Abstract

Despite the availability of an effective, live attenuated yellow fever virus (YFV) vaccine (YFV 17D), this flavivirus still causes up to ≈60,000 deaths annually. A number of new approaches are seeking to address vaccine supply issues and improve safety for the immunocompromised vaccine recipients. Herein we describe an adult female IFNAR-/- mouse model of YFV 17D infection and disease that recapitulates many features of infection and disease in humans. We used this model to evaluate a new YFV vaccine that is based on a recently described chimeric Binjari virus (BinJV) vaccine technology. BinJV is an insect-specific flavivirus and the chimeric YFV vaccine (BinJ/YFV-prME) was generated by replacing the prME genes of BinJV with the prME genes of YFV 17D. Such BinJV chimeras retain their ability to replicate to high titers in C6/36 mosquito cells (allowing vaccine production), but are unable to replicate in vertebrate cells. Vaccination with adjuvanted BinJ/YFV-prME induced neutralizing antibodies and protected mice against infection, weight loss and liver pathology after YFV 17D challenge.

Highlights

  • Yellow fever virus (YFV) is endemic in 47 countries in Africa and Central and South America.During 2013 the virus caused 84,000–170,000 severe cases and 29,000–60,000 deaths globally [1].Large outbreaks have occurred in recent years in Angola, Democratic Republic of Congo and Brazil [2].A revised strategy to Eliminate Yellow Fever Epidemics (EYE) was launched by the World HealthOrganization (WHO) in 2017, with affordable vaccines and a sustained vaccine market representing key objectives [3,4]

  • We recently described a new chimeric flavivirus vaccine platform based on the insect specific flavivirus Binjari virus [24,25]

  • The BinJ/yellow fever virus (YFV)-prME chimera comprises a fully formed virus that is replication competent in C6/36 cells, it might be viewed as more of a virus-like particle (VLP)-like vaccine given that it is unable to replicate in vertebrate cells [24]

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Summary

Introduction

Yellow fever virus (YFV) is endemic in 47 countries in Africa and Central and South America.During 2013 the virus caused 84,000–170,000 severe cases and 29,000–60,000 deaths globally [1].Large outbreaks have occurred in recent years in Angola, Democratic Republic of Congo and Brazil [2].A revised strategy to Eliminate Yellow Fever Epidemics (EYE) was launched by the World HealthOrganization (WHO) in 2017, with affordable vaccines and a sustained vaccine market representing key objectives [3,4]. Yellow fever virus (YFV) is endemic in 47 countries in Africa and Central and South America. During 2013 the virus caused 84,000–170,000 severe cases and 29,000–60,000 deaths globally [1]. Large outbreaks have occurred in recent years in Angola, Democratic Republic of Congo and Brazil [2]. A revised strategy to Eliminate Yellow Fever Epidemics (EYE) was launched by the World Health. Organization (WHO) in 2017, with affordable vaccines and a sustained vaccine market representing key objectives [3,4]. Yellow fever (YF) is prevented by an effective live attenuated vaccine (17D), with a single dose able to confer life-long protection in most people. The global demand for YF vaccine supply has been estimated to be ≈102 million doses in 2016, and is expected to rise to ≈140 million doses in

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