2015
DOI: 10.3390/v8010001
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Development of Novel Vaccines against Enterovirus-71

Abstract: The hand, foot and mouth disease is caused by a group of Enteroviruses such as Enterovirus 71 (EV-A71) and Coxsackievirus CV-A5, CV-A8, and CV-A16. Mild symptoms of EV-A71 infection in children range from high fever, vomiting, rashes and ulcers in mouth but can produce more severe symptoms such as brainstem and cerebellar encephalitis, leading up to cardiopulmonary failure and death. The lack of vaccines and antiviral drugs against EV-A71 highlights the urgency of developing preventive and treatment agents aga… Show more

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Cited by 14 publications
(9 citation statements)
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References 59 publications
(61 reference statements)
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“…Most EV infections are mild, but tools are required for detecting EVs from clinical samples, including blood, cerebral spinal fluid, stool and in histologic sections in more serious infections. As multiple EV types are linked to diseases like viral myocarditis, encephalitis and type 1 diabetes 1 , 28 , reagents that are capable of detecting a broad range of different EV types with both high specificity and sensitivity are needed.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Most EV infections are mild, but tools are required for detecting EVs from clinical samples, including blood, cerebral spinal fluid, stool and in histologic sections in more serious infections. As multiple EV types are linked to diseases like viral myocarditis, encephalitis and type 1 diabetes 1 , 28 , reagents that are capable of detecting a broad range of different EV types with both high specificity and sensitivity are needed.…”
Section: Discussionmentioning
confidence: 99%
“…This indicates that recombinant proteins which do not represent the native EV capsid may not be efficient in the generation of antibodies capable of blocking viral infection. The above observations question the rationale of VP1-based subunit vaccines for preventing EV infections 28 .…”
Section: Discussionmentioning
confidence: 99%
“…This is to be expected as the 5′-NTR was responsible for cap-independent translation of viral proteins. The position of a certain specific amino acid in the genome may have a profound significance on virulence [27]. For example, it was reported that the presence of Asn at position 165 of VP2 in the Coxsackievirus B3 was responsible for a cardiovirulent phenotype [28] or virulence could be due to the cooperative effect of several critical amino acids.…”
Section: Discussionmentioning
confidence: 99%
“…After two severe outbreaks in Linyi City in 2007 and Fuyang City in 2008, HFMD has been classified as a Class III notifiable communicable disease by the Chinese government [ 8 , 9 ]. But vaccines and antiviral drugs against EV-A71 or CV-A16 are still on the way to limit the spread of HFMD [ 10 , 11 ].…”
Section: Introductionmentioning
confidence: 99%