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PRODUCTION
Faculty of Pharmacy
QUALITY CONTROL ASSINGMENT
VACCINE PRODUCTION
INTRODUCTION:
World Health Organization (WHO) defines a vaccine as follows:
Vaccines are proteins, polysaccharides, or pathogenic nucleic acids that are used to
stimulate immunity, to eliminate or weaken pathogens or
pathogenic products.
In other words, vaccines are biological preparations that
help to acquire immunity against diseases. Vaccines are
usually a virus or bacterium-based preparations that fight
against diseases, caused by viruses or bacteria.
MECHANISM OF VACCINES:
The function of vaccines is built on immunity. Immunity
identifies germs as foreign invaders and reacts by producing proteins called antibodies.
Antibodies destroy the germs and memorize the invaders. They remain in the
bloodstream and can detect if the same germs enter the body again to infect it. Since
antibodies have already once destroyed them earlier, they can annihilate them before
infecting the body
Antibody is a protein that immune system has created in the presence of specific antigen.
Antibodies help to counter the effects of antigens, by attaching to them. Antigens are
substances that stimulate the immune system to create antibodies.
Immunization means making the body resistance against germs (germ = pathogenic
microorganism). This happens with the help of antigens that stimulates the antibody
production and cell-mediated immunity. When the immunity has been acquired, the
body is resistant against specific antigens.
Schematic representation of the mechanisms of vaccination and immune defense against viruses.
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HISTORY OF VACCINES:
The use of vaccination to immunize people against infectious diseases has influenced the
world for the past 200 years. It is one of the most remarkable achievements in the history
of medicine.
Early form of vaccination was developed in 1100's China. This method is called
variolation, and it arrived at Europe around 1700's.
Most vaccines invented before 20th century, were often created by accident. Scientists
tested different techniques and substances very freely because there were not much
restrictions or regulations concerning it.
TYPES OF VACCINES:
There are four categories of vaccines in clinical trials:
1. Whole virus
2. Protein subunit
3. Viral vector
4. Nucleic acid (RNA and DNA)
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the surface proteins from the hepatitis B virus, and this is purified and used as the active
ingredient in the vaccine.
Virus-like particles (VLPs) are molecules that closely resemble viruses, but are non-
infectious because they contain no viral genetic material. They can be naturally occurring
or synthesized through the individual expression of viral structural proteins, which can
then self-assemble into the virus-like structure.
In some cases, the antigens in a VLP vaccine are the viral structural proteins themselves.
Alternatively, the VLPs can be manufactured to present antigens from another pathogen
on the surface or even multiple pathogens at once.
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As each VLP has multiple copies of an antigen on its surface it is more effective at
stimulating an immune response that a single copy. In some cases, the structural proteins
of the VLP can act as adjuvants, helping to strengthen the immune response to the
primary target antigen.
A handful of VLP-based vaccines are currently used worldwide are Hepatitis B vaccine
and HPV vaccine
v. OMV VACCINES
Outer Membrane Vesicles (OMVs) are naturally produced by bacteria and are essentially
a bleb of the bacterial outer cell membrane.
This contains many of the antigens found on the cell membrane but is a non-infectious
particle.
In the lab these OMVs can be harvested from bacteria to use as vaccines. The OMVs can
also be modified so that toxic antigens are removed and antigens suitable for stimulating
an immune response can be kept. OMVs also naturally act as adjuvants. This is a newer
vaccine technology so there are few licensed examples is MenB vaccine (meningococcal
B vaccine)
separate bioreactors. Once its proteins are harvested, they are chemically attached
to the polysaccharide, and then the remaining vaccine components added.
Depending on the vaccine, the genetic material could be DNA or RNA; in both cases it
provides the instructions for making a specific protein from the pathogen, which the
immune system will recognize as foreign (an antigen). Once inserted into host cells, this
genetic material is read by the cell’s own protein-making machinery and used to
manufacture antigens, which then trigger an immune response.
This is a relatively new technology, so although DNA and RNA vaccines are being
developed against various diseases, including HIV, Zika virus and COVID-19
i. RNA VACCINES
RNA vaccines use mRNA (messenger RNA) inside a lipid (fat) membrane. This fatty
cover both protects the mRNA when it first enters the body, and also helps it to get
inside cells by fusing with the cell membrane.
