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Vaccine 28 (2010) 1887–1892

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Vaccine
journal homepage: www.elsevier.com/locate/vaccine

Comparisons of mumps virus potency estimates obtained by 50% cell culture


infective dose assay and plaque assay
Dubravko Forcic ∗ , Tanja Košutić-Gulija, Maja Šantak, Renata Jug, Jelena Ivancic-Jelecki,
Maja Markusic, Renata Mažuran
Molecular Biomedicine Unit, Research and Development Department, Institute of Immunology Inc., Rockefellerova 10, 10000 Zagreb, Croatia

a r t i c l e i n f o a b s t r a c t

Article history: The two most commonly used methods for the determination of a virus potency are plaque assay and
Received 1 October 2009 50% cell culture infective dose (CCID50 ) assay, both based on cytopathic effect observation. We compared
Received in revised form 7 November 2009 the potency estimates obtained by plaque and CCID50 assays for nine mumps virus strains that produce
Accepted 18 November 2009
different cytopathic effects in Vero cells. The ratios of CCID50 and plaque assay quantification results
Available online 2 December 2009
differed for different strains and were in a range of 0.66–10, indicating that quantification results for
some mumps virus strains are almost identical regardless of whether CCID50 or plaque method is used,
Keywords:
while the potency estimates of other strains strongly depend on the choice of the assay.
Mumps virus
Cytopathic effect © 2009 Elsevier Ltd. All rights reserved.
Virus potency estimate

1. Introduction test units and each is scored as infected or noninfected. The virus
titre is calculated from the proportion of noninfected units at the
During viral infection of cell, virus replicative cycle is accompa- endpoint dilution [2].
nied by a number of biochemical and morphological changes within Based on Poisson distribution of virus particles among cells for
the cell which usually culminate with cell death [1]. These morpho- the CCID50 assay, one CCID50 unit corresponds to 0.69 PFU obtained
logical changes are referred to as the virus cytopathic effect (CPE). by plaque assay [3]. Still, in a number of studies in which the cor-
CPE may take several forms, e.g. syncytia formation, cell rounding, relation of the results was determined experimentally, the results
disorientation, swelling or shrinking, detachment from the surface, significantly varied from the expected value [4,5]. This poses a sig-
total cell lysis, etc. The form of CPE depends both on the virus and nificant problem in various areas of virology as accurate and precise
on the cells in which it is grown. titre determination is critical not only in basic virus research but
The two most commonly used methods for the determination of also in vaccine production and quality control, gene therapy, inves-
a virus titre (or a virus potency estimate) are plaque assay and 50% tigation of antivirals, etc.
cell culture infective dose (CCID50 ) assay. Both of these methods Mumps virus (MuV), an enveloped, non-segmented, negative-
are based on CPE observation after viral infection of a susceptible stranded RNA virus [6] represents a very good example of a virus
cell culture. The plaque method is based on the ability of infectious with diverse forms of CPE depending on a viral strain [4]. MuV
virions to form a plaque, a scoring event, on a confluent monolayer causes a human communicable disease usually characterized by
culture of cells covered with solid culture media. As the test is per- parotitis and mild nonspecific symptoms. Since the late 1960s, as
formed at limiting dilutions, a single plaque is formed as a result the usage of live attenuated mumps vaccines became widespread,
of infection of one cell by one virus particle. Therefore, the number the number of mumps cases dramatically declined. Based on the
of plaques equals the number of plaque forming units (PFU) in the nucleotide sequence of the SH gene, MuV strains are placed into
viral suspension [2]. genotypes named A-M [7,8], but there is a number of strains (both
In contrast to plaque assay, in CCID50 assay the virus is added wild type and vaccines) that do not fulfil the criteria for genotype
to cells cultured in liquid media in microtitre wells. The entire cell designation and therefore their genotype is not specified. Specific
layer in a well is considered to represent a test unit (equivalent to a genotypes are neither associated with differences in severity of dis-
single cell in a plaque assay) [2]. The virus is added to a number of ease, nor with attenuation status, neurotropism or neurovirulence.
Although in the research of MuV, both CCID50 and plaque assays
are used with similar frequencies, in the field of vaccinology major-
∗ Corresponding author. Tel.: +385 1 4684 500; fax: +385 1 4684 303. ity of manufacturers and national control authorities express the
E-mail address: dforcic@imz.hr (D. Forcic). potency of MuV vaccine in CCID50 units. Very often there is a need to

