Differential humoral and cellular immunity induced by vaccination using plasmid DNA and protein recombinant expressing the NS3 protein of dengue virus type 3
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The dengue non-structural 3 (NS3) is a multifunctional protein, containing a serine-protease domain, located at the N-terminal portion, and helicase, NTPase and RTPase domains present in the C-terminal region. This protein is considered the main target for CD4+ and CD8+ T cell responses during dengue infection, which may be involved in protection. However, few studies have been undertaken evaluating the use of this protein as a protective antigen against dengue, as well as other flavivirus. In the present work we evaluated the potential of the NS3 (protease domain) as a protective antigen by comparing the administration of a recombinant protein versus a DNA vaccine in the mouse model.
BALB/c mice were immunized with the recombinant protein NS3-DEN3 via intraperitoneal and with plasmid pcDNA3/NS3-DEN3 intramuscularly and the immune response was evaluated. The activity of T lymphocytes was analyzed by the MTT assay, and cells of mice immunized with the recombinant protein showed no activity when stimulated with the homologous protein. However, cells from mice immunized with DNA, responded to stimulation with the recombinant protein. When the expression (RT-PCR) and cytokine production (ELISA) was evaluated in the splenocytes, different behavior depending on the type of immunization was observed, splenocytes of mice immunized with the recombinant protein expressed cytokines such as IL-4, IL-10 and produced high concentrations of IL-1, IL-6 and TNFα. Splenocytes from mice immunized with DNA expressed IL-2 and IFNγ and did not produce IL-6. In addition, immunization with the recombinant protein induced the production of antibodies that are detected up to a dilution 1:3200 by ELISA and Western blot assays, however, the serum of mice immunized with DNA presented no detectable antibody titers.
The results obtained in this study show that administration of pcDNA3/NS3-DEN3 induces a favorable response in the activation of T lymphocytes with low production of specific antibodies against NS3-DEN3.
KeywordsDengue virus NS3 protein DNA vaccine Recombinant protein
(2,2,-azino-bis (3-ethylbenzthiazoline) 6-sulphonic acid
Complete Freund’s adjuvant
- Con A
Dengue hemorrhagic fever
Fever dengue shock syndrome
Enzyme-Linked ImmunoSorbent Assay
Fetal calf serum
Recombinant protein NS3 from serotype 3 coupled to GST
Incomplete Freund’s adjuvant
Phosphate buffer solution
Polimerase chain reaction
Retro transcription- PCR assay
Sodium dodecyl sulfate polyacrylamide gel electrophoresis
Dengue is the most prevalent arboviral disease worldwide. The outcome of the infection is determined by the interplay of viral and host factors. There are estimated 390 million dengue infections per year worldwide, of which 96 million manifest clinically with some level of severity . The etiological agent of dengue disease is the Dengue virus (DENV) being the principal arthropod-borne viral pathogen affecting human populations. It is an enveloped virus member of the Flaviviridae family, containing a ~11 kb genome of positive single-stranded RNA which encodes three structural proteins (C, pr-M, E) and seven nonstructural proteins (NS1, NS2A, NS2B, NS3, NS4A, NS4B, NS5) . Four serotypes of dengue virus (DENV-1, DENV-2, DENV-3, and DENV-4) cause dengue fever (DF) and more severe manifestations such as dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS) . Currently, the infection caused by dengue virus is classified into dengue with/without warning signs and severe dengue .
Dengue virus NS3 is a multifunctional protein playing a major role during viral replication. Both protease and helicase domains of NS3 are interacting with human and insect host proteins including innate immune components of the host machinery . The NS3 is a conserved protein among the different dengue serotypes, which elicits a strong cellular immune response after viral infection in humans and animal models [6, 7]. Nevertheless, there are only few studies evaluating the use of the NS3 protein as a protective antigen against DENV , as well as other virus from the Flaviviridae family . In general, immunization with NS3 induced little protection in different animal models . Our group has previously reported the expression of a fusion protein derived from the N-terminal region of the dengue virus NS3 protein for diagnostic use , however, the majority of T-cell epitopes are concentrated within the NS3 protein, the main target for CD4+ and CD8+ T cell response [6, 7, 11]. The role of T cells in immunity against dengue infection has been extensively reviewed [12, 13], the CD4+ T cell response contributes to protection by instructing B cell responses against the virus . DNA vaccines are able to promote long-lasting cellular immunity against some pathogens, including flaviviruses . Additionally, in contrast vaccination with recombinant protein, DNA vaccination approach promotes in vivo expression of antigens, as it originally occurs during the course of natural viral infections. Finally, DNA vaccines lead to suitable post-translational modifications and proper protein folding, features that can directly influence the quality of the elicited immunity [16, 17, 18, 19]. Antigen expression in host cells can induce complete and lasting immune response including antibodies, although it is often weaker than that available with recombinant vaccines, as well as a strong and lasting activation of T helper cells and cytotoxic or cellular response [17, 20]. In this paper it was compared the immune response from a recombinant protein and a DNA vaccine derived from the NS3 protein (protease domain) in the mouse model.
