Dengue Fever: Causes, Complications, and Vaccine Strategies

Dengue is a highly endemic infectious disease of the tropical countries and is rapidly becoming a global burden. It is caused by any of the 4 serotypes of dengue virus and is transmitted within humans through female Aedes mosquitoes. Dengue disease varies from mild fever to severe conditions of deng...

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Main Authors: Niyati Khetarpal, Ira Khanna
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2016/6803098
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author Niyati Khetarpal
Ira Khanna
author_facet Niyati Khetarpal
Ira Khanna
author_sort Niyati Khetarpal
collection DOAJ
description Dengue is a highly endemic infectious disease of the tropical countries and is rapidly becoming a global burden. It is caused by any of the 4 serotypes of dengue virus and is transmitted within humans through female Aedes mosquitoes. Dengue disease varies from mild fever to severe conditions of dengue hemorrhagic fever and shock syndrome. Globalization, increased air travel, and unplanned urbanization have led to increase in the rate of infection and helped dengue to expand its geographic and demographic distribution. Dengue vaccine development has been a challenging task due to the existence of four antigenically distinct dengue virus serotypes, each capable of eliciting cross-reactive and disease-enhancing antibody response against the remaining three serotypes. Recently, Sanofi Pasteur’s chimeric live-attenuated dengue vaccine candidate has been approved in Mexico, Brazil, and Philippines for usage in adults between 9 and 45 years of age. The impact of its limited application to the public health system needs to be evaluated. Simultaneously, the restricted application of this vaccine candidate warrants continued efforts in developing a dengue vaccine candidate which is additionally efficacious for infants and naïve individuals. In this context, alternative strategies of developing a designed vaccine candidate which does not allow production of enhancing antibodies should be explored, as it may expand the umbrella of efficacy to include infants and naïve individuals.
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spelling doaj-art-e7cfd62846344d3387f657d639a85acb2025-08-20T02:22:15ZengWileyJournal of Immunology Research2314-88612314-71562016-01-01201610.1155/2016/68030986803098Dengue Fever: Causes, Complications, and Vaccine StrategiesNiyati Khetarpal0Ira Khanna1International Centre for Genetic Engineering and Biotechnology, Aruna Asaf Ali Marg, New Delhi 110067, IndiaInternational Centre for Genetic Engineering and Biotechnology, Aruna Asaf Ali Marg, New Delhi 110067, IndiaDengue is a highly endemic infectious disease of the tropical countries and is rapidly becoming a global burden. It is caused by any of the 4 serotypes of dengue virus and is transmitted within humans through female Aedes mosquitoes. Dengue disease varies from mild fever to severe conditions of dengue hemorrhagic fever and shock syndrome. Globalization, increased air travel, and unplanned urbanization have led to increase in the rate of infection and helped dengue to expand its geographic and demographic distribution. Dengue vaccine development has been a challenging task due to the existence of four antigenically distinct dengue virus serotypes, each capable of eliciting cross-reactive and disease-enhancing antibody response against the remaining three serotypes. Recently, Sanofi Pasteur’s chimeric live-attenuated dengue vaccine candidate has been approved in Mexico, Brazil, and Philippines for usage in adults between 9 and 45 years of age. The impact of its limited application to the public health system needs to be evaluated. Simultaneously, the restricted application of this vaccine candidate warrants continued efforts in developing a dengue vaccine candidate which is additionally efficacious for infants and naïve individuals. In this context, alternative strategies of developing a designed vaccine candidate which does not allow production of enhancing antibodies should be explored, as it may expand the umbrella of efficacy to include infants and naïve individuals.http://dx.doi.org/10.1155/2016/6803098
spellingShingle Niyati Khetarpal
Ira Khanna
Dengue Fever: Causes, Complications, and Vaccine Strategies
Journal of Immunology Research
title Dengue Fever: Causes, Complications, and Vaccine Strategies
title_full Dengue Fever: Causes, Complications, and Vaccine Strategies
title_fullStr Dengue Fever: Causes, Complications, and Vaccine Strategies
title_full_unstemmed Dengue Fever: Causes, Complications, and Vaccine Strategies
title_short Dengue Fever: Causes, Complications, and Vaccine Strategies
title_sort dengue fever causes complications and vaccine strategies
url http://dx.doi.org/10.1155/2016/6803098
work_keys_str_mv AT niyatikhetarpal denguefevercausescomplicationsandvaccinestrategies
AT irakhanna denguefevercausescomplicationsandvaccinestrategies