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  • Live attenuated smallpox va...
    Hwang, Yun-Ho; Byeon, Yeji; Ahn, Sung Hyun; Kim, Mi-Young; Byun, Sung-Hyun; Lee, Hyoung Jin; Suh, Bohyun; Kim, Dokeun; Jung, Eun Ju; Kim, You-Jin

    Vaccine, 02/2024, Volume: 42, Issue: 6
    Journal Article

    •The immunogenicity of KVAC103 was compared to the CJ-50300 vaccine immunogenicity.•Binding and neutralizing-antibody titers rose in a concentration-dependent manner after second inoculation.•Compared to CJ-50300 after the first injection, the T-cell immune response of KVAC103 increased after the second injection.•KVAC103 administered intramuscular, subcutaneous, or intradermal had similar levels of neutralizing antibody titers and antigen-specific IgG levels.•KVAC103 might be a powerful smallpox vaccine. Smallpox, caused by the variola virus belonging to the genus Orthopoxvirus, is an acute contagious disease that killed 300 million people in the 20th century. Since it was declared to be eradicated and the national immunization program against it was stopped, the variola virus has become a prospective bio-weapon. It is necessary to develop a safe vaccine that protects people from terrorism using this biological weapon and that can be administered to immunocompromised people. Our previous study reported on the development of an attenuated smallpox vaccine (KVAC103). This study evaluated cellular and humoral immune responses to various doses, frequencies, and routes of administration of the KVAC103 strain, compared to CJ-50300 vaccine, and its protective ability against the wild-type vaccinia virus Western Reserve (VACV-WR) strain was evaluated. The binding and neutralizing-antibody titers increased in a concentration-dependent manner in the second inoculation, which increased the neutralizing-antibody titer compared to those after the single injection. In contrast, the T-cell immune response (interferon-gamma positive cells) increased after the second inoculation compared to that of CJ-50300 after the first inoculation. Neutralizing-antibody titers and antigen-specific IgG levels were comparable in all groups administered KVAC103 intramuscularly, subcutaneously, and intradermally. In a protective immunity test using the VACV-WR strain, all mice vaccinated with CJ-50300 or KVAC103 showed 100% survival. KVAC103 could be a potent smallpox vaccine that efficiently induces humoral and cellular immune responses to protect mice against the VACV-WR strain.