Enhancement of Zika virus pathogenesis by preexisting antiflavivirus immunity

被引:432
作者
Bardina, Susana V. [1 ]
Bunduc, Paul [1 ]
Tripathi, Shashank [1 ,2 ]
Duehr, James [1 ]
Frere, Justin J. [1 ]
Brown, Julia A. [1 ]
Nachbagauer, Raffael [1 ]
Foster, Gregory A. [3 ]
Krysztof, David [3 ]
Tortorella, Domenico [1 ]
Stramer, Susan L.
Garcia-Sastre, Adolfo [1 ,2 ,4 ]
Krammer, Florian [1 ]
Lim, Jean K. [1 ]
机构
[1] Icahn Sch Med Mt Sinai, Dept Microbiol, New York, NY 10029 USA
[2] Icahn Sch Med Mt Sinai, Global Hlth & Emerging Pathogens Inst, New York, NY 10029 USA
[3] Amer Red Cross, Gaithersburg, MD 20877 USA
[4] Icahn Sch Med Mt Sinai, Div Infect Dis, Dept Med, New York, NY 10029 USA
关键词
WEST-NILE-VIRUS; ANTIBODY-DEPENDENT ENHANCEMENT; DENGUE HEMORRHAGIC-FEVER; CROSS-REACTIVITY; INFECTION; FC; FLAVIVIRUSES; EPIDEMIOLOGY; ACTIVATION; CORRELATE;
D O I
10.1126/science.aal4365
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Zika virus (ZIKV) is spreading rapidly into regions around the world where other flaviviruses, such as dengue virus (DENV) and West Nile virus (WNV), are endemic. Antibody-dependent enhancement has been implicated in more severe forms of flavivirus disease, but whether this also applies to ZIKV infection is unclear. Using convalescent plasma from DENV- and WNV-infected individuals, we found substantial enhancement of ZIKV infection in vitro that was mediated through immunoglobulin G engagement of Fcg receptors. Administration of DENV- or WNV-convalescent plasma into ZIKV-susceptible mice resulted in increased morbidity-including fever, viremia, and viral loads in spinal cord and testes-and increased mortality. Antibody-dependent enhancement may explain the severe disease manifestations associated with recent ZIKV outbreaks and highlights the need to exert great caution when designing flavivirus vaccines.
引用
收藏
页码:175 / 180
页数:6
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