1.Development of Indicators to Assess the Stability of Remnant Blood Samples Stored in a Biobank: Experience at One Institution.
Sae Hwan KIM ; Young Eun KANG ; Young Jun HONG ; Yoon Hwan CHANG ; Seok Il HONG ; Ae Chin OH ; Jin Kyung LEE
The Korean Journal of Laboratory Medicine 2010;30(6):718-725
BACKGROUND: One of the major concerns with biobanking is the absence of standard operating procedures to eliminate pre-analytical variation arising from sample collection, preparation, and storage. Currently, there is a lack of tools to carry out quality control procedures for stored blood samples. The aim of this study is to assess the quality of stored blood samples in our biobank and to suggest appropriate indicators for their quality control. METHODS: The stored blood samples that we tested have been registered into our biobank since 2003. These were transferred to our biobank after carrying out routine requested tests, because the samples would have otherwise been discarded. For the purpose of quality control, we analyzed the concentrations and the integrity of DNA and RNA extracted from the stored samples and tested the levels of several serum proteins; the results were compared with the corresponding pre-storage levels. RESULTS: A total of 19 samples were stored from 2006 to 2009. Of the 22 samples stored between 2003 and 2005, 50% showed complete DNA integrity. However, sufficient RNA integrity was noted in only 1 sample stored as recently as 2009. High blood urea nitrogen levels were also noted in the stored sera, but the increase did not correlate to the duration of storage. CONCLUSIONS: The amount and integrity of nucleic acids extracted from stored blood samples are potential indicators that can be used for quality control. A guideline for the quality assessment of stored blood samples in a biobank is urgently needed.
Blood Banks/*standards
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Blood Proteins/chemistry/standards
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Blood Urea Nitrogen
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DNA/*analysis/chemistry/standards
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Laboratory Techniques and Procedures
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Quality Control
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RNA/*analysis/chemistry/standards
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Specimen Handling/methods
2.Establishment of the first national standards for nucleic acid amplification technology assay for HBV DNA.
Lu-nan WANG ; Wei DENG ; Zi-yu SHEN ; Wen-xiang CHEN ; Jin-ming LI
Chinese Journal of Hepatology 2007;15(2):107-110
OBJECTIVESTo establish a Chinese national standard for a nucleic acid test (NAT) for HBV DNA.
METHODSThe candidate sample of HBV DNA positive plasma was diluted with HBV-negative human plasma. The sample was lyophilised with a concentration of approximately 300,000 copies/ml. The measurement methods used included Roche Amplicor assay (version 2.0) and real-time PCR. The lyophilised preparation was calibrated by the international standard (NIBSC code: 97/746) from NIBSC.
RESULTSThe quantity of this lyophilised preparation was (1.29+/-0.24) x 10(5)IU/ml in comparison with the international standard for HBV DNA 97/746. The stability test indicated that the sample was stable at room temperature (20 to 25 degrees C) for 2 weeks and at 37 degrees C for at least 1 week. Long-term stability was observed at 2 to 8 degrees C for 6 months and at -20 degrees C for more than 2 years with no significant changes. The vial-to-vial imprecision rate was 3.53%.
CONCLUSIONBased on the results of this study, our lyophilized sample can be used as a standard in China for the nucleic acid test (NAT) for HBV DNA.
DNA, Viral ; blood ; Hepatitis B virus ; genetics ; Humans ; Nucleic Acid Amplification Techniques ; standards ; Plasma ; chemistry
3.Comparison of the reverse transcription-PCR with the branched DNA assay for measurement of human immunodeficiency virus type 1 RNA levels in plasma of Korean patients.
Dong Il WON ; Jung Yong PARK ; June Myung KIM ; Hyon Suk KIM
Yonsei Medical Journal 2001;42(2):204-208
Viral load testing of human immunodeficiency virus (HIV) is an essential tool for initiating and monitoring the antiretroviral therapy for HIV patients. To this end, several methods including polymerase chain reaction (PCR), branched DNA (bDNA), nucleic acid sequence based amplification assay (NASBA) and internally controlled virion PCR (ICV PCR) have become available. Of these methods, the standard reverse transcription-PCR (RT-PCR) assay has been widely used in Korea. However, no comparison study has been performed among the various detection methods currently used in Korean patients. We evaluated the correlation and agreement between the PCR and the branched DNA (bDNA) assay for measurement of HIV RNA in Korean patients. Eighty randomly selected samples from HIV-1-seropositive patients visiting Yonsei Medical Center Severance Hospital were studied. We found that these assays show good agreement, have a reliable correlation (r = 0.92, mean difference in log10 copies/ mL +/- 2 standard deviation = 0.098 +/- 0.805) and produce values whose relationship is given by the following equation: log10v3 bDNA = -0.3405 + 1.0601 x log10RT-PCR. Thus, we conclude that these two methods may allow direct comparison of the results obtained from different assay systems.
