Approaches to Next-Generation Capripoxvirus and Monkeypox Virus Vaccines

Globally, there are two major poxvirus outbreaks: mpox, caused by the monkeypox virus, and lumpy skin disease, caused by the lumpy skin disease virus. While vaccines for both diseases exist, there is a need for improved vaccines. The original vaccines used to eradicate smallpox, which also protect f...

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Main Author: Anna-Lise Williamson
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Viruses
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Online Access:https://www.mdpi.com/1999-4915/17/2/186
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author Anna-Lise Williamson
author_facet Anna-Lise Williamson
author_sort Anna-Lise Williamson
collection DOAJ
description Globally, there are two major poxvirus outbreaks: mpox, caused by the monkeypox virus, and lumpy skin disease, caused by the lumpy skin disease virus. While vaccines for both diseases exist, there is a need for improved vaccines. The original vaccines used to eradicate smallpox, which also protect from the disease now known as mpox, are no longer acceptable. This is mainly due to the risk of serious adverse events, particularly in HIV-positive people. The next-generation vaccine for mpox prevention is modified vaccinia Ankara, which does not complete the viral replication cycle in humans and, therefore, has a better safety profile. However, two modified vaccinia Ankara immunizations are needed to give good but often incomplete protection, and there are indications that the immune response will wane over time. A better vaccine that induces a long-lived response with only one immunization is desirable. Another recently available smallpox vaccine is LC16m8. While LC16m8 contains replicating vaccinia virus, it is a more attenuated vaccine than the original vaccines and has limited side effects. The commonly used lumpy skin disease vaccines are based on attenuated lumpy skin disease virus. However, an inactivated or non-infectious vaccine is desirable as the disease spreads into new territories. This article reviews novel vaccine approaches, including mRNA and subunit vaccines, to protect from poxvirus infection.
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spelling doaj-art-4d3bdb43dc3d4bf593a40dc9aa4fe5212025-08-20T03:11:19ZengMDPI AGViruses1999-49152025-01-0117218610.3390/v17020186Approaches to Next-Generation Capripoxvirus and Monkeypox Virus VaccinesAnna-Lise Williamson0Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Observatory, Cape Town 7925, South AfricaGlobally, there are two major poxvirus outbreaks: mpox, caused by the monkeypox virus, and lumpy skin disease, caused by the lumpy skin disease virus. While vaccines for both diseases exist, there is a need for improved vaccines. The original vaccines used to eradicate smallpox, which also protect from the disease now known as mpox, are no longer acceptable. This is mainly due to the risk of serious adverse events, particularly in HIV-positive people. The next-generation vaccine for mpox prevention is modified vaccinia Ankara, which does not complete the viral replication cycle in humans and, therefore, has a better safety profile. However, two modified vaccinia Ankara immunizations are needed to give good but often incomplete protection, and there are indications that the immune response will wane over time. A better vaccine that induces a long-lived response with only one immunization is desirable. Another recently available smallpox vaccine is LC16m8. While LC16m8 contains replicating vaccinia virus, it is a more attenuated vaccine than the original vaccines and has limited side effects. The commonly used lumpy skin disease vaccines are based on attenuated lumpy skin disease virus. However, an inactivated or non-infectious vaccine is desirable as the disease spreads into new territories. This article reviews novel vaccine approaches, including mRNA and subunit vaccines, to protect from poxvirus infection.https://www.mdpi.com/1999-4915/17/2/186poxvirusvaccinesLSDVmpox: lumpy skin disease
spellingShingle Anna-Lise Williamson
Approaches to Next-Generation Capripoxvirus and Monkeypox Virus Vaccines
Viruses
poxvirus
vaccines
LSDV
mpox: lumpy skin disease
title Approaches to Next-Generation Capripoxvirus and Monkeypox Virus Vaccines
title_full Approaches to Next-Generation Capripoxvirus and Monkeypox Virus Vaccines
title_fullStr Approaches to Next-Generation Capripoxvirus and Monkeypox Virus Vaccines
title_full_unstemmed Approaches to Next-Generation Capripoxvirus and Monkeypox Virus Vaccines
title_short Approaches to Next-Generation Capripoxvirus and Monkeypox Virus Vaccines
title_sort approaches to next generation capripoxvirus and monkeypox virus vaccines
topic poxvirus
vaccines
LSDV
mpox: lumpy skin disease
url https://www.mdpi.com/1999-4915/17/2/186
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