J. gen. Virol. (1989), 711,2487-2494. Printed in Great Britain 2487 Key words: HA V/hybrid cells/propagation Propagation of Hepatitis A Virus in Hybrid Cell Lines Derived from Marmoset Liver and Vero Cells By M A S A H I K O A S H I D A , 1. H I D E N O R I H A R A , 2 H I D E O K O J I M A , 2 T O M O T E R U K A M I M U R A , 2 F U M I H I R O I C H I D A 2 AND CHUYA HAMADA 1 1Department of Virology and 2The Third Department of Internal Medicine, Niigata University School o f Medicine, AsahimachL Niigata 951, Japan (Accepted 4 May 1989) SUMMARY To establish monkey liver cell lines with a high susceptibility to hepatitis A virus (HAV), marmoset (Saguinus labiatus) liver cells were fused with Vero cells deficient in hypoxanthine-guanine phosphoribosyltransferase and the resulting hybrid cells were selected in HAT medium. Of four hybrid cell lines obtained (S. la/Ve-1 to -4), three (S. la/Ve-1, -3 and -4) were equally susceptible to HAV infection. When inoculated with a virus isolated from marmoset liver tissue (10~ liver tissue extract) or a faecal virus (10~ stool extract) from a human hepatitis A patient, all susceptible cell lines showed a significant elevation of viral antigen activity as seen in radioimmunoassay and/or immunofluorescent antibody assays, at 4 to 6 weeks post-infection (p.i.) with the liver-derived inoculum and at 6 to 8 weeks p.i. with the stool-derived inoculum. In S. 1a/Ve-1 cells, a representative of the susceptible hybrid cell lines, full adaptation of HAV (liver tissue virus concentrate) to cell culture was attained after four serial passages. Thereafter, the virus grew to a plateau titre of 108.5 TCIDs0/ml at 7 days p.i. in a growth experiment. The infected cells showed no cytopathic effects but eventually a persistent infection was established when a saturated level of virus growth was reached. The first successful in vitro propagation of hepatitis A virus (HAV) was reported by Provost & Hilleman (1979), using primary marmoset liver explant cultures and low passage number foetal rhesus monkey kidney cells as the host cell systems. Several reports followed claiming efficient propagation of HAV in a variety of cell cultures (for review, see Provost, 1984; Binn et al., 1984; Bradley et al., 1984; Purcell et al., 1984; Vallbracht et al., 1984; Venuti et al., 1985; Anderson, 1987; Cromeans et al., 1987). However, most of these cell culture systems were inadequate. Primary monkey kidney cell cultures were often contaminated with cytopathic viral agents (Provost & Hilleman, 1979; Daemer et al., 1981; Binn et al., 1984). In addition, established monkey kidney cell lines free from the contaminating agents were less susceptible to HAV compared to their primary counterparts (Flehmig, 1980, 1981 ; Kojima et al., 1981 ; Locarnini et al., 1981 ; Lemon et al., 1983; Binn et al., 1984; Bradley et al., 1984; Purcell et al., 1984; Venuti et al., 1985). HAV was also propagated in human diploid cell lines, but the growth of HAV in these cells was handicapped by a relatively longer latent period and lower virus yield (Flehmig et al., 1981 ; Gauss-Miiller et al., 1981 ; Provost et al., 1982; Provost, 1984). Therefore, to facilitate the in vitro propagation of HAV, it is necessary to develop additional cell culture systems without the above drawbacks and which show a high susceptibility to HAV. Preferential growth of HAV in liver tissue has commonly been observed in infected chimpanzees and marmosets (for review, see Deinhardt & Deinhardt, 1984; Shibayama et al., 1985; Karayiannis et al., 1986). Primate liver cells appear to be intrinsically susceptible to HAV 0000-8907 © 1989 SGM Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 01:23:13 2488 Short communication infection. In this study, we attempted to establish monkey liver cell lines with a high susceptibility to HAV. The method employed was to fuse marmoset (Saguinus labiatus) liver cells with Vero cells, an established cell line from African green monkey kidney cells (Yasumura & Kawakita, 1963), to allow continual propagation of the liver cells in vitro. This experimental strategy stemmed