在慢性乙肝病毒感染中,通过联合治疗性疫苗接种和程序性死亡受体配体1(PD-L1)阻断来增强体内病毒特异性免疫。

Enhancing virus-specific immunity in vivo by combining therapeutic vaccination and PD-L1 blockade in chronic hepadnaviral infection.

作者信息

Liu Jia, Zhang Ejuan, Ma Zhiyong, Wu Weimin, Kosinska Anna, Zhang Xiaoyong, Möller Inga, Seiz Pia, Glebe Dieter, Wang Baoju, Yang Dongliang, Lu Mengji, Roggendorf Michael

机构信息

Institute for Virology, University Hospital of Essen, University of Duisburg-Essen, Essen, Germany.

Institute for Virology, University Hospital of Essen, University of Duisburg-Essen, Essen, Germany ; Hepatology Unit and Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.

出版信息

PLoS Pathog. 2014 Jan;10(1):e1003856. doi: 10.1371/journal.ppat.1003856. Epub 2014 Jan 2.

Abstract

Hepatitis B virus (HBV) persistence is facilitated by exhaustion of CD8 T cells that express the inhibitory receptor programmed cell death-1 (PD-1). Improvement of the HBV-specific T cell function has been obtained in vitro by inhibiting the PD-1/PD-ligand 1 (PD-L1) interaction. In this study, we examined whether in vivo blockade of the PD-1 pathway enhances virus-specific T cell immunity and leads to the resolution of chronic hepadnaviral infection in the woodchuck model. The woodchuck PD-1 was first cloned, characterized, and its expression patterns on T cells from woodchucks with acute or chronic woodchuck hepatitis virus (WHV) infection were investigated. Woodchucks chronically infected with WHV received a combination therapy with nucleoside analogue entecavir (ETV), therapeutic DNA vaccination and woodchuck PD-L1 antibody treatment. The gain of T cell function and the suppression of WHV replication by this therapy were evaluated. We could show that PD-1 expression on CD8 T cells was correlated with WHV viral loads during WHV infection. ETV treatment significantly decreased PD-1 expression on CD8 T cells in chronic carriers. In vivo blockade of PD-1/PD-L1 pathway on CD8 T cells, in combination with ETV treatment and DNA vaccination, potently enhanced the function of virus-specific T cells. Moreover, the combination therapy potently suppressed WHV replication, leading to sustained immunological control of viral infection, anti-WHs antibody development and complete viral clearance in some woodchucks. Our results provide a new approach to improve T cell function in chronic hepatitis B infection, which may be used to design new immunotherapeutic strategies in patients.

摘要

表达抑制性受体程序性细胞死亡蛋白1(PD-1)的CD8 T细胞耗竭促进了乙型肝炎病毒(HBV)的持续存在。通过抑制PD-1/PD-配体1(PD-L1)相互作用,已在体外获得了HBV特异性T细胞功能的改善。在本研究中,我们检测了在土拨鼠模型中,体内阻断PD-1途径是否能增强病毒特异性T细胞免疫,并导致慢性乙肝病毒感染的消退。首先克隆并鉴定了土拨鼠PD-1,并研究了其在急性或慢性土拨鼠肝炎病毒(WHV)感染的土拨鼠T细胞上的表达模式。慢性感染WHV的土拨鼠接受核苷类似物恩替卡韦(ETV)、治疗性DNA疫苗接种和土拨鼠PD-L1抗体治疗的联合疗法。评估了该疗法对T细胞功能的增强和对WHV复制的抑制作用。我们发现,在WHV感染期间,CD8 T细胞上的PD-1表达与WHV病毒载量相关。ETV治疗显著降低了慢性携带者CD8 T细胞上的PD-1表达。在CD8 T细胞上对PD-1/PD-L1途径进行体内阻断,联合ETV治疗和DNA疫苗接种,可有效增强病毒特异性T细胞的功能。此外,联合疗法有效抑制了WHV复制,导致对病毒感染的持续免疫控制、抗WHs抗体产生,并在一些土拨鼠中实现了病毒的完全清除。我们的结果为改善慢性乙型肝炎感染中的T细胞功能提供了一种新方法,这可能用于设计针对患者的新免疫治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03f1/3879364/87570d4c4cab/ppat.1003856.g001.jpg

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