0264-410X/$ – see front matter © 2009 Elsevier Ltd. All rights reserved.
doi:10.1016/j.vaccine.2009.11.049
1888 D. Forcic et al. / Vaccine 28 (2010) 1887–1892

compare the results of MuV potency estimates obtained by the two a humidified atmosphere of 5% CO2 . After 6 days the monolayers
assays. In 1994 the World Health Organization (WHO) Expert Com- were stained with 1 ml of 0.05% neutral red (Sigma, USA) so that
mittee on Biological standardization established the first, and so far plaques could be visualized. The cells were incubated at 35 ◦ C for
the only, International Reference Reagent of Mumps Vaccine (Live), 1 h. A surplus neutral red solution was removed and plates were
code 90/534 [9], which can be obtained from the National Insti- incubated at 35 ◦ C for the next 4 h. The virus titre was determined
tute for Biological Standards and Control (NIBSC, UK). This reagent by calculation of the mean number of plaques for each dilution and
contains Urabe mumps virus strain and its potency is declared as multiplication by the reciprocal value of the dilution factor [11,16].
4.6 log10 of infectious units per ampoule [9,10]. This titre was estab- Virus dilutions that yielded 20–100 plaques in a single well were
lished on the basis of the results of a collaborative study performed counted. Each assay contained four replicas of each sample dilution.
in 14 laboratories in nine countries, in which both quantification The titre was expressed as the number of PFU per ml.
methods were used. The Committee accepted a proposal that the To ensure reproducibility of the test results, each assay included
results obtained by CCID50 and plaque assay system used should be a sample of Urabe mumps strain as the working reference prepa-
combined [9]. ration (in-house standard). Its potency was established in over 10
At the Institute of Immunology, both CCID50 and plaque meth- independent measurements.
ods for MuV quantification are established in concordance with The assay was considered accurate only when the differ-
the WHO recommendations [11] and current European Pharma- ence in titre between any two replicas of the test sample was
copoeia (cPh.Eur) requirements [12]. Over a period of years, we within 0.5 log10 . Furthermore, only the assays in which the titre
collected a number of various MuV strains and noticed that their of the working reference preparation was within 0.5 log10 of the
CPEs extremely differ. Furthermore, we noticed that the ratio of established value were regarded as valid (the tolerable intra-test
potency estimates determined by plaque and CCID50 assays is not deviation of the plaque assay is 0.5 log10 [11]).
always 1, as was established for Urabe strain in the WHO study, nor
it is 0.69 as expected from mathematic calculations.
2.3. MuV CCID50 assay
In this paper, we present our results of comparisons of the
potency estimates obtained by plaque and CCID50 assays for nine
The assays were performed in 96-well plates. The 1.6 × 104 Vero
MuV strains and show that the ratio of the potency estimates
cells in 0.1 ml MEM-H with 5% FCS per well were seeded. Viral
obtained by the two methods differs for different MuV strains.
samples were serially diluted in 0.48 log10 steps (threefold dilu-
tions) from 10−1 to 10−5 in MEM-H without FCS. The 0.05 ml of
2. Materials and methods virus dilution and 0.05 ml of test medium (without FCS) were added
to Vero cells. The plates were incubated at 35 ◦ C in 5% CO2 for 10
2.1. Vero cell culture and MuV strains days. After incubation period, the cells were checked for cytopathic
changes and positive wells were recorded. The titre was calculated
Vero cell culture (African green monkey kidney cells) was in CCID50 per 1 ml on the basis of the final reading using the Kärber