from the assumption that the hybrid cell lines obtained would be highly susceptible to HAV because of their hepatocyte lineage, and that they would not harbour any contaminating agents since the cell culture conditions used to select hybrid cells were quite stringent against metabolically deficient cells. Primary cultures of marmoset liver cells were prepared by a modification of the method used by Nakamura et al. (1981 ). For cell dispersion, marmoset liver tissue removed under anaesthesia was perfused with 0.05 ~ collagenase (Sigma type 1) in Hank's balanced salt solution pH 7.5 supplemented with 4 mM-CaC12 and 10 mM-HEPES at 37 °C for 15 min. Dispersed cells were washed with DMEM (Dulbecco's modified Eagle's minimum essential medium) by three centrifugations at 50 g for 1 min and cultivated in 25 cm 2 plastic tissue culture flasks (2 x 106 cells/5 ml/flask; Nunc) using DMEM containing 10~ foetal bovine serum (FBS; Gibco) at 37 °C in a CO2 incubator. After 2 days in culture, liver cell monolayers were overlaid with the same number of Vero cells deficient in hypoxanthine-guanine phosphoribosyltransferase ( H G P R T - Vero cells), which had previously been selected from the original cell line (Yasumura & Kawakita, 1963) in the presence of 8-azaguanine (Littlefield, 1964). The mixed cell cultures were kept at 37 °C in a CO2 incubator for 12 h to promote cell adhesion. Cell fusion was induced by successive soaking of the mixed cultures in 50, 25 and 12.5 ~ polyethylene glycol (Mr 1300 to 1600; Sigma) in DMEM for 1 min each, then washing with DMEM three times. Finally, the mixed cell cultures were supplemented with HAT medium (DMEM containing 100 Ix~,lhypoxanthine, 0-4 ~tM-aminopterin, 16 ~tM-thymidine and 10~ FBS) and incubated in the same environment for the growth of hybrid cells. The resulting hybrid cell lines as well as H G P R T - Vero cells as a parental cell control were examined for their susceptibility to HAV infection by three methods: (i) a screening test for their capacity to isolate marmoset- and patient-derived viruses, (ii) serial passage of the virus and (iii) a virus growth experiment. In each of these investigations, flask and coverslip cultures were infected with a given virus inoculum in each experiment and growth of the virus was followed by three concomitant assays: RIA (radioimmunoassay), IFA (immunofluorescent antibody assay), and infectivity titration except for the screening test, where the infectivity titration was not performed. After cell fusion, four hybrid cell lines, S. la/Ve-1, -2, -3 and -4, each having grown initially as single colonies in separate flasks, were obtained. All of these hybrid cell lines could easily be subcultured by a conventional tissue culture method with a doubling time of about 3 days. The morphology of these hybrids was intermediate between those of the parental cells manifesting a polygonal contour and transparent nuclei. In addition, their modal chromosomal numbers at the fifth and 50th subcultures (75/72, 82/80, 80/74 and 72/67 for S. la/Ve-1, -2, -3 and -4, respectively) were distinct from those of the parental cells (46 and 93 for the marmoset liver and H G P R T - Vero cells, respectively). All of the experiments described below were conducted using the fifth to 50th subcultures of these cells. First, the hybrid cell lines were screened for their susceptibility to marmoset- and patientderived HAVs by a virus isolation experiment (Table 1). The marmoset-derived HAV was prepared as a 10 ~ liver tissue extract from a marmoset after intravenous infection with animalpassaged HAV. The patient-derived HAV was the original faecal virus isolated from a hepatitis A patient and prepared as a 10~ stool extract as described elsewhere (Kojima et al., 1981). When inoculated with the liver tissue virus (Table 1), HAV antigen was initially found by RIA and IFA in S. la/Ve-1 cells (1174 in RIA, 1 + in IFA) at 2 weeks post-infection (p.i.), then in S. la/Ve-3 (1417/1 + ) and -4 (17639/4+) cells at 4 weeks p.i. ; thereafter, the antigen activities increased to maximal levels at 6 (36066/4+ for S. la/Ve-4) to 