2016
DOI: 10.1093/infdis/jiw377
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Zika Virus–Induced Antibody Response Enhances Dengue Virus Serotype 2 Replication In Vitro

Abstract: Zika virus has emerged in the Americas, where dengue virus is endemic. Among the 4 serotypes of dengue virus, antibody-dependent enhancement is thought to enhance viral replication and disease severity. Reports suggest that anti-dengue virus antibody may enhance Zika virus replication. We investigated whether Zika virus antibodies enhance dengue virus replication, by exposing C57Bl/6 mice to Zika virus. Polyclonal serum was verified for strong Zika virus-neutralizing, dengue virus-subneutralizing capacity. The… Show more

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Cited by 108 publications
(87 citation statements)
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“…This phenomenon could be relevant to ZIKV vaccination because DENV and ZIKV are related closely, and vaccinated subjects in or travelers to endemic areas could become exposed secondarily to DENV, which infects ~390 million people per year (Bhatt et al, 2013). Indeed, cross-reactive antibodies targeting the highly conserved fusion loop in DII of E (E-DII-FL) derived during natural ZIKV infection can augment infectivity of DENV in cell culture Kawiecki and Christofferson, 2016;Stettler et al, 2016) and in vivo in mice (Stettler et al, 2016). This laboratory-based data is not conclusive, as epidemiological studies, which may take years to perform, are required to establish the impact of ZIKV humoral immunity on DENV pathogenesis.…”
Section: Introductionmentioning
confidence: 99%
“…This phenomenon could be relevant to ZIKV vaccination because DENV and ZIKV are related closely, and vaccinated subjects in or travelers to endemic areas could become exposed secondarily to DENV, which infects ~390 million people per year (Bhatt et al, 2013). Indeed, cross-reactive antibodies targeting the highly conserved fusion loop in DII of E (E-DII-FL) derived during natural ZIKV infection can augment infectivity of DENV in cell culture Kawiecki and Christofferson, 2016;Stettler et al, 2016) and in vivo in mice (Stettler et al, 2016). This laboratory-based data is not conclusive, as epidemiological studies, which may take years to perform, are required to establish the impact of ZIKV humoral immunity on DENV pathogenesis.…”
Section: Introductionmentioning
confidence: 99%
“…Though studies in nonhuman primates [5] and mice [8] have shown the potential for ZIKV-induced cross-reactive responses to enhance DENV infection, there are limited data to support these findings in humans. Our results show that serum from ZIKV-infected human subjects was capable of mediating the ADE of DENV infection in vitro.…”
Section: Discussionmentioning
confidence: 99%
“…Our results show that serum from ZIKV-infected human subjects was capable of mediating the ADE of DENV infection in vitro. Large epidemiological studies are needed to determine if these findings directly translate to the potential for higher risk of severe dengue, but they add to the evidence from animal studies that ZIKV-induced antibodies could potentially enhance DENV infection; monoclonal antibodies [9] or polyclonal serum [8] has been shown to enhance DENV infection in vitro, whereas ZIKV-convalescent nonhuman primates experienced enhanced DENV viremia following infection with DENV [1–3]. …”
Section: Discussionmentioning
confidence: 99%
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“…To examine the long term impact of dengue vaccine on Zika transmission, we should also consider the issue whether dengue vaccine offers only short-term protection (and hence ADE), which can be modelled by allowing recovery to the dengue-susceptible populations. Finally, in view of the recent study [49] on bidirectional ADE impact between dengue and Zika, and the substantial global efforts towards Zika vaccine development, our model should be modified by further stratification of the vector and human populations and additional cost-benefit analyses to inform “long-term high prioritisation and adequate resources” [50]. …”
Section: Limitationsmentioning
confidence: 99%