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Vaccine 19 (2001) 2107–2117
The suitability of the ‘emergency’ foot-and-mouth disease antigensheld by the International Vaccine Bank within a global context
P.V. Barnett *, A.R. Samuel, R.J. Statham
Institute for Animal Health, Pirbright Laboratory, Ash Road , Pirbright, Woking , Surrey GU 24 0 NF , UK
Received 17 May 2000; received in revised form 28 September 2000; accepted 13 October 2000
Abstract
The International Vaccine Bank (IVB) based at the Institute of Animal Health (IAH) in Pirbright, United Kingdom (UK),
routinely monitors the suitability of the currently held strains of foot-and-mouth disease (FMD) vaccine virus, in anticipation that
vaccine may be required to control FMD outbreaks that pose a threat to member countries. Using primarily the two-dimensional
micro-neutralisation test (VNT), bovine polyclonal sera raised against each of the seven current ‘emergency’ antigens were utilised
to measure the relationship of IVB stocks to selected field isolates. The ‘O’ serotypes, Manisa and Lausanne, exhibited adequate
levels of cross-protection against most of the type ‘O’ field isolates examined. A22 Iraq 24/64 showed the broadest spectrum of
reactivity against the type ‘A’ field isolates examined and was supplemented by A15 Thailand 1/60. Some type ‘Asia1’ field isolates,
particularly those from South East Asia, showed antigenic difference to the Asia1 India 8/79 vaccine strain by VNT, but in-vivo
testing in the guinea pig model indicated this to be insignificant. The only ‘C’ serotype representative, C1 Oberbayern, may be one
of the least antigenically diverse of the current portfolio of bank antigens. Comparison of the serological and sequence data shows
that despite significant genetic variation between the field isolates examined the antigens held by the IVB should still proveefficacious in the field. © 2001 Elsevier Science Ltd. All rights reserved.
Keywords: Foot-and-mouth disease viruses; Vaccine; Antigenic relationships
www.elsevier.com/locate/vaccine
1. Introduction
Foot-and-mouth disease virus (FMDV) is exotic to
the member countries of the IVB, but the sporadic
occurrence of disease in Eastern Europe and in the
countries of trading partners poses a continuing threat.
Traditionally, control in the UK relied upon surveil-lance, rapid diagnosis, slaughter and movement restric-
tions. Future outbreaks may require a different
approach, including the use of ‘emergency’ vaccination,
due, in part, to the problem of disposing of large
numbers of slaughtered animals, together with the asso-
ciated welfare and environmental issues. To meet this
possible eventuality, the International Vaccine Bank
(IVB), established in 1985, maintains a bank of concen-
trated FMDV antigens stored over liquid nitrogen.
These can be rapidly formulated into vaccine as re-
quired by either the UK authority (The Ministry of
Agriculture, Fisheries and Food (MAFF)), or any of
the other IVB member countries (Australia, New
Zealand, Ireland, Norway, Sweden, Finland and the
associate member, Malta). The facility operates accord-
ing to the principles of Good Manufacturing Practice
(GMP) and currently holds licences from the UK De-partment of Health and the UK Veterinary Medicines
Directorate (VMD), for the production of FMD vac-
cines. Presently the IVB portfolio consists of 0.5 million
doses of each of seven strains of highly potent inacti-
vated FMD antigens, specifically O1 Lausanne, O1
Manisa, A22 Iraq, A24 Cruzeiro, A15 Thailand, C1 Ober-
bayern and Asia1 India, each strain having been se-
lected because of its wide antigenic spectrum. However,
the ever-changing global epidemiology requires the con-
tinued monitoring of contemporary viruses. Should an
outbreak threaten any one of the member countries, itwould therefore be possible to advise concerning the
appropriateness of the currently held antigens or the
need to acquire further strain(s).* Corresponding author. Tel.: +44-1483-232441; fax: +44-1483-
232448.
0264-410X/01/$ - see front matter © 2001 Elsevier Science Ltd. All rights reserved.
PII: S 0 2 6 4 - 4 1 0 X ( 0 0 ) 0 0 3 9 9 - 6
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P.V . Barnett et al . / Vaccine 19 (2001) 2107–2117 2108
Little has changed in terms of the world distribution
of foot-and-mouth disease since the mid 60s, and read-
ers are referred to the recent detailed review by Kitch-
ing [1]. FMD is still endemic in many areas of the
world including Africa, Asia, the Middle East, India,
and South America.
