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Vaccinia Virus and Poxvirology Methods and Protocols 2nd Edition Stuart N. Isaacs (Auth.)
Vaccinia Virus and Poxvirology
Methods and Protocols
Second Edition
Edited by
Stuart N. Isaacs
UniversityofPennsylvaniaandthePhiladelphiaVAMedicalCenter,
Philadelphia,PA,USA
Editor
Stuart N. Isaacs
Department of Medicine
Division of Infectious Disease
University of Pennsylvania
and the Philadelphia VA Medical Center
502 Johnson Pavilion
Philadelphia, PA, USA
ISSN 1064-3745 ISSN 1940-6029 (electronic)
ISBN 978-1-61779-875-7 ISBN 978-1-61779-876-4 (eBook)
DOI 10.1007/978-1-61779-876-4
Springer New York Dordrecht Heidelberg London
Library of Congress Control Number: 2012937882
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Dedication
To my Mom and Dad; and to my wife and children—Lauren and Jordan—who tolerate the
crazy hours I work.
Vaccinia Virus and Poxvirology Methods and Protocols 2nd Edition Stuart N. Isaacs (Auth.)
vii
Preface
Nine years ago, the chapters for the first edition of Vaccinia Virus and Poxvirology were
submitted for publication in the Methods in Molecular Biology Series. This second edition
does not replace the first edition since essentially every chapter in this volume represents a
protocol not covered in the first edition. To allow new readers to be aware of what topics
were covered in the first edition, I include the following list of chapters from the first edi-
tion of Vaccinia Virus and Poxvirology, Methods and Protocols (Volume 269 in the Methods
in Molecular Biology Series):
1. Working Safely with Vaccinia Virus: Laboratory Technique and the Role of Vaccinia
Vaccination (Stuart N. Isaacs)
2. Construction and Isolation of Recombinant Vaccinia Virus Using Genetic Markers
(María M. Lorenzo, Inmaculada Galindo, and Rafael Blasco)
3. Construction of Recombinant Vaccinia Virus: Cloning into the Thymidine Kinase
Locus (Chelsea M. Byrd and Dennis E. Hruby)
4. Transient and Inducible Expression of Vaccinia/T7 Recombinant Viruses (Mohamed
R. Mohamed and Edward G. Niles)
5. Construction of Recombinant Vaccinia Viruses Using Leporipoxvirus Catalyzed
Recombination and Reactivation of Orthopoxvirus DNA (Xiao-Dan Yao and David H.
Evans)
6. Construction of cDNA Libraries in Vaccinia Virus (Ernest S. Smith, Shuying Shi, and
Maurice Zauderer)
7. Construction and Isolation of Recombinant MVA (Caroline Staib, Ingo Drexler, and
Gerd Sutter)
8. Growing Poxviruses and Determining Virus Titer (Girish J. Kotwal and Melissa
Abraham)
9. Rapid Preparation of Vaccinia Virus DNA Template for Analysis and Cloning by PCR
(Rachel L. Roper)
10. Orthopoxvirus Diagnostics (Hermann Meyer, Inger K. Damon, and Joseph J.
Esposito)
11. An In Vitro Transcription System for Studying Vaccinia Virus Early Genes (Steven S.
Broyles and Marcia Kremer)
12. An In Vitro Transcription System for Studying Vaccinia Virus Late Genes (Cynthia F.
Wright)
13. Studying Vaccinia Virus RNA Processing In Vitro (Paul D. Gershon)
14. Methods for Analysis of Poxvirus DNA Replication (Paula Traktman and Kathleen
Boyle)
15. Studying the Binding and Entry of the Intracellular and Extracellular Enveloped Forms
of Vaccinia Virus (Mansun Law and Geoffrey L. Smith)
16. Pox, Dyes, and Videotape; Making Movies of GFP Labeled Vaccinia Virus (Brian M.
Ward)
viii Preface
17. Interaction Analysis of Viral Cytokine-Binding Proteins Using Surface Plasmon
Resonance (Bruce T. Seet and Grant McFadden)
18. Monitoring of Human Immunological Responses to Vaccinia Virus (Richard Harrop,
Matthew Ryan, Hana Golding, Irina Redchenko, and Miles W. Carroll)
19. Vaccinia Virus as a Tool for Immunologic Studies (Nia Tatsis, Gomathinayagam
Sinnathamby, and Laurence C. Eisenlohr)
20. Mouse Models for Studying Orthopoxvirus Respiratory Infections (Jill Schriewer, R.
Mark L. Buller, and Gelita Owens)
21. Viral Glycoprotein-Mediated Cell Fusion Assays Using Vaccinia Virus Vectors (Katharine
N. Bossart and Christopher C. Broder)
22. Use of Dual Recombinant Vaccinia Virus Vectors to Assay Viral Glycoprotein-Mediated
Fusion with Transfection-Resistant Primary Cell Targets (Yanjie Yi, Anjali Singh, Joanne
Cutilli, and Ronald G. Collman)
23. Poxvirus Bioinformatics (Chris Upton)
24. Preparation and Use of Molluscum Contagiosum Virus (MCV) from Human Tissue
Biopsy Specimens (Nadja V. Melquiot and Joachim J. Bugert)
In this second edition of poxvirus protocols, there are multiple new chapters covering
various approaches for the construction of recombinant viruses. Other chapters focus on
methods to isolate the various forms of infectious virus, methods to study the entry of
poxviruses into cells, and various protocols covering in vivo models to study poxvirus
pathogenesis. There are also chapters on studying cellular immune responses and genera-
tion of monoclonal antibodies to poxvirus proteins. This book also contains chapters to
cover methods in poxvirus bioinformatics as well as various ways to study poxvirus immu-
nomodulatory proteins. The protocols are designed to be easy to follow and the Note
sections include both additional explanatory information and important insights into the
protocols.
Since the last edition of this book, a number of important events related to poxvirology
have occurred. Examples include the FDA approval of a culture-based live smallpox vaccine
and the vaccination of large numbers of US military and relatively large numbers of US
civilians. Novel anti-poxvirus therapeutics have been developed and have been used in
emergency settings. I will not even attempt to summarize the scientific advances in poxvi-
rology that have been made over this time period. Since the last edition of this book, there
have been a number of retirements of prominent poxvirologists. So I would like to acknowl-
edge the retirements of Joseph J. Esposito (Centers for Disease Control and Prevention,
Atlanta), Richard (Dick) W. Moyer (University of Florida, Gainesville), and Edward G.
Niles (SUNY School of Medicine, Buffalo). These fine scientists ran outstanding labs, made
countless contributions to the poxvirus field, and throughout their careers helped create
the community that those of us in poxvirology have enjoyed. While no longer lab-based,
we are fortunate that they all remain active and continue to contribute to the scientific com-
munity. Since the last edition of this book, the poxvirus community sadly marked the deaths
of colleagues. So I would like to acknowledge the passing of Riccardo (Rico) Wittek (April
26, 1944 to September 19, 2008) and Frank J. Fenner (December 21, 1914 to November
22, 2010). Their contributions to our field will not be forgotten.
Philadelphia, PA, USA Stuart N. Isaacs
ix
Contents
Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
1 Working Safely with Vaccinia Virus: Laboratory Technique
and Review of Published Cases of Accidental Laboratory Infections. . . . . . . . . 1
Stuart N. Isaacs
2 In-Fusion®
Cloning with Vaccinia Virus DNA Polymerase. . . . . . . . . . . . . . . . 23
Chad R. Irwin, Andrew Farmer, David O. Willer, and David H. Evans
3 Genetic Manipulation of Poxviruses Using Bacterial Artificial Chromosome
Recombineering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Matthew G. Cottingham
4 Easy and Efficient Protocols for Working with
Recombinant Vaccinia Virus MVA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Melanie Kremer, Asisa Volz, Joost H.C.M. Kreijtz, Robert Fux,
Michael H. Lehmann, and Gerd Sutter
5 Isolation of Recombinant MVA Using F13L Selection . . . . . . . . . . . . . . . . . . 93
Juana M. Sánchez-Puig, María M. Lorenzo, and Rafael Blasco
6 Screening for Vaccinia Virus Egress Inhibitors: Separation
of IMV, IEV, and EEV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Chelsea M. Byrd and Dennis E. Hruby
7 Imaging of Vaccinia Virus Entry into HeLa Cells . . . . . . . . . . . . . . . . . . . . . . 123
Cheng-Yen Huang and Wen Chang
8 New Method for the Assessment of Molluscum Contagiosum
Virus Infectivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Subuhi Sherwani, Niamh Blythe, Laura Farleigh, and Joachim J. Bugert
9 An Intradermal Model for Vaccinia Virus Pathogenesis in Mice . . . . . . . . . . . . 147
Leon C.W. Lin, Stewart A. Smith, and David C. Tscharke
10 Measurements of Vaccinia Virus Dissemination Using Whole Body
Imaging: Approaches for Predicting of Lethality in Challenge Models
and Testing of Vaccines and Antiviral Treatments . . . . . . . . . . . . . . . . . . . . . . 161
Marina Zaitseva, Senta Kapnick, and Hana Golding
11 Mousepox, A Small Animal Model of Smallpox . . . . . . . . . . . . . . . . . . . . . . . . 177
David Esteban, Scott Parker, Jill Schriewer, Hollyce Hartzler,
and R. Mark Buller
12 Analyzing CD8 T Cells in Mouse Models of Poxvirus Infection. . . . . . . . . . . . 199
Inge E.A. Flesch, Yik Chun Wong, and David C. Tscharke
13 Generation and Characterization of Monoclonal Antibodies
Specific for Vaccinia Virus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219
Xiangzhi Meng and Yan Xiang
x Contents
14 Bioinformatics for Analysis of Poxvirus Genomes. . . . . . . . . . . . . . . . . . . . . . . 233
Melissa Da Silva and Chris Upton
15 Antigen Presentation Assays to Investigate Uncharacterized
Immunoregulatory Genes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259
Rachel L. Roper
16 Characterization of Poxvirus-Encoded Proteins that
Regulate Innate Immune Signaling Pathways . . . . . . . . . . . . . . . . . . . . . . . . . 273
Florentina Rus, Kayla Morlock, Neal Silverman, Ngoc Pham,
Girish J. Kotwal, and William L. Marshall
17 Application of Quartz Crystal Microbalance with
Dissipation Monitoring Technology for Studying Interactions
of Poxviral Proteins with Their Ligands. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289
Amod P. Kulkarni, Lauriston A. Kellaway, and Girish J. Kotwal
18 Central Nervous System Distribution of the Poxviral Proteins
After Intranasal Administration of Proteins and Titering of Vaccinia
Virus in the Brain After Intracranial Administration. . . . . . . . . . . . . . . . . . . . . 305
Amod P. Kulkarni, Dhirendra Govender,
Lauriston A. Kellaway, and Girish J. Kotwal
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 327
xi
Contributors
RAFAEL BLASCO • Departamento de Biotecnología, Instituto Nacional de Investigación y
Tecnología Agraria y Alimentaria (INIA), Madrid, Spain
NIAMH BLYTHE • Department of Microbiology and Infectious Diseases,
Cardiff Institute of Infection and Immunity, Cardiff, UK
JOACHIM J. BUGERT • Department of Microbiology and Infectious Diseases,
Cardiff Institute of Infection and Immunity, Cardiff, UK
R. MARK BULLER • Department of Molecular Microbiology and Immunology,
St. Louis University Health Sciences Center, St. Louis, MO, USA
CHELSEA M. BYRD • SIGA Technologies, Inc., Corvallis, OR, USA
WEN CHANG • Academia Sinica, Institute of Molecular Biology, Taipei, Taiwan, ROC
MATTHEW G. COTTINGHAM • The Jenner Institute, University of Oxford, Oxford, UK
MELISSA DA SILVA • Biochemistry and Microbiology, University of Victoria,
Victoria, BC, Canada
DAVID ESTEBAN • Biology Department, Vassar College, Poughkeepsie, NY, USA
DAVID H. EVANS • Department of Medical Microbiology and Immunology,
Li Ka Shing Institute of Virology, University of Alberta, Edmonton, AB, Canada
LAURA FARLEIGH • Department of Microbiology and Infectious Diseases,
Cardiff Institute of Infection and Immunity, Cardiff, UK
ANDREW FARMER • Clontech Laboratories, Inc., Mountain View, CA, USA
INGE E.A. FLESCH • Research School of Biology, The Australian National University,
Canberra, ACT, Australia
ROBERT FUX • Institute for Infectious Diseases and Zoonoses, University of Munich
LMU, Munich, Germany
HANA GOLDING • Division of Viral Products, Center for Biologics Evaluation
and Research, Food and Drug Administration, Bethesda, MD, USA
DHIRENDRA GOVENDER • Faculty of Health Sciences, Division of Anatomical Pathology,
Department of Clinical Laboratory Sciences, University of Cape Town, South Africa
HOLLYCE HARTZLER • Department of Molecular Microbiology and Immunology,
St. Louis University Health Sciences Center, St. Louis, MO, USA
DENNIS E. HRUBY • SIGA Technologies, Inc., Corvallis, OR, USA
CHENG-YEN HUANG • Academia Sinica, Institute of Molecular Biology, Taipei,
Taiwan, ROC
CHAD R. IRWIN • Department of Medical Microbiology and Immunology,
Li Ka Shing Institute of Virology, University of Alberta, Edmonton, AB, Canada
STUART N. ISAACS • Division of Infectious Diseases, Department of Medicine,
University of Pennsylvania and the Philadelphia VA Medical Center,
Philadelphia, PA, USA
SENTA KAPNICK • Division of Viral Products, Center for Biologics Evaluation
and Research, Food and Drug Administration, Bethesda, MD, USA
xii Contributors
LAURISTON A. KELLAWAY • Division of Anatomical Pathology, Department of Clinical
Laboratory sciences, Faculty of Health Sciences, University of Cape Town, South Africa
GIRISH J. KOTWAL • Kotwal Bioconsulting, LLC, Louisville, KY, USA;
InFlaMed Inc, Louisville, KY, USA; Department of Microbiology and Biochemistry,
University of Medicine and Health Sciences, Saint Kitts, West Indies
JOOST H.C.M. KREIJTZ • Institute for Infectious Diseases and Zoonoses,
University of Munich LMU, Munich, Germany; Department of Virology, Erasmus MC,
Rotterdam, The Netherlands
MELANIE KREMER • Institute for Infectious Diseases and Zoonoses, University of Munich
LMU, Munich, Germany
AMOD P. KULKARNI • Division of Anatomical Pathology, Department of Clinical
Laboratory sciences, Faculty of Health Sciences, University of Cape Town, South Africa
MICHAEL H. LEHMANN • Institute for Infectious Diseases and Zoonoses,
University of Munich LMU, Munich, Germany
LEON C.W. LIN • Research School of Biology, The Australian National University,
Canberra, ACT, Australia
MARÍA M. LORENZO • Departamento de Biotecnología, Instituto Nacional
de Investigación y Tecnología Agraria y Alimentaria (INIA), Madrid, Spain
WILLIAM L. MARSHALL • Division of Infectious Disease, Department of Medicine,
University of Massachusetts School of Medicine, Worcester, MA, USA
XIANGZHI MENG • Department of Microbiology and Immunology, University of Texas
Health Science Center at San Antonio, San Antonio, TX, USA
KAYLA MORLOCK • Division of Infectious Disease, Department of Medicine,
University of Massachusetts School of Medicine, Worcester, MA, USA
SCOTT PARKER • Department of Molecular Microbiology and Immunology,
St. Louis University Health Sciences Center, St. Louis, MO, USA
NGOC PHAM • Division of Infectious Disease, Department of Medicine,
University of Massachusetts School of Medicine, Worcester, MA, USA
RACHEL L. ROPER • Department of Microbiology and Immunology,
Brody School of Medicine, East Carolina University, Greenville, NC, USA
FLORENTINA RUS • Division of Infectious Disease, Department of Medicine,
University of Massachusetts School of Medicine, Worcester, MA, USA
JUANA M. SÁNCHEZ-PUIG • Departamento de Biotecnología, Instituto Nacional de
Investigación y Tecnología Agraria y Alimentaria (INIA), Madrid, Spain
JILL SCHRIEWER • Department of Molecular Microbiology and Immunology,
St. Louis University Health Sciences Center, St. Louis, MO, USA
SUBUHI SHERWANI • Department of Microbiology and Infectious Diseases,
Cardiff Institute of Infection and Immunity, Cardiff, UK
NEAL SILVERMAN • Division of Infectious Disease, Department of Medicine,
University of Massachusetts School of Medicine, Worcester, MA, USA
STEWART A. SMITH • Research School of Biology, The Australian National University,
Canberra, ACT, Australia
GERD SUTTER • Institute for Infectious Diseases and Zoonoses, University of Munich LMU,
Munich, Germany
DAVID C. TSCHARKE • Research School of Biology, The Australian National University,
Canberra, ACT, Australia
xiii
Contributors
CHRIS UPTON • Biochemistry and Microbiology, University of Victoria, Victoria,
BC, Canada
ASISA VOLZ • Institute for Infectious Diseases and Zoonoses, University of Munich LMU,
Munich, Germany
DAVID O. WILLER • Department of Microbiology, Mt. Sinai Hospital, Toronto,
ON, Canada
YIK CHUN WONG • Research School of Biology, The Australian National University,
Canberra, ACT, Australia
YAN XIANG • Department of Microbiology and Immunology, University of Texas Health
Science Center at San Antonio, San Antonio, TX, USA
MARINA ZAITSEVA • Division of Viral Products, Center for Biologics Evaluation
and Research, Food and Drug Administration, Bethesda, MD, USA
Vaccinia Virus and Poxvirology Methods and Protocols 2nd Edition Stuart N. Isaacs (Auth.)
