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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Development of an enzyme‐linked immunoassay for the quantitation of influenza haemagglutinin: an alternative method to single radial immunodiffusion</title><author><name sortKey="Bodle, Jesse" sort="Bodle, Jesse" uniqKey="Bodle J" first="Jesse" last="Bodle">Jesse Bodle</name><affiliation><nlm:aff id="a1"></nlm:aff></affiliation></author><author><name sortKey="Verity, Erin E" sort="Verity, Erin E" uniqKey="Verity E" first="Erin E." last="Verity">Erin E. Verity</name><affiliation><nlm:aff id="a1"></nlm:aff></affiliation></author><author><name sortKey="Ong, Chi" sort="Ong, Chi" uniqKey="Ong C" first="Chi" last="Ong">Chi Ong</name><affiliation><nlm:aff id="a1"></nlm:aff></affiliation></author><author><name sortKey="Vandenberg, Kirsten" sort="Vandenberg, Kirsten" uniqKey="Vandenberg K" first="Kirsten" last="Vandenberg">Kirsten Vandenberg</name><affiliation><nlm:aff id="a1"></nlm:aff></affiliation></author><author><name sortKey="Shaw, Robert" sort="Shaw, Robert" uniqKey="Shaw R" first="Robert" last="Shaw">Robert Shaw</name><affiliation><nlm:aff id="a2"></nlm:aff></affiliation></author><author><name sortKey="Barr, Ian G" sort="Barr, Ian G" uniqKey="Barr I" first="Ian G." last="Barr">Ian G. Barr</name><affiliation><nlm:aff id="a2"></nlm:aff></affiliation></author><author><name sortKey="Rockman, Steven" sort="Rockman, Steven" uniqKey="Rockman S" first="Steven" last="Rockman">Steven Rockman</name><affiliation><nlm:aff id="a1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22583601</idno><idno type="pmc">5780761</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5780761</idno><idno type="RBID">PMC:5780761</idno><idno type="doi">10.1111/j.1750-2659.2012.00375.x</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">000A67</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000A67</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Development of an enzyme‐linked immunoassay for the quantitation of influenza haemagglutinin: an alternative method to single radial immunodiffusion</title><author><name sortKey="Bodle, Jesse" sort="Bodle, Jesse" uniqKey="Bodle J" first="Jesse" last="Bodle">Jesse Bodle</name><affiliation><nlm:aff id="a1"></nlm:aff></affiliation></author><author><name sortKey="Verity, Erin E" sort="Verity, Erin E" uniqKey="Verity E" first="Erin E." last="Verity">Erin E. Verity</name><affiliation><nlm:aff id="a1"></nlm:aff></affiliation></author><author><name sortKey="Ong, Chi" sort="Ong, Chi" uniqKey="Ong C" first="Chi" last="Ong">Chi Ong</name><affiliation><nlm:aff id="a1"></nlm:aff></affiliation></author><author><name sortKey="Vandenberg, Kirsten" sort="Vandenberg, Kirsten" uniqKey="Vandenberg K" first="Kirsten" last="Vandenberg">Kirsten Vandenberg</name><affiliation><nlm:aff id="a1"></nlm:aff></affiliation></author><author><name sortKey="Shaw, Robert" sort="Shaw, Robert" uniqKey="Shaw R" first="Robert" last="Shaw">Robert Shaw</name><affiliation><nlm:aff id="a2"></nlm:aff></affiliation></author><author><name sortKey="Barr, Ian G" sort="Barr, Ian G" uniqKey="Barr I" first="Ian G." last="Barr">Ian G. Barr</name><affiliation><nlm:aff id="a2"></nlm:aff></affiliation></author><author><name sortKey="Rockman, Steven" sort="Rockman, Steven" uniqKey="Rockman S" first="Steven" last="Rockman">Steven Rockman</name><affiliation><nlm:aff id="a1"></nlm:aff></affiliation></author></analytic><series><title level="j">Influenza and Other Respiratory Viruses</title><idno type="ISSN">1750-2640</idno><idno type="eISSN">1750-2659</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Please cite this paper as:</italic> Bodle <italic>et al.</italic> (2013) Development of an enzyme‐linked immunoassay for the quantitation of influenza haemagglutinin: an alternative method to single radial immunodiffusion. Influenza and Other Respiratory Viruses 7(2) 191–200.</p><p><bold>Background </bold> The current method used to measure haemagglutinin (HA) content for influenza vaccine formulation, single radial immunodiffusion (SRID), is lengthy and relies on the availability of matched standardised homologous reagents. The 2009 influenza pandemic highlighted the need to develop alternate assays that are able to rapidly quantitate HA antigen for vaccine formulation.</p><p><bold>Objectives </bold> The aim of this work was to develop an enzyme‐linked immunoassay (EIA) for the rapid quantitation of H1, H3, H5 and B influenza HA antigens.</p><p><bold>Methods </bold> Monoclonal antibodies (mAbs) selected for haemagglutination inhibition (HAI) activity were conjugated with horseradish peroxidase and used to establish a capture–detection EIA for the quantitation of HA antigen. Results were compared with the appropriate reference SRID assays to investigate assay performance and utility.</p><p><bold>Results </bold> Quantitation of HA antigen by EIA correlated well with current reference SRID assays. EIA results showed equivalent precision and exhibited a similar capacity to detect HA antigen in virus samples that had been used in either stability or splitting studies, or subjected to physical or chemical stresses. EIA exhibited greater sensitivity than SRID and has the potential to be used in high‐throughput applications.</p><p><bold>Conclusions </bold> We demonstrated the utility of EIA as a suitable alternative to SRID for HA antigen quantitation and stability assessment. This approach would lead to earlier availability of both seasonal and pandemic vaccines, because of the extended cross‐reactivity of reagents.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Lenette, E" uniqKey="Lenette E">E Lenette</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Influenza Other Respir Viruses</journal-id><journal-id journal-id-type="iso-abbrev">Influenza Other Respir Viruses</journal-id><journal-id journal-id-type="doi">10.1111/(ISSN)1750-2659</journal-id><journal-id journal-id-type="publisher-id">IRV</journal-id><journal-title-group><journal-title>Influenza and Other Respiratory Viruses</journal-title></journal-title-group><issn pub-type="ppub">1750-2640</issn><issn pub-type="epub">1750-2659</issn><publisher><publisher-name>Blackwell Publishing Ltd</publisher-name><publisher-loc>Oxford, UK</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22583601</article-id><article-id pub-id-type="pmc">5780761</article-id><article-id pub-id-type="doi">10.1111/j.1750-2659.2012.00375.x</article-id><article-id pub-id-type="publisher-id">IRV375</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Articles</subject></subj-group><subj-group subj-group-type="overline"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Development of an enzyme‐linked immunoassay for the quantitation of influenza haemagglutinin: an alternative method to single radial immunodiffusion</article-title><alt-title alt-title-type="left-running-head">Bodle <italic>et al.</italic></alt-title><alt-title alt-title-type="right-running-head">EIA development for quantitation of influenza HA</alt-title></title-group><contrib-group><contrib id="cr1" contrib-type="author"><name><surname>Bodle</surname><given-names>Jesse</given-names></name><xref ref-type="aff" rid="a1"><sup>1</sup></xref></contrib><contrib id="cr2" contrib-type="author"><name><surname>Verity</surname><given-names>Erin E.</given-names></name><xref ref-type="aff" rid="a1"><sup>1</sup></xref></contrib><contrib id="cr3" contrib-type="author"><name><surname>Ong</surname><given-names>Chi</given-names></name><xref ref-type="aff" rid="a1"><sup>1</sup></xref></contrib><contrib id="cr4" contrib-type="author"><name><surname>Vandenberg</surname><given-names>Kirsten</given-names></name><xref ref-type="aff" rid="a1"><sup>1</sup></xref></contrib><contrib id="cr5" contrib-type="author"><name><surname>Shaw</surname><given-names>Robert</given-names></name><xref ref-type="aff" rid="a2"><sup>2</sup></xref></contrib><contrib id="cr6" contrib-type="author"><name><surname>Barr</surname><given-names>Ian G.