Wang Shixia, Kennedy Jeffrey S, West Kim, Montefiori David C, Coley Scott, Lawrence John, Shen Siyuan, Green Sharone, Rothman Alan L, Ennis Francis A, Arthos James, Pal Ranajit, Markham Phillip, Lu Shan
Laboratory of Nucleic Acid Vaccines, Department of Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA.
Vaccine. 2008 Feb 20;26(8):1098-110. doi: 10.1016/j.vaccine.2007.12.024. Epub 2008 Jan 10.
An optimally effective AIDS vaccine would likely require the induction of both neutralizing antibody and cell-mediated immune responses, which has proven difficult to obtain in previous clinical trials. Here we report on the induction of Human Immunodeficiency Virus Type-1 (HIV-1)-specific immune responses in healthy adult volunteers that received the multi-gene, polyvalent, DNA prime-protein boost HIV-1 vaccine formulation, DP6-001, in a Phase I clinical trial conducted in healthy adult volunteers of both genders. Robust cross-subtype HIV-1-specific T cell responses were detected in IFNgamma ELISPOT assays. Furthermore, we detected high titer serum antibody responses that recognized a wide range of primary HIV-1 Env antigens and also neutralized pseudotyped viruses that express the primary Env antigens from multiple HIV-1 subtypes. These findings demonstrate that the DNA prime-protein boost approach is an effective immunization method to elicit both humoral and cell-mediated immune responses in humans, and that a polyvalent Env formulation could generate broad immune responses against HIV-1 viruses with diverse genetic backgrounds.
一种具有最佳效果的艾滋病疫苗可能需要同时诱导中和抗体和细胞介导的免疫反应,而这在以往的临床试验中已证明很难实现。在此,我们报告在一项针对成年健康志愿者开展的I期临床试验中,接受多基因、多价DNA初免-蛋白加强型HIV-1疫苗制剂DP6-001的成年健康志愿者诱导出了1型人类免疫缺陷病毒(HIV-1)特异性免疫反应。在干扰素γ酶联免疫斑点分析中检测到了强烈的跨亚型HIV-1特异性T细胞反应。此外,我们还检测到了高滴度血清抗体反应,该反应可识别多种原发性HIV-1包膜抗原,并且还能中和表达来自多个HIV-1亚型的原发性包膜抗原的假型病毒。这些发现表明,DNA初免-蛋白加强方法是一种有效的免疫方法,可在人体中引发体液免疫和细胞介导的免疫反应,而且多价包膜制剂能够针对具有不同基因背景的HIV-1病毒产生广泛的免疫反应。