Human antibodies from dengue patients effectively treat Zika infection in mice
Imperial College London Health News Oct 05, 2017
Scientists have discovered that antibodies taken from patients infected with Dengue virus are effective in treating Zika infection in rodents.
The team, led by researchers at Imperial College London and Washington University in St Louis, found that giving Zika-infected mice the antibodies was enough to treat the early stages of infection, and even protected unborn pups in pregnant animals.
According to the researchers, if the findings can be replicated in humans, the discovery could potentially lead to a single therapy to protect against both viral threats.
The findings build on previous work by the group, which looked at blood samples from patients in South East Asia infected with Dengue virus, discovering they produced antibodies which were highly effective against the virus. These Y-shaped proteins, which recognise the virus and stick to its surface, single out Dengue for destruction by the bodyÂs immune cells.
Last year, the group discovered that this same class of antibodies also recognised a close cousin of Dengue, the Zika virus.
Now, in a study published in the journal Nature Immunology, they have shown for the first time that these antibodies are effective in treating Zika infection in mice.
Dengue is found in multiple regions around the world, including the Pacific, South America, Africa and South East Asia. The virus, of which there are four types, is spread by mosquitoes and can lead to Dengue haemorrhagic fever, a complication which can lead to shock and eventually death if untreated. Zika is from the same family of viruses (called Flaviviridae) as Dengue, occurs in many of the same regions and is transmitted by the same species of mosquito. Recent Zika outbreaks in South and Central America have been associated with deformities in newborns as well as Guillain-Barré syndrome, a rare but debilitating condition affecting the nerves.
Professor Gavin Screaton, Dean of the Faculty of Medicine at Imperial and senior author, said: ÂThis paper shows for the first time that antibodies we had previously found to be effective against Dengue potently protect against Zika virus in mice and can treat the early stages of infection.Â
In trials, animals infected with Zika were treated with the antibodies in the first five days of infection and monitored for 21 days. The researchers found that treatment with antibodies reduced deaths and weight loss in the rodents when compared to a control group.
They found that overall, the treatment was able to reduce the damage caused by the virus, Furthermore, tests in pregnant mice infected with Zika reduced the deaths of unborn pups to just one in 10, compared to a 90 per cent loss seen in infected control animals.
Further tests revealed that the antibody treatment was associated with a drastic reduction in the amount of virus detected in the brain and testes, sites known to be targeted by Zika.
Earlier studies have shown that being previously infected with Dengue has the potential to cause a more severe reaction to Zika, with the virus using the bodyÂs own immune cells as a Trojan horse. In a phenomenon called antibody-dependent enhancement (ADE), antibodies stick to the Zika virus and tag it for destruction, but the immune cells which destroy the virus are unable to finish the job, and become overrun with the virus.
However, the latest study  which focused on a subgroup of these immune proteins, called anti-EDE1 antibodies  found that modifying the antibodies slightly could overcome the problem, without losing their effectiveness.
The researchers explain that while their latest findings highlight a tantalising potential for a dual-Zika-Dengue vaccine, the findings need to be replicated in primates, which will be able to give a clearer idea of potential effects in humans and whether it could move towards clinical trials in humans.
The group is now exploring how
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The team, led by researchers at Imperial College London and Washington University in St Louis, found that giving Zika-infected mice the antibodies was enough to treat the early stages of infection, and even protected unborn pups in pregnant animals.
According to the researchers, if the findings can be replicated in humans, the discovery could potentially lead to a single therapy to protect against both viral threats.
The findings build on previous work by the group, which looked at blood samples from patients in South East Asia infected with Dengue virus, discovering they produced antibodies which were highly effective against the virus. These Y-shaped proteins, which recognise the virus and stick to its surface, single out Dengue for destruction by the bodyÂs immune cells.
Last year, the group discovered that this same class of antibodies also recognised a close cousin of Dengue, the Zika virus.
Now, in a study published in the journal Nature Immunology, they have shown for the first time that these antibodies are effective in treating Zika infection in mice.
Dengue is found in multiple regions around the world, including the Pacific, South America, Africa and South East Asia. The virus, of which there are four types, is spread by mosquitoes and can lead to Dengue haemorrhagic fever, a complication which can lead to shock and eventually death if untreated. Zika is from the same family of viruses (called Flaviviridae) as Dengue, occurs in many of the same regions and is transmitted by the same species of mosquito. Recent Zika outbreaks in South and Central America have been associated with deformities in newborns as well as Guillain-Barré syndrome, a rare but debilitating condition affecting the nerves.
Professor Gavin Screaton, Dean of the Faculty of Medicine at Imperial and senior author, said: ÂThis paper shows for the first time that antibodies we had previously found to be effective against Dengue potently protect against Zika virus in mice and can treat the early stages of infection.Â
In trials, animals infected with Zika were treated with the antibodies in the first five days of infection and monitored for 21 days. The researchers found that treatment with antibodies reduced deaths and weight loss in the rodents when compared to a control group.
They found that overall, the treatment was able to reduce the damage caused by the virus, Furthermore, tests in pregnant mice infected with Zika reduced the deaths of unborn pups to just one in 10, compared to a 90 per cent loss seen in infected control animals.
Further tests revealed that the antibody treatment was associated with a drastic reduction in the amount of virus detected in the brain and testes, sites known to be targeted by Zika.
Earlier studies have shown that being previously infected with Dengue has the potential to cause a more severe reaction to Zika, with the virus using the bodyÂs own immune cells as a Trojan horse. In a phenomenon called antibody-dependent enhancement (ADE), antibodies stick to the Zika virus and tag it for destruction, but the immune cells which destroy the virus are unable to finish the job, and become overrun with the virus.
However, the latest study  which focused on a subgroup of these immune proteins, called anti-EDE1 antibodies  found that modifying the antibodies slightly could overcome the problem, without losing their effectiveness.
The researchers explain that while their latest findings highlight a tantalising potential for a dual-Zika-Dengue vaccine, the findings need to be replicated in primates, which will be able to give a clearer idea of potential effects in humans and whether it could move towards clinical trials in humans.
The group is now exploring how
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