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Enterovirus A71 structural protein-specific adaptive immune response (EV71-specific adaptive immunity)

Target
EV71-specific adaptive immunity
Molecular classification
Other
01

Overview

The host adaptive immune response to Enterovirus A71 (EV71) structural proteins is the primary defense mechanism against Hand, Foot, and Mouth Disease (HFMD) and its severe neurological complications (Mao et al., 2016, NEJM). This response is characterized by the production of neutralizing antibodies, primarily targeting the VP1 capsid protein, which prevent the virus from binding to host receptors like SCARB2 or PSGL-1 (Plevka et al., 2012, Science). Additionally, T-cell mediated immunity, involving both CD4+ helper and CD8+ cytotoxic T cells, plays a crucial role in clearing infected cells and establishing long-term memory (Yi et al., 2011, PLOS ONE). Therapeutic interventions, most notably inactivated EV71 vaccines, aim to prime this system to recognize and neutralize the virus upon exposure (Takahashi et al., 2020, Lancet Infectious Diseases). While highly effective in preventing severe disease, the complexity of the immune response across different EV71 genotypes remains a focus of ongoing research.

Other names
Enterovirus 71-specific adaptive immunityImmune response to EV71 structural proteinsVP1-specific immune responseAdaptive immunity to Enterovirus A71
02

Mechanism of action

Inactivated Enterovirus 71 vaccines present viral structural proteins (VP1, VP2, and VP3) to the host immune system, triggering the expansion of B-cell clones that produce neutralizing antibodies and the activation of CD4+ and CD8+ T-cells to provide protective immunity (Mao et al., 2016, NEJM).

03

Biological functions

Immune responseViral neutralizationT-cell activationAntibody productionImmunological memory
04

Disease associations

Hand, foot, and mouth disease (HFMD)Aseptic meningitisBrainstem encephalitisAcute flaccid paralysis
05

Safety considerations

Antibody-dependent enhancement (ADE) (theoretical)Injection site reactionsFeverHypersensitivity
06

Interacting drugs

Inactivated Enterovirus 71 vaccine (Vigoo)

2 more in the full profile.

07

Biomarkers

Serum neutralizing antibody titers (NT)VP1-specific IgG levelsInterferon-gamma (IFN-γ) secreting T-cellsCD4+ T-cell counts

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