2002
DOI: 10.4269/ajtmh.2002.66.115
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Short report: absence of protective neutralizng antibodies to West Nile virus in subjects following vaccination with Japanese encephalitis or dengue vaccines.

Abstract: Abstract. Protection of individuals against West Nile (WN) encephalitis is an emerging concern in the United States and Europe. We investigated whether immunization with licensed inactivated Japanese encephalitis (JE) vaccine or experimental live attenuated dengue vaccines resulted in induction of cross-neutralizing antibodies against WN virus. Protective neutralizing antibody titers to WN virus were not detected in any volunteer despite successful immunization to related flaviviruses. Vaccination against JE o… Show more

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Cited by 54 publications
(32 citation statements)
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“…Previous observations by others have shown the cross-protective effect of prior exposure to phylogenetically related flaviviruses and concluded that potential for protective cross-reactivity is unlikely to prevent infection and only likely to prevent disease (16). Similarly, we observed that prior YF immunization of monkeys did not prevent infection (viremia) after WN virus challenge, but may have provided an element of protection against death.…”
Section: Discussionsupporting
confidence: 48%
“…Previous observations by others have shown the cross-protective effect of prior exposure to phylogenetically related flaviviruses and concluded that potential for protective cross-reactivity is unlikely to prevent infection and only likely to prevent disease (16). Similarly, we observed that prior YF immunization of monkeys did not prevent infection (viremia) after WN virus challenge, but may have provided an element of protection against death.…”
Section: Discussionsupporting
confidence: 48%
“…62,74 In some animal models, vaccination with Japanese encephalitis virus, 75 St Louis encephalitis virus or Kunjin virus (a subtype of WNV) confers relative protection from severe WNV infection, but two studies have shown that prior Japanese encephalitis, yellow fever or dengue virus vaccination does not induce protective neutralizing antibody responses to WNV. 76,77 Potential strategies for human WNV vaccine development include use of inactivated or attenuated WNV strains, chimeric live virus vaccines (in which WNV genes are inserted into the genetic background of another flavivirus), and recombinant-subunitbased vaccines. A chimeric vaccine that incorporates WNV into a genomic backbone of attenuated serotype-4 dengue virus induced protective immunity against WNV challenge in monkeys, 78 and is currently undergoing Phase I safety and immunogenicity studies in humans.…”
Section: Vaccinationmentioning
confidence: 99%
“…Several studies have evaluated the potential of JE vaccines to induce cross-reactive immune responses to WNV in vivo by using mice [20], hamsters [23] and monkeys [5] and in vitro by using human specimens [6,27]; cross-reactive immune responses have been indicated in most of the studies. Such immune responses have not been evaluated in horses, and this has been a major concern for the horse industry in Asian countries, especially in Japan, where racehorses have some economic importance.…”
mentioning
confidence: 99%