Actualización en el desarrollo de la vacuna contra el dengue
Resumen
Antecedentes: El Dengue es una de las enfermedades virales causada por el flavivirus, que se propaga rápidamente alrededor de las 125 zonas tropicales y subtropicales existentes en el mundo. Se estima que, aproximadamente, 390 millones de infecciones suceden por año y sin embargo, la inmunización no brinda la adecuada protección contra este patógeno, por lo que, el desarrollo de nuevas vacunas implicaría una mejora en el sistema de salud y sociedad. Actualmente, distintos ensayos clínicos están en progreso para el lanzamiento de una nueva vacuna efectiva y segura para contrarrestar los efectos que puede ocasionar el virus del Dengue. Objetivo: Describir la actualización del desarrollo de la vacuna contra el Dengue. Metodología: Se realizará un estudio no experimental de tipo descriptivo/narrativo, de revisión bibliográfica en base de artículos indexados en diversas fuentes científicas, específicamente en la base de datos PubMed, limitado a los idiomas inglés y español a partir del año 2018 a 2022. Se analizará revisiones sistemáticas, metaanálisis, ensayos clínicos y estudios comparativos. Resultados: En las nuevas investigaciones de ensayos clínicos y preclínicos prevalece el estudio de vacunas vivas atenuadas, de subunidades recombinante, tetravalente de ADN e inactiva purificada para desarrollar una nueva vacuna eficaz contra el Dengue. Conclusiones: la vacuna TV003 o DENVax, es la única que se encuentra en ensayos clínicos de fase III y la más prometedora mostrando una excelente inmunidad y protección.
Palabras clave
Referencias
Khobragade AW, Kadam DD. Efficacy of Tetravalent Dengue Vaccine: A Systematic Review and Meta-Analysis. Indian J Community Med. 2021;46(2):191–4.
Mulik V, Dad N, Buhmaid S. Dengue in pregnancy: Review article. Eur J Obstet Gynecol Reprod Biol. 2021;261:205–10.
Paz-Bailey G, Adams L, Wong JM, Poehling KA, Chen WH, McNally V, et al. Dengue Vaccine: Recommendations of the Advisory Committee on Immunization Practices, United States, 2021. MMWR Recomm Rep. 2021;70(6):1–16.
Jing Q, Wang M. Dengue epidemiology. J Glob Health. 2019;3(2):37–45.
Biswal S, Reynales H, Saez-Llorens X, Lopez P, Borja-Tabora C, Kosalaraksa P, et al. Efficacy of a Tetravalent Dengue Vaccine in Healthy Children and Adolescents. N Engl J Med. 2019;381(21):2009–19.
Yang X, Quam MBM, Zhang T, Sang S. Global burden for dengue and the evolving pattern in the past 30 years. J Travel Med. 2021;28(8):taab146.
Ministerio de Salud Pública. Gacetas Vectoriales [Internet]. 2022 [citado el 23 de septiembre de 2022]. Disponible en: https://www.salud.gob.ec/wp-content/uploads/2022/08/VECTORES-SE_33.pdf
Huang CH, Tsai YT, Wang SF, Wang WH, Chen YH. Dengue vaccine: an update. Expert Rev Anti Infect Ther. 2021;19(12):1495–502.
Rosa BR, da Cunha AJ, Medronho RDA. Efficacy, immunogenicity and safety of a recombinant tetravalent dengue vaccine (CYD-TDV) in children aged 2–17 years: systematic review and meta-analysis. BMJ Open. 2019;9(3):e019368.
Halstead SB, Dans LF. Dengue infection and advances in dengue vaccines for children. Lancet Child Adolesc Health. 2019;3(10):734–41.
Sangkaew S, Ming D, Boonyasiri A, Honeyford K, Kalayanarooj S, Yacoub S, et al. Risk predictors of progression to severe disease during the febrile phase of dengue: a systematic review and meta-analysis. Lancet Infect Dis. 2021;21(7):1014–26.
Wilder-Smith A, Ooi EE, Horstick O, Wills B. Dengue. Lancet. 2019;393(10169):350–63.
Screaton G, Mongkolsapaya J. Which Dengue Vaccine Approach Is the Most Promising, and Should We Be Concerned about Enhanced Disease after Vaccination? Cold Spring Harb Perspect Biol. 2018;10(6):a029520.
Nascimento EJM, Huleatt JW, Cordeiro MT, Castanha PMS, George JK, Grebe E, et al. Development of antibody biomarkers of long term and recent dengue virus infections. J Virol Methods. 2018;257:62–8.
