Evidence map›Paper›PMID 31009499›Full record

ArticlePLoS pathogens2019

Detection of post-vaccination enhanced dengue virus infection in macaques: An improved model for early assessment of dengue vaccines.

Maria Beatriz Borges, Renato Sergio Marchevsky, Renata Carvalho Pereira, Ygara da Silva Mendes, Luiz Gustavo Almeida Mendes, Leonardo Diniz-Mendes, Michael A Cruz, Ouafaâ Tahmaoui, Sébastien Baudart, Marcos Freire and 8 more

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 34 citations in OpenAlex.

  1. Safety and Immunogenicity of an AS03The American journal of tropical medicine and hygiene · 2020
    Trial
  2. Review
  3. Article
  4. Dengue Vaccines.Current topics in microbiology and immunology · 2026
    Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Vaccine-Associated Enhanced Viral Disease: Implications for Viral Vaccine Development.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2021
    Review
  11. Article
  12. Review
  13. Dengue vaccines: the road to failure or to success?Human vaccines & immunotherapeutics · 2020
    Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 3 institutions in 3 countries.

Maria Beatriz BorgesBio-Manguinhos, Fiocruz, Rio de Janeiro, Brazil.
Renato Sergio MarchevskyBio-Manguinhos, Fiocruz, Rio de Janeiro, Brazil.
Renata Carvalho PereiraBio-Manguinhos, Fiocruz, Rio de Janeiro, Brazil.
Ygara da Silva MendesBio-Manguinhos, Fiocruz, Rio de Janeiro, Brazil.
Luiz Gustavo Almeida MendesBio-Manguinhos, Fiocruz, Rio de Janeiro, Brazil.
Leonardo Diniz-MendesBio-Manguinhos, Fiocruz, Rio de Janeiro, Brazil.
Michael A CruzResearch & Development, GSK Vaccines, Rockville, Maryland, United States of America.ORCID 0000-0001-9334-1979
Ouafaâ TahmaouiResearch & Development, GSK Vaccines, Rixensart, Belgium.ORCID 0000-0001-5220-7079
Sébastien BaudartResearch & Development, GSK Vaccines, Rixensart, Belgium.
Marcos FreireBio-Manguinhos, Fiocruz, Rio de Janeiro, Brazil.
Akira HommaBio-Manguinhos, Fiocruz, Rio de Janeiro, Brazil.
Kirsten Schneider-OhrumResearch & Development, GSK Vaccines, Rockville, Maryland, United States of America.ORCID 0000-0002-0618-9196
David W VaughnResearch & Development, GSK Vaccines, Rockville, Maryland, United States of America.ORCID 0000-0002-1396-1690
Yannick VanloubbeeckResearch & Development, GSK Vaccines, Rixensart, Belgium.
Clarisse LorinResearch & Development, GSK Vaccines, Rixensart, Belgium.
Marie-Pierre MaliceResearch & Development, GSK Vaccines, Rixensart, Belgium.
Elena CarideBio-Manguinhos, Fiocruz, Rio de Janeiro, Brazil.
Lucile WarterResearch & Development, GSK Vaccines, Rixensart, Belgium.ORCID 0000-0001-7419-9284
Fundação Oswaldo Cruz · BRGlaxoSmithKline (Belgium) · BEGlaxoSmithKline (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The need for improved dengue vaccines remains since the only licensed vaccine, Dengvaxia, shows variable efficacy depending on the infecting dengue virus (DENV) type, and increases the risk of hospitalization for severe dengue in children not exposed to DENV before vaccination. Here, we developed a tetravalent dengue purified and inactivated vaccine (DPIV) candidate and characterized, in rhesus macaques, its immunogenicity and efficacy to control DENV infection by analyzing, after challenge, both viral replication and changes in biological markers associated with dengue in humans. Although DPIV elicited cross-type and long-lasting DENV-neutralizing antibody responses, it failed to control DENV infection. Increased levels of viremia/RNAemia (correlating with serum capacity at enhancing DENV infection in vitro), AST, IL-10, IL-18 and IFN-γ, and decreased levels of IL-12 were detected in some vaccinated compared to non-vaccinated monkeys, indicating the vaccination may have triggered antibody-dependent enhancement of DENV infection. The dengue macaque model has been considered imperfect due to the lack of DENV-associated clinical signs. However, here we show that post-vaccination enhanced DENV infection can be detected in this model when integrating several parameters, including characterization of DENV-enhancing antibodies, viremia/RNAemia, and biomarkers relevant to dengue in humans. This improved dengue macaque model may be crucial for early assessment of efficacy and safety of future dengue vaccines.

Indexed as

AnimalsAntibodies, NeutralizingAntibodies, ViralAntibody-Dependent EnhancementDengueDengue VaccinesDengue VirusDisease Models, AnimalFemaleMacaca mulattaMaleVaccinationVaccines, InactivatedViremiaAntibodies, NeutralizingAntibodies, ViralDengue VaccinesVaccines, Inactivated

Identifiers

PMID31009499
PMCPMC6497418
OpenAlexW2939729797

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.