Rapid protection of nonhuman primates against Marburg virus disease using a single low-dose VSV-based vaccine

Kyle L O'Donnell1, Friederike Feldmann2, Benjamin Kaza1

  • 1Laboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, MT, USA.

Ebiomedicine
|February 12, 2023
PubMed
Abstract

Insights

A novel vesicular stomatitis virus (VSV)-based Marburg virus (MARV) vaccine candidate, VSV-MARV, demonstrated uniform protection in macaques with reduced doses. This fast-acting vaccine shows promise for emergency outbreak response.

Area of Science:

  • Virology
  • Immunology
  • Vaccinology

Background:

  • Marburg virus disease (MVD) is a severe hemorrhagic fever with high fatality rates, posing a significant global health threat.
  • Current treatment and vaccine options for MVD are limited, necessitating the development of effective countermeasures.
  • Recent outbreaks in Guinea and Ghana underscore the urgent need for rapid-response Marburg virus vaccines.

Purpose of the Study:

  • To evaluate the protective efficacy and immunogenicity of a reduced-dose vesicular stomatitis virus (VSV)-based Marburg virus (MARV) vaccine (VSV-MARV).
  • To determine if lower vaccine doses administered at different time points before challenge can elicit protective immunity against Marburg virus.
  • To investigate the immune responses, including humoral and cellular immunity, induced by the VSV-MARV vaccine.

Main Methods:

  • Cynomolgus macaques were vaccinated with reduced doses (1 × 105 or 1 × 103 PFU) of VSV-MARV 14 or 7 days before Marburg virus challenge.
  • Humoral immune responses, including antigen-specific IgG, neutralizing antibodies, and antibody-dependent cellular phagocytosis (ADCP), were assessed.
  • Cellular immune responses, focusing on NK cell activation and antigen-specific memory T cell subsets, were analyzed post-vaccination.

Main Results:

  • All vaccinated macaques exhibited uniform protection against Marburg virus challenge, with no detectable viremia.
  • Vaccination with VSV-MARV induced sustained antigen-specific IgG responses and significant neutralizing antibody titers.
  • Evidence of NK cell activation and antigen-specific memory T cell responses indicated a robust cellular immune component alongside the primary humoral response.

Conclusions:

  • The VSV-MARV vaccine candidate provides rapid and complete protection in a non-human primate model at reduced doses.
  • The vaccine elicits both humoral and cellular immune responses, contributing to its protective efficacy.
  • VSV-MARV is a promising candidate for clinical development as a fast-acting vaccine for Marburg virus emergency situations.

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