Research Article

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Immune Response of Gamma-Irradiated Inactivated Bivalent Polio Vaccine Prepared plus Trehalose as a Protein Stabilizer in a Mouse Model

Mollaei Alamuti M.a · Ravanshad M.a · Motamedi-Sedeh F.b · Nabizadeh A.a · Ahmadi E.a,c · Hossieni S.M.d

Author affiliations

aDepartment of Virology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
bNuclear Science and Technology Research Institute (NSTRI), Nuclear Agriculture Research School, Tehran, Iran
cDivision of Infectious Diseases and Immunology, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA
dFaculty of Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran

Corresponding Author

Mehrdad Ravanshad, ravanshad@modares.ac.ir

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Intervirology 2021;64:140–146

Abstract

Introduction: Poliovirus causes paralysis by infecting the nervous system. Currently, 2 types of polio vaccine are given in many countries in polio eradication program including inactivated polio vaccine (IPV) and oral polio vaccine (OPV). Because of OPV-related paralysis, OPV should be replaced by IPV. Methods: The aim of this study was to prepare the gamma-irradiated IPV and determine its effectiveness compared with the commercial vaccine (OPV) in the mouse model. The virus titration of OPV was determined and then inactivated by the appropriate dose of gamma radiation into an irradiated vaccine formula. The vaccine was inoculated in BALB/c mice in 2 different formulations of intramuscular injection with 2-week intervals. The level of anti-polio-neutralizing antibody and polio-specific splenocyte proliferation assay were evaluated by collecting the blood samples and spleens of the vaccinated groups with conventional vaccine and irradiated vaccine. Results: There was a significant increase in the neutralizing antibody titration between all of the vaccinated groups and negative control group (A) (p < 0.05). And it shows that the IPV by gamma irradiation has the highest antibody titration. Also, the increasing of stimulation index value in the B* group, F group, and G group was the most against other groups. Furthermore, the neutralizing anti-serum titer and splenic lymphocyte proliferation assay show humoral and cellular immunity were significantly increased in the irradiated vaccine group as compared with conventional group. Conclusion: According to the results, gamma-irradiated IPV could induce humoral and cellular immunity in vaccinated mouse groups, so the irradiated poliovirus could be recommended as a good candidate vaccine to prevent the transport of poliovirus to the central nervous system and thus protect against paralysis.

© 2021 The Author(s) Published by S. Karger AG, Basel


Introduction

Historically, poliomyelitis is one of the most important acute viral infections of human central nervous system leading to paralysis. There is no treatment for the resulted infection by all 3 poliovirus serotypes, and there have been many reports of poliovirus infection in developing countries. Available preventive vaccines consist of live-attenuated and inactivated viruses. Live-attenuated oral polio vaccine (OPV) is effective and could induce lifelong immunity, but in some cases, it could induce vaccine-related paralysis by producing mutant strains, which could be a threat for polio eradication. According to the WHO polio eradication program, most countries must maintain the polio immunization, and both mass vaccination and OPV should be replaced by inactivated polio vaccine (IPV). In this study, we try to introduce low-cost IPV by using gamma radiation that could potentially be a good candidate for this purpose [1].

Vaccination is an effective method to control infectious diseases. Poliomyelitis caused by poliovirus is an acute viral infection in the central nervous system that may cause paralysis, poliomyelitis, and disability. Poliovirus is one of the members of Enterovirus genus and Picornaviridae family. There are 3 serotypes of poliovirus, and there is no cure for poliomyelitis [2]. Global polio eradication and prevention vaccines are available in 2 types: live-attenuated oral polio vaccine (OPV) and an inactivated polio vaccine (IPV). The current vaccines have different strengths and weaknesses. OPV vaccine is very effective but can cause vaccine-associated paralytic polio by generating mutant strains, and it can spread from person to person. However, IPV is a high-cost vaccine and does not induce sufficient and sustained mucosal immunity, but it is less effective to prevent transmission. Also, IPV is very protective against polio infections. The risk of paralytic polio associated with OPV and the WHO updated polio immunization program spurred most of the countries to switch to IPV [3]. Different production technologies such as virus inactivation and vaccine formulation have been commonly used for vaccine preparation. Current IPV vaccine has some difficulties in production process and costs. So many laboratories are trying to produce low-cost and affordable next-generation IPV [4].

