Describe the methods of cultivation of viruses and the detection of viral growth.
Systems for Cultivating Viruses
Viruses are obligate intracellular parasites and cannot be grown on any inanimate medium. Three systems are used: cell (tissue) culture, the embryonated egg, and laboratory animals.
| Type of cell culture | Nature | Uses and limitations |
|---|---|---|
| Primary cell culture | Taken directly from tissue; normal diploid chromosomes; survives only a few subcultures — monkey kidney, human amnion, chick embryo fibroblast | The most sensitive for isolating virus from clinical specimens, and used for vaccine production; but expensive, variable and may carry latent viruses |
| Diploid (semi-continuous) cell strain | Diploid, survives about 50 subcultures — human embryonic lung (WI-38, MRC-5) | Free of latent virus and safe for vaccine production |
| Continuous (established) cell line | Heteroploid, malignant, immortal — HeLa, HEp-2, Vero, KB, McCoy | Convenient, indefinitely propagated and easy to maintain; but their malignant nature makes them unsuitable for producing vaccines for human use |
Detection of Viral Growth in Cell Culture
- Cytopathic effect (CPE) — visible degeneration of the monolayer: rounding and clumping, syncytium (giant cell) formation in respiratory syncytial virus, measles and herpes; inclusion bodies; and detachment. The pattern and timing suggest the virus
- Haemadsorption — infected cells expressing a haemagglutinin on their surface bind added red cells; this detects influenza and parainfluenza viruses before any cytopathic effect appears
- Haemagglutination of red cells by virus in the culture fluid
- Interference — a virus producing no cytopathic effect (rubella) is detected because it blocks the growth of a second challenge virus that normally does
- Immunofluorescence, ELISA and PCR on the culture, which detect growth earlier and identify the virus specifically
- Plaque assay — areas of dead cells under an agar overlay, allowing the virus to be quantified as plaque-forming units
CLINICAL PEARL
Continuous cell lines are convenient precisely because they are malignant, which is why they cannot be used for vaccines. HeLa and similar lines divide indefinitely because they are cancer cells, which makes them ideal for a diagnostic laboratory. But material grown in them could carry oncogenic nucleic acid into a recipient, so vaccine production uses primary or diploid cells instead — a case where the property that makes a tool useful in one setting disqualifies it in another.
Embryonated Egg and Animal Inoculation
| Route in the embryonated egg | Virus grown |
|---|---|
| Chorioallantoic membrane | Poxviruses (producing visible POCKS, which were used to distinguish variola from vaccinia and herpes) and herpes simplex |
| Allantoic cavity | Influenza (the basis of influenza vaccine production), mumps — giving a high yield |
| Amniotic cavity | Primary isolation of influenza from clinical specimens |
| Yolk sac | Chlamydiae, rickettsiae and some viruses |
- Animal inoculation — the oldest method, now largely superseded but still used where no other system works: suckling mice for coxsackieviruses and arboviruses (inoculated intracerebrally); mice for rabies; the mouse footpad for Mycobacterium leprae; primates for hepatitis
- Uses — primary isolation, study of pathogenesis, vaccine production and testing, and antibody production
- Limitations — cost, ethical constraints, animal facilities, and the fact that many human viruses do not infect animals at all
Applied Aspects
- Cell culture is no longer routine in most laboratories, having been displaced by PCR and antigen detection, which are faster, cheaper and safer; it is retained in reference laboratories for isolation, vaccine work and antiviral susceptibility testing
- Egg-based influenza vaccine production explains two practical points — the several months required to produce a new vaccine each season, and the caution formerly advised in egg allergy
- Vero cells are used for rabies vaccine, which replaced the older nerve-tissue vaccines that caused neuroparalytic complications; this is an important improvement in Indian practice
- Culture remains the only method that proves the virus is viable, which PCR cannot do; this matters when deciding whether a person is still infectious
- Handle cultures at the appropriate biosafety level, since propagating a virus greatly increases its concentration and therefore the hazard
- Some important viruses have never been cultured conventionally — hepatitis B, HPV and norovirus among them — which is why their study depended on molecular methods and why vaccines against them are recombinant
All questions in General Virology & DNA Viruses
- Q1Describe the general properties, structure and classification of viruses. Describe the steps of viral replication. ★
- Q2Describe the laboratory diagnosis of viral infections including specimens, microscopy, serology and molecular methods. ★
- Q3Describe the herpesvirus group. Discuss herpes simplex and varicella-zoster infections with their complications and treatment. ★
- Q4Describe hepatitis B virus with its antigens, transmission, serological profile and prevention. ★
- Q5Describe the poxviruses, adenoviruses and papillomaviruses with their diseases. Add a note on smallpox eradication. ★
- SN1Describe the methods of cultivation of viruses and the detection of viral growth. ★
- SN2Describe interferons with their types, mechanism of action, properties and uses. ★
- SN3Describe cytomegalovirus infection with its clinical forms, diagnosis and treatment. ★
- SN4Describe Epstein-Barr virus and infectious mononucleosis with its diagnosis and associated malignancies. ★
- SN5Describe parvovirus B19 with its clinical syndromes and their basis. ★
- SN6Describe the oncogenic viruses with their associated malignancies and mechanisms. ★
- SN7Describe prions and the slow virus infections.