Ability of vaccine strain induced antibodies to neutralize field isolates of caliciviruses from Swedish cats.

BACKGROUND: Feline calicivirus (FCV) is a common cause of upper respiratory tract disease in cats worldwide. Its characteristically high mutation rate leads to escape from the humoral immune response induced by natural infection and/or vaccination and consequently vaccines are not always effective against field isolates. Thus, there is a need to continuously investigate the ability of FCV vaccine strain-induced antibodies to neutralize field isolates.
METHODS: Seventy-eight field isolates of FCV isolated during the years 2008-2012 from Swedish cats displaying clinical signs of upper respiratory tract disease were examined in this study. The field isolates were tested for cross-neutralization using a panel of eight anti-sera raised in four pairs of cats following infection with four vaccine strains (F9, 255, G1 and 431).
RESULTS: The anti-sera raised against F9 and 255 neutralised 20.5 and 11.5 %, and 47.4 and 64.1 % of field isolates tested, respectively. The anti-sera against the more recently introduced vaccine strains G1 and 431 neutralized 33.3 and 55.1 % (strain G1) or 69.2 and 89.7 % (strain 431) of the field isolates with titres ≥5. [corrected]. Dual vaccine strains displayed a higher cross-neutralization.
CONCLUSIONS: This study confirms previous observations that more recently introduced vaccine strains induce antibodies with a higher neutralizing capacity compared to vaccine strains that have been used extensively over a long period of time. This study also suggests that dual FCV vaccine strains might neutralize more field isolates compared to single vaccine strains. Vaccine strains should ideally be selected based on updated knowledge on the antigenic properties of field isolates in the local setting, and there is thus a need for continuously studying the evolution of FCV together with the neutralizing capacity of vaccine strain induced antibodies against field isolates at a national and/or regional level.

Background

Feline calicivirus (FCV) is one of the primary causes of infectious upper respiratory tract disease in cats, an important disease worldwide [1]. In addition to respiratory signs, FCV is frequently associated with chronic gingivostomatitis, and highly virulent strains have been associated with an acute systemic virulent disease with a high case fatality rate [2, 3].

Feline calicivirus is a single-stranded RNA-virus of positive sense genome with a high genetic and antigenic variability [4-6], associated with escape from the humoral immune response induced by natural infection and/or vaccination.

FCV is distributed world-wide in the cat population and is estimated to be the etiological cause of upper respiratory tract disease in 10–50 % of cases [1]. The prevalence of FCV varies depending on the management and number of cats in a household [7]. In multi-cat households, such as breeding catteries, cat shelters and cat colonies, FCV is more prevalent [8, 9]. In Sweden, 18 % of feline clinical samples submitted for virus isolation to the National Veterinary Institute during the year 2000 tested positive for FCV, while healthy carriers of FCV in Swedish catteries were estimated at 2.6 % [10].

Several commercial vaccines consisting of various vaccine strains are available, but due to the high mutation rate of FCV, vaccines are not always efficacious [11-13]. There is therefore a need to investigate and follow the ability of vaccine strain induced antibodies to neutralize field isolates of FCV, in order to evaluate and provide updated advice on vaccination strategies at local and/or regional levels.

In a previous study, the cross-neutralization of FCV field strains isolated in the UK by vaccine strain induced antibodies was examined [14]. Here, we used a similar approach to investigate whether comparable findings would apply in a different European country, namely Sweden.

Methods

FCV field isolates

A panel of 78 field isolates of FCV grown in vitro was selected from samples submitted between October 2008 and February 2012 to the National Veterinary Institute in Sweden. The samples were all collected from cats showing clinical signs compatible with FCV infection, although the clinical signs were not always stated in the referral form (Additional file 1), and FCV diagnosis had been confirmed by transmission electron microscopy (TEM).

Virus neutralization test

The isolated FCV isolates were expanded following the inoculation of 2 × 105 cell/mL of feline embryo A (FEA) cells [15] in T25 cm2 flasks (Corning, NY). Cells were incubated at 37 °C in an atmosphere of 5 % CO2. Cultures were observed for evidence of cytopathic effect (CPE) for up to 4 days post-infection. Once CPE became evident, culture fluids were harvested, passed through a 0.45 μm filter Minisart syringe filter (Sartorius, UK), aliquoted and stored at −80 °C prior to titration.

