Li Shuying S, Kochar Nidhi K, Elizaga Marnie, Hay Christine M, Wilson Gregory J, Cohen Kristen W, De Rosa Stephen C, Xu Rong, Ota-Setlik Ayuko, Morris Daryl, Finak Greg, Allen Mary, Tieu Hong-Van, Frank Ian, Sobieszczyk Magdalena E, Hannaman Drew, Gottardo Raphael, Gilbert Peter B, Tomaras Georgia D, Corey Lawrence, Clarke David K, Egan Michael A, Eldridge John H, McElrath M Juliana, Frahm Nicole
Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Infectious Diseases Division, University of Rochester Medical Center, Rochester, New York, USA.
Clin Vaccine Immunol. 2017 Nov 6;24(11). doi: 10.1128/CVI.00263-17. Print 2017 Nov.
The HIV Vaccine Trials Network (HVTN) 087 vaccine trial assessed the effect of increasing doses of pIL-12 (interleukin-12 delivered as plasmid DNA) adjuvant on the immunogenicity of an HIV-1 multiantigen (MAG) DNA vaccine delivered by electroporation and boosted with a vaccine comprising an attenuated vesicular stomatitis virus expressing HIV-1 Gag (VSV-Gag). We randomized 100 healthy adults to receive placebo or 3 mg HIV-MAG DNA vaccine (ProfectusVax HIV-1 / or ProfectusVax //, ) coadministered with pIL-12 at 0, 250, 1,000, or 1,500 μg intramuscularly by electroporation at 0, 1, and 3 months followed by intramuscular inoculation with 3.4 × 10 PFU VSV-Gag vaccine at 6 months. Immune responses were assessed after the prime and boost and 6 months after the last vaccination. High-dose pIL-12 increased the magnitude of CD8 T-cell responses postboost compared to no pIL-12 ( = 0.02), while CD4 T-cell responses after the prime were higher in the absence of pIL-12 than with low- and medium-dose pIL-12 ( ≤ 0.05). The VSV boost increased Gag-specific CD4 and CD8 T-cell responses in all groups ( < 0.001 for CD4 T cells), inducing a median of four Gag epitopes in responders. Six to 9 months after the boost, responses decreased in magnitude, but CD8 T-cell response rates were maintained. The addition of a DNA prime dramatically improved responses to the VSV vaccine tested previously in the HVTN 090 trial, leading to broad epitope targeting and maintained CD8 T-cell response rates at early memory. The addition of high-dose pIL-12 given with a DNA prime by electroporation and boosted with VSV-Gag increased the CD8 T-cell responses but decreased the CD4 responses. This approach may be advantageous in reshaping the T-cell responses to a variety of chronic infections or tumors. (This study has been registered at ClinicalTrials.gov under registration no. NCT01578889.).
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