基孔肯雅病毒减毒活疫苗VLA1553经白纹伊蚊传播的评估。

IF 3 2区 医学 Q1 PARASITOLOGY
Andrea Fritzer, Andreas Suhrbier, Leon E Hugo, Bing Tang, Greg Devine, Sandra Jost, Andreas L Meinke
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引用次数: 0

摘要

背景:基孔肯雅病毒(CHIKV)是一种蚊子传播的、致关节炎的甲病毒,可引起散发性暴发,通常使人衰弱的风湿病。最近批准的CHIKV疫苗IXCHIQ是基于一种CHIKV减毒活毒株(VLA1553),病毒疫苗接种者理论上能够将VLA1553传播给蚊子,并随后继续传播。因此,我们评估了人工血餐对白纹伊蚊的传播,以及对小鼠的传播。方法:将白纹伊蚊雌蚊饲养于含有野生型CHIKV(病毒滴度:7.50 log10CCID50/mL)或VLA1553(病毒滴度:7.85、5.72、4.58和3.79 log10CCID50/mL)的绵羊血液中。血餐后7 ~ 8 d,采用CCID50法测定蚊体和唾液中的病毒滴度。将病毒滴度为7 ~ 8 log10CCID50/mL的CHIKV或VLA1553型血餐喂给蚊子后,将感染的蚊子喂给高度易感的Irf3/7-/-小鼠(每组3只)。使用与早期的VLA1553 1期临床试验相同的逆转录定量聚合酶链反应(RT-qPCR)重新分析数据,以确定疫苗接种者血液滴度与病毒血症之间的相关性。结果:蚊体病毒滴度显著升高(P 10CCID50/mL)。蚊体VLA1553滴度随血粉滴度的降低而降低,但对唾液病毒滴度无剂量依赖性。血粉滴度≤3.875 log10CCID50/mL时未见唾液腺播散。感染了chikv病毒的蚊子能够通过蚊虫叮咬传播病毒,并在3/3 Irf3/7-/-小鼠中引起病毒血症。相比之下,0/3的Irf3/7-/-小鼠在被以vla1553为食的蚊子叮咬后感染。RT-qPCR与接种了VLA1553的个体的1期临床数据比较表明,VLA1553病毒血症等于或低于上述传播阈值。结论:本文提供的证据表明,接种了vla1553疫苗的个体的低病毒血症可以减轻传播。此外,蚊体中VLA1553的复制也明显减弱。总体而言,VLA1553从接种疫苗的个体传播到其他人的蚊子传播似乎不太可能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of the transmission of live-attenuated chikungunya virus vaccine VLA1553 by Aedes albopictus mosquitoes.

Background: Chikungunya virus (CHIKV) is a mosquito-transmitted, arthritogenic alphavirus that causes sporadic outbreaks of often debilitating rheumatic disease. The recently approved CHIKV vaccine, IXCHIQ, is based on a live-attenuated CHIKV strain (VLA1553), with viraemic vaccine recipients theoretically able to transmit VLA1553 to mosquitoes with ensuing onward transmission. We thus evaluated VLA1553 transmission from artificial blood meals to Aedes albopictus mosquitoes, and onward transmission to mice.

Methods: Female A. albopictus mosquitoes were fed on defibrinated sheep blood containing wild-type CHIKV (viral titre: 7.50 log10CCID50/mL) or VLA1553 (viral titres: 7.85, 5.72, 4.58, and 3.79 log10CCID50/mL). Viral titres in mosquito bodies and saliva were determined using CCID50 assays 7-8 days after the blood meal. After providing CHIKV or VLA1553 (viral titres ~ 7-8 log10CCID50/mL) in blood meals to mosquitoes, infected mosquitoes were fed on highly susceptible Irf3/7-/- mice (n = 3 per group). Data were re-analysed using the same reverse transcription quantitative polymerase chain reaction (RT-qPCR) as for an earlier VLA1553 phase 1 clinical trial, to allow correlations between blood meal titres and viraemia in vaccine recipients.

Results: Mosquito body viral titres were significantly higher (P < 0.0001) for CHIKV versus VLA1553-fed mosquitoes at blood meal viral titres of ~ 7-8 log10CCID50/mL. Mosquito body VLA1553 titres decreased with reducing blood meal titres, but there was no dose-dependent effect on saliva viral titres. No dissemination to salivary glands was seen at blood meal titres ≤ 3.875 log10CCID50/mL. CHIKV-fed mosquitoes were able to transmit virus, and induce viraemia in, 3/3 Irf3/7-/- mice via mosquito bites. In contrast, 0/3 Irf3/7-/- mice became infected after bites from VLA1553-fed mosquitoes. RT-qPCR comparisons with phase 1 clinical data for VLA1553-vaccinated individuals indicated that VLA1553 viraemia was at or below the aforementioned threshold for transmission.

Conclusions: The evidence presented herein argue that the low viraemia in VLA1553-vaccinated individuals would mitigate against transmission. In addition, replication of VLA1553 in mosquito bodies was also significantly attenuated. Overall, mosquito-borne transmission of VLA1553 from vaccinated individuals to others appears improbable.

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来源期刊
Parasites & Vectors
Parasites & Vectors 医学-寄生虫学
CiteScore
6.30
自引率
9.40%
发文量
433
审稿时长
1.4 months
期刊介绍: Parasites & Vectors is an open access, peer-reviewed online journal dealing with the biology of parasites, parasitic diseases, intermediate hosts, vectors and vector-borne pathogens. Manuscripts published in this journal will be available to all worldwide, with no barriers to access, immediately following acceptance. However, authors retain the copyright of their material and may use it, or distribute it, as they wish. Manuscripts on all aspects of the basic and applied biology of parasites, intermediate hosts, vectors and vector-borne pathogens will be considered. In addition to the traditional and well-established areas of science in these fields, we also aim to provide a vehicle for publication of the rapidly developing resources and technology in parasite, intermediate host and vector genomics and their impacts on biological research. We are able to publish large datasets and extensive results, frequently associated with genomic and post-genomic technologies, which are not readily accommodated in traditional journals. Manuscripts addressing broader issues, for example economics, social sciences and global climate change in relation to parasites, vectors and disease control, are also welcomed.
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