</given-names></name><xref ref-type="aff" rid="a2"><sup>2</sup></xref></contrib><contrib id="cr7" contrib-type="author"><name><surname>Rockman</surname><given-names>Steven</given-names></name><xref ref-type="aff" rid="a1"><sup>1</sup></xref></contrib></contrib-group><aff id="a1"><label><sup>1</sup></label>CSL Ltd, Parkville, Vic., Australia</aff><aff id="a2"><label><sup>2</sup></label>World Health Organisation Collaborating Centre for Reference and Research on Influenza, Melbourne, Vic., Australia.</aff><author-notes><corresp id="correspondenceTo">Steven Rockman, Influenza Innovations, CSL Ltd, 45 Poplar Rd Parkville, Vic. 3052, Australia. E‐mail: <email>steve.rockman@csl.com.au</email></corresp></author-notes><pub-date pub-type="epub"><day>15</day><month>5</month><year>2012</year></pub-date><pub-date pub-type="ppub"><month>3</month><year>2013</year></pub-date><volume>7</volume><issue>2</issue><issue-id pub-id-type="doi">10.1111/irv.2013.7.issue-2</issue-id><fpage>191</fpage><lpage>200</lpage><history>Accepted 14 March 2012. Published Online 15 May 2012.</history><permissions><copyright-statement content-type="article-copyright">© 2012 Blackwell Publishing Ltd</copyright-statement></permissions><self-uri content-type="pdf" xlink:type="simple" xlink:href="file:IRV-7-191.pdf"></self-uri><abstract><p><italic>Please cite this paper as:</italic> Bodle <italic>et al.</italic> (2013) Development of an enzyme‐linked immunoassay for the quantitation of influenza haemagglutinin: an alternative method to single radial immunodiffusion. Influenza and Other Respiratory Viruses 7(2) 191–200.</p><p><bold>Background </bold> The current method used to measure haemagglutinin (HA) content for influenza vaccine formulation, single radial immunodiffusion (SRID), is lengthy and relies on the availability of matched standardised homologous reagents. The 2009 influenza pandemic highlighted the need to develop alternate assays that are able to rapidly quantitate HA antigen for vaccine formulation.</p><p><bold>Objectives </bold> The aim of this work was to develop an enzyme‐linked immunoassay (EIA) for the rapid quantitation of H1, H3, H5 and B influenza HA antigens.</p><p><bold>Methods </bold> Monoclonal antibodies (mAbs) selected for haemagglutination inhibition (HAI) activity were conjugated with horseradish peroxidase and used to establish a capture–detection EIA for the quantitation of HA antigen. Results were compared with the appropriate reference SRID assays to investigate assay performance and utility.</p><p><bold>Results </bold> Quantitation of HA antigen by EIA correlated well with current reference SRID assays. EIA results showed equivalent precision and exhibited a similar capacity to detect HA antigen in virus samples that had been used in either stability or splitting studies, or subjected to physical or chemical stresses. EIA exhibited greater sensitivity than SRID and has the potential to be used in high‐throughput applications.</p><p><bold>Conclusions </bold> We demonstrated the utility of EIA as a suitable alternative to SRID for HA antigen quantitation and stability assessment. This approach would lead to earlier availability of both seasonal and pandemic vaccines, because of the extended cross‐reactivity of reagents.</p></abstract><kwd-group><kwd id="k1">Enzyme‐linked immunoassay</kwd><kwd id="k2">haemagglutinin</kwd><kwd id="k3">influenza vaccine</kwd><kwd id="k4">single radial immunodiffusion</kwd><kwd id="k5">vaccine stability</kwd></kwd-group><counts><fig-count count="4"></fig-count><table-count count="3"></table-count><page-count count="10"></page-count></counts><custom-meta-group><custom-meta><meta-name>source-schema-version-number</meta-name><meta-value>2.0</meta-value></custom-meta><custom-meta><meta-name>cover-date</meta-name><meta-value>March 2013</meta-value></custom-meta><custom-meta><meta-name>details-of-publishers-convertor</meta-name><meta-value>Converter:WILEY_ML3GV2_TO_NLMPMC version:4.6.9 mode:remove_FC converted:04.11.2015</meta-value></custom-meta></custom-meta-group></article-meta></front><body><sec id="ss1"><title>Introduction</title><p>Vaccines are used to minimise the worldwide burden of influenza, a major disease that kills between 250 000–500 000 people annually.<xref rid="b1" ref-type="ref"><sup>1</sup></xref> Haemagglutinin (HA) presents the major target for virus‐neutralising antibodies against influenza and is considered the most important component for protection.<xref rid="b2" ref-type="ref"><sup>2</sup></xref>, <xref rid="b3" ref-type="ref"><sup>3</sup></xref> To elicit an adequate neutralising antibody response in recipients, influenza vaccines are formulated to a specific HA antigen content.</p><p>Regulatory guidelines specify the use of an immunological assay for vaccine HA antigen quantitation, and to date, the single radial immunodiffusion (SRID) assay has been widely employed for this purpose.<xref rid="b4" ref-type="ref"><sup>4</sup></xref>, <xref rid="b5" ref-type="ref"><sup>5</sup></xref> SRID utilises strain‐specific sheep polyclonal antiserum raised against purified preparations of HA antigen, and quantitation of HA antigen is achieved using whole‐virus standards with known HA antigen content. Whilst SRID has been used during influenza vaccine manufacture for many decades, it has several limitations. The SRID assay is time consuming, the process is unable to be automated and the assay has relatively poor accuracy and sensitivity.<xref rid="b6" ref-type="ref"><sup>6</sup></xref>, <xref rid="b7" ref-type="ref"><sup>7</sup></xref>, <xref rid="b8" ref-type="ref"><sup>8</sup></xref>, <xref rid="b9" ref-type="ref"><sup>9</sup></xref>, <xref rid="b10" ref-type="ref"><sup>10</sup></xref> Furthermore, SRID generally requires the use of strain‐specific reagents, a reliance that can delay the development and release of vaccine. An alternative assay that detects immunologically relevant antigens, yet reduces the reliance on homologous reagents and has the capacity for high‐throughput automation is highly desirable.</p><p>High‐performance liquid chromatography (HPLC) and mass spectrometry have been proposed as alternate assays for HA quantitation; however, these approaches require denaturation of the HA antigen.<xref rid="b7" ref-type="ref"><sup>7</sup></xref>, <xref rid="b10" ref-type="ref"><sup>10</sup></xref> They are unable to assess the immune relevance of the antigen or vaccine stability and thus are not suitable for influenza vaccine manufacture.</p><p>Several groups have examined enzyme‐linked immunoassay (EIA) as an alternative for HA antigen quantitation;<xref rid="b6" ref-type="ref"><sup>6</sup></xref>, <xref rid="b9" ref-type="ref"><sup>9</sup></xref> however, these studies did not examine EIA quantitation of immunologically relevant HA antigen or quantitation in comparison to SRID.</p><p>Here, we report the development of multiple subtype‐specific EIAs for the quantitation of HA antigen. We assessed the correlation of these assays with corresponding SRID assays and demonstrated that these assays can detect relevant influenza HA antigens across H1N1, pandemic H1N1 (2009), H3N2, H5N1 and B subtypes. Significantly, many of our assays could accurately quantitate HA antigen across multiple drifted strains of influenza. We also demonstrated increased sensitivity for this approach and comparable precision and stability analysis in response to physical and chemical stresses.