There are four serotypes of dengue viruses (DENV-1, DENV-2, DENV-3,

and DENV-4), and sequential infections by different serotypes have been implicated in the causation of OSI-906 in vivo DHF/DDS, although it is not an exclusive determinant of severe disease [1]. The global pandemic of dengue fever (DF) has intensified in the last decade, accompanied by a concurrent rise in the number of cases of the disease’s most severe manifestations (DHF/DSS). Dengue virus infections are a steadily worsening health problem in tropical regions of the world, with approximately half of the world’s population residing in dengue endemic regions, where more than 100 million cases of DF and hundreds of thousands of cases of DHF/DSS are reported to the World Health Organization each year [2] and [3]. There is no treatment for this disease and immunization may provide the only realistic approach for controlling Ku-0059436 solubility dmso dengue infections. However, since DHF/DSS have been associated

with secondary dengue virus infections, a vaccine candidate must elicit antibodies against all four dengue serotypes to provide safe protection against dengue [4]. Six decades of effort have been invested in the development a dengue vaccine, in part to allay fears that immunization may predispose individuals to severe disease. DNA vaccines have been shown to present dengue antigens efficiently as they have induced both antibody and T-cell responses, as well as protective immunity, in numerous animal models [5]. Currently, there are no licensed vaccines for dengue since vaccine development has been hampered thus far by the lack of an animal model for DF or DHF/DSS,

and the perceived need for a protective immune response to all four serotypes of dengue virus concurrently [2]. The most Carnitine dehydrogenase promising candidates are live attenuated, made by serial passage of wild-type virus isolates in primary cell cultures, and live attenuated chimeric virus vaccines [6], [7], [8], [9], [10] and [11]. These candidates are well advanced into clinical trials and have produced favorable results [12], [13], [14] and [15]. However, optimization of vaccine immunogenicity and virus attenuation have been difficult to achieve, and there may be interference among the virus serotypes with some tetravalent DNA vaccine formulations [7] and [14]. Evidence for cross serotype interference has been detected in rhesus monkeys [16]. Nucleic acid immunization is a novel approach that is capable of eliciting strong cellular and humoral immune responses, and thus, it could be potentially employed for the development of a tetravalent dengue vaccine [17].