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EV71-a major emerging threat to children in Asia

A screening study on the detection strain of Coxsackievirus A6: the key to evaluating neutralizing antibodies in vaccines

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Article: 2322671 | Received 19 Oct 2023, Accepted 20 Feb 2024, Published online: 29 Feb 2024

Figures & data

Figure 1. Epidemiology of HFMD since 2010.

Figure 1. Epidemiology of HFMD since 2010.

Table 1. Summary of the research and development of the CV-A6 vaccine

Figure 2. The genotyping of the 15 CV-A6 vaccine and detection candidate strains used in this study. The ML tree analysis revealed that the prototype Gdula strain belongs to genotype A, while the 13 CV-A6 strains belong to subgenotype D3, and the XM strain belongs to subgenotype D1. The names of these strains are indicated in the figure.

Figure 2. The genotyping of the 15 CV-A6 vaccine and detection candidate strains used in this study. The ML tree analysis revealed that the prototype Gdula strain belongs to genotype A, while the 13 CV-A6 strains belong to subgenotype D3, and the XM strain belongs to subgenotype D1. The names of these strains are indicated in the figure.

Figure 3. Cross-neutralizing capacity of the plasma from humans naturally infected with CV-A6 and the sera from murine immunized with CV-A6. A: The GMTs of 30 human plasma against various strains of CV-A6 ranged from 18.1 to112.2. The difference among the GMTs for genotype A, subgenotype D1, and C3 strains ranged from 1.0–6.2-folds (shown with a blue bar). B: The GMTs of 15 murine sera against various strains ranged from 63.8–886.8, of which the discrepancy among all strains was 1.5–13.9-fold (shown with an orange bar).

Figure 3. Cross-neutralizing capacity of the plasma from humans naturally infected with CV-A6 and the sera from murine immunized with CV-A6. A: The GMTs of 30 human plasma against various strains of CV-A6 ranged from 18.1 to112.2. The difference among the GMTs for genotype A, subgenotype D1, and C3 strains ranged from 1.0–6.2-folds (shown with a blue bar). B: The GMTs of 15 murine sera against various strains ranged from 63.8–886.8, of which the discrepancy among all strains was 1.5–13.9-fold (shown with an orange bar).

Table 2. List of CV-A6 strains.

Table 3. Comparison of serum cross-neutralization capacities after setting the value of serum neutralization against the corresponding virus strain to 100.

Figure 4. Cross-neutralization ability of sera from murine inoculated with CV-A6 strains. Fifteen sera were collected after inoculating murine with 15 CV-A6 strains separately. CV-A6 NtAb titer < 8 (Log2 Scale < 3) was considered negative, while CV-A6 NtAb titer ≥ 8 (Log2 Scale ≥ 3) was considered positive.

Figure 4. Cross-neutralization ability of sera from murine inoculated with CV-A6 strains. Fifteen sera were collected after inoculating murine with 15 CV-A6 strains separately. CV-A6 NtAb titer < 8 (Log2 Scale < 3) was considered negative, while CV-A6 NtAb titer ≥ 8 (Log2 Scale ≥ 3) was considered positive.

Figure 5. Cross protective effect of anti-S110 against lethal challenge of 5 CV-A6 strains. Anti-S110 (48-fold dilution) showed a good protective effect against 5 CV-A6 strains, and it ascended from 67% to 100% in the order S110, Gdula, S112, S102, and S101.

Figure 5. Cross protective effect of anti-S110 against lethal challenge of 5 CV-A6 strains. Anti-S110 (48-fold dilution) showed a good protective effect against 5 CV-A6 strains, and it ascended from 67% to 100% in the order S110, Gdula, S112, S102, and S101.

Table 4. Cross-protection of anti-S110 against the lethal challenge of five CV-A6 strains.

Supplemental material

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