</p></sec><sec id="ss2"><title>Materials and methods</title><sec id="ss3"><title>Antibodies</title><p>Monoclonal antibodies were produced as previously described<xref rid="b11" ref-type="ref"><sup>11</sup></xref> using density gradient–purified whole influenza virus propagated in embryonated hens’ eggs as immunogens. Antibodies were raised against the influenza strains A/Hiroshima/52/05 (H3N2; HIR3.8G11.1B5), A/Singapore/37/09 (H3N2; SIN3.9G11.2B6), A/Brisbane/59/07 (H1N1; ABR4.1D5.1B11), A/California/07/09 (H1N1; CAL2.5C6.1E3), A/Indonesia/05/05 (H5N1; ML3.4C9.1B2), A/Vietnam/1194/04 (H5N1; VI8.5C2.1B10), B/Panama/45/90 (PM10.2D7.2F11.1G6), B/Malaysia/2506/04 (MIA1.8E3.1E9), B/Brisbane/60/08 (BBR3.10E10.1C3) and B/Wisconsin/1/10 (BWIS141.9B3.2D8). The resulting hybridomas were screened and selected on the basis of a positive haemagglutination inhibition (HAI) test.<xref rid="b12" ref-type="ref"><sup>12</sup></xref></p><p>For EIA, mAbs were concentrated using a Mini‐Perm system (Greiner Bio‐One, Kremsmuenster, Austria) and, where required, purified by buffer exchange using 0·1 <sc>m</sc> carbonate buffer (pH 9·5). For the sandwich EIA, mAbs were conjugated with horseradish peroxidase (HRP) according to manufacturers’ specifications (Lightning Link; Innova Biosciences, Cambridge, UK).</p><p>Sheep polyclonal anti‐HA antibodies and inactivated sucrose gradient‐purified influenza, standardised for HA potency, were obtained from either the Therapeutic Goods Administration (TGA; Woden, ACT, Australia), the National Institute for Biological Standards and Control (NIBSC; Potters Bar, Hertfordshire, UK), or the Centre for Biological Evaluation and Research (CBER; Rockville, MD, USA). These antisera were raised against A/Indonesia/05/05 (CBER), A/Vietnam/1194/04 (NIBSC), A/Wisconsin/67/05 (H3N2, NIBSC), A/Brisbane/10/07 (H3N2, TGA), A/Uruguay/716/07 (H3N2, TGA), A/Brisbane/59/07 (NIBSC), B/Brisbane/3/07 (TGA), B/Florida/4/06 (NIBSC) and B/Malaysia/2506/04 (NIBSC), B/Brisbane/60/08 (TGA), A/Victoria/210/09 (H3N2, TGA), A/New York/55/04 (H3N2, NIBSC) and A/New Caledonia/20/99 (H1N1, NIBSC).</p></sec><sec id="ss4"><title>Influenza viruses</title><p>To confirm reactivity, mAbs were screened against viruses selected from the following panels: <italic>H1N1:</italic> A/Puerto Rico/8/34, A/New Caledonia/20/99, A/Solomon Islands/3/06, A/Brisbane/59/07, A/Guam/1/07, A/Pennsylvania/8/08, A/Perth/21/09. <italic>H5N1:</italic> A/Vietnam/1194/04, A/Indonesia/05/05. <italic>H3N2:</italic> A/Northern Territory/60/68, A/Port Chalmers/1/73, A/England/864/75, A/Bangkok/1/79, A/Shanghai/31/80, A/New York/55/04, A/Philippines/2/82, A/Victoria/5/84, A/Mississippi/1/85, A/Shanghai/11/87, A/Beijing/353/81, A/Guangdong/25/93, A/Sydney/5/97, A/Moscow/10/99, A/Panama/2007/99, A/Wyoming/3/03, A/Wellington/1/04, A/Nepal/921/06, A/New York/55/04, A/Wisconsin/67/05, A/Hiroshima/52/05, A/Brisbane/10/07, A/Uruguay/716/07, A/Victoria/210/09, A/Victoria/208/09, A/Alaska/05/10 and A/Victoria/563/10. <italic>B strain:</italic> B/Great Lakes/1739/54, B/Hong Kong/5/72, B/Harbin/07/94, B/Yamanashi/116/98, B/Victoria/504/00, B/Jiangsu/10/03 and B/Malaysia/2506/04, B/Yamagata/16/88, B/Panama/45/90, B/Florida/4/06, B/Brisbane/3/07, B/Bangladesh/3333/07, B/England/145/08, B/Brisbane/60/08, B/Brisbane/46/08, B/Hubei‐Wujiagang/158/09 and B/Wisconsin/1/10. Viruses for testing were propagated in embryonated hens’ eggs.</p><sec id="ss5"><title>Trivalent influenza vaccine (TIV)</title><p>CSL TIV 2007RF (CSL Ltd, Parkville, VIC, Australia) contained strains A/New Caledonia/20/99 (H1N1), A/Wisconsin/67/05 (H3N2) and B/Malaysia/2506/04. CSL TIV 2007 (CSL Ltd) contained the strains A/Solomon Island/3/06 (H1N1), A/Wisconsin/67/05 (H3N2) and B/Malaysia/2506/04. CSL TIV 2007/2008 (CSL Ltd) contained the strains A/Solomon Island/3/06 (H1N1), A/Brisbane/10/07 (H3N2) and B/Brisbane/3/07.</p></sec><sec id="ss6"><title>Monovalent pooled harvest (MPH)</title><p>Samples were collected for EIA and SRID testing during the MPH stage of vaccine manufacturing process. To produce MPH, purified and concentrated virus preparations, which have been inactivated using β‐propiolactone, are split using sodium taurodeoxycholate and undergo filtration to remove detergent using proprietary methods (CSL Ltd). Monovalent pooled harvest preparations of the following viruses were used: A/Brisbane/59/07 (H1N1), A/Brisbane/10/07 (H3N2), A/Uruguay/716/07 (H3N2), A/Victoria/210/09 (H3N2), B/Brisbane/3/07, B/Florida/4/06 and B/Brisbane/60/08. MPH preparations of known HA antigen concentration, measured using SRID, were used as standards.</p><p>Inactivated sucrose gradient–purified influenza standardised for HA potency, used as a standard for SRID, was obtained from the TGA, NIBSC or CBER as described for sheep polyclonal antisera.</p></sec></sec><sec id="ss7"><title>Enzyme‐linked immunoassay</title><p>Antigen capture and detection using native and conjugated mAbs was used to detect influenza HA antigen as previously described.<xref rid="b9" ref-type="ref"><sup>9</sup></xref> Briefly, microtitre plates (Nunc, Rochester, NY, USA) were coated with unconjugated mAb diluted in 0·05 <sc>m</sc> carbonate buffer and incubated at room temperature (RT) overnight. Plates were blocked for non‐specific binding using 1% (w/v) sodium casein solution in calcium‐ and magnesium‐free PBS (PBS<sup>−</sup>). Serial twofold dilutions of HA samples were added to the plate, in duplicate, and incubated for 1 hour at RT. Plates were washed with PBS<sup>−</sup> containing 0·05% (v/v) Tween‐20 (Sigma‐Aldrich, St. Louis, MO, USA) and incubated with HRP‐conjugated mAb for 1 hour at RT, washed and then incubated with peroxidase substrate (KPL, Gaithersburg, MD, USA) as recommended. Substrate development was ceased by the addition of 0·55 <sc>m</sc> H<sub>2</sub>SO<sub>4.</sub> The optical density (OD) was measured using a plate reader (Tecan, Mannedorf, Switzerland) with filters suitable to detect 450 nm. The concentration of HA was calculated by comparison with standards by 4‐parameter statistics using Magellan version 4 software (Tecan). Optimisation of coating and detection for each EIA was performed by titration of unconjugated and conjugated mAbs, respectively, with fixed concentrations of purified inactivated virus.<xref rid="b13" ref-type="ref"><sup>13</sup></xref> The optimum mAb concentration was calculated to be the lowest level of antibody that gave maximum OD at 450 nm. Haemagglutinin samples were considered to be positive for the presence of HA if the OD at 450 nm was above a threshold of 4 standard deviations above the mean background reading.</p></sec><sec id="ss8"><title>Single radial immunodiffusion assay</title><p>SRID assays were performed as previously described.<xref rid="b14" ref-type="ref"><sup>14</sup></xref> Briefly, reference and test antigen materials were treated with PBS<sup>−</sup> containing 1% (w/v) Zwittergent solution (Calbiochem, Darmstadt, Germany) and added to duplicate wells of agarose gels containing polyclonal antiserum diluted as recommended by the manufacturer. Gels were incubated for 72 hours in humidified chambers, dried onto glass plates and stained with Coomassie Brilliant Blue R‐250 (Sigma). Circular zones of antigen–antibody precipitation were measured, and HA concentration was calculated by the parallel line bioassay method in comparison with IZP standards,<xref rid="b15" ref-type="ref"><sup>15</sup></xref> and test validity was confirmed using a ‘<italic>g</italic>’ test (<italic>g</italic> ≤ 0·061).<xref rid="b16" ref-type="ref"><sup>16</sup></xref></p></sec><sec id="ss9"><title>Stability‐indicating properties of EIA and SRID</title><p>Trivalent vaccine material was subjected to the following stress tests: heat (60°C for 10, 30 or 120 minute); oxidation [0·001, 0·01, 1 or 5% (v/v) hydrogen peroxide at RT for 1 hour]; and pH (adjusted to pH 2, 3, 5 or 6 with HCl, or pH 8, 9 or 10 with NaOH, for 1 hour at RT and subsequently neutralised to pH 7·1). The HA concentration of the stressed material was then measured using the relevant EIA or SRID assay.