A DNA vaccine delivered by dermal electroporation fully protects cynomolgus macaques against Lassa fever

KA Cashman, ER Wilkinson, CI Shaia… - Human Vaccines & …, 2017 - Taylor & Francis
KA Cashman, ER Wilkinson, CI Shaia, PR Facemire, TM Bell, JJ Bearss, JD Shamblin…
Human Vaccines & Immunotherapeutics, 2017Taylor & Francis
Lassa virus (LASV) is an ambisense RNA virus in the Arenaviridae family and is the
etiological agent of Lassa fever, a severe hemorrhagic disease endemic to West and Central
Africa. There are no US Food and Drug Administration (FDA)-licensed vaccines available to
prevent Lassa fever. in our previous studies, we developed a gene-optimized DNA vaccine
that encodes the glycoprotein precursor gene of LASV (Josiah strain) and demonstrated that
3 vaccinations accompanied by dermal electroporation protected guinea pigs from LASV …
Abstract
Lassa virus (LASV) is an ambisense RNA virus in the Arenaviridae family and is the etiological agent of Lassa fever, a severe hemorrhagic disease endemic to West and Central Africa. There are no US Food and Drug Administration (FDA)-licensed vaccines available to prevent Lassa fever. in our previous studies, we developed a gene-optimized DNA vaccine that encodes the glycoprotein precursor gene of LASV (Josiah strain) and demonstrated that 3 vaccinations accompanied by dermal electroporation protected guinea pigs from LASV-associated illness and death. Here, we describe an initial efficacy experiment in cynomolgus macaque nonhuman primates (NHPs) in which we followed an identical 3-dose vaccine schedule that was successful in guinea pigs, and a follow-on experiment in which we used an accelerated vaccination strategy consisting of 2 administrations, spaced 4 weeks apart. In both studies, all of the LASV DNA-vaccinated NHPs survived challenge and none of them had measureable, sustained viremia or displayed weight loss or other disease signs post-exposure. Three of 10 mock-vaccinates survived exposure to LASV, but all of them became acutely ill post-exposure and remained chronically ill to the study end point (45 d post-exposure). Two of the 3 survivors experienced sensorineural hearing loss (described elsewhere). These results clearly demonstrate that the LASV DNA vaccine combined with dermal electroporation is a highly effective candidate for eventual use in humans.
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