In this study, we tried to introduce low-cost IPV by using gamma radiation that could be a good candidate for this purpose. Based on the gamma radiation technology, gamma rays are a group of short electromagnetic rays that have a little impact on the antigenic property of proteins compared to chemical treatment such as formalin. In this research, radiation technology is incorporated in the principal steps of polio vaccine preparation [5].

Material and Methods

Cell Culture and Poliovirus Seed

Vero cell lines were grown in DMEM media with 10% fetal bovine serum and were incubated at 37°C and 5% CO2 in a humidified incubator. The type 1 and 3 live-attenuated poliovirus seed lots were obtained from the Razi Vaccine and Serum Research Institute, Karaj, Iran. When the cells reach 90% confluency, the monolayers were infected with the attenuated poliovirus. Following the observation of cytopathic effects (CPEs), the virus-containing culture supernatants were harvested and used for virus titration by tissue culture infectious dose (TCID50/mL) assay.

Virus Cultivation and Titration

The attenuated poliovirus titer was determined by the end point dilution assay. Vero cells were grown for 2 days in DMEM medium and were infected by logarithmic serial dilution of virus. CPE formation was observed for 7 days compared with uninoculated control culture and then virus titration was calculated by the Reed and Muench method [6].

Virus Inactivation by Gamma Irradiation

Gamma cell instrument, Nordian model 220, at a dose rate of 2.07 Gy/s and activity of 8,677 Ci was used to cripple poliovirus genomic RNA and to inactivate virus infectivity. Gamma ray doses of 5, 10, 20, and 25 kGy were administered to 8 viral vials of live-attenuated vaccine, and 2 sample replicates were irradiated for each dose under frozen conditions (−70°C). The titers of irradiated virus samples were obtained by the TCID50 method, and then a dose/response curve was drawn using Origin software. The D10 value (dose of gamma radiation, which can decrease 1 logarithmic cycle of virus population) and optimum dose of gamma rays for virus inactivation were determined according to the dose/response curve. Finally, 2 vials of bivalent polioviruses that include 50 mL of the poliovirus, one of them plus 20% trehalose (1 M) (a disaccharide of glucose, as a protein protectant) and another without trehalose, under frozen conditions were irradiated by the optimized dose of gamma ray and used for safety test on cell culture (during 4 blind cultures) to confirm complete virus inactivation [7].

Animals

Twenty-four female Balb/c mice of 4–6 weeks were purchased from the Pasteur Institute (Tehran, Iran) and divided into 8 groups (3 mice for the negative control group, A group); all animals were maintained in well standard of animal care conditions in an animal house facility. The animal experiments were carried out according to the international guidelines and were approved by the Medical Ethics Committee of the Tarbiat Modares University (Tehran, Iran).

The laboratory animal groups included LD (low dose) of irradiated vaccine (with TCID50: 3 × 103.7) (50 μL) (B group), HD (high dose) of irradiated vaccine (with TCID50: 6 × 104.7) (50 μL) (B* group), LD of irradiated vaccine plus alum adjuvant (50 μL) (C group), LD of irradiated vaccine (100 μL) (D group), LD of irradiated vaccine plus alum adjuvant (100 μL) (E group), LD of irradiated vaccine plus trehalose (100 μL) (F group), and finally the Sabin vaccine (OPV) (100 μL) as well as the negative control. The vaccines were injected intramuscularly in the mice 3 times at 2-week intervals. The animals were euthanized 2 weeks after the last vaccination, the mice blood was collected by cardiac puncture, and the spleens were removed. The splenic lymphocytes proliferation assay was done by the MTT method (Cell Proliferation Kit 1 (MTT), Roche (Cat No: 11-465-007-001)), and the mice serum was separated from the blood sample for the serum neutralization test (SNT).

Serum Neutralization Test

Vero cells were grown to a confluent monolayer in 96-well microplates. The functional anti-polio antibodies were monitored by the SNT [8]. Vero cells were infected by serial dilution of serum samples that were collected from vaccinated mice and mixed with 100 CCID50 of live virus sample. The neutralizing antibody titers are expressed as reciprocals of the highest serum dilutions that showed complete virus neutralization.