Dengue virus and mice
Viral RNA of DEN3 (strain H87) was obtained by extracting 2 mL of the clarified culture media with 1 mL of TRIzol LS Reagent (Invitrogen) according to the manufacturer’s instructions and used as template for the synthesis of a cDNA and obtain the PCR product (590 pb) for the protease domain of NS3 protein according to that reported previously . Mice of the BALB/c strain were purchased from CINVESTAV-IPN (Mexico, DF). All mice were maintained according to the recommendations of our Institutional Animal Care and Use Committee.
Expression, Solubilization, and Purification of GST-NS3DEN3
Competent Escherichia coli strain DH5-α cells were transformed with the parental vector (pGEX-5X-1) and with the recombinant expression vector (pGEX-NS3DEN3), and were inoculated into LB media containing 100 mg/L ampicillin (Sigma, St. Louis, MO, USA), and incubated at 37 °C overnight. Fresh LB media was incubated at 37 °C with the overnight culture (1:100) to an OD600 = of 0.5, and protein production was induced by addition of isopropyl-β-D-thiogalactoside (IPTG) to a final concentration of 0.1 mM. After 2-h incubation, cells were harvested and purification of expressed proteins was performed essentially as described by López-Monteon et al. 2003 . with the following modifications: Pellets were treated to solubilize the inclusion bodies; briefly, the pellets were washed twice with 50 mL of PBS (137 mM NaCl, 2.7 mM KCl, 4.3 mM Na2HPO4 · 7H2O, and 1.4 mM KH2PO4, pH 7.4), incubated at 37 °C under constant stirring for 20 min and centrifuged at 3046 × g at 4 °C for 10 min. After that, pellets were suspended by vortexing with PBS 1X pH 7.4 containing 2 M urea, the sample was stirred vigorously for 2 min, incubated at 37 °C under constant stirring for 30 min, and subsequently, centrifuged at 3046 × g for 10 min. The supernatants obtained from the solubilization of the inclusion bodies were dialyzed to remove urea. These supernatants were dialyzed against PBS 1X pH 7.4 overnight at 4 °C with constant stirring. The supernatant containing solubilized fusion protein (GST-NS3-DEN3) was mixed with glutathione-agarose beads (sulfur linkage; Sigma). After absorption for 30 min, beads were collected and washed by centrifugation. Either GST or GST-NS3-DEN3 were eluted by competition with free glutathione (15 mM glutathione in 50 mM Tris-HCl pH 8.0) and then acetone-precipitated.
Purification of plasmid DNA
DNA plasmids pcDNA3 and pcDNA3/NS3-DEN3 were isolated from bacteria by alkaline lysis. Briefly, bacterial pellets were resuspended in 100 μL (25 mM Tris-HCl (pH 8.0), 10 mM EDTA (pH 8.0) and 50 mM saccharose) and repelleted. Alkaline lysis was performed by overlaying the pellets with 200 μL (0.2 N NaOH, 1% SDS), neutralization was achieved by adding 150 μL potassium acetate (5 M). The supernatant was extracted with phenol/chloroform, followed by ethanol precipitation of plasmid DNA. The purified DNA was run on 1% agarose gel in TAE buffer (45 mM Tris-acetic acid, 0.5 M EDTA, pH 8.0), and DNA bands were visualized by ethidium bromide staining.
Cell treatment and transfection
HeLa cells were obtained from the American Type Culture Collection and were cultured in 1640 medium (Gibco, Life technology, USA) supplemented with 10% fetal bovine serum (Hyclone, Thermo Scientific, USA) in a humidified incubator in 5% CO2 at 37 °C. For transfection of pcDNA and pcDNA3/NS3DEN3, 1 × 105 HeLa cells were seeded on each well of 24-well plate. After culturing for 24 h or adherent HeLa cells reached approximately 70% confluency, cells were transiently transfected under optimized transfection conditions. Briefly, 0.8 μg of plasmid DNA was diluted in 50 μL of OptiPro™SFM, and mixed with 2.0 μL of Lipofectamine® 2000 CD (Lipofectamine, Invitrogen, USA) in 50 μL of OptiPro™SFM and incubated for 20 min at room temperature. The mixture was then added to the cells, and incubated at 37 °C in a humidified atmosphere and 5% CO2 for further 72 h.