Prophylactic vaccination against FMD ceased in Eu-
rope during 1990–1991 to allow the implementation of a harmonised policy and with it greater movement of
livestock and their products within the single market
(Directive 90/423/EEC). Since that time sporadic out-
breaks in countries in or bordering southern Europe
have maintained the threat of large outbreaks particu-
larly in the high density domestic livestock of mainland
Europe and the consequential risk to the UK [3]. FMD
remains endemic in Asiatic Turkey, and there have also
been viruses of FMD serotype ‘O’ in Bulgaria (1991,
1993 and 1996), Italy (1993), and Greece (1994 and
1996), and outbreaks due to serotype ‘A’ in the Former
Yugoslav Republic of Macedonia, and Albania (1996).
Since the breakdown of the Soviet Union into Inde-
pendent States, FMD has spread north from Iran,
Afghanistan and Turkey particularly into the trans-
Caucasian countries of Azerbaijan, Armenia and Geor-
gia and into Kazakhstan and neighbouring countries
constituting a significant threat to the borders of Eu-
rope. One of the FMD viruses isolated from the out-
breaks in Turkey, which had spread from neighbouring
Iran, was genetically and antigenically distinct and
prompted the development of a new vaccine from the
strain ‘A’ Iran ‘96. This vaccine was subsequently usedin Thrace to create a buffer zone and protect south-east
Europe. Genetically and antigenically distinct viruses
do occasionally arise emphasising the importance of
surveillance. Remarkably, three years later another
antigenically new strain of type A was identified in
Iran, termed A Iran ‘99, and this has also spread to
Turkey, again threatening Europe.
In eastern Asia, FMD was reintroduced into
Malaysia and there have been outbreaks due to virus
types ‘O,’ ‘A’ and ‘Asia1’; serotype O virus was intro-
duced into Taiwan Province of China (POC) in 1997
which resulted in around 3.8 million pigs being slaugh-
tered and more than 20 million doses of vaccine being
used to control the disease.
In 1999, FMD, due to type O, was declared in
Algeria. The disease rapidly spread both east and west
affecting Morocco and Tunisia. Although less extensive
than the previous epidemic of 1989–92 [4], the number
of outbreaks still reached 173 (160 in Algeria, 11 in
Morocco and two in Tunisia) involving almost exclu-
sively cattle [5]. Sequence studies and comparison to
recent isolates from West Africa suggested that the
virus was exotic to North Africa but related to strainsin West Africa and that it entered Algeria via illegal
movement of animals [5].
The latter part of 1999 saw the occurrence of out-
breaks of Asia 1 FMDV in Malaysia and Turkey.
Outbreaks caused by this serotype have been frequent
in Malaysia during the last decade. However, the out-
break of Asia1 in Turkey is of particular concern to the
IVB.
To examine the antigenic relationships between iso-
lates from FMDV epidemics, of particular concern toIVB member countries, and the currently stored vaccine
strains we have primarily applied the well-established
two-dimensional virus neutralisation assay [6]. The epi-
demiological and genetic relationships of these isolates
have been examined by the analysis of nucleotide se-
quence data using phylogenetic techniques. The work
described here summarises these studies and evaluates
the relevance of the current portfolio of ‘emergency’
vaccine strains.
2. Methods
2 .1. Viruses
All the strains of FMDV were obtained from the
OIE/FAO World Reference Laboratory for FMD and
were grown on either baby hamster kidney (BHK-21)
cells or swine kidney cells (IB-RS2). The virus stocks
used for the micro-neutralisation tests were stored as
clarified tissue culture harvest material at −20°C in
50% glycerol.
2 .2 . Bo6ine polyclonal serum
Reference sera were derived from IVB cattle potency
tests using 21 day post-vaccination samples taken from
individually immunized animals receiving a half bovine
dose of antigen formulated as an aqueous aluminium
hydroxide/saponin vaccine. For each antigen, a pool of
sera from eight individual animals was used in the
serological tests.
2 .3 . Oligonucleotide primers
Oligonucleotide primer pNK72 labelled with a Cy5
amidite fluorescent dye for use with the ALFexpress™
automated sequencer was purchased from Pharmacia
Biotech. The sequences of primers used in this study are
detailed in Table 1.
2 .4 . RT -PCR
Reverse transcription-polymerase chain reaction
(RT-PCR) was performed using the primer set L463Fand NK61 essentially as described by Knowles and
Samuel [7].
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P.V . Barnett et al . / Vaccine 19 (2001) 2107–2117 2109
2 .5 . Cycle sequencing
A fmol™ DNA sequencing kit (Promega, UK) which
utilises the method described by Murray [8] was used
according to the manufacturer’s protocol with the fol-
lowing amendments. Approximately eighty femto-moles
of cDNA template was used in the reactions and 1.5
pmol of the Cy5 amidite labelled pNK72 primer. Thereactions were heated to 94°C for 2 min and then
subjected to 30 cycles of the following programme on a
thermal heating block (Hybaid Ominigene, Hybaid
UK): 94°C for 1 min, 55°C for 1 min and 72°C for 1.5
min. The reactions were terminated by adding 4 ml of
Cy5 sequencing stop solution (Pharmacia Biotech. Swe-
den) and cooled to 4°C. The reactions were heated to
95°C for 3 min prior to loading on a ALF express™
DNA sequencer (Pharmacia Biotech, Sweden).