1
Stuart N. Isaacs (ed.), Vaccinia Virus and Poxvirology: Methods and Protocols, Methods in Molecular Biology, vol. 890,
DOI 10.1007/978-1-61779-876-4_1, © Springer Science+Business Media, LLC 2012
Chapter 1
Working Safely with Vaccinia Virus: Laboratory Technique
and Review of Published Cases of Accidental
Laboratory Infections
Stuart N. Isaacs*
Abstract
Vaccinia virus (VACV), the prototype orthopoxvirus, is widely used in the laboratory as a model system
to study various aspects of viral biology and virus–host interactions, as a protein expression system, as a
vaccine vector, and as an oncolytic agent. The ubiquitous use of VACVs in the laboratory raises certain
safety concerns because the virus can be a pathogen in individuals with immunological and dermato-
logical abnormalities, and on occasion can cause serious problems in normal hosts. This chapter reviews
standard operating procedures when working with VACV and reviews published cases on accidental
laboratory infections.
Key words: Vaccinia virus, Biosafety Level 2, Class II Biological Safety Cabinet, Personal protective
equipment, Smallpox vaccine, Complications from vaccination, Laboratory accidents
Poxviruses are large DNA viruses with genomes of nearly 200 kb.
Their unique site of DNA replication and transcription (1), the
fascinating immune evasion strategies employed by the virus
(2, 3), and the relative ease of generating recombinant viruses that
express foreign proteins in eukaryotic cells (4, 5) have made pox-
viruses an exciting system to study and a common laboratory
tool. Variola virus, the causative agent of smallpox, is the most
1. Introduction
*
The views expressed in this chapter are solely those of the author and do not necessarily reflect the position or
policy of the Department of Veterans Affairs or the University of Pennsylvania.
2 S.N. Isaacs
famous member of the poxvirus family. It was eradicated as a
human disease by the late 1970s and now work with the virus is
confined to only two World Health Organization-sanctioned sites
under Biosafety Level 4 conditions. Thus, vaccinia virus (VACV)
is more widely studied and has become the prototype member of
the orthopoxvirus genus. VACV was used as the vaccine to confer
immunity to variola virus and helped in the eradication of small-
pox. In the USA, routine vaccination with the smallpox vaccine
ended in the early 1970s. Since then, the Advisory Committee on
Immunization Practices (ACIP) and the CDC have recommended
that people working with poxviruses continue to get vaccinated
(6–10). This recommendation for those working with VACV is
based mainly on the potential problems that an unintentional
infection due to a laboratory accident may cause. Rationale for
this recommendation is furthered by the understanding that the
strains of VACV used in the laboratory setting (e.g., Western
Reserve (WR); see Note 1) are more virulent than the vaccine
strain. Also, lab workers frequently handle virus at much higher
titers than the dose given in the vaccine (see Note 2). There have
been reports of laboratory accidents involving VACV (discussed
later in this chapter), but a much greater number of such incidents
likely go unreported. The total number of people working with
VACV and the frequency with which they work with the virus is
also unknown. Thus, for laboratory workers, both the full extent
of the problem and potential benefit from the vaccine are not
known. This chapter discusses laboratory procedures, personal
safety equipment, and published laboratory accidents, all of which
will serve as aides in preventing accidental laboratory infections,
and highlights the need to work safely with the virus.
1. Class II Biological Safety Cabinet (BSC).
2. Personal protective equipment.
3. Autoclave.
4. Disinfectants: 1% sodium hypochlorite, 2% glutaraldehyde,
formaldehyde, 10% bleach, Spor-klenz, Expor, 70% alcohol.
5. Sharps container disposal unit.
6. Centrifuge bucket safety caps.
7. Occupational medicine access to the smallpox vaccine (see
Note 3).
2. Materials
and Equipment
3
1 Working Safely with Vaccinia Virus…
The following section describes safety practices when working with
fully replication-competent live VACV. Table 1 summarizes some
published cases of laboratory accidents and will be used to highlight
various aspects of working safely with the virus. In addition to fully
replication-competent VACVs, there are very attenuated strains of
VACV (e.g., MVA and NYVAC) that are unable to replicate and
form infectious progeny virus in mammalian cells. These highly
attenuated, non-replicating VACVs are considered BSL-1 agents
(25). With that said, labs that work with both replication-competent
and non-replicating viruses should be wary of potential contamina-
tion of stocks of avirulent virus with replication-competent poxvi-
ruses. This could result in an accidental laboratory infection as
highlighted in Case 19 in Table 1. Since unintentional VACV infec-
tions most commonly occur through direct contact with the skin or
eyes, the most important aspect of working safely with VACV is to
use proper laboratory and personal protective equipment to help
prevent accidental exposure to the virus. One of the first lines of
defense against an accidental exposure is to always work with infec-
tious virus in a BSC. A BSC is a requirement when working with
VACV. The cabinet not only confines the virus to a work area that is
easily defined and cleaned, but the glass shield on the front of the
BSC also serves as an excellent barrier against splashes into the face.
A BSC draws room air through the front grille, circulates HEPA-
filtered air within the cabinet area, and HEPA filters the air that is
exhausted. Thus, working in a BSC protects the worker and the
room where VACV is being handled from the unlikely event of aero-
solization of the virus (see Note 4).
An equally important line of defense against accidental expo-
sure to the virus is wearing proper personal protective equipment.
This includes gloves, lab coat, and eye protection. VACV does not
enter intact skin, but gains access through breaks in the skin. Thus,
gloves are critical (see Note 5). Accidental infections due to breaks
in skin are highlighted by Cases 1, 5–7, 18, and 19 in Table 1 (see
Figs. 1–3). Some of these accidents could have been prevented by
use of personal protective equipment. While the front shield of the
BSC serves as a first line of protection against splashes into the eye,
it is also recommended that safety glasses with solid side shields be
worn when working with VACV. Depending upon the work being
done (e.g., handling high-titer purified stocks of VACV), one
should consider additional eye protection like goggles or a full-face
shield. This is important to consider because, as an immunologi-
cally privileged site (26), the eye can be susceptible to a serious
infection even in those previously vaccinated (27). Finally, a lab
coat or some other type of outer protective garment decreases the
chance of contaminating clothing. If such a contamination occurs,
3. Methods
3.1. Laboratory
and Personal
Protective Equipment
Table
1
Published
cases
of
accidental
laboratory
infections
with
orthopoxviruses
Case
no.
Journal,
year
(reference)
Age
(years)
or
state
(year)
and
underlying
medical
conditions
Exposure
activity
Virus
Site
and
cause
of
infection
Prior
vaccination
status
Illness
Antibiotics/
surgery/antivirals
Resolution
and
follow-up
Figure
1
Nature,
1986
(
11
)
>31
Injecting
mice
TK-minus
WR
strain
(2
×
10
6
pfu/50
μ
l)
Cut
on
right
ring
fi
nger
Vaccinated
30
years
prior
to
exposure
4
days
after
exposure,
fi
nger
was
red
and
swollen
and
it
progressed
from
base
of
fi
nger
nail
to
fi
rst
joint;
day
8,
right
axillary
LN
became
swollen;
no
fever
or
malaise
10
days;
worker
developed
antibodies
to
the
recombinant
VACV-expressed
protein
2
Lancet,
1991
(
12
)
London
(1990)
Injecting
mice
TK-minus
WR
strain
Needlesticks
into
the
left
thumb
and
left
fore
fi
nger
Vaccinated
1
year
prior
to
exposure
3
days
after
the
needlestick,
regions
became
itchy
and
by
day
4
were
red
and
papular.
Days
5–6,
the
lesions
were
discharging
serous
fl
uid
and
reached
a
max
diameter
of
1
cm;
kept
in
occlusive
dressing
and
healed
spontaneously
No
antibody
response
to
protein
expressed
by
recombinant
VACV,
but
potential
evidence
of
T-cell
response
3
NEJM,
2001
(
13
)
28
(15
weeks
pregnant
w/h/o
epidermo-
lytic
hyperkeratosis)
Dog
bite
Copenhagen
strain-based
rabies
vaccine
Technically,
not
a
lab
accident,
but
unintentional
exposure
to
a
recombinant
virus
via
a
dog
bite
Reportedly,
no
prior
smallpox
vaccination
(born
1971)
3
days
after
exposure,
developed
blisters
on
her
forearm;
8
days
after
bite,
hospitalized
for
progressive
pain,
erythema,
and
swelling
of
left
forearm;
10
days
after
bite,
swelling
and
erythema
worsened,
left
axillary
LN
Antibiotics
and
went
to
OR
for
incision
and
drainage
of
the
forearm
30
days;
developed
antibodies
to
the
recombinant
VACV-expressed
protein;
no
pregnancy
complications
and
delivered
a
healthy
baby
4
EID,
2003
(
14
)
26
Needlestick
during
virus
puri
fi
cation
step
WR
(~10
8
pfu)
Needlestick
into
the
left
thumb
Previously
vaccinated
in
childhood
(>20
years
earlier)
Developed
erythema
and
pain
3
days
after
inoculation;
additional
pustules
on
fourth
and
fi
fth
fi
ngers
developed
on
days
5
and
6;
day
6
axillary
LN;
day
8
necrotic
areas
a
round
lesion
and
a
large
erythematous
lesion
on
left
forearm
Day
9
began
on
antibiotics
because
of
concern
of
bacterial
superinfection;
went
to
OR
for
surgical
excision
of
necrotic
tissue
Improved
and
lesions
healed
over
~3
weeks;
evidence
of
increased
anti-VACV
antibodies
Fig.
5
5
J
Invest
Dermatol,
2003
(
15
)
40
Contact
exposure
through
broken
skin
TK-minus
WR
strain
(10
9
pfu/ml)
Working
with
high
titer
in
tissue
culture
with
evidence
of
small
erosions
on
both
hands
(from
working
in
cold
temperatures)
Prior
vaccinations
28
and
39
years
prior
to
exposure
Middle
inner
side
of
right
second
fi
nger;
second
lesion
developed
(large
nodule
with
central
necrosis)
on
third
fi
nger
of
left
hand
2
days
later;
no
LN
Unsuccessful
surgical
incision
followed
by
topical
disinfectants
(e.g.,
polyvidone
iodine)
Two
weeks
and
then
healed;
evidence
of
increased
anti-VACV
antibodies
Fig.
1
(continued)
6
Can
Commun
Dis
Rep,
2003
(
16
)
48
(history
of
eczema)
Contact
exposure
through
broken
skin
TK-minus
virus
Chronic
eczema
on
both
hands
and
a
cut
on
her
fi
nger,
usually
did
NOT
wear
gloves
when
working
with
the
virus
Vaccinated
as
a
child
First
developed
pain
and
redness
over
dorsal
aspect
of
her
index
fi
nger;
5
days
later
admitted
with
blistering
lesions
on
right
index
fi
nger;
also
noted
to
have
swollen
axillary
LN
Did
not
respond
to
antibiotics;
treated
with
occlusive
dressing
Spontaneously
resolved
7
J
Clin
Virol,
2004
(
17
)
25
Contact
exposure
through
broken
skin
Cut
on
fi
nger
with
secondary
spread
by
contact
to
another
site
Never
vaccinated
Developed
a
pustule
at
the
site
of
a
cut
on
the
fi
nger.
Squeezed
pus
that
squirted
on
to
her
face.
2
days
later,
a
lesion
formed
on
her
chin;
axillary
and
submental
LN,
malaise,
fever;
on
day
20,
four
other
lesions
were
noted
on
her
palms,
back
of
the
knee,
and
upper
back
and
felt
to
be
generalized
vaccinia
Did
not
respond
to
antibiotics
By
day
28,
lesions
were
fading,
but
continued
to
have
fatigability;
by
day
36,
just
a
scab
on
her
fi
nger
but
felt
back
to
full
strength;
developed
anti-VACV
antibodies
~1
month
after
presentation
Fig.
