Table 1.
Vaccines for treating Ebola virus disease.
| S. No. | Type of vaccine platform | Vaccine | Adjuvant/mode of delivery | Model | Antigen | Inference | Reference |
|---|---|---|---|---|---|---|---|
| 1 | Inactivated vaccine | Rabies virus based on inactivated vaccine (FILORAB1) | Glucopyranosyl lipid A | Cyanomolgus and rhesus monkeys | GP | 100% protection against lethal Ebola virus (EBOV) challenge, with no to mild clinical signs of disease | Johnson et al. (108) |
| Virulent EBOV | Formalin inactivation/heat inactivation | Guinea pig | Complete virus as antigen | Reduction in mortality | Lupton et al. (53) | ||
| 2 | Attenuated vaccine | Live replication-competent EBOV and rabies virus-based bivalent vaccine | Direct inoculation of live-attenuated vaccine | Rhesus macaques | GP | 100% protection from lethal challenge | Blaney et al. (109) |
| 3 | DNA vaccine | Multiagent filovirus DNA vaccine containing GP of Zaire, Sudan, and Marburg virus (MARV) | Electrical stimulation at an amplitude of 250 V/cm using TriGrid™ electroporation device | BALB/c mice | GP | 100% protection from lethal challenge | Grant-Klein et al. (110) |
| Mutant GP | |||||||
| Synthetic polyvalent-filovirus DNA vaccine against Zaire, Sudan, and MARV | pVAX1 mammalian expression vectors, injected intradermally with 200 µg DNA | Guinea pigs | Codon-optimized GP | 100% protection from lethal challenge | Shedlock et al. (111) | ||
| DNA vaccine against EBOV | Intramuscular electroporation (IM-EP) 500 µg dose | Rhesus macaques | Codon-optimized GP | 86% protection | Grant-Klein et al. (59) | ||
| DNA encoding Zaire and Sudan glycoproteins | 4 mg dose in 1 ml volume | Human healthy adults | Wild-type GP | Antibody response to the Ebola Zaire glycoprotein generated | Kibuuka et al. (60) | ||
| 4 | mRNA vaccine | mRNA molecule encapsulated in a lipid nanoparticle (LNP) formulation | 0.2 mg/ml | Guinea pigs | A human Igκ signal peptide or the wild-type signal peptide sequence of GP attached to GP | Potency of mRNA vaccines is enhanced by LNP | Meyer et al. (49) |
| 5 | Ebola virus-like particles (VLPs) | pWRG7077 plasmid vectors encoding for Ebola VP40 and GP | 10 µg of eVLPs | Balb/c mice | GP and matrix protein (VP40) in mammalian cells | Dose-dependent protection against lethal challenge | Warfield et al. (112) |
| MARV GP and EBOV VP40 or vice-versa | Intramuscular vaccination with 100 µg of VLPs + 200 µl RIBI adjuvant | Strain 13 guinea pigs | GP and VP40 | Homologous GP is essential and sufficient for protection against lethal challenge with homologous virus | Swenson et al. (113) | ||
| pWRG7077 plasmid vectors encoding for GP, NP, and VP40 | 3 intramuscular injections of 250 µg of eVLPs + 0.5 ml of RIBI adjuvant | Cynomolgus macaques | GP, NP, and VP40 | All animals were protected without showing signs of clinical illness | Warfield et al. (114) | ||
| 293T cells transfected with | VLP containing 10 µg GP | C57BL/6 mice | GP + VP40 | VLP-mediated anti-EBOV immunity in B cell-deficient mice | Cooper et al. (66) | ||
| 6 | Vaccinia virus-based vaccine | Modified vaccinia virus Ankara-Bavarian Nordic® (MVA-BN) co-expressing VP40 and glycoprotein (GP) of EBOV Mayinga and NP of Taï Forest virus | Intramuscular or intravenous application of 108 TCID50 of MVA-BN-EBOV-GP or MVA-BN-EBOV-VLP | CBA/J mice | GP + VP40 | Production of non-infectious EBOV-VLPs | Schweneker et al. (95) |
| Modified vaccinia Ankara (MVA)-based vaccine expressing the EBOV-Makona GP and VP40 | 1 × 108 TCID50 | Rhesus macaques | GP + VP40 | 100% protection with single or prime/boost vaccination | Domi et al. (115) | ||
