Laboratory of Infectious Diseases, NIAID, NIH, Bethesda, Maryland 20892, USA.
J Virol. 2010 Sep;84(17):8639-49. doi: 10.1128/JVI.00596-10. Epub 2010 Jun 10.
Intramuscular administration of inactivated influenza virus vaccine is the main vaccine platform used for the prevention of seasonal influenza virus infection. In clinical trials, inactivated H5N1 vaccines have been shown to be safe and capable of eliciting immune correlates of protection. However, the H5N1 vaccines are poorly immunogenic compared to seasonal influenza virus vaccines. Needle-free vaccination would be more efficient and economical in a pandemic, and the development of an effective and safe mucosal adjuvant will be an important milestone. A stabilized chemical analog of double-stranded RNA, PIKA, was previously reported to be a potent mucosal adjuvant in a murine model. While PIKA stimulates dendritic cells in vitro, little was known about its receptor and adjuvanting mechanism in vivo. In this study, we demonstrated that the immunostimulatory effect of PIKA resulted in an increased number of mature antigen-presenting cells, with the induction of proinflammatory cytokines at the inoculation site. In addition, coadministration of PIKA with a poorly immunogenic H5N1 subunit vaccine led to antigen sparing and quantitative and qualitative improvements of the immune responses over those achieved with an unadjuvanted vaccine in mice. The adjuvanted vaccine provided protection against lethal challenge with homologous and heterologous H5N1 wild-type viruses. Mice lacking functional TLR3 showed diminished cytokine production with PIKA stimulation, diminished antibody responses, and reduced protective efficacy against wild-type virus challenge following vaccination. These data suggest that TLR3 is important for the optimal performance of PIKA as an adjuvant. With its good safety profile and antigen-sparing effect, PIKA could be an attractive adjuvant for use in future pandemics.
肌肉内接种灭活流感病毒疫苗是预防季节性流感病毒感染的主要疫苗平台。临床试验表明,灭活 H5N1 疫苗是安全的,并能引起保护的免疫相关性。然而,与季节性流感病毒疫苗相比,H5N1 疫苗的免疫原性较差。无针接种在大流行期间将更加高效和经济,开发有效的和安全的粘膜佐剂将是一个重要的里程碑。双链 RNA 的稳定化学类似物 PIKA 以前曾被报道在小鼠模型中是一种有效的粘膜佐剂。虽然 PIKA 在体外刺激树突状细胞,但对于其在体内的受体和佐剂作用机制知之甚少。在这项研究中,我们证明了 PIKA 的免疫刺激作用导致成熟抗原呈递细胞数量增加,并在接种部位诱导促炎细胞因子。此外,PIKA 与免疫原性差的 H5N1 亚单位疫苗联合使用可导致抗原节省,并可提高免疫反应的数量和质量,优于未佐剂疫苗在小鼠中的效果。佐剂疫苗可预防同源和异源 H5N1 野生型病毒的致死性挑战。缺乏功能性 TLR3 的小鼠在 PIKA 刺激下细胞因子产生减少,抗体反应降低,对野生型病毒攻击的保护效果降低。这些数据表明 TLR3 对于 PIKA 作为佐剂的最佳性能很重要。PIKA 具有良好的安全性和抗原节省作用,可作为未来大流行中一种有吸引力的佐剂。