Immunization of mice with recombinant protein and plasmid DNA
Spleens from normal and immunized BALB/c mice were removed aseptically, dispersed into single-cell suspensions, and erythrocytes removed by treating cell suspensions with ACK buffer (150 mM NH4Cl, 1 mM KHCO3, 0.1 mM Na2EDTA pH 7.4) . Splenocytes were resuspended in Dulbecco modified Eagle Medium (DMEM) containing 10% heat inactivated FCS (Gibco, BRL), 100 U/mL penicillin, 100 μg/mL streptomycin, 2 mM L-glutamine, and 0.05 mM 2-β-Mercaptoethanol. Spleen cells were cultured in 96-well flat-bottom plates at 4 × 105/well and 37 °C under humidified atmosphere of 5% CO2. Cultures were stimulated in triplicate with 4 μg/mL of Concanavalin A (Con A, Sigma Chemical Co.), and with the antigen (an optimal dose of 10 μg/mL and 50 μg/mL was used throughout the experiments) in a total volume of 200 μL culture medium, at the end of culture, cells were centrifuged at 120 × g and resuspended in 100 μL of fresh medium, subsequently it was added 10 μL of the 12 mM MTT [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide] stock solution (Vybrant®, Molecular Probes) to each well. Include a negative control of 10 μl of the MTT stock solution added to 100 μL of medium alone. The plate was incubated at 37 °C for 4 h. At the end of the incubation, 100 μL of the SDS-HCl solution were added to each well and mixed thoroughly using the pipette and the plate was incubated at 37 °C for 4–18 h in a humidified chamber. Finally, samples were mixed using a pipette and absorbance read at 570 nm in a microplate reader (Multiskan EX, Thermo Electron Corporation).
RNA Isolation and RT-PCR
Total RNA from cells, cultured in 24-well plates with different treatments for 48 h, was isolated using the TRIzol system (Life Technologies). One microgram of RNA was reverse transcribed to cDNA with an oligonucleotide (poly(dT)16) using the SuperScript II reverse transcriptase (Life Technologies) and the cDNA used as a template for PCR. PCR sequences and PCR conditions used for amplification of GAPDH, IL-2 , IL-4, IL-10 and IFN-γ : GAPDH (5′-GGT GAA GGT CGG AGT CAA CGG-3′ and 5′-GGT CAT GAG TCC TTC CAC GAT-3′), IL-2 (5′-GAC ACT TGT GCT CCT TGT CA-3′ and 5′- TCA ATT CTG TGG CCT GCT TG -3′), IL-4 (5′- ATG GGT CTC AAC CCC CAG CTA GT -3′ and 5′- GCT CTT TAG GCT TTC CAG GAA GTC - 3′), IL-10 (5′- CCT GGT AGA AGT GAT GCC CCA GGC A −3′ and 5′- CTA TGC AGT TGA TGA AGA TGT CAA A −3′), IFN-γ (5′- TGA ACG CTA CAC ACT GCA TCT TGG −3′ and 5′- TGA CTC CTT TTC CGC TTC CTG AG −3′). PCR conditions were as follows: initial DNA denaturation at 94 °C for 5 min and 35 rounds of denaturation: 95 °C for 1 min, annealing (55 °C for IL-2; 60 °C for IL-4, IL-10, and IFNγ, and 59 °C for GAPDH), and extension 72 °C for 1 min. PCR products were electrophoresed on 1.8% agarose gels containing 0.5 μg/mL ethidium bromide and photographed under ultraviolet light.
