key: cord-0689831-kkg8ocsk authors: Lim, Tae-Hyun; Youn, Ha-Na; Yuk, Seong-Su; Kwon, Jung-Hoon; Hong, Woo-Tack; Gwon, Gyeong-Bin; Lee, Jung-Ah; Lee, Joong-Bok; Lee, Sang-Won; Song, Chang-Seon title: Successful cross-protective efficacy induced by heat-adapted live attenuated nephropathogenic infectious bronchitis virus derived from a natural recombinant strain date: 2015-12-16 journal: Vaccine DOI: 10.1016/j.vaccine.2015.07.043 sha: b4670d1961a9652df5363d430e76eb4b9f729b6b doc_id: 689831 cord_uid: kkg8ocsk A natural recombinant nephropathogenic K40/09 strain of infectious bronchitis virus (IBV) was heat-adapted for possible future use as live attenuated vaccine. The K40/09 strain was selected during successive serial passages in specific-pathogen free (SPF) embryonated eggs at sub-optimal higher temperature (56 °C). Unlike the parental strain, the attenuated strain, designated K40/09 HP50, was found to be safe in 1-day-old SPF chicks, which showed neither mortality nor signs of morbidity, and rarely induced ciliostasis or histological changes in the trachea and kidney after intraocular and fine-spray administration. K40/09 HP50 provided almost complete protection against two distinct subgroups of a nephropathogenic strain (KM91-like and QX-like subgroup) and elicited the production of high titers of neutralizing antibody (neutralization index of 3.6). We conclude that the K40/09 HP50 vaccine virus is rapidly attenuated by heat adaptation and exhibits the desired level of attenuation, immunogenicity, and protective efficacy required for a live attenuated vaccine. These results indicate that the K40/09 vaccine could be helpful for the reduction of economic losses caused by recently emergent nephropathogenic IBV infection in many countries. Infectious bronchitis virus (IBV) is a Gammacoronavirus that causes a highly contagious disease in chickens. The virus causes severe economic losses to the poultry industry worldwide because it can affect the upper respiratory and reproductive tracts, and some strains can cause nephritis in chickens [1] . It is well known that the primary problem in the control of infectious bronchitis is the ability of the virus to generate antigenic diversity by inaccuracy of the coronavirus RNA-dependent RNA polymerase and high frequency of homologous RNA recombination [2, 3] . Many studies have shown that the degree of cross-protection tends to decrease among IBV serotypes and genotypes [4, 5] . Despite intensive vaccination efforts using attenuated live and killed vaccines to prevent the disease, the emergence of new variant strains that do not serologically cross-react complicates disease control and is an argument for vaccinating chickens with the type of IBV causing the disease [3, 6] . However, producing a live IBV vaccine requires lengthy strategies that are time, cost, and labor intensive. Attenuation of IBV by multiple passages (over 100) in embryonated eggs can delay a new vaccine's clinical availability for several years. This drawback is compounded by the time required for verification of the vaccine to obtain licensing, as well as the current lack of available cell lines for vaccine production, which could accelerate vaccine production. Furthermore, there is no guarantee that the viral strain used to produce the vaccine will still be endemic at the time of vaccination [7] [8] [9] . Our previous study revealed that the QXIBV strain originating from China has been introduced in Korea and has formed a new cluster in the field [10] . This new cluster, represented by the K40/09 strain, is a natural recombinant strain between the Korean nephropathogenic strain KM91 and the QXIBV strain. In a previous challenge study, we characterized the Korean variant IBV K40/09 strain with regard to its immunogenicity and crossprotective efficacy against heterotype strains and its potential as a vaccine candidate [11] . The development of a temperature-adapted vaccine has been attempted to increase safety and shorten the time of attenuation in several studies [12] [13] [14] . However, our experience shows that, besides desirable levels of attenuation and immunogenicity, other traits such as good growth properties should also be considered for live vaccine strains, and that this attenuation process may not work for all viruses. In the present study, we evaluated the safety and cross-protective efficacy of heat-adapted, live attenuated IBV derived from the K40/09 strain. The results of the present study might provide information for future IBV vaccine development and vaccination strategies. The IBV strain K40/09, which was used for vaccine development, was isolated from a broiler farm in Korea. This variant strain belonged to the Korean new cluster 1, which originated from natural recombination between KM91 and QXIBV and showed a high level of cross-immunogenicity in a previous study [11] . Two challenge strains belonging to the KM91-like subgroup (KM91) and QX-like subgroup (K1277/03) were used to evaluate the crossprotective ability in chickens immunized with the heat-adapted IBV K40/09 strain (Table 1 ). All isolates were propagated in 10-day-old specific-pathogen free (SPF) embryonated chicken eggs (Hy-Vac, Adel, IA, USA) at 