Department of Retrovirology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
The Henry M Jackson Foundation for the Advancement of Military Medicine, Bethesda, Maryland, United States of America.
PLoS One. 2018 Apr 27;13(4):e0196397. doi: 10.1371/journal.pone.0196397. eCollection 2018.
Sexual transmission is the principal driver of the human immunodeficiency virus (HIV) pandemic. Understanding HIV vaccine-induced immune responses at mucosal surfaces can generate hypotheses regarding mechanisms of protection, and may influence vaccine development. The RV144 (ClinicalTrials.gov NCT00223080) efficacy trial showed protection against HIV infections but mucosal samples were not collected, therefore, the contribution of mucosal antibodies to preventing HIV-1 acquisition is unknown. Here, we report the generation, magnitude and persistence of antibody responses to recombinant gp120 envelope and antigens including variable one and two loop scaffold antigens (gp70V1V2) previously shown to correlate with risk in RV144. We evaluated antibody responses to gp120 A244gD and gp70V1V2 92TH023 (both CRF01_AE) and Case A2 (subtype B) in cervico-vaginal mucus (CVM), seminal plasma (SP) and rectal secretions (RS) from HIV-uninfected RV144 vaccine recipients, who were randomized to receive two late boosts of ALVAC-HIV/AIDSVAX®B/E, AIDSVAX®B/E, or ALVAC-HIV alone at 0 and 6 months. Late vaccine boosting increased IgG geometric mean titers (GMT) to gp120 A244gD in AIDSVAX®B/E and ALVAC-HIV/AIDSVAX®B/E CVM (28 and 17 fold, respectively), followed by SP and RS. IgG to gp70V1V2 92TH023 increased in AIDSVAX®B/E and ALVAC-HIV/AIDSVAX®B/E CVM (11-17 fold) and SP (2 fold) two weeks post first boost. IgG to Case A2 was only detected in AIDSVAX®B/E and ALVAC-HIV/AIDSVAX®B/E CVM. Mucosal IgG to gp120 A244gD (CVM, SP, RS), gp70V1V2 92TH023 (CVM, SP), and Case A2 (CVM) correlated with plasma IgG levels (p<0.001). Although the magnitude of IgG responses declined after boosting, anti-gp120 A244gD IgG responses in CVM persisted for 12 months post final vaccination. Further studies in localization, persistence and magnitude of envelope specific antibodies (IgG and dimeric IgA) in anogenital secretions will help determine their role in preventing mucosal HIV acquisition.
性传播是人类免疫缺陷病毒 (HIV) 流行的主要驱动因素。了解 HIV 疫苗诱导的黏膜表面免疫反应可以产生关于保护机制的假设,并可能影响疫苗的开发。RV144(ClinicalTrials.gov NCT00223080)疗效试验表明对 HIV 感染有保护作用,但未采集黏膜样本,因此,黏膜抗体在预防 HIV-1 感染中的作用尚不清楚。在这里,我们报告了对先前与 RV144 风险相关的重组 gp120 包膜和抗原(包括可变 1 和 2 环支架抗原(gp70V1V2))产生抗体的产生、大小和持续时间。我们评估了对 gp120 A244gD 和 gp70V1V2 92TH023(均为 CRF01_AE)和 Case A2(B 型)的抗体反应,这些抗体来自接受过 HIV 阴性 RV144 疫苗接种的人,这些人被随机分配在 0 个月和 6 个月时接受两次 ALVAC-HIV/AIDSVAX®B/E、AIDSVAX®B/E 或 ALVAC-HIV 的晚期加强针。晚期疫苗加强针增加了 AIDSVAX®B/E 和 ALVAC-HIV/AIDSVAX®B/E 阴道分泌物(CVM)中 gp120 A244gD 的 IgG 几何平均滴度(GMT)(分别为 28 倍和 17 倍),然后是精液(SP)和直肠分泌物(RS)。gp70V1V2 92TH023 的 IgG 在 AIDSVAX®B/E 和 ALVAC-HIV/AIDSVAX®B/E CVM 中增加(11-17 倍)和 SP(2 倍)两周后首次加强针后增加。在 AIDSVAX®B/E 和 ALVAC-HIV/AIDSVAX®B/E CVM 中仅检测到针对 Case A2 的黏膜 IgG。gp120 A244gD(CVM、SP、RS)、gp70V1V2 92TH023(CVM、SP)和 Case A2(CVM)的黏膜 IgG 与血浆 IgG 水平相关(p<0.001)。尽管加强后 IgG 反应的强度下降,但最后一次接种疫苗后 12 个月,CVM 中的抗 gp120 A244gD IgG 反应仍持续存在。进一步研究生殖道分泌物中包膜特异性抗体(IgG 和二聚体 IgA)的定位、持久性和大小将有助于确定它们在预防黏膜 HIV 感染中的作用。
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