Department of Pathology & Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Mol Ther. 2013 Jul;21(7):1432-44. doi: 10.1038/mt.2013.61. Epub 2013 May 14.
Marburg and Ebola hemorrhagic fevers have been described as the most virulent viral diseases known to man due to associative lethality rates of up to 90%. Death can occur within days to weeks of exposure and there is currently no licensed vaccine or therapeutic. Recent evidence suggests an important role for antiviral T cells in conferring protection, but little detailed analysis of this response as driven by a protective vaccine has been reported. We developed a synthetic polyvalent-filovirus DNA vaccine against Marburg marburgvirus (MARV), Zaire ebolavirus (ZEBOV), and Sudan ebolavirus (SUDV). Preclinical efficacy studies were performed in guinea pigs and mice using rodent-adapted viruses, whereas murine T-cell responses were extensively analyzed using a novel modified assay described herein. Vaccination was highly potent, elicited robust neutralizing antibodies, and completely protected against MARV and ZEBOV challenge. Comprehensive T-cell analysis revealed cytotoxic T lymphocytes (CTLs) of great magnitude, epitopic breadth, and Th1-type marker expression. This model provides an important preclinical tool for studying protective immune correlates that could be applied to existing platforms. Data herein support further evaluation of this enhanced gene-based approach in nonhuman primate studies for in depth analyses of T-cell epitopes in understanding protective efficacy.
马尔堡和埃博拉出血热被描述为人所知的最致命的病毒性疾病,因为其关联致死率高达 90%。暴露后数天至数周内即可死亡,目前尚无许可的疫苗或治疗方法。最近的证据表明,抗病毒 T 细胞在赋予保护方面起着重要作用,但关于这种由保护性疫苗驱动的反应的详细分析很少有报道。我们开发了一种针对马尔堡马尔堡病毒(MARV)、扎伊尔埃博拉病毒(ZEBOV)和苏丹埃博拉病毒(SUDV)的合成多价丝状病毒 DNA 疫苗。使用啮齿动物适应的病毒在豚鼠和小鼠中进行了临床前疗效研究,而使用本文所述的新型改良测定法对小鼠 T 细胞反应进行了广泛分析。疫苗接种非常有效,可引起强烈的中和抗体反应,并可完全预防 MARV 和 ZEBOV 感染。全面的 T 细胞分析显示出巨大数量、广泛表位和 Th1 型标志物表达的细胞毒性 T 淋巴细胞(CTL)。该模型为研究保护性免疫相关性提供了一个重要的临床前工具,这些相关性可应用于现有平台。本文中的数据支持在非人类灵长类动物研究中进一步评估这种增强的基因方法,以深入分析 T 细胞表位,了解保护效力。