown in adherent monolayers—had previously been shown to support infection with YF-ZIK [12] as well as with both YF17D and ZIKV [28,40]. Additionally, a similar YF17D derivative ChimeriVax-Zika, described by others [25], had been grown to high yields in Veroadh cells (although it is difficult to compare absolute virus titers between studies) [12,25]. This failure to support productive infection (Figure 1g) was furthermore unexpected, because we obtained high titers for the parental YF17D in MDCK [41,42] and BHK-21 cells [28], whereas the YF-ZIK high producers (pIX, CR, and HEK cells) identified here showed only poor yields for the parental YF17D in a previous study [42]. In fact, infection of HEKDyn and pIX cells with YF-ZIK yielded over a 30-fold higher infectious virus titer than Veroadh cells, even considering that CSVYs were initially low (Table 1). Our comprehensive parallel screening approach demonstrates the importance of a rapid cell line selection protocol at the onset of a vaccine production development, even for closely related vectored constructs. Compared to process development based on a single cell line, our approach is more likely to yield significant process improvements while simultaneously reducing the total time required for process development (Supplementary Figure S2).
4.2. Optimizing Culture Conditions
In addition to the culture format and media, reducing the temperature during the viral replication phase can increase virus stability and/or maximum virus titers [43,44,45,46,47]. Here, a reduction in temperature p.i. to 34 °C significantly increased infectious virus titers in HEKDyn and HEKFS cells. In particular, for pIX and CR cells, the µ p.i. was decreased with the temperature, resulting in a prolonged cell growth phase (5 days vs. 3 days at 37 °C; Figure 1a, Figure 2c). While VCCsmax were not affected, viabilities at time of peak virus titer were higher. A greater proportion of intact cells limits the amount of host cell-derived debris and the release of protein (including proteases) and DNA. The combined benefits include lower levels of impurities at the onset of subsequent downstream operations, reduced loss of infectious units to adsorption to debris or by proteolytical digestion, and improved physical stability of particles at lower temperatures.
We also investigated the effect of MOI on YF-ZIK production. Varying the amount of virus input at the time of infection has been described to primarily influence viral replication kinetics [48,49], as higher MOIs lead to an instantly increased population of infected cells. Except for pIX cells, the maximum infectious virus titers were reached on day 5 p.i., irrespective of the virus input (Figure 2a). Lower MOIs (10−2 to 10−3) resulted in the highest infectious virus titers for all YF-ZIK-replicating cell lines (Supplementary Table S3). Although not investigated further in this study but possibly important in subsequent downstream developments, the fraction of infectious virions to the viral genome copies (I/NI) is an additional critical production parameter that is responsive to process temperatures and time to harvest [50]. Here, the optimized process temperature (<37 °C) and MOI (<10−2) revealed four potential producer cell lines (pIX, CR, HEKDyn, and HEKFS cells) with similar virus production kinetics and markedly higher yields, resulting in up to more than 100-fold higher peak titers compared to Veroadh cells (Table 2).
4.3. Proof of Concept for Translatability and Scale-Up
Concerning the operating expenditures associated with virus production processes, the input of virus seed has been identified as a significant cost factor (e.g., up to 27% of total cost for modified vaccinia Ankara virus [51]). As the maximum infectious virus titers were previously not negatively affected by lowering the MOI (Figure 2), we implemented a multiple infection cycle/low-MOI approach to minimize the required virus input. We further combined this approach with (i) an early infection [35], 1 day post seeding, as used for, e.g., hepatitis C virus as another slow-replicating virus [52], and (ii) feeding strategies to prevent nutrient limitations (Figure 3). Although for HEKDyn cells, process variations resulted in lower viabilities and lower peak titers compared to the batch control (Table 2), the expansion of the infected culture by the addition of feeds (1.2–1.3-fold) yielded similar absolute amount of infectious virus particles and peak titers up to 3 days earlier with 10-fold reductions in requirements for virus seed (Figure 3a). As previously discussed, lower viabilities may complicate downstream processing and must be calculated against the savings made by more economical use of input virus.
Direct scale-up over three orders of magnitude can be challenging and usually requires thorough engineering considerations. In addition, the particular geometry and small height of the ambr15 vessels result in a distinct fluid dynamic profile and high specific power input [53]. Nevertheless, for virus production, three earlier studies have shown that scale-up or scale-down solely based on tip speed results in similar growth performance and production yields across scales (up to 3L) [54,55,56]. Here, we also show that comparable virus titers can be reached in the ambr15 vessel and the 1 L STR cultivations by using tip speed as the sole scale-up parameter. Further temperature reductions to 33 or 32 °C did not affect infectious virus titers; however, at 32 °C, final culture viabilities on day 5 p.i. were as high as 90% with obvious benefits regarding purification needs for a future drug substance (Figure 4).