37 • C for 48 h. The allantoic fluid from eggs infected with each isolate was harvested and frozen at −70 • C until use. SPF white leghorn chickens (Nam-Deog Sanitek, Korea) were maintained in positive pressure high-efficiency particulate airfiltered stainless steel isolation cabinets (Three Shine, Korea). The food and water were provided ad libitum under constant illumination within a biosafety level 2 laboratory. All study procedures and animal care activities were conducted in accordance with the national and institutional guidelines for the care and use of laboratory animals. Total 12 mL allantoic fluid (K40/09 IBV, 10 7 EID 50 /mL) that propagated in embryonated chicken eggs were incubated at 56 • C and 1 mL aliquots were removed every 5 min for 60 min. Each aliquot was inoculated via the chorioallantoic sac (100 L/egg) into five embryonated eggs (10-or 11-day-old), respectively and was incubated for 6 days. The allantoic fluid was harvested from eggs confirmed embryonic lesions of curling and stunting; those with the highest viral load as quantified by real-time reverse transcription polymerase chain reaction (qRT-PCR) were selected [15] and used for subsequent serial passages, which were repeated fifty times. The titer of three viruses designated K40/09 (parental strain, no heat-adapted passages), K40/09 HP40 (forty heat-adapted passages), and K40/09 HP50 (fifty heat-adapted passages) was determined in 10-day-old embryonated eggs and was calculated by the method of Reed and Muench [16] . One hundred and forty SPF 1-day-old chicks were divided into 7 groups, with 20 chicks in each group. A 10× dose (10 4.0 EID 50 /bird) of three IBV strains (K40/09, K40/09 HP40, and K40/09 HP50) was inoculated by the eyedrop or fine-spray method (Three Shine, droplet size = 50 m) at 1 day of age, while those in the control group were inoculated with phosphate-buffered saline ( Table 2) . To determine the pathologic characteristics of IBV, 10 birds were observed twice daily for clinical signs for 14 days. At 5 days after inoculation, 10 chickens were sacrificed and used to score ciliostasis and histological lesions. Tracheas and kidneys were collected, fixed with 10% neutral-buffered formalin, and routinely processed in paraffin, after which 5-m sections were cut for hematoxylin and eosin staining for histological studies. The tracheal lesion scores included epithelium deciliation, proliferation, degeneration, exudate, congestion, and hemorrhage. The renal lesion scores included epithelial degeneration, tubulonephrosis, interstitial nephritis, and regeneration. Lesions were scored as follows: 0 for normal, 1 for extensively focal lesions, 2 for multifocal lesions, and 3 for diffuse lesions. A total of 120 3-week-old SPF chickens were divided into 12 groups of 10 chickens each. Nine groups were immunized intraocularly with K40/09, K40/09 HP40, or K40/09 HP50 strain at 10 3.0 EID 50 , while the other three groups were kept as non-immunized controls. Three weeks after immunization, all birds were challenged intraocularly with 10 4.5 EID 50 of three strains belonging to KM91-like subgroup (KM91), QX-like subgroup (K1277/03), or new genetic cluster (K40/09) ( Table 3 ). Five days after challenge, the challenge virus was re-isolated from the tracheas and kidneys of birds by inoculating 9-to 11-day-old embryonated SPF chicken eggs. After 48 hr of incubation, allantoic fluids were harvested and the presence of challenge virus was examined using the dot-immunoblot assay [17] . Sera from chickens of all groups in the efficacy studies were collected at 3 weeks after immunization and inactivated at 56 • C for 30 min. The viral neutralization test was performed as previously described [18] . Briefly, the viruses used for immunization were 10-fold serially diluted before mixing with an equal volume of inactivated serum sample. The virus-serum mixtures were incubated for 1 h at 37 • C prior to inoculating 10-day-old embryonated SPF eggs. All specimens were inoculated into the allantoic cavity of 9-to 11-day-old SPF chicken embryonated eggs (Hy-Vac). After 48 h of incubation, the eggs were chilled, and the allantoic fluids were harvested and tested using the dot-immunoblot assay [17] . At the end of the experimental period, the EID 50 values of the inoculated viruses were determined and the neutralizing index (NI) was calculated. The mean ciliostasis and histopathologic lesion scores were analyzed using a two-tailed t-test and re-isolation rate of challenge virus among the groups was analyzed using one-tailed Fisher's exact test. A p-value of <0.05 was considered statistically significant. The K40/09 parental virus was pathogenic to 1-day-old chicks, inducing 40% mortality as well as respiratory signs and nephritis regardless of the administration method; however, K40/09 HP40 and K40/09 HP50 did not induce any clinical signs or mortality b On day 5 post-vaccination, tracheas were removed from five chickens in each group. Ten trachea rings per chick were prepared (three upper, four middle, and three lower). The rings were examined under low-power magnification and ciliary activity was scored as follows: 0, no ciliostasis; 1, 25% ciliostasis; 2, 50% ciliostasis; 3, 75% ciliostasis; 4, 100% ciliostasis. c Histopathology of the trachea and kidney at 5 days post-vaccination with IBV is reported as histopathologic lesion scores. 