Vaccines are the primary tools for the prevention and control of viral diseases in animals in endemic areas. Despite significant efforts to control and eliminate CSF with mandatory vaccination policies, using MLV, the disease is still endemic in Cuba and outbreaks continue to occur [4, 15, 16]. Previous reports have suggested that the virus has evolved into low pathogenicity strains, driven by the implementation of inefficient vaccination programs [17].
Vaccines can be very susceptible to environmental conditions. In particular, temperature changes significantly affect the integrity of this type of product during storage, transportation and handling. The distribution of biologicals for the treatment of domestic animals in Cuba is carried out in polystyrene boxes with refrigerant bags, through commercial transport, which guarantees their quality. However, technical problems during cold-chain could occur and expose the products to the environmental conditions. MLV vaccines are very susceptible to these problems. Temperature changes during vaccine storage, transportation, delivery and handling affect significantly the virus replication capacity. Failures in the cold-chain and manipulation issues regarding these types of vaccines might lead to a diminished efficacy [18].
The structural instability of vaccine antigens is one of the biggest challenges affecting the quality of vaccines. Therefore, a more stable subunit vaccine against CSFV could perform better in developing countries endemic for this disease.
The safety and effectiveness of Porvac® in pigs from different categories has been widely documented [19–22]. This vaccine has also been capable of providing a very rapid onset of protection[11] and to protect against vertical transmission [12]. Due to these benefits, Porvac® has been proposed for the control of CSF in endemic regions, and in consequence, the stability of the vaccine is of utmost importance.
Among the procedures more often used for measuring the stability of vaccines are real times and accelerated stability studies. In the later, vaccines are subjected to temperatures at which active pharmaceutical ingredient (API) degradation occurs at a faster pace. Then, the rate at which it occurs can be extrapolated to the lower temperatures used for vaccine storage [23].
In a previous work from our group, the shelf life determined for Porvac® at storage conditions (2–8 oC) was at least 3 years. It was also shown to remain safe and immunogenic after one week incubation at 37 oC [24]. In this paper, those previous studies were expanded to explore different temperatures and incubation times.
First, the 25°C stability study is very important, since the outcome of this experiment can predict the behavior of the vaccine at room temperature if the cold chain is affected. The results indicate that Porvac® is stable at 25 oC for at least one year. The average temperature in Cuba in the hottest month of the year is 27.5 oC with maximal values of 32.2 oC in the afternoons, higher than the one evaluated in this study. However, if the vaccine is stable for one year at 25 oC it is most likely that it would resists for several days out of refrigeration during a vaccination campaign.
Next, two other accelerated stability studies were conducted during four weeks at 30 oC and 37 oC. The results revealed that heat stress did not affect the main quality parameters of the vaccine: white color with a homogeneous appearance, a prevalent drop size between 1 µm and 2 µm, which classifies the emulsion as fine and preserves its stability. Small droplet sizes allow a more efficient diffusion of the antigen in the animal injected to reach quickly and systematically the lymphatic tissues and thus trigger the immune response of the animal [25]. Additionally, no separation of the aqueous and oil phases was observed after this incubation period; rheological properties were maintained, no microorganism growth or changes in the organoleptic properties of the immunogen were detected. All these results indicate that the physicochemical properties of the emulsion were preserved.
Another important parameter evaluated was the chromatographic profile of the antigen after the incubation period. After disrupting the emulsion by freeze-thawing and centrifugation, the chromatographic profile of the antigen was preserved, which indicate that the antigen did not suffer significant degradation or aggregation during the incubation time. The E2-CD154 protein forms large polydisperse aggregates with and average size of 517 kD (manuscript in preparation). After four weeks of incubation at 30 oC and 37 oC, the average retention time of the second peak, where E2-CD154 elutes, was similar to that of the control stored at 4 oC. These findings are in correspondence with the immunogenicity results, since a direct correlation between conformational stability of the E2 glycoprotein and the induction of a protective NAbs response in pigs has been reported by several authors [26–28].
In this study, even after one month exposure to 37°C, the pigs did not manifest adverse events; the vaccine continued to be safe and well tolerated.
Another essential element is that Porvac® subjected to heat stress retained the ability to induce high NAb titers. In a previous study from our group [29], after the analysis of 22 challenge experiments with Porvac®, the geometric mean of the NAb titers was 1:5153. A complete correspondence between NAb titers and protection was found (pigs remained free from CSF clinical signs and pathological lesions and were negative for viral isolation after the challenge). There had been already established from previous investigations from several authors that NAb titers > 1:32 confer an adequate protection to both the individual animal and the herd [30, 31].
The results of the second accelerated stability experiment re-define the stability at 37 oC of Porvac® up to one month, instead of the one week informed in the previous publication.
Finally, another important aspect studied here for the first time was the in-use stability of Porvac®. It became evident that the vaccine retains its physicochemical properties and even the sterility for two weeks at 37 oC, after the cap has been needle-punctured. The safety and immunogenicity of this in-use vaccine were also preserved.
In both human and animal health, vaccines resistant to damage by heat could have great economic and health benefit. A virus like particles vaccine against rabbit hemorrhagic disease adjuvated with Montanide 888 was stable at 37 oC or 48 oC for 7 days, since the most important physic-chemical and functional properties of the vaccine remained unaffected [32]. A recombinant vaccine against cattle tick also formulated in Montanide 88 was stable for 14 days at 37°C in needle-punctured vaccine vials [33]. Newcastle disease (ND) virus vaccine exposed up to 30 oC for 7 days was found effective in prevention of Newcastle Disease in village chickens [34].
Heat stress studies have been also reported in classical swine fever vaccines: stability for 7 days at 37 oC was confirmed for a recombinant vaccine against CSF formulated in Montanide 888 [35]. Live attenuated classical swine fever virus vaccine was heat stable at 37 oC for 10 days [36]. Pachauri [37] reported the stability of live attenuated CSF vaccine in liquid form at 4 oC, 25 oC and 37 oC up to 24 hours. The liquid vaccine was stable at 4 oC up to 24 h, whereas, a drop of one log10 titer was observed at 25 oC and 37 oC during the same period.
To our knowledge, no other vaccine has yet proved to be stable for so long as one month at 37°C. Due to this remarkable thermal stability, Porvac® can be a potent tool for CSFV control and eradication programs, especially in developing countries, where the harsh field conditions require a robust vaccine. This is another important advantage of Porvac® in comparison with the thermally sensitivity of traditional MLV.