obtained from the European Collection of Cell Culture (UK) and formula: log10 CCID50 = L − d/(S − 0.5) where L = log10 starting dilu-
maintained in Minimum Essential Medium with Hank’s salts tion, d = log10 dilution step, S = sum of the proportion of positive
(MEM-H) (AppliChem, Germany) supplemented with 10% fetal calf replicate [11,12,17]. The mean CCID50 value is calculated from nine
serum (FCS) (Moregate, Australia) and 50 !l/ml neomycin (Gibco- results (three aliquots of the viral suspension were thawed, each
BRL, USA). was used for three quantifications).
MuV wild-type strains ZgA/Cro69 (genotype D) [13], ZgB/Cro69 Each CCID50 testing included a sample of L-Zagreb mumps
(genotype pending) [13], 9218/Zg98 (genotype pending) [14], strain as the working reference preparation (in-house standard). Its
Du/CRO05 (genotype G) [14] and Zg/CRO06 (genotype D) [15] potency was calibrated against the International Reference Reagent
detected in outbreaks in Croatia were isolated on Vero cell culture of Mumps Vaccine (Live). The potency of L-Zagreb working refer-
supplemented with 2% FCS and 50 !l/ml neomycin. The L-Zagreb ence preparation was determined in 46 CCID50 independent assays.
(L-Zg) (genotype pending) mumps vaccine strain was produced In each assay two independent virus dilution series (consisting of
at the Institute of Immunology, Croatia. The Jeryl Lynn 2 (JL2) six dilution steps, each of 0.48 log10 dilution factors) were pre-
(genotype A) and the Jeryl Lynn 5 (JL5) (genotype A) MuV virus pared from one thawed L-Zagreb reference preparation aliquot.
strains were kindly provided by B. Rima (The Queen’s University of Each dilution series was added to Vero cells on a separate 96-well
Belfast, UK). MuV Urabe strain (genotype B; International Reference plate (16 wells/virus concentration). The obtained average geo-
Reagent of Mumps Vaccine (Live), code 90/534) was obtained from metric mean of the titre was 5.298 log10 CCID50 /0.5 ml, arithmetic
the NIBSC. In our laboratory vaccine virus strains were propagated mean was 5.295 log10 CCID50 /0.5 ml and median was 5.305 log10
in Vero cells supplemented with 2% FCS and 50 !l/ml neomycin for CCID50 /0.5 ml. Day-to-day assay variability was very low (coeffi-
no more than two passages. The detailed phylogenetic analysis and cient of variation was 1.69%).
relatedness of used strains was presented in our previous article Like in plaque assay, the CCID50 test was considered accurate
[15]. only when the difference in titre between any two replicas of the
test sample was within 0.5 log10 . Moreover, only the assays in
which the titre of the working reference preparation was within
2.2. MuV plaque assay
0.5 log10 of the established value were regarded as valid (as in
plaque assay, the tolerable intra-test deviation of CCID50 method is
One million Vero cells per well were seeded in six-well plates
0.5 log10 [11]).
for 48–72 h until the confluent cell monolayers were formed. An
aliquot of each virus strain was thawed and twofold serially diluted
in MEM-H with 2% FCS and neomycin. Supernatant was removed 3. Results and discussion
and cells were infected with 1 ml of viral suspension. After 1 h at
35 ◦ C viral suspension was aspirated, cells were washed twice with Both plaque and CCID50 assays are conventional, routinely
PBS and overlayed with 3 ml of semisolid medium consisting of performed virological tests for quantification of infectious virus
1 (v/v) 2× MEM-H with 10% FCS without phenol red and 1 (v/v) particles. Although these methods are gold standard techniques,
1.5% Noble agar (Sigma, USA). Plates were incubated at 35 ◦ C in they are still characterized by a number of limitations and vague-
D. Forcic et al. / Vaccine 28 (2010) 1887–1892 1889