Comparative Study
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DNA/chemistry*
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DNA/analysis*
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Genetic Techniques/standards*
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HIV-1/genetics*
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Human
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Korea
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RNA, Viral/blood*
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Reverse Transcriptase Polymerase Chain Reaction/standards*
4.Development and Evaluation of a Duplex Real-Time PCR Assay With a Novel Internal Standard for Precise Quantification of Plasma DNA.
Dan CHEN ; Shiyang PAN ; Erfu XIE ; Li GAO ; Huaguo XU ; Wenying XIA ; Ting XU ; Peijun HUANG
Annals of Laboratory Medicine 2017;37(1):18-27
BACKGROUND: Circulating levels of cell-free DNA increase in many pathologic conditions. However, notable discrepancies in the quantitative analysis of cell-free DNA from a large number of laboratories have become a considerable pitfall, hampering its clinical application. METHODS: We designed a novel recombinant DNA fragment that could be applied as an internal standard in a newly developed and validated duplex real-time PCR assay for the quantitative analysis of total cell-free plasma DNA, which was tested in 5,442 healthy adults and 200 trauma patients. RESULTS: Compared with two traditional methods, this novel assay showed a lower detection limit of 0.1 ng/mL, lower intra- and inter-assay CVs, and higher accuracy in the recovery test. The median plasma DNA concentration of healthy males (20.3 ng/mL, n=3,092) was significantly higher than that of healthy females (16.1 ng/mL, n=2,350) (Mann-Whitney two-sample rank sum test, P<0.0001). The reference intervals of plasma DNA concentration were 0-45.8 ng/mL and 0-52.5 ng/mL for healthy females and males, respectively. The plasma DNA concentrations of the majority of trauma patients (96%) were higher than the upper normal cutoff values and were closely related to the corresponding injury severity scores (R²=0.916, P<0.0001). CONCLUSIONS: This duplex real-time PCR assay with a new internal standard could eliminate variation and allow for more sensitive, repeatable, accurate, and stable quantitative measurements of plasma DNA, showing promising application in clinical diagnosis.
Adult
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DNA/*blood/standards
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Female
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Healthy Volunteers
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Humans
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Male
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Middle Aged
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Real-Time Polymerase Chain Reaction/*methods/standards
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Reference Values
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Wounds and Injuries/blood
5.Performance evaluation of the HepB Typer-Entecavir kit for detection of entecavir resistance mutations in chronic hepatitis B.
Sang Hoon AHN ; Ji Yong CHUN ; Soo Kyung SHIN ; Jun Yong PARK ; Wangdon YOO ; Sun Pyo HONG ; Soo Ok KIM ; Kwang Hyub HAN
Clinical and Molecular Hepatology 2013;19(4):399-408
BACKGROUND/AIMS: Molecular diagnostic methods have enabled the rapid diagnosis of drug-resistant mutations in hepatitis B virus (HBV) and have reduced both unnecessary therapeutic interventions and medical costs. In this study we evaluated the analytical and clinical performances of the HepB Typer-Entecavir kit (GeneMatrix, Korea) in detecting entecavir-resistance-associated mutations. METHODS: The HepB Typer-Entecavir kit was evaluated for its limit of detection, interference, cross-reactivity, and precision using HBV reference standards made by diluting high-titer viral stocks in HBV-negative human serum. The performance of the HepB Typer-Entecavir kit for detecting mutations related to entecavir resistance was compared with direct sequencing for 396 clinical samples from 108 patients. RESULTS: Using the reference standards, the detection limit of the HepB Typer-Entecavir kit was found to be as low as 500 copies/mL. No cross-reactivity was observed, and elevated levels of various interfering substances did not adversely affect its analytical performance. The precision test conducted by repetitive analysis of 2,400 replicates with reference standards at various concentrations showed 99.9% agreement (2398/2400). The overall concordance rate between the HepB Typer-Entecavir kit and direct sequencing assays in 396 clinical samples was 99.5%. CONCLUSIONS: The HepB Typer-Entecavir kit showed high reliability and precision, and comparable sensitivity and specificity for detecting mutant virus populations in reference and clinical samples in comparison with direct sequencing. Therefore, this assay would be clinically useful in the diagnosis of entecavir-resistance-associated mutations in chronic hepatitis B.
Adult
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Antiviral Agents/*therapeutic use
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Cross Reactions
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DNA, Viral/blood/standards
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Drug Resistance, Viral/*genetics
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Genotype
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Guanine/*analogs & derivatives/therapeutic use
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Hepatitis B virus/genetics
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Hepatitis B, Chronic/*drug therapy/genetics
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Humans
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Mutation
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Polymerase Chain Reaction/standards
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Reagent Kits, Diagnostic/*standards
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Reference Standards
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Sequence Analysis, DNA
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Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization/standards
6.Establishment and evaluation of the method for detecting HBV DNA in serum using HBV DNA probe labeled directly by alkaline phosphatase.
