用于改善恰加斯病性心肌病的细胞治疗疫苗的基因佐剂
Genetic Adjuvantation of a Cell-Based Therapeutic Vaccine for Amelioration of Chagasic Cardiomyopathy.
作者信息
Konduri Vanaja, Halpert Matthew M, Liang Dan, Levitt Jonathan M, Cruz-Chan Julio Vladimir, Zhan Bin, Bottazzi Maria Elena, Hotez Peter J, Jones Kathryn M, Decker William K
机构信息
Department of Pathology and Immunology, Baylor College of Medicine, Houston, Texas, USA.
Scott Department of Urology, Baylor College of Medicine, Houston, Texas, USA.
出版信息
Infect Immun. 2017 Aug 18;85(9). doi: 10.1128/IAI.00127-17. Print 2017 Sep.
Chagas disease, caused by infection with the protozoan parasite , is a leading cause of heart disease ("chagasic cardiomyopathy") in Latin America, disproportionately affecting people in resource-poor areas. The efficacy of currently approved pharmaceutical treatments is limited mainly to acute infection, and there are no effective treatments for the chronic phase of the disease. Preclinical models of Chagas disease have demonstrated that antigen-specific CD8 gamma interferon (IFN-γ)-positive T-cell responses are essential for reducing parasite burdens, increasing survival, and decreasing cardiac pathology in both the acute and chronic phases of Chagas disease. In the present study, we developed a genetically adjuvanted, dendritic cell-based immunotherapeutic for acute Chagas disease in an attempt to delay or prevent the cardiac complications that eventually result from chronic infection. Dendritic cells transduced with the adjuvant, an adenoviral vector encoding a dominant negative isoform of Src homology region 2 domain-containing tyrosine phosphatase 1 (SHP-1) along with the Tc24 antigen and -sialidase antigen 1 (TSA1), induced significant numbers of antigen-specific CD8 IFN-γ-positive cells following injection into BALB/c mice. A vaccine platform transduced with the adenoviral vector and loaded in tandem with the recombinant protein reduced parasite burdens by 76% to >99% in comparison to a variety of different controls and significantly reduced cardiac pathology in a BALB/c mouse model of live Chagas disease. Although no statistical differences in overall survival rates among cohorts were observed, the data suggest that immunotherapeutic strategies for the treatment of acute Chagas disease are feasible and that this approach may warrant further study.
恰加斯病由原生动物寄生虫感染引起,是拉丁美洲心脏病(“恰加斯性心肌病”)的主要病因,对资源匮乏地区的人群影响尤为严重。目前获批的药物治疗的疗效主要限于急性感染阶段,对于该疾病的慢性阶段尚无有效治疗方法。恰加斯病的临床前模型表明,抗原特异性CD8γ干扰素(IFN-γ)阳性T细胞反应对于在恰加斯病的急性和慢性阶段减轻寄生虫负担、提高生存率以及减少心脏病变至关重要。在本研究中,我们开发了一种用于急性恰加斯病的基于树突状细胞的基因佐剂免疫疗法,试图延缓或预防慢性感染最终导致的心脏并发症。用佐剂转导的树突状细胞,即一种编码含Src同源区2结构域的酪氨酸磷酸酶1(SHP-1)显性负性异构体以及Tc24抗原和唾液酸酶抗原1(TSA1)的腺病毒载体,在注射到BALB/c小鼠体内后诱导产生了大量抗原特异性CD8 IFN-γ阳性细胞。与多种不同对照相比,用腺病毒载体转导并与重组蛋白串联加载的疫苗平台使寄生虫负担降低了76%至>99%,并在恰加斯病活BALB/c小鼠模型中显著减轻了心脏病变。尽管各队列之间未观察到总体生存率的统计学差异,但数据表明治疗急性恰加斯病的免疫治疗策略是可行的,且这种方法可能值得进一步研究。