Determination of cytokine pattern by ELISA
The interleukin 1-beta (IL-1β), IL-6 and TNF-α were quantified by ELISA in culture supernatants of splenocytes under different conditions of stimulation (120 h), according to the manufacturer’s protocol. Briefly, 96-well flat-bottom plates were coated overnight with a capture antibody at a final concentration of 2 μg/mL, and then plates were blocked with 10% PBS-FCS, washed three times, and incubated with the cell culture supernatant samples or control antigens overnight at 4 °C. After washing, plates were incubated with the respective biotinilated anti-cytokine antibodies (R&D System) at 1 μg/mL for 1 h in the dark. Plates were washed and Streptavidin-Alkaline Phosphatase at 1:2000 was added for 30 min in the dark, then washed, and 100 μL of ABTS (2,2,-azino-bis (3-ethylbenzthiazoline) 6-sulphonic acid) (Life Technologies) was added as substrate and the reaction was allowed to proceed for 20 min at room temperature (RT); the reaction was stopped with 2% sulphuric acid, and absorbance was read at 415 nm by an ELISA reader (MultiskanMS, Labsystem).
SDS-PAGE and Western blot analysis
Recombinant protein NS3-DEN3 and/or the total extract of cells transfected with plasmid pCDNA3/NS3-DEN3 were resolved on 10% SDS-PAGE  and visualized by staining with Coomassie brilliant blue or electrophoretically transferred onto nitrocellulose paper for immunoblotting [25, 26]. Blots were incubated with an anti-NS3 antibody at 1:2000 dilution, detected using alkaline phosphatase-goat anti-mouse IgG (Pierce, Rockford, IL, USA) diluted at 1:5000, then developed with NBT and BCIP (Sigma).
Analysis of antibody titers by ELISA and Western blot
ELISA plates were coated overnight at 4 °C with 2 μg/mL of NS3-DEN3 recombinant protein, in carbonate buffer (pH 9.6). The plates were washed six times with PBS containing 0.1% Tween (PBST) and incubated for 2 h at 37 °C with blocking solution (PBS containing 5% skim milk). Plates were then washed three times with PBST, three times with PBS, and incubated with 50 μL of mouse anti-GST-NS3-DEN3 as primary antibodies at serial dilutions (1:100 – 1:3200) in PBST, and incubated for 2 h at room temperature. Further washing steps were conducted and a peroxidase- labeled goat anti-human IgG antibody (Pierce, Rockford, IL) was added at 1:8000 dilution in PBS/0.05% Tween 20 and incubated for 1 h at room temperature. After six washes, 100 μL of 2,2,-azino-bis (3-ethylbenzthiazoline)-6-sulphonic acid (Zymed, South San Francisco, CA) was added as substrate and the reaction was allowed to proceed for 20 min at room temperature. The reaction was stopped with 2% sulfuric acid, and absorbance was read at 405 nm with an ELISA microplate reader (Multiscan MS; Labsystems, Vantaa, Finland).
Pooled sera from each group of immunized mice were used as primary antibodies at serial dilutions (1:100–1:3200) in TBS-T (150 mM NaCl, 0.05% Tween 20, 2% skim milk, and 10 mM Tris–HCl pH 7.4). Bound antibodies were detected using alkaline phosphatase-conjugated goat anti-mouse IgG (Pierce, Rockford, IL, USA) diluted at 1:5000, then developed with NBT and BCIP (Sigma).
Statistical analysis was performed with GraphPad Prism (Version 5.0). The results are presented as mean ± standard deviation. Analysis of variance (ANOVA) followed by Tukey’s post-hoc test was performed to compare the mean values among various groups. A p value of <0.05 was considered statistically significant.
Plasmid construction, expression and transfection
pcDNA3/NS3-DEN3 induces proliferation but not the protein NS3-DEN3
NS3 induced differential expression of genes and production of cytokines depending on the method of administration
NS3-DEN3 protein induce the production of antibodies but not the DNA vaccine pcDNA3/NS3-DEN3
The NS3 protein is a multifunctional non-structural protein of flaviviruses implicated in the polyprotein processing. The predominance of cytotoxic T cell lymphocytes epitopes on the NS3 protein suggests a protective role of this protein in limiting virus replication. The NS3 protein is vitally important for the virus since it is involved in activities such as virus replication, including protease, NTPase, helicase, and RNA binding and also capping of the viral genomic RNA . Despite there are several reports on the structure and function of the NS3 protein, there are not many studies evaluating the use of the NS3 protein as an immunogenic antigen. In this work it was evaluated the immunogenicity and antigenicity of the recombinant protein GST-NS3-DEN3 and a recombinant plasmid pcDNA3/NS3-DEN3 derived from NS3 protein. It is known that most of dengue non-structural proteins expressed in bacterial cells have been found after cellular disruption in the insoluble fraction therefore denaturation and refolding processes are required to recover biologically active proteins [28, 29]. The protease region of NS3 protein was expressed in E. coli as inclusion bodies, which were subsequently purified. Moreover, a recombinant plasmid was obtained. The homogeneity of the purified GST-NS3-DEN3 recombinant protein as well as transfection efficiency were demonstrated by Western blot.