Bhatt S, Gething PW, Brady OJ, Messina JP, Farlow AW, Moyes CL, et al. The global distribution and burden of dengue. Nature. 2013;496(7446):504–7.
Norshidah H, Vignesh R, Lai NS. Updates on Dengue Vaccine and Antiviral: Where Are We Heading? Molecules. 2021;26(22):6768.
Cattarino L, Rodríguez-Barraquer I, Imai N, Cummings DA, Ferguson NM. Mapping global variation in dengue transmission intensity. Sci Transl Med. 2020;12(528):eaax4144.
Dalugama C, Shelton J, Ekanayake M, Gawarammana IB. Dengue fever complicated with Guillain-Barré syndrome: a case report and review of the literature. J Med Case Reports. 2018;12(1):137.
Silva MMO, Tauro LB, Kikuti M, Anjos RO, Santos VC, Gonçalves TSF, et al. Concomitant Transmission of Dengue, Chikungunya, and Zika Viruses in Brazil: Clinical and Epidemiological Findings From Surveillance for Acute Febrile Illness. Clin Infect Dis. 2019;69(8):1353–9.
Sharp TM, Fischer M, Muñoz-Jordán JL, Paz-Bailey G, Staples JE, Gregory CJ, et al. Dengue and Zika Virus Diagnostic Testing for Patients with a Clinically Compatible Illness and Risk for Infection with Both Viruses. MMWR Recomm Rep. 2019;68(1):1–10.
Bignardi PR, Pinto GR, Boscarioli MLN, Lima RAA, Delfino VDA. Acute kidney injury associated with dengue virus infection: a review. Braz J Nephrol. 2022;44(2):232–7.
Bhattacharya D, Angurana SK, Nallasamy K, Iyer R, Jayashree M. Severe Dengue and Associated Hemophagocytic Lymphohistiocytosis in PICU. Indian J Pediatr. 2019;86(12):1094–8.
da Silveira LTC, Tura B, Santos M. Systematic review of dengue vaccine efficacy. BMC Infect Dis. 2019;19(1):750.
Kirkpatrick BD, Durbin AP, Pierce KK, Carmolli MP, Tibery CM, Grier PL, et al. Robust and Balanced Immune Responses to All 4 Dengue Virus Serotypes Following Administration of a Single Dose of a Live Attenuated Tetravalent Dengue Vaccine to Healthy, Flavivirus-Naive Adults. J Infect Dis. 2015;212(5):702–10.
Tricou V, Sáez-Llorens X, Yu D, Rivera L, Jimeno J, Villarreal AC, et al. Safety and immunogenicity of a tetravalent dengue vaccine in children aged 2-17 years: a randomised, placebo-controlled, phase 2 trial. Lancet. 2020;395(10234):1434–43.
Waickman AT, Friberg H, Gargulak M, Kong A, Polhemus M, Endy T, et al. Assessing the Diversity and Stability of Cellular Immunity Generated in Response to the Candidate Live-Attenuated Dengue Virus Vaccine TAK-003. Front Immunol. 2019;10:1778.
Turner M, Papadimitriou A, Winkle P, Segall N, Levin M, Doust M, et al. Immunogenicity and safety of lyophilized and liquid dengue tetravalent vaccine candidate formulations in healthy adults: a randomized, phase 2 clinical trial. Hum Vaccin Immunother. 2020;16(10):2456–64.
Sirivichayakul C, Barranco-Santana EA, Rivera IE, Kilbury J, Raanan M, Borkowski A, et al. Long-term Safety and Immunogenicity of a Tetravalent Dengue Vaccine Candidate in Children and Adults: A Randomized, Placebo-Controlled, Phase 2 Study. J Infect Dis. 2022;225(9):1513–20.
Forrat R, Dayan GH, DiazGranados CA, Bonaparte M, Laot T, Capeding MR, et al. Analysis of Hospitalized and Severe Dengue Cases Over the 6 years of Follow-up of the Tetravalent Dengue Vaccine (CYD-TDV) Efficacy Trials in Asia and Latin America. Clin Infect Dis. 2021;73(6):1003–12.
Park J, Archuleta S, Oh MLH, Shek LPC, Wang H, Bonaparte M, et al. Humoral and cellular immunogenicity and safety following a booster dose of a tetravalent dengue vaccine 5+ years after completion of the primary series in Singapore: 2-year follow-up of a randomized phase II, placebo-controlled trial. Hum Vaccin Immunother. 2021;17(7):2107–16.