Fig. 1. Different morphology of CPE for different mumps viruses in the monolayers of Vero cells. (A) Vero cell monolayer infected with 9218/Zg98 or L-Zagreb. (B) Vero cell
monolayer infected with JL5 or Urabe strain. CPE for 9218/Zg98 and L-Zagreb are indicated with an arrow (A).

nesses. In the case of MuV, an accurate and precise quantification Based on our results and experience, we think that the most
is an important issue not only for scientific purposes but also for accurate quantification results would be obtained if assays’ condi-
public health as it is a pathogen against which vaccination with live tions were specifically adapted to each virus strain. Still, it is highly
attenuated vaccines is conducted and challenged with a number of improbable that in reality this can be implemented. As numer-
problems, one of them being neurovirulence risk associated with ous MuV strains are known and new ones are being isolated every
the use of certain vaccine strains. year, it is unrealistic to expect that for every strain a detailed study
regarding optimal conditions for quantification methods will be
conducted, especially in research laboratories that are not spe-
3.1. Distinct vs. discrete MuV CPE patterns cialized and committed only to virus quantifications. As far as we
know, even the national control authorities in countries where var-
When we infected Vero cells with nine different MuV strains, ious vaccine strains are registered do not use different methods for
we observed huge differences in their CPE patterns. Some strains different vaccine strains.
(namely JL2, JL5, Urabe, Du/CRO05 and Zg/CRO06) formed classic
syncytia, producing a major cytopathic effect and showing high 3.2. Comparisons of quantification results obtained by CCID50
fusogenic activity (Fig. 1A). In contrast to them, a second group and plaque assays
of viruses (ZgA/Cro69, ZgB/Cro69, 9218/Zg98 and L-Zg) produced
CPE with very discrete syncytia and specific morphological changes After both CCID50 and plaque assays were optimized to the
(cell rounding or elongation, different light reflection, irregular extent we considered best for all analyzed strains, we compared the
cell shape) indicating a very low fusogenic activity of the viruses quantification results obtained by the two methods. We wanted to
(Fig. 1B). investigate whether there is a correlation between the results that
Since syncytia development plays a key role in plaque for- could be applied to all strains, no matter how genetically diverse
mation, two forms of plaques were also observed: (a) clear and they are.
distinct plaques (either large or small) formed by viruses with high First we performed a detailed analysis of quantification results
fusogenic activity (Fig. 2A); or (b) diffuse, hardly distinguishable for the Urabe virus strain. Twelve aliquots of the same virus sus-
plaques differing in size observed after infection with strains that pension were thawed on different days, and the virus potency was
produced CPE with discrete syncytia (Fig. 2B). determined in 12 independent tests by both CCID50 and plaque
During the optimization of the methods, we tried to find assays.
conditions that would enable the occurrence of clearly visible Average titres determined by plaque and CCID50 assays were
CPE/plaques for all strains. Still, in spite of changing of different 4.28 log10 and 4.92 log10 , respectively (Table 1). The difference
assays conditions (e.g. temperature and time of incubation, time in the titre obtained by the two methods was in a range of
and type of staining used for plaque visualization), it seems that 0.44 log10 –0.81 log10 , mean intermethod difference was 0.63 log10
the feature of some strains to produce hardly noticeable CPE and (Table 1). Only in one out of 12 independent tests the titres obtained
diffuse plaques is their intrinsic characteristic. by the two methods differed less than 0.5 log10 .
It is known that MuV growth is strain- as well as host cell- The ratio of the results obtained by CCID50 assay and plaque
dependent [18]. Therefore it is possible that some strains would assay for Urabe strain was 4.39. As we do not have the details of
produce different, more easily detectable CPE if another cell line the collaborative study in which the titre of the first International
was used. There are some data indicating that CaCo-2 or B95a might Reference Reagent for Mumps Vaccine was established, we cannot
be a better substrate for in vitro propagation of MuV, although these compare the difference we obtained in the potency estimates for
cell lines do not establish a uniform cell monolayer and therefore Urabe strain with the differences obtained in that study. Still, our
their application as a substrate for assays based on CPE is limited results do not support the finding that the Urabe strain titre is the
[19,20]. same, regardless which method is used [9]. This discrepancy points

Fig. 2. Plaque morphology in Vero cells. (A) Vero cell monolayer infected with JL5 or Urabe. (B) Vero cell monolayer infected with 9218/Zg98 or L-Zg strain.
1890 D. Forcic et al. / Vaccine 28 (2010) 1887–1892

Table 1
Potency estimates of the Urabe virus sample and comparison of results obtained by CCID50 and plaque assays.

Assay no. Titre obtained by Titre obtained by log10 of Ratio of CCID50 and plaque
plaque assay CCID50 assay inter-method assays’ quantification
(log10 PFU/ml) (log10 CCID50 units/ml) difference results

1 4.23 ± 0.04 4.99 ± 0.10 0.76 5.75


2 4.27 ± 0.05 4.79 ± 0.12 0.52 3.31
3 4.38 ± 0.08 5.04 ± 0.07 0.66 4.57
4 4.46 ± 0.06 4.90 ± 0.15 0.44 2.75
5 4.17 ± 0.12 4.98 ± 0.07 0.81 6.45
6 4.26 ± 0.07 4.85 ± 0.07 0.59 3.89
7 4.33 ± 0.04 4.97 ± 0.09 0.64 4.36
8 4.28 ± 0.01 4.88 ± 0.15 0.60 3.98
9 4.24 ± 0.07 4.88 ± 0.04 0.64 4.36
10 4.28 ± 0.06 5.0 ± 0.07 0.72 5.25
11 4.21 ± 0.07 4.71 ± 0.11 0.50 3.16
12 4.30 ± 0.04 4.98 ± 0.11 0.68 4.78

