2011
DOI: 10.1016/j.vaccine.2011.04.079
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Towards ambient temperature-stable vaccines: The identification of thermally stabilizing liquid formulations for measles virus using an innovative high-throughput infectivity assay

Abstract: As a result of thermal instability, some live attenuated viral (LAV) vaccines lose substantial potency from the time of manufacture to the point of administration. Developing regions lacking extensive, reliable refrigeration ("cold-chain") infrastructure are particularly vulnerable to vaccine failure, which in turn increases the burden of disease. Development of a robust, infectivity-based high throughput screening process for identifying thermostable vaccine formulations offers significant promise for vaccine… Show more

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Cited by 54 publications
(33 citation statements)
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“…Different vaccines within each of these categories have shown variable sensitivities (reviewed in [3–5]), although live attenuated organisms tend to be especially problematic. For example, most measles vaccines based on live viruses can only withstand exposure to 37°C for about 7 days [4]; some can lose potency by a factor of 10 after only 8h at 37°C [6]. Liquid-formulated oral poliovirus vaccines based on live attenuated virus are only stable at 37°C for two days [3,5].…”
Section: Introductionmentioning
confidence: 99%
“…Different vaccines within each of these categories have shown variable sensitivities (reviewed in [3–5]), although live attenuated organisms tend to be especially problematic. For example, most measles vaccines based on live viruses can only withstand exposure to 37°C for about 7 days [4]; some can lose potency by a factor of 10 after only 8h at 37°C [6]. Liquid-formulated oral poliovirus vaccines based on live attenuated virus are only stable at 37°C for two days [3,5].…”
Section: Introductionmentioning
confidence: 99%
“…The development of thermally stable formulations for the major vaccines could relieve bottlenecks in the vaccine supply chain2. The addition of additives to existing vaccines usually means to get again through the costly process of approval by health authorities, which is commercially unattractive3. Therefore, proposing solutions that use inexpensive additives for stabilization increases the likelihood of their adoption by vaccine manufacturers in the development of new vaccines…”
mentioning
confidence: 99%
“…The poor efficacy and instability of vaccine products lead to incomplete immunization and a rapid loss of potency during storage and delivery, which severely limits the coverage of current vaccination programs. For example, ∼50% of vaccine products are finally discarded due to poor thermostability (5). Refrigeration is essential for vaccines to maintain their quality.…”
mentioning
confidence: 99%