Tran NH, Chansinghakul D, Chong CY, Low CY, Shek LP, Luong CQ, et al. Long-term immunogenicity and safety of tetravalent dengue vaccine (CYD-TDV) in healthy populations in Singapore and Vietnam: 4-year follow-up of randomized, controlled, phase II trials. Hum Vaccin Immunother. 2019;15(10):2315–27.
Coronel-MartÍnez DL, Park J, López-Medina E, Capeding MR, Cadena Bonfanti AA, Montalbán MC, et al. Immunogenicity and safety of simplified vaccination schedules for the CYD-TDV dengue vaccine in healthy individuals aged 9-50 years (CYD65): a randomised, controlled, phase 2, non-inferiority study. Lancet Infect Dis. 2021;21(4):517–28.
Friberg H, Martinez LJ, Lin L, Blaylock JM, De La Barrera RA, Rothman AL, et al. Cell-Mediated Immunity Generated in Response to a Purified Inactivated Vaccine for Dengue Virus Type 1. mSphere. 2020;5(1):e00671-19.
Danko JR, Kochel T, Teneza-Mora N, Luke TC, Raviprakash K, Sun P, et al. Safety and Immunogenicity of a Tetravalent Dengue DNA Vaccine Administered with a Cationic Lipid-Based Adjuvant in a Phase 1 Clinical Trial. Am J Trop Med Hyg. 2018;98(3):849–56.
Durbin AP, Pierce KK, Kirkpatrick BD, Grier P, Sabundayo BP, He H, et al. Immunogenicity and Safety of a Tetravalent Recombinant Subunit Dengue Vaccine in Adults Previously Vaccinated with a Live Attenuated Tetravalent Dengue Vaccine: Results of a Phase-I Randomized Clinical Trial. Am J Trop Med Hyg. 2020;103(2):855–63.
Lin L, Lyke KE, Koren M, Jarman RG, Eckels KH, Lepine E, et al. Safety and Immunogenicity of an AS03B-Adjuvanted Inactivated Tetravalent Dengue Virus Vaccine Administered on Varying Schedules to Healthy U.S. Adults: A Phase 1/2 Randomized Study. Am J Trop Med Hyg. 2020;103(1):132–41.
Russell KL, Rupp RE, Morales-Ramirez JO, Diaz-Perez C, Andrews CP, Lee AW, et al. A phase I randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability, and immunogenicity of a live-attenuated quadrivalent dengue vaccine in flavivirus-naïve and flavivirus-experienced healthy adults. Hum Vaccin Immunother. 2022;18(5):2046960.
Kallas EG, Precioso AR, Palacios R, Thomé B, Braga PE, Vanni T, et al. Safety and immunogenicity of the tetravalent, live-attenuated dengue vaccine Butantan-DV in adults in Brazil: a two-step, double-blind, randomised placebo-controlled phase 2 trial. Lancet Infect Dis. 2020;20(7):839–50.
Diaz C, Koren M, Lin L, Martinez LJ, Eckels KH, Campos M, et al. Safety and Immunogenicity of Different Formulations of a Tetravalent Dengue Purified Inactivated Vaccine in Healthy Adults from Puerto Rico: Final Results after 3 Years of Follow-Up from a Randomized, Placebo-Controlled Phase I Study. Am J Trop Med Hyg. 2020;102(5):951–4.
Jackson LA, Rupp R, Papadimitriou A, Wallace D, Raanan M, Moss KJ. A phase 1 study of safety and immunogenicity following intradermal administration of a tetravalent dengue vaccine candidate. Vaccine. 2018;36(27):3976–83.
Lin L, Koren MA, Paolino KM, Eckels KH, De La Barrera R, Friberg H, et al. Immunogenicity of a Live-Attenuated Dengue Vaccine Using a Heterologous Prime-Boost Strategy in a Phase 1 Randomized Clinical Trial. J Infect Dis. 2021;223(10):1707–16.
Prompetchara E, Ketloy C, Thomas SJ, Ruxrungtham K. Dengue vaccine: Global development update. Asian Pac J Allergy Immunol. 2020;38(3):178–85.
DOI: https://doi.org/10.23857/pc.v8i1.5082
Enlaces de Referencia
- Por el momento, no existen enlaces de referencia
Polo del Conocimiento
Revista Científico-Académica Multidisciplinaria
ISSN: 2550-682X
Casa Editora del Polo
Manta - Ecuador
Dirección: Ciudadela El Palmar, II Etapa, Manta - Manabí - Ecuador.
Código Postal: 130801
Teléfonos: 056051775/0991871420
Email: polodelconocimientorevista@gmail.com / director@polodelconocimiento.com
URL: https://www.polodelconocimiento.com/