2015
DOI: 10.1093/ve/vev005
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Evolutionary reversion of live viral vaccines: Can genetic engineering subdue it?

Abstract: Attenuated, live viral vaccines have been extraordinarily successful in protecting against many diseases. The main drawbacks in their development and use have been reliance on an unpredictable method of attenuation and the potential for evolutionary reversion to high virulence. Methods of genetic engineering now provide many safer alternatives to live vaccines, so if live vaccines are to compete with these alternatives in the future, they must either have superior immunogenicity or they must be able to overcom… Show more

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Cited by 59 publications
(71 citation statements)
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“…Fortunately, recent developments in genetic engineering provide considerable improvements in attenuation methods and the promise of reduced scope for reversion. One especially promising method is attenuation by introducing many silent codon changes [7,23,24]. For reasons still not fully understood, some types of silent codon changes reduce fitness slightly, and when dozens to hundreds of such changes are combined in the same genome, fitness can be reduced to arbitrary levels.…”
Section: Discussionmentioning
confidence: 99%
“…Fortunately, recent developments in genetic engineering provide considerable improvements in attenuation methods and the promise of reduced scope for reversion. One especially promising method is attenuation by introducing many silent codon changes [7,23,24]. For reasons still not fully understood, some types of silent codon changes reduce fitness slightly, and when dozens to hundreds of such changes are combined in the same genome, fitness can be reduced to arbitrary levels.…”
Section: Discussionmentioning
confidence: 99%
“…In principle, on the background of thousands of attenuating mutations, any single-site reversion should yield only a minuscule selective advantage. The most likely path to reversion imaginable under this model is the progressive accumulation of many individual mutations, providing for a slow progression of deattenuation (12)(13)(14).To date, genetic stability studies of large-scale deoptimized viruses have shown that deattenuation, indeed, seems to be low, suggesting that these viruses are genetically stable (6,8,(15)(16)(17)(18)(19)(20)(21). However, an important limitation of these studies is that the deoptimized viruses generally have not been subjected to strong selective pressure that…”
mentioning
confidence: 99%
“…In principle, on the background of thousands of attenuating mutations, any single-site reversion should yield only a minuscule selective advantage. The most likely path to reversion imaginable under this model is the progressive accumulation of many individual mutations, providing for a slow progression of deattenuation (12)(13)(14).…”
mentioning
confidence: 99%
“…On the assumption that each codon change has a small fitness effect, full evolutionary reversion should require reversing all the changes and thus be very slow and possibly incomplete. In practice, reversion is faster than predicted and occurs with relatively few changes, but reversions are still acceptably slow [66]. …”
Section: Engineering Fitness Landscapes To Suppress Evolutionmentioning
confidence: 99%
“…However, this method has not proven especially recalcitrant to evolutionary recovery [66]. Genomes are prone to evolve in response to the deletion, offsetting its effect by adjusting gene expression or even by replacing deleted sequences.…”
Section: Engineering Fitness Landscapes To Suppress Evolutionmentioning
confidence: 99%