The strategy, so far, has been to engineer a separate vaccine for each strain of dengue — which means four times the effort and four times the roadblocks.
The results haven't been great.
Take, for instance, Sanofi Pasteur's vaccine. The pharmaceutical company spent 20 years — and a billion dollars — to develop an experimental vaccine that includes separate proteins from all four types of dengue.
After three shots, the experimental vaccine reduced the risk of getting two types of dengue by about 70 to 80 percent in a large clinical trial in Latin America. That's not too bad. But for the other two types of dengue, the protection was only cut in half, to about 40 to 50 percent.
The vaccine did reduce the number of severe dengue cases by about 80 percent.
In most cases, dengue causes severe flu-like symptoms, with a high fever, a bad headache and extreme pain in joints and bones, hence the nickname "breakbone fever."
But in a small percentage of cases, people get a more severe form of the disease. They have leaky blood vessels, severe bleeding and organ failure. This form of dengue is fatal about 20 percent of the time if left untreated.
People are more likely to get a severe case of dengue the second time they catch the virus, Screaton said. Recovering from one type of dengue doesn't give you protection from the other types. Instead, it might make the second infection worse.
"Something about the immune response to the first contact [with dengue] primes you for a worst outcome," Screaton said. That's another reason why having a vaccine that works on all forms of dengue is important, he said.
To find a way to stop all dengue viruses at once, Screaton and his team got blood samples from seven people infected with the virus. Then they scoured the blood for powerful dengue antibodies that take down all four strains.
The goal now is to build a vaccine that triggers these antibodies. To do that, Screaton and his team figured out how the antibodies work: They stick to a weak spot on the virus' surface. Now the researchers can use that weak spot — which is simply two viral proteins — to make a vaccine.
It will, of course, take years to develop and even more time to test it in animals and people.