Evidence map›Paper›PMID 42655733›Full record

ReviewViruses2026

Antibody-Dependent Enhancement in Flavivirus Infections: From Fc Receptor Signaling to Vaccine and Therapeutic Design.

Yiling Li, Zonghui Wu, Yingchao Cha, Wei Pang, Le Sun

Abstract readReview
In one paragraph

Review in Viruses, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Yiling LiYunnan Provincial Key Laboratory of Public Health and Biosafety, Department of Pathogen Biology and Immunology, School of Basic Medicine, Kunming Medical University, Kunming 650500, China.
Zonghui WuYunnan Provincial Key Laboratory of Public Health and Biosafety, Department of Pathogen Biology and Immunology, School of Basic Medicine, Kunming Medical University, Kunming 650500, China.
Yingchao ChaYunnan Provincial Key Laboratory of Public Health and Biosafety, Department of Pathogen Biology and Immunology, School of Basic Medicine, Kunming Medical University, Kunming 650500, China.
Wei PangYunnan Provincial Key Laboratory of Public Health and Biosafety, Department of Pathogen Biology and Immunology, School of Basic Medicine, Kunming Medical University, Kunming 650500, China.ORCID 0000-0003-3784-8067
Le SunYunnan Provincial Key Laboratory of Public Health and Biosafety, Department of Pathogen Biology and Immunology, School of Basic Medicine, Kunming Medical University, Kunming 650500, China.ORCID 0000-0002-5500-0329

Funding

First-Class Discipline Team of Kunming Medical University 2024XKTDYS09National Natural Science Foundation of China 82572575Open Research fund of Yunnan Provencial Key Laboratory of Cross-border Infectious Diseases Control & Drug Innovation, grant number 2025KJ02Yunnan Province Science and Technology Department 202501AS070022Yunnan Talent Support Plant 202505AS350006
6 · The paper itself

Abstract

Infections caused by flaviviruses, including dengue virus (DENV), Zika virus (ZIKV), and West Nile virus (WNV), can lead to severe hemorrhagic or neurological disease. Antibody-dependent enhancement (ADE) remains a major obstacle to the development of safe flavivirus vaccines and antibody-based therapeutics. ADE includes ADE of infection, in which antibodies increase in viral entry, replication, or infection load, and ADE of disease, in which antibody-dependent inflammatory and immunopathological responses exacerbate disease severity. Previous reviews have largely addressed the general virological and immunological mechanisms of ADE, but few have integrated antibody isotypes and subclasses, Fc-region modifications, Fc receptor diversity, host FcγR polymorphisms, and complement activation within a translational framework. Consequently, how these factors jointly shape ADE of infection, progression to ADE of disease, and individual risk remains incompletely understood. Here, we synthesize evidence linking antibody properties, Fc receptor expression and signaling, FcγR genetic variation, and complement regulation to both forms of ADE. We then discuss how these findings can inform antigen selection, Fc engineering, complement-informed intervention, and systems serology-based risk stratification. By connecting mechanistic evidence with vaccine and therapeutic development, this review offers a framework for designing safer flavivirus interventions and advancing individualized assessment of ADE risk.

Indexed as

Antibodies, ViralAntibody-Dependent EnhancementFlavivirusFlavivirus InfectionsReceptors, FcViral VaccinesAnimalsHumansReceptors, IgGSignal TransductionAntibodies, ViralReceptors, FcReceptors, IgGViral Vaccinesantibody-dependent enhancement (ADE)Fc receptorflavivirus

Identifiers

PMID42655733
PMCPMC13517964

What OpenQuestion holds

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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.