1.    
Scope
·      
This procedure explains how to check sensitivity
of cells by Titration of Standard lab. Sabin viruses (P1, P2 & P3)
2.    
Definition
·      
ml         =         Milliliter
·      
ART     =         Aerosol Resistant Tips.
·      
CCID50 =         Cell Culture Infectious Dose
3.    Material
·      
Vortex
mixture
·      
Microtitre
Plate
·      
Micropipettes
(1000µl & 100µl)
·      
Maintenance
medium
·      
Standard
Sabin viruses P1, P2, P3
·      
Pipetters with ART tips
·      
Flask having confluent monolayer of cells of the
cell line to be tested
·      
5ml externally threaded sterile vials.
·      
Rack for holding the vials.
·      
Discarding Pan having 1% hypochlorite solution.
4.    
Procedure
·      
Cell lines to be tested for sensitivity to all 3
sabin viruses.
·      
Keep all the required material in Biosafety
cabinet.
·      
Arrange 8, 5ml vials in a row in a rack for P1,
8 vials for P2 and 8 vials for P3.
·      
Label dilution vials as -2 to -9 for each  serotype 
·      
Dispense 2.7ml maintenance medium to each vials
of 1-8 using 1 ml micropipette.
- First rapidly thaw one aliquot of P1 standard sabin
     virus and add 0.9ml maintenance medium to make 10-1 dilution
     and mix well using vortex mixer.          
     
- Add 0.3ml of this i.e. 10-1 dilution to
     the 1st vial in the rack labeled as -2 with sterile filter tip
     to make10-2 dilution and discard tip into the pan.
·      
Close the vial and vortex gently.
10-3
and discard tip into the pan. Close the vial and vortex gently. 
- Repeat dilution steps
     transferring 0.3ml each time and always changing tip between  dilutions up until vial (10-9
     dilution)
- Label
     microtitre plate with name of sabin virus, name of cell line to be tested,
     dilutions, date of titration and cell control wells.
- Add
     100µl maintenance medium into wells 12 of rows A to H.
- Add
     100µl virus dilution 10-9 in G1 – G10 and H1 – H1, 10-8
     in E1 – E10 and F1 – F10, 10-7 in C1 – C10 and D1 – D10, 10-6
     in A1-A10 and B1-B10 i.e. 20 wells for each dilution.
- Repeat
     the above procedure for P2 and P3 sabin viruses.
- Prepare
     suspension of cells to be tested (1.5×105/ml for L20B,
     1.0X105 /ml for RD cells) calculating at least 12ml per plate.
- Add
     100µl of cells from a cell suspension to all wells in rows A to H in the
     plate with sterile dropper.
- Cover
     the plate and keep it in the CO2 incubator at 36ºC and 5% Co2level
     with 95% humidity.
- Next
     day observe the plate for healthy cell monolayer and absence of
     contamination.
- Read
     the plate for development of CPE using inverted microscope on 3rd,
     5th and 7th day and record readings in Worksheet for
     Virus Titration PR-44. 
- For
     a valid test cell control should have a complete monolayer of healthy
     cells and no CPE.
- Lowest
     dilution should show 100% CPE and highest dilution should not show any CPE
     and the Intermediate dilutions should show CPE in gradation.
- These
     plates are to be used for staining.
  Calculate the virus titer using Karber formula.
·      
Log CCID50     =          L-d(S-0.5)
·      
L                      =          Log of lowest dilution used in the test
·      
D                     =          Difference between log dilution steps.
·      
S                      =          Sum of proportion of positive test showing
CPE.
·      
Log
CCID50     =          -x
·      
Virus
Titer      =          10x CCID50/0.1ml.  
Interpretation
- For initial determination and validation of the titer of the laboratory quality standard, the titer for the quality control standard repeated 3 times and to be parallel each time with the NIBSC reference standard.
- The titers should not vary by more than +/-0.5log10 on all occasions.
- The titer of the lab QC standard will be higher than the NIBSC reference standard.
- If the above criteria are met then the titer for the laboratory QC standard will be the average of the 3 titers.
- Do the titration of the cell lines on 2 occasions i.e. on revival from LN2 at #3and #8. Compare virus titer with laboratory QC titer. It must not vary by more than ± 0.5 log of 10 reference value. If there is decline in sensitivity do titration with a fresh aliquot of reference standard to exclude possibility of human error. If titer is again low then discard that cell line and revive a new vial from liquid nitrogen and check its sensitivity again.
- Record the sensitivity of cells in register PR-39.
- Send the results to WHO within 7 days of testing.
1.    Safety
conditions
·      
To avoid creation of aerosols transfer the fluid
gently during dilutions.
·      
Vortex the vial, leaves it for one min, and then
does the next dilution.
2.    Documentation
·      
Virus
titration work sheet PR-39 and PR-44.
3.    References
used to draw SOP
·      
WHO Polio Laboratory Manual.
 
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