Vaccine-induced enhancement of viral infections

Abstract Examples of vaccine-induced enhancement of susceptibility to virus infection or of aberrant viral pathogenesis have been documented for infections by members of different virus families. Several mechanisms, many of which still are poorly understood, are at the basis of this phenomenon. Vacc...

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Veröffentlicht in:Vaccine 2009-01, Vol.27 (4), p.505-512
Hauptverfasser: Huisman, W, Martina, B.E.E, Rimmelzwaan, G.F, Gruters, R.A, Osterhaus, A.D.M.E
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container_start_page 505
container_title Vaccine
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creator Huisman, W
Martina, B.E.E
Rimmelzwaan, G.F
Gruters, R.A
Osterhaus, A.D.M.E
description Abstract Examples of vaccine-induced enhancement of susceptibility to virus infection or of aberrant viral pathogenesis have been documented for infections by members of different virus families. Several mechanisms, many of which still are poorly understood, are at the basis of this phenomenon. Vaccine development for lentivirus infections in general, and for HIV/AIDS in particular, has been little successful. Certain experimental lentiviral vaccines even proved to be counterproductive: they rendered vaccinated subjects more susceptible to infection rather than protecting them. For vaccine-induced enhanced susceptibility to infection with certain viruses like feline coronavirus, Dengue virus, and feline immunodeficiency virus, it has been shown that antibody-dependent enhancement (ADE) plays an important role. Other mechanisms may, either in the absence of or in combination with ADE, be involved. Consequently, vaccine-induced enhancement has been a major stumble block in the development of certain flavi-, corona-, paramyxo-, and lentivirus vaccines. Also recent failures in the development of a vaccine against HIV may at least in part be attributed to induction of enhanced susceptibility to infection. There may well be a delicate balance between the induction of protective immunity on the one hand and the induction of enhanced susceptibility on the other. The present paper reviews the currently known mechanisms of vaccine-induced enhancement of susceptibility to virus infection or of aberrant viral pathogenesis.
doi_str_mv 10.1016/j.vaccine.2008.10.087
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Several mechanisms, many of which still are poorly understood, are at the basis of this phenomenon. Vaccine development for lentivirus infections in general, and for HIV/AIDS in particular, has been little successful. Certain experimental lentiviral vaccines even proved to be counterproductive: they rendered vaccinated subjects more susceptible to infection rather than protecting them. For vaccine-induced enhanced susceptibility to infection with certain viruses like feline coronavirus, Dengue virus, and feline immunodeficiency virus, it has been shown that antibody-dependent enhancement (ADE) plays an important role. Other mechanisms may, either in the absence of or in combination with ADE, be involved. Consequently, vaccine-induced enhancement has been a major stumble block in the development of certain flavi-, corona-, paramyxo-, and lentivirus vaccines. Also recent failures in the development of a vaccine against HIV may at least in part be attributed to induction of enhanced susceptibility to infection. There may well be a delicate balance between the induction of protective immunity on the one hand and the induction of enhanced susceptibility on the other. 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Also recent failures in the development of a vaccine against HIV may at least in part be attributed to induction of enhanced susceptibility to infection. There may well be a delicate balance between the induction of protective immunity on the one hand and the induction of enhanced susceptibility on the other. 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subjects ADE
Allergy and Immunology
Animals
Antibodies
Applied microbiology
Biological and medical sciences
Dengue fever
Dengue virus
Disease Susceptibility - etiology
Encephalitis
Enhancement
Families & family life
Feline coronavirus
Feline immunodeficiency virus
Fundamental and applied biological sciences. Psychology
HIV
HIV-1 - physiology
Human immunodeficiency virus
Humans
Immune system
Immunity, Cellular - immunology
Infections
Lentivirus
Lentivirus Infections - immunology
Lentivirus Infections - prevention & control
Measles
Microbiology
Miscellaneous
Monkeys & apes
Pathogenesis
Respiratory syncytial virus
Vaccine
Vaccines
Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies (general aspects)
Vector-borne diseases
Viral infections
Viral Vaccines - administration & dosage
Viral Vaccines - adverse effects
Virology
Virus Diseases - immunology
Virus Diseases - virology
Virus Internalization
Virus Replication
Viruses
West Nile virus
title Vaccine-induced enhancement of viral infections
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