2
Table
1
(continued)
Case
no.
Journal,
year
(reference)
Age
(years)
or
state
(year)
and
underlying
medical
conditions
Exposure
activity
Virus
Site
and
cause
of
infection
Prior
vaccination
status
Illness
Antibiotics/
surgery/antivirals
Resolution
and
follow-up
Figure
8
EID,
2006
(
18
)
Graduate
student
PA
(2004)
Unknown
mechanism
of
infection
Recombinant
WR
strain
Unknown,
but
question
of
hand
to
eye
or
microscope
eyepiece
to
eye
or
aerosol
exposure
Never
vaccinated
Painful
eye
infection
(no
keratitis
or
orbital
cellulitis)
requiring
hospitalization
Antibiotics
and
then
antiviral
eye
drops;
VIG
Improvement
24
h
after
starting
VIG;
no
sequelae,
but
recovery
took
a
few
weeks.
Developed
anti-VACV
antibodies
~2
month
after
presentation;
no
secondary
VACV
infections
of
contacts
were
identi
fi
ed
Fig.
4
9
Military
Medicine,
2007
(
19
)
28
Splash
into
eye
Sprayed
~1
ml
of
fl
uid
containing
virus
in
eye;
washed
eye
for
2
min
Never
vaccinated
Developed
eye
burning
several
hours
after
exposure
No
infection
occurred
10
J
Viral
Hepatitis,
2007
(
20
)
30
Needlestick
injury
Recombinant
non-TK-minus
WR
strain
(10
8
pfu/ml)
Needlestick
into
the
left
thumb
Never
vaccinated
8
days
after
needle-
stick,
developed
pain
and
erythema
of
the
thumb
and
axillary
LN;
painful
swelling
of
thumb
worsened
15
days
after
injury,
necrosis
at
the
injection
site
was
surgically
removed
Developed
anti
bodies
and
T-cell
responses
to
the
recombinant
VACV-expressed
protein
Fig.
6
11
MMWR,
2008
(
21
)
CT
(2005)
Injecting
mice
TK-minus
WR
strain
Needlestick
in
fi
nger
Vaccinated
as
a
child
and
~10
years
before
the
accident
3
days
after
accident,
developed
fever,
LN,
and
bulla
at
the
inoculation
site
Hospitalized
for
1
day
Symptoms
improved
rapidly
(continued)
12
MMWR,
2008
(
21
)
PA
(2006)
Injecting
mice
TK-minus
WR
strain
Needlestick
in
thumb
Never
vaccinated
6
days
after
accident,
sought
medical
attention
for
a
lesion
at
the
site
of
inoculation
and
a
secondary
lesion
near
the
nail;
9
days
after
accident
had
malaise,
fever,
and
LN
Finger
surgically
debrided
14
days
after
the
accident
Began
feeling
better
13
days
after
the
accident
13
MMWR,
2008
(
21
)
IA
(2007)
Needlestick
TK-minus
WR
strain
(3
×
10
6
pfu)
Needlestick
to
fi
nger
while
unsheathing
a
sterile
needle
Never
vaccinated
11
days
after
injury,
developed
fever,
chills,
and
lesions
with
swelling
at
the
inoculation
site
Recovered
fully
14
MMWR,
2008
(
21
)
MD
(2007)
Injecting
animals
TK-minus
WR
strain
(10
4
pfu
in
5
μ
l)
Needlestick
to
fi
nger
Unsuccessful
immunization
~6
years
prior
to
the
accident
No
infection
After
accident,
put
fi
nger
into
disinfectant
containing
hypochlorite
and
then
was
vaccinated
on
the
day
of
accident
No
infection
15
MMWR,
2008
(
21
)
NH
(2007)
Needle
scratch
while
working
with
mice
WR
strain
(5
×
10
4
pfu/ml)
Needle
scratch
to
fi
nger
Never
vaccinated
7
days
after
the
accident,
developed
a
pustule;
afebrile
Hospitalized
with
streaking
up
arm
Recovered
Table
1
(continued)
Case
no.
Journal,
year
(reference)
Age
(years)
or
state
(year)
and
underlying
medical
conditions
Exposure
activity
Virus
Site
and
cause
of
infection
Prior
vaccination
status
Illness
Antibiotics/
surgery/antivirals
Resolution
and
follow-up
Figure
16
MMWR,
2009
(
22
)
20s
Unknown
mechanism
of
infection
WR
strain
(a
contaminating
virus
in
a
stock
of
recombinant
virus
the
lab
usually
works
with)
Ear
and
eye,
with
additional
lesions
on
chest,
shoulder,
arm,
and
leg
Never
vaccinated
Pain
and
swelling
of
right
earlobe
and
cervical
LN
and
fevers
developed
4–6
days
after
working
with
vaccinia
virus;
4
days
after
the
onset
of
symptoms,
pustular
lesions
were
on
right
ear,
left
eye,
chest,
shoulder,
left
arm,
and
right
leg
Symptoms
worsened
on
antibiotics
and
steroids;
hospitalized;
acyclovir
given
Full
recovery
and
returned
to
work
~1
month
after
infection;
no
secondary
VACV
infections
of
contacts
were
identi
fi
ed
Fig.
8
17
MJA,
2009
(
23
)
26
Injecting
mice
WR
strain
Needlestick
into
the
left
second
fi
nger
Vaccinated
within
5
years
of
accident
2
days
after
injury,
developed
a
cloudy
vesicle;
5
days
after
injury,
fi
nger
became
in
fl
amed
with
streaking
up
the
arm
and
axillary
LN
All
symptoms
resolved
after
10
days
Fig.
7
18
MMWR,
2009
(
24
)
35
(taking
immuno-
suppressive
medication
for
in
fl
ammatory
bowel
disease)
Skin
abrasion
Copenhagen
strain-based
rabies
vaccine
Technically,
not
a
lab
accident,
but
exposed
to
recombinant
VACV
while
handling
raccoon
rabies
vaccine
bait
Never
vaccinated
4
days
after
exposure,
developed
some
red
papules
that
then
increased
in
number;
day
9
had
26
lesions
on
her
arm
with
edema;
afebrile
Hospitalized
and
treated
with
VIG
on
day
6
after
exposure
and
then
a
repeat
dose
on
day
12.
Started
on
investigational
antiviral
agent,
ST-246
×
14
days
Discharged
on
day
19
after
exposure.
By
day
28,
all
lesion
scabs
had
separated
Fig.
3
19
Unpublished
report
appearing
in
Med
-
scape
News
a
IL
(2010)
Cut
on
fi
nger
Cowpox
virus
contaminating
a
stock
of
nonpatho-
genic
poxvirus
Never
vaccinated
Painful,
ulcerated
lesion
on
a
fi
nger
that
lasted
3
months
No
further
information
available
No
further
information
available
Abbreviations
:
LN
lymph
node,
OR
operating
room,
pfu
plaque-forming
units,
TK
thymidine
kinase,
VACV
vaccinia
virus,
VIG
vaccinia
immune
globulin,
WR
Western
Reserve
a
Medscape
News,
February
8,
2011
(
http://www.medscape.com/viewarticle/737030
)
10 S.N. Isaacs
Fig. 1. Photograph of non-needlestick infection of fingers ~5 to 7 days after the onset of symptoms. (a) Right hand and
(b) left hand. Reprinted by permission from Macmillan Publishers Ltd.: The Journal of Investigative Dermatology, see ref.
15, copyright © 2003.
Fig. 2. Photographs of primary and secondary lesions 18 days after the onset of symptoms. (a) Primary lesion on finger at
the site of a prior cut and (b) lesion on chin developing a few days after the finger lesion. Reprinted from the Journal of
Clinical Virology, see ref. 17, copyright © 2004, with permission from Elsevier.
an outer garment can be quickly removed and decontaminated.
Furthermore, a lab coat will prevent accidentally carrying the virus
out of the laboratory environment. Since the virus can be stable in
the environment, after protective equipment is removed, good
hand washing with soap and water is important (28). Cases 1, 5–9,
16, 18, and 19 in Table 1 (see Figs. 1–4) represent potentially pre-
ventable accidents if proper biosafety practices were followed.
11
1 Working Safely with Vaccinia Virus…
Fig. 3. Photograph of the right hand of a woman 11 days after contact with a raccoon rabies vaccine bait in Pennsylvania
in 2009.
Fig. 4. Vaccinia virus infection of eye. (a) Left eye 5 days after the onset of symptoms. The primary pox lesion is located at
the inner canthus. (b) Satellite lesion on lower conjunctiva developing 7 days after the onset of symptoms. Photographs by
E. Claire Newbern. Figures and legend reproduced from ref. 18. These published materials are in the public domain.
Also note that in some published accidents, prompt interven-
tions may have prevented potential infections. In Case 9, prompt
flushing of the eye with water after a splash exposure may have
prevented infection. In Case 14, disinfecting the site of inocula-
tion, as well as active smallpox vaccination on the day of the acci-
dent may have prevented the infection.
In addition to VACV being handled at Biosafety Level-2 (29), as
with all biohazardous agents, routine good laboratory safety
3.2. Laboratory Safety
Another Random Document on
Scribd Without Any Related Topics
The diameter from 0° to 180° is outlined heavily and extends
beyond the circumference, in order to facilitate the adjustment of
the angle to be measured and to give a strict exactness of position.
This is done also with the radius which marks 90°. The child places a
piece of an inset in such a way that the vertex of the angle touches
the middle of the diameter and one of its sides rests on the radius
marked 0°. At the other end of the arc of the inset he can read the
degrees of the angle. After these exercises, the children are able to
measure any angle with a common protractor. Furthermore, they
learn that a circle measures 360°, half a circle 180°, and a right
angle 90°. Once having learned that a circumference measures 360°
they can find the number of degrees in any angle; for example, in
the angle of an inset representing the seventh of the circle, they
know that 360° ÷ 7 = (approximately) 51°. This they can easily
verify with their instruments by placing the sector on the graduated
circle.
These calculations and measurements are repeated with all the
different sectors of this series of insets where the circle is divided
into from two to ten parts. The protractor shows approximately that:
1/3 circle=120°and360°÷3 =120°
1/4 " =90° " 360°÷4 =90°
1/5 " =72° " 360°÷5 =72°
1/6 " =60° " 360°÷6 =60°
1/7 " =51° " 360°÷7 =51°
1/8 " =45° " 360°÷8 =45°
1/9 " =40° " 360°÷9 =40°
1/10 " =36° " 360°÷10=36°
In this way the child learns to write fractions:
1/2 1/3 1/4 1/5 1/6 1/7 1/8 1/9 1/10
He has concrete impressions of them as well as an intuition of their
arithmetical relationships.
The material lends itself to an infinite number of combinations, all
of which are real arithmetical exercises in fractions. For example, the
child can take from the circle the two half circles and replace them
by four sectors of 90°, filling the same circular opening with entirely
different pieces. From this he can draw the following conclusion:
1/2 + 1/2 = 1/4 + 1/4 + 1/4 + 1/4.
He also may say that two halves are equal to four fourths, and
write accordingly:
2/2 = 4/4.
This is merely the expression of the same thing. Seeing the
pieces, he has done an example mentally and then has written it
out. Let us write it according to the first form, which is, in reality, an
analysis of this example:
1/2 + 1/2 = 1/4 + 1/4 + 1/4 + 1/4.
When the denominator is the same, the sum of the fractions is
found by adding the numerators:
1/2 + 1/2 = 2/2; 1/4 + 1/4 + 1/4 + 1/4 = 4/4.
The two halves make an entire circle, as do the four fourths.
Now let us fill a circle with different pieces: for example, with a
half circle and two quarter circles. The result is 1 = 1/2 + 2/4. And
in the inset itself it is shown that 1/2 = 2/4. If we should wish to fill
the circle with the largest piece (1/2) combined with the fewest
number of pieces possible, it would be necessary to withdraw the
two quarter sectors and replace them by another half circle; result:
1 = 1/2 + 1/2 = 2/2 = 1.
Let us fill a circle with three 1/5 sectors and four 1/10 sectors:
1 = 3/5 + 4/10.
If the larger pieces are left in and the circle is then filled with the
fewest number of pieces possible, it would necessitate replacing the
four tenths by two fifths. Result:
1 = 3/5 + 2/5 = 5/5 = 1.
Let us fill the circle thus: 5/10 + 1/4 + 2/8 = 1.
Now try to put in the largest pieces possible by substituting for
several small pieces a large piece which is equal to them. In the
space occupied by the five tenths may be placed one half, and in
that occupied by the two eighths, one fourth; then the circle is filled
thus:
1 = 1/2 + 1/4 + 1/4 = 1/2 + 2/4.
We can continue to do the same thing, that is to replace the
smaller pieces by as large a sector as possible, and the two fourths
can be replaced by another half circle. Result:
1 = 1/2 + 1/2 = 2/2 = 1.
All these substitutions may be expressed in figures thus:
5/10 + 1/4 + 2/8 = 1/2 + 1/4 + 1/4 = 1/2 + 2/4 = 1/2 + 1/2 = 2/2
= 1.
This is one means of initiating a child intuitively into the
operations used for the reduction of fractions to their lowest terms.
Improper fractions also interest them very much. They come to
these by adding a number of sectors which fill two, three, or four
circles. To find the whole numbers which exist under the guise of
fractions is a little like putting away in their proper places the circular
insets which have been all mixed up. The children manifest a desire
to learn the real operations of fractions. With improper fractions they
originate most unusual sums, like the following:
[8 + (7/7 + 18/9 + 24/2) + 1] =
8
[8 + (1 + 2 + 12) + 1] =
8
8 + 15 + 1 = 24/8 = 3.
8
We have a series of commands which may be used as a guide for
the child's work. Here are some examples:
—Take 1/5 of 25 beads
—Take 1/4 " 36 counters
—Take 1/6 " 24 beans
—Take 1/3 " 27 beans
—Take 1/10 " 40 beans
—Take 2/5 " 60 counters
In this last there are two operations:
60 ÷ 5 = 12; 12 X 2 = 24; or 2 X 60 = 120; 120 ÷ 5 = 24, etc.
Reduction of Common Fractions to Decimal Fractions: The material for
this purpose is similar to that of the circular insets, except that the
frame is white and is marked into ten equal parts, and each part is
then subdivided into ten. In these subdivisions the little line which
marks the five is distinguished from the others by its greater length.
Each of the larger divisions is marked respectively with the numbers,
10, 20, 30, 40, 50, 60, 70, 80, 90, and 0. The 0 is at the top and
there is a raised radius against which are placed the sectors to be
measured.