8 (41605/4+ for S. la/Ve-1; 20890/3 + for S. la/Ve-3) weeks p.i. With the same liver tissue virus, H G P R T - Vero cells also expressed the HAV antigen at 8 weeks p.i., yet the titre was low (1262/1 +). When the faecal virus was used as the inoculum (Table 1), the three hybrid cell lines again expressed the viral Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 01:23:13 Short communication 2489 Table 1. Susceptibility of hybrid cell lines and HGPRT- Vero cells to liver tissue H A V and faecal HA V: expression of HA V antigen in hybrid cell lines Cell line f Weeks of harvest Liver HAV* 1 2 3 4 6 8 Faecal HAV* Primary isolation Passage A S. I a/Ve-1 2 4 8 2 4 S. 1a/Ve-2 S. la/Ve-3 S. la/Ve-4 HGPRT- Vero 837t 1174 1106 5961 26752 41605 (-)~ (1+) (1+) (2+) (3+) (4+) 313 605 117 370 393 NT (-) (-) ~rr§ (-) (-) NT 992 1005 252 1417 6869 20890 (-) (-) (-) (1+) (2+) (3+) 671 785 595 17639 36066 rcr (-) (-) (-) (3+) (4+) ~rr 392 456 421 299 892 1262 661 t wr 1993 8372 15674 (-)~ (2+) (2+) (3+) (4+) 490 276 159 512 421 (-) ~r (-) (-) (-) 370 334 1874 10543 17067 (-) (-) NT (3+) (4+) 464 NT 19474 3589 12877 (-) (-) (3+) (2+) (3+) 505 380 454 282 401 (-) (-) (-) (-) (-) (1+) (-) (-) (-) (-) (-) * The liver tissue-derived virus used here is a descendant strain of the faecal HAV recovered from a patient (T.T.) (Kojima et al., 1981) after four serial passages in marmosets. The liver tissue of the final animal was prepared as a 10~ homogenate in 0.15 u-phosphate-buffered saline pH 7.2, followed by centrifugation at 10000 r.p.m, for 1 h. The resulting supernatants were used as the liver tissue virus solution. The faecal virus used is the original HAV of the hepatitis A patient and was similarly prepared as a 10~ stool extract. t RIA was performed using a HAVAB-M kit (Abbott Laboratories). Anti-IgM-coated beads were serially reacted with anti-HAV IgM, the experimental infected cell culture extracts, and 125I-labelled anti-HAV antibodies. The results are presented as mean c.p.m, values of duplicate samples. The cut-off value given by uninfected specimens was 1010 for hybrid cell lines, and 942 for HGPRT- Vero cells. :~An indirect method was used for IFA. Acetone-fixed coverslips were reacted initially with simian antiserum (1:10) to HAV for 1 h, then with fluorescein isothiocyanate-conjugated anti-human antibodies (1:10; Boehringer Mannheim) for 1 h. The figures in parentheses, 4 +, 3 +, 2 +, 1+ and -, indicate 100, 75, 50, 25 and less than 0-5 fluorescing cells in the infected coverslip cultures. § NT, Not tested. antigen at 8 weeks p.i., but the titres differed between the cell lines. To confirm positive isolation of faecal virus, all of these antigen-positive cell culture specimens were passaged into fresh cultures of each cell line, resulting in m a r k e d elevations in viral antigen activity at 2 to 4 weeks p.i. (15674/4+ for S . l a / V e - 1 ; 17067/4+ for S . l a / V e - 3 ; and 12877/3+ for S . l a / V e - 4 ) . H G P R T - Vero cells did not express appreciable amounts of H A V antigen after infection with the faecal virus, and S. la/Ve-2 cells remained negative for the viral antigen throughout the experiment. Since the screening test revealed three hybrid cell lines, S. la/Ve-1, -3 and -4 to be equally susceptible to the marmoset- and patient-derived HAVs, S. la/Ve-1 cells were arbitrarily selected as a representative of the susceptible cell lines and used in the serial passage and growth experiments. In the serial passage experiments (Table 2), a 10-fold concentrate of the liver tissue virus was used as the starting inoculum to accelerate the growth of the virus in cells. W h e n S. 1a/Ve-1 cells were inoculated with the liver tissue virus concentrate (Table 2), expression o f the H A V antigen ( R I A and I F A ) commenced at 1 week p.i. in the first passage. Antigen expression increased gradually to the maximal level at 4 weeks p.i., when nearly 100K of cells showed specific fluorescence in I F A . In the subsequent passages using the infected cell culture extracts underlined in Table 2 as inocula, the time to attain the m a x i m a l antigen activity (in the order of 104 c.p.m, in R I A and 4 + score in I F A ) shortened from 4 weeks in the first passage to 2 weeks in the second and third passages, and eventually to 1 week in the fourth passage and afterwards. Virus infectivity titres in the infected cell culture extracts at 1 week p.i. were 105.8 and 107.3 TCIDs0/ml in the first and second passages, respectively, then rose to a maximal titre of 108.5 TCIDs0/ml in the fourth passage. This maximal range of virus titres (107.5 to 108"5) was constantly m a i n t a i n e d in the subsequent passages. These findings, together with those of the R I A and I F A , indicated that full adaptation of the liver tissue virus to cell culture was achieved Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 01:23:13 2490 Short communication Table 2. Serial passages of HA V in S. la/Ve-1 cells and H G P R T - Vero cells HAV antigen expression at weeks p.i. Cell line and passage level S. la/Ve-1 1st 2rid 3rd 4th 5th 6th 7th 8th 9th 10th 15th 20th • 1 2 1539 (1 + ) t 5591 (2+) 5250 (1 +) 15516 (4+) 16856 (4+) 25397 (4+) 27555 (3+) 23 502 (4 +) 42502 (4+) 2__77883 (4+) 2_88198 (4+) 18206 (4 +) 2807 11283 13996 23294 20610 (2+) (4+) (4+) (4+) (4+) ND ND ND ND ND ND ND 3 4 8330 (2+) 28824 (4+) 19248 (4+) ND 24776 (4+):~ 24872 (4+) 17723 (4+) ND Virus ~ infectivity (loglo TCIDso/ml)* 5-8 7-3 ND§ 8"5 ND ND ND NO ND ND ND ND ND ND ND ND ND ND ND ND ND 7"5 ND 8"0 ND 8'5 8'5 8"0 822 (-) 722 (-) 3291 (1+) 11436 (3+) 15965 (3+) 1062 (1-~) 2042 (1+) 8266 (3+) 14350 (3+) 17221 (4+) 4.5 4-5 5.3 6.5 6-7 H G P R T - Vero 1st 2nd 3rd 4th 5th 261 540 672 1256 6954 (-) (-) (-) (1 +) (2+) 490 331 990 7661 7852 (-) (-) (-) (2+) (2+) * Virus infectivity titres were assayed at 1 week p.i. by an endpoint dilution method combined with a solidphase enzyme immunoassay. Serial 10-fold dilutions (0.1 ml each) of cell culture extracts were inoculated into S. 1a/Ve-1 cell cultures in 96-well microculture plates (five wells per dilution; Coming). After 2 h virus adsorption, plates were supplemented with 0-1 ml/well DMEM containing 1~ FBS and incubated at 37 °C in a CO2 incubator for 2 weeks. At the end of incubation, plates were washed, fixed with an 80~ methanol solution containing 0-03 hydrogen peroxide at 4°C overnight, and reacted with peroxidase-conjugated anti-HAV immunoglobulin (Abbott) for 1 h, then with o-phenylenediamine solution for 30 min. Absorbance at 492 nm was determined for the reaction mixtures; specimens giving over twice the mean value given by uninfected controls were taken as positive for HAV antigen expression. TCIDs0 values were calculated according to the method of Reed & Muench (1938) from the incidence of HAV antigen expression in the infected wells. t For details of RIA, see Table 1. Cell culture extracts giving the viral antigen activities underlined in the table were used as inocula for subsequent passages. § ND, not done. in the fourth passage. As c o m p a r e d with the results of S. 1a/Ve-I cells, serial passage of the liver tissue virus concentrate in H G P R T - Vero cells resulted in less efficient growth of virus and lower viral antigen expression (Table 2). F o r optimal expression of the viral antigen, it was necessary to cultivate the infected cells for at least 4 weeks until the fifth passage and afterwards (data not shown), and the virus infectivity titres at 1 week p.i. remained 10- to 100-fold lower than those in S. la/Ve-1 cells at the corresponding passage levels. In the viral growth experiment (Fig. 1), cells were inoculated with infected cell culture extract in the 10th passage in Table 2 at an input m.o.i, of 100 TCIDso/cell. I n this experiment also, S. la/Ve-1 cells far surpassed H G P R T - Vero cells in the efficiency of virus growth. In the infected S. la/Ve-1 cells (Fig. 1 a), virus infectivity started to increase at 2 days p.i., then rose steeply to a plateau titre of 10 s's T C I D s o / m l at 7 days p.i. Thereafter, this titre was m a i n t a i n e d until 14 days p.i. Expression of H A V antigen as demonstrated by R I A and I F A followed a similar pattern, giving plateau activities (2.5 × 104 to 3-0 x 104 c.p.m, and nearly 1 0 0 ~ fluorescing cells) at 7 days p.i. and thereafter. In H G P R T - Vero cells, on the other hand, the infectious virus titre began to increase at 4 days p.i., gradually reaching a plateau at 10 days p.i. when the titre remained 100-fold lower than that in S. 1a/Ve-1 cells. Likewise, the viral antigen activity in this parental cell line was much lower, giving 1 0 ~ fluorescing cells in I F A and approx. 