</p></sec><sec id="ss10"><title>Statistical analysis</title><p>Differences in HA concentrations determined by the EIA and SRID assays were compared between groups in two‐sample Student’s <italic>t</italic>‐tests. <italic>P </italic><<italic> </italic>0·05 was taken as the level of statistical significance.</p></sec></sec><sec id="ss11"><title>Results</title><sec id="ss12"><title>EIA development</title><p>Monoclonal antibodies were raised against six influenza A strains [A/Hiroshima/52/05 (H3N2), A/Singapore/37/09 (H3N2), A/Brisbane/59/07 (H1N1), A/California/07/09 (H1N1), A/Indonesia/5/05 (H5N1) and A/Vietnam/1194/04 (H5N1)] and four influenza B strains [B/Panama/45/90, B/Malaysia/2506/04, B/Brisbane/60/08 and B/Wisconsin/1/10] and were confirmed to be specific for HA by HAI testing (data not shown). To determine subtype specificity, each mAb was screened against a panel of viruses by EIA. All mAbs were found to be highly subtype specific (<xref rid="t1" ref-type="table-wrap">Table 1</xref>).</p><table-wrap id="t1" xml:lang="en" orientation="portrait" position="float"><label>Table 1</label><caption><p> EIA reactivity for influenza subtypes H1N1, H1N1 2009 Pandemic (H1N1 Pan), H3N2, H5N1 and influenza B strains (B)</p></caption><table frame="hsides" rules="groups"><col align="left" span="1"></col><col align="left" span="1"></col><col align="left" span="1"></col><col align="left" span="1"></col><col align="left" span="1"></col><col align="left" span="1"></col><col align="left" span="1"></col><col align="left" span="1"></col><col align="left" span="1"></col><col align="left" span="1"></col><col align="left" span="1"></col><thead valign="bottom"><tr style="border-bottom:solid 1px #000000"><th align="left" valign="bottom" rowspan="1" colspan="1"></th><th align="left" valign="bottom" rowspan="1" colspan="1">A/Bri</th><th align="left" valign="bottom" rowspan="1" colspan="1">A/Cal</th><th align="left" valign="bottom" rowspan="1" colspan="1">A/Hir</th><th align="left" valign="bottom" rowspan="1" colspan="1">A/Sin</th><th align="left" valign="bottom" rowspan="1" colspan="1">A/Vie</th><th align="left" valign="bottom" rowspan="1" colspan="1">A/Ind</th><th align="left" valign="bottom" rowspan="1" colspan="1">B/Mal</th><th align="left" valign="bottom" rowspan="1" colspan="1">B/Bri</th><th align="left" valign="bottom" rowspan="1" colspan="1">B/Pa</th><th align="left" valign="bottom" rowspan="1" colspan="1">B/Wis</th></tr></thead><tbody valign="top"><tr><td colspan="11" align="left" valign="top" rowspan="1">H1N1</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Puerto Rico/8/34</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/New Caledonia/20/99</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Solomon Island/3/06</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Fukushima/141/06</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Brisbane/59/07</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Guam/1/07</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Pennsylvania/8/08</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Perth/21/09</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td colspan="11" align="left" valign="top" rowspan="1">H1N1 Pan</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/California/07/09</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Brisbane/10/10</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Brisbane/70/11</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Victoria/502/10</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td colspan="11" align="left" valign="top" rowspan="1">H3N2</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Northern Territory/60/68</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Port Chalmers/1/73</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/England/864/75</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Texas/1/77</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Bangkok/1/79</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Shanghai/31/80</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Philippines/2/82</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Victoria/5/84</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Mississippi/1/85</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Shanghai/11/87</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Beijing/353/81</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Guangdong/25/93</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Sydney/5/97</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Moscow/10/99</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Panama/2007/99</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Wyoming/3/03</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Wellington/1/04</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Hiroshima/52/05</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Nepal/921/06</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Brisbane/10/07</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Uruguay/716/07</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Brisbane/24/08</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Wisconsin/15/09</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Victoria/210/09</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Victoria/208/09</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Alaska/05/10</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Victoria/563/10</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td colspan="11" align="left" valign="top" rowspan="1">H5N1</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Vietnam/1194/04</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> A/Indonesia/05/05</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td colspan="11" align="left" valign="top" rowspan="1">B</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> B/Great Lakes/1739/54</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> B/Hong Kong/5/72</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> B/Yamagata/16/88</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> B/Panama/45/90</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> B/Harbin/07/94</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> B/Yamanashi/166/98</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> B/Victoria/504/00</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> B/Jiangsu/10/03</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> B/Malaysia/2506/04</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> B/Florida/4/06</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">+</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> B/Brisbane/3/07</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">+</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> B/Bangladesh/3333/07</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> B/England/145/08</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> B/Brisbane/46/08</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> B/Brisbane/60/08</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> B/Hubei‐Wujiagang/158/09</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"> B/Wisconsin/1/10</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">−</td><td align="left" valign="top" rowspan="1" colspan="1">+</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Number of reactive strains</td><td align="left" valign="top" rowspan="1" colspan="1">3</td><td align="left" valign="top" rowspan="1" colspan="1">4</td><td align="left" valign="top" rowspan="1" colspan="1">7</td><td align="left" valign="top" rowspan="1" colspan="1">6</td><td align="left" valign="top" rowspan="1" colspan="1">2</td><td align="left" valign="top" rowspan="1" colspan="1">1</td><td align="left" valign="top" rowspan="1" colspan="1">1</td><td align="left" valign="top" rowspan="1" colspan="1">2</td><td align="left" valign="top" rowspan="1" colspan="1">4</td><td align="left" valign="top" rowspan="1" colspan="1">10</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Number of ‘forward’ reactive strains</td><td align="left" valign="top" rowspan="1" colspan="1">1</td><td align="left" valign="top" rowspan="1" colspan="1">4</td><td align="left" valign="top" rowspan="1" colspan="1">5</td><td align="left" valign="top" rowspan="1" colspan="1">5</td><td align="left" valign="top" rowspan="1" colspan="1">2</td><td align="left" valign="top" rowspan="1" colspan="1">1</td><td align="left" valign="top" rowspan="1" colspan="1">1</td><td align="left" valign="top" rowspan="1" colspan="1">2</td><td align="left" valign="top" rowspan="1" colspan="1">3</td><td align="left" valign="top" rowspan="1" colspan="1">1</td></tr></tbody></table><table-wrap-foot><fn id="t1_note676"><p>NT, not tested: (+): OD ≥ 0·19 (4 standard deviations above the mean background); (−): OD < 0·19 (4 standard deviations above the mean background).