To reduce a common fraction to a decimal fraction the sector is
placed carefully against the raised radius, with the arc touching the
circumference of the inset. Where the arc ends there is a number
which represents the hundredths corresponding to the sector. For
example, if the 1/4 sector is used its arc ends at 25; hence 1/4
equals 0.25.
Page 275 shows in detail the practical method of using our
material to reduce common fractions to decimal fractions. In the
upper figure the segments correspond to 1/3, 1/4, and 1/8 of a
circle are placed within the circle divided into hundredths. Result:
1/3 + 1/4 + 1/8 = 0.70.
The lower figure shows how the 1/3 sector is placed: 1/3 = 0.33.
If instead we use the 1/5 sector we have: 1/5 = 0.20, etc.
Numerous sectors may be placed within the circle; for example:
1/4 + 1/7 + 1/9 + 1/10.
In order to find the sum of the fraction reduced to decimals, it is
necessary to read only the number at the outer edge of the last
sector.
Using this as a basis, it is very easy to develop an arithmetical
idea. Instead of 1, which represents the whole circle, let us write
100, which represents its subdivisions when used for decimals, and
let us divide the 100 into as many parts of a circle as there are
sectors in the circle, and the reduction is made. All the parts which
result are so many hundredths. Hence:
1/4 = 100 ÷ 4 = 25 hundredths: that is, 25/100 or 0.25.
The division is performed by dividing the numerator by the
demoninator:
1 ÷ 4 = 0.25.
Third Series of Insets: Equivalent Figures. Two concepts were
given by the squares divided into rectangles and triangles: that of
fractions and that of equivalent figures.
There is a special material for the concept of fractions which,
besides developing the intuitive notion of fractions, has permitted
the solution of examples in fractions and of reducing fractions to
decimals; and it has furthermore brought cognizance of other things,
such as the measuring of angles in terms of degrees.
For the concept of equivalent figures there is still another
material. This will lead to finding the area of different geometric
forms and also to an intuition of some theorems which heretofore
have been foreign to elementary schools, being considered beyond
the understanding of a child.
Material: Showing that a triangle is equal to a rectangle which has
one side equal to the base of the triangle, the other side equal to
half of the altitude of the triangle.
In a large rectangular metal frame there are two white openings:
the triangle and the equivalent rectangle. The pieces which compose
the rectangle are such that they may fit into the openings of either
the rectangle or the triangle. This demonstrates that the rectangle
and the triangle are equivalent. The triangular space is filled by two
pieces formed by a horizontal line drawn through the triangle parallel
to the base and crossing at half the altitude. Taking the two pieces
out and putting them one on top of the other the identity of the
height may be verified.
Already the work with the beads and the squaring of numbers has
led to finding the area of a square by multiplying one side by the
other; and in like manner the area of a rectangle is found by
multiplying the base by half other. Since a triangle may be reduced
to a rectangle, it is easy to find its area by multiplying the base by
half the height.
Material: Showing that a rhombus is equal to a rectangle which
has one side equal to one side of the rhombus and the other equal
to the height of the rhombus.
The frame contains a rhombus divided by a diagonal line into two
triangles and a rectangle filled with pieces which can be put into the
rhombus when the triangles have been removed, and will fill it
completely. In the material there are also an entire rhombus and an
entire rectangle. If they are placed one on top of the other they will
be found to have the same height. As the equivalence of the two
figures is demonstrated by these pieces of the rectangle which may
be used to fill in the two figures, it is easily seen that the area of a
rhombus is found by multiplying the side or base by the height.
Material: To show the equivalence of a trapezoid and a rectangle
having one side equal to the sum of the two bases and the other
equal to half the height.
The child himself can make the other comparison: that is, a
trapezoid equals a rectangle having one side equal to the height and
the other equal to one-half the sum of the bases. For the latter it is
only necessary to cut the long rectangle in half and superimpose the
two halves.
The large rectangular frame contains three openings: two equal
trapezoids and the equivalent rectangle having one side equal to the
sum of the two bases and the other side equal to half the height.
One trapezoid is made of two pieces, being cut in half horizontally at
the height of half its altitude; the identity in height may be proved
by placing one piece on top of the other. The second trapezoid is
composed of pieces which can be placed in the rectangle, filling it
completely. Thus the equivalence is proved and also the fact that the
area of a trapezoid is found by multiplying the sum of the bases by
half the height, or half the sum of the bases by the height.
With a ruler the children themselves actually calculate the area of
the geometrical figures, and later calculate the area of their little
tables, etc.
Material: To show the equivalence between a regular polygon and
a rectangle having one side equal to the perimeter and the other
equal to half of the hypotenuse.
The analysis of the decagon.
In the material there are two decagon insets, one consisting of a
whole decagon and the other of a decagon divided into ten triangles.
Page 281 shows a table taken from our geometry portfolio,
representing the equivalence of a decagon to a rectangle having one
side equal to the perimeter and the other equal to half the
hypotenuse.
The bead number cubes built into a tower.
The photograph shows the pieces of the insets—the decagon and
the equivalent rectangle—and beneath each one there are the small
equal triangles into which it can be subdivided. Here it is
demonstrated that a rectangle equivalent to a decagon may have
one side equal to the whole hypotenuse and the other equal to half
of the perimeter.
Another inset shows the equivalence of the decagon and a
rectangle which has one side equal to the perimeter of the decagon
and the other equal to half of the altitude of each triangle
composing the decagon. Small triangles divided horizontally in half
can be fitted into this figure, with one of the upper triangles divided
in half lengthwise.
Thus we demonstrate that the surface of a regular polygon may
be found by multiplying the perimeter by half the hypotenuse.
SOME THEOREMS BASED ON EQUIVALENT
FIGURES
A. All triangles having the same base and altitude are equal.
This is easily understood from the fact that the area of a triangle
is found by multiplying the base by half the altitude; therefore
triangles having the same base and the same altitude must be
equal.
For the inductive demonstration of this theorem we have the
following material: The rhombus and the equivalent rectangle are
each divided into two triangles. The triangles of the rhombus are
different, for they are divided by opposite diagonal lines. The three
different triangles resulting from these divisions have the same base
(this can be actually verified by measuring the bases of the different
pieces) and fit into the same long rectangle which is found below the
first three figures. Therefore, it is demonstrated that the three
triangles have the same altitude. They are equivalent because each
one is the half of an equivalent figure.
The decagon and the rectangle can be
composed of the same triangular insets.
The triangular insets fitted into their metal
plates.
B. The Theorem of Pythagoras: In a right-angled triangle the square
of the hypotenuse is equal to the sum of the squares of the two
sides.
Material: The material illustrates three different cases:
First case: In which the two sides of the triangle are equal.
Second case: In which the two sides are in the proportion of
3:4.
Third case: General.
First case: The demonstration of this first case affords an
impressive induction.
In the frame for this, shown below, the squares of the two sides
are divided in half by a diagonal line so as to form two triangles and
the square of the hypotenuse is divided by two diagonal lines into
four triangles. The eight resulting triangles are all identical; hence
the triangles of the squares of the two sides will fill the square of the
hypotenuse; and, vice versa, the four triangles of the square of the
hypotenuse may be used to fill the two squares of the sides. The
substitution of these different pieces is very interesting, and all the
more because the triangles of the squares of the sides are all of the
same color, whereas the triangles formed in the square of the
hypotenuse are of a different color.
Second case: Where the sides are as the proportion of 3:4.
In this figure the three squares are filled with small squares of
three different colors, arranged as follows: in the square on the
shorter side, 32
= 9; in that on the larger side, 42
= 16; in that on
the hypotenuse, 52
= 25.
Second Case
The substitution game suggests itself. The two squares formed on
the sides can be entirely filled by the small squares composing the
square on the hypotenuse, so that they are both of the same color;
while the square formed on the hypotenuse can be filled with varied
designs by various combinations of the small squares of the sides
which are in two different colors.
Third case: This is the general case.
The large frame is somewhat complicated and difficult to
describe. It develops a considerable intellectual exercise. The entire
frame measures 44 × 24 cm. and may be likened to a chess-board,
where the movable pieces are susceptible of various combinations.
The principles already proved or inductively suggested which lead to
the demonstration of the theorem are:
(1) That two quadrilaterals having an equal base and equal
altitude are equivalent.
(2) That two figures equivalent to a third figure are equivalent to
each other.
In this figure the square formed on the hypotenuse is divided into
two rectangles. The additional side is determined by the division
made in the hypotenuse by dropping a perpendicular line from the
apex of the triangle to the hypotenuse. There are also two
rhomboids in this frame, each of which has one side equal
respectively to the large and to the small square of the sides of the
triangle and the other side equal to the hypotenuse.
The shorter altitude of the two rhomboids, as may be seen in the
figure itself, corresponds to the respective altitudes, or shorter sides,
of the rectangles. But the longer side corresponds respectively to the
side of the larger and of the smaller squares of the sides of the
triangle.
It is not necessary that these corresponding dimensions be known
by the child. He sees red and yellow pieces of an inset and simply
moves them about, placing them in the indentures of the frame. It is
the fact that these movable pieces actually fit into this white
background which gives the child the opportunity for reasoning out
the theorem, and not the abstract idea of the corresponding
relations between the dimensions of the sides and the different
heights of the figures. Reduced to these terms the exercise is easily
performed and proves very interesting.
This material may be used for other demonstrations:
Demonstration A: The substitution of the pieces. Let us start with
the frame as it should be filled originally. First take out the two
rectangles formed on the hypotenuse; place them in the two lateral
grooves, and lower the triangle. Fill the remaining empty space with
the two rhomboids.
The same space is filled in both cases with:
A triangle plus two rectangles, and then
A triangle plus two rhomboids.
Hence the sum of the two rectangles (which form the square of the
hypotenuse) is equal to the sum of the two rhomboids.
In a later substitution we consider the rhomboids instead of the
rectangles in order to demonstrate their respective equivalence to
the two squares formed on the sides of the triangle. Beginning, for
example with the larger square, we start with the insets in the
original position and consider the space occupied by the triangle and
the larger square. To analyze this space the pieces are all taken out
and then it is filled successively by:
The triangle and the large square in their
original positions.
The triangle and the large rhomboid.
Showing that the two rhomboids are equal
to the two rectangles.
Demonstration B: Based on Equivalence. In this second
demonstration the relative equivalence of the rhomboid, the
rectangles, and the squares is shown outside the figure by means of
the parallel indentures which are on both sides of the frame. These
indentures, when the pieces are placed in them, show that the
pieces have the same altitude.
This is the manner of procedure: Starting again with the original
position, take out the two rectangles and place them in the parallel
indentures to the left, the larger in the wider indenture and the
smaller in the narrower indenture. The different figures in the same
indenture have the same altitude; therefore the pieces need only to
be placed together at the base to prove that they are equal—hence
the figures are equal in pairs: the smaller rectangle equals the
smaller rhomboid and the larger rectangle equals the larger
rhomboid.
Starting again from the original position you proceed analogously
with the squares. In the parallel indentures to the right the large
square may be placed in the same indenture with the large
rhomboid, which, however, must be turned in the opposite direction
(in the direction of its greatest length); and the smaller square and
the smaller rhomboid fit into the narrower indenture. They have the
same altitude; and that the bases are equal is easily verified by
putting them together; therefore here is proof that the squares and
the rhomboids are respectively equivalent.
Rectangles and squares which are equivalent to the same
rhomboids are equivalent to each other. Hence the theorem is
proved.
. . . . . . .
Showing that the two rhomboids are equal
to the two squares.
This series of geometric material is used for other purposes, but
they are of minor importance.
Fourth Series of Insets: Division of a Triangle. This material made
up of four frames of equal size, each containing an equilateral
triangle measuring ten centimeters to a side. The different pieces
should fill the triangular spaces exactly.
One is filled by an entire equilateral triangle.
One is filled by two rectangular scalene triangles, each equal to
half of the original equilateral triangle, which is bisected by dropping
a line perpendicularly to the base.
The third is filled by three obtuse isosceles triangles, formed by
lines bisecting the three angles of the original triangle.
The fourth is divided into four equilateral triangles which are
similar in shape to the original triangle.
With these triangles a child can make a more exact analytical
study than he made when he was observing the triangles of the
plane insets used in the "Children's House." He measures the
degrees of the angles and learns to distinguish a right angle (90°)
from an acute angle (<90°) and from an obtuse angle (>90°).
Furthermore he finds in measuring the angles of any triangle that
their sum is always equal to 180° or to two right angles.
He can observe that in equilateral triangles all the angles are
equal (60°); that in the isosceles triangle the two angles at the
opposite ends of the unequal side are equal; while in the scalene
triangle no two angles are alike. In the right-angled triangle the sum
of the two acute angles is equal to a right angle. A general definition
is that those triangles are similar in which the corresponding angles
are equal.
Material for Inscribed and Concentric Figures: In this material, which
for the most part is made up of that already described, and which is
therefore merely an application of it, inscribed or concentric figures
may be placed in the white background of the different inset frames.
For example, on the white background of the large equilateral
triangle the small red equilateral triangle, which is a fourth of it, may
be placed in such a way that each vertex is tangent to the middle of
each side of the larger triangle.
There are also two squares, one of 7 centimeters on a side and
the other 3.5. They have their respective frames with white
backgrounds. The 7 centimeters square may be placed on the
background of the 10 centimeters square in such a way that each
corner touches the middle of each side of the frame. In like manner
the 5 centimeters square, which is a fourth of the large square, may
be put in the 7 centimeters square; the 3.5 centimeters square in
the 5 centimeters square; and finally the tiny square, which is 1/16
part of the large square, in the 3.5 centimeters square.
There is also a circle which is tangent to the edges of the large
equilateral triangle. This circle may be placed on the background of
the 10 centimeters circle, and in that case a white circular strip
remains all the way round (concentric circles). Within this circle the
smaller equilateral triangle (1/4 of the large triangle) is perfectly
inscribed. Then there is a small circle which is tangent to the
smallest equilateral triangle.
Besides these circles which are used with the triangles there are
two others tangent to the squares: one to the 7 centimeters square
and the other to the 3.5 centimeters square. The large circle, 10
centimeters in diameter, fits exactly into the 10 centimeters square;
and the other circles are concentric to it.
These corresponding relations make the figures easily adaptable
to our artistic composition of decorative design (see following
chapter).
Finally, together with the other material, there are two stars
which are also used for decorative design. The two stars, or
"flowers," are based on the 3.5 centimeters square. In one the circle
rests on the side as a semi-circle (simple flower); and in the other
the same circle goes around the vertex and beyond the semi-circle
until it meets the reciprocal of four circles (flower and foliage).