2 .6 . Analysis of sequencing data
The software AM V3.01 (Pharmacia Biotech, Swe-
den) was used to process the data which was then
exported as an ASCII text file onto an IBM compatible
personal computer where alignments were made manu-
ally in Wordperfect 6.1 before analysis using the soft-
ware EpiSeq v2.0 suite of computer programs written
by N.J. Knowles (IAH, Pirbright).
All pairwise comparisons were performed by giving
each base substitution equal statistical weight (ambigui-
ties were ignored). Phylogenetic trees were constructed
using the computer programme NEIGHBOR and theunpaired group mean averaging (UPGMA) method.
Dendrograms were plotted with the program DRAW-
GRAM. These programmes were from the PHYLIP 3.5c
phylogeny package ([9]). The UPGMA method con-
structs a tree by successive (agglomerative) clustering
using an average-linkage method of clustering. UPGMA
assumes a clock but the branch lengths are not opti-
mized by the least squares criterion. This makes the
method very fast and thus able to handle large data
sets.
2 .7 . Neutralisation assay
A two-dimensional micro-neutralisation technique
similar to that described by [6] was used. Briefly, dou-
bling dilutions of antibody were reacted with 0.5 log10
dilutions of virus for 1 h at room temperature, BHK-21
or IB-RS2 cells were added as indicators of residual
infectivity and the test incubated at 37°C for 3 daysprior to fixing and staining. Antibody titres were calcu-
lated from regression data as the log10 reciprocal anti-
body dilution required for 50% neutralisation of 100
tissue culture infective units of virus (log10 SN50/
100 TCID50). The antigenic relationship of viruses
based on their neutralisation by antibodies is given by
the ratio: ‘r’=neutralisation antibody titre against the
heterologous virus/neutralisation antibody titre against
the homologous virus. The significance of differences in
the values of ‘r’ obtained by the polyclonal antiserum
was evaluated according to the criteria of [10]. Gener-
ally, serological relationships between two viruses in the
range ‘r’=0.3–1.0 are indicative of reasonable levels of
cross protection whereas values less than 0.3 indicate
very dissimilar strains and the need to acquire or de-
velop a new vaccine strain.
2 .8 . In 6i 6o analysis
The potency (PD50) of the IVB strain Asia India 8/79
against field isolates Asia Thailand 4/95 and Asia Nepal
28/90 was determined in guinea pigs according to the
procedure described by Barnett and Statham [11] andcompared with that observed against the homologous
strain.
3. Results
3 .1. Serological relationships
3 .1.1. O1 Manisa and O1 Lausanne 6ersus O type field
isolates
According to the two-dimensional test neutralisation
results, adequate levels of cross-protection should be
attained by the high potency O1 Manisa vaccine
(PD50]112) against the field isolates examined, includ-
ing those from Greece in 1994, Philippines in 1995 and
the more recent Taiwan POC and Vietnam outbreaks
(Table 2).
A comparable study with O1 Lausanne (Table 2) also
indicates that adequate levels of cross-protection should
be attained from this vaccine strain against most of the
viruses examined. However, direct comparison of the
serological results and ‘r ’ values, indicate that the Lau-
sanne vaccine strain is unlikely to protect against cer-tain isolates, such as O Philippines 11/94 (‘r’=0.23**)
or O Algeria 2/99 (‘r’=0.16**).
Table 1
Oligonucleotide primers used for the RT-PCR molecular epidemiol-
ogy sequencing studies
Sense GeneVirusPrimer Primer sequence
(5% –3%)
Universal NegativeNK61 P2B GACATGTCCTCC
TGCATCTG
NK72 Universal Negative GAAGGGCCCAGGP2A
GTTGGACTC
O universal L ACCTCCRACGGGL463F PositiveTGGTACGC
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P.V . Barnett et al . / Vaccine 19 (2001) 2107–2117 2110
Table 2
Serological relationships (r) between recent O FMDV field isolates
determined in 2D microneutralization tests using IVB bovine 21 day
post vaccinal O1 Manisa (lot 0163) and O1 Lausanne (lot 6.0.142C)
seraa
Virus Bovine antisera
O1 Manisa O1 Lausanne
1.00† – O1 Lausanne
1.00O1 Manisa –
0.5O Bulgaria 1/93 \1.00, 0.93
O Cambodia 3/92 \1.00 0.59
0.45O Cambodia 1/98 \1.00
\1.00, 0.79O Greece 4/94 \1.00
– \
1.00
O Greece 38/94
0.21* – O Hong Kong 1/92
– 0.69 O Hong Kong 4/95
0.54 – O Hong Kong 5/95
O Italy 1/93 0.16, 0.12 0.05**
0.89O Morocco 1/91 –
0.81 0.28* O Philippines 2/95
0.45\1.00
O Philippines 9/95
– O Taiwan 10/97 0.85
0.43O Thailand 1/92 \1.00
0.150.35 O Turkey 19/91
\1.00O Vietnam 7/97 0.56
0.66O Algeria 2/99 0.16
0.28O Philippines 1/99 0.95
a, indicative of reasonable levels of cross protection; , indica-
tive of very dissimilar strains. Bold data represents a repeated series
of tests.† The (r) values shown represent the neutralization titre against
heterologous virus/neutralization titre against homologous virus.