103 c.p.m, in R I A as the optimum. During virus growth experiments, the infected S. 1a/Ve-1 cells did not show any sign of c.p.e, and, when subjected to serial subcultures, the cells grew as well as their uninfected counterparts. In addition, the plateau level of virus titres was Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 01:23:13 Short communication 2491 9 . . . . . . ' ~ - - & . _ ' _ ~ i 100 30 -25 ~ 80 0 60 6 "~ 40 20 ~4 ~9 i i | | i i i i l i i I i 0 0 30 100 :~ "~ (b) 25 "~ "~ 8 )< 80 < 60 > d~ 6 .~ . 40 5 ~ 20 4 0 1 2 3 4 5 6 7 8 9 Time p.i. (days) 10 12 14 0 Fig. 1. Growth of HAV in S. la/Ve-1 cells (a) and HGPRT- Vero cells (b). The virus inoculum used was the infected cell culture extracts from the 10th passage of HAV in Table 2. Flask and coverslip cultures of S.la/Ve-1 ceils and HGPRT- Vero cells were inoculated with the extracts (0.5 ml and 0.2 ml respectively)at an m.o.i, of 100 TCIDso/cell. Infected cultures were kept at 37 °C in a CO2 incubator for 2 h for virus adsorption, washed three times with DMEM, supplemented with the same medium containing 170FBS, and further incubated in the same environmentfor virus growth. At daily intervals thereafter, expression of the virus and viral antigen in the infected cultures were monitored by infectivity titration (It), RIA (0) and IFA (O) as described in Tables 1 and 2. continually maintained, indicating that a persistent infection of cells at a saturated level of virus growth resulted (data not shown). I n the present study, marmoset liver cells were fused with Vero cells to provide cell lines with a high susceptibility to H A V infection. The reason for the use of Veto ceils as the partner cell line was their known, though restricted, susceptibility to H A V infection (Kojima et al., 1981; Locarnini et al., 1981) and their species homology with marmoset liver cells, from which genetic stability of the hybrid cell lines was anticipated. In fact, marmoset liver cells fused with a cell line of a distinct species (Chinese hamster ovary cells) were also susceptible to HAV, but only transiently in the early subcultures (unpublished observation). Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 01:23:13 2492 Short communication Table 3. Comparison o f virus yields from several HA V-infected primate cell cultures Cell and cell line* AGMK FRhK6 HDEF HFS BS-C-1 HGPRT- Vero S. la/Ve-1 Maximal virus yield (TCIDso/ml) 107 to 10a 107 to 106 to 105 to 106.5 108`s 109 108 107 107 Reference Purcell et al. (1984) Provost (1984) Provost (1984) Vallbracht et al. (1984) Binn et aL (1984) This paper This paper * AGMK, African green monkey kidney cells; BS-C-1, African green monkey kidney cell line; FRhK6, foetal rhesus monkey kidney cells; HDEF, human diploid embryo fibroblasts; HFS, human embryo fibroblast strain. Growth of the hybrid cell lines established here was not inhibited by H A T medium. Their modal chromosome numbers were clearly distinct from those of the parental cells and cell line. Morphologically, the hybrid cell lines resemble the parental liver ceils since they show polygonal contours and transparent nuclei. In all of the four hybrid cell lines, albumin production was also evident by IFA in their early subcultures approximately up to the 10th passage (data not shown). Although it is circumstantial, these observations indicate that these cell lines are genuine hybrids. Chromosome analysis including G-banding, which was repeatedly applied to the hybrid cell lines to prove their authenticity directly, was not determinative, because of the lack of convincing markers to distinguish the parental cell chromosomes. Three out of the four hybrid