III
SOLID GEOMETRY
Since the children already know how to find the area of ordinary
geometric forms it is very easy, with the knowledge of the arithmetic
they have acquired through work with the beads (the square and
cube of numbers), to initiate them into the manner of finding the
volume of solids. After having studied the cube of numbers by the
aid of the cube of beads it is easy to recognize the fact that the
volume of a prism is found by multiplying the area by the altitude.
In our didactic material we have three objects for solid geometry:
a prism, a pyramid having the same base and altitude, and a prism
with the same base but with only one-third the altitude. They are all
empty. The two prisms have a cover and are really boxes; the
uncovered pyramid can be filled with different substances and then
emptied, serving as a sort of scoop.
These solids may be filled with wheat or sand. Thus we put into
practise the same technique as is used to calculate capacity, as in
anthropology, for instance, when we wish to measure the capacity of
a cranium.
It is difficult to fill a receptacle completely in such a way that the
measured result does not vary; so we usually put in a scarce
measure, which therefore does not correspond to the exact volume
but to a smaller volume.
One must know how to fill a receptacle, just as one must know
how to do up a bundle, so that the various objects may take up the
least possible space. The children like this exercise of shaking the
receptacle and getting in as great a quantity as possible; and they
like to level it off when it is entirely filled.
The receptacles may be filled also with liquids. In this case the
child must be careful to pour out the contents without losing a single
drop. This technical drill serves as a preparation for using metric
measures.
By these experiments the child finds that the pyramid has the
same volume as the small prism (which is one-third of the large
prism); hence the volume of the pyramid is found by multiplying the
area of the base by one-third the altitude. The small prism may be
filled with clay and the same piece of clay will be found to fill the
pyramid. The two solids of equal volume may be made of clay. All
three solids can be made by taking five times as much clay as is
needed to fill the same prism.
. . . . . . .
Having mastered these fundamental ideas, it is easy to study the
rest, and few explanations will be needed. In many cases the
incentive to do original problems may be developed by giving the
children definite examples: as, how can the area of a circle be
found? the volume of a cylinder? of a cone? Problems on the total
area of some solids also may be suggested. Many times the children
will risk spontaneous inductions and often of their own accord
proceed to measure the total surface area of all the solids at their
disposal, even going back to the materials used in the "Children's
House."
The material includes a series of wooden solids with a base
measurement of 10 cm.:
A quadrangular parallelopiped (10 X 10 X 20 cm.)
A quadrangular parallelopiped equal to 1/3 of above
A quadrangular pyramid (10 X 10 X 20 cm.)
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  • 5. ME T H O D S I N MO L E C U L A R BI O L O G Y ™ Series Editor John M. Walker School of Life Sciences University of Hertfordshire Hatfield, Hertfordshire, AL10 9AB, UK For further volumes: http://www.springer.com/series/7651
  • 7. Vaccinia Virus and Poxvirology Methods and Protocols Second Edition Edited by Stuart N. Isaacs UniversityofPennsylvaniaandthePhiladelphiaVAMedicalCenter, Philadelphia,PA,USA
  • 8. Editor Stuart N. Isaacs Department of Medicine Division of Infectious Disease University of Pennsylvania and the Philadelphia VA Medical Center 502 Johnson Pavilion Philadelphia, PA, USA ISSN 1064-3745 ISSN 1940-6029 (electronic) ISBN 978-1-61779-875-7 ISBN 978-1-61779-876-4 (eBook) DOI 10.1007/978-1-61779-876-4 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2012937882 © Springer Science+Business Media, LLC 2012 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Humana Press is a brand of Springer Springer is part of Springer Science+Business Media (www.springer.com)
  • 9. Dedication To my Mom and Dad; and to my wife and children—Lauren and Jordan—who tolerate the crazy hours I work.
  • 11. vii Preface Nine years ago, the chapters for the first edition of Vaccinia Virus and Poxvirology were submitted for publication in the Methods in Molecular Biology Series. This second edition does not replace the first edition since essentially every chapter in this volume represents a protocol not covered in the first edition. To allow new readers to be aware of what topics were covered in the first edition, I include the following list of chapters from the first edi- tion of Vaccinia Virus and Poxvirology, Methods and Protocols (Volume 269 in the Methods in Molecular Biology Series): 1. Working Safely with Vaccinia Virus: Laboratory Technique and the Role of Vaccinia Vaccination (Stuart N. Isaacs) 2. Construction and Isolation of Recombinant Vaccinia Virus Using Genetic Markers (María M. Lorenzo, Inmaculada Galindo, and Rafael Blasco) 3. Construction of Recombinant Vaccinia Virus: Cloning into the Thymidine Kinase Locus (Chelsea M. Byrd and Dennis E. Hruby) 4. Transient and Inducible Expression of Vaccinia/T7 Recombinant Viruses (Mohamed R. Mohamed and Edward G. Niles) 5. Construction of Recombinant Vaccinia Viruses Using Leporipoxvirus Catalyzed Recombination and Reactivation of Orthopoxvirus DNA (Xiao-Dan Yao and David H. Evans) 6. Construction of cDNA Libraries in Vaccinia Virus (Ernest S. Smith, Shuying Shi, and Maurice Zauderer) 7. Construction and Isolation of Recombinant MVA (Caroline Staib, Ingo Drexler, and Gerd Sutter) 8. Growing Poxviruses and Determining Virus Titer (Girish J. Kotwal and Melissa Abraham) 9. Rapid Preparation of Vaccinia Virus DNA Template for Analysis and Cloning by PCR (Rachel L. Roper) 10. Orthopoxvirus Diagnostics (Hermann Meyer, Inger K. Damon, and Joseph J. Esposito) 11. An In Vitro Transcription System for Studying Vaccinia Virus Early Genes (Steven S. Broyles and Marcia Kremer) 12. An In Vitro Transcription System for Studying Vaccinia Virus Late Genes (Cynthia F. Wright) 13. Studying Vaccinia Virus RNA Processing In Vitro (Paul D. Gershon) 14. Methods for Analysis of Poxvirus DNA Replication (Paula Traktman and Kathleen Boyle) 15. Studying the Binding and Entry of the Intracellular and Extracellular Enveloped Forms of Vaccinia Virus (Mansun Law and Geoffrey L. Smith) 16. Pox, Dyes, and Videotape; Making Movies of GFP Labeled Vaccinia Virus (Brian M. Ward)
  • 12. viii Preface 17. Interaction Analysis of Viral Cytokine-Binding Proteins Using Surface Plasmon Resonance (Bruce T. Seet and Grant McFadden) 18. Monitoring of Human Immunological Responses to Vaccinia Virus (Richard Harrop, Matthew Ryan, Hana Golding, Irina Redchenko, and Miles W. Carroll) 19. Vaccinia Virus as a Tool for Immunologic Studies (Nia Tatsis, Gomathinayagam Sinnathamby, and Laurence C. Eisenlohr) 20. Mouse Models for Studying Orthopoxvirus Respiratory Infections (Jill Schriewer, R. Mark L. Buller, and Gelita Owens) 21. Viral Glycoprotein-Mediated Cell Fusion Assays Using Vaccinia Virus Vectors (Katharine N. Bossart and Christopher C. Broder) 22. Use of Dual Recombinant Vaccinia Virus Vectors to Assay Viral Glycoprotein-Mediated Fusion with Transfection-Resistant Primary Cell Targets (Yanjie Yi, Anjali Singh, Joanne Cutilli, and Ronald G. Collman) 23. Poxvirus Bioinformatics (Chris Upton) 24. Preparation and Use of Molluscum Contagiosum Virus (MCV) from Human Tissue Biopsy Specimens (Nadja V. Melquiot and Joachim J. Bugert) In this second edition of poxvirus protocols, there are multiple new chapters covering various approaches for the construction of recombinant viruses. Other chapters focus on methods to isolate the various forms of infectious virus, methods to study the entry of poxviruses into cells, and various protocols covering in vivo models to study poxvirus pathogenesis. There are also chapters on studying cellular immune responses and genera- tion of monoclonal antibodies to poxvirus proteins. This book also contains chapters to cover methods in poxvirus bioinformatics as well as various ways to study poxvirus immu- nomodulatory proteins. The protocols are designed to be easy to follow and the Note sections include both additional explanatory information and important insights into the protocols. Since the last edition of this book, a number of important events related to poxvirology have occurred. Examples include the FDA approval of a culture-based live smallpox vaccine and the vaccination of large numbers of US military and relatively large numbers of US civilians. Novel anti-poxvirus therapeutics have been developed and have been used in emergency settings. I will not even attempt to summarize the scientific advances in poxvi- rology that have been made over this time period. Since the last edition of this book, there have been a number of retirements of prominent poxvirologists. So I would like to acknowl- edge the retirements of Joseph J. Esposito (Centers for Disease Control and Prevention, Atlanta), Richard (Dick) W. Moyer (University of Florida, Gainesville), and Edward G. Niles (SUNY School of Medicine, Buffalo). These fine scientists ran outstanding labs, made countless contributions to the poxvirus field, and throughout their careers helped create the community that those of us in poxvirology have enjoyed. While no longer lab-based, we are fortunate that they all remain active and continue to contribute to the scientific com- munity. Since the last edition of this book, the poxvirus community sadly marked the deaths of colleagues. So I would like to acknowledge the passing of Riccardo (Rico) Wittek (April 26, 1944 to September 19, 2008) and Frank J. Fenner (December 21, 1914 to November 22, 2010). Their contributions to our field will not be forgotten. Philadelphia, PA, USA Stuart N. Isaacs
  • 13. ix Contents Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi 1 Working Safely with Vaccinia Virus: Laboratory Technique and Review of Published Cases of Accidental Laboratory Infections. . . . . . . . . 1 Stuart N. Isaacs 2 In-Fusion® Cloning with Vaccinia Virus DNA Polymerase. . . . . . . . . . . . . . . . 23 Chad R. Irwin, Andrew Farmer, David O. Willer, and David H. Evans 3 Genetic Manipulation of Poxviruses Using Bacterial Artificial Chromosome Recombineering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Matthew G. Cottingham 4 Easy and Efficient Protocols for Working with Recombinant Vaccinia Virus MVA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 Melanie Kremer, Asisa Volz, Joost H.C.M. Kreijtz, Robert Fux, Michael H. Lehmann, and Gerd Sutter 5 Isolation of Recombinant MVA Using F13L Selection . . . . . . . . . . . . . . . . . . 93 Juana M. Sánchez-Puig, María M. Lorenzo, and Rafael Blasco 6 Screening for Vaccinia Virus Egress Inhibitors: Separation of IMV, IEV, and EEV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 Chelsea M. Byrd and Dennis E. Hruby 7 Imaging of Vaccinia Virus Entry into HeLa Cells . . . . . . . . . . . . . . . . . . . . . . 123 Cheng-Yen Huang and Wen Chang 8 New Method for the Assessment of Molluscum Contagiosum Virus Infectivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 Subuhi Sherwani, Niamh Blythe, Laura Farleigh, and Joachim J. Bugert 9 An Intradermal Model for Vaccinia Virus Pathogenesis in Mice . . . . . . . . . . . . 147 Leon C.W. Lin, Stewart A. Smith, and David C. Tscharke 10 Measurements of Vaccinia Virus Dissemination Using Whole Body Imaging: Approaches for Predicting of Lethality in Challenge Models and Testing of Vaccines and Antiviral Treatments . . . . . . . . . . . . . . . . . . . . . . 161 Marina Zaitseva, Senta Kapnick, and Hana Golding 11 Mousepox, A Small Animal Model of Smallpox . . . . . . . . . . . . . . . . . . . . . . . . 177 David Esteban, Scott Parker, Jill Schriewer, Hollyce Hartzler, and R. Mark Buller 12 Analyzing CD8 T Cells in Mouse Models of Poxvirus Infection. . . . . . . . . . . . 199 Inge E.A. Flesch, Yik Chun Wong, and David C. Tscharke 13 Generation and Characterization of Monoclonal Antibodies Specific for Vaccinia Virus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219 Xiangzhi Meng and Yan Xiang
  • 14. x Contents 14 Bioinformatics for Analysis of Poxvirus Genomes. . . . . . . . . . . . . . . . . . . . . . . 233 Melissa Da Silva and Chris Upton 15 Antigen Presentation Assays to Investigate Uncharacterized Immunoregulatory Genes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259 Rachel L. Roper 16 Characterization of Poxvirus-Encoded Proteins that Regulate Innate Immune Signaling Pathways . . . . . . . . . . . . . . . . . . . . . . . . . 273 Florentina Rus, Kayla Morlock, Neal Silverman, Ngoc Pham, Girish J. Kotwal, and William L. Marshall 17 Application of Quartz Crystal Microbalance with Dissipation Monitoring Technology for Studying Interactions of Poxviral Proteins with Their Ligands. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289 Amod P. Kulkarni, Lauriston A. Kellaway, and Girish J. Kotwal 18 Central Nervous System Distribution of the Poxviral Proteins After Intranasal Administration of Proteins and Titering of Vaccinia Virus in the Brain After Intracranial Administration. . . . . . . . . . . . . . . . . . . . . 305 Amod P. Kulkarni, Dhirendra Govender, Lauriston A. Kellaway, and Girish J. Kotwal Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 327
  • 15. xi Contributors RAFAEL BLASCO • Departamento de Biotecnología, Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA), Madrid, Spain NIAMH BLYTHE • Department of Microbiology and Infectious Diseases, Cardiff Institute of Infection and Immunity, Cardiff, UK JOACHIM J. BUGERT • Department of Microbiology and Infectious Diseases, Cardiff Institute of Infection and Immunity, Cardiff, UK R. MARK BULLER • Department of Molecular Microbiology and Immunology, St. Louis University Health Sciences Center, St. Louis, MO, USA CHELSEA M. BYRD • SIGA Technologies, Inc., Corvallis, OR, USA WEN CHANG • Academia Sinica, Institute of Molecular Biology, Taipei, Taiwan, ROC MATTHEW G. COTTINGHAM • The Jenner Institute, University of Oxford, Oxford, UK MELISSA DA SILVA • Biochemistry and Microbiology, University of Victoria, Victoria, BC, Canada DAVID ESTEBAN • Biology Department, Vassar College, Poughkeepsie, NY, USA DAVID H. EVANS • Department of Medical Microbiology and Immunology, Li Ka Shing Institute of Virology, University of Alberta, Edmonton, AB, Canada LAURA FARLEIGH • Department of Microbiology and Infectious Diseases, Cardiff Institute of Infection and Immunity, Cardiff, UK ANDREW FARMER • Clontech Laboratories, Inc., Mountain View, CA, USA INGE E.A. FLESCH • Research School of Biology, The Australian National University, Canberra, ACT, Australia ROBERT FUX • Institute for Infectious Diseases and Zoonoses, University of Munich LMU, Munich, Germany HANA GOLDING • Division of Viral Products, Center for Biologics Evaluation and Research, Food and Drug Administration, Bethesda, MD, USA DHIRENDRA GOVENDER • Faculty of Health Sciences, Division of Anatomical Pathology, Department of Clinical Laboratory Sciences, University of Cape Town, South Africa HOLLYCE HARTZLER • Department of Molecular Microbiology and Immunology, St. Louis University Health Sciences Center, St. Louis, MO, USA DENNIS E. HRUBY • SIGA Technologies, Inc., Corvallis, OR, USA CHENG-YEN HUANG • Academia Sinica, Institute of Molecular Biology, Taipei, Taiwan, ROC CHAD R. IRWIN • Department of Medical Microbiology and Immunology, Li Ka Shing Institute of Virology, University of Alberta, Edmonton, AB, Canada STUART N. ISAACS • Division of Infectious Diseases, Department of Medicine, University of Pennsylvania and the Philadelphia VA Medical Center, Philadelphia, PA, USA SENTA KAPNICK • Division of Viral Products, Center for Biologics Evaluation and Research, Food and Drug Administration, Bethesda, MD, USA