Once the mRNA is inside the cell, machinery inside the cell translates it into the
antigen protein. This mRNA typically lasts a few days, but in that time sufficient
antigen is made to stimulate an immune response. It is then naturally broken down and
removed by the body. RNA vaccines are not capable of combining with the human
genetic code (DNA).
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Once a pathogen’s genome has been sequenced, it is relatively quick and easy to design a
vaccine against any of its proteins.
Both DNA and RNA vaccines are relatively easy to produce, but the manufacturing
process differs slightly between them. Once DNA encoding the antigen has been
chemically synthesized, it is inserted into a bacterial plasmid with the help of specific
enzymes - a relatively straightforward procedure.
Multiple copies of the plasmid are then produced within giant vats of rapidly dividing
bacteria, before being isolated and purified. RNA vaccines are easier to synthesize
because this can be done chemically, from a template in the lab, without the need for any
bacteria or cells.
In both cases, vaccines for different antigens could be manufactured within the same
facilities, further reducing costs. This is not possible for most conventional vaccines.
By infecting cells and instructing them to make large amounts of antigen, which then
trigger an immune response, the vaccine mimics what happens during natural infection
with certain pathogens - especially viruses.
This has the advantage of triggering a strong cellular immune response by T cells as well
the production of antibodies by B cells.
An example of a viral vector vaccine is the rVSV-ZEBOV vaccine against Ebola.
ADVANTAGES AND DISADVANTAGES:
Well-established technology
Strong immune response
Immune response involves B cells and T cells
Previous exposure to the vector could reduce effectiveness
Relatively complex to manufacture
i. REPLICATING
Replicating viral vectors retain the ability to make new viral particles alongside
delivering the vaccine antigen when used as a vaccine delivery platform. It produces a
stronger immune response. A single vaccine may be enough to give protection.
Replicating viral vectors are typically selected so that the viruses themselves are
harmless, or are attenuated, so whilst they are infecting the host, they cannot cause
disease. Despite this, as there is still viral replication going on there is an increased
chance of mild adverse events (reactions) with these vaccines.
A vaccine to prevent Ebola called Ervebo (rVSV-ZEBOV) uses a recombinant vesicular
stomatitis virus.
ii. NON-REPLICATING
Non-replicating viral vectors do not retain the ability to make new viral particles during
the process of delivering the vaccine antigen to the cell. This is because key viral genes
that enable the virus to replicate have been removed in the lab.
This has the advantage that the vaccine cannot cause disease and adverse events
associated with viral vector replication are reduced. However, vaccine antigen can only
be produced as long as the initial vaccine remains in infected cells (a few days). This
means the immune response is generally weaker than with replicating viral vectors and
booster doses are likely to be required.
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INGREDIENTS OF VACCINES:
Each vaccine component serves a specific
purpose, and each ingredient is tested in the
manufacturing process. All ingredients are tested
for safety.
ANTIGEN
All vaccines contain an active component
(the antigen) which generates an immune
response, or the blueprint for making the
active component. The antigen may be a
small part of the disease-causing
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PRESERVATIVES
Preservatives prevent the vaccine from becoming contaminated once the vial has been
opened, if it will be used for vaccinating more than one person. Some vaccines don’t
have preservatives because they are stored in one-dose vials and are discarded after the
single dose is administered. The most commonly used preservative is 2-phenoxyethanol.
It has been used for many years in a number of vaccines, is used in a range of baby care
products and is safe for use in vaccines, as it has little toxicity in humans.
STABILIZERS
Stabilizers prevent chemical
reactions from occurring within
the vaccine and keep the vaccine
components from sticking to the
vaccine vial.
Stabilizers can be sugars (lactose,
sucrose), amino acids (glycine),
gelatin, and proteins (recombinant
human albumin, derived from
yeast).
SURFACTANTS
Surfactants keep all the ingredients in the vaccine blended together. They prevent settling
and clumping of elements that are in the liquid form of the vaccine. They are also often
used in foods like ice cream.
RESIDUALS
Substances will vary depending on the manufacturing process used and may include egg
proteins, yeast or antibiotics.
DILUENT
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ADJUVANT
Some vaccines also contain adjuvants. An adjuvant improves the immune response to the
vaccine, sometimes by keeping the vaccine at the injection site for a little longer or by
stimulating local immune cells.
The adjuvant may be a tiny amount of aluminium salts (like aluminium phosphate,
aluminium hydroxide or potassium aluminium sulphate). Aluminium has been shown not
to cause any long-term health problems, and humans ingest aluminium regularly through
eating and drinking.