</p></fn><fn id="t1_note677"><p>Monoclonal antibodies were raised against the following viruses: A/Brisbane/59/07 (H1N1; A/Bri); A/California/07/09 (H1N1 2009 Pandemic; A/Cal); A/Hiroshima/52/05 (H3N2; A/Hir); A/Singapore/37/09 (H3N2; A/Sin); A/Vietnam/1194/04 (H5N1; A/Vie): A/Indonesia/5/05 (H5N1; A/Ind); B/Malaysia/2506/2004 (B strain; B/Mal); B/Brisbane/60/08 (B strain; B/Bri); B/Panama/45/90 (B strain; B/Pa) and B/Wisconsin/1/10 (B strain; B/Wis). Reactive strains refer to the number of virus isolates that cross‐react with the tested mAb. Forward reactive strains refer to the number of those isolates that cross‐react during or subsequent to the year at which the mAb was raised.</p></fn></table-wrap-foot></table-wrap><p>The mAb raised against A/Brisbane/59/07 (H1N1) detected three of eight pre‐pandemic seasonal H1N1 strains and did not detect any of the four pandemic H1N1 influenza viruses tested. The mAb raised against A/California/07/09 (pandemic H1N1) reacted with all four pandemic strains tested, but did not detect any of seasonal H1N1 viruses tested (<italic>n</italic> = 8).</p><p>The mAb raised against A/Hiroshima/52/05 detected all H3N2 strains tested isolated between the years 2000 to 2008 (<italic>n</italic> = 7), but no H3N2 strains isolated from 1968 to 1999 (<italic>n</italic> = 15) or post‐2008 (<italic>n</italic> = 5) were detected. The mAb raised against A/Singapore/37/09 detected all H3N2 isolated post‐2008 strains tested (<italic>n</italic> = 5) and did not detect H3N2 strains isolated pre‐2009 (<italic>n</italic> = 8) with the exception of A/Nepal/921/06 (H3N2). The mAb raised against the H5N1 virus A/Indonesia/5/05 (H5N1, clade 2.1) reacted specifically to this virus, whilst the mAb raised against the H5N1 clade 1 virus A/Vietnam/1194/04 detected both strains. The mAb raised against B/Panama/45/90 detected viruses from the B/Yamagata/16/88 lineage isolated between the years 1988 and 2007 (<italic>n</italic> = 4), but not strains isolated from 2008 onwards (<italic>n</italic> = 5). The mAb raised against B/Malaysia/2506/04 reacted only against the homologous strain. The mAb raised against B/Brisbane/60/08 reacted with all strains from the B/Victoria/2/87 lineage isolated post‐2007 (<italic>n</italic> = 2), but not with strains of the B/Yamagata/16/88 lineage. The mAb raised against B/Wisconsin/1/10 reacted with all strains of the B/Yamagata/16/88 lineage isolated between 1994 and 2010 (<italic>n</italic> = 10), but not with strains from the B/Victoria/2/87 lineage.</p><p>These results demonstrate the development of multiple EIAs that can be utilised to detect HA antigen across H1N1, H3N2, H5N1 or B influenza virus strains. Significantly, many of the EIAs exhibited sufficient cross‐reactivity to detect HA antigen from drifted viruses from different seasons. For the mAbs raised against A/California/07/09 (H1N1), A/Hiroshima/52/05 (H3N2), A/Singapore/37/09 (H3N2), A/Vietnam/1194/04 (H5N1) and B/Panama/45/90, this included viruses isolated after the mAb was developed.</p></sec><sec id="ss13"><title>EIA shows greater sensitivity than SRID</title><p>To measure the sensitivity of EIA, we tested MPH derived from 10 viruses (H1N1, H3N2, H5N1 and B strains) in assays using the relevant mAb to determine the limits of detection (LOD) for the respective EIAs (<xref rid="t2" ref-type="table-wrap">Table 2</xref>). The LOD was calculated using regression analysis to be the HA antigen concentration at which the OD at 450 nm was two standard deviations above the mean background value as described.<xref rid="b13" ref-type="ref"><sup>13</sup></xref> For EIAs using the homologous mAb (<italic>n</italic> = 4), the mean sensitivity was 182·87 ng HA/mL (range 26·26–412·85 ng HA/mL). For non‐homologous mAbs (<italic>n</italic> = 6), a mean sensitivity of 731·62 ng HA/mL (range 12·02–3670·56 ng HA/mL) was observed. These differences in sensitivity were not statistically different (<italic>P </italic>≥<italic> </italic>0·05). In comparison, in our laboratory, the LOD for SRID is typically 10 000 ng HA/mL, although it varies between strains (data not shown).</p><table-wrap id="t2" xml:lang="en" orientation="portrait" position="float"><label>Table 2</label><caption><p> Validation of EIA. Sensitivity, repeatability, intermediate precision and linearity for monovalent pooled harvest (MPH) material (<italic>n</italic> = 10) by EIA</p></caption><table frame="hsides" rules="groups"><col align="left" span="1"></col><col align="left" span="1"></col><col align="left" span="1"></col><col align="left" span="1"></col><col align="left" span="1"></col><col align="left" span="1"></col><col align="left" span="1"></col><thead valign="bottom"><tr style="border-bottom:solid 1px #000000"><th align="left" valign="bottom" rowspan="1" colspan="1"><bold> </bold></th><th align="left" valign="bottom" rowspan="1" colspan="1">MPH strain</th><th align="left" valign="bottom" rowspan="1" colspan="1">mAb</th><th align="left" valign="bottom" rowspan="1" colspan="1">Sensitivity (ng HA/mL)</th><th align="left" valign="bottom" rowspan="1" colspan="1">Repeatability (% CV)</th><th align="left" valign="bottom" rowspan="1" colspan="1">Intermediate precision (% CV)</th><th align="left" valign="bottom" rowspan="1" colspan="1">Linearity (<italic>R</italic><sup>2</sup>)</th></tr></thead><tbody valign="top"><tr><td align="left" valign="top" rowspan="1" colspan="1">H1N1</td><td align="left" valign="top" rowspan="1" colspan="1">A/Brisbane/59/07</td><td align="left" valign="top" rowspan="1" colspan="1">A/Brisbane/59/07</td><td align="left" valign="top" rowspan="1" colspan="1">59·39</td><td align="left" valign="top" rowspan="1" colspan="1">4·8</td><td align="left" valign="top" rowspan="1" colspan="1">9·4</td><td align="left" valign="top" rowspan="1" colspan="1">0·993</td></tr><tr><td rowspan="4" valign="top" align="left" colspan="1">H3N2</td><td align="left" valign="top" rowspan="1" colspan="1">A/Uruguay/716/07</td><td align="left" valign="top" rowspan="1" colspan="1">A/Hiroshima/52/05</td><td align="left" valign="top" rowspan="1" colspan="1">78·31</td><td align="left" valign="top" rowspan="1" colspan="1">1·8</td><td align="left" valign="top" rowspan="1" colspan="1">4·7</td><td align="left" valign="top" rowspan="1" colspan="1">0·996</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">A/Victoria/210/09</td><td align="left" valign="top" rowspan="1" colspan="1">A/Singapore/37/09</td><td align="left" valign="top" rowspan="1" colspan="1">41·71</td><td align="left" valign="top" rowspan="1" colspan="1">3·1</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">1</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">A/Wisconsin/67/05</td><td align="left" valign="top" rowspan="1" colspan="1">A/Hiroshima/52/05</td><td align="left" valign="top" rowspan="1" colspan="1">27·27</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">A/Brisbane/10/07</td><td