cell lines obtained were equally susceptible to the marmoset liver and human faecal viruses. In S. 1a/Ve-1 cells, a representative of these cell lines, full adaptation of the liver tissue virus to cell culture was attained in the fourth passage. Subsequently, the cell culture-adapted virus grew constantly to maximum titres of 107.5 to 108.5 TCIDs0/ml at 7 days p.i. For the maximum yield of cell culture-adapted HAVs, S. 1a/Ve-1 cells were compared with other cells and cell lines that have been reported to be susceptible to HAV infection. Table 3 shows these results. The highest virus yield was obtained in African green monkey kidney cells (107 to 109) and the lowest in BS-C-1 cells (105 to 107). In a review article (Provost, 1984), FRhK6 cells were considered to be one of the most HAV-susceptible cell types. A G M K , FRhK6, and S. la/Ve-1 cells are comparable in maximal virus yield (107 to 109, 108 and 108.5 each) in this Table. According to these comparisons, the susceptible hybrid cell lines, S. 1a/Ve-1 at least, appear to be ranked amongst the most sensitive to HAV. This sensitivity of S. la/Ve-1 cells to HAV may depend on the hepatocyte lineage of the cell line, since H G P R T - Vero cells, the parental partner for cell fusion, and the original Vero cells (Kojima et al., 1981 ; Locarnini et al., 1981) were much less sensitive to infection by the same strain of HAV. In the S. la/Ve-1 cell line, virus isolation using early subcultures (fifth to 10th passages) resulted in an efficient recovery of the virus derived from liver tissue and from faeces (Table 1). Growth of HAV in later subcultures (10th to 30th passages) in the same cell line was substantial, yielding a high infectivity titre of 108.5 TCIDs0/ml (Fig. 1). Advanced subcultures (40th to 50th passages) of S. la/Ve-1 cells were also used for an epidemiological study of virus isolation from faecal specimens of patients (Table 4; details to be published elsewhere). Recovery of faecal HAVs by this cell line was far more efficient than by other primate cell lines, though some faecal specimens were omitted from the survey of the latter cell lines. It should be noted that the hybrid cell line could isolate HAVs even from specimens seemingly negative for viral antigen in RIA. Thus S. la/Ve-1 cells are susceptible to diverse strains of HAV and are able to withstand multiple subculture passages. It was anticipated that each hybrid cell line would have 139 chromosomes (46 from the marmoset cells plus 93 from the Vero cells). However, the modal chromosome numbers of cells examined at the fifth and 50th subcultures were 75/72, 82/80, 80/74 and 72/67 for S. la/Ve-1, -2, -3 and -4 cells, respectively. This means that the hybrid cell lines had undergone major chromosomal deletions before the fifth passage, but are genetically stable. Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 01:23:13 Short communication 2493 Table 4. Primary isolation of HA V from faecal specimens of patients using various monkey cell lines Detection of H A V antigen in cell linest A Inoculum (c.p.m.)* S. la/Ve-1 BS-C-1 LLC-MK2 BGM H G P R T - Vero T.T. (11356) 1450 (4) 12561 (8) NT NT NT --:~ _ - NT rcr N'r ~rr NT NT - - - - _ _ - - - - Y.T. (11446) K-5 (12816) Ku-1 (247) Ku-2 (135) Ku-3 (8518) Ku-4 (11652) 7327 7327 6911 28072 (6) (6) (4) (6) 869 13880 1094 14519 (2) (8) (2) (8) 911 6770 1045 9423 (2) (8) (2) (6) 4360 (4) 4360 (4) _ - * The T.T. and Y.T. inocula were obtained during an outbreak of hepatitis A in Kyoto during 1978. The K-5 inoculum came from a sporadic case of hepatitis A which occurred in Niigata in 1983. The Ku-1 to -4 inocula were collected in Chikugo region from 1979 to 1986. All inocula were prepared as 5 to 10 % faecal homogenates clarified by centrifugation at 10000 r.p.m, for 30 rain. i" H A V antigen activities are presented as c.p.m. The cut-off value was 823. Results are shown as initial c.p.m. significant (incubation period, weeks) and m a x i m a l c . p . m obtained (incubation period, weeks). ~: C.p.m. not significant during 8 weeks incubation. 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