The immune response against flaviviruses

© 2018, The Author(s), under exclusive licence to Springer Nature America, Inc. Arthropod-borne flaviviruses are important human pathogens that cause a diverse range of clinical conditions, including severe hemorrhagic syndromes, neurological complications and congenital malformations. Consequently,...

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Bibliographic Details
Main Authors: Jose Luis Slon Campos, Juthathip Mongkolsapaya, Gavin R. Screaton
Other Authors: University of Oxford
Format: Review
Published: 2019
Subjects:
Online Access:https://repository.li.mahidol.ac.th/handle/123456789/45947
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Institution: Mahidol University
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Summary:© 2018, The Author(s), under exclusive licence to Springer Nature America, Inc. Arthropod-borne flaviviruses are important human pathogens that cause a diverse range of clinical conditions, including severe hemorrhagic syndromes, neurological complications and congenital malformations. Consequently, there is an urgent need to develop safe and effective vaccines, a process requiring better understanding of the immunological mechanisms involved during infection. Decades of research suggest a paradoxical role of the immune response against flaviviruses: although the immune response is crucial for the control, clearance and prevention of infection, poor clinical outcomes are commonly associated with virus-specific immunity and immunopathogenesis. This relationship is further complicated by the high homology among viruses and the implication of cross-reactive immune responses in protection and pathogenesis. This Review examines the dual role of the adaptive immune response against flaviviruses, particularly emphasizing the most recent findings regarding cross-reactive T cell and antibody responses, and the effects that these concepts have on vaccine-development endeavors.