0, normal; 1, extensively focal lesions, 2, multifocal lesions; 3, diffuse lesions. * p < 0.05, by two-tailed t-test, compared to the K40/09 HP50 intraocularly vaccinated group. *** p < 0.001, by two-tailed t-test, compared to the K40/09 HP50 intraocularly vaccinated group. † p < 0.05, by two-tailed t-test, compared to the K40/09 HP50 vaccinated group by fine spray method. † † † p < 0.001, by two-tailed t-test, compared to the K40/09 HP50 vaccinated group by fine spray method. 10/10 0/10 *** 10/10 2/10 *** Korean II subgroup 2 (QX-like) K1277/03 10/10 0/10 *** 10/10 1/10 *** Korean new cluster 1 K40/09 10/10 0/10 *** 10/10 0/10 *** K40/09 HP40 Korean II subgroup 1 KM91 10/10 0/10 *** 9/10 0/10 *** Korean II subgroup 2 (QX-like) K1277/03 10/10 0/10 *** 10/10 0/10 *** Korean new cluster 1 K40/09 10/10 0/10 *** 10/10 1/10 *** K40/09 HP50 Korean II subgroup 1 KM91 10/10 0/10 *** 9/10 0/10 *** Korean II subgroup 2 (QX-like) K1277/03 10/10 1/10 *** 10/10 0/10 *** Korean new cluster 1 K40/09 10/10 0/10 *** 10/10 0/10 *** a Three-week-old chickens were immunized with IBV K40/09 parent, K40/09 HP40 or K40/09 HP50 (10 3.0 EID50/bird) via the intraocular route. b At 3 weeks post-immunization, all birds were challenged with 10 4.5 EID50 of three challenge strains via the intraocular route. c Five days after challenge, protection was evaluated by the absence of challenge virus in the trachea and kidney. *** p < 0.001, by Fisher's exact test, compared to non-vaccinated control group. in 1-day-old chicks ( Table 2 ). In this study, we observed different results for ciliostasis and histological lesions according to the vaccination method. When administered intraocularly, the mean ciliostasis histopathologic lesion scores for tracheas of birds inoculated with K40/09 HP40 and K40/09 HP50 were lower than those for birds inoculated with K40/09. However, when administered by fine spray, only K40/09 HP50 showed low ciliostasis and histopathologic lesion scores. In the kidneys, K40/09 HP50 did not induce any histopathologic lesions, but chickens administered K40/09 and K40/09 HP40 IBV exhibited definite epithelial degeneration, tubulonephrosis, and interstitial nephritis when compared with the non-vaccinated control. As shown in Table 3 , chickens immunized with K40/09, K40/09 HP40, or K40/09 HP50 were challenged with three nephropathogenic strains belonging to the KM91-like subgroup (KM91), the QX-like subgroup (K1277/03), and the new genetic cluster (K40/09), respectively. All vaccination groups showed complete protection of the respiratory tract and kidney against three nephropathogenic strains (p < 0.001) compared with the non-vaccinated control group, and there were no significant differences between vaccination groups. Sera from immunized birds were collected at 3 weeks post-immunization and the NI of the experimental group was examined. The infectious bronchitis vaccine is defined as effective if the NI of immunized groups exceeds 2.0 and the NI of the non-immunized control group is <1.0 [18, 19] . The NI of chickens immunized by K40/09, K40/09 HP40, and K40/09 HP50 was 4.0, 3.8, and 3.6, respectively, whereas that of the nonimmunized control was 0.3 (data not shown). Current IBV vaccine strains do not cross-protect against new viral strains because of the extensive genetic diversity and high mutation rate of IBV [20] . Therefore, the best protective effect that can be achieved would be only against strains of the same serotype or genotype [3] . However, the development of vaccines against the new IBV variants is not generally an option owing to the high cost and time required for their final approval. Moreover, the use of multiple strains of live vaccines should be practiced with caution owing to concerns regarding the formation of variants of viruses by recombination with field strains resulting from the spread of vaccine strains [21] . Thus, rapid development of a live IBV vaccine that provides broad cross-protection would be a highly relevant and practical method in IBV control. In this study, we aimed to develop a novel live attenuated IBV vaccine with broad-spectrum protective capability using a heat-attenuation method in a considerably short time. In this report, the natural recombinant nephropathogenic IBV strain K40/09 was heat-adapted for possible future use as a live attenuated vaccine. The initial selection of the K40/09 virus for this purpose was guided by the fact that this strain has a favored vaccine candidate background that contains two genetically characterized nephropathogenic strains (KM91 and QXIBV) as a recombinant strain [22] and showed significantly high levels of immunogenicity and protective ability against many different types of IBV [11] . Our approach to heat-adapting IBV differed in two ways from previous attempts [13] . Differences included the viral strain (nephropathogenic IBV strain) and the number of passages at high temperature (up to 50 times). In general, current methods for IBV attenuation include serial passage of virus in