Merck Research Laboratories, Merck and Co. Inc., Kenilworth, NJ 07033, USA.
Sci Transl Med. 2016 Oct 26;8(362):362ra145. doi: 10.1126/scitranslmed.aaf9387.
Congenital human cytomegalovirus (HCMV) infection occurs in ~0.64% of infants born each year in the United States and is the leading nongenetic cause of childhood neurodevelopmental disabilities. No licensed HCMV vaccine is currently available. Natural immunity to HCMV in women before pregnancy is associated with a reduced risk of fetal infection, suggesting that a vaccine is feasible if it can reproduce immune responses elicited by natural infection. On the basis of this premise, we developed a whole-virus vaccine candidate from the live attenuated AD169 strain, with genetic modifications to improve its immunogenicity and attenuation. We first restored the expression of the pentameric gH/gL/pUL128-131 protein complex, a major target for neutralizing antibodies in natural immunity. We then incorporated a chemically controlled protein stabilization switch in the virus, enabling us to regulate viral replication with a synthetic compound named Shield-1. The virus replicated as efficiently as its parental virus in the presence of Shield-1 but failed to produce progeny upon removal of the compound. The vaccine was immunogenic in multiple animal species and induced durable neutralizing antibodies, as well as CD4 and CD8 T cells, to multiple viral antigens in nonhuman primates.
先天性人类巨细胞病毒 (HCMV) 感染在美国每年约有 0.64%的婴儿发生,是儿童神经发育障碍的主要非遗传原因。目前尚无许可的 HCMV 疫苗。妊娠前女性体内针对 HCMV 的天然免疫与胎儿感染风险降低有关,这表明如果疫苗能够复制自然感染引起的免疫反应,那么疫苗是可行的。基于这一前提,我们从减毒活 AD169 株中开发了一种全病毒疫苗候选物,对其进行了遗传修饰以提高其免疫原性和减毒效果。我们首先恢复了五聚体 gH/gL/pUL128-131 蛋白复合物的表达,该复合物是天然免疫中中和抗体的主要靶标。然后,我们在病毒中加入了一种化学控制的蛋白稳定开关,使我们能够用一种名为 Shield-1 的合成化合物来调节病毒复制。在 Shield-1 的存在下,该病毒的复制效率与其亲本病毒相当,但在去除该化合物后,病毒无法产生子代。该疫苗在多种动物物种中具有免疫原性,并在非人类灵长类动物中诱导针对多种病毒抗原的持久中和抗体和 CD4 和 CD8 T 细胞。
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