  • 16. xii Contributors LAURISTON A. KELLAWAY • Division of Anatomical Pathology, Department of Clinical Laboratory sciences, Faculty of Health Sciences, University of Cape Town, South Africa GIRISH J. KOTWAL • Kotwal Bioconsulting, LLC, Louisville, KY, USA; InFlaMed Inc, Louisville, KY, USA; Department of Microbiology and Biochemistry, University of Medicine and Health Sciences, Saint Kitts, West Indies JOOST H.C.M. KREIJTZ • Institute for Infectious Diseases and Zoonoses, University of Munich LMU, Munich, Germany; Department of Virology, Erasmus MC, Rotterdam, The Netherlands MELANIE KREMER • Institute for Infectious Diseases and Zoonoses, University of Munich LMU, Munich, Germany AMOD P. KULKARNI • Division of Anatomical Pathology, Department of Clinical Laboratory sciences, Faculty of Health Sciences, University of Cape Town, South Africa MICHAEL H. LEHMANN • Institute for Infectious Diseases and Zoonoses, University of Munich LMU, Munich, Germany LEON C.W. LIN • Research School of Biology, The Australian National University, Canberra, ACT, Australia MARÍA M. LORENZO • Departamento de Biotecnología, Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA), Madrid, Spain WILLIAM L. MARSHALL • Division of Infectious Disease, Department of Medicine, University of Massachusetts School of Medicine, Worcester, MA, USA XIANGZHI MENG • Department of Microbiology and Immunology, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA KAYLA MORLOCK • Division of Infectious Disease, Department of Medicine, University of Massachusetts School of Medicine, Worcester, MA, USA SCOTT PARKER • Department of Molecular Microbiology and Immunology, St. Louis University Health Sciences Center, St. Louis, MO, USA NGOC PHAM • Division of Infectious Disease, Department of Medicine, University of Massachusetts School of Medicine, Worcester, MA, USA RACHEL L. ROPER • Department of Microbiology and Immunology, Brody School of Medicine, East Carolina University, Greenville, NC, USA FLORENTINA RUS • Division of Infectious Disease, Department of Medicine, University of Massachusetts School of Medicine, Worcester, MA, USA JUANA M. SÁNCHEZ-PUIG • Departamento de Biotecnología, Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA), Madrid, Spain JILL SCHRIEWER • Department of Molecular Microbiology and Immunology, St. Louis University Health Sciences Center, St. Louis, MO, USA SUBUHI SHERWANI • Department of Microbiology and Infectious Diseases, Cardiff Institute of Infection and Immunity, Cardiff, UK NEAL SILVERMAN • Division of Infectious Disease, Department of Medicine, University of Massachusetts School of Medicine, Worcester, MA, USA STEWART A. SMITH • Research School of Biology, The Australian National University, Canberra, ACT, Australia GERD SUTTER • Institute for Infectious Diseases and Zoonoses, University of Munich LMU, Munich, Germany DAVID C. TSCHARKE • Research School of Biology, The Australian National University, Canberra, ACT, Australia
  • 17. xiii Contributors CHRIS UPTON • Biochemistry and Microbiology, University of Victoria, Victoria, BC, Canada ASISA VOLZ • Institute for Infectious Diseases and Zoonoses, University of Munich LMU, Munich, Germany DAVID O. WILLER • Department of Microbiology, Mt. Sinai Hospital, Toronto, ON, Canada YIK CHUN WONG • Research School of Biology, The Australian National University, Canberra, ACT, Australia YAN XIANG • Department of Microbiology and Immunology, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA MARINA ZAITSEVA • Division of Viral Products, Center for Biologics Evaluation and Research, Food and Drug Administration, Bethesda, MD, USA
  • 19. 1 Stuart N. Isaacs (ed.), Vaccinia Virus and Poxvirology: Methods and Protocols, Methods in Molecular Biology, vol. 890, DOI 10.1007/978-1-61779-876-4_1, © Springer Science+Business Media, LLC 2012 Chapter 1 Working Safely with Vaccinia Virus: Laboratory Technique and Review of Published Cases of Accidental Laboratory Infections Stuart N. Isaacs* Abstract Vaccinia virus (VACV), the prototype orthopoxvirus, is widely used in the laboratory as a model system to study various aspects of viral biology and virus–host interactions, as a protein expression system, as a vaccine vector, and as an oncolytic agent. The ubiquitous use of VACVs in the laboratory raises certain safety concerns because the virus can be a pathogen in individuals with immunological and dermato- logical abnormalities, and on occasion can cause serious problems in normal hosts. This chapter reviews standard operating procedures when working with VACV and reviews published cases on accidental laboratory infections. Key words: Vaccinia virus, Biosafety Level 2, Class II Biological Safety Cabinet, Personal protective equipment, Smallpox vaccine, Complications from vaccination, Laboratory accidents Poxviruses are large DNA viruses with genomes of nearly 200 kb. Their unique site of DNA replication and transcription (1), the fascinating immune evasion strategies employed by the virus (2, 3), and the relative ease of generating recombinant viruses that express foreign proteins in eukaryotic cells (4, 5) have made pox- viruses an exciting system to study and a common laboratory tool. Variola virus, the causative agent of smallpox, is the most 1. Introduction * The views expressed in this chapter are solely those of the author and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the University of Pennsylvania.
  • 20. 2 S.N. Isaacs famous member of the poxvirus family. It was eradicated as a human disease by the late 1970s and now work with the virus is confined to only two World Health Organization-sanctioned sites under Biosafety Level 4 conditions. Thus, vaccinia virus (VACV) is more widely studied and has become the prototype member of the orthopoxvirus genus. VACV was used as the vaccine to confer immunity to variola virus and helped in the eradication of small- pox. In the USA, routine vaccination with the smallpox vaccine ended in the early 1970s. Since then, the Advisory Committee on Immunization Practices (ACIP) and the CDC have recommended that people working with poxviruses continue to get vaccinated (6–10). This recommendation for those working with VACV is based mainly on the potential problems that an unintentional infection due to a laboratory accident may cause. Rationale for this recommendation is furthered by the understanding that the strains of VACV used in the laboratory setting (e.g., Western Reserve (WR); see Note 1) are more virulent than the vaccine strain. Also, lab workers frequently handle virus at much higher titers than the dose given in the vaccine (see Note 2). There have been reports of laboratory accidents involving VACV (discussed later in this chapter), but a much greater number of such incidents likely go unreported. The total number of people working with VACV and the frequency with which they work with the virus is also unknown. Thus, for laboratory workers, both the full extent of the problem and potential benefit from the vaccine are not known. This chapter discusses laboratory procedures, personal safety equipment, and published laboratory accidents, all of which will serve as aides in preventing accidental laboratory infections, and highlights the need to work safely with the virus. 1. Class II Biological Safety Cabinet (BSC). 2. Personal protective equipment. 3. Autoclave. 4. Disinfectants: 1% sodium hypochlorite, 2% glutaraldehyde, formaldehyde, 10% bleach, Spor-klenz, Expor, 70% alcohol. 5. Sharps container disposal unit. 6. Centrifuge bucket safety caps. 7. Occupational medicine access to the smallpox vaccine (see Note 3). 2. Materials and Equipment
  • 21. 3 1 Working Safely with Vaccinia Virus… The following section describes safety practices when working with fully replication-competent live VACV. Table 1 summarizes some published cases of laboratory accidents and will be used to highlight various aspects of working safely with the virus. In addition to fully replication-competent VACVs, there are very attenuated strains of VACV (e.g., MVA and NYVAC) that are unable to replicate and form infectious progeny virus in mammalian cells. These highly attenuated, non-replicating VACVs are considered BSL-1 agents (25). With that said, labs that work with both replication-competent and non-replicating viruses should be wary of potential contamina- tion of stocks of avirulent virus with replication-competent poxvi- ruses. This could result in an accidental laboratory infection as highlighted in Case 19 in Table 1. Since unintentional VACV infec- tions most commonly occur through direct contact with the skin or eyes, the most important aspect of working safely with VACV is to use proper laboratory and personal protective equipment to help prevent accidental exposure to the virus. One of the first lines of defense against an accidental exposure is to always work with infec- tious virus in a BSC. A BSC is a requirement when working with VACV. The cabinet not only confines the virus to a work area that is easily defined and cleaned, but the glass shield on the front of the BSC also serves as an excellent barrier against splashes into the face. A BSC draws room air through the front grille, circulates HEPA- filtered air within the cabinet area, and HEPA filters the air that is exhausted. Thus, working in a BSC protects the worker and the room where VACV is being handled from the unlikely event of aero- solization of the virus (see Note 4). An equally important line of defense against accidental expo- sure to the virus is wearing proper personal protective equipment. This includes gloves, lab coat, and eye protection. VACV does not enter intact skin, but gains access through breaks in the skin. Thus, gloves are critical (see Note 5). Accidental infections due to breaks in skin are highlighted by Cases 1, 5–7, 18, and 19 in Table 1 (see Figs. 1–3). Some of these accidents could have been prevented by use of personal protective equipment. While the front shield of the BSC serves as a first line of protection against splashes into the eye, it is also recommended that safety glasses with solid side shields be worn when working with VACV. Depending upon the work being done (e.g., handling high-titer purified stocks of VACV), one should consider additional eye protection like goggles or a full-face shield. This is important to consider because, as an immunologi- cally privileged site (26), the eye can be susceptible to a serious infection even in those previously vaccinated (27). Finally, a lab coat or some other type of outer protective garment decreases the chance of contaminating clothing. If such a contamination occurs, 3. Methods 3.1. Laboratory and Personal Protective Equipment
  • 22. Table 1 Published cases of accidental laboratory infections with orthopoxviruses Case no. Journal, year (reference) Age (years) or state (year) and underlying medical conditions Exposure activity Virus Site and cause of infection Prior vaccination status Illness Antibiotics/ surgery/antivirals Resolution and follow-up Figure 1 Nature, 1986 ( 11 ) >31 Injecting mice TK-minus WR strain (2 × 10 6 pfu/50 μ l) Cut on right ring fi nger Vaccinated 30 years prior to exposure 4 days after exposure, fi nger was red and swollen and it progressed from base of fi nger nail to fi rst joint; day 8, right axillary LN became swollen; no fever or malaise 10 days; worker developed antibodies to the recombinant VACV-expressed protein 2 Lancet, 1991 ( 12 ) London (1990) Injecting mice TK-minus WR strain Needlesticks into the left thumb and left fore fi nger Vaccinated 1 year prior to exposure 3 days after the needlestick, regions became itchy and by day 4 were red and papular. Days 5–6, the lesions were discharging serous fl uid and reached a max diameter of 1 cm; kept in occlusive dressing and healed spontaneously No antibody response to protein expressed by recombinant VACV, but potential evidence of T-cell response
  • 23. 3 NEJM, 2001 ( 13 ) 28 (15 weeks pregnant w/h/o epidermo- lytic hyperkeratosis) Dog bite Copenhagen strain-based rabies vaccine Technically, not a lab accident, but unintentional exposure to a recombinant virus via a dog bite Reportedly, no prior smallpox vaccination (born 1971) 3 days after exposure, developed blisters on her forearm; 8 days after bite, hospitalized for progressive pain, erythema, and swelling of left forearm; 10 days after bite, swelling and erythema worsened, left axillary LN Antibiotics and went to OR for incision and drainage of the forearm 30 days; developed antibodies to the recombinant VACV-expressed protein; no pregnancy complications and delivered a healthy baby 4 EID, 2003 ( 14 ) 26 Needlestick during virus puri fi cation step WR (~10 8 pfu) Needlestick into the left thumb Previously vaccinated in childhood (>20 years earlier) Developed erythema and pain 3 days after inoculation; additional pustules on fourth and fi fth fi ngers developed on days 5 and 6; day 6 axillary LN; day 8 necrotic areas a round lesion and a large erythematous lesion on left forearm Day 9 began on antibiotics because of concern of bacterial superinfection; went to OR for surgical excision of necrotic tissue Improved and lesions healed over ~3 weeks; evidence of increased anti-VACV antibodies Fig. 5 5 J Invest Dermatol, 2003 ( 15 ) 40 Contact exposure through broken skin TK-minus WR strain (10 9 pfu/ml) Working with high titer in tissue culture with evidence of small erosions on both hands (from working in cold temperatures) Prior vaccinations 28 and 39 years prior to exposure Middle inner side of right second fi nger; second lesion developed (large nodule with central necrosis) on third fi nger of left hand 2 days later; no LN Unsuccessful surgical incision followed by topical disinfectants (e.g., polyvidone iodine) Two weeks and then healed; evidence of increased anti-VACV antibodies Fig. 1 (continued)
  • 24. 6 Can Commun Dis Rep, 2003 ( 16 ) 48 (history of eczema) Contact exposure through broken skin TK-minus virus Chronic eczema on both hands and a cut on her fi nger, usually did NOT wear gloves when working with the virus Vaccinated as a child First developed pain and redness over dorsal aspect of her index fi nger; 5 days later admitted with blistering lesions on right index fi nger; also noted to have swollen axillary LN Did not respond to antibiotics; treated with occlusive dressing Spontaneously resolved 7 J Clin Virol, 2004 ( 17 ) 25 Contact exposure through broken skin Cut on fi nger with secondary spread by contact to another site Never vaccinated Developed a pustule at the site of a cut on the fi nger. Squeezed pus that squirted on to her face. 2 days later, a lesion formed on her chin; axillary and submental LN, malaise, fever; on day 20, four other lesions were noted on her palms, back of the knee, and upper back and felt to be generalized vaccinia Did not respond to antibiotics By day 28, lesions were fading, but continued to have fatigability; by day 36, just a scab on her fi nger but felt back to full strength; developed anti-VACV antibodies ~1 month after presentation Fig. 2 Table 1 (continued) Case no. Journal, year (reference) Age (years) or state (year) and underlying medical conditions Exposure activity Virus Site and cause of infection Prior vaccination status Illness Antibiotics/ surgery/antivirals Resolution and follow-up Figure