Mean ± std 4.28 ± 0.09 4.92 ± 0.12 0.63 ± 0.11 4.39 ± 1.08

to the need to specify the assay conditions when the potency data is of the titre of different viruses on day 8 after infection did not result
presented, as differences in the procedure can lead to significantly in significant differences in titres (data not shown).
different results. Flanagan and Baron compared CCID50 assay and plaque assay
To compare potency estimates of other eight MuV strains we quantifications for four MuV strains [4]. Both of their assays were
determined the titre of each by CCID50 and plaque assays in at performed in BGM cell line, which is also a continuous line of
least three assays using aliquots of the same viral suspensions. African green monkey kidney cells but unlike Vero BGM cells are
In contrast to Urabe strain, a higher titre determined by plaque epithelial cells, not fibroblasts. The ratios they found were 0.21 for
assay was obtained in samples of the 9218/Zg98 (0.18 log10 ) and Boston strain, 0.63 for ABC strain, 1.7 for Ricki strain and 0.66 for
Du/CRO05 (0.08 log10 ) (Table 2). In all other strains an average Jeryl Lynn vaccine. Their results, as well as ours, indicate that gross
titre obtained by plaque assay was lower than the titre obtained differences in quantification results can be obtained, depending on
by CCID50 assay. For those seven strains, the smallest difference the method of choice. Such high variations in potency estimates
between titres was found for JL5 (0.1 log10 ) and the biggest for L-Zg pose the problem for the quality control of live virus vaccines.
(1.0 log10 ) (Table 2). Like in the Urabe strain quantification, the titre WHO and cPh.Eur specify the minimal amount of vaccine virus that
value for L-Zg, ZgB/Cro69 and ZgA/Cro69 obtained by plaque assay one dose should contain. Interlaboratory variations of potency esti-
differed more than 0.5 log10 from the titre value obtain by CCID50 mates can be crucial when the decision whether a vaccine lot is
assay (Tables 1 and 2). accepted or rejected is made.
The ratios of the results obtained by CCID50 assay and plaque
assay in quantification of the nine virus samples ranged between
0.66 and 10 (Tables 1 and 2). Ratios near to theoretically expected 3.3. Factors influencing the results of quantification assays
value of 0.69 were obtained for only two viruses (0.66 for
9218/Zg98 and 0.83 for Du/CRO05; Table 2). For other seven MuV The morphology of CPE plays no role in the ratio values between
strains potency ratio values were significantly higher then 0.69 the results of the two analyzed methods. Both low and high ratio
(Tables 1 and 2). As previously mentioned, WHO established that values were found for viruses that produced discrete as well as
the ratio for Urabe strain is 1 [9]. In our study, only JL5 and distinct CPE (Table 2). The strains that produce less pronounced
Du/CRO05 had the ratios relatively close to 1 (1.26 and 0.83, respec- CPE with very discrete syncytia tend to show a higher discrepancy
tively; Table 2). The ratios for remaining seven strains considerably between the titres obtained by the two methods (Table 2). The
differed from 1 (Tables 1 and 2). inter-methods difference in titres for strains which formed clear
In our plaque assay, we counted plaques 5 h after addition of syncytia, producing strong cytopathic effect and showing high fuso-
neutral red. In order to be certain that 5 h is enough time to allow genic activity was below 0.5 log10 with the exception of the Urabe
for optimal staining of plaques, particularly those in the process strain (Tables 1 and 2).
of developing, during the optimization of the method we tried The phylogenetic position of a strain also had no definite effect
incubating plates with neutral red for 1–24 h. We did not obtain on the ratio of the results obtained by CCID50 assay and plaque
any statistically significant difference in the number of plaques assay. Closely related viruses JL2 and JL5, both classified as geno-
between 5 and 24 h postneutral red addition. Even determination type A strains, showed almost identical ratio (Table 2). In contrast

Table 2
Potency estimates of eight mumps virus strains’ samples and comparison of results obtained by CCID50 and plaque assays. Strains that produced discrete cytopathic effect
are indicated in bold. n = number of assays.