Splenic Lymphocyte Proliferation Assay by the MTT Method

In order to assess splenic lymphocyte proliferation, the MTT assay was performed. Briefly, MTT allows the quantitative measurement of cell death in cell culture and shows the lymphocyte proliferation and function.

The spleens of the vaccinated mice were removed aseptically 2 weeks after boost immunization. The single splenic lymphocyte suspensions were multiplied in 96-well plates at 5 × 104 cells/well by RPMI1640 plus 10% fetal calf serum at 37° and 5% CO2. The splenic cells were stimulated with 50 μL of phytohemagglutinin (50 μg/mL; as a positive control), with 3 μL of irradiated inactivated poliovirus (types 1 and 3, with TCID50 equal 105.5/mL) in triplicates (as an antigen-specific stimulation) and no antigen (as a negative control) in triplicates. After 48 h, the MTT assay was performed by a Cell Proliferation Kit 1 (MTT; Roche), according to the manufacturer’s instructions. A yellow tetrazole substrate would be reduced to a purple formazan product by living cells, and after solubilization by adding to a dissolving solution, the absorbance was quantified using a spectrophotometer at 540 nm. Stimulation index (SI) was calculated for each sample (SI = mean of OD for stimulated wells/mean of OD for unstimulated wells) [9].

Statistical Analysis

Comparison of means of the SNT and SI results was done by the one-way ANOVA, followed by Duncan’s multiple range test (SPSS software). The differences were considered to be statistically significant for p < 0.05.

Results

Virus Titration and Inactivation

For more safety, the virus seed that has been used to prepare the inactivated vaccine has been provided from conventional live-attenuated vaccine OPV. The virus titration on Vero cells for unirradiated sample was obtained as 105.5 TCID50/mL. The viral samples were stored in −20°C and then transferred to gamma cells for irradiation. The virus titration was done after irradiation of samples in each dose of gamma ray, and the results of virus titration were calculated by the Reed and Muench method (Table 1). When a viral suspension is irradiated at incremental doses, the number of surviving cells after each incremental dose of gamma ray may be used to construct a dose/response curve, as shown in Figure 1. The radiation resistance of the virus is measured by the decimal reduction dose (D10 value), which is defined as the radiation dose (kGy) to reduce the viral load by 10-fold (1 log10) or required for killing 90% of the first viral load [10, 11]. The infectivity of viral samples was decreased gradually with an increase in gamma radiation doses according to the dose/response curve (Fig. 1) that was drawn using Origin software and Table 1. The D10 value (the dose of gamma radiation that decreases 1 log10 of the viral load) was calculated as 5.34 kGy by the Reed and Muench method. While the sterility dose of gamma radiation for complete inactivation was calculated to be 29.4 kGy based on the log10 of unirradiated virus titration and D10 value (sterility dose = 5.5 × 5.34 = 29.4). To evaluate the optimal inactivation dose, poliovirus was cultured in 4 blind passages as a safety test (Table 2). The safety test results presented in Table 2 show positive suspicious CPE for 30 kGy irradiated viral samples in passage 1, but not in passages 2 and 3. It can explain some indirect effects of gamma irradiation that are caused by the radiolytic cleavage of water and created from the radiolytic cleavage of O2. So, the addition of 30-kGy irradiated materials at high concentration would lead to a CPE in the first passage. The absence of CPE at the third and fourth passages confirmed the lack of infectious particles [12, 13].

Table 1.

Titration of irradiated and unirradiated viral samples

/WebMaterial/ShowPic/1306955
Table 2.

Safety test to determine the optimal inactivation dosing based on cytopathic symptoms

/WebMaterial/ShowPic/1306953
Fig. 1.

Dose/response curve for irradiated poliovirus ranged from 5 to 25 kGy. TCID50, tissue culture infectious dose.

/WebMaterial/ShowPic/1306949

Finally, the optimal dose of gamma ray that can close the viral titration to zero was obtained 30 kGy according to dose/response curve for irradiated poliovirus and safety test results on cell culture (Table 1,2; Fig. 1).

