Ebola virus infection causes hemorrhagic fever with high mortality rates in humans and nonhuman primates. Currently, there are no vaccines or therapies approved for human use. Outbreaks of Ebola virus have been infrequent, largely confined to remote locations in Africa and quarantine of sick patients has been effective in controlling epidemics. In the past, this small global market has generated little commercial interest for developing an Ebola virus vaccine. However, heightened awareness of bioterrorism advanced by the events surrounding September 11, 2001, concomitant with knowledge that the former Soviet Union was evaluating Ebola virus as a weapon, has dramatically changed perspectives regarding the need for a vaccine against Ebola virus. This review takes a brief historic look at attempts to develop an efficacious vaccine, provides an overview of current vaccine candidates and highlights strategies that have the greatest potential for commercial development. Ebola virus (EBOV) has gained public notoriety in the last decade largely as a result of the enormous interest and alarm generated by the news media. This attention is primarily a consequence of the highly publicized isolation of EBOV in a suburb of Washington, DC., in 1989 coupled with its high case-fatality rate (near 90% in some outbreaks), unusual and striking morphology and its dramatic clinical presentation and lack of effective specific treatment. Progress in understanding the origins of the pathophysiological changes that make EBOV infections of humans so devastating have been slow, primarily because these viruses require biosafety level (BSL)-4 containment for safe research.EBOV infections are usually the most severe of the viruses that cause hemorrhagic fever (HF). Clinical symptoms appear suddenly after an incubation period of 2 to 21 days [1]. Common presenting complaints include high fever, chills, malaise and myalgia [2][3][4][5][6][7]. As the disease progresses, there is evidence of multisystemic involvement and manifestations include prostration, anorexia, vomiting, nausea, abdominal pain, diarrhea, shortness of breath, sore throat, edema, confusion and coma [2][3][4][5][6][7]. Petechiae, ecchymoses, mucosal hemorrhages and uncontrolled bleeding at venipuncture sites are notable observations [2][3][4][5][6][7]. The presence of a maculopapular rash is a prominent feature [2][3][4][5][6][7] but is not pathognomonic for EBOV HF. Fulminant EBOV infection typically evolves to shock, convulsions and, in most cases, diffuse coagulopathy ensues [2][3][4][5][6][7]. It should be noted that evidence of asymptomatic Ebola infection was documented in a small group of individuals during a recent outbreak [8] but the clinical and epidemiological relevance of this observation, at this time, is uncertain.
Genetics & viral proteinsThe family Filoviridae is comprised of two genera: Marburgvirus (MARV) and Ebolavirus (EBOV). The Ebolavirus genus is further subdivided into four distinct species: Ivory Coast ebolavirus (ICEBOV), Reston Ebolavirus (REBOV), Su...