Enhanced neutralizing antibody response induced by inactivated enterovirus 71 in cynomolgus monkeys

PLoS One. 2018 Oct 2;13(10):e0202552. doi: 10.1371/journal.pone.0202552. eCollection 2018.

Abstract

Enterovirus 71 (EV71) is a major etiological agent of various public health issues, particularly in the Asia-Pacific region. EV71 causes hand-foot-and-mouth disease (HFMD) and is associated with serious neurological disorders in young children. A formalin-inactivated EV71 candidate vaccine (KCDC-HFMDV1-EV71) based on the C4 subgenotype was previously developed and confirmed to be a potential candidate vaccine for prevention of EV71 infection in mice. In this study, an inactivated EV71 vaccine was used for analysis of long-term immunogenicity and efficacy in cynomolgus monkeys, a common nonhuman primate model. The vaccine was immunized three times at 0, 4, and 8 weeks with either 20-μg doses of EV71 candidate vaccine formulated with aluminum hydroxide gel adjuvant or phosphate-buffered saline as a control. The group immunized with the inactivated EV71 showed significantly increased EV71-specific antibody and serum neutralizing antibody titers at 3 weeks after vaccination and maintained these elevated titers until the end of the experiment (54 weeks after vaccination). The sera from vaccinated cynomolgus monkeys showed a crossreactive neutralizing antibody response to the heterologous subtype of EV71 (B1-4, C1, and C2). These findings suggest that the inactivated EV71 candidate vaccine may be a potential vaccine candidate and valuable tool for the control of HFMD.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adjuvants, Immunologic / administration & dosage
  • Animals
  • Antibodies, Neutralizing / administration & dosage
  • Antibodies, Neutralizing / immunology
  • Enterovirus A, Human / immunology*
  • Enterovirus A, Human / pathogenicity
  • Enterovirus Infections / immunology
  • Enterovirus Infections / prevention & control*
  • Enterovirus Infections / virology
  • Hand, Foot and Mouth Disease / immunology
  • Hand, Foot and Mouth Disease / prevention & control*
  • Humans
  • Macaca fascicularis / immunology
  • Macaca fascicularis / virology
  • Mice
  • Vaccination
  • Vaccines, Inactivated / administration & dosage*
  • Vaccines, Inactivated / immunology
  • Viral Vaccines / administration & dosage
  • Viral Vaccines / immunology

Substances

  • Adjuvants, Immunologic
  • Antibodies, Neutralizing
  • Vaccines, Inactivated
  • Viral Vaccines

Grants and funding

This study was supported by grant from the Korea National Institute of Health (Grant no. NIH4800-4859-300). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.