* r significantly less than 1.0 (P=0.05).
** r significantly less than 1.0 (P=0.01).
Turkish isolates such as Turkey 8/99 and 10/99 with ‘r’
values of 0.11* and 0.17*, respectively (Table 3). These
viruses, together with those from epidemics from the
end of the last decade and earlier part of this decade,
which also exhibited a dissimilarity to the vaccine strain
(data not shown), warranted further investigation. Due
to the historical high potency of the Asia1 India vaccine
(PD50=61), it was assumed this strain would still beefficacious against these distantly related viruses. To
examine this, guinea pig adapted viruses of two serolog-
ically dissimilar field viruses, namely Nepal 28/90 and
Thailand 4/95 were tested by challenge against the IVB
Asia1 India vaccine strain (Table 4). As indicated, the
vaccine strain held by the IVB afforded acceptable
potency figures against these selected strains, suggesting
the vaccine could be expected to provide immunity
against these field isolates and that a further Asia 1
strain was not required by the IVB.
Table 3
Serological relationships (r) between recent Asia1 FMDV field iso-
lates determined in 2D microneutralization tests using IVB bovine 21
day post vaccinal Asia1 India 8/79 (735 lot L244) seraa
Bovine antiseraVirus
Asia1 India 8/79
Asia1 India 8/79 1.00†
Asia Cambodia 2/91 0.32, 0.27
Asia India 5/89 0.34, 0.29
0.17**, 0.23 Asia Israel 3/89
Asia Malaysia 11/92 0.43, 0.26
0.16**, 0.31 Asia Nepal 28/90
Asia Saudi 13/92 0.63, 0.78
Asia Thailand 10/94 0.22, 0.15*
Asia Thailand 4/95 0.24, 0.13*
Asia Malaysia 9/99 0.43
Asia Turkey 8/99 0.11*
0.17* Asia Turkey 10/99
a, indicative of reasonable levels of cross protection; , indica-
tive of very dissimilar strains. Bold data represents repeated tests
using new high titre pool of bovine polyclonal sera from small scale
cattle potency test (18/8/97).† The (r) values shown represent the neutralization titre against
heterologous virus/neutralization titre against homologous virus.* r significantly less than 1.0 (P=0.05).
** r significantly less than 1.0 (P=0.01)
3 .1.2 . Asia1 India 6ersus Asia type field isolates
The IVB vaccine strain Asia1 India 8/79 may not
induce protection against some of the Asia1 field
viruses, in particular the isolates from South East Asia,here represented by Thailand 10/94 and 4/95, ‘r’ values
of 0.15** and 0.13**, respectively, and the more recent
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P.V . Barnett et al . / Vaccine 19 (2001) 2107–2117 2111
Table 4
Guinea pig potency test results following vaccination with Asia1 India 8/79 and challenge with heterologous Asia1 field isolates
Potency*Challenge viruses Vaccine dilution
1/3 1/9 1/271/1 1/81 Controls
5/5 5/5 4/5 3/5 0/2 72.5Asia India 8/79 5/5†
4/5 4/5 3/55/5 3/5Asia Thailand 4/95 0/2 37.5
5/5Asia Nepal 28/90 5/5 3/5 4/5 3/5 0/2 46.7
† Number of animals protected/ number of animals per group.
* PD50 value as determined by the Karber method.
3 .1.3 . A15 Thailand , A22 Iraq and A24 Cruzeiro 6ersus
A type field isolates
The A22 Iraq vaccine strain held by the IVB was
shown serologically to have a wide antigenic spectrum
when studied against a number of diverse field isolates
(Table 5). The only exceptions being the more recent
isolates, Brazil 2/95, Malaysia 38/95 and Turkey 1/98
with ‘r’ values of 0.15**, 0.13** and 0.08**,respectively.