VACCINE DEVELOPMENT:
Research to discover new vaccine antigens and novel approaches to immunization
usually takes several years, and costs tens of millions of dollars. Once a discovery is
made, several developments must be undertaken to reach the licensing stage. Those
developments include:
PROCESS DEVELOPMENT to produce an economically viable vaccine,
consistently, in a manner that satisfies regulators. It is divided into bulk
manufacturing and product finishing.
o Bulk manufacturing involves the culture of live organisms, followed by
separation and purification of the desired antigen.
o Finishing involves the formulation with either adjuvant and / or stabilizer
and the filling of vials or syringes
CLINICAL DEVELOPMENT to demonstrate the safety and measure the
protective effect of the vaccine in humans. It involves the iterative process of
testing a vaccine candidate in a progressively larger number of human subjects.
ASSAY DEVELOPMENT to develop the appropriate tests to ascertain the
purity, potency and stability of the vaccine under development. It is required
because the vaccine candidate will be novel and will, therefore, require specific
tests to identify it and characterize the product to the satisfaction of the regulators.
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Different types of development necessary to reach the vaccine licensing stage
CLINICAL DEVELOPMENT
If the vaccine triggers an immune response, it is then tested in human clinical trials in
three phases:
1. PHASE I
Early safety and immunogenicity trials that involve ≤100 subjects and can be completed
in under one year
2. PHASE II
Safety, dose ranging, and immunogenicity trials that involve several hundred subjects
and that take 1–3 years to complete
3. PHASE III
Large-scale safety and efficacy trials involving thousands of subjects and requiring 3–5
years to complete.
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During phase two and phase three trials, the volunteers and the scientists
conducting the study are shielded from knowing which volunteers had received the
vaccine being tested or the comparator product. This is called “blinding” and is
necessary to assure that neither the volunteers nor the scientists are influenced in their
assessment of safety or effectiveness by knowing who got which product.
4. PHASE IV
Further monitoring takes place in an ongoing way after the vaccine is introduced. There
are systems to monitor the safety and effectiveness of all vaccines. This enables scientists
to keep track of vaccine impact and safety even as they are used in a large number of
people, over a long time frame. These data are used to adjust the policies for vaccine use
to optimize their impact, and they also allow the vaccine to be safely tracked throughout
its use.
Once a vaccine is in use, it must be continuously monitored to make sure it
continues to be safe.
VACCINE MANUFACTURING
The manufacture of vaccines is achieved from the propagation of living organisms. Some
of these may be dangerous human pathogens. Therefore, the manufacture of vaccines is
conducted in a highly regulated and controlled environment. GMP requirements vary
between countries, but the fundamentals are common:
Ensure that products are safe for use in humans
Ensure that the identity, strength, quality and purity of products consistently meet
regulatory specifications.
In general, the production of vaccines entails four basic steps:
i. PROPAGATION
entails the multiplication (or amplification) of the living organism used in the vaccine
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ii. ISOLATION entails the separation of the living organism from the cells or growth
media used in the propagation step
iii. PURIFICATION removes all materials that may be adhering to the isolated organisms,
or selectively separates the portion of the living organism to be used in the vaccine
iv. FORMULATION involves the mixing of the purified product in solutions to obtain a
desired concentration. It may also include the addition of preservatives to some vaccines,
to ensure the sterility of the product over a longer period of time, or to prevent cross-
contamination during dose extraction from vials.
At the end of the manufacturing process, vaccines are typically filled in vials or syringes
and packaged for shipping to healthcare providers
A.
SELECTING THE STRAINS FOR VACCINE PRODUCTION
i. THE SEED (STRAIN):
Manufacturing begins with small amounts of a specific virus (seed). Viruses or Bacteria
used in manufacture shall be derived from a Seed Lot System.
The virus must be free of impurities, including other similar viruses and even variations
of the same type of virus.
The seed must be kept under "ideal" conditions, usually frozen, that prevent the virus
from becoming either stronger or weaker than desired.
Stored in small glass or plastic containers.
ii. SELECTING THE SEED (STRAIN)
The choice of the seed depends on a number of factors including the efficacy of the
resulting vaccine, and its secondary effects. If possible, the bacterial strain or cell line
should be obtained from a recognized culture collection with an established and
documented provenance.
