SUMMARYDengue type 2 virus (DV)-induccd cytotoxic factor (CF) is capable of reproducing various palhological lesions in mice that are seen in human dengue. The present study was undertaken to investigate the protective effect of active immunization of mice with CF, Mice were immunized with 5 //gof CFand prevention ofCF-induced increase in capillary permeability and damage to the bloodbrain barrier were studied at weekly intervals, up to 48 weeks, by challenging with } /(g of CF, Maximum protection against increase in capillary permeability and damage to the blood-brain barrier was observed in week 4 after immunization. A breakthrough in the protection occurred with higher doses of CF in a dose-dependent manner. Challenge with a lethal intraccrcbrat (i.e.) dose of DV showed significantly prolonged mean survival time and delayed onset ofsymptoms of sickness in the immunized mice compared with the normal mice, but the titre ofthe virus in the brain was similar in the two groups. On i,p. challenge with the virus the protection against damage to the blood-brain barrier was 86 + 7",' ;i at week 4 and 17 + 4% at week 26 after immunization. Sera obtained from the immunized mice showed the presenee of CF-sp>eeific antibodies by ELISA, Western blot, and by neutralization of the cytotoxic activity of CF in vitro. The present study describes successful prevention ofa cytokine-induced pathology by speeific aetive immunization.