To evaluate the performance and immunity induction, radiated vaccine has been injected in 8 groups of murine model, including negative control, formulated irradiated-vaccine with trehalose adjuvant, formulated irradiated-vaccine with alum adjuvant (in 2 different doses of vaccine: 50 μL and 100 μL), IPV (in 3 different doses of vaccine: LD-50 μL, LD-100 μL, and HD-50 μL), and conventional OPV. The sera of vaccinated animals were tested by the SNT method to evaluate the anti-poliovirus antibodies. It can immunize mice particularly with trehalose as a protein stabilizer and alum as an adjuvant (Fig. 3) as well as OPV. There was the significant increasing in the neutralizing antibody titration between all of the vaccinated groups and negative control group (A) (p < 0.05). Also, it shows the IPV by gamma irradiation, HD-50 μL (B* group), and LD-100 μL (D group) have the highest antibody titration; however, the E, F, and G groups showed high antibody titration and the same of each other (Fig. 2). So, the best amount of vaccine doses is 100 μL with a viral load of 3 × 103.7 TCID50/mL and trehalose as the same as alum that can induce anti-polio antibody.

Fig. 2.

Comparison of the mean anti-polio antibody in vaccinated groups by SNT. Negative control (A), low dose of gamma-irradiated vaccine-50 (B), high dose of gamma-irradiated vaccine-100 (B*), low dose of gamma-irradiated vaccine plus alum adjuvant-50 (C), low dose of gamma-irradiated vaccine-100 (D), low dose of gamma-irradiated vaccine plus alum adjuvant-100 (E), low dose of gamma-irradiated vaccine plus trehalose-100 (F), Sabin vaccine (OPV)-100 (G). SNT, serum neutralization test; OPV, oral polio vaccine.

/WebMaterial/ShowPic/1306947
Fig. 3.

SI chart for mice splenic lymphocytes with MTT assay. Negative control (A), low dose of gamma-irradiated vaccine-50 (B), high dose of gamma-irradiated vaccine-100 (B*), low dose of gamma-irradiated vaccine plus alum adjuvant-50 (C), low dose of gamma-irradiated vaccine-100 (D), low dose of gamma-irradiated vaccine plus alum adjuvant-100 (E), low dose of gamma-irradiated vaccine plus trehalose-100 (F), Sabin vaccine (OPV)-100 (G). SI, stimulation index; OPV, oral polio vaccine.

/WebMaterial/ShowPic/1306945

The splenic lymphocyte was stimulated with 3 μL of irradiation-inactivated OPV (types 1 and 3, with TCID50 equal 105.5/mL). According to Table 3 and Figure 3, the SI value in groups A and B has significant differences compared with other groups (p < 0.05). Also the splenic lymphocyte proliferation results were increased in groups B*, C, D, E, F, and G. However, the increasing SI value in the B* group (HD of irradiated vaccine-50 μL), F group (LD of irradiated vaccine plus Trehalose-100 μL), and G group (OPV-100 μL) was the most against other groups (Fig. 3). So, the best amount of vaccine dose is 100 μL with a viral load: 3 × 103.7 TCID50/mL, and trehalose as the same as that of OPV can induce splenic lymphocyte proliferation. As the results are shown in Figures 2 and 3, irradiated vaccine with a viral load of 3 × 103.7 TCID50/mL plus trehalose (100 μL) and OPV could enhance immune responses with a significant difference against other groups (p < 0.05).

Table 3.

The antibody titration and SI of splenic lymphocytes in vaccinated mice

/WebMaterial/ShowPic/1306951

Discussion

Poliomyelitis is one of the most important health problems around the world associated with lifelong movement incapability and paralysis, especially among children and young adults. Regardless of good effectiveness of available IPV and OPV vaccines, there are still some problems such as safety and production cost for these vaccines. For the eradication of poliovirus and given the risk of vaccine-associated paralytic poliomyelitis and circulating vaccine-derived polioviruses, the use of OPV must be removed from all immunization activities [14]. On the other hand, based on the WHO worldwide poliovirus eradication program, countries including the Middle East, which have participated in the OPV mass vaccination program, should switch to IPV. The WHO introduced IPV in countries with OPV vaccination programs in 2013. However, the risk of the infections from OPVs will be more significant than the risk of wild-type virus infection; and finally, oral vaccines will be completely replaced worldwide [15].

