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      In vivo protection against ZIKV infection and pathogenesis through passive antibody transfer and active immunisation with a prMEnv DNA vaccine

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          Abstract

          Significant concerns have been raised owing to the rapid global spread of infection and disease caused by the mosquito-borne Zika virus (ZIKV). Recent studies suggest that ZIKV can also be transmitted sexually, further increasing the exposure risk for this virus. Associated with this spread is a dramatic increase in cases of microcephaly and additional congenital abnormalities in infants of ZIKV-infected mothers, as well as a rise in the occurrence of Guillain Barre’ syndrome in infected adults. Importantly, there are no licensed therapies or vaccines against ZIKV infection. In this study, we generate and evaluate the in vivo efficacy of a novel, synthetic, DNA vaccine targeting the pre-membrane+envelope proteins (prME) of ZIKV. Following initial in vitro development and evaluation studies of the plasmid construct, mice and non-human primates were immunised with this prME DNA-based immunogen through electroporation-mediated enhanced DNA delivery. Vaccinated animals were found to generate antigen-specific cellular and humoral immunity and neutralisation activity. In mice lacking receptors for interferon (IFN)-α/β (designated IFNAR −/−) immunisation with this DNA vaccine induced, following in vivo viral challenge, 100% protection against infection-associated weight loss or death in addition to preventing viral pathology in brain tissue. In addition, passive transfer of non-human primate anti-ZIKV immune serum protected IFNAR −/− mice against subsequent viral challenge. This study in NHP and in a pathogenic mouse model supports the importance of immune responses targeting prME in ZIKV infection and suggests that additional research on this vaccine approach may have relevance for ZIKV control and disease prevention in humans.

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          Most cited references12

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          Safety, efficacy, and immunogenicity of VGX-3100, a therapeutic synthetic DNA vaccine targeting human papillomavirus 16 and 18 E6 and E7 proteins for cervical intraepithelial neoplasia 2/3: a randomised, double-blind, placebo-controlled phase 2b trial.

          Despite preventive vaccines for oncogenic human papillomaviruses (HPVs), cervical intraepithelial neoplasia (CIN) is common, and current treatments are ablative and can lead to long-term reproductive morbidity. We assessed whether VGX-3100, synthetic plasmids targeting HPV-16 and HPV-18 E6 and E7 proteins, delivered by electroporation, would cause histopathological regression in women with CIN2/3.
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            Protective efficacy of multiple vaccine platforms against Zika virus challenge in rhesus monkeys.

            Zika virus (ZIKV) is responsible for a major ongoing epidemic in the Americas and has been causally associated with fetal microcephaly. The development of a safe and effective ZIKV vaccine is therefore an urgent global health priority. Here we demonstrate that three different vaccine platforms protect against ZIKV challenge in rhesus monkeys. A purified inactivated virus vaccine induced ZIKV-specific neutralizing antibodies and completely protected monkeys against ZIKV strains from both Brazil and Puerto Rico. Purified immunoglobulin from vaccinated monkeys also conferred passive protection in adoptive transfer studies. A plasmid DNA vaccine and a single-shot recombinant rhesus adenovirus serotype 52 vector vaccine, both expressing ZIKV premembrane and envelope, also elicited neutralizing antibodies and completely protected monkeys against ZIKV challenge. These data support the rapid clinical development of ZIKV vaccines for humans.
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              Recognition determinants of broadly neutralizing human antibodies against dengue viruses.

              Dengue disease is caused by four different flavivirus serotypes, which infect 390 million people yearly with 25% symptomatic cases and for which no licensed vaccine is available. Recent phase III vaccine trials showed partial protection, and in particular no protection for dengue virus serotype 2 (refs 3, 4). Structural studies so far have characterized only epitopes recognized by serotype-specific human antibodies. We recently isolated human antibodies potently neutralizing all four dengue virus serotypes. Here we describe the X-ray structures of four of these broadly neutralizing antibodies in complex with the envelope glycoprotein E from dengue virus serotype 2, revealing that the recognition determinants are at a serotype-invariant site at the E-dimer interface, including the exposed main chain of the E fusion loop and the two conserved glycan chains. This 'E-dimer-dependent epitope' is also the binding site for the viral glycoprotein prM during virus maturation in the secretory pathway of the infected cell, explaining its conservation across serotypes and highlighting an Achilles' heel of the virus with respect to antibody neutralization. These findings will be instrumental for devising novel immunogens to protect simultaneously against all four serotypes of dengue virus.
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                Author and article information

                Journal
                NPJ Vaccines
                NPJ Vaccines
                NPJ Vaccines
                Nature Publishing Group
                2059-0105
                10 November 2016
                2016
                : 1
                : 16021
                Affiliations
                [1 ]The Wistar Institute , 3601 Spruce Street, Philadelphia, PA, USA
                [2 ]Special Pathogens Program, National Microbiology Laboratory, Public Health Agency of Canada , Winnipeg, Manitoba, Canada R3E 3R2
                [3 ]Department of Medical Microbiology and Infectious Diseases, University of Manitoba , Winnipeg, Manitoba, Canada R3E 0J9
                [4 ]Inovio Pharmaceuticals Inc. , Plymouth Meeting, PA, USA
                [5 ]Division of Infectious Diseases, The Children's Hospital of Philadelphia , Philadelphia, PA, USA
                [6 ]Department of Molecular Medicine, University of South Florida Morsani College of Medicine , Tampa, FL, USA
                [7 ]GeneOne Life Science Inc., Teheran-Ro , Gangnam-Gu, Seoul, Korea
                Author notes
                [8]

                These authors contributed equally to this work.

                [9]

                Current address: Centre Hospitalier de l’Université Laval, Québec, Canada G1V 4G2.

                K.M., B.D.G., S.A., S.K.B., E.L.R., H.C., K.A.K., E.K.D., A.A.K., C.C., Y.K.K., S.A.B., T.R., performed the studies and analysed the data for vaccine construction, vaccine expression confirmation, as well as immune response experiments in mice and NHP. K.E.U. provided scientific and reagent support as well as assistance in discussing and interpreting the experimental results. J.Y., M.P.M., J.J., B.L., S.R., K.E.B., C.C.R., A.S.K., L.H., Y.K.P., J.N.M., N.Y.S., J.J.K provided scientific, technical and reagent support as well as assistance in discussing and interpreting experimental results as well as related assays. K.M., G.P.K. and D.B.W. designed and supervised the experiments and data generation in addition to writing the manuscript. All the authors have read and commented on the final manuscript and have agreed to its submission.

                Author information
                http://orcid.org/0000-0003-4272-515X
                http://orcid.org/0000-0002-7797-2049
                Article
                npjvaccines201621
                10.1038/npjvaccines.2016.21
                5707885
                29263859
                3f10ba5a-2fd2-4c73-b881-7e22d1ebdc69
                Copyright © 2016 The Author(s)

                This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

                History
                : 02 August 2016
                : 09 October 2016
                : 09 October 2016
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