title: Validation of the toxin-binding inhibition (ToBI) test for the estimation of the potency of the tetanus toxoïd component in vaccines.
abstract: A validation study has been performed to determine the suitability of the toxin binding inhibition (ToBI) test for the serological estimation of the potency of the tetanus toxoïd component in vaccines. 37 Murine serum pools over a wide range of antibody levels were titrated in both toxin neutralization (TN) and ToBI test. A good correlation was found between both assays. Sixteen DPT-polio, twelve DT-polio and seven T vaccines were tested in the mouse lethal challenge test and the in vitro serological test, using the ToBI test for determining vaccine-induced tetanus antibodies. For all three types of vaccine a statistically valid correlation between both assays was found. However, for two batches of DPT-polio vaccine an "overestimation" of the tetanus potency was observed in the serological assay compared to the challenge assay. This phenomenon could not be explained by the difference in immunization period nor by misinterpretation of the ToBI test of DPT-polio-induced antibodies. In the LPF test high LPF activity was observed for the deviating DPT-polio vaccines. Therefore, the effect of pertussis toxin (PT) on the potency of the tetanus component in the serological assay was examined. The addition of 2 micrograms of PT to a "normal" DPT-polio vaccine resulted in a nearly twofold increase of the tetanus potency. It was concluded that pertussis toxin has a vaccine dose-dependent adjuvant effect on the potency of tetanus toxoïd resulting in high potency values when determined by ToBI procedure. It is unclear how these findings should be interpreted with respect to the behaviour of such vaccines in man.
authors.affiliation: National Institute of Public Health and Environmental Protection, Bilthoven, The Netherlands.
authors.forename: J
authors.initials: J
authors.lastname: van der Gun
authors.forename: A
authors.initials: A
authors.lastname: Akkermans
authors.forename: C
authors.initials: C
authors.lastname: Hendriksen
authors.forename: H
authors.initials: H
authors.lastname: van de Donk
mesh_terms: D000826:Animal Testing Alternatives / Q000379:methods*; D000818:Animals; D015721:Diphtheria-Tetanus-Pertussis Vaccine / Q000032:analysis; D005260:Female; D006801:Humans; D066298:In Vitro Techniques; D008297:Male; D051379:Mice; D009500:Neutralization Tests / Q000379:methods; D011054:Poliovirus Vaccine, Inactivated / Q000032:analysis; D015203:Reproducibility of Results; D013744:Tetanus Toxin; D013745:Tetanus Toxoid / Q000032:analysis*; D014612:Vaccines / Q000032:analysis*
chemical_list: D015721:Diphtheria-Tetanus-Pertussis Vaccine; D011054:Poliovirus Vaccine, Inactivated; D013744:Tetanus Toxin; D013745:Tetanus Toxoid; D014612:Vaccines