chicken embryos over 50 times, and the nephropathogenic IBV strain seemed particularly refractory to attenuation [7, 8] . Although the mechanism of heat attenuation is unknown, this is the first study to attenuate a nephropathogenic IBV strain by heat adaptation. Furthermore, based on our data, it is likely that adaptation at progressively higher temperatures would provide rapid attenuation of IBV and selective pressure for cumulative mutations that confer less virulence for chickens. The susceptibility of the vaccine strain to high temperature is closely associated with IBV transmission and outbreak in the field. The goal of vaccination by drinking water or spray is to immunize the highest percentage of the poultry in a flock at a given time. However, in summer, uniformity of immunization can be further decreased by a loss of IBV vaccine titer caused by relatively high temperatures during vaccination. A persistent rolling reaction among birds in a flock can occur if many birds are missed or receive a low dose, resulting in disease outbreak. When the virus was incubated at 56 • C, the heat resistance time of K40/09 parent was 120 min, but K40/09 HP50 virus survived up to 450 min (data not shown). The results presented here suggest that use of K40/09 HP50 subpopulations resistant to heat inactivation could be helpful for reducing vaccine failure rates through the uniform administration of the vaccine. Spray vaccination is one of the most common vaccination practices performed worldwide in the poultry industry [4] , as it triggers local immunity in the upper respiratory tract and also stimulates general humoral immune responses [23, 24] . However, fine droplets (50-80 m in size) containing the vaccine virus might be inhaled too deeply into the respiratory tract (lung and air sac) tissues, resulting in disease with an excessive post-vaccination reaction in young chicks. Thus, the use of a coarse spray with a droplet size greater than 100 m is generally suitable for hatchery vaccination. The safety of K40/09 HP50 was demonstrated by administering the vaccine to 1-day-old SPF chicks via spray. Based on their safety profiles, the non-and low-heat-passaged viruses (K40/09 and K40/09 HP40) produced a milder clinical disease response with mild histopathological lesions of tracheas and kidneys when administered by fine spray, but the K40/09 HP50 virus was no longer pathogenic for 1-day-old chicks, as demonstrated by lower ciliostasis and histopathologic lesion scores. Considering the fact that spray vaccination was applied using fine spray (50-m droplets) in our safety study, K40/09 HP50 is considered to be very safe and useful for hatchery spray vaccination. Adjusting the balance between attenuation and immunogenicity is a critical factor in developing live vaccines due to the possibility of over-attenuation, which leads to poor protection with a loss in immunogenicity [25] . Although the K40/09 parental strain was chosen based on its cross-protective ability [8] , it is not clear whether the fully attenuated K40/09 HP50 still induced cross-protection. In efficacy studies, all viruses (K40/09, K40/09 HP40, and K40/09 HP50) provided almost complete protection for tracheas and kidneys against nephropathogenic strains of Korean group II (QXIBVlike and KM91 strains) with high neutralizing-antibody titers. These findings indicate that K40/09 HP50 retained its immunogenicity after serial passage. Nephropathogenic strains of different serotypes are a major problem worldwide; therefore, it has been proposed that the polyvalent vaccine formulation expanded the level of cross-protection against nephropathogenic IBV strains over that achieved by individual vaccine strains [26] . However, the use of multiple strains of live vaccines may contribute to the variation and recombination of IBV, and engender even more complex IBV epidemics. Conversely, our results suggest that single administration of K40/09 HP50 is markedly effective and economical due to its broad-spectrum protection against nephropathogenic IBV strains, including QXIBV, which are worldwide epizootic strains [11] . Given the tremendous ability of coronaviruses to evolve, it is not surprising that genetic diversity through point mutation and recombination might lead to the emergence of new variant viruses and cause new diseases by host switching in animals and humans [27] [28] [29] . These characteristics of coronaviruses create difficulties in the design of disease control strategies; therefore, vaccine candidates that offer broad-spectrum protection and methodologies that shorten the time of live vaccine development are needed. The results of the present study show that heat adaptation could be a very useful method to enhance the safety of IBV, and the heat-adapted K40/09 HP50 virus exhibits a fine balance between attenuation and immunogenicity, and exhibits cross-protective efficacy. These results further suggest that the heat-adapted K40/09 HP50 virus can help to reduce economic losses caused by newly evolving nephropathogenic IBV strains and improve IB vaccine effectiveness in many countries where IBV infection is a major problem. 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