2006
DOI: 10.1086/499600
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The Interferon Antagonist NS2 Protein of Respiratory Syncytial Virus Is an Important Virulence Determinant for Humans

Abstract: Deletion of the NS2 gene attenuates RSV in subjects of all ages studied. This validates the strategy of developing live respiratory tract virus vaccines in which the virus's ability to inhibit the human innate immune system is blocked. rA2cp248/404 Delta NS2 should be studied in children at a higher input titer, because it was more infectious and immunogenic than was rA2cp530/1009 Delta NS2.

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Cited by 93 publications
(82 citation statements)
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“…These pathological changes and clinical symptoms were minimal to absent in the mice that were immunized with attenuated, replication competent PVM strain 15 prior to challenge with virulent parent PVM strain J3666. Our findings are similar to the vaccine-associated reduction in clinical disease and pulmonary pathology is observed in bRSV-vaccinated and challenged cattle [9][10][11]18]. We also observed diminished local production the soluble mediators of inflammation, including MIP-1α, MIP-2, and TNF-α as well as diminished virus replication in effectively vaccinated mice, again similar to the scenario in bRSV-vaccinated cattle [9][10][11].…”
Section: Discussionsupporting
confidence: 87%
See 1 more Smart Citation
“…These pathological changes and clinical symptoms were minimal to absent in the mice that were immunized with attenuated, replication competent PVM strain 15 prior to challenge with virulent parent PVM strain J3666. Our findings are similar to the vaccine-associated reduction in clinical disease and pulmonary pathology is observed in bRSV-vaccinated and challenged cattle [9][10][11]18]. We also observed diminished local production the soluble mediators of inflammation, including MIP-1α, MIP-2, and TNF-α as well as diminished virus replication in effectively vaccinated mice, again similar to the scenario in bRSV-vaccinated cattle [9][10][11].…”
Section: Discussionsupporting
confidence: 87%
“…These live-attenuated viruses include cold-passaged temperature sensitive mutations with additional changes introduced into what are considered to be non-essential virus genes (NS1, NS2 or SH). Vaccines with both NS2 and SH deletions have been documented as safe in clinical trials [17][18].…”
Section: Introductionmentioning
confidence: 99%
“…There are a number of examples where such an approach has been, or is being, tried, e.g. influenza virus (Talon et al, 2000b;Ferko et al, 2004;Fernandez-Sesma et al, 2006;Richt et al, 2006), paramyxoviruses (Teng et al, 2000;Valarcher et al, 2003;Bartlett et al, 2006;Van Cleve et al, 2006;Wright et al, 2006), BUNV (Weber et al, 2002), EBOV (Hartman et al, 2006) and flaviruses . However, there are a number of difficulties in using IFN-sensitive viruses as vaccines.…”
Section: Ifn-sensitive Viruses As Attenuated Virus Vaccinesmentioning
confidence: 99%
“…Several live-attenuated RSV vaccine candidates have been developed by conventional cold passage and/or chemical mutagenesis (cpts RSV strains) and evaluated in a clinical setting (35,36). Second-generation live-http://bmbreports.org attenuated RSV has been also generated by reverse genetics (rA2cp strains) and tested in RSV-naïve 1-2 month-old infants, showing that protective immunity could be achieved in a majority of the recipients (37,38). However, for this live-attenuated RSV approach, it is quite challenging to determine whether or not the balance between over-attenuation and under-attenuation is most appropriate for a safe and effective vaccine.…”
Section: Current Rsv Vaccine Strategiesmentioning
confidence: 99%