Vaccines (Aug 2024)

The Approved Live-Attenuated Chikungunya Virus Vaccine (IXCHIQ<sup>®</sup>) Elicits Cross-Neutralizing Antibody Breadth Extending to Multiple Arthritogenic Alphaviruses Similar to the Antibody Breadth Following Natural Infection

  • Whitney C. Weber,
  • Zachary J. Streblow,
  • Craig N. Kreklywich,
  • Michael Denton,
  • Gauthami Sulgey,
  • Magdalene M. Streblow,
  • Dorca Marcano,
  • Paola N. Flores,
  • Rachel M. Rodriguez-Santiago,
  • Luisa I. Alvarado,
  • Vanessa Rivera-Amill,
  • William B. Messer,
  • Romana Hochreiter,
  • Karin Kosulin,
  • Katrin Dubischar,
  • Vera Buerger,
  • Daniel N. Streblow

DOI
https://doi.org/10.3390/vaccines12080893
Journal volume & issue
Vol. 12, no. 8
p. 893

Abstract

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The first vaccine against chikungunya virus (CHIKV) was recently licensed in the U.S., Europe, and Canada (brand IXCHIQ®, referred to as VLA1553). Other pathogenic alphaviruses co-circulate with CHIKV and major questions remain regarding the potential of IXCHIQ to confer cross-protection for populations that are exposed to them. Here, we characterized the cross-neutralizing antibody (nAb) responses against heterotypic CHIKV and additional arthritogenic alphaviruses in individuals at one month, six months, and one year post-IXCHIQ vaccination. We characterized nAbs against CHIKV strains LR2006, 181/25, and a 2021 isolate from Tocantins, Brazil, as well as O’nyong-nyong virus (ONNV), Mayaro virus (MAYV), and Ross River virus (RRV). IXCHIQ elicited 100% seroconversion to each virus, with the exception of RRV at 83.3% seroconversion of vaccinees, and cross-neutralizing antibody potency decreased with increasing genetic distance from CHIKV. We compared vaccinee responses to cross-nAbs elicited by natural CHIKV infection in individuals living in the endemic setting of Puerto Rico at 8–9 years post-infection. These data suggest that IXCHIQ efficiently and potently elicits cross-nAb breadth that extends to related alphaviruses in a manner similar to natural CHIKV infection, which may have important implications for individuals that are susceptible to alphavirus co-circulation in regions of potential vaccine rollout.

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