“…A similar approach involving synonymous deoptimization of the poliovirus capsid coding region generated a virus that exhibited a neuro-attenuated phenotype in transgenic mice (Mueller et al, 2006). Largescale synonymous codon usage recoding has been used to generate prototypes of live attenuated vaccines for several RNA viruses, including poliovirus (Burns et al, 2006;Mueller et al, 2006), influenza virus (Mueller et al, 2010;Yang et al, 2013), respiratory syncytial virus (RSV) (Nouën et al, 2014), vesicular stomatitis virus (Wang et al, 2015), porcine reproductive and respiratory syndrome virus (Ni et al, 2014), dengue virus (Shen et al, 2015), zika virus (Li et al, 2018), echovirus 7 (Fros et al, 2017), foot and mouth disease virus (Diaz-San Segundo et al, 2021), and the plant cucumber mosaic virus (Mochizuki et al, 2018); arboviruses, such as Chikungunya virus (Nougairede et al, 2013) and tick-borne encephalitis virus (de Fabritus et al, 2015); and DNA viruses, such as Marek's disease herpesvirus (Conrad et al, 2018;Eschke et al, 2018). Clinical trials have been performed using codon-deoptimized type 2 poliovirus.…”