Vaccine Research Institute, Université Paris-Est, Faculté de Médecine, INSERM U955, Créteil, France.
Baylor Institute for Immunology Research and INSERM U955, Dallas, Texas, United States of America.
PLoS One. 2018 Nov 30;13(11):e0207794. doi: 10.1371/journal.pone.0207794. eCollection 2018.
HIV-1 infection can be controlled by anti-retroviral drug therapy, but this is a lifetime treatment and the virus remains latent and rapidly rebounds if therapy is stopped. HIV-1-infected individuals under this drug regimen have increased rates of cancers, cardiovascular diseases, and autoimmunity due to compromised immunity. A therapeutic vaccine boosting cellular immunity against HIV-1 is therefore desirable and, possibly combined with other immune modulating agents, could obviate the need for long-term drug therapies. An approach to elicit strong T cell-based immunity is to direct virus protein antigens specifically to dendritic cells (DCs), which are the key cell type for controlling immune responses. For eliciting therapeutic cellular immunity in HIV-1-infected individuals, we developed vaccines comprised of five T cell epitope-rich regions of HIV-1 Gag, Nef, and Pol (HIV5pep) fused to monoclonal antibodies that bind either, the antigen presenting cell activating receptor CD40, or the endocytic dendritic cell immunoreceptor DCIR. The study aimed to demonstrate vaccine safety, establish efficacy for broad T cell responses in both primed and naïve settings, and identify one candidate vaccine for human therapeutic development. The vaccines were administered to Rhesus macaques by intradermal injection with poly-ICLC adjuvant. The animals were either i) naïve or, ii) previously primed with modified vaccinia Ankara vector (MVA) encoding HIV-1 Gag, Pol, and Nef (MVA GagPolNef). In the MVA-primed groups, both DC-targeting vaccinations boosted HIV5pep-specific blood CD4+ T cells producing multiple cytokines, but did not affect the MVA-elicited CD8+ T cell responses. In the naive groups, both DC-targeting vaccines elicited antigen-specific polyfunctional CD4+ and CD8+ T cell responses to multiple epitopes and these responses were unchanged by a subsequent MVA GagPolNef boost. In both settings, the T cell responses elicited via the CD40-targeting vaccine were more robust and were detectable in all the animals, favoring further development of the CD40-targeting vaccine for therapeutic vaccination of HIV-1-infected individuals.
HIV-1 感染可以通过抗逆转录病毒药物治疗来控制,但这是一种终身治疗,如果停止治疗,病毒仍然潜伏并迅速反弹。由于免疫功能受损,接受这种药物治疗的 HIV-1 感染者癌症、心血管疾病和自身免疫的发病率增加。因此,需要一种能够增强针对 HIV-1 的细胞免疫的治疗性疫苗,并且可能与其他免疫调节剂联合使用,可以避免长期药物治疗的需要。一种诱导强烈基于 T 细胞免疫的方法是将病毒蛋白抗原特异性导向树突状细胞(DC),DC 是控制免疫反应的关键细胞类型。为了在 HIV-1 感染者中引发治疗性细胞免疫,我们开发了由 HIV-1 Gag、Nef 和 Pol 的五个 T 细胞表位丰富区域组成的疫苗,这些区域与结合抗原呈递细胞激活受体 CD40 或内吞树突状细胞免疫受体 DCIR 的单克隆抗体融合。该研究旨在证明疫苗的安全性,确定在已免疫和未免疫的情况下广泛的 T 细胞反应的疗效,并确定一种候选疫苗用于人类治疗性开发。这些疫苗通过皮内注射多聚肌苷酸:胞苷酸(poly-ICLC)佐剂施用于恒河猴。这些动物要么是 i)未免疫的,要么是 ii)之前用编码 HIV-1 Gag、Pol 和 Nef 的改良安卡拉牛痘病毒(MVA)免疫(MVA GagPolNef)。在 MVA 免疫的组中,两种靶向 DC 的疫苗均增强了 HIV5pep 特异性血液 CD4+T 细胞产生多种细胞因子,但不影响 MVA 诱导的 CD8+T 细胞反应。在未免疫的组中,两种靶向 DC 的疫苗均诱导针对多个表位的抗原特异性多效性 CD4+和 CD8+T 细胞反应,并且这些反应不受随后的 MVA GagPolNef 增强的影响。在两种情况下,通过靶向 CD40 的疫苗诱导的 T 细胞反应更强大,并且可以在所有动物中检测到,这有利于进一步开发靶向 CD40 的疫苗用于治疗性接种 HIV-1 感染者。
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