Does structurally-mature dengue virion matter in vaccine preparation in post-Dengvaxia era?

The unexpectedly low vaccine efficacy of Dengvaxia®, developed by Sanofi Pasteur, and a higher risk of severe diseases after vaccination among dengue-naive children or children younger than 6 years old, have cast skepticism about the safety of dengue vaccination resulting in the suspension of school...

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Main Authors: Jedhan Ucat Galula, Gielenny M. Salem, Gwong-Jen J. Chang, Day-Yu Chao
Format: Article
Language:English
Published: Taylor & Francis Group 2019-10-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2019.1643676
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author Jedhan Ucat Galula
Gielenny M. Salem
Gwong-Jen J. Chang
Day-Yu Chao
author_facet Jedhan Ucat Galula
Gielenny M. Salem
Gwong-Jen J. Chang
Day-Yu Chao
author_sort Jedhan Ucat Galula
collection DOAJ
description The unexpectedly low vaccine efficacy of Dengvaxia®, developed by Sanofi Pasteur, and a higher risk of severe diseases after vaccination among dengue-naive children or children younger than 6 years old, have cast skepticism about the safety of dengue vaccination resulting in the suspension of school-based immunization programs in the Philippines. The absence of immune correlates of protection from dengue virus (DENV) infection hampers the development of other potential DENV vaccines. While tetravalent live-attenuated tetravalent vaccines (LATVs), which mimic natural infection by inducing both cellular and humoral immune responses, are still currently favored, developing a vaccine that provides a balanced immunity to all four DENV serotypes remains a challenge. With the recently advanced understanding of virion structure and B cell immune responses from naturally infected DENV patients, two points of view in developing a next-generation dengue vaccine emerged: one is to induce potent, type-specific neutralizing antibodies (NtAbs) recognizing quaternary structure-dependent epitopes by having four components of vaccine strains replicate equivalently; the other is to induce protective and broadly NtAbs against the four serotypes of DENV with a universal vaccine. This article reviews the studies related to these issues and the current knowledge gap that needs to be filled in.
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spelling doaj.art-e07d5da1d47e4fb193fa08a2067a874f2023-09-22T08:45:32ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2019-10-0115102328233610.1080/21645515.2019.16436761643676Does structurally-mature dengue virion matter in vaccine preparation in post-Dengvaxia era?Jedhan Ucat Galula0Gielenny M. Salem1Gwong-Jen J. Chang2Day-Yu Chao3National Chung Hsing UniversityNational Chung Hsing UniversityUS Department of Health and Human ServicesNational Chung Hsing UniversityThe unexpectedly low vaccine efficacy of Dengvaxia®, developed by Sanofi Pasteur, and a higher risk of severe diseases after vaccination among dengue-naive children or children younger than 6 years old, have cast skepticism about the safety of dengue vaccination resulting in the suspension of school-based immunization programs in the Philippines. The absence of immune correlates of protection from dengue virus (DENV) infection hampers the development of other potential DENV vaccines. While tetravalent live-attenuated tetravalent vaccines (LATVs), which mimic natural infection by inducing both cellular and humoral immune responses, are still currently favored, developing a vaccine that provides a balanced immunity to all four DENV serotypes remains a challenge. With the recently advanced understanding of virion structure and B cell immune responses from naturally infected DENV patients, two points of view in developing a next-generation dengue vaccine emerged: one is to induce potent, type-specific neutralizing antibodies (NtAbs) recognizing quaternary structure-dependent epitopes by having four components of vaccine strains replicate equivalently; the other is to induce protective and broadly NtAbs against the four serotypes of DENV with a universal vaccine. This article reviews the studies related to these issues and the current knowledge gap that needs to be filled in.http://dx.doi.org/10.1080/21645515.2019.1643676dengue virusdenguevirus-like particlesmaturitybroadly neutralizing antibody
spellingShingle Jedhan Ucat Galula
Gielenny M. Salem
Gwong-Jen J. Chang
Day-Yu Chao
Does structurally-mature dengue virion matter in vaccine preparation in post-Dengvaxia era?
Human Vaccines & Immunotherapeutics
dengue virus
dengue
virus-like particles
maturity
broadly neutralizing antibody
title Does structurally-mature dengue virion matter in vaccine preparation in post-Dengvaxia era?
title_full Does structurally-mature dengue virion matter in vaccine preparation in post-Dengvaxia era?
title_fullStr Does structurally-mature dengue virion matter in vaccine preparation in post-Dengvaxia era?
title_full_unstemmed Does structurally-mature dengue virion matter in vaccine preparation in post-Dengvaxia era?
title_short Does structurally-mature dengue virion matter in vaccine preparation in post-Dengvaxia era?
title_sort does structurally mature dengue virion matter in vaccine preparation in post dengvaxia era
topic dengue virus
dengue
virus-like particles
maturity
broadly neutralizing antibody
url http://dx.doi.org/10.1080/21645515.2019.1643676
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