The aim of the current study was to develop a new inactivation process to reduce the side effects of conventional IPV. Inactivated vaccines are more stable and safer than live vaccines. Chemical inactivation methods such as formalin inactivation have some toxic residues in the vaccine products; also some viruses may escape during the chemical inactivation. The most common chemical substances that are used in vaccine production can damage antigenic epitopes, leading to reduce immunogenicity. According to positive effects of radiation on biological reagent sterilization and pathogens inactivation, its application for safe vaccines production is increasing. Production of some inactivated vaccines by gamma irradiation such as FMD virus and HSV demonstrated that radiated inactivated viruses retained virus and antigenic structure [16-19]. Gamma ray is an ionizing radiation which is emitted from the Cobalt-60 isotope and used for virus inactivation without any change in viral proteins. In general, the optimum dose of gamma irradiation for virus inactivation is mainly dependent on radiation conditions, particularly the temperature of radiation, size, and structural arrangement of viral DNA, the presence of oxygen during the irradiation process, water content, and postirradiation conditions [11].

Since the gamma radiation has a little effect on the antigenic construction, its higher penetration, and the ability to be used in frozen condition that decreases free radical damage due to the water radiolysis, it is the perfect method for virus inactivation [20-22]. A sterility assurance level (SAL) is derived mathematically, and it defines the viable viral load on the final product (vaccine) after sterilization. SAL is normally expressed as 10−6/mL for the injectable products. The sterilization dose is the minimum dose necessary to achieve the required SAL. The sterilization dose depends on (i) the first titration of viable viral load, (ii) D10 value, and (iii) SAL required for the product [10, 11].

In this research, the optimum dose for complete inactivation of OPV (strains 1 and 2) was obtained about 30 kGy, and we have substituted the conventional IPV inactivation by gamma radiation inactivation based on bivalent Sabin strains to provide the efficient immunity in a low-cost process and free of live vaccine-derived polioviruses. Additionally, we have used trehalose as a protein stabilizer to preserve whole virus particle and antigenic structure intact during irradiation so it would make more effective immune induction and immunity. Finally, we can recommend the gamma irradiation technique to prepare the safe IPV without antigenic changes and with the ability of humeral and cellular immunity induction.

Acknowledgements

This work was made possible through the Research and Technology Deputy of Tarbiat Modares University, Department of Virology, Faculty of Medical Sciences, Tehran, Iran. We would like to take this opportunity to thank them for their financial support. Also we express our gratitude to the radiation laboratory of the Nuclear Science and Technology Research Institute (NSTRI).

Statement of Ethics

For this research (52d 9314), all institutional and national guidelines (adopted from the Declaration of Helsinki (1975) and The Society for Neuroscience Animal Care and Use guidelines (1998)) were approved for implementation by the Medical Ethics Committee, School of Medical Sciences of the Tarbiat Modares University (Tehran, Iran).

Conflict of Interest Statement

There are no conflicts of interest.

Funding Sources

This research was financially supported as a Master of Science thesis by a grant from Tarbiat Modares University.

Author Contributions

Maryam Mollaei Alamuti carried out the experiment, investigation, study design, and writing. Mehrdad Ravanshad supervised and designed the project and contributed to funding acquisition, writing, and editing the manuscript. Farahnaz Motamedi-Sedeh designed the study methodology and measurements, contributed to writing and editing the manuscript, and also rewrote the manuscript according to the reviewer comments. Arezoo Nabizadeh helped in writing and editing the manuscript. Elham Ahmadi designed the project, investigation, and contribute to writing and editing the manuscript. Seyedeh Maedeh Hosseini helped in data analysis and writing the manuscript.



References

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Author Contacts

Mehrdad Ravanshad, ravanshad@modares.ac.ir


Article / Publication Details

First-Page Preview
Abstract of Research Article

Received: June 06, 2020
Accepted: February 22, 2021
Published online: April 14, 2021
Issue release date: July 2021

Number of Print Pages: 7
Number of Figures: 3
Number of Tables: 3

ISSN: 0300-5526 (Print)
eISSN: 1423-0100 (Online)

