Abstract

Tick-borne encephalitis virus (TBEV) is a leading cause of vector-borne viral encephalitis with expanding endemic regions across Europe. In this study we tested in mice the efficacy of preinfection with a closely related low-virulent flavivirus, Langat virus (LGTV strain TP21), or a naturally avirulent TBEV strain (TBEV-280) in providing protection against lethal infection with the highly virulent TBEV strain (referred to as TBEV-Hypr). We show that prior infection with TP21 or TBEV-280 is efficient in protecting mice from lethal TBEV-Hypr challenge. Histopathological analysis of brains from nonimmunized mice revealed neuronal TBEV infection and necrosis. Neuroinflammation, gliosis, and neuronal necrosis was however also observed in some of the TP21 and TBEV-280 preinfected mice although at reduced frequency as compared to the nonimmunized TBEV-Hypr infected mice. qPCR detected the presence of viral RNA in the CNS of both TP21 and TBEV-280 immunized mice after TBEV-Hypr challenge, but significantly reduced compared to mock-immunized mice. Our results indicate that although TBEV-Hypr infection is effectively controlled in the periphery upon immunization with low-virulent LGTV or naturally avirulent TBEV 280, it may still enter the CNS of these animals. These findings contribute to our understanding of causes for vaccine failure in individuals vaccinated with TBE vaccines.

Highlights

  • Tick-borne encephalitis virus (TBEV) is an enveloped virus belonging to the familyFlaviviridae which contains several other vector-transmitted viruses such as West Nile virus, yellow fever virus, dengue virus, Japanese encephalitis virus, and Zika virus (ZIKV), which all may cause life threatening conditions in humans [1]

  • These results show that preimmunization with TP21 or TBEV-280 is effective in inducing immunity in mice, which conferred protection from clinical and lethal TBEV infection

  • We showed that immunization of mice with LGTV, a closely related low-virulent flavivirus, or a naturally avirulent TBEV strain (TBEV-280) provided protective immunity in mice against symptomatic and lethal infection with TBEV-Hypr strain of TBEV

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Summary

Introduction

Tick-borne encephalitis virus (TBEV) is an enveloped virus belonging to the familyFlaviviridae which contains several other vector-transmitted viruses such as West Nile virus, yellow fever virus, dengue virus, Japanese encephalitis virus, and Zika virus (ZIKV), which all may cause life threatening conditions in humans [1]. 20–30% of the patients develop a second phase with headache, high fever, and neurological symptoms as a consequence of severe meningitis and meningioenecephalomyelitis. Of these patients, 2% exhibit longlasting neurological sequelae [5,6]. Current TBEV vaccines are based on formalin inactivated whole virus preparations, which have proven to be effective in conferring temporary protection. Live attenuated vaccines have been proven to confer better protection, associated safety risks have discouraged their usage [10,11]. LGTV, a naturally occurring low-virulent flavivirus, that has high amino acid sequence identity with TBEV (≈80%), has shown potential as a live attenuated vaccine candidate. In Russia LGTV was used in the 1970s to vaccinate against

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