4.4. Consistency of Live Vaccine Produced in an Intensified Process
The most important critical quality attribute of live vaccines is the maintenance of attenuation. Although the genetic stability of YF17D and its derivatives is high [31,57,58,59], a switch in cell line may lead to adaptive mutations that could impact virulence [60,61,62,63,64], vaccine safety, and potency [65,66,67,68]. Serial passaging of virus stocks has been shown to improve viral replication dynamics and titers of YF-ZIK in Veroadh cells [12] and is commonly applied for other viruses [38,69]. It is noteworthy that YF-ZIK, which was originally derived from a molecular clone, only gained full replication competence and potency after several passages in Veroadh. This phenotype was acquired via critical amino acid changes in the E and Canch domains [12]. The earlier observation contrasts with our results, which demonstrate that YF-ZIK remained genetically stable in suspension cultures. For instance, serial passaging of YF-ZIK over five passages in BHK-21PEM cells did not result in any obvious cell culture adaptation, but rather in virus extinction. More importantly, during enhanced replication in HEKDyn and pIX cells, Sanger sequencing did not reveal mutations in the YF-ZIK genome compared to the P1 Veroadh YF-ZIK seed material. However, future studies that should include deep sequencing analysis of virus populations might be important to provide valuable insights into the genetic diversity, mutational landscape, and evolutionary dynamics of the virus [70].
Plaque phenotype analysis on adherent BHK-21J cells further supports that attenuation of YF-ZIK produced in pIX, CR, HEKDyn, and HEKFS cells was not affected. We found that plaques, regardless of the host cell origin and thus passaging history, remained uniform in appearance and significantly smaller in size than those formed by YF17D [12] (Figure 5b). This result suggests that there was no or very low variability within resulting virus populations without the formation of viral quasi-species [71], which is a favorable indication for the safety and immunogenicity of our vaccine candidate [31,68,72,73].
4.5. In Vivo Safety and Immunogenicity
Consistent with YF-ZIK produced in Veroadh cells as well as other chimeric YF17D-based constructs [23,24,25,65], we observed that all YF-ZIK batches demonstrated an improved safety profile in vivo compared to parental YF17D. All tested batches of YF-ZIK were devoid of the high neurovirulence properties of YF17D when inoculated intracranially (even at very high doses) in BALB/c pups [65] (Figure 6a–d). The lack of neuroinvasive properties of YF-ZIK was further confirmed by the absence of neurotropic growth following systemic injection into highly susceptible (immunocompromised) AG129 mice [74] (Figure 7). Though active replication of the vaccine virus in AG129 mice had some impact on their weight gain, in total, only 2/10 mice exposed to YF-ZIK (produced in HEKDyn cells) suffered from significant weight loss until the humane endpoint.
In summary, we did not observe in orthogonal assays that the growth and massive amplification of YF-ZIK during replication in a new cell line and an intensified upstream process leads to any loss of attenuation. Conversely, the overall benign phenotype of YF-ZIK is preserved when tested in two highly sensitive in vivo models (BALB/c pups and AG129 mice), in which the parental YF17D strain is uniformly lethal.
Vaccine immunogenicity was also not affected. A single dose of both the low (pIX and HEKDyn: 100 PFU or Veroadh: 270 PFU) and high dose (pIX and HEKDyn: 1.0 × 104 or Veroadh:2.7 × 104 PFU) of YF-ZIK resulted in the rapid seroconversion (within 7 days) to high levels of ZIKV-specific binding antibodies (Figure 7c). As expected, nAb titers were significantly elevated following a 100-fold higher vaccine dose. However, importantly, no differences could be observed when comparing batches from different origins. This suggests that the 50–110-fold higher titers obtained in the intensified process translated directly into a linearly increased higher volumetric yield of active drug substance.
4.6. Implications of Improved Yields
Calculating with a similar downstream recovery of 40% as for inactivated YF vaccine [75], our processes would allow the production of approximately 3 × 105 (pIX) to 5 × 105 doses (HEKDyn) per 1 L cultivation. Assuming 105 PFU/dose for human application, such yields would significantly exceed the 1000 doses per liter that are required to be competitive from a manufacturing perspective [35]. To produce the same amount of doses in traditional systems, either 700–1200 specific pathogen-free eggs (400 doses/egg [75]) or 80 L of Veroadh supernatant would be required.
5. Conclusions
All combined, we demonstrate a rapid, multifactorial, and highly parallel workflow with precisely regulated variations of culture conditions and infection parameters for identification of suitable host cells in different media. Starting at a small scale, we were able to identify two potential producer cell lines within a short timeframe (4–6 weeks), and to propose optimized conditions for scalable processes yielding over 100-fold increased virus titers compared to the current benchmark. Critical properties for vaccine candidates such as immunogenicity, attenuation, genetic, and phenotypic stability remained constant in both in vitro and in vivo studies. Such a workflow could serve as a roadmap to rapidly develop or optimize production processes for novel chimeric YF17D-based constructs and other live-attenuated vectored viral vaccines.
