Zika virus infection enhances future risk of severe dengue disease

The Zika pandemic sparked intense interest in whether immune interactions among dengue virus serotypes 1 to 4 (DENV1 to -4) extend to the closely related Zika virus (ZIKV). We investigated prospective pediatric cohorts in Nicaragua that experienced sequential DENV1 to -3 (2004 to 2015), Zika (2016 t...

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Veröffentlicht in:Science (American Association for the Advancement of Science) 2020-08, Vol.369 (6507), p.1123-1128
Hauptverfasser: Katzelnick, Leah C, Narvaez, César, Arguello, Sonia, Lopez Mercado, Brenda, Collado, Damaris, Ampie, Oscarlett, Elizondo, Douglas, Miranda, Tatiana, Bustos Carillo, Fausto, Mercado, Juan Carlos, Latta, Krista, Schiller, Amy, Segovia-Chumbez, Bruno, Ojeda, Sergio, Sanchez, Nery, Plazaola, Miguel, Coloma, Josefina, Halloran, M Elizabeth, Premkumar, Lakshmanane, Gordon, Aubree, Narvaez, Federico, de Silva, Aravinda M, Kuan, Guillermina, Balmaseda, Angel, Harris, Eva
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container_issue 6507
container_start_page 1123
container_title Science (American Association for the Advancement of Science)
container_volume 369
creator Katzelnick, Leah C
Narvaez, César
Arguello, Sonia
Lopez Mercado, Brenda
Collado, Damaris
Ampie, Oscarlett
Elizondo, Douglas
Miranda, Tatiana
Bustos Carillo, Fausto
Mercado, Juan Carlos
Latta, Krista
Schiller, Amy
Segovia-Chumbez, Bruno
Ojeda, Sergio
Sanchez, Nery
Plazaola, Miguel
Coloma, Josefina
Halloran, M Elizabeth
Premkumar, Lakshmanane
Gordon, Aubree
Narvaez, Federico
de Silva, Aravinda M
Kuan, Guillermina
Balmaseda, Angel
Harris, Eva
description The Zika pandemic sparked intense interest in whether immune interactions among dengue virus serotypes 1 to 4 (DENV1 to -4) extend to the closely related Zika virus (ZIKV). We investigated prospective pediatric cohorts in Nicaragua that experienced sequential DENV1 to -3 (2004 to 2015), Zika (2016 to 2017), and DENV2 (2018 to 2020) epidemics. Risk of symptomatic DENV2 infection and severe disease was elevated by one prior ZIKV infection, one prior DENV infection, or one prior DENV infection followed by one ZIKV infection, compared with being flavivirus-naïve. By contrast, multiple prior DENV infections reduced dengue risk. Further, although high preexisting anti-DENV antibody titers protected against DENV1, DENV3, and ZIKV disease, intermediate titers induced by previous ZIKV or DENV infection enhanced future risk of DENV2 disease and severity, as well as DENV3 severity. The observation that prior ZIKV infection can modulate dengue disease severity like a DENV serotype poses challenges to development of dengue and Zika vaccines.
doi_str_mv 10.1126/science.abb6143
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ispartof Science (American Association for the Advancement of Science), 2020-08, Vol.369 (6507), p.1123-1128
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source American Association for the Advancement of Science; MEDLINE
subjects Antibodies
Antibodies, Viral - blood
Dengue fever
Dengue hemorrhagic fever
Dengue Vaccines - immunology
Dengue Virus - immunology
Epidemics
Health risks
Homology
Humans
Immunity
Immunogenicity, Vaccine
Infections
Mosquitoes
Nicaragua - epidemiology
Pandemics
Pediatrics
Risk
Serogroup
Serotypes
Severe Dengue - epidemiology
Vaccines
Vector-borne diseases
Viral envelope proteins
Viruses
Zika virus
Zika Virus - immunology
Zika Virus Infection - epidemiology
Zika Virus Infection - immunology
title Zika virus infection enhances future risk of severe dengue disease
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