Immune responses of a CV-A16 live attenuated candidate strain and its protective effects in rhesus monkeys

Ting Yang1, Tianhong Xie1, Hua Li1

  • 1Institute of Medical Biology, Chinese Academic Medical Sciences and Peking Union Medical College, Kunming, People's Republic of China.

Insights

A new live attenuated Coxsackievirus A16 (CV-A16) vaccine candidate, K168-8Ac, showed promising immunogenicity and partial protection in rhesus monkeys. This development is crucial for combating hand, foot, and mouth diseases (HFMDs) caused by CV-A16.

Area of Science:

  • Virology
  • Immunology
  • Vaccinology

Background:

  • Coxsackievirus A16 (CV-A16) is a primary cause of hand, foot, and mouth disease (HFMD).
  • Current vaccines target Enterovirus A71 (EV-A71) and lack cross-protection against CV-A16, necessitating a specific CV-A16 vaccine.

Purpose of the Study:

  • To evaluate the immunogenicity and protective efficacy of a live attenuated CV-A16 candidate (K168-8Ac) in a rhesus monkey model.
  • To assess the impact of different passage levels of the vaccine strain on immune response and protection.

Main Methods:

  • Rhesus monkeys were immunized with four passage levels (P35, P50, P60, P70) of the K168-8Ac strain.
  • Immunogenicity was assessed through antibody titers and IL-8 levels.
  • Protective efficacy was evaluated after viral challenge, monitoring clinical signs, viremia, virus shedding, and pathological damage.

Main Results:

  • Vaccinated monkeys showed mild symptoms (slight fever) and reduced viremia.
  • Two vaccine doses significantly decreased virus shedding and pathological lung damage.
  • High antibody responses (1:1024-1:2048) and increased plasma IL-8 were observed, with intramuscular administration yielding stronger humoral immunity.
  • Protection and reduction in organ involvement improved with higher passage numbers of the vaccine strain.

Conclusions:

  • The K168-8Ac strain elicits a robust immune response and provides partial protection against CV-A16 infection in rhesus monkeys.
  • Increasing passage levels of the vaccine strain correlate with enhanced protective efficacy.
  • These findings support the further development of K168-8Ac as a CV-A16 vaccine.