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蠕虫感染会抑制小鼠对基于HIV-DNA疫苗的T细胞免疫反应。

Helminth infection suppresses T-cell immune response to HIV-DNA-based vaccine in mice.

作者信息

Da'Dara Akram A, Lautsch Norman, Dudek Timothy, Novitsky Vladimir, Lee Tun-Hou, Essex Myron, Harn Donald A

机构信息

Department of Immunology and Infectious Diseases, Harvard School of Public Health, 665 Huntington Avenue, Boston, MA 02115, USA.

出版信息

Vaccine. 2006 Jun 12;24(24):5211-9. doi: 10.1016/j.vaccine.2006.03.078. Epub 2006 Apr 18.

Abstract

A number of HIV-1 vaccines are in various phases of clinical trials and many more are in the developmental pipeline. Vaccines are especially needed for developing countries where morbidity and mortality due to HIV/AIDS is most severe, the prevalence of HIV infection is highest, and its incidence is often still rising dramatically. Individuals living in these regions are often infected with one or more helminth parasites which systemically bias the immune system towards Th2-type as well as drive immune anergy. The goal of this study was to develop a multi-T-cell epitope DNA-based vaccine for HIV-1 subtype C and to determine the impact of helminth infection on the immune response to this vaccine. We found that vaccination of naïve mice with the multi-epitope vaccine, designated TD158, induced a strong HIV-1C-specific T-cell immune response, and that the addition of the Igkappa leader sequence to the TD158 vaccine construct significantly increased the frequencies of IFN-gamma secreting CD8+ T cells. However, the TD158 vaccine specific response of mice infected with the human helminth Schistosoma mansoni was significantly suppressed. The impact of schistosome infection on suppressing the virus-specific immune response was the same whether mice were vaccinated with the TD158 vaccine or with the Igkappa enhanced TD158. The results of this study suggest that helminth infection may pose a serious problem for vaccination with the DNA-based HIV-1 vaccine in developing country populations, and that the prevalence of helminth infections in the vaccine cohorts should be taken into account for HIV-1 vaccine trial design.

摘要

多种HIV-1疫苗正处于不同阶段的临床试验中,还有更多疫苗正处于研发进程中。在因HIV/AIDS导致发病率和死亡率最高、HIV感染率最高且发病率往往仍在急剧上升的发展中国家,疫苗尤为必要。生活在这些地区的个体通常感染一种或多种蠕虫寄生虫,这些寄生虫会系统性地使免疫系统偏向Th2型,同时导致免疫无反应性。本研究的目的是开发一种针对HIV-1 C亚型的基于多T细胞表位的DNA疫苗,并确定蠕虫感染对该疫苗免疫反应的影响。我们发现,用名为TD158的多表位疫苗对未感染的小鼠进行接种可诱导强烈的HIV-1 C特异性T细胞免疫反应,并且在TD158疫苗构建体中添加Igkappa前导序列可显著增加分泌IFN-γ的CD8+ T细胞频率。然而,感染人类蠕虫曼氏血吸虫的小鼠对TD158疫苗的特异性反应受到显著抑制。无论小鼠接种的是TD158疫苗还是Igkappa增强型TD158,血吸虫感染对抑制病毒特异性免疫反应的影响都是相同的。本研究结果表明,蠕虫感染可能给发展中国家人群中基于DNA的HIV-1疫苗接种带来严重问题,并且在设计HIV-1疫苗试验时应考虑疫苗队列中蠕虫感染的流行情况。

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