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. 2026 Oct 1;18(10):1085. doi: 10.3390/v18101085
Vaccine
Platform
Representative Vaccine Antigen Safety Profile Phase Advantages Limitations Ref.
Inactivated
Vaccine
ZPIV Whole virus No vaccine-related adverse events of special interest were reported in any subjects Phase I Mature manufacturing technology, favorable safety profile, and excellent storage stability Adjuvant-dependent immunogenicity; requires multiple doses; high production cost [186]
Live
Attenuated Vaccine
rZIKV
/D4Δ30-713
rZIKV
/D4Δ30–713
Safe and well-tolerated in healthy adults Phase I Induces durable immune response without adjuvants or multiple doses Risk of insufficient immune stimulation due to over-attenuation; potential safety risks; contraindicated in immunocompromised populations and pregnant individuals [187]
mRNA
Vaccine
mRNA-1893 prM-E Most vaccine-related adverse events were grade 1 or 2, with an overall favorable tolerability profile Phase II Short R&D cycle; no risk of host genome integration; favorable safety profile Poor thermal stability; strict cold chain requirement; need for booster immunization [188]
DNA Vaccine VRC5283 prM-E Favorable safety profile with no serious adverse events reported; incidence of local reactions <10% Phase II High chemical stability; low production cost Weaker immunogenicity compared to mRNA and inactivated vaccines; susceptibility to degradation by endogenous nucleases in vivo [189]
Viral Vector Vaccine MV-ZIKA-RSP prM/E Favorable safety profile; pre-existing anti-vector immunity may reduce vaccine immunogenicity Phase I Induces comprehensive humoral and cellular immune responses; controllable production cost Contraindicated in immunocompromised populations and pregnant individuals [190]
Virus-Like Particle (VLP) Vaccine EDIII -QβVLP EDIII No risk of viral infection and replication; negligible ADE risk Preclinical Viral genome-free; excellent safety profile; accurate display of conformational epitopes High production cost; difficulty in large-scale manufacturing; slow clinical translation progress [129]
Recombinant Subunit
Vaccine
E80 E Low-level ADE in vitro; no infection enhancement in vivo Preclinical Superior safety profile; controllable production cost Low intrinsic immunogenicity; requires potent adjuvants; need for multiple doses [191]