Virus Titre obtained by Titre obtained by log10 inter-method Ratio of CCID50 and plaque
plaque assay (log10 CCID50 assay (log10 difference assays’ quantification
PFU/ml) CCID50 units/ml) results

L-Zg 5.46 ± 0.17 (n = 5) 6.46 ± 0.14 (n = 4) 1.00 10


9218/Zg98 7.12 ± 0.06 (n = 4) 6.94 ± 0.18 (n = 3) 0.18 0.66
ZgA/Cro69 4.73 ± 0.27 (n = 3) 5.61 ± 0.14 (n = 3) 0.88 7.6
ZgB/Cro69 4.77 ± 0.16 (n = 4) 5.28 ± 0.18 (n = 3) 0.51 3.23
JL2 5.51 ± 0.12 (n = 4) 5.73 ± 0.09 (n = 3) 0.22 1.65
JL5 6.49 ± 0.17 (n = 4) 6.59 ± 0.14 (n = 3) 0.10 1.26
Du/CRO05 6.74 ± 0.23 (n = 4) 6.66 ± 0.12 (n = 4) 0.08 0.83
Zg/CRO06 5.13 ± 0.03 (n = 4) 5.53 ± 0.12 (n = 5) 0.40 2.51
D. Forcic et al. / Vaccine 28 (2010) 1887–1892 1891

to those two strains, ZgA/Cro69 and Zg/CRO06, both genotype D doses at the two laboratories was a result of virus potency being
strains, showed significantly different values (Table 2). determined at each test site [16]. In order for neonatal rat-based
In our CCID50 assay viral samples were diluted in MEM-H with- test to yield truthful comparison of neurovirulence between vari-
out FCS and virus suspensions were added to the wells in which the ous MuV strains, it is necessary to estimate potencies of all tested
media with 5% FCS had been previously put. For the plaque assay, strains with a unique assay that is of equal accuracy and precision
virus samples were diluted in MEM-H with 2% FCS, but the entire for all strains. According to our experience, defining evidence-based
supernatant of Vero monolayers had been removed before the virus precise conditions for such a test will be very difficult to achieve.
suspension was added. For both assays the dilution processes lasted
only for a few minutes and the viral suspensions were immediately 4. Conclusion
added to the cells. The primary infections of cells were performed
in both methods under similar FCS concentrations: 2.5% in CCID50 A strong intrinsic feature of MuV strains to interact specif-
assay and 2% in plaque assay for the first hour, 5% FCS afterwards. ically with Vero cell culture results in very different forms of
As the process of virus dilution was performed very quickly, it is CPE. Our results indicate that MuV quantification results for some
our opinion that the presence/absence of FCS in the diluting media MuV strains are almost identical regardless of whether CCID50 or
did not influence the survival of the virions in the samples. plaque method is used, while the potency estimates of other strains
We cannot speculate to which extent did the chosen assays’ strongly depend on the choice of the assay.
conditions influence our quantification results. Still, this question The results reported here indicate that care should be taken
was indirectly addressed in 1993, in a collaborative study that when comparing the numbers of virions in samples obtained by
was conducted to assess the variability of potency estimates of these methods of quantification. We have shown that the universal
measles, mumps and rubella trivalent vaccines in 10 different Euro- conversion factor for the results of these two methods cannot be
pean laboratories [21]. In this study, participants were asked to unequivocally specified. The relation between the results must be
use their standard assay method. Although in the report present- determined experimentally for each MuV strain and quantification
ing the results of this study the methods’ details were not specified assays’ conditions.
[21], it is reasonable to assume that the methods at least slightly
differed as WHO [11] and the cPh.Eur [12] do not specify precise
test parameters and source or passage number of cell substrate. Acknowledgments
The mumps component showed greatest variability of the three
viruses tested: the range of potency estimates between laborato- The authors thank Dr. Ante Sabioncello for useful comments
ries varied from 2.50 log10 (obtained for (a) a vaccine containing and suggestions. This work was supported by the Ministry of Sci-
Jeryl Lynn mumps component and (b) for Urabe International Ref- ence, Education and Sports of the Republic of Croatia, grant nos.
erence Reagent of Mumps Vaccine) to even 3.24 log10 (obtained for TP-05/0021-02 (to R.M.) and 021-0212432-3123 (to M.Š.).
a vaccine containing Rubini mumps component) [21]. Expressing
the potency of mumps vaccines relative to a standard reference References
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