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      A high infectious simian adenovirus type 23 vector based vaccine efficiently protects common marmosets against Zika virus infection

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          Abstract

          Zika virus (ZIKV) has spread in many countries or territories causing severe neurologic complications with potential fatal outcomes. The small primate common marmosets are susceptible to ZIKV, mimicking key features of human infection. Here, a novel simian adenovirus type 23 vector-based vaccine expressing ZIKV pre-membrane-envelope proteins (Sad23L-prM-E) was produced in high infectious titer. Due to determination of immunogenicity in mice, a single-dose of 3×10 8 PFU Sad23L-prM-E vaccine was intramuscularly inoculated to marmosets. This vaccine raised antibody titers of 10 4.07 E-specific and 10 3.13 neutralizing antibody (NAb), as well as robust specific IFN-γ secreting T-cell response (1,219 SFCs/10 6 cells) to E peptides. The vaccinated marmosets, upon challenge with a high dose of ZIKV (10 5 PFU) six weeks post prime immunization, reduced viremia by more than 100 folds, and the low level of detectable viral RNA (<10 3 copies/ml) in blood, saliva, urine and feces was promptly eliminated when the secondary NAb (titer >10 3.66) and T-cell response (>726 SFCs/10 6 PBMCs) were acquired 1–2 weeks post exposure to ZIKV, while non-vaccinated control marmosets developed long-term high titer of ZIKV (10 5.73 copies/ml) ( P<0.05). No significant pathological lesions were observed in marmoset tissues. Sad23L-prM-E vaccine was detectable in spleen, liver and PBMCs at least 4 months post challenge. In conclusion, a prime immunization with Sad23L-prM-E vaccine was able to protect marmosets against ZIKV infection when exposed to a high dose of ZIKV. This Sad23L-prM-E vaccine is a promising vaccine candidate for prevention of ZIKV infection in humans.

          Author summary

          Zika virus (ZIKV) is a member of the Flaviviridae family) and causes severe neurologic diseases. The development of safe and effective vaccine is urgent need. In this study, we constructed a novel simian adenovirus type 23 vector-based vaccine expressing ZIKV pre-membrane-envelope proteins (Sad23L-prM-E). By vaccinating the common marmosets with prime immunization of vaccine, and upon challenge with a high dose of ZIKV to the vaccinated marmosets, the immune response and protective efficacy of vaccine were extensively evaluated. The data suggested that Sad23L-prM-E vaccine could protect marmosets against a high dose of ZIKV challenge, which provided a promising vaccine for preventing ZIKV infection in humans.

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          Most cited references38

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          First report of autochthonous transmission of Zika virus in Brazil

          In the early 2015, several cases of patients presenting symptoms of mild fever, rash, conjunctivitis and arthralgia were reported in the northeastern Brazil. Although all patients lived in a dengue endemic area, molecular and serological diagnosis for dengue resulted negative. Chikungunya virus infection was also discarded. Subsequently, Zika virus (ZIKV) was detected by reverse transcription-polymerase chain reaction from the sera of eight patients and the result was confirmed by DNA sequencing. Phylogenetic analysis suggests that the ZIKV identified belongs to the Asian clade. This is the first report of ZIKV infection in Brazil.
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            Protective efficacy of multiple vaccine platforms against Zika virus challenge in rhesus monkeys.

            Zika virus (ZIKV) is responsible for a major ongoing epidemic in the Americas and has been causally associated with fetal microcephaly. The development of a safe and effective ZIKV vaccine is therefore an urgent global health priority. Here we demonstrate that three different vaccine platforms protect against ZIKV challenge in rhesus monkeys. A purified inactivated virus vaccine induced ZIKV-specific neutralizing antibodies and completely protected monkeys against ZIKV strains from both Brazil and Puerto Rico. Purified immunoglobulin from vaccinated monkeys also conferred passive protection in adoptive transfer studies. A plasmid DNA vaccine and a single-shot recombinant rhesus adenovirus serotype 52 vector vaccine, both expressing ZIKV premembrane and envelope, also elicited neutralizing antibodies and completely protected monkeys against ZIKV challenge. These data support the rapid clinical development of ZIKV vaccines for humans.
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              Rapid development of a DNA vaccine for Zika virus.

