title: Subunit recombinant vaccine protects against monkeypox.
abstract: The smallpox vaccine Dryvax, a live vaccinia virus (VACV), protects against smallpox and monkeypox, but is contraindicated in immunocompromised individuals. Because Abs to VACV mediate protection, a live virus vaccine could be substituted by a safe subunit protein-based vaccine able to induce a protective Ab response. We immunized rhesus macaques with plasmid DNA encoding the monkeypox orthologs of the VACV L1R, A27L, A33R, and B5R proteins by the intradermal and i.m. routes, either alone or in combination with the equivalent recombinant proteins produced in Escherichia coli. Animals that received only DNA failed to produce high titer Abs, developed innumerable skin lesions after challenge, and died in a manner similar to placebo controls. By contrast, the animals vaccinated with proteins developed moderate to severe disease (20-155 skin lesions) but survived. Importantly, those immunized with DNA and boosted with proteins had mild disease with 15 or fewer lesions that resolved within days. DNA/protein immunization elicited Th responses and binding Ab titers to all four proteins that correlated negatively with the total lesion number. The sera of the immunized macaques recognized a limited number of linear B cell epitopes that are highly conserved among orthopoxviruses. Their identification may guide future efforts to develop simpler, safer, and more effective vaccines for monkeypox and smallpox.
authors.affiliation: Animal Models and Retroviral Vaccines Section, National Cancer Institute, Bethesda, MD 20892, USA.
authors.forename: Jean-Michel
authors.initials: JM
authors.lastname: Heraud
authors.forename: Yvette
authors.initials: Y
authors.lastname: Edghill-Smith
authors.forename: Victor
authors.initials: V
authors.lastname: Ayala
authors.forename: Irene
authors.initials: I
authors.lastname: Kalisz
authors.forename: Janie
authors.initials: J
authors.lastname: Parrino
authors.forename: Vaniambadi S
authors.initials: VS
authors.lastname: Kalyanaraman
authors.forename: Jody
authors.initials: J
authors.lastname: Manischewitz
authors.forename: Lisa R
authors.initials: LR
authors.lastname: King
authors.forename: Anna
authors.initials: A
authors.lastname: Hryniewicz
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Trindade
authors.forename: Meredith
authors.initials: M
authors.lastname: Hassett
authors.forename: Wen-Po
authors.initials: WP
authors.lastname: Tsai
authors.forename: David
authors.initials: D
authors.lastname: Venzon
authors.forename: Aysegul
authors.initials: A
authors.lastname: Nalca
authors.forename: Monica
authors.initials: M
authors.lastname: Vaccari
authors.forename: Peter
authors.initials: P
authors.lastname: Silvera
authors.forename: Mike
authors.initials: M
authors.lastname: Bray
authors.forename: Barney S
authors.initials: BS
authors.lastname: Graham
authors.forename: Hana
authors.initials: H
authors.lastname: Golding
authors.forename: Jay W
authors.initials: JW
authors.lastname: Hooper
authors.forename: Genoveffa
authors.initials: G
authors.lastname: Franchini
mesh_terms: D000595:Amino Acid Sequence; D000818:Animals; D000914:Antibodies, Viral / Q000096:biosynthesis / Q000097:blood; D000956:Antigens, Viral / Q000008:administration & dosage / Q000235:genetics / Q000276:immunology; D004279:DNA, Viral / Q000008:administration & dosage / Q000276:immunology; D004195:Disease Models, Animal; D008253:Macaca mulatta; D008969:Molecular Sequence Data; D045908:Mpox, Monkeypox / Q000276:immunology / Q000517:prevention & control*; D008993:Monkeypox virus / Q000235:genetics / Q000276:immunology*; D012900:Smallpox Vaccine / Q000009:adverse effects / Q000276:immunology; D022223:Vaccines, Subunit / Q000008:administration & dosage / Q000235:genetics / Q000276:immunology; D014614:Vaccines, Synthetic / Q000008:administration & dosage / Q000235:genetics / Q000276:immunology; D014765:Viral Vaccines / Q000008:administration & dosage* / Q000235:genetics / Q000276:immunology*
chemical_list: D000914:Antibodies, Viral; D000956:Antigens, Viral; D004279:DNA, Viral; C078786:DryVax vaccine; D012900:Smallpox Vaccine; D022223:Vaccines, Subunit; D014614:Vaccines, Synthetic; D014765:Viral Vaccines