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Alternatively, if the chosen vaccine strain is an “in house” clinical isolate, it will be
necessary to compile a complete history of the strain, including details of its isolation,
identification, and maintenance for product registration.
B. GROWING THE MICRORGANISMS:
The initial production involves generation of the antigen from the microbe.
For this the virus or microbe is grown either on primary cells such as chicken eggs (e.g.
in influenza) or on cell lines or cultured human cells (e.g. Hepatitis A).
Bacteria against which the vaccines are developed may be grown in bioreactors (e.g.
Haemophilus influenzae type b).
The antigen may also be a toxin or toxoid from the organism (e.g. Diphtheria or
tetanus) or it may be part of the microorganism as well.
Proteins or parts from the organism can be generated in yeast, bacteria, or cell cultures.
Bacteria or viruses may be weakened using chemicals or heat to make the vaccine (e.g.
polio vaccine).
C. PURIFICATION AND ISOLATION OF THE ANTIGENS:
After the antigen is generated, it is isolated from the cells used to generate it.
For weakened or attenuated viruses no further purification may be required. Recombinant
proteins need many operations involving ultra-filtration and column chromatography
for purification before they are ready for administration.
D. INACTIVATION OF ORGANISMS
Viruses can be lipid-coated (enveloped) or non-enveloped.
Virus inactivation involves dismantling a virus’s ability to infect cells without actually
eliminating the virus.
Virus inactivation works by one of the following two mechanisms:
By attacking the viral envelope or capsid and destroying its ability to infect or
interact with cells.
By disrupting the viral DNA or RNA and preventing replication.
E. QUALITY CONTROL:
INCREASE IN VIRULENCE TESTS - With live vaccines, there is concern that the
organism might be shed from the host and transmitted to contact animals, causing disease if it
retains residual virulence or reverts to virulence. All live vaccines should be tested for virulence
by means of passage studies.
ASSESSING RISK TO THE ENVIRONMENT - The ability of each live vaccine to shed,
to spread to contact target and non-target animals, and to persist in the environment must be
evaluated to provide information for assessing the risk of the vaccine to the environment, taking
into account human health.
INTERFERENCE TESTS - For products with two or more antigenic components, tests must
confirm that there is no interference between individual components, that is, one component
causing a decrease in the protective immunological response to another component.
STABILITY TESTS - Stability studies (based on an acceptable potency test) are required to
establish the validity of the expiry date that appears on the product package.
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F. LOT RELEASE:
Prior to release, the manufacturer must test each batch/serial for purity, safety, and
potency.
1. BATCH/SERIAL PURITY TEST:
Purity is determined by testing for a variety of contaminants.
Tests to detect contaminants are performed on: master seeds, primary cells, MCSs
(Master cell stock), ingredients of animal origin if not subjected to sterilization (e.g. fetal
bovine serum, bovine albumin, or trypsin), and each batch of final product prior to
release.
2. BATCH/SERIAL SAFETY TEST:
Batches are considered satisfactory if local and systemic reactions to vaccination with the
batch to be released are in line with those described in the registration dossier and
product literature.
3. BATCH/SERIAL POTENCY TEST:
Batch/serial potency tests, required for each batch prior to release, are designed to
correlate with the host animal vaccination–challenge efficacy studies
4. OTHER TESTS:
Depending on the form of vaccine being produced, certain tests may be indicated.
These tests may concern:
The level of moisture contained in desiccated products
The level of residual inactivate in killed products
The complete inactivation of killed products
pH
The level of preservatives and permitted antibiotics
Physical stability of adjuvant
Retention of vacuum in desiccated products
A general physical examination of the final vaccine
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REFERENCES:
1. https://www.gavi.org/vaccineswork/how-are-vaccines-developed?
gclid=CjwKCAjwm7mEBhBsEiwA_of-
TOmpVu9tz8h3jlMJyygrZhJwbXFwUrcPlT9PP8uzsoZt46YtUQw0-hoCc4IQAvD_BwE
2. http://www.phrma-jp.org/wordpress/wp-content/uploads/old/library/vaccine-
factbook_e/2_Vaccine_Development_and_Implementation.pdf
3. https://core.ac.uk/download/pdf/161424545.pdf
4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152262/
5. https://www.vaccineseurope.eu/about-vaccines/how-are-vaccines-produced
6. https://www.news-medical.net/health/Vaccine-History.aspx