Acknowledgments
The authors would like to thank Ilona Behrendt, Nancy Wynserski, Corina Siewert, and Emelie Wicke for their excellent technical support during cell passaging, plaque assay, and ambr15 sampling. The authors acknowledge Elke Maas and Kayvan Abbasi (MVVD) for guidance and diligent help with in vitro characterization of virus stocks, and Carolien De Keyser and Lindsey Bervoets (MVVD) for their skilled execution of animal experiments. The authors would like to thank Carole Langlois and Diogo Araujo from Sartorius for access to an ambr15 device and for sharing MDCKS cells. Furthermore, the kind support from Nuvonis GmbH for providing the suspension CCX.E10 cells, Anette Teichmann (Robert-Koch Insitute) for the PS cells, Matthias Prömmel and Boris Hundt (Ceva Innovation Center GmbH) for the BHKPEM cells, Francesc Gòdia (Autonomous University of Barcelona) for HEKPEM cells, Jennifer Altomonte for the BHK-A cells (Technical University of Munich), Tan for MDCKMDXK cells (East China University of Science and Technology), and Scharfenberg (FH Emden-Leer) for VeroPDM cells are equally acknowledged. Lastly, special thanks to Tilia Zinnecker for scientific advice and technical instructions for the ambr15 system. The graphical abstract and Figure 7a were created with biorender.com.
Abbreviations
µ | cell-specific growth rate |
AUC | area under the curve |
CSVY | cell-specific virus yield |
CMC | carboxyl-methyl-cellulose |
DO | dissolved oxygen |
ELI | early low infection mode |
hpi | hours post infection |
i.p. | intraperitoneal |
I/NI | ratio of infectious to non-infectious virions |
JEV | Japanese encephalitis virus |
MOI | multiplicity of infection |
nAb | virus-neutralizing antibodies |
PEM | protein expression medium |
PFU | plaque-forming units |
p.i. | post infection |
PS | porcine kidney stable cells |
RT-PCR | reverse-transcription chain reaction |
SEM | standard error of the mean |
STD | standard deviation |
SNT | serum neutralizing titers |
STR | stirred tank bioreactor |
VCC | viable cell concentration |
VCCmax | maximum viable cell concentration |
wv | working volume |
YF17D | yellow fever vaccine strain 17D |
YFV | yellow fever virus |
YF-ZIK | chimeric YF-ZIKprM/E vaccine virus |
ZIKV | Zika virus |
Supplementary Materials
The following supporting information can be downloaded at: https://www.mdpi.com/article/10.3390/vaccines12070755/s1, Figure S1: Batch production of YF-ZIK in HEKFS and CR cells in 1 L STR at 32 °C; Figure S2: Comparison between a single cell line (purple squares) or parallel multiple cell lines (green circles) screening approach at the onset of vaccine production development; Table S1: Overview of the screened host cell lines; Table S2: Cultivation parameters used in shake flasks, ambr15 and 1 L STR cultivations; Table S3: Primers utilized for RT-PCR amplification of cDNA fragments of each YF-ZIK batch and for sequencing of the YF-ZIK genome; Table S4: YF-ZIK infection of six suspension cell lines at different MOIs ranging from 10−4 to 10−1 in ambr15 vessels; Table S5: Infectious virus titers of YF-ZIK batches determined by plaque assay using BHK-21J cells to determine the dose for mice experiments; Table S6: Infectious virus titers back-titrated from the inocula used for neurotoxicity and immunogenicity mice studies.
Author Contributions
S.G., U.R., K.D. and Y.G. developed the concept and designed the experimental strategy. S.G., O.K., J.M. and K.D. designed and performed the experiments, analyzed the data, and interpreted the results. Serology assessment was performed by J.P., W.K. and H.J.T. S.G. wrote the original draft. O.K., I.J., V.S., U.R., K.D. and Y.G. reviewed and edited the original draft. All authors have read and agreed to the published version of the manuscript.
Institutional Review Board Statement
The animal study protocol was approved by the Ethical Committee of the Animal Research Center at the University of Leuven (project number P100/2019).
Informed Consent Statement
Not applicable.
Data Availability Statement
Data are available in the article and the Supplementary Materials. Additional data are available on request from the authors.
Conflicts of Interest
Ingo Jordan and Volker Sandig are employees of ProBioGen AG, where AGE1.CR, AGE1.CR.pIX, PGB.PK-21, BHK-P, and HEK293-vp cells were developed. Kai Dallmeier is mentioned as an inventor on patent applications related to the discovery and use of YF17D-vectored vaccines. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Funding Statement
Work at KU Leuven was supported by EU-TRANSVAC2 (project number TRANSVAC-TNA-1802-2), European Union’s Horizon 2020 research and innovation program under Grant Agreement Nos. 733176 (RABYD-VAX consortium), 734584 (ZikaPLAN), and 734548 (ZIKAlliance).
Footnotes
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