| 7 | Venezuelan equine encephalitis virus (VEEV)-based vaccine | VEEV-like replicon particles (VRP) | 107 IU VRP | Strain 2 or strain 13 guinea pigs | NP or GP | NP-VRP and GP-VRP immunized animals completely protected against lethal challenge | Pushko et al. (116) |
| VRP expressing SUDV GP + EBOV GP | 1010 focus-forming units | Cynomolgus macaques | GP (EBOV + SUDV) | 100% protection against intramuscular challenge with either SUDV or EBOV | Herbert et al. (68) | ||
| 8 | Cytomegalovirus (CMV)-based vaccines | CD8+ T cell epitope from EBOV NP (VYQVNNLEEIC) cloned in mouse CMV vector | 5 × 105 plaque forming units | C57BL/6 mice | NP | High levels of long-lasting (>8 months) CD8+ T cells are produced | Tsuda et al. (117) |
| 9 | Kunjin virus-based vaccine | Kunjin virus VLPs expressing GP | 5 × 106 VLPs | Dunkin–Hartley guinea pigs | GP | More than 75% survival of animals post challenge | Reynard et al. (118) |
| 10 | Paramyxovirus-based vaccines | Human parainfluenza virus type 3 (HPIV3) clone containing GP | 107 plaque-forming units | Rhesus monkeys | GP | Double immunization protected animals | Bukreyev et al. (119) |
| Newcastle disease virus clone containing GP | 107 plaque-forming units | Rhesus monkeys | GP | NDV/GP is highly attenuated for replication in the respiratory tract of immunized animals and developed GP-specific mucosal IgA antibodies | DiNapoli et al. (120) | ||
| 11 | Adenovirus-based vaccines | Adenovirus (rAd5) vaccine GP | 2 × 109 virus particle | Phase I human study | GP | Antigen specific humoral and cellular immune responses were generated | Ledgerwood et al. (121) |
| Adenovirus (ChAd3) vaccine boosted with MVA | Priming dose 2.5 × 1010 PFU of ChAd3 and a boosting dose of 1.5 × 108 PFU of MVA | Healthy adult volunteers | GP | Elicited B-cell and T-cell immune responses | Ledgerwood et al. (91) | ||
| Chimpanzee serotype 7 adenovirus vaccine expressing GP (AdC7-GP) | Prime boosting with AdC7-GP (1 × 1010) and boosting with 20 mg Drosophila S2 cells expressed truncated GP | BALB/c mice | GP | Long-lasting high-titer neutralizing antibodies production in mice and efficiently prevented luciferase-containing reporter EBOV-like particle entry even at 18 weeks post-immunization | Chen et al. (90) | ||
| 12 | Vesicular stomatitis virus (VSV)-based vaccines | VSV GP replaced with EBOV GP | 2 × 107 PFU | Healthy adult volunteers | GP | Anti-Ebola immune responses were documented | Regules et al. (82) |
| VSV GP replaced with EBOV GP | 3 × 105 PFU | Healthy adult volunteers | GP | Lowered antibody responses observed with vaccine associated side effects like vaccine-induced arthritis and dermatitis | Agnandji et al. (122) | ||
| 13 | Semliki forest virus based vaccines | From DNA-launched replicons (DREP)-eGFP vector, eGFP replaced with GP and NP to make DREP-GP and DREP-VP40 vectors, respectively | 10 µg plasmid DNA | Balb/c mice | GP + VP40 | EBOV filamentous VLPs were observed in the supernatant of cells resulting from co-expression of GP and VP40 and post immunization, specific humoral accompanied with a mixed Th1/Th2 cellular immune response was obtained | Ren et al. (69) |
| 14 | Liposome-encapsulated vaccine | Liposome-encapsulated irradiated EBOV-Zaire (6 × 106 rads of γ-irradiation from a 60Co source) | Intravenous inoculation of 1.0 ml dose containing 194 µg of irradiated EBOV Zaire + 100 µg of lipid A | BALB/c mice and Cynomolgus monkeys | All native EBOV antigens | All mice protected, however the immunization failed to protect Cynomolgus monkeys | Rao et al. (54) |