Why the study?
CVA16 vaccine development has been hindered by inefficient viral replication in current culture systems, mild neutralizing antibody induction, and inadequate protection against viral challenge.
A serum-free HEK293A suspension culture system improves CVA16 production, and combining it with EV-A71 antigens enhances immunogenicity, offering a strategy for bivalent HFMD vaccine development.
May accelerate bivalent HFMD vaccine platforms; leaves open clinical efficacy and safety in children.
• A DNA-launched coxsackievirus A16 (CVA16) infectious clone had be established. • Direct transfection of DNA-launched infectious clone streamlines viral recovery. • Serum-free HEK293A suspension cells improve CVA16 production than Vero cells. • Enterovirus A71 enhances CVA16 antigen’s effectiveness in bivalent vaccine. Coxsackievirus A16 (CVA16) is one of the primary pathogens that causes hand, foot, and mouth disease (HFMD) in young children. In previous studies, CVA16 vaccine development has encountered several challenges, such as inefficient replication of the CVA16 virus in present culture systems, the induction of only mild neutralizing antibody titers, and neutralizing antibodies induced by certain vaccine candidates that are unable to protect against CVA16 viral challenge. In this study, we constructed a DNA-launched CVA16 infectious clone (CVA16ic) based on the genomic sequence of the CVA16 N5079 strain to minimize interference from viral quasispecies. The biochemical properties of this CVA16ic strain were similar to those of its parental strain. Serum-free HEK293A suspension cells, which produced higher virus titers than Vero cells, were demonstrated to improve CVA16 production yields. In addition, our study showed that inactivated EV-A71 antigens could enhance the immunogenicity of inactivated CVA16 mature/full particles (F-particles), suggesting that a bivalent CVA16 and EV-A71 vaccine may be an effective strategy for CVA16 vaccine development. These findings are expected to provide novel strategies and accelerate the development of bivalent HFMD vaccines.
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Chen et al. (2024) studied this question.
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