The serological cross-specificity indicated by the A15
Thailand strain generally appeared to meet the needs of
the member countries (Table 5), particularly in respect
to the isolates Brazil 2/95 and Malaysia 38/95, which
were antigenically distant from A22 Iraq. The only
major concern were the new variants of type ‘A’ FMD
viruses originating from Iran in 1996 which spread to
Turkey in 1997 and 1998, and the more recent Turkey
and Iran 1999 isolates. These were not antigenically
covered well by the current IVB type ‘A’ vaccine strains(micro-neutralization ‘r’ values of 0.08*, 0.13* and
0.10* for A Turkey 1/98, and 0.13*, 0.21 and 0.25 for A
Iran 22/99, against A22 Iraq, A24 Cruzeiro and A15
Thailand, respectively).
Another A variant was also isolated in Malaysia and
Thailand in 1997, however, samples proved difficult to
grow in tissue culture and were therefore not analysed
by the virus neutralisation assay. An alternative test,
the liquid phase blocking ELISA [12] indicated that
none of the IVB vaccine strains were likely to confer
protection (data not shown) and that another commer-
cially available vaccine strain, A Iran 6/94, may bemore applicable.
A more recent acquisition to the IVB’s portfolio, A24
Cruzeiro, which replaced the first batch of antigen of
the same strain acquired by the Vaccine Bank in 1985,
displayed a minimal relationship to all the field isolates
examined (Table 5). This antigen is currently consid-
ered to be one of the least important vaccine strains,
and was not examined further, since the A22 Iraq and
A15 Thailand strains appear to offer adequate cover.
3 .1.4 . C 1 Oberbayern 6ersus C type field isolatesC1 Oberbayern may be one of the least antigenically
diverse of all the current vaccine strains held by the
IVB. All four isolates examined by VNT appear to be
serologically dissimilar to the vaccine strain (Table 6).
However, the number studied reflect the C’s received by
the World Reference Laboratory in the last few years.
These same field isolates were examined by liquid phase
blocking ELISA (data not shown) and, in particular,
confirmed the dissimilarity of Bangladesh 1/92 and
Bhutan 2/91. Therefore, like the Asia1 India study,there is a need to examine the efficacy of this vaccine
strain and three of these isolates namely, Bangladesh
1/92, Nepal 1/94 and Philippines 4/90 will undergo
in-vivo protection studies.
3 .2 . Sequence analysis
3 .2 .1. O1 serotypes
Compared to O1 Manisa (Fig. 1), the O Greece 4/94
virus demonstrated a 9% difference in the sequence
between nucleotides 475–639 (representing amino acids158–213 of VP1) and similar levels of difference were
observed with Bulgaria 1/93, Morocco 1/91, Italy 1/93
and Turkey 19/91. The differences in sequences exhib-
ited by the Taiwan, Philippine and Vietnam isolates
were considerably greater (18%). However, it should be
noted that although a small percentage of nucleotide
differences are an indication of the similarity of an
isolate to the vaccine strain, a high percentage of
sequence difference does not necessarily equate to an
inappropriateness of the vaccine strain being compared.
A case in point is the O1 Manisa strain, still effective at
protecting against the Taiwanese outbreak despite an18% difference in the compared sequences. Sequence
comparison of the Algerian 2/99 with the more serolog-
ically related O1 strain Manisa recorded a 15% differ-
ence between nucleotides 475– 639 of VP1. In many
cases the sequence relationships between the same se-
lected field isolates and O1 Lausanne [2] (Fig. 1) showed
even greater differences (]18%) than those observed
with O1 Manisa.
3 .2 .2 . Asia1 serotypes
Sequence comparison of Asia isolates, such as Thai-land 10/94 and 4/95 and the vaccine strain Asia1 India
also revealed nucleotide differences of around 14%
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P.V . Barnett et al . / Vaccine 19 (2001) 2107–2117 2112
(Fig. 2). In contrast, the sequence examined from Saudi
13/92 was identical to the Asia1 vaccine strain and it is
therefore a probability that this outbreak was caused by
the vaccine. The three years between the occurrence of
the Indian strain, which has been used as a vaccine, and
the 1992 outbreak in Saudi Arabia could have been
expected to show, at a conservative estimate, 3% differ-
ence in nucleotide homology. The recent Malaysian
isolate (May 9/99) belongs to a Far Eastern genetic
lineage. However, the Turkish isolates (Tur 8/99 and
10/99) show close sequence homology to strains iso-
Table 6
Serological relationships (r) between recent C FMDV field isolates
determined in 2D microneutralization tests using IVB bovine 21 day
post vaccinal C1 Oberbayern (batch 320) seraa
Bovine antiseraVirus
C1 Oberbayern
C1 Oberbayern 1.00†
0.13**C Bangladesh 1/92
C Bhutan 2/91 0.20**
C Nepal 1/94 0.16**
0.21**C Philippines 4/90
a, indicative of reasonable levels of cross protection; , indica-
tive of very dissimilar strains.†
The (r) values shown represent the neutralization titre againstheterologous virus/neutralization titre against homologous virus.