align="left" valign="top" rowspan="1" colspan="1">A/Hiroshima/52/05</td><td align="left" valign="top" rowspan="1" colspan="1">12·02</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">H5N1</td><td align="left" valign="top" rowspan="1" colspan="1">A/Indonesia/05/05</td><td align="left" valign="top" rowspan="1" colspan="1">A/Indonesia/5/05</td><td align="left" valign="top" rowspan="1" colspan="1">232·97</td><td align="left" valign="top" rowspan="1" colspan="1">4·7</td><td align="left" valign="top" rowspan="1" colspan="1">8·2</td><td align="left" valign="top" rowspan="1" colspan="1">0·99</td></tr><tr><td rowspan="4" valign="top" align="left" colspan="1">B</td><td align="left" valign="top" rowspan="1" colspan="1">B/Brisbane/60/08</td><td align="left" valign="top" rowspan="1" colspan="1">B/Brisbane/60/08</td><td align="left" valign="top" rowspan="1" colspan="1">412·85</td><td align="left" valign="top" rowspan="1" colspan="1">3·4</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">0·998</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">B/Florida/4/06</td><td align="left" valign="top" rowspan="1" colspan="1">B/Panama/45/90</td><td align="left" valign="top" rowspan="1" colspan="1">3670·56</td><td align="left" valign="top" rowspan="1" colspan="1">4·2</td><td align="left" valign="top" rowspan="1" colspan="1">7</td><td align="left" valign="top" rowspan="1" colspan="1">0·995</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">B/Malaysia/2506/04</td><td align="left" valign="top" rowspan="1" colspan="1">B/Malaysia/2506/04</td><td align="left" valign="top" rowspan="1" colspan="1">26·26</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">B/Brisbane/03/07</td><td align="left" valign="top" rowspan="1" colspan="1">B/Panama/45/90</td><td align="left" valign="top" rowspan="1" colspan="1">559·86</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td><td align="left" valign="top" rowspan="1" colspan="1">NT</td></tr></tbody></table><table-wrap-foot><fn id="t2_note71"><p>NT, not tested; CV, coefficient of variation; HA, haemagglutinin.</p></fn></table-wrap-foot></table-wrap><p>The length of time between isolation of the virus used to raise the mAb and the test strain may impact the sensitivity of the EIA. For example, the mAb raised against B/Panama/45/90 was able to detect a virus isolated 16 years later, B/Florida/4/06, albeit with lower sensitivity (3670·56 ng HA/mL).</p></sec><sec id="ss14"><title>Intermediate precision and repeatability of EIA compared with SRID</title><p>Preparations of MPH derived from six vaccine candidate strains [A/Brisbane/59/07 (H1N1), A/Uruguay/716/07 (H3N2), A/Indonesia/5/05 (H5N1), A/Victoria/210/09 (H3N2), B/Florida/4/06 and B/Brisbane/60/08] were selected to assess repeatability, linearity and intermediate precision of EIA using parameters described in the International Conference on Harmonisation ICH guidelines<xref rid="b17" ref-type="ref"><sup>17</sup></xref> (<xref rid="t2" ref-type="table-wrap">Table 2</xref>) .</p><p>Repeatability was calculated from the coefficient of variation (CV) of samples tested in triplicate by a single operator. The average CV for the six assays was 3·67 ± 1·14% SD (range 1·8–4·8). Linearity was calculated using regression analysis (<italic>R</italic><sup>2</sup>) of six serial dilutions of MPH material. All assays analysed had an <italic>R</italic><sup>2</sup> value of 0·990 or greater. Intermediate precision was calculated to be the percentage CV for virus assayed six times on different occasions by two independent operators, for four of the six strains analysed. The mean % CV was 7·33 ± 2·00% SD (range 4·7–9·4).</p><p>Separately, the repeatability and intermediate precision of SRID were calculated for MPH prepared from the strains A/New York/55/04 (H3N2), A/New Caledonia/20/99 (H1N1) and B/Malaysia/2506/04. Repeatability was determined by triplicate analysis of the CV by a single operator for A/New York/55/04. The average CV was 4·57 ± 2·37% SD (range 1·0–8·0). Analysis of the intermediate precision in duplicate, by two operators on two occasions, for the three strains was measured to be 3·75 ± 1·25% SD (range 3–6%) for A/New York/55/04 (<italic>n</italic> = 8), 7·75 ± 3·55% SD (range 3–12%) for A/New Caledonia/20/99 (<italic>n</italic> = 8) and 8·25 ± 4·04% SD (range 3–15%) for B/Malaysia/2506/04 (<italic>n</italic> = 8). Taken together, our results indicate no statistical difference between EIA and SRID in regard to repeatability and intermediate precision when used to determine HA content (<italic>P </italic>><italic> </italic>0·05 for both repeatability and intermediate precision).</p></sec><sec id="ss15"><title>EIA correlates with SRID for measurement of haemagglutinin concentration</title><p>The correlation between the EIA and SRID assays for quantitation of HA antigen was determined by testing multiple independent MPH preparations derived from the vaccine candidate strains A/Uruguay/716/07 (H3N2; <italic>n</italic> = 3), A/Brisbane/10/07 (H3N2; <italic>n</italic> = 3), A/Victoria/210/09 (H3N2; <italic>n</italic> = 1), A/Brisbane/59/07 (H1N1; <italic>n</italic> = 2), B/Brisbane/3/07 (<italic>n</italic> = 3), B/Florida/4/06 (<italic>n</italic> = 3) and B/Brisbane/60/08 (<italic>n</italic> = 1). We demonstrated a linear correlation between the two methods with an <italic>R</italic><sup>2</sup> value of 0·957, when all strains were analysed together (<xref rid="f1" ref-type="fig">Figure 1</xref>). Analysis of each strain separately yielded higher levels of correlation: 0·992 for A/Uruguay/716/07, 0·999 for A/Brisbane/10/07, 0·990 for B/Brisbane/3/07 and 0·995 for B/Florida/4/06. These data demonstrate a strong correlation between HA quantitation between EIA and SRID assays.</p><fig fig-type="Figure" xml:lang="en" id="f1" orientation="portrait" position="float"><label>Figure 1</label><caption><p> Linearity of HA concentration measured by EIA and SRID Independent monovalent pooled harvest (MPH) preparations (<italic>n</italic> = 16) were assayed by EIA and SRID, and the concentration of HA antigen plotted against each other. Strains tested include: A/Uruguay/716/07 (cross), A/Brisbane/10/07 (square), A/Brisbane/59/07 (open circle), B/Brisbane/03/07 (triangle), B/Florida/04/06 (circle), A/Victoria/210/09 (open diamond) and B/Brisbane/60/08 (diamond). For EIA analysis of these MPHs, mAbs raised against A/Hiroshima/52/05, A/Hiroshima/52/05, A/Brisbane/59/07, B/Panama/45/90, B/Panama/45/90, A/Singapore/37/09 and B/Brisbane/60/08 were used (respectively). The <italic>R</italic><sup>2</sup> was determined to be 0·957. Error bars represent ± 1 SD.</p></caption><graphic id="nlm-graphic-1" xlink:href="IRV-7-191-g001"></graphic></fig></sec><sec id="ss16"><title>EIA can be used as a stability‐indicating assay</title><p>Trivalent vaccine material was held at 2–8°C and sampled at 0, 1, 2, 3 and 6 months. The HA concentration of A/Brisbane/10/07 (H3N2) and B/Brisbane/3/07 was tested using EIA and SRID (<xref rid="f2" ref-type="fig">Figure 2A,B</xref>). Both EIA and SRID assays showed slight fluctuation in HA antigen content over time; however, there was no notable difference between results from the two methods. In separate experiments, vaccine material containing strains A/Wisconsin/67/05 (H3N2) and B/Malaysia/2506/04 was held at RT and sampled on days 0, 1, 4, 7 and 21, and the HA content of these samples was measured by EIA and SRID (<xref rid="f2" ref-type="fig">Figure 2C,D</xref>). Again, no notable differences in the HA antigen content were measured using the two methods.