Vaccination and sampling schedule for RV456/EBL2003
Phase 2 Ad26/MVA Ebola vaccine trial. Credit: Science Translational Medicine (2025). DOI: 10.1126/scitranslmed.adq2496
Filoviruses
are among the globe's most lethal—indeed, so dangerous they can be handled only
in high-security laboratories. Yet, more than five decades after the discovery
of the Marburg virus and nearly 50 years after the first outbreak involving its
infamous cousin—the Ebola virus—questions still abound about the family
Filoviridae.
Members of this deadly family emerged through zoonotic
transmission, most likely jumping across multiple species barriers—from fruit
bats to simian species and forest antelopes, then eventually to humans. It's
theorized that humans may have contracted the viruses through hunting and
butchering bushmeat.
Mindful
that only two vaccines exist, and both were designed to prevent Ebola virus
infection, a multidisciplinary team of scientists at a U.S. military research
institute has analyzed whether one of those vaccines might also confer immunity
to other filoviruses. The research arrives as virologists at the University of
Texas Medical Branch in Galveston are testing the antiviral pill known as
obeldesivir, which so far appears capable of curing Rhesus macaques infected
with Ebola virus. The medication is the oral form of the intravenous drug
Remdesivir, originally developed for COVID-19.
Military
researchers, meanwhile, conducted an in-depth series of experiments to
determine whether a recombinant Ebola vaccine containing
components of multiple filoviruses could serve as an off-the-shelf choice to
prevent infection by filoviruses other than Ebola.
Their
findings, however, didn't produce the outcome they had hoped for. But the
discovery that unfolded has helped pave the way to a broader understanding of
what's needed for a multivalent vaccine that guards against multiple
filoviruses. Details of the research are reported in the journal Science Translational Medicine.
"Ebola
virus is a negative single-strand RNA virus from the family Filoviridae that
causes a virulent hemorrhagic fever, termed Ebola virus disease," writes
Dr. Thembi Mdluli, lead author of the new research and a computational
biologist at Walter Reed Army Institute of Research in Silver Spring, Maryland.
Just as
Ebolavirus is a negative single-strand RNA virus, so too are other filoviruses,
which also cause a devastating hemorrhagic fever. Filoviruses are known for
their morbidity and high mortality. Mduli and colleagues pointed to Marburg
outbreaks in Africa, where fatality rates have ranged between 83 and 88%.
"Marburg
virus—MARV—was discovered in 1967 and has caused mostly sporadic self-contained
outbreaks," Mdluli added, referring to the world's first filovirus
discovery. The isolation of the Marburg virus occurred after lab personnel in
Europe were infected by green monkeys from Uganda. Laboratory workers were
infected in Marburg and Frankfurt, Germany, as well as in Belgrade, Serbia. Of
the 31 people who were sickened, seven died.
In
addition to Ebola and Marburg viruses, other members of the filovirus family
include Sudan, Bundibugyo and Tai Forest viruses, all named after geographic
locations where they were first identified. The Ebola virus is named after the
Ebola River in the Democratic Republic of the Congo. Its first known appearance
was an explosive and deadly August 1976 outbreak. An estimated 280 people died.
The Walter
Reed researchers report that a vaccine to prevent infections caused by
filoviruses is critical. Likewise, virologists in Texas, working on the
obeldesivir antiviral research, say a single pill would solve a global health
problem.
"We're really trying to come up with something that is more practical, easier to use, that could be used to help prevent, control, and contain outbreaks," Thomas Geisbert, a virologist at the University of Texas Medical Branch, told Agence France Presse in March.
MVA, Ad26 and Ad26, MVA recipients showed strong
antibody (Ab) binding responses against EBOV GP antigens at peak immunity.
Credit: Science Translational Medicine (2025). DOI: 10.1126/scitranslmed.adq2496
Despite the
amount of time that filoviruses have circulated on Earth, they emerged only in
the 20th and 21st centuries. It has taken until recent years to develop
vaccines and monoclonal antibody therapies just for Ebola virus disease.
"Filoviruses are ancient relative to their
initial detection in humans. The most recent common ancestor of Filoviridae is
estimated to be several thousand years old," Mdluli asserted.
It was in the aftermath of the sweeping 2014 through
2016 West African Ebola outbreak that vaccine-development studies produced the
first Ebola inoculation, Ervebo, which was approved by the U.S. Food and Drug
Administration and the European Medicines Agency in 2019. It's manufactured by
Merck & Co. Vaccine candidates are in development for Marburg virus, but
there still isn't an approved immunization to prevent infection.
Mdluli and her colleagues chose to study the only
other approved Ebola vaccine, one developed by Belgium-based Janssen
Pharmaceuticals, a division of Johnson & Johnson. The Janssen Ebola vaccine
is a two-part regimen known as Zabdeno and Mvabea. The doses were designed to
be administered eight weeks apart.
The first part of the vaccine—the Zabdeno
dose—includes an adenovirus vector that ferries the vaccine's payload—the
genetic code for Ebola virus's sugary outer coating, its glycoprotein—into
human cells.
The second dose consists of a modified vaccinia Ankara
vector, the vehicle that carries the vaccine into cells. It encodes
glycoproteins from Ebola, Sudan and Marburg viruses, as well as the
nucleoprotein from the Tai Forest virus. In the study, the two vaccines were
administered to 583 people.
Volunteers hailed from multiple countries: Kenya,
Mozambique, Nigeria, Tanzania, Uganda, and the United States. Seventy-one
participants were from the U.S.
Volunteers were divided into two groups. This allowed
the team to vaccinate some participants in the manufacturer's prescribed order
for the two doses: Zabdeno first and Mvabea second.
With the second group, the team reversed the order of
the vaccines: Mvabea first, followed by Zabdeno, providing exposure to the
components of multiple filoviruses in participants' initial shots. Researchers
also studied 48 people who were infected during an outbreak of Bundibugyo
virus, a filovirus that emerged in Uganda in 2007.
When participants' blood was analyzed in the lab, it
revealed that antibodies were highly specific to fighting Ebola virus but
didn't react strongly to other filoviruses. The scientists also examined blood samples from the Bundibugyo survivors and discovered their antibodies
didn't put up much of a fight against other filoviruses, either.
Mdluli reported that her team's strategy provided only
limited protection against other members of the filovirus family.
"These results underscore the vaccine's potential to provide strong, species-specific protection against [Ebola virus] while highlighting the need for multivalent vaccines that can provide broader coverage for other filoviruses," Mdluli concluded.
by Delthia Ricks , Medical Xpress
Source: Scientists
work toward a vaccine for filoviruses, Ebola's deadly kin
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