** r significantly less than 1.0 (P=0.01).
Table 5
Serological relationships (r) between recent A FMDV field isolates
determined in 2D microneutralization tests using IVB bovine 21 day
post vaccinal A22 Iraq 24/64 (lot 661), A24 Cruzeiro (lot 4219) and
A15 Thailand 1/60 (lot 4220) seraa
Virus Bovine antisera
A22 Iraq A24 Cruzeiro A15 Thailand
1/6024/64
A22 Iraq 1.00† – –
24/64
– A24 Cruzeiro 1.00 –
A15 Thailand – – 1.00
1/60
0.20A Albania – 0.26*
1/96
A Brazil 3/93 0.11* 0.11* –
0.12* 0.32 A Brazil 2/95 0.15*
0.14* 0.36 0.37A Iran 6/94
0.370.15*A Malaysia 0.13*
38/95
A Saudi 0.12** 0.13* 0.55
47/93
0.25A Saudi 0.09* 0.12**
16/95
– – 0.70 A Thailand
8/88
0.48A Thailand 0.10* 0.22
19/88
0.47 0.14* – A Turkey1/92
0.28 0.12**A Turkey 0.18*
3/92
0.08** A Turkey 0.10*0.13*
1/98
A Zambia 90 0.05**0.11*0.29
0.13*A Iran 22/99 0.25 0.21
a, indicative of reasonable levels of cross protection; , indica-
tive of very dissimilar strains.† The (r) values shown represent the neutralization titre against
heterologous virus/neutralization titre against homologous virus.* r significantly less than 1.0 (P=0.05).
** r significantly less than 1.0 (P=0.01).
lated in the Indian sub-continent, and to those found in
Iran (#2.5%) during 1999.
3 .2 .3 . A serotypes
Sequence comparison of all these field isolates with
A24 Cruzeiro [21], A22 Iraq or A15 Thailand showed
differences in many cases of \14% (Fig. 3), and even
Fig. 1. Dendrogram depicting genetic relationships between selectedfield isolates of FMD virus serotype O and IVB antigen strains O1
Lausanne and O1 Manisa (bold).
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P.V . Barnett et al . / Vaccine 19 (2001) 2107–2117 2113
Fig. 2. Dendrogram depicting genetic relationships between selected field isolates of FMD virus serotype Asia1 and the IVB antigen strain Asia1
India (bold).
as high as 24% for one isolate, Zambia/90. The closest
sequence comparisons, 8% against A22 Iraq, were the
isolates from Albania (1/96) and Saudi Arabia (16/95)which suggests that both of these outbreaks were
caused by a Middle East strain of type A. The new
variant of FMD virus type A, first isolated from sam-
ples originating from Iran in 1996, was confirmed to be
genotypically similar to isolates from later outbreaks in
Turkey in 1997 and 1998. However, the more recent A
isolates found in Iran and Turkey in 1999, which are
now appearing in Iraq, are also antigenically and geno-
typically unique and very different from the 1996 vari-
ant. Current evidence suggests that both these variants
are co-existing in the susceptible population and like
the A Iran ‘96 the development of another A vaccine
strain to control this outbreak is conceivable. The
inadequacies of current vaccines and the need to de-
velop further A vaccine strains is a good indication of
the problems still caused by this serotype.
3 .2 .4 . C serotypes
Sequencing showed that all four isolates in the panel
exhibited 18% or greater nucleotide differences in the
region examined on comparison with C1 Oberbayern
vaccine strain (Fig. 4). Distinct differences between the
Asian isolates (Bangladesh 1/92, Bhutan 2/91 and CNepal 1/94) and the Far East isolate C Philippines 4/90
were also evident.
Fig. 3. Dendrogram depicting genetic relationships between selectedfield isolates of FMD virus serotype A and IVB antigen strains A24
Cruzeiro, A15 Thailand and A22 Iraq (bold).
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P.V . Barnett et al . / Vaccine 19 (2001) 2107–2117 2114
Fig. 4. Dendrogram depicting genetic relationships between selected field isolates of FMD virus serotype C and the IVB antigen strain C1
Oberbayern (bold).
