2019
DOI: 10.1016/j.imlet.2019.03.008
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Vaccine platforms for the prevention of Lassa fever

Abstract: A B S T R A C TLassa fever is an acute viral haemorrhagic illness caused by Lassa virus (LASV), which is endemic throughout much of West Africa. The virus primarily circulates in the Mastomys natalensis reservoir and is transmitted to humans through contact with infectious rodents or their secretions; human-to-human transmission is documented as well. With the exception of Dengue fever, LASV has the highest human impact of any haemorrhagic fever virus. On-going outbreaks in Nigeria have resulted in unprecedent… Show more

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Cited by 48 publications
(66 citation statements)
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“…There are no FDA-approved LASV vaccines and current anti-LASV therapy is limited to an off-label use of ribavirin that has limited efficacy. LF has been included on the revised list of priority diseases for the WHO R&D Blueprint, and therefore there is an urgent need for accelerated research and development for LASV vaccines [5].…”
Section: Introductionmentioning
confidence: 99%
“…There are no FDA-approved LASV vaccines and current anti-LASV therapy is limited to an off-label use of ribavirin that has limited efficacy. LF has been included on the revised list of priority diseases for the WHO R&D Blueprint, and therefore there is an urgent need for accelerated research and development for LASV vaccines [5].…”
Section: Introductionmentioning
confidence: 99%
“…These include various approaches, such as live attenuated arenavirus vaccines (e.g., the natural reassortant ML29 or recombinant Mopeia virus) 22 , 23 , viral vector-based vaccines (e.g., modified Vaccinia virus , vesicular stomatitis virus (VSV), measles virus, rabies virus, and yellow fever virus) 24 29 , and DNA-based vaccines 30 , 31 . Both humoral and cell-mediated immune responses are assumed to contribute to vaccine-mediated protection; however, immune markers that correlate with protective immunity differ between vaccine platforms 32 . Notably, repeated immunization of nonhuman primates with purified LASV particles that have been inactivated by gamma irradiation failed to protect animals 33 .…”
Section: Introductionmentioning
confidence: 99%
“…However, there are a number of candidate vaccines such as the Lister strain vaccinia virus, inactivated LASV, recombinant yellow fever vaccine and Venezuelan equine encephalitis virus replicon platforms in evaluations and trials. 8 Chemotherapy for Lassa are largely limited to the use of ribavirin. 9 Ribavirin treatments are not cost-effective and are only useful during the early phase (⩽5 days) after the onset of symptoms.…”
Section: Introductionmentioning
confidence: 99%