New polio vaccines could help eradicate the disease once and for all

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RIBI Image Library, polio hospital1  Flickr, https://creativecommons.org/licenses/by/2.0/
RIBI Image Library, polio hospital1 Flickr, https://creativecommons.org/licenses/by/2.0/

International scientists have developed two new polio vaccines, and tests in mice suggest they may be able to help eradicate the disease once and for all. Polio is caused by three different versions of the poliovirus, but only types 2 and 3 have been eradicated and type 1 still causes disease in Afghanistan and Pakistan. Current vaccines also use a weakened form of the virus which in some rare cases can mutate to cause polio disease. These are called vaccine-derived polioviruses (VDPVs). The new vaccines that have been developed are designed to be more genetically stable - so they are less likely to mutate and cause disease. When these new vaccines were tested in mice,  they remained in a weakened form, were able to produce antibodies against the poliovirus, and could protect the mice against disease.

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From: Springer Nature

Virology: Stable novel polio vaccine candidates may give eradication a shot (N&V)

Two new polio vaccine candidates that induce immune responses in mice and may increase the possibility of eradicating polio are presented in Nature this week. The candidates, based on a weakened version of the poliovirus, are less likely to result in vaccine-derived virulent poliovirus variants than some previous vaccines.

Polio is caused by three different versions (or serotypes) of the poliovirus. Wild poliovirus (WPV) types 2 and 3 have been eradicated in the past decade, owing to the development of vaccines that either use an inactivated version of the virus or attenuated polioviruses (versions that are sufficiently weakened so as not to cause disease but still provoke an immune response). However, WPV type 1 still causes disease in Afghanistan and Pakistan, and two other types of poliovirus that arise from the evolution of the virus in the vaccine to a virulent form continue to circulate.

The recently developed novel oral type 2 polio vaccine (nOPV2) that uses a live attenuated virus has been shown to be effective at inducing an immune response, while remaining genetically stable, and has been used against vaccine-derived poliovirus variants. This stability is thanks to the inclusion of specific genetic components that constrain the virus from regaining virulence. Building on this approach, Raul Andino, Andrew Macadam and colleagues develop vaccines for WPV types 1 and 3 (nOPV1 and nOPV3, respectively). Animal experiments and deep sequencing confirm that the vaccine candidates remain attenuated even if small mutations occur after vaccination. They also report that nOPV1 and nOPV3 proved to be very safe in mice. Joint administration of nOPV1, nOPV2 and nOPV3 in mice resulted in the production of antibodies against all three types of poliovirus and the mice were protected against disease.

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Organisation/s: University of California, USA
Funder: This work was carried out as part of the nOPV Consortium funded by the BMGF, which also included E. Wimmer, O. Kew, K. Chumakov and A. Weiner. We thank them, and also current and former advisors (E. Ehrenfeld, P. Wright, J. Modlin, A. S. Bandyopadhyay, R. Sutter, J. Fournier and M. Eisenhauer), for productive discussions throughout this collaboration. We further thank J. Frydman and C. Gast for helpful discussions and comments on the manuscript. This work was supported in part by the NIH (nos. R01 AI36178, AI40085 and P01 AI091575) and the Bill and Melinda Gates Foundation (no. OPP1150001 to J.K. and no. OPP1099295 to R.A. and A.M.).
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