To titrate the virus isolates, fourfold dilutions of the viral stocks (starting at a dilution of 1/500) were prepared and then incubated (in quadruplicate, per dilution per isolate) in 96-well plates (Thermo scientific, NY) with 2 × 105 cells/mL of FEA cells in a total volume of 200 µl at 37 °C for 48 h. As previosuly, the TCID50 was calculated as the reciprocal of the final dilution where CPE was evident in at least 50 % of the wells [14].

Virus isolates were tested for cross-neutralization using a panel of eight anti-sera, raised in four pairs of cats infected once by the oronasal route with 1 mL of each viral inoculum containing 106 TCID50 of FCV strain F9, 255, G1 or 431 (one pair of cats was infected with each strain). Serial dilutions of anti-sera (threefold, starting from a 1/5 dilution) were incubated with 100 TCID50 of each of the 78 field isolates in quadruplicate in 96-well plates in a total volume of 100 µl for 2 h at 37 °C. Next, 100 µl of FEA cells were added at a density of 2 × 105 cells/mL and the plates were incubated for 48 h. The neutralization titre was calculated as the reciprocal of the highest serum dilution where cells were free from CPE in at least two of four replicate wells.

Results and discussion

Virus neutralization of FCV field isolates

The FCV field isolates were analysed in a neutralization test using eight antisera raised against four commercially available FCV vaccine strains (G1, 431, 255 and F9). The same panel of paired anti-sera as had been used by Addie and co-workers [14] was used in this study, with the exception of the anti-sera raised against FCV G1. Fifteen of the field isolates were tested in parallel with the batch of anti-sera previously used [14] as well as the new pair of anti-sera raised against FCV G1, with similar results (Additional file 2). This comparison validated the use of the new batch of anti-sera, which was subsequently used to test all field isolates in this study. The paired anti-sera raised against vaccine strains 255 and F9, which have been used in vaccines for several decades, neutralized 47.4 and 64.1 % (strain 255) or 20.5 and 11.5 % (strain F9) of the field isolates with titres ≥5 (Table 1). The more recently introduced vaccine strains G1 and 431 [16] neutralized 33.3 and 70.5 % (strain G1) or 69.2 and 89.7 % (strain 431) of the field isolates with titres ≥5. In this study, similar differences in neutralizing capacity between paired anti-sera were observed, as had previously been recorded [14] (Table 1), consistent with inter-cat variation in humoral immune responses to FCV infection. As shown in Table 1, strain F9 neutralized few field isolates at titers greater than 45. Only one field isolate (isolated from cat no. 6 displaying upper respiratory signs; Additional files 1 and 2) was not neutralized by any of the anti-sera, and another field isolate (isolated from cat no. 75 with ulcerative stomatitis; Additional files 1 and 2) was neutralized at a titer of five by only one of the anti-sera raised against strain G1 (S2).

Table 1

Results of virus neutralization tests

Titres	S1; G1	S2; G1	S3; 431	S4; 431	S5; 255	S6; 255	S7; F9	S8; F9
<5	52 (67)	35 (45)	24 (31)	8 (10)	41 (53)	28 (36)	62 (79)	69 (88)
5–15	20 (26)	22 (28)	39 (50)	32 (41)	28 (36)	19 (24)	12 (15)	7 (9)
45–1215	6 (8)	21 (27)	15 (19)	38 (49)	9 (12)	31 (40)	4 (5)	2 (3)

Antisera raised against four feline calicivirus vaccine strains (G1, 431, 255 and F9) were used in the neutralization tests of 78 Swedish field isolates. The number of field isolates neutralized by respective antiserum is indicated, with the proportion of neutralized strains shown as a percentage within parenthesis

These results are in accordance with previous reports [11, 14, 17], indicating the poor ability of antibodies against FCV vaccine strain F9 to neutralize current field isolates. The reduced capacity of field isolate neutralization is driven by the high mutation rate of FCV to escape the host immune response leading to emergence of escape mutants [6, 18], whether the immunity is induced by vaccination and/or natural infection. The likelihood of reduced protection increases when a vaccine strain has been extensively used for a long period of time. Antibodies raised against the more recently introduced vaccine strains (G1 and 431) demonstrated better neutralization of field isolates compared to those raised against strain F9 (Table 1); however, we observed no marked difference between antibodies raised against these strains compared to FCV vaccine strain 255. To our knowledge, vaccine strain 255 has not been extensively used in Sweden, although it was introduced a few decades ago; thus, it is likely that this strain has not contributed to the immune pressure driving FCV mutation.