Yaxi CHEN ; Ailong HUANG ; Zhenyuan QI ; Youlan SHAN ; Hang SUN
Chinese Journal of Hepatology 2002;10(6):429-431
OBJECTIVETo establish a sensitive and specific technique for detecting HBV DNA in serum using HBV DNA probe labeled directly by alkaline phosphatase (AlkPhos Direc probe).
METHODSThe probe that purified HBV DNA sequence was labeled directly by alkaline phosphatase and chemiluminescent substrate CDP-star for AP was used in the hybridization assay. HBV DNA was detected by autoradiography on the film. The test compared the chemiluminescen dot blot hybridization assay for 80 samples with digoxigenin-labeled HBV DNA probe detective method. The correlation of 70 samples test results between fluorescent quantitative HBV DNA PCR method and dot blot hybridization assay by AlkPhos Direc probe was analysed.
RESULTSThe sensitivity of the probe labeled directly by alkaline phosphatase was 10pg at least. The coincidence was 100% compared with digoxigenin-labeled HBV DNA probe detection. A correlation coefficient of HBV DNA quantitative results between fluorescent quantitative HBV DNA PCR (QPCR) method and dot blot hybridization assay by AlkPhos Direc probe was 0.98 (P<0.01).
CONCLUSIONSThe method detecting HBV DNA in serum by HBV DNA AlkPhos Direc probe is sensitive and specific. The results between two methods with AlkPhos Direc and digoxigenin-labeled HBV DNA probe are coincident completely. The correlation of HBV DNA quantitative results between fluorescent QPCR method and dot blot hybridization assay by AlkPhos Direc probe is satisfactory.
Alkaline Phosphatase ; chemistry ; metabolism ; Animals ; DNA Probes ; chemistry ; genetics ; DNA, Viral ; blood ; genetics ; Hepatitis B ; blood ; diagnosis ; virology ; Hepatitis B virus ; genetics ; Humans ; Molecular Diagnostic Techniques ; methods ; standards ; Polymerase Chain Reaction ; methods ; Sensitivity and Specificity
7.The possibility of hepatitis B virus transmission through dental handpieces.
Xiao-hong DENG ; Zheng SUN ; Hong QIAO ; Hong-yan DENG ; Xiao XIAO ; Jing SU
Chinese Journal of Preventive Medicine 2005;39(3):199-202
OBJECTIVETo discuss the possibility of hepatitis B virus (HBV) transmission through dental handpieces.
METHODSInvestigation was carried on methods for disinfecting and sterilizing dental handpieces and the condition of HBsAg contamination on dental handpieces before and after disinfection and sterilization by randomly sampling all special stomatological hospitals and dental clinics in a same city and 10 dental departments from the third, second and first class hospitals. The possibility of HBV transmission through dental handpieces was probed by investigating whether ducks can be infected by bath liquid of dental handpieces contaminated by DHBV, while in such bath liquid, DHBV can not be detected by serum dot hybridization.
RESULTSFrom 2001 to 2004, in methods to disposing dental handpieces, the use of autoclave was remarkably increased while of the disinfectant wipe, immersion and other methods was remarkably decreased. The positive rate of HBsAg from dental handpieces in practice was 1.65%. It was evident that the bath liquid of dental handpieces contaminated by DHBV can conduct infection in vivo test of duck, while DHBV can not be detected in such bath liquid by serum dot hybridization, it is proved that the negative result of HBsAg in non-sterilized dental handpieces can not eliminate the possibility of HBV transmission through dental handpieces.
CONCLUSIONThere might exist the possibility of HBV transmission through dental handpieces however, the autoclaves might kill the virus contaminating on dental handpieces.
Animals ; DNA, Viral ; blood ; Dental Instruments ; virology ; Ducks ; virology ; Equipment Contamination ; Hepatitis B ; transmission ; Hepatitis B Virus, Duck ; genetics ; isolation & purification ; Sterilization ; methods ; standards
8.Sample type is vital for diagnosing infection with peste des petits ruminants virus by reverse transcription PCR.
Pam Dachung LUKA ; Chrisostom AYEBAZIBWE ; David SHAMAKI ; Frank Norbert MWIINE ; Joseph ERUME
Journal of Veterinary Science 2012;13(3):323-325
Peste des petits ruminants (PPR) diagnosis from suspected samples from sheep and goats was carried out. Buffy coat, tissues, and oculo-nasal swabs were analyzed using nucleoprotein (NP3/NP4) and fusion protein (F1/F2) gene primers, respectively. Analysis of the sample types and primer set revealed that buffy coat are the best type of samples for PPR diagnosis and the use of two set of primers will increase the number of positives.
