Abstract

Rotavirus (RV) causes significant morbidity and mortality in developing countries, where children and infants are highly susceptible to severe disease symptoms. While live attenuated vaccines are available, reduced vaccine efficacy in developing countries illustrates the need for highly immunogenic alternative vaccines. Here, we studied the possible inactivation of RV using gamma(γ)-irradiation, and assessed the sterility and immunogenicity of γ-irradiated RV (γ-RV) as a novel vaccine candidate. Interestingly, the inactivation curve of RV did not show a log-linear regression following exposure to increased doses of γ-rays, and consequently the radiation dose required to achieve the internationally accepted Sterility Assurance Level could not be calculated. Nonetheless, we performed sterility testing based on serial passages of γ-RV, and our data clearly illustrate the lack of infectivity of γ-RV preparations irradiated with 50 kGy. In addition, we tested the immunogenicity of 50 kGy γ-RV in mice and our data illustrate the induction of strong RV-specific neutralising antibody responses following administration of γ-RV without using adjuvant. Therefore, whilst γ-RV may not constitute a replacement for current RV vaccines, this study represents a proof-of-concept that γ-irradiation can be applied to inactivate RV for vaccine purposes. Further investigation will be required to address whether γ-irradiation can be applied to improve safety and efficacy of existing live attenuated vaccines.

Highlights

  • Rotavirus is an enteric pathogen that causes considerable morbidity and mortality, in infants and children living in poor health conditions

  • Despite the high protection rates of live attenuated RV vaccines in developed countries, reduced efficacy has been reported for children living in poor-health conditions [38]

  • While factors such as malnutrition and diarrhoea may affect the efficacy of oral vaccines in general, the environmental enteropathy, i.e. presence of existing enteric infections, has been reported to be directly associated with reduced efficacy of live attenuated RV vaccines [38, 39]

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Summary

Introduction

Rotavirus is an enteric pathogen that causes considerable morbidity and mortality, in infants and children living in poor health conditions. RV infection causes over 100 million cases of gastroenteritis, and more than 200,000 deaths [1]. 80% of these deaths are children living in low-income countries [2]. RV infects mature enterocytes of villi in the small-intestine [3], causing clinical symptoms of nausea, vomiting, fever and diarrhea [4,5,6]. Severe symptoms of RV infection include malabsorption of nutrients, prolonged.

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