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. 2018 Oct;146(13):1635-1641.
doi: 10.1017/S0950268818001425. Epub 2018 Jun 4.

Autochthonous spread of DENV-3 genotype III in Malaysia mitigated by pre-existing homotypic and heterotypic immunity

Affiliations

Autochthonous spread of DENV-3 genotype III in Malaysia mitigated by pre-existing homotypic and heterotypic immunity

K K Tan et al. Epidemiol Infect. 2018 Oct.

Abstract

Dengue virus type 3 genotype III (DENV-3/III) is widely distributed in most dengue-endemic regions. It emerged in Malaysia in 2008 and autochthonously spread in the midst of endemic DENV-3/I circulation. The spread, however, was limited and the virus did not cause any major outbreak. Spatiotemporal distribution study of DENV-3 over the period between 2005 and 2011 revealed that dengue cases involving DENV-3/III occurred mostly in areas without pre-existing circulating DENV-3. Neutralisation assays performed using sera of patients with the respective infection showed that the DENV-3/III viruses can be effectively neutralised by sera of patients with DENV-3 infection (50% foci reduction neutralisation titres (FRNT50) > 1300). Sera of patients with DENV-1 infection (FRNT50 ⩾ 190), but not sera of patients with DENV-2 infection (FRNT50 ⩽ 50), were also able to neutralise the virus. These findings highlight the possibility that the pre-existing homotypic DENV-3 and the cross-reacting heterotypic DENV-1 antibody responses could play a role in mitigating a major outbreak involving DENV-3/III in the Klang Valley, Malaysia.

Keywords: Arbovirus; Malaysia; dengue virus; immunity; infectious disease.

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Conflict of interest statement

None.

Figures

Fig. 1.
Fig. 1.
Overview of DENV-3 isolated from the UMMC between 2005 and 2011. A total of 99 DENV-3 isolates were identified and sequenced. DENV-3/I (blue) was the main DENV-3 recovered during the period 2005–2009. DENV-3/III (red) was first recovered in 2007.
Fig. 2.
Fig. 2.
Map of the Klang Valley, showing the geographical distribution of DENV-3 isolates recovered from UMMC between 2005 and 2007. (a) 2005–2007, (b) 2005, (c) 2006 and (d) 2007. Phylogenetic analysis was performed on the DENV-3 isolates and linked to their corresponding genotype. Blue and red markers indicate the Malaysian DENV-3/I and DENV-3/III, respectively.
Fig. 3.
Fig. 3.
Map of the Klang Valley, showing the geographical distribution of DENV-3 isolates recovered from UMMC between 2008 and 2011. (a) 2008–2011, (b) 2008, (c) 2009, (d) 2010 and (e) 2011. Phylogenetic analysis was performed on the DENV-3 isolates and linked to their corresponding genotype. Blue, green and red markers indicate the location of patients infected with Malaysian DENV-3/I, DENV-3/II and DENV-3/III, respectively.

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