T cell activation is a critical event for an effective immune response against infection, including the production of cytokines . How T cells contribute to the immune response in dengue disease, has not been clearly defined yet. The two-effector arms of the immune system relevant to protection from viral disease in humans are neutralizing antibodies and cytotoxic T lymphocytes. Because T cells do not recognize intact virions, dengue virus-specific T cells would not be able to provide sterilizing immunity against viral infection, nevertheless, DNA and recombinant virus-based vaccines were shown to induce protective immunity that involved both antibody and T cell responses [31, 32]. Our results show that splenocytes from mice immunized with DNA were able to respond to in vitro stimulation by the protein, and not cells from mice immunized with the recombinant protein. T lymphocytes are not infected by dengue virus, nevertheless it is possible that exposure to virus and/or proteins viral may affect their function. T lymphocytes from DENV-infected individuals are impaired in their proliferative capacity, although this effect has been attributed to altered function of antigen-presenting cells rather than to an intrinsic defect on T lymphocytes . The host immune responses have been considered as the major factor responsible for dengue pathogenesis, resulting in an altered immune response, which triggers T cell activation, and the release of cytokines and chemical mediators has been a risk factor in secondary Infection. During infection occurs a ‘cytokine storm’, defined as an imbalance between cytokines driving an inflammation (pro-inflammatory) and those silencing an inflammation (anti-inflammatory). Therefore, serum cytokine and chemokine levels can serve as a laboratory tool for predicting severe disease . As it was observed in the results, DNA immunization induces the synthesis of cytokines of Th1 profile which can activate T cells, however, the immunization with the recombinant protein induces a cytokine profile similar to that observed during virus infection, where a marked expression of IL-10 gene and production of IL-1, IL-6, and TNF-α is observed. Studies show that elevated levels of IL-6, IL-10, IFN-γ, MIF, and CCL-4 could be used as potential predictors of severe dengue [35, 36]. Also a model of a lethal DENV-3 infection, high levels of TNF-α and IL-6 were detected in the serum during the final stages of the disease . Several lines of evidence indicate that displacement of viral genotype and host genetic background are key factors driving the production of a cytokine storm. Several cytokines are known to induce apoptosis, a form of cell suicide (cause of hemorrhage), and/or affect adherents junctions (cause permeability) in vitro. Whether these cytokines may have such effects in vivo remains to be established . The development of a dengue virus (DENV) vaccine has been hampered by the requirement of simultaneous protection against four distinct serotypes and the threat that DENV-specific antibodies might either mediate neutralization or, on the contrary, exacerbate disease through the phenomenon of antibody-dependent enhancement (ADE) of infection. In this work, it was observed that immunization with plasmid did not induce detectable antibody titers, and not so immunization with the recombinant protein, this may be due to endogenous antigen expression within cells host where DNA immunization can induce an immune response complete and lasting, with presence of antibodies, although this presence is often weaker than that obtainable with recombinant proteins. It is thought that the efficacy of DNA vaccines is mainly due to the antigen mechanisms presentation involved . DNA immunization has been used as a platform for developing a tetravalent dengue vaccine in response to the high priority as a public health problem, animal studies have succeeded in generating anti-dengue cellular and humoral immune responses that were protective either completely or partially against challenge with live dengue virus . Finally, in other studies, it has been observed that the DNA vaccines encoding the full-length NS3 induced a cellular immune response against this epitope with the production of IFN-γ. Therefore, results suggest the participation of a cellular immune response in the mechanism of protection induced by the DNA vaccines based on the NS3 protein .
If one considers that most vaccine candidates against DENV focus their attention on the induction of neutralizing antibodies against the virus, and that work on cellular immunity are limited, the results obtained in this study show that administration of pcDNA3/NS3-DEN3 induced a favorable response with the activation of T lymphocytes with low production of specific antibodies against NS3-DEN3. These results suggest the need to address the evaluation of the immune response, further studies will be necessary for the establishment of the mechanisms involved in the protection induced by the DNA vaccines based on the NS3 protein.
The authors would like to thank Ph.D. Eric Dumonteil for paper revision and technical appreciation.
MLHM was recipient of a Ph.D. fellowship from CONACyT, Mexico (No. 249763).
Availability of data and materials
All data generated or analyzed during this study are included in this published article.
