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Published on: June 14, 2020
Comparative neuropathogenesis and neurovirulence of attenuated flaviviruses in nonhuman primates
Olga A Maximova1, Jerrold M Ward, David M Asher
1Center for Biologics Evaluation and Research, U.S. Food and Drug Administration, Rockville, Maryland 20852, USA.
Abstract:
Based on previous preclinical evaluation in mice and monkeys, the chimeric TBEV/DEN4Delta30 virus, carrying the prM and E protein genes from a highly virulent Far Eastern strain of tick-borne encephalitis virus (TBEV) on the backbone of a nonneuroinvasive dengue type 4 virus (DEN4), has been identified as a promising live attenuated virus vaccine candidate against disease caused by TBEV. However, prior to use of this vaccine candidate in humans, its neurovirulence in nonhuman primates needed to be evaluated. In the present study, we compared the neuropathogeneses of the chimeric TBEV/DEN4Delta30 virus; Langat virus (LGTV), a former live TBEV vaccine; and yellow fever 17D virus vaccine (YF 17D) in rhesus monkeys inoculated intracerebrally. TBEV/DEN4Delta30 and YF 17D demonstrated remarkably similar spatiotemporal profiles of virus replication and virus-associated histopathology in the central nervous system (CNS) that were high in cerebral hemispheres but progressively decreased toward the spinal cord. In contrast, the neurovirulence of LGTV exhibited the reverse profile, progressing from the site of inoculation toward the cerebellum and spinal cord. Analysis of the spatiotemporal distribution of viral antigens in the CNS of monkeys revealed a prominent neurotropism associated with all three attenuated viruses. Nevertheless, TBEV/DEN4Delta30 virus exhibited higher neurovirulence in monkeys than either LGTV or YF 17D, suggesting insufficient attenuation. These results provide insight into the neuropathogenesis associated with attenuated flaviviruses that may guide the design of safe vaccines.
Insights
The chimeric tick-borne encephalitis virus/dengue type 4 virus (TBEV/DEN4Delta30) showed higher neurovirulence in monkeys than other vaccines, suggesting it may not be sufficiently attenuated for human use. Further research is needed for safe flavivirus vaccine development.
Area of Science:
- Virology
- Vaccinology
- Neuroscience
Background:
- Live attenuated virus vaccines are crucial for preventing tick-borne encephalitis virus (TBEV) infections.
- A chimeric TBEV/DEN4Delta30 virus showed promise as a TBEV vaccine candidate based on preclinical studies.
- Evaluating neurovirulence in nonhuman primates is essential before human trials.
Purpose of the Study:
- To compare the neuropathogenesis and neurovirulence of the chimeric TBEV/DEN4Delta30 virus, Langat virus (LGTV), and yellow fever 17D virus (YF 17D) in rhesus monkeys.
- To assess the safety and attenuation of the TBEV/DEN4Delta30 vaccine candidate.
Main Methods:
- Rhesus monkeys were inoculated intracerebrally with TBEV/DEN4Delta30, LGTV, or YF 17D.
- Central nervous system (CNS) tissues were analyzed for virus replication, histopathology, and viral antigen distribution.
- Spatiotemporal profiles of neuropathogenesis were compared among the three viruses.
Main Results:
- TBEV/DEN4Delta30 and YF 17D exhibited similar CNS replication and histopathology patterns, concentrated in cerebral hemispheres.
- LGTV showed a reverse neurovirulence profile, progressing from inoculation site towards the cerebellum and spinal cord.
- All three viruses demonstrated neurotropism, but TBEV/DEN4Delta30 displayed higher neurovirulence in monkeys than LGTV or YF 17D.
Conclusions:
- The chimeric TBEV/DEN4Delta30 virus exhibited higher neurovirulence in nonhuman primates than LGTV or YF 17D, indicating potentially insufficient attenuation.
- Understanding the neuropathogenesis of attenuated flaviviruses is critical for designing safer vaccines.
- Further modifications may be necessary to ensure the safety of the TBEV/DEN4Delta30 vaccine candidate for human use.
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