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Monkeypox: Can we count on the current smallpox immunization?

Fengwei Zhang1, Zili Chai1, Xia Wang1

  • 1Laboratory of Advanced Biotechnology & State Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Biotechnology, Beijing, 100071, China.

Virology
|January 26, 2024
PubMed
Summary
This summary is machine-generated.

Smallpox vaccines offer protection against monkeypox, but new research reveals significant antigen changes in recent monkeypox strains. These alterations within critical B cell epitopes may impact vaccine effectiveness.

Keywords:
Antigenic substitutionMonkeypox vaccinesSmallpox vaccines

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Area of Science:

  • Virology
  • Immunology
  • Vaccinology

Background:

  • Approved vaccines like ACAM 2000 and JYNNEOS aid monkeypox epidemic management.
  • Smallpox vaccination shows ~88.8% protection against monkeypox, but current vaccines induce low neutralizing antibodies.

Purpose of the Study:

  • To compare antigens between 2022-2023 monkeypox strains and smallpox vaccine strains.
  • To assess potential impacts of observed antigenic variations on vaccine efficacy.

Main Methods:

  • Comprehensive comparative analysis of 27 antigens (core and envelope proteins) between monkeypox and smallpox vaccine strains.
  • Identification and quantification of amino acid substitutions, particularly within B cell epitopes.

Main Results:

  • Significant amino acid changes were detected in all 27 analyzed antigens.
  • Amino acid substitutions within B cell epitopes were found in 26 of 27 antigens.
  • Over half of antigen substitutions occurred within B cell epitopes in 20 of 26 analyzed antigens.

Conclusions:

  • Recent monkeypox strains exhibit considerable antigenic divergence from smallpox vaccine strains.
  • Widespread substitutions in B cell epitopes raise concerns about the efficacy of existing vaccines against current monkeypox strains.