              Zika virus (ZIKV) was identified as a cause of congenital disease during the explosive outbreak in the Americas and Caribbean that began in 2015. Because of the ongoing fetal risk from endemic disease and travel-related exposures, a vaccine to prevent viremia in women of childbearing age and their partners is imperative. We found that vaccination with DNA expressing the premembrane and envelope proteins of ZIKV was immunogenic in mice and nonhuman primates, and protection against viremia after ZIKV challenge correlated with serum neutralizing activity. These data not only indicate that DNA vaccination could be a successful approach to protect against ZIKV infection, but also suggest a protective threshold of vaccine-induced neutralizing activity that prevents viremia after acute infection.
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                Author and article information

                Contributors
                Role: ConceptualizationRole: InvestigationRole: Writing – original draftRole: Writing – review & editing
                Role: ConceptualizationRole: Resources
                Role: Investigation
                Role: Investigation
                Role: Investigation
                Role: Investigation
                Role: Investigation
                Role: Investigation
                Role: Formal analysis
                Role: Formal analysisRole: Writing – review & editing
                Role: ConceptualizationRole: Formal analysisRole: Funding acquisitionRole: ResourcesRole: Writing – original draftRole: Writing – review & editing
                Role: ConceptualizationRole: Formal analysisRole: Funding acquisitionRole: ResourcesRole: Writing – original draftRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS Negl Trop Dis
                PLoS Negl Trop Dis
                plos
                plosntds
                PLoS Neglected Tropical Diseases
                Public Library of Science (San Francisco, CA USA )
                1935-2727
                1935-2735
                12 February 2020
                February 2020
                : 14
                : 2
                : e0008027
                Affiliations
                [1 ] Department of Transfusion Medicine, School of Laboratory Medicine and Biotechnology, Southern Medical University, Guangzhou, China
                [2 ] Laboratory of Biosafety, School of Public Health, Southern Medical University, Guangzhou, China
                [3 ] Experimental Animal Center, Nanfang Hospital, Southern Medical University, Guangzhou, China
                [4 ] Guangzhou Blood Center, Guangzhou, China
                [5 ] Emeritus professor, University of Cambridge, Cambridge, United Kingdom
                University of Texas Medical Branch, UNITED STATES
                Author notes

                The authors have declared that no competing interests exist.

                Author information
                http://orcid.org/0000-0001-5727-2179
                Article
                PNTD-D-19-01220
                10.1371/journal.pntd.0008027
                7015313
                32049958
                a4aed200-b46c-40cf-9b15-c9c567626715
                © 2020 Luo et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 20 July 2019
                : 3 January 2020
                Page count
                Figures: 6, Tables: 0, Pages: 20
                Funding
                Funded by: funder-id http://dx.doi.org/10.13039/501100001809, National Natural Science Foundation of China;
                Award ID: 31770185, 31970886 and 31500134
                Award Recipient :
                Funded by: funder-id http://dx.doi.org/10.13039/501100001809, National Natural Science Foundation of China;
                Award ID: 81871655
                Award Recipient :
                Funded by: Guangzhou major project of industry-university-research cooperation and collaborative innovation
                Award ID: 201704020083
                Award Recipient :
                Funded by: Innovative R&D Team Introduction Program of Guangdong
                Award ID: 2014ZT05S123
                Award Recipient :
                Funded by: Guangdong Province Universities and Colleges Pearl River Scholar Funded Scheme
                Award ID: 2017
                Award Recipient :
                Funded by: the National Key Research and Development Program
                Award ID: 2017YFD0500305
                Award Recipient :
                This work was supported by the funding from the National Natural Science Foundation of China (No. 31770185, 31970886, 81871655 and 31500134) for CL and TL, the National Key Research and Development Program (No. 2017YFD0500305) for CL, the Guangdong Province Universities and Colleges Pearl River Scholar Funded Scheme (2017) for TL, the Guangzhou major project of industry-university-research cooperation and collaborative innovation (No. 201704020083) for TL, and the Innovative R&D Team Introduction Program of Guangdong (No. 2014ZT05S123) for CL. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
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                Animal Studies
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