For additional information: https://www.karger.com/INT


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References

  1. Baj A, Colombo M, Headley JL, McFarlane JR, Liethof MA, Toniolo A. Post-poliomyelitis syndrome as a possible viral disease. Int J Infect Dis. 2015;35:107–16.
    External Resources
  2. Rodríguez-Sánchez JA. Poliomyelitis after poliomyelitis: lights and shadows of the eradication an introduction. Hygiea Internationalis. 2015;11(1):7–31.
  3. Bandyopadhyay AS, Garon J, Seib K, Orenstein WA. Polio vaccination: past, present and future. Future Microbiol. 2015;10(5):791–808.
    External Resources
  4. Hume AJ, Ames J, Rennick LJ, Duprex WP, Marzi A, Tonkiss J, et al. Inactivation of RNA viruses by gamma irradiation: a study on mitigating factors. Viruses. 2016;8(7):204.
    External Resources
  5. Thompson EM, Brown M, Dobrikova E, Ramaswamy V, Taylor MD, McLendon R, et al. Poliovirus receptor (CD155) expression in pediatric brain tumors mediates oncolysis of medulloblastoma and pleomorphic xanthoastrocytoma. J Neuropathol Exp Neurol. 2018;77(8):696–702.
    External Resources
  6. Reed LJ, Muench H. A simple method of estimating fifty percent endpoint. Am J Hyg. 1988;27:493–7.
  7. Javan S, Motamedi-Sedeh F, Dezfoolian M, Wijewardana V. Evaluation of immune responses and histopathological effects against gamma irradiated avian influenza (Sub type H9N2) vaccine on broiler chicken. Braz Arch Biol Technol. 2020;63:e20200094.
    External Resources
  8. Rouby S, Aboulsoud E. Evidence of intrauterine transmission of lumpy skin disease virus. Vet J. 2016;209:193–5.
    External Resources
  9. Li YG, Tian FL, Gao FS, Tang XS, Xia C. Immune responses generated by Lactobacillus as a carrier in DNA immunization against foot-and-mouth disease virus. Vaccine. 2007;25(5):902–11.
    External Resources
  10. Whitby JL, Gelda AK. Use of incremental doses of cobalt 60 radiation as a means to determine radiation sterilization dose. J Parenter Drug Assoc. 1979;33(3):144–55.
  11. da Silva Aquino KA. Sterilization by gamma irradiation, gamma radiation. In: Adrovic F, editor. InTech. Available from: http://www.intechopen.com/books/gammaradiation/sterilization-by-gamma-irradiation; 2012.
  12. Hume AJ, Ames J, Rennick LJ, Duprex WP, Marzi A, Tonkiss J, et al. Inactivation of RNA viruses by gamma irradiation: a study on mitigating factors. Viruses. 2016;8(7):204–12.
    External Resources
  13. Wang W, Yu Z, Su W. Ion irradiation and biomolecular radiation damage II. Indirect effect: Cornell University; 2010. arXiv: 1004.4394 [physics.bio-ph].
  14. Parker EP, Molodecky NA, Pons-Salort M, O'Reilly KM, Grassly NC. Impact of inactivated poliovirus vaccine on mucosal immunity: implications for the polio eradication endgame. Expert Rev Vaccines. 2015;14(8):1113–23.
    External Resources
  15. Global Polio Iradication Initiative. Polio eradication & endgame strategic plan 2013–2018. 2013.
  16. Motamedi-Sedeh F, Afsharnasab M, Heidarieh M. Immunization of Litopenaeus vannamei shrimp against white spot syndrome virus (WSSV) by gamma-irradiated WSSV plus Vibrio paraheomolyticus. Vaccine Res. 2016;3(1):15–20.
  17. Motamedi-Sedeh F, Soleimanjahi H, Jalilian AR, Mahravani H, Shafaee K, Sotoodeh M, et al. Development of protective immunity against inactivated Iranian isolate of foot-and-mouth disease virus type O/IRN/2007 using gamma ray-irradiated vaccine on BALB/c mice and guinea pigs. Intervirology. 2015;58(3):190–6.
    External Resources
  18. Salehi B, Motamedi-Sedeh F, Madadgar O, Khalili I, Ghalyan Chi Langroudi A, Unger H, et al. Analysis of antigen conservation and inactivation of gamma-irradiated avian influenza virus subtype H9N2. Acta Microbiol Immunol Hung. 2018;65(2):163–71.
    External Resources
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