MLHM executed the experiments and wrote the manuscript, ARL participated in the discussion of results and wrote the manuscript, LMAR participated in the discussion of results, TMM participated in the discussion of results, ALM wrote the manuscript and initiated this project and proposed the fundamental frame of this project. All authors read and approved the final manuscript.
The authors declare that they have no competing interests.
Consent for publication
Ethics approval and consent to participate
All mice were maintained according to the recommendations by our Institutional Animal Care and Use Committee.
- 1.Bhatt S, Gething PW, Brady OJ, Messina JP, Farlow AW, Moyes CL, Drake JM, Brownstein JS, Hoen AG, Sankoh O, Myers MF, George DB, Jaenisch T, Wint GR, Simmons CP, Scott TW, Farrar JJ, Hay SI. The global distribution and burden of dengue. Nature. 2013;496(7446):504–7.CrossRefPubMedPubMedCentralGoogle Scholar
- 3.Dengue hemorrhagic fever: diagnosis, treatment, prevention and control. 2nd ed. WHO, Geneva, Switzerland; 1997.Google Scholar
- 4.World Health Organization (WHO). Dengue: Guidelines for diagnosis, treatment, prevention and control. Chapter 1. Epidemiology, burden of disease and transmission 2009;10–12. (http://www.who.int/tdr/publications/documents/dengue-diagnosis.pdf).
- 11.Álvarez LM, Ramos A, Rosales JL, Martínez MT, Parissi A, López A. Expression, Purification, and Evaluation of Diagnostic Potential and Immunogenicity of a Recombinant NS3 Protein from All Serotypes of Dengue Virus. J Trop Med. 2012. Article ID 956875.Google Scholar
- 21.Kruisbeek AM, Shevach EM. Proliferative assays for T cell Function. In: Coligan JE, Kruisbeek AM, Margulies DH, Shevach EM, Strober W, editors. Current protocols in immunology. New York: Greene Publishing and Wiley-Interscience; 1991. p. 3.12.1–3.12.14.Google Scholar
- 27.Ramírez R, Falcón R, Izquierdo A, García A, Alvarez M, Pérez AB, Soto Y, Muné M, Mandarano Da Silva E, Ortega O, Mohana-Borges R, Guzmán MG. Recombinant dengue 2 virus NS3 protein conserves structural antigenic and immunological properties relevant for dengue vaccine design. Virus Genes. 2014;49:185–95.CrossRefPubMedGoogle Scholar
- 28.Amorim JH, Porchia BF, Balan A, Cavalcante RC, da Costa SN, de Barcelos Alves AM, de Souza Ferreira LC. Refolded dengue virus type 2 NS1 protein expressed in Escherichia coli preserves structural and immunological properties of the native protein. J Virol Methods. 2010;167:186–92.CrossRefPubMedGoogle Scholar
- 31.Costa SM, Paes MV, Barreto DF, Pinhão AT, Barth OM, Queiroz JLS, Armôa GRG, Freire MS, Alves AMB. Protection against dengue type 2 virusinduced in mice immunized with a DNA plasmid encoding the non structural 1(NS1) gene fused to the tissue plasminogen activator signal sequence. Vaccine. 2006;24:195–205.CrossRefPubMedGoogle Scholar
- 32.Costa SM, Azevedo AS, Paes MV, Sarges FS, Freire MS, Alves AMB. DNA vaccines against dengue virus based on the ns1 gene: the influence ofdifferent signal sequences on the protein expression and its correlation to theimmune response elicited in mice. Virology. 2007;358:413–23.CrossRefPubMedGoogle Scholar
- 37.Phanthanawiboon S, Limkittikul K, Sakai Y, Takakura N, Saijo M, Kurosu T. Acute systemic infection with dengue virus leads to vascular leakage and death through tumor necrosis factor-α and Tie2/angiopoietin signaling in mice lacking type I and II interferon receptors. PLoS One. 2016;11(2):e0148564. doi: 10.1371/journal.pone.0148564.CrossRefPubMedPubMedCentralGoogle Scholar
- 41.Costa SM, Yorio AP, Gonçalves AJ, Vidale MM, Costa EC, Mohana-Borges R, Motta MA, Freire MS, Alves AM. Induction of a protective response in mice by the dengue virus NS3 protein using DNA vaccines. PLoS One. 2011;6(10):e25685. doi: 10.1371/journal.pone.0025685.CrossRefPubMedPubMedCentralGoogle Scholar
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