Vaccines and immunization strategies for dengue prevention

Emerg Microbes Infect. 2016 Jul 20;5(7):e77. doi: 10.1038/emi.2016.74.

Abstract

Dengue is currently the most significant arboviral disease afflicting tropical and sub-tropical countries worldwide. Dengue vaccines, such as the multivalent attenuated, chimeric, DNA and inactivated vaccines, have been developed to prevent dengue infection in humans, and they function predominantly by stimulating immune responses against the dengue virus (DENV) envelope (E) and nonstructural-1 proteins (NS1). Of these vaccines, a live attenuated chimeric tetravalent DENV vaccine developed by Sanofi Pasteur has been licensed in several countries. However, this vaccine renders only partial protection against the DENV2 infection and is associated with an unexplained increased incidence of hospitalization for severe dengue disease among children younger than nine years old. In addition to the virus-based vaccines, several mosquito-based dengue immunization strategies have been developed to interrupt the vector competence and effectively reduce the number of infected mosquito vectors, thus controlling the transmission of DENV in nature. Here we summarize the recent progress in the development of dengue vaccines and novel immunization strategies and propose some prospective vaccine strategies for disease prevention in the future.

Publication types

  • Review

MeSH terms

  • Adult
  • Antibodies, Neutralizing / blood
  • Antibodies, Viral / blood
  • Child
  • Child, Preschool
  • Clinical Trials as Topic
  • Dengue / epidemiology
  • Dengue / prevention & control*
  • Dengue / virology
  • Dengue Vaccines / administration & dosage*
  • Dengue Vaccines / adverse effects
  • Dengue Vaccines / genetics
  • Dengue Vaccines / immunology*
  • Dengue Virus / immunology
  • Dengue Virus / physiology
  • Hospitalization
  • Humans
  • Mosquito Vectors / immunology
  • Mosquito Vectors / virology
  • Severe Dengue / prevention & control*
  • Vaccination / methods*
  • Vaccines, Attenuated / adverse effects
  • Vaccines, Attenuated / immunology
  • Viral Nonstructural Proteins / genetics
  • Viral Nonstructural Proteins / immunology

Substances

  • Antibodies, Neutralizing
  • Antibodies, Viral
  • Dengue Vaccines
  • NS1 protein, dengue-1 virus
  • Vaccines, Attenuated
  • Viral Nonstructural Proteins