2021
DOI: 10.1371/journal.pntd.0009641
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Previous exposure to dengue virus is associated with increased Zika virus burden at the maternal-fetal interface in rhesus macaques

Abstract: Concerns have arisen that pre-existing immunity to dengue virus (DENV) could enhance Zika virus (ZIKV) disease, due to the homology between ZIKV and DENV and the observation of antibody-dependent enhancement (ADE) among DENV serotypes. To date, no study has examined the impact of pre-existing DENV immunity on ZIKV pathogenesis during pregnancy in a translational non-human primate model. Here we show that macaques with a prior DENV-2 exposure had a higher burden of ZIKV vRNA in maternal-fetal interface tissues … Show more

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Cited by 20 publications
(20 citation statements)
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References 72 publications
(95 reference statements)
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“…Conversely, it is possible that in the presence of a weak neutralizing response antibodies can enhance a viral infection as has been demonstrated with multiple viruses [14,15]. Indeed, ADE has been reported for several human viral diseases including RSV, Measles, Dengue fever and Zika [39,40], in addition to diseases caused by other members of the coronavirus family, including FIPV, and SARS--CoV-1 [41,42]. Since the limited options available for prevention and treatment of SARS-2 are primarily antibody-based, questions of whether SARS-2 infection can be enhanced by these antibodies is an important consideration [43][44][45][46].…”
Section: Discussionmentioning
confidence: 99%
“…Conversely, it is possible that in the presence of a weak neutralizing response antibodies can enhance a viral infection as has been demonstrated with multiple viruses [14,15]. Indeed, ADE has been reported for several human viral diseases including RSV, Measles, Dengue fever and Zika [39,40], in addition to diseases caused by other members of the coronavirus family, including FIPV, and SARS--CoV-1 [41,42]. Since the limited options available for prevention and treatment of SARS-2 are primarily antibody-based, questions of whether SARS-2 infection can be enhanced by these antibodies is an important consideration [43][44][45][46].…”
Section: Discussionmentioning
confidence: 99%
“…Thus, this setting could foster severe dengue cases due to antibody-dependent enhancement, occurring when DENV infection follows a first DENV infection by a heterologous serotype or a first ZIKV infection ( Katzelnick et al , 2020 ). The idea that preexisting DENV immunity may have a pathologic role in ZIKV infection, particularly congenital ZIKV infection is notable ( Ausderau et al, 2021 ;Bardina et al, 2017 ;Crooks et al, 2021 ;Zimmerman et al, 2018 ). However, the impact on clinical outcomes in pregnancy is uncertain and likely complex, with one ecological study indicating that prior DENV outbreaks may be followed by increased or decreased risk for microcephaly cases ( Carvalho et al , 2020 ).…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, FcRn-mediated transplacental transcytosis of ZIKV immune complexes might be an additional mechanism contributing to transplacental transmission of ZIKV in the second and third trimester of pregnancy, while in the first trimester, ZIKV can infect multiple proliferating placental cells [ 53 ]. The reason why increased fetal pathology has not been observed in DENV immune pregnant NHP that got infected with ZIKV could be that these NHP were infected in the first trimester of pregnancy when maternal IgG is not yet transported efficiently across the placenta [ 11 , 12 , 54 ].…”
Section: Discussionmentioning
confidence: 99%