  • 25. 8 EID, 2006 ( 18 ) Graduate student PA (2004) Unknown mechanism of infection Recombinant WR strain Unknown, but question of hand to eye or microscope eyepiece to eye or aerosol exposure Never vaccinated Painful eye infection (no keratitis or orbital cellulitis) requiring hospitalization Antibiotics and then antiviral eye drops; VIG Improvement 24 h after starting VIG; no sequelae, but recovery took a few weeks. Developed anti-VACV antibodies ~2 month after presentation; no secondary VACV infections of contacts were identi fi ed Fig. 4 9 Military Medicine, 2007 ( 19 ) 28 Splash into eye Sprayed ~1 ml of fl uid containing virus in eye; washed eye for 2 min Never vaccinated Developed eye burning several hours after exposure No infection occurred 10 J Viral Hepatitis, 2007 ( 20 ) 30 Needlestick injury Recombinant non-TK-minus WR strain (10 8 pfu/ml) Needlestick into the left thumb Never vaccinated 8 days after needle- stick, developed pain and erythema of the thumb and axillary LN; painful swelling of thumb worsened 15 days after injury, necrosis at the injection site was surgically removed Developed anti bodies and T-cell responses to the recombinant VACV-expressed protein Fig. 6 11 MMWR, 2008 ( 21 ) CT (2005) Injecting mice TK-minus WR strain Needlestick in fi nger Vaccinated as a child and ~10 years before the accident 3 days after accident, developed fever, LN, and bulla at the inoculation site Hospitalized for 1 day Symptoms improved rapidly (continued)
  • 26. 12 MMWR, 2008 ( 21 ) PA (2006) Injecting mice TK-minus WR strain Needlestick in thumb Never vaccinated 6 days after accident, sought medical attention for a lesion at the site of inoculation and a secondary lesion near the nail; 9 days after accident had malaise, fever, and LN Finger surgically debrided 14 days after the accident Began feeling better 13 days after the accident 13 MMWR, 2008 ( 21 ) IA (2007) Needlestick TK-minus WR strain (3 × 10 6 pfu) Needlestick to fi nger while unsheathing a sterile needle Never vaccinated 11 days after injury, developed fever, chills, and lesions with swelling at the inoculation site Recovered fully 14 MMWR, 2008 ( 21 ) MD (2007) Injecting animals TK-minus WR strain (10 4 pfu in 5 μ l) Needlestick to fi nger Unsuccessful immunization ~6 years prior to the accident No infection After accident, put fi nger into disinfectant containing hypochlorite and then was vaccinated on the day of accident No infection 15 MMWR, 2008 ( 21 ) NH (2007) Needle scratch while working with mice WR strain (5 × 10 4 pfu/ml) Needle scratch to fi nger Never vaccinated 7 days after the accident, developed a pustule; afebrile Hospitalized with streaking up arm Recovered Table 1 (continued) Case no. Journal, year (reference) Age (years) or state (year) and underlying medical conditions Exposure activity Virus Site and cause of infection Prior vaccination status Illness Antibiotics/ surgery/antivirals Resolution and follow-up Figure
  • 27. 16 MMWR, 2009 ( 22 ) 20s Unknown mechanism of infection WR strain (a contaminating virus in a stock of recombinant virus the lab usually works with) Ear and eye, with additional lesions on chest, shoulder, arm, and leg Never vaccinated Pain and swelling of right earlobe and cervical LN and fevers developed 4–6 days after working with vaccinia virus; 4 days after the onset of symptoms, pustular lesions were on right ear, left eye, chest, shoulder, left arm, and right leg Symptoms worsened on antibiotics and steroids; hospitalized; acyclovir given Full recovery and returned to work ~1 month after infection; no secondary VACV infections of contacts were identi fi ed Fig. 8 17 MJA, 2009 ( 23 ) 26 Injecting mice WR strain Needlestick into the left second fi nger Vaccinated within 5 years of accident 2 days after injury, developed a cloudy vesicle; 5 days after injury, fi nger became in fl amed with streaking up the arm and axillary LN All symptoms resolved after 10 days Fig. 7 18 MMWR, 2009 ( 24 ) 35 (taking immuno- suppressive medication for in fl ammatory bowel disease) Skin abrasion Copenhagen strain-based rabies vaccine Technically, not a lab accident, but exposed to recombinant VACV while handling raccoon rabies vaccine bait Never vaccinated 4 days after exposure, developed some red papules that then increased in number; day 9 had 26 lesions on her arm with edema; afebrile Hospitalized and treated with VIG on day 6 after exposure and then a repeat dose on day 12. Started on investigational antiviral agent, ST-246 × 14 days Discharged on day 19 after exposure. By day 28, all lesion scabs had separated Fig. 3 19 Unpublished report appearing in Med - scape News a IL (2010) Cut on fi nger Cowpox virus contaminating a stock of nonpatho- genic poxvirus Never vaccinated Painful, ulcerated lesion on a fi nger that lasted 3 months No further information available No further information available Abbreviations : LN lymph node, OR operating room, pfu plaque-forming units, TK thymidine kinase, VACV vaccinia virus, VIG vaccinia immune globulin, WR Western Reserve a Medscape News, February 8, 2011 ( http://www.medscape.com/viewarticle/737030 )
  • 28. 10 S.N. Isaacs Fig. 1. Photograph of non-needlestick infection of fingers ~5 to 7 days after the onset of symptoms. (a) Right hand and (b) left hand. Reprinted by permission from Macmillan Publishers Ltd.: The Journal of Investigative Dermatology, see ref. 15, copyright © 2003. Fig. 2. Photographs of primary and secondary lesions 18 days after the onset of symptoms. (a) Primary lesion on finger at the site of a prior cut and (b) lesion on chin developing a few days after the finger lesion. Reprinted from the Journal of Clinical Virology, see ref. 17, copyright © 2004, with permission from Elsevier. an outer garment can be quickly removed and decontaminated. Furthermore, a lab coat will prevent accidentally carrying the virus out of the laboratory environment. Since the virus can be stable in the environment, after protective equipment is removed, good hand washing with soap and water is important (28). Cases 1, 5–9, 16, 18, and 19 in Table 1 (see Figs. 1–4) represent potentially pre- ventable accidents if proper biosafety practices were followed.
  • 29. 11 1 Working Safely with Vaccinia Virus… Fig. 3. Photograph of the right hand of a woman 11 days after contact with a raccoon rabies vaccine bait in Pennsylvania in 2009. Fig. 4. Vaccinia virus infection of eye. (a) Left eye 5 days after the onset of symptoms. The primary pox lesion is located at the inner canthus. (b) Satellite lesion on lower conjunctiva developing 7 days after the onset of symptoms. Photographs by E. Claire Newbern. Figures and legend reproduced from ref. 18. These published materials are in the public domain. Also note that in some published accidents, prompt interven- tions may have prevented potential infections. In Case 9, prompt flushing of the eye with water after a splash exposure may have prevented infection. In Case 14, disinfecting the site of inocula- tion, as well as active smallpox vaccination on the day of the acci- dent may have prevented the infection. In addition to VACV being handled at Biosafety Level-2 (29), as with all biohazardous agents, routine good laboratory safety 3.2. Laboratory Safety
  • 30. Another Random Document on Scribd Without Any Related Topics
  • 31. The diameter from 0° to 180° is outlined heavily and extends beyond the circumference, in order to facilitate the adjustment of the angle to be measured and to give a strict exactness of position. This is done also with the radius which marks 90°. The child places a piece of an inset in such a way that the vertex of the angle touches the middle of the diameter and one of its sides rests on the radius marked 0°. At the other end of the arc of the inset he can read the degrees of the angle. After these exercises, the children are able to measure any angle with a common protractor. Furthermore, they learn that a circle measures 360°, half a circle 180°, and a right angle 90°. Once having learned that a circumference measures 360° they can find the number of degrees in any angle; for example, in the angle of an inset representing the seventh of the circle, they know that 360° ÷ 7 = (approximately) 51°. This they can easily verify with their instruments by placing the sector on the graduated circle. These calculations and measurements are repeated with all the different sectors of this series of insets where the circle is divided into from two to ten parts. The protractor shows approximately that: 1/3 circle=120°and360°÷3 =120° 1/4 " =90° " 360°÷4 =90° 1/5 " =72° " 360°÷5 =72° 1/6 " =60° " 360°÷6 =60° 1/7 " =51° " 360°÷7 =51° 1/8 " =45° " 360°÷8 =45° 1/9 " =40° " 360°÷9 =40° 1/10 " =36° " 360°÷10=36° In this way the child learns to write fractions: 1/2 1/3 1/4 1/5 1/6 1/7 1/8 1/9 1/10 He has concrete impressions of them as well as an intuition of their arithmetical relationships.
  • 32. The material lends itself to an infinite number of combinations, all of which are real arithmetical exercises in fractions. For example, the child can take from the circle the two half circles and replace them by four sectors of 90°, filling the same circular opening with entirely different pieces. From this he can draw the following conclusion: 1/2 + 1/2 = 1/4 + 1/4 + 1/4 + 1/4. He also may say that two halves are equal to four fourths, and write accordingly: 2/2 = 4/4. This is merely the expression of the same thing. Seeing the pieces, he has done an example mentally and then has written it out. Let us write it according to the first form, which is, in reality, an analysis of this example: 1/2 + 1/2 = 1/4 + 1/4 + 1/4 + 1/4. When the denominator is the same, the sum of the fractions is found by adding the numerators: 1/2 + 1/2 = 2/2; 1/4 + 1/4 + 1/4 + 1/4 = 4/4.
  • 33. The two halves make an entire circle, as do the four fourths. Now let us fill a circle with different pieces: for example, with a half circle and two quarter circles. The result is 1 = 1/2 + 2/4. And in the inset itself it is shown that 1/2 = 2/4. If we should wish to fill the circle with the largest piece (1/2) combined with the fewest number of pieces possible, it would be necessary to withdraw the two quarter sectors and replace them by another half circle; result: 1 = 1/2 + 1/2 = 2/2 = 1. Let us fill a circle with three 1/5 sectors and four 1/10 sectors: 1 = 3/5 + 4/10. If the larger pieces are left in and the circle is then filled with the fewest number of pieces possible, it would necessitate replacing the four tenths by two fifths. Result: 1 = 3/5 + 2/5 = 5/5 = 1. Let us fill the circle thus: 5/10 + 1/4 + 2/8 = 1. Now try to put in the largest pieces possible by substituting for several small pieces a large piece which is equal to them. In the space occupied by the five tenths may be placed one half, and in that occupied by the two eighths, one fourth; then the circle is filled thus: 1 = 1/2 + 1/4 + 1/4 = 1/2 + 2/4. We can continue to do the same thing, that is to replace the smaller pieces by as large a sector as possible, and the two fourths can be replaced by another half circle. Result: 1 = 1/2 + 1/2 = 2/2 = 1. All these substitutions may be expressed in figures thus:
  • 34. 5/10 + 1/4 + 2/8 = 1/2 + 1/4 + 1/4 = 1/2 + 2/4 = 1/2 + 1/2 = 2/2 = 1. This is one means of initiating a child intuitively into the operations used for the reduction of fractions to their lowest terms. Improper fractions also interest them very much. They come to these by adding a number of sectors which fill two, three, or four circles. To find the whole numbers which exist under the guise of fractions is a little like putting away in their proper places the circular insets which have been all mixed up. The children manifest a desire to learn the real operations of fractions. With improper fractions they originate most unusual sums, like the following: [8 + (7/7 + 18/9 + 24/2) + 1] = 8 [8 + (1 + 2 + 12) + 1] = 8 8 + 15 + 1 = 24/8 = 3. 8 We have a series of commands which may be used as a guide for the child's work. Here are some examples: —Take 1/5 of 25 beads —Take 1/4 " 36 counters —Take 1/6 " 24 beans —Take 1/3 " 27 beans —Take 1/10 " 40 beans —Take 2/5 " 60 counters
  • 35. In this last there are two operations: 60 ÷ 5 = 12; 12 X 2 = 24; or 2 X 60 = 120; 120 ÷ 5 = 24, etc. Reduction of Common Fractions to Decimal Fractions: The material for this purpose is similar to that of the circular insets, except that the frame is white and is marked into ten equal parts, and each part is then subdivided into ten. In these subdivisions the little line which marks the five is distinguished from the others by its greater length. Each of the larger divisions is marked respectively with the numbers, 10, 20, 30, 40, 50, 60, 70, 80, 90, and 0. The 0 is at the top and there is a raised radius against which are placed the sectors to be measured. To reduce a common fraction to a decimal fraction the sector is placed carefully against the raised radius, with the arc touching the circumference of the inset. Where the arc ends there is a number which represents the hundredths corresponding to the sector. For
  • 36. example, if the 1/4 sector is used its arc ends at 25; hence 1/4 equals 0.25. Page 275 shows in detail the practical method of using our material to reduce common fractions to decimal fractions. In the upper figure the segments correspond to 1/3, 1/4, and 1/8 of a circle are placed within the circle divided into hundredths. Result: 1/3 + 1/4 + 1/8 = 0.70.
  • 37. The lower figure shows how the 1/3 sector is placed: 1/3 = 0.33. If instead we use the 1/5 sector we have: 1/5 = 0.20, etc. Numerous sectors may be placed within the circle; for example:
  • 38. 1/4 + 1/7 + 1/9 + 1/10. In order to find the sum of the fraction reduced to decimals, it is necessary to read only the number at the outer edge of the last sector. Using this as a basis, it is very easy to develop an arithmetical idea. Instead of 1, which represents the whole circle, let us write 100, which represents its subdivisions when used for decimals, and let us divide the 100 into as many parts of a circle as there are sectors in the circle, and the reduction is made. All the parts which result are so many hundredths. Hence: 1/4 = 100 ÷ 4 = 25 hundredths: that is, 25/100 or 0.25. The division is performed by dividing the numerator by the demoninator: 1 ÷ 4 = 0.25. Third Series of Insets: Equivalent Figures. Two concepts were given by the squares divided into rectangles and triangles: that of fractions and that of equivalent figures. There is a special material for the concept of fractions which, besides developing the intuitive notion of fractions, has permitted the solution of examples in fractions and of reducing fractions to
  • 39. decimals; and it has furthermore brought cognizance of other things, such as the measuring of angles in terms of degrees. For the concept of equivalent figures there is still another material. This will lead to finding the area of different geometric forms and also to an intuition of some theorems which heretofore have been foreign to elementary schools, being considered beyond the understanding of a child. Material: Showing that a triangle is equal to a rectangle which has one side equal to the base of the triangle, the other side equal to half of the altitude of the triangle. In a large rectangular metal frame there are two white openings: the triangle and the equivalent rectangle. The pieces which compose the rectangle are such that they may fit into the openings of either the rectangle or the triangle. This demonstrates that the rectangle and the triangle are equivalent. The triangular space is filled by two pieces formed by a horizontal line drawn through the triangle parallel to the base and crossing at half the altitude. Taking the two pieces out and putting them one on top of the other the identity of the height may be verified.