</p><fig fig-type="Figure" xml:lang="en" id="f2" orientation="portrait" position="float"><label>Figure 2</label><caption><p> Trivalent vaccine material was held at 2–8°C for 6 months, and the HA concentration was measured by EIA (square) and SRID (diamond) for the strains A/Brisbane/10/07 (A) and B/Brisbane/03/07 (B). The mAbs used were raised against A/Hiroshima/52/05 and B/Panama/45/90, respectively. Trivalent vaccine material was held at room temperature for 21 days, and the HA concentration was measured by EIA (square) and SRID (diamond) for the strains A/Wisconsin/67/05 (C) and B/Malaysia/2506/04 (D). The mAbs used were raised against A/Hiroshima/52/05 and B/Malaysia/2506/04, respectively. Error bars represent ± 1 SD.</p></caption><graphic id="nlm-graphic-3" xlink:href="IRV-7-191-g002"></graphic></fig><p>The stability‐indicating properties of the EIAs were examined by analysis of trivalent vaccine, which had been subjected to heat (60°C), oxidative (0·001–5% hydrogen peroxide) or pH (pH 2–10) stresses. The stressed vaccines were analysed for the HA content of two strains contained within the vaccine, using both EIA and SRID assays (<xref rid="f3" ref-type="fig">Figure 3</xref>). Generally, the two methods gave similar results. The detection of HA antigen decreased as the heating time or concentration of hydrogen peroxide was increased. When the vaccine preparations were exposed to pH below 5, the content of HA for both viruses was very low or undetected. The HA concentration decreased as the pH increased from 8 to 10, although not as strongly as for low pH. These results demonstrate that the EIA assays described were stability indicating. Whilst the EIAs were consistently more susceptible to the impacts of temperature stress, some examples of SRID having higher susceptibility to hydrogen peroxide and pH stress were observed. Higher than expected fluctuations in the precision of the EIA, especially under chemical stress (<xref rid="f3" ref-type="fig">Figure 3E,F</xref>), were also noted, which were not observed in previous precision studies.</p><fig fig-type="Figure" xml:lang="en" id="f3" orientation="portrait" position="float"><label>Figure 3</label><caption><p> HA concentration of stressed trivalent vaccine material was measured by EIA (square) and SRID (triangle). A/Wisconsin/67/05 (A) and B/Malaysia/2506/04 (B) were held at 60°C for up to 120 minutes. A/Wisconsin/67/05 (C) and B/Malaysia/2506/04 (D) were treated with hydrogen peroxide from 0·001% to 5%. A/Wisconsin/67/05 (E) and B/Malaysia/2506/04 (F) were adjusted pH from pH 2 to 10. For EIA measurement of A/Wisconsin/67/05 and B/Malaysia/2506/04, mAbs raised against A/Hiroshima/52/05 and B/Malaysia/2506/04 were used, respectively. Error bars represent ± 1 SD.</p></caption><graphic id="nlm-graphic-5" xlink:href="IRV-7-191-g003"></graphic></fig></sec><sec id="ss17"><title>Use of EIA to measure disruption of virus particles for split influenza vaccine</title><p>As part of the manufacturing process, it is necessary to analyse the HA content of detergent‐split material from purified virus preparations that have been separated by ultra‐centrifugation over a sucrose gradient.<xref rid="b18" ref-type="ref"><sup>18</sup></xref> We measured the HA concentration of the different fractions representing different degrees of splitting by EIA and SRID (<xref rid="f4" ref-type="fig">Figure 4</xref>).</p><fig fig-type="Figure" xml:lang="en" id="f4" orientation="portrait" position="float"><label>Figure 4</label><caption><p> MPH material was separated on a sucrose gradient. Four fractions were collected representing the sedimentation profile for whole and split virus particles for the H3N2 strain A/Wisconsin/67/05. The HA concentration for fractions 1–4 was measured by EIA (black) and SRID (grey). For EIA measurement of A/Wisconsin/67/05, mAb raised against A/Hiroshima/52/05 was used. Error bars represent ± 1 SD.</p></caption><graphic id="nlm-graphic-7" xlink:href="IRV-7-191-g004"></graphic></fig><p>We observed comparable detection of HA antigen across the four fractions. Whilst some HA content appears slightly higher in fractions 3 and 4 by SRID, this was not statistically significant (<italic>P </italic>≥<italic> </italic>0·05; fraction 3 and 4) and may be a consequence of low HA concentration approaching the LOD of the SRID assay for these samples.</p></sec><sec id="ss18"><title>EIA can be utilised across multiple years to quantify drifted strains</title><p>To understand the impact of EIA on assay development, we assessed the reactivity of drifted strains by EIA. For this purpose, we used historical data for vaccine strain changes that required updating reagents for the SRID assay with each new strain (<xref rid="t3" ref-type="table-wrap">Table 3</xref>). <xref rid="t3" ref-type="table-wrap">Table 3</xref> outlines the number of strain changes for new strains incorporated into the influenza vaccine from 2000 to 2011, the number of SRID assays developed over this time and the number of EIA assays that could be utilised across these years. From 2000 to 2011, 22 strain changes occurred requiring updates to reagents, and at least two additional reagent sets were developed for H5N1. Thus, 24 sets of reagents were required to be developed and optimised over this 12‐year period. In comparison, our EIA data suggest that only 11 EIA assays would have needed to be developed in order to be able to assess the antigen concentration of drifted strains across this time period. Importantly, several EIAs were effective for quantitating ‘forward’ drifted strains from influenza seasons at or subsequent to the time at which the mAbs were raised. Of the 24 strains active during the 12‐year period, 12 EIAs would have been ‘forward’ reacting and available rapidly following virus drift.</p><table-wrap id="t3" xml:lang="en" orientation="portrait" position="float"><label>Table 3</label><caption><p> Analysis of influenza vaccine strain changes from 2000 to 2011 including the number of strain changes in this period and the requirements for new antiserum for SRID reagents versus EIA reagents. EIA forward reactive refers to EIA mAbs reactive to strains of the same or subsequent years. Years refer to the number of years within the 12‐year period that EIA reagents would have been available</p></caption><table frame="hsides" rules="groups"><col align="left" span="1"></col><col align="left" span="1"></col><col align="left" span="1"></col><col align="left" span="1"></col><col align="left" span="1"></col><col align="left" span="1"></col><thead valign="bottom"><tr style="border-bottom:solid 1px #000000"><th align="left" valign="bottom" rowspan="1" colspan="1">Subtype</th><th align="left" valign="bottom" rowspan="1" colspan="1">Strain changes</th><th align="left" valign="bottom" rowspan="1" colspan="1">SRID reagents</th><th align="left" valign="bottom" rowspan="1" colspan="1">EIA reagents</th><th align="left" valign="bottom" rowspan="1" colspan="1">EIA forward reactive</th><th align="left" valign="bottom" rowspan="1" colspan="1">Years</th></tr></thead><tbody valign="top"><tr><td align="left" valign="top" rowspan="1" colspan="1">H1N1</td><td align="left" valign="top" rowspan="1" colspan="1">4</td><td align="left" valign="top" rowspan="1" colspan="1">4</td><td align="left" valign="top" rowspan="1" colspan="1">3</td><td align="left" valign="top" rowspan="1" colspan="1">2</td><td align="left" valign="top" rowspan="1" colspan="1">12</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">H3N2</td><td align="left" valign="top" rowspan="1" colspan="1">10</td><td align="left" valign="top" rowspan="1" colspan="1">10</td><td align="left" valign="top" rowspan="1" colspan="1">3</td><td align="left" valign="top" rowspan="1" colspan="1">6</td><td align="left" valign="top" rowspan="1" colspan="1">9</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">B</td><td align="left" valign="top" rowspan="1" colspan="1">8</td><td align="left" valign="top" rowspan="1" colspan="1">8</td><td align="left" valign="top" rowspan="1" colspan="1">4</td><td align="left" valign="top" rowspan="1" colspan="1">3</td><td align="left" valign="top" rowspan="1" colspan="1">11</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">H5N1*</td><td align="left" valign="top" rowspan="1" colspan="1">2</td><td align="left" valign="top" rowspan="1" colspan="1">2</td><td align="left" valign="top" rowspan="1" colspan="1">1</td><td align="left" valign="top" rowspan="1" colspan="1">1</td><td align="left" valign="top" rowspan="1" colspan="1">–</td></tr></tbody></table><table-wrap-foot><fn id="t3_note30"><p>–: Years available not applicable as was not included in seasonal vaccine.