4. Discussion
Emergency vaccination can play an important role in
the control of FMD outbreaks in countries normally
free of FMD. This was demonstrated in 1966 in Sweden
when the policy was used as an adjunct to stamping out
to control a single outbreak and eradicate the causal
virus. The storage of conventional formulated FMD
vaccines in a strategic reserve for such eventualities is
expensive as vaccine must be replaced every 18 months
due to limited shelf-life. An alternative to this costly
practice is the well-established method of indefinitestorage of concentrated, inactivated, FMD antigen at
ultra-low temperatures over liquid nitrogen. Cryogeni-
cally stored antigen can be rapidly formulated into
vaccine when required. This concept is not unique to
the IVB, and the recent establishment of a European
Community FMD antigen reserve and other examples
of individual countries establishing their own FMD
reserves, indicate the increasing popularity of this ap-
proach. However, the IVB is unique in that it also
houses its own dedicated manufacturing facility for the
emergency formulation of FMD vaccine, which can be
despatched within 2– 3 days of receiving a request.Other advantages of this system include choice of adju-
vant during formulation, and regular quality assurance.
FMD virus is antigenically very diverse, existing as
seven major serotypes with numerous sub-types, and
strains selected for incorporation into vaccines must be
antigenically similar to current field strains of FMDV,
to ensure an optimal immune response and protection.
Arguably the most important advantage of storing
concentrated antigens is the versatility to choose the
most applicable vaccine strain to deal with an epidemic
rather than be reliant on the strain/s already incorpo-rated in a pre-formulated vaccine. Vigilant global
surveillance of FMD viruses is of extreme importance
in order to advise on the protection afforded by a givenvaccine strain, the necessity for additional antigen
strains, and to maintain the ability to respond rapidly,
should an infection escalate and threaten any member
country of the IVB.
The seven strains currently held by the IVB were
accepted following the demonstration of a high potency
value in cattle (greater than 10 PD50) when formulated
with Al(OH)3 and saponin. Such high potency vaccine
is essential where the primary aim of the emergency
programme is to prevent the spread of FMDV as
rapidly as possible. In this respect, the authors havereported on the rate of development of protection in
cattle, sheep and pigs following vaccination with some
of these emergency vaccines and demonstrated protec-
tion against natural airborne infection by pig challenge
within 4 days of immunization [13–16]. All the antigens
produce vaccines of extremely high potency and offer
protection against a broad range of field isolates.
In this study, the authors have monitored the appli-
cability of all the IVB antigen strains against current
and past virus outbreaks by in vitro and, where neces-
sary, in vivo methods.
Serological results indicate that adequate levels of cross-protection should be attained against ‘O’ isolates
using O1 Manisa or O1 Lausanne and against ‘A’
isolates using either A22 Iraq or the more recently
acquired A15 Thailand. The only important exceptions
being the new type ‘A’ variants isolated from Iran and
Turkey in 1996 and 1999 and those from Thailand and
Malaysia in 1997. Indeed, none of the available vaccine
strains were likely to confer protection against the Iran
and Turkey strains which created the need for the
commercial sector to develop new ‘A’ type vaccine
strains. Acquisition of strains such as A Iran ‘96 by theIVB is a matter being considered by the Technical
Committee. In light of the risk to South East Europe
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P.V . Barnett et al . / Vaccine 19 (2001) 2107–2117 2115
and thereby the European Union, as outlined at the
General Session of the European Commission for the
Control of Foot-and-Mouth Disease in FAO Rome,
this may be acquired at some future date. Both A22
Iraq and A15 Thailand compensate for the limited
antigenic spectrum displayed by the A24 Cruzeiro vac-
cine strain against the field isolates studied. The A24
Cruzeiro virus, originating from Brazil in 1955, is awell established and historically important antigen but
is considered to be of less relevance today. Improved
cross-specificity was observed from use of bivalent
A22/A24 vaccine tested against two unrelated strains,
Brazil 3/93 and Malaysia 38/95 (unpublished results).
In some instances, therefore, the mixing of two or
more vaccine strains has a synergistic effect and
improves efficacy against antigenically unrelated iso-
lates.
According to micro-neutralisation results, Asia1 In-
dia vaccine may not confer protection against someof the Asia1 field isolates, particularly those from
South East Asia. Repeat testing of this panel of
viruses using a new pool of bovine Asia1 anti-sera
substantiated some of the previous results, highlight-
ing Thailand 10/94 and 4/95 in particular as being
serologically different. However, the ‘r’ values for
many of the other isolates were also low, i.e. B0.3,
and therefore could also be considered as dissimilar.
The appropriation of an additional Asia1 vaccine
strain, specifically Asia1 Shamir, was considered, and
further in vivo tests were carried out using guinea pig
adapted isolates. The results of these challenge experi-
ments appeared to indicate Asia1 India vaccine would
provide adequate protection against the isolates
tested, namely Thailand 4/95 and Nepal 28/90. A
similar formulation of Asia1 Shamir vaccine was also
compared against these two isolates and the resulting
elevated PD50 values supported the wide spectrum of
serological protection observed (data not shown). The
latter part of 1999 saw the occurrence of outbreaks of
Asia 1 FMDV in Malaysia and Turkey. Outbreaks
caused by this serotype have been frequent in
Malaysia during the last decade. However, the out-break of Asia1 in Turkey is of particular concern to
the IVB. Although the serological results indicated
that Asia1 India 8/79 should be effective against the
Malaysian isolate its appropriateness for the Turkish
isolates was in doubt. For this reason the candidate
vaccine strain, Asia1 Shamir, was also examined sero-
logically against these Turkish isolates and showed
that it would be a better choice for field application.