  • 40. Already the work with the beads and the squaring of numbers has led to finding the area of a square by multiplying one side by the other; and in like manner the area of a rectangle is found by multiplying the base by half other. Since a triangle may be reduced to a rectangle, it is easy to find its area by multiplying the base by half the height. Material: Showing that a rhombus is equal to a rectangle which has one side equal to one side of the rhombus and the other equal to the height of the rhombus. The frame contains a rhombus divided by a diagonal line into two triangles and a rectangle filled with pieces which can be put into the rhombus when the triangles have been removed, and will fill it completely. In the material there are also an entire rhombus and an entire rectangle. If they are placed one on top of the other they will be found to have the same height. As the equivalence of the two figures is demonstrated by these pieces of the rectangle which may be used to fill in the two figures, it is easily seen that the area of a rhombus is found by multiplying the side or base by the height.
  • 41. Material: To show the equivalence of a trapezoid and a rectangle having one side equal to the sum of the two bases and the other equal to half the height. The child himself can make the other comparison: that is, a trapezoid equals a rectangle having one side equal to the height and the other equal to one-half the sum of the bases. For the latter it is only necessary to cut the long rectangle in half and superimpose the two halves. The large rectangular frame contains three openings: two equal trapezoids and the equivalent rectangle having one side equal to the sum of the two bases and the other side equal to half the height. One trapezoid is made of two pieces, being cut in half horizontally at the height of half its altitude; the identity in height may be proved by placing one piece on top of the other. The second trapezoid is composed of pieces which can be placed in the rectangle, filling it completely. Thus the equivalence is proved and also the fact that the area of a trapezoid is found by multiplying the sum of the bases by half the height, or half the sum of the bases by the height.
  • 42. With a ruler the children themselves actually calculate the area of the geometrical figures, and later calculate the area of their little tables, etc. Material: To show the equivalence between a regular polygon and a rectangle having one side equal to the perimeter and the other equal to half of the hypotenuse. The analysis of the decagon. In the material there are two decagon insets, one consisting of a whole decagon and the other of a decagon divided into ten triangles.
  • 43. Page 281 shows a table taken from our geometry portfolio, representing the equivalence of a decagon to a rectangle having one side equal to the perimeter and the other equal to half the hypotenuse. The bead number cubes built into a tower. The photograph shows the pieces of the insets—the decagon and the equivalent rectangle—and beneath each one there are the small equal triangles into which it can be subdivided. Here it is demonstrated that a rectangle equivalent to a decagon may have
  • 44. one side equal to the whole hypotenuse and the other equal to half of the perimeter. Another inset shows the equivalence of the decagon and a rectangle which has one side equal to the perimeter of the decagon and the other equal to half of the altitude of each triangle composing the decagon. Small triangles divided horizontally in half can be fitted into this figure, with one of the upper triangles divided in half lengthwise. Thus we demonstrate that the surface of a regular polygon may be found by multiplying the perimeter by half the hypotenuse. SOME THEOREMS BASED ON EQUIVALENT FIGURES A. All triangles having the same base and altitude are equal. This is easily understood from the fact that the area of a triangle is found by multiplying the base by half the altitude; therefore triangles having the same base and the same altitude must be equal. For the inductive demonstration of this theorem we have the following material: The rhombus and the equivalent rectangle are each divided into two triangles. The triangles of the rhombus are different, for they are divided by opposite diagonal lines. The three different triangles resulting from these divisions have the same base (this can be actually verified by measuring the bases of the different pieces) and fit into the same long rectangle which is found below the first three figures. Therefore, it is demonstrated that the three triangles have the same altitude. They are equivalent because each one is the half of an equivalent figure.
  • 45. The decagon and the rectangle can be composed of the same triangular insets. The triangular insets fitted into their metal plates.
  • 46. B. The Theorem of Pythagoras: In a right-angled triangle the square of the hypotenuse is equal to the sum of the squares of the two sides. Material: The material illustrates three different cases: First case: In which the two sides of the triangle are equal. Second case: In which the two sides are in the proportion of 3:4. Third case: General. First case: The demonstration of this first case affords an impressive induction. In the frame for this, shown below, the squares of the two sides are divided in half by a diagonal line so as to form two triangles and the square of the hypotenuse is divided by two diagonal lines into four triangles. The eight resulting triangles are all identical; hence the triangles of the squares of the two sides will fill the square of the hypotenuse; and, vice versa, the four triangles of the square of the hypotenuse may be used to fill the two squares of the sides. The substitution of these different pieces is very interesting, and all the more because the triangles of the squares of the sides are all of the same color, whereas the triangles formed in the square of the hypotenuse are of a different color.
  • 47. Second case: Where the sides are as the proportion of 3:4. In this figure the three squares are filled with small squares of three different colors, arranged as follows: in the square on the shorter side, 32 = 9; in that on the larger side, 42 = 16; in that on the hypotenuse, 52 = 25. Second Case The substitution game suggests itself. The two squares formed on the sides can be entirely filled by the small squares composing the
  • 48. square on the hypotenuse, so that they are both of the same color; while the square formed on the hypotenuse can be filled with varied designs by various combinations of the small squares of the sides which are in two different colors. Third case: This is the general case. The large frame is somewhat complicated and difficult to describe. It develops a considerable intellectual exercise. The entire frame measures 44 × 24 cm. and may be likened to a chess-board, where the movable pieces are susceptible of various combinations. The principles already proved or inductively suggested which lead to the demonstration of the theorem are: (1) That two quadrilaterals having an equal base and equal altitude are equivalent. (2) That two figures equivalent to a third figure are equivalent to each other. In this figure the square formed on the hypotenuse is divided into two rectangles. The additional side is determined by the division made in the hypotenuse by dropping a perpendicular line from the apex of the triangle to the hypotenuse. There are also two rhomboids in this frame, each of which has one side equal respectively to the large and to the small square of the sides of the triangle and the other side equal to the hypotenuse. The shorter altitude of the two rhomboids, as may be seen in the figure itself, corresponds to the respective altitudes, or shorter sides, of the rectangles. But the longer side corresponds respectively to the side of the larger and of the smaller squares of the sides of the triangle. It is not necessary that these corresponding dimensions be known by the child. He sees red and yellow pieces of an inset and simply moves them about, placing them in the indentures of the frame. It is the fact that these movable pieces actually fit into this white
  • 49. background which gives the child the opportunity for reasoning out the theorem, and not the abstract idea of the corresponding relations between the dimensions of the sides and the different heights of the figures. Reduced to these terms the exercise is easily performed and proves very interesting. This material may be used for other demonstrations: Demonstration A: The substitution of the pieces. Let us start with the frame as it should be filled originally. First take out the two rectangles formed on the hypotenuse; place them in the two lateral grooves, and lower the triangle. Fill the remaining empty space with the two rhomboids. The same space is filled in both cases with: A triangle plus two rectangles, and then A triangle plus two rhomboids. Hence the sum of the two rectangles (which form the square of the hypotenuse) is equal to the sum of the two rhomboids. In a later substitution we consider the rhomboids instead of the rectangles in order to demonstrate their respective equivalence to the two squares formed on the sides of the triangle. Beginning, for example with the larger square, we start with the insets in the original position and consider the space occupied by the triangle and the larger square. To analyze this space the pieces are all taken out and then it is filled successively by: The triangle and the large square in their original positions. The triangle and the large rhomboid.
  • 50. Showing that the two rhomboids are equal to the two rectangles. Demonstration B: Based on Equivalence. In this second demonstration the relative equivalence of the rhomboid, the rectangles, and the squares is shown outside the figure by means of the parallel indentures which are on both sides of the frame. These indentures, when the pieces are placed in them, show that the pieces have the same altitude.
  • 51. This is the manner of procedure: Starting again with the original position, take out the two rectangles and place them in the parallel indentures to the left, the larger in the wider indenture and the smaller in the narrower indenture. The different figures in the same indenture have the same altitude; therefore the pieces need only to be placed together at the base to prove that they are equal—hence the figures are equal in pairs: the smaller rectangle equals the smaller rhomboid and the larger rectangle equals the larger rhomboid. Starting again from the original position you proceed analogously with the squares. In the parallel indentures to the right the large square may be placed in the same indenture with the large rhomboid, which, however, must be turned in the opposite direction (in the direction of its greatest length); and the smaller square and the smaller rhomboid fit into the narrower indenture. They have the same altitude; and that the bases are equal is easily verified by putting them together; therefore here is proof that the squares and the rhomboids are respectively equivalent. Rectangles and squares which are equivalent to the same rhomboids are equivalent to each other. Hence the theorem is proved. . . . . . . .
  • 52. Showing that the two rhomboids are equal to the two squares. This series of geometric material is used for other purposes, but they are of minor importance. Fourth Series of Insets: Division of a Triangle. This material made up of four frames of equal size, each containing an equilateral triangle measuring ten centimeters to a side. The different pieces should fill the triangular spaces exactly. One is filled by an entire equilateral triangle.
  • 53. One is filled by two rectangular scalene triangles, each equal to half of the original equilateral triangle, which is bisected by dropping a line perpendicularly to the base. The third is filled by three obtuse isosceles triangles, formed by lines bisecting the three angles of the original triangle. The fourth is divided into four equilateral triangles which are similar in shape to the original triangle. With these triangles a child can make a more exact analytical study than he made when he was observing the triangles of the plane insets used in the "Children's House." He measures the degrees of the angles and learns to distinguish a right angle (90°) from an acute angle (<90°) and from an obtuse angle (>90°). Furthermore he finds in measuring the angles of any triangle that their sum is always equal to 180° or to two right angles. He can observe that in equilateral triangles all the angles are equal (60°); that in the isosceles triangle the two angles at the opposite ends of the unequal side are equal; while in the scalene triangle no two angles are alike. In the right-angled triangle the sum
  • 54. of the two acute angles is equal to a right angle. A general definition is that those triangles are similar in which the corresponding angles are equal. Material for Inscribed and Concentric Figures: In this material, which for the most part is made up of that already described, and which is therefore merely an application of it, inscribed or concentric figures may be placed in the white background of the different inset frames. For example, on the white background of the large equilateral triangle the small red equilateral triangle, which is a fourth of it, may be placed in such a way that each vertex is tangent to the middle of each side of the larger triangle. There are also two squares, one of 7 centimeters on a side and the other 3.5. They have their respective frames with white backgrounds. The 7 centimeters square may be placed on the background of the 10 centimeters square in such a way that each corner touches the middle of each side of the frame. In like manner the 5 centimeters square, which is a fourth of the large square, may be put in the 7 centimeters square; the 3.5 centimeters square in the 5 centimeters square; and finally the tiny square, which is 1/16 part of the large square, in the 3.5 centimeters square. There is also a circle which is tangent to the edges of the large equilateral triangle. This circle may be placed on the background of the 10 centimeters circle, and in that case a white circular strip remains all the way round (concentric circles). Within this circle the smaller equilateral triangle (1/4 of the large triangle) is perfectly inscribed. Then there is a small circle which is tangent to the smallest equilateral triangle. Besides these circles which are used with the triangles there are two others tangent to the squares: one to the 7 centimeters square and the other to the 3.5 centimeters square. The large circle, 10 centimeters in diameter, fits exactly into the 10 centimeters square; and the other circles are concentric to it.
  • 55. These corresponding relations make the figures easily adaptable to our artistic composition of decorative design (see following chapter). Finally, together with the other material, there are two stars which are also used for decorative design. The two stars, or "flowers," are based on the 3.5 centimeters square. In one the circle rests on the side as a semi-circle (simple flower); and in the other the same circle goes around the vertex and beyond the semi-circle until it meets the reciprocal of four circles (flower and foliage).
  • 56. III SOLID GEOMETRY Since the children already know how to find the area of ordinary geometric forms it is very easy, with the knowledge of the arithmetic they have acquired through work with the beads (the square and cube of numbers), to initiate them into the manner of finding the volume of solids. After having studied the cube of numbers by the aid of the cube of beads it is easy to recognize the fact that the volume of a prism is found by multiplying the area by the altitude. In our didactic material we have three objects for solid geometry: a prism, a pyramid having the same base and altitude, and a prism with the same base but with only one-third the altitude. They are all empty. The two prisms have a cover and are really boxes; the uncovered pyramid can be filled with different substances and then emptied, serving as a sort of scoop. These solids may be filled with wheat or sand. Thus we put into practise the same technique as is used to calculate capacity, as in anthropology, for instance, when we wish to measure the capacity of a cranium. It is difficult to fill a receptacle completely in such a way that the measured result does not vary; so we usually put in a scarce measure, which therefore does not correspond to the exact volume but to a smaller volume. One must know how to fill a receptacle, just as one must know how to do up a bundle, so that the various objects may take up the least possible space. The children like this exercise of shaking the
  • 57. receptacle and getting in as great a quantity as possible; and they like to level it off when it is entirely filled. The receptacles may be filled also with liquids. In this case the child must be careful to pour out the contents without losing a single drop. This technical drill serves as a preparation for using metric measures. By these experiments the child finds that the pyramid has the same volume as the small prism (which is one-third of the large prism); hence the volume of the pyramid is found by multiplying the area of the base by one-third the altitude. The small prism may be filled with clay and the same piece of clay will be found to fill the pyramid. The two solids of equal volume may be made of clay. All three solids can be made by taking five times as much clay as is needed to fill the same prism. . . . . . . . Having mastered these fundamental ideas, it is easy to study the rest, and few explanations will be needed. In many cases the incentive to do original problems may be developed by giving the children definite examples: as, how can the area of a circle be found? the volume of a cylinder? of a cone? Problems on the total area of some solids also may be suggested. Many times the children will risk spontaneous inductions and often of their own accord proceed to measure the total surface area of all the solids at their disposal, even going back to the materials used in the "Children's House." The material includes a series of wooden solids with a base measurement of 10 cm.: A quadrangular parallelopiped (10 X 10 X 20 cm.) A quadrangular parallelopiped equal to 1/3 of above A quadrangular pyramid (10 X 10 X 20 cm.)
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