</p></fn><fn id="t3_note31"><p>*Not included in seasonal vaccine.</p></fn></table-wrap-foot></table-wrap></sec></sec><sec id="ss19"><title>Discussion</title><p>Measurement of HA antigen by an immunological technique is a requirement for registration of influenza vaccine<xref rid="b18" ref-type="ref"><sup>18</sup></xref> and is essential for the formulation of influenza vaccine potency as well as monitoring product stability for the duration of vaccine administration. Whilst numerous studies have examined the development of alternative assays that are more sensitive, accurate and robust,<xref rid="b6" ref-type="ref"><sup>6</sup></xref>, <xref rid="b7" ref-type="ref"><sup>7</sup></xref>, <xref rid="b8" ref-type="ref"><sup>8</sup></xref>, <xref rid="b10" ref-type="ref"><sup>10</sup></xref>, <xref rid="b19" ref-type="ref"><sup>19</sup></xref> SRID continues to be utilised by the majority of vaccine manufacturers to standardise influenza vaccine. This is because it satisfies requirements for an immunological assay for HA as recommended by a World Health Organisation Expert committee<xref rid="b8" ref-type="ref"><sup>8</sup></xref> and is a listed requirement in the British Pharmacopoeia.<xref rid="b18" ref-type="ref"><sup>18</sup></xref></p><p>In this report, we demonstrated EIA was comparable to the SRID assays with respect to measuring levels of influenza antigen and also demonstrated improved sensitivity and comparable precision. The LOD for SRID (approximately 10 000 ng HA/mL) was significantly higher than any of the EIA assays described here. For EIA, the mAbs used were selected by their HA‐specific HAI ability, suggesting reactivity to the receptor binding site of HA.<xref rid="b20" ref-type="ref"><sup>20</sup></xref> This site induces high levels of neutralising antibodies upon vaccination.<xref rid="b3" ref-type="ref"><sup>3</sup></xref>, <xref rid="b21" ref-type="ref"><sup>21</sup></xref> We suggest that utilising the same mAb raised against a unique epitope site for capture and detection in a sandwich EIA limits detection to native, trimeric (and higher order complexes of) HA. Denatured and monomeric HA molecules are unlikely to be detected. Significantly, this corresponds to detection of the HA species (native, trimer) considered optimal for eliciting neutralising antibodies<xref rid="b21" ref-type="ref"><sup>21</sup></xref> and thus most effective for vaccine material. Supporting this, mice vaccinated with physically or chemically stressed vaccine produced significantly lower levels of HA‐neutralising antibodies and were less protected against a lethal influenza challenge.<xref rid="b22" ref-type="ref"><sup>22</sup></xref>, <xref rid="b23" ref-type="ref"><sup>23</sup></xref></p><p>We have demonstrated decreased detection of HA upon chemical and physical stresses suggesting EIA, like SRID, can measure vaccine stability. The EIA detection of temperature‐stressed HA was consistently lower for both influenza A and B viruses compared with SRID, suggesting EIA may have greater sensitivity for detecting temperature impacts on vaccine material. Further, Epand and co‐workers indicated that heat stress of a H1N1 and H3N2 virus between 55 and 65°C resulted in a decrease of trimeric HA present and an increase in monomeric HA present,<xref rid="b24" ref-type="ref"><sup>24</sup></xref> providing further evidence that EIA only detects trimeric, native HA. Assessing the stability of HA in response to chemical stresses was less clear. Chemical stresses may have had more subtle impacts on protein structure and folding, thus differing the impacts on binding of mAb and polyclonal sera. Whilst SRID was more sensitive to chemical stress than EIA in some instances, a more detailed study would be required to understand the differences in detection. Fluctuations in the precision of EIA were also observed for HA subjected to a pH of 6, for both A/Wisconsin/67/05 (H3N2) and B/Malaysia/2506/04 at a higher rate to that of SRID. This was not observed during other precision analysis and may be because of structural instability of stressed, trimeric, HA. This observation may not have been apparent in material tested by SRID, which also detects HA in non‐native and monomeric forms, as well as possible non‐specific binding, because of the use of polyclonal antiserum.</p><p>Our data demonstrated that a single EIA often cross‐reacted with drifted strains over several years. As an example, the mAb raised against B/Wisconsin/1/10 cross‐reacted with viruses of the B/Yamagata/16/88 lineage between 1994 and 2000, a period of 17 years. We also demonstrated that several EIAs were effective for quantitating ‘forward’ drifted stains isolated in or subsequent to the year at which the mAb was raised. Over a 12‐year period examined, this corresponded to 12 instances where EIA mAb reagents would have been rapidly available following virus drift. In contrast, SRID reagents have limited utility for drifted strains with the development of new reagents highly recommended for each new candidate strain.<xref rid="b19" ref-type="ref"><sup>19</sup></xref> There are reports of cross‐reactive polyclonal antiserum being utilised in SRID against newly drifted strains<xref rid="b25" ref-type="ref"><sup>25</sup></xref>; however, to our knowledge, the use of cross‐reactive SRID reagents to drifted strains over a period of several years has not been extensively published. We suggest that EIA has the potential to reduce the number of reference reagents that need to be developed when compared with SRID.</p><p>The generation of polyclonal sera used in SRID takes approximately 12–16 weeks to produce and is reliant on obtaining purified HA antigen. The purification of HA may be impacted by susceptibility to enzyme degradation and has previously delayed the development of SRID reagents and consequently release of vaccine.<xref rid="b26" ref-type="ref"><sup>26</sup></xref> In contrast, generation of mAb for EIA does not require purification of HA antigen and, in our laboratory, it takes approximately 6 weeks to reach the validation stage of the EIA.</p><p>The generation of large quantities of reference antigen is required for both EIA and SRID assays. This represents a bottleneck in the development of assay reagents that has the potential to delay the release of EIA for quantitation of HA antigen. Strategies to rapidly standardise reference antigen for use in the EIA are currently being investigated as well as using existing reference antigen to accurately determine potency of drifted strains.</p><p>We suggest that due to its increased sensitivity, detection of drifted strains, reduction in development time and the possibility of automation, the EIA assay provides a robust alternative to the SRID assay that is currently used for the quantitation of HA antigen in influenza virus vaccine. The simplicity of this EIA would also allow for rapid transfer to laboratories around the world.</p></sec><sec id="ss20"><title>Conflicts of interest</title><p>The WHO Collaborating Centre for Reference and Research on Influenza has received funding from CSL Limited for performing serology and other contract research work that was not related to this current publication. IB, RS, JB and SR own a small number of shares in CSL Limited. 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