Therefore, despite the indication from in vivo studies,
that Asia1 India should provide the adequate protec-
tion required by the member countries, more confi-dence could be placed on the Asia1 Shamir strain,
and therefore this remains a strong candidate for in-
clusion in the IVB portfolio, particularly if future
outbreak strains become increasingly dissimilar to the
current IVB vaccine strain.
The only type ‘C’ representative in the bank’s re-
serve, C1 Oberbayern, is possibly the least antigeni-
cally diverse of the current portfolio of IVB antigens.
Less importance has been placed on this particular
serotype since it has been absent throughout theworld in recent years as judged from the isolates re-
ceived by the WRL. This is reflected in the small
panel of four viruses examined by both neutralisation
and liquid phase blocking ELISA (data not shown)
which showed this antigen to have narrow specificity.
In a similar analysis to that involving the Asia1 India
vaccine strain, the authors are now examining the
efficacy of C1 Oberbayern by in vivo challenge
against selected field isolates.
Although the classical serotypes have been shown
to have good correlation with genetic groupings byphylogenetic analysis, and to some extent also the
subtypes [17], there is no direct link between percent-
age sequence homology and antigenic relationships. It
has been reported that quite distantly related isolates
may have similar antigenic characteristics due to
molecular mimicry at important antigenic sites [18,19].
Conversely, very close sequence homology may con-
ceal large antigenic differences. [20] described a mon-
oclonal antibody escape mutant which was isolated
by serial selection with a panel of five neutralizing
monoclonal antibodies. This mutant virus is able to
evade neutralization by polyclonal antisera elicited
against the parental virus (O1/Kaufbeuren/FRG/66).
However, if a comparison is made between the mu-
tant virus and the parent strain the percentage nucle-
otide difference is only 1.17%. This clearly
demonstrates the danger in making the assumption
that if two isolates are closely related genetically that
the same vaccine can be used. It is important there-
fore that, when a field isolate is studied, appropriate
techniques are used simultaneously to gain the re-
quired information and enable a well thought out dis-
ease control programme to be implemented. Theserological tests used in this study, are able to show
the likely efficacy of vaccines to control outbreaks.
The sequence data, on the other hand, by reference
to a large database of virus sequences provides more
detailed information on possible sources of the strain
causing an outbreak. This is particularly highlighted
by the Asia1 Saudi 13/92 isolate whose sequence
was identical to that of the Asia1 India vaccine strain
and strongly suggests that incompletely inactivated
vaccine may have been applied in the field. Phyloge-
netic analysis can pinpoint where animal movementsor importation may have been responsible. Decisions
to implement effective animal control measures
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P.V . Barnett et al . / Vaccine 19 (2001) 2107–2117 2116
can then be taken on a more informed and rational
basis.
Another aspect of sequence studies are that if some
isolates are found to be genetically divergent to existing
isolates it may highlight the need to study these isolates
more fully with serological tests to gain further insight
into their antigenic properties. The recent appearance
of genetically and antigenically distinct outbreakviruses in Turkey in 1996 and 1999, that prompted the
development of new vaccine strains, appear to be excel-
lent candidates. In the future it would be advantageous
to be able to predict the likely antigenic consequences
of changes in sequence. With the continuing accumula-
tion of data and studies with monoclonal antibodies
this could ultimately be a distinct possibility.
All the antigens stored in the IVB are tested annually
for stability and efficacy in vivo and in vitro incorporat-
ing guinea pig potency tests, sucrose density gradient
and SDS– PAGE analysis. The antigens are therefore
unique in respect to the amount of quality control
testing undergone. In many cases these antigens have
also been examined experimentally with differing adju-
vant formulations and for the rapidity with which they
confer protection in the target host. This permits a high
degree of confidence in vaccine stability, potency and
efficacy. The only remaining area of doubt is antigenic
relevance to current and future FMD outbreaks. Retro-
spective studies have shown that the criteria used to
select the majority of the bank’s antigens though intu-
itively based were accurate. Techniques now available
allow the selection to be more scientifically based.Nevertheless, the appropriation of further strains re-
mains an important consideration particularly with re-
gard to the Asia1 and C serotypes, which are each only
represented by a single strain, and the newly developed
and antigenically unique A Iran ‘96 vaccine strain.
These observations underline the importance of contin-
ually surveying and characterising field isolates.
Acknowledgements
This work was supported financially by MAFF, UK(project number SE2805).
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