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预先存在的腺病毒免疫会改变人体对 Ad5/HIV-1 候选疫苗的复杂混合 Th1 和 Th2 细胞因子反应。

Pre-existing adenovirus immunity modifies a complex mixed Th1 and Th2 cytokine response to an Ad5/HIV-1 vaccine candidate in humans.

机构信息

Program in Pathobiology, Department of Global Health, University of Washington, Seattle, Washington, United States of America.

出版信息

PLoS One. 2011 Apr 13;6(4):e18526. doi: 10.1371/journal.pone.0018526.

Abstract

The results of the recent Step Study highlight a need to clarify the effects of pre-existing natural immunity to a vaccine vector on vaccine-induced T-cell responses. To investigate this interaction, we examined the relationship between pre-existing Ad5 immunity and T-cell cytokine response profiles in healthy, HIV-uninfected recipients of MRKAd5 HIV-1 gag vaccine (HVTN 050, ClinicalTrials.gov #NCT00849732). Participants were grouped by baseline Ad5 neutralizing antibody titer as either Ad5-seronegative (titer ≤18; n = 36) or Ad5-seropositive (titer >200; n = 34). Samples from vaccine recipients were analyzed for immune responses to either HIV-1 Gag peptide pools or Ad5 empty vector using an ex vivo assay that measures thirty cytokines in the absence of long-term culture. The overall profiles of cytokine responses to Gag and Ad5 had similar combinations of induced Th1- and Th2-type cytokines, including IFN-γ, IL-2, TNF-α, IP-10, IL-13, and IL-10, although the Ad5-specific responses were uniformly higher than the Gag-specific responses (p<0.0001 for 9 out of 11 significantly expressed analytes). At the peak response time point, PBMC from Ad5-seronegative vaccinees secreted significantly more IP-10 in response to Gag (p = 0.008), and significantly more IP-10 (p = 0.0009), IL-2 (p = 0.006) and IL-10 (p = 0.05) in response to Ad5 empty vector than PBMC from Ad5-seropositive vaccinees. Additionally, similar responses to the Ad5 vector prior to vaccination were observed in almost all subjects, regardless of Ad5 neutralizing antibody status, and the levels of secreted IFN-γ, IL-10, IL-1Ra and GM-CSF were blunted following vaccination. The cytokine response profile of Gag-specific T cells mirrored the Ad5-specific response present in all subjects before vaccination, and included a number of Th1- and Th2-associated cytokines not routinely assessed in current vaccine trials, such as IP-10, IL-10, IL-13, and GM-CSF. Together, these results suggest that vector-specific humoral responses may reduce vaccine-induced T-cell responses by previously undetected mechanisms.

摘要

最近的 Step 研究结果强调,需要阐明预先存在的对疫苗载体的自然免疫对疫苗诱导的 T 细胞反应的影响。为了研究这种相互作用,我们检查了在健康的、未感染 HIV 的接受 MRKAd5 HIV-1 gag 疫苗(HVTN 050,ClinicalTrials.gov #NCT00849732)的人中,预先存在的 Ad5 免疫与 T 细胞细胞因子反应谱之间的关系。根据基线 Ad5 中和抗体滴度,参与者被分为 Ad5 血清阴性(滴度≤18;n=36)或 Ad5 血清阳性(滴度>200;n=34)。使用在没有长期培养的情况下测量三十种细胞因子的体外测定法分析疫苗接种者对 HIV-1 Gag 肽池或 Ad5 空载体的免疫反应。Gag 和 Ad5 的细胞因子反应总体谱具有相似的诱导 Th1 和 Th2 型细胞因子的组合,包括 IFN-γ、IL-2、TNF-α、IP-10、IL-13 和 IL-10,尽管 Ad5 特异性反应普遍高于 Gag 特异性反应(在 11 个显著表达的分析物中有 9 个,p<0.0001)。在峰值反应时间点,Ad5 血清阴性疫苗接种者的 PBMC 对 Gag 的 IP-10 分泌显著增加(p=0.008),对 Ad5 空载体的 IP-10(p=0.0009)、IL-2(p=0.006)和 IL-10(p=0.05)的分泌显著增加。此外,无论 Ad5 中和抗体状态如何,几乎所有受试者在接种疫苗前都观察到对 Ad5 载体的类似反应,并且接种疫苗后 IFN-γ、IL-10、IL-1Ra 和 GM-CSF 的分泌水平受到抑制。Gag 特异性 T 细胞的细胞因子反应谱反映了所有受试者在接种疫苗前存在的 Ad5 特异性反应,包括一些目前疫苗试验中未常规评估的 Th1 和 Th2 相关细胞因子,如 IP-10、IL-10、IL-13 和 GM-CSF。总之,这些结果表明,载体特异性体液反应可能通过以前未检测到的机制降低疫苗诱导的 T 细胞反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f0/3076372/57b323477c72/pone.0018526.g001.jpg

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