A need for careful evaluation of endotoxin contents in acellular pertussis-based combination vaccines

Michiyo Kataoka1, Masaki Ochiai, Akihiko Yamamoto

  • 1Department of Bacterial Pathogenesis and Infection Control, National Institute of Infectious Diseases, 4-7-1 Gakuen, Musashimurayama-shi, Tokyo 208-0011, Japan.

Insights

Foreign DTaP vaccines showed significant mouse body weight decreasing toxicity, comparable to older whole-cell pertussis vaccines. Standard Limulus amaebocyte lysate tests did not fully detect this toxicity, suggesting a need for in vivo testing for vaccine safety.

Area of Science:

  • Vaccinology
  • Toxicology
  • Immunology

Background:

  • Diphtheria-tetanus-acellular pertussis (DTaP) vaccines are crucial for public health.
  • Controlling endotoxin levels in DTaP is essential for vaccine safety.
  • Existing in vitro tests may not fully assess the safety of all vaccine formulations.

Purpose of the Study:

  • To evaluate the toxicity of imported DTaP vaccines using mouse body weight decreasing (BWD) and Limulus amaebocyte lysate (LAL) tests.
  • To compare the sensitivity of BWD and LAL tests in detecting endotoxin-related toxicity in DTaP vaccines.
  • To investigate potential interference with standard safety assays in certain vaccine batches.

Main Methods:

  • Mouse body weight decreasing (BWD) toxicity test.
  • Limulus amaebocyte lysate (LAL) assay.
  • Lipopolysaccharide (LPS) spiking experiments to assess assay interference.
  • Pyrogenicity and prostaglandin E(2) induction assays.

Main Results:

  • Three of four imported DTaP vaccine batches exhibited significant BWD toxicity.
  • LAL test results showed no marked difference between imported and Japanese DTaP vaccines despite BWD toxicity.
  • One imported DTaP batch demonstrated strong interference with LAL activity, pyrogenicity, and prostaglandin E(2) induction.

Conclusions:

  • The BWD toxicity test is a sensitive method for detecting endotoxin-related toxicity in DTaP vaccines.
  • The LAL test may not be sufficient for assessing the safety of DTaP vaccines with interfering substances.
  • In vivo testing may be necessary for ensuring the safety of DTaP vaccines that interfere with in vitro assays.

Related Concept Videos