Combining two vaccine strains increases the likelihood of neutralization

Currently, the vaccines registered and in use in Sweden contain either one single vaccine strain (either 255 or F9) or a combination of two vaccine strains (G1 and 431). Therefore, we compared the neutralizing capacity of the anti-sera raised against these vaccine strains as they are presented in current vaccine preparations. Only 10 % of the field isolates were neutralized by both paired anti-sera raised against strain F9, 44 % were neutralized by both paired anti-sera raised against strain 255, whereas 73 % of the field isolates were neutralized by combinations of the anti-sera against strains G1 and 431, where at least one of the paired anti-sera always was neutralizing (Table 2). These findings indicate that by combining two vaccine strains, the likelihood of neutralization of the field isolates increases. It is of interest to note that, by combining strains 431 and 255 in a putative vaccine preparation, an even broader neutralizing capacity (60/78; 77 %) would have been seen against this panel of field isolates (data not shown). This effect could be the result of the greater phylogenetic distance in amino acid sequence between isolates 431 and 255, compared to isolates 431 and G1 [16].

Table 2

Virus neutralization tests interpreted by combining data from antisera raised against vaccine strains as currently presented in registered vaccine preparations

G1 and 431					255			F9
G1 and 431 always neg.	G1 and 431 possibly neg.	G1 neg. or possibly neg. and 431 always pos.	G1 always pos. and 431 neg. or possibly neg.	G1 and 431 always pos.	Always neg.	Possibly neg.	Always pos.	Always neg.	Possibly neg.	Always pos.
2	19	34	4	19	25	19	34	61	9	8
3 %	24 %	44 %	5 %	24 %	32 %	24 %	44 %	78 %	12 %	10 %

Feline calicivirus (FCV) vaccines registered and used in Sweden either contain F9 or 255 only, or a combination of G1 and 431 vaccine strains. The cutoff for a positive neutralizing titer was set to ≥5. The result “possibly negative” indicates that one of the paired neutralizing sera was negative, while the other gave a positive (≥ 5) neutralization titer

The combination of two antigenically distant vaccine strains has previously been proposed in order to achieve higher cross-neutralizing capacity [14]. When we examined data from a previous study of field isolates from the UK, a similar comparison (combining the results obtained for antisera raised against two vaccine strains available in one of the current vaccine preparations) gave comparable results; 72 % of the field isolates were neutralized by antibodies raised against strains G1 or 431, whereas antibodies raised against either strain 255 or F9 neutralized 34 or 15 %, respectively [14]. The use of dual vaccine strains has also been shown to be more effective in the protection against the virulent systemic (VS-) FCV strains [19], although the vaccine strains were not comparable to those used in the present study. Furthermore, there was no suggestion of VS-FCV strains being included among the field isolates used here (Additional file 1).

There is an ongoing discussion that FCV isolated from cats displaying clinical signs of chronic FCV infection are more often vaccine resistant [20, 21], and thus not as often neutralized by anti-sera raised against vaccine strains. Since this study was designed to investigate the capacity of different vaccine strains to neutralize field isolates from Swedish cats, it is not possible to draw any conclusions about the relation between clinical signs and virus neutralization based on the clinical information stated by the veterinary clinicians at submission of samples.

Conclusions

This study confirms previous observations that antibodies raised against more recently introduced vaccine FCV strains, or vaccine strains used less widely, cross neutralize a higher proportion of circulating field isolates than antibodies raised against strains that have been used in vaccines extensively for a long time. Moreover, we demonstrated higher cross-neutralization of field isolates when considering neutralization data for all of the antisera raised against two strains included in a dual FCV vaccine, compared to the neutralization observed by the antisera raised against single vaccine strains. Vaccine strains should ideally be selected based on updated knowledge on the antigenic properties of field isolates in the local setting, and there is thus a need to continuously study the evolution of FCV and the neutralizing capacity of vaccine strain-induced antibodies against field isolates at a national and/or regional level.