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Cross-Antigenicity between EV71 Sub-Genotypes: Implications for Vaccine Efficacy.

Pei Liu1, Yadi Yuan1, Bopei Cui1

  • 1National Institutes for Food and Drug Control, Beijing 102600, China.

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|April 30, 2021
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Summary
This summary is machine-generated.

Enterovirus A-71 (EV71) causes severe hand, foot, and mouth disease (HFMD). A C4 EV71 vaccine demonstrated broad protection against multiple EV71 sub-genotypes in infants and children, suggesting global HFMD prevention potential.

Keywords:
cross-neutralizationenterovirus 71 (EV71)genotypevaccine

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Area of Science:

  • Virology
  • Immunology
  • Vaccinology

Background:

  • Enterovirus A-71 (EV71) is a significant global pathogen causing severe hand, foot, and mouth disease (HFMD).
  • Effective prevention of HFMD outbreaks relies on vaccines inducing cross-neutralizing antibodies (NTAbs) against diverse EV71 sub-genotypes.

Purpose of the Study:

  • To evaluate the cross-neutralizing antibody activities induced by various EV71 genotypes/sub-genotypes.
  • To assess the protective efficacy of a C4 EV71 vaccine in infants, children, and rats against different EV71 sub-genotypes.

Main Methods:

  • Rats were immunized with EV71 genotype/sub-genotype viruses (A, B0-B4, C1, C2, C4, C5) to test cross-neutralization.
  • Neutralization antibody titers (NTAb) and maximum/minimum NTAb ratios (MAX/MIN) were analyzed.
  • Sera from infants, children, and rats vaccinated with C4 EV71 vaccine were tested for cross-neutralizing titers against 10 sub-genotypes.

Main Results:

  • Generally good cross-neutralization was observed, with lowest titers against genotype A and highest against sub-genotype B4.
  • Homogenous NTAb responses were induced by C4, B4, C1, and C2 viruses (MAX/MIN 4.0–6.0), while B3 and A showed high variability (MAX/MIN 48.0–256.0).
  • C4 EV71 vaccination in infants, children, and rats elicited good cross-neutralizing titers (MAX/MIN 1.8–7.1), comparable to naturally infected individuals (2.8).

Conclusions:

  • The C4 EV71 vaccine provides broad protection against HFMD caused by diverse EV71 sub-genotypes.
  • This suggests the potential for global protection in infants and children.
  • The study highlights the importance of cross-neutralizing antibodies for effective HFMD prevention strategies.