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Immunogenicity and Efficacy of Flagellin-Envelope Fusion Dengue Vaccines in Mice and Monkeys
Authors:Ge Liu  Langzhou Song  David W C Beasley  Robert Putnak  Jason Parent  John Misczak  Hong Li  Lucia Reiserova  Xiangyu Liu  Haijun Tian  Wenzhe Liu  Darlene Labonte  Lihua Duan  Youngsun Kim  Linda Travalent  Devin Wigington  Bruce Weaver  Lynda Tussey
Institution:aVaxInnate Corporation, Cranbury, New Jersey, USA;bDepartment of Microbiology and Immunology, Sealy Center for Vaccine Development, and Galveston National Laboratory, University of Texas Medical Branch, Galveston, Texas, USA;cViral Disease Branch, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA
Abstract:The envelope (E) protein of flaviviruses includes three domains, EI, EII, and EIII, and is the major protective antigen. Because EIII is rich in type-specific and subcomplex-specific neutralizing epitopes and is easy to express, it is particularly attractive as a recombinant vaccine antigen. VaxInnate has developed a vaccine platform that genetically links vaccine antigens to bacterial flagellin, a Toll-like receptor 5 ligand. Here we report that tetravalent dengue vaccines (TDVs) consisting of four constructs, each containing two copies of EIII fused to flagellin (R3.2x format), elicited robust and long-lived neutralizing antibodies (geometric mean titers of 200 to 3,000), as measured with a 50% focus reduction neutralization test (FRNT50). In an immunogenicity study, rhesus macaques (n = 2) immunized subcutaneously with 10 μg or 90 μg of TDV three or four times, at 4- to 6-week intervals, developed neutralizing antibodies to four dengue virus (DENV) serotypes (mean post-dose 3 FRNT50 titers of 102 to 601). In an efficacy study, rhesus macaques (n = 4) were immunized intramuscularly with 16 μg or 48 μg of TDV or a placebo control three times, at 1-month intervals. The animals that received 48-μg doses of TDV developed neutralizing antibodies against the four serotypes (geometric mean titers of 49 to 258) and exhibited reduced viremia after DENV-2 challenge, with a group mean viremia duration of 1.25 days and 2 of 4 animals being completely protected, compared to the placebo-treated animals, which all developed viremia, with a mean duration of 4 days. In conclusion, flagellin-EIII fusion vaccines are immunogenic and partially protective in a nonhuman primate model.
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