Long-term circulation of vaccine-derived poliovirus that causes paralytic disease
Open accessAbstract
Successful implementation of the global poliomyelitis eradication program raises the problem of vaccination against poliomyelitis in the posteradication era. One of the options under consideration envisions completely stopping worldwide the use of the Sabin vaccine. This strategy is based on the assumption that the natural circulation of attenuated strains and their derivatives is strictly limited. Here, we report the characterization of a highly evolved derivative of the Sabin vaccine strain isolated in a case of paralytic poliomyelitis from a 7-month-old immunocompetent baby in an apparently adequately immunized population. Analysis of the genome of this isolate showed that it is a double (type 1-type 2-type 1) vaccine-derived recombinant. The number of mutations accumulated in both the type 1-derived and type 2-derived portions of the recombinant genome suggests that both had diverged from their vaccine predecessors ∼2 years before the onset of the illness. This fact, along with other recent observations, points to the possibility of long-term circulation of Sabin vaccine strain derivatives associated with an increase in their neurovirulence. Comparison of genomic sequences of this and other evolved vaccine-derived isolates reveals some general features of natural poliovirus evolution. They include a very high preponderance and nonrandom distribution of synonymous substitutions, conservation of secondary structures of important cis -acting elements of the genome, and an apparently adaptive character of most of the amino acid mutations, with only a few of them occurring in the antigenic determinants. Another interesting feature is a frequent occurrence of tripartite intertypic recombinants with either type 1 or type 3 homotypic genomic ends.
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Recombination is most often detected in Sabin 2 and Sabin 3 derived isolates and rarely in Sabin 1.
“Recombination is most often detected in Sabin 2 and Sabin 3 derived isolates and rarely in Sabin 1 [50–52,55,56].”
From Recombination between Poliovirus and Coxsackie A Viruses of Species C: A Model of Viral Genetic Plasticity and Emergence (2011) · cites this paper as [52]
The underlying cause of vaccine-associated paralytic poliomyelitis (VAPP) is the genetic instability of oral polio vaccine (OPV) strains, as key substitutions conferring the attenuated phenotype of Sabin strains have been frequently found to be reverted in isolates from VAPP cases.
“The underlying cause of VAPP is the genetic instability of OPV strains, as key substitutions conferring the attenuated phenotype of Sabin strains have been frequently found to be reverted in isolates from VAPP cases [52].”
From Recombination between Poliovirus and Coxsackie A Viruses of Species C: A Model of Viral Genetic Plasticity and Emergence (2011) · cites this paper as [52]
In Russia in 1999, an immunocompetent seven-month-old orphanage child contracted VAPP associated with a type 1 VDPV.
“In Russia in 1999, an immunocompetent seven-month-old orphanage child contracted VAPP associated with a type 1 VDPV (26).”
From VACCINE-DERIVED POLIOVIRUSES AND THE ENDGAME STRATEGY FOR GLOBAL POLIO ERADICATION (2005) · cites this paper as [26]
The two 1999 aVDPVs from Russia were isolated from different children living in the same orphanage, and although the isolates were of different serotypes, they shared some vaccine/vaccine recombinant noncapsid sequences.
“The two 1999 aVDPVs from Russia were isolated from different children living in the same orphanage, and although the isolates were of different serotypes, they shared some vaccine/vaccine recombinant noncapsid sequences”
From VACCINE-DERIVED POLIOVIRUSES AND THE ENDGAME STRATEGY FOR GLOBAL POLIO ERADICATION (2005) · cites this paper as [26]
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Self-citation
- Authors
- Cherkasova, E. A., Korotkova, E. A., Yakovenko, M. L., Ivanova, O. E., Eremeeva, T. P., Chumakov, K. M., & Agol, V. I.
- Affiliations
- Center for Biologics Evaluation and Research (US)
- Lomonosov Moscow State University (RU)
- Chumakov Institute of Poliomyelitis and Viral Encephalitides (RU)
- Venue
- Journal of Virology
- Publisher
- American Society for Microbiology
- Published
- 2002-07
- Volume
- 76
- Issue
- 13
- Pages
- 6791-6799
- ISSN
- 0022-538X (ISSN-L)
- 1098-5514
- PMC
- PMC136293
- OpenAlex
- W2141343601
- Cited by
- 103
- References
- 76
- Citations by year
- 2026: 3 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 2 · 2017: 2 · 2016: 5 · 2015: 1 · 2014: 2 · 2013: 3 · 2012: 6
- FWCI
- 6.11
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Virology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Defense Advanced Research Projects Agency
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Viral Infections and Immunology Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Evolution and Genetic Dynamics
- Health Sciences › Medicine › Epidemiology › Virology and Viral Diseases
- Keywords
- vaccine-derived poliovirus, paralytic poliomyelitis, Sabin vaccine strains, poliovirus evolution, intertypic recombination, neurovirulence, synonymous substitutions, cis-regulatory elements, adaptive mutation, antigenic determinants
- MeSH terms
- Base Sequence, Female, Humans, Infant, Molecular Sequence Data, Mutation, Poliomyelitis, Poliovirus Vaccine, Oral, Genome, Viral, Sequence Analysis, DNA, Poliovirus, Evolution, Molecular, Amino Acid Substitution, 5' Untranslated Regions
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