Animals
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DNA Primers/analysis
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Eye/virology
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Goat Diseases/blood/*diagnosis/epidemiology/virology
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Goats
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Hair/virology
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Nose/virology
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Nucleoproteins/analysis
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Peste-des-Petits-Ruminants/blood/*diagnosis/epidemiology/virology
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Peste-des-petits-ruminants virus/genetics/*isolation & purification
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Pigmentation
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RNA, Viral/genetics/*isolation & purification
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Reverse Transcriptase Polymerase Chain Reaction/*methods/standards/veterinary
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Sheep
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Sheep Diseases/blood/*diagnosis/epidemiology/virology
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Uganda/epidemiology
9.Establishment and characterization of an infectious cDNA clone of a classical swine fever virus LOM strain.
Gil Soon PARK ; Seong In LIM ; Seung Ho HONG ; Jae Young SONG
Journal of Veterinary Science 2012;13(1):81-91
Classical swine fever virus (CSFV) causes a highly contagious disease among swine that has an important economic impact worldwide. CSFV strain LOM is an attenuated virus of low virulent strain of Miyagi isolated from Japan in 1956. Eight DNA fragments representing the genome of the CSFV strain LOM were obtained by RT-PCR. These were used to determine the complete nucleotide sequence and construct a full-length cDNA clone which was called Flc-LOM. Sequence analysis of the recombinant clone (Flc-LOM) revealed the presence of eight mutations, resulting in two amino acid substitutions, when compared to the parental sequence. RNA transcripts of both LOM and Flc-LOM were directly infectious in PK-15 cells. The rescued Flc-LOM virus grew more slowly than the parental virus, LOM, in the cells. Intramuscular immunization with Flc-LOM was safe and highly immunogenic in pigs; no clinical signs or virus transmission to sentinel animals were observed after 35 days. CSFV-specific neutralizing antibodies were detected 14 days post-infection. After challenge with the virulent CSFV strain SW03, pigs immunized with Flc-LOM were shown to be fully protected. Thus, our newly established infectious clone of CSFV, Flc-LOM, could serve as a vaccine candidate.
Animals
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Antibodies, Viral/blood
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Base Sequence
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Cell Line
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Classical Swine Fever/immunology/*virology
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Classical swine fever virus/*genetics/immunology/pathogenicity
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Cloning, Molecular
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DNA, Complementary/genetics/immunology
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Immunization/methods/standards/veterinary
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Molecular Sequence Data
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Neutralization Tests/veterinary
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RNA, Viral/chemistry/genetics
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Recombinant Proteins/immunology
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Reverse Transcriptase Polymerase Chain Reaction/veterinary
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Sequence Analysis, DNA
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Specific Pathogen-Free Organisms
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Swine
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Virulence
10.Improved immunogenicity of Newcastle disease virus inactivated vaccine following DNA vaccination using Newcastle disease virus hemagglutinin-neuraminidase and fusion protein genes.
Masoumeh FIROUZAMANDI ; Hassan MOEINI ; Davood HOSSEINI ; Mohd Hair BEJO ; Abdul Rahman OMAR ; Parvaneh MEHRBOD ; Aini IDERIS
Journal of Veterinary Science 2016;17(1):21-26
The present study describes the development of DNA vaccines using the hemagglutinin-neuraminidase (HN) and fusion (F) genes from AF2240 Newcastle disease virus strain, namely pIRES/HN, pIRES/F and pIRES-F/HN. Transient expression analysis of the constructs in Vero cells revealed the successful expression of gene inserts in vitro. Moreover, in vivo experiments showed that single vaccination with the constructed plasmid DNA (pDNA) followed by a boost with inactivated vaccine induced a significant difference in enzyme-linked immunosorbent assay antibody levels (p < 0.05) elicited by either pIRES/F, pIRES/F+ pIRES/HN or pIRES-F/HN at one week after the booster in specific pathogen free chickens when compared with the inactivated vaccine alone. Taken together, these results indicated that recombinant pDNA could be used to increase the efficacy of the inactivated vaccine immunization procedure.
Animals
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Antibodies, Viral/blood
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Cercopithecus aethiops
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Chickens
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*HN Protein/genetics/immunology
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Immunogenicity, Vaccine/*immunology
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Newcastle Disease/immunology
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Newcastle disease virus/enzymology/*genetics/immunology
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Specific Pathogen-Free Organisms
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Vaccines, DNA/genetics/*immunology
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Vaccines, Inactivated/immunology
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Vero Cells
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*Viral Fusion Proteins/genetics/immunology
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Viral Vaccines/genetics/*immunology/*standards