Institute of Immunopharmaceutical Sciences, School of Pharmaceutical Sciences, Shandong University, Jinan, China.
School of Life Sciences, University of Science and Technology of China, Hefei, China.
Gut. 2019 Nov;68(11):2032-2043. doi: 10.1136/gutjnl-2017-315588. Epub 2019 Jan 11.
Chronic hepatitis B (CHB) virus infection is a global health problem. Finding a cure for CHB remains a challenging task.
In this study, poly I:C was employed as an adjuvant for HBV therapeutic vaccine (referred to as pHBV-vaccine) and the feasibility and efficiency of pHBV-vaccine in CHB treatment were evaluated in HBV-carrier mice.
We found that pHBV-vaccine decreased HBsAg and HBV DNA efficiently and safely in HBV-carrier mice. Further investigation showed that pHBV-vaccine promoted maturation and antigen presentation ability of dendritic cells in vivo and in vitro. This vaccine successfully restored the exhaustion of antigen-specific CD8 T cells and partly broke the immune tolerance established in HBV-carrier mice. pHBV-vaccine also enhanced the proliferation and polyfunctionality of HBV-specific CD11a CD8α cells. Importantly, we observed that T cell activation molecule KLRG1 was only expressed on HBV specific CD11a CD8α cells. Furthermore, pHBV-vaccine reduced the expression of Eomes and increased the serum IL-12 levels, which in turn promoted the generation of effector memory short-lived effector cells (SLECs) to exhibit a critical role in HBV clearance. SLECs induced by pHBV-vaccine might play a crucial role in protecting from HBV reinfection.
Findings from this study provide a new basis for the development of therapeutic pHBV-vaccine, which might be a potential candidate for clinical CHB therapy.
慢性乙型肝炎(CHB)病毒感染是一个全球性的健康问题。寻找 CHB 的治愈方法仍然是一项具有挑战性的任务。
在本研究中,聚肌苷酸:聚胞苷酸(poly I:C)被用作 HBV 治疗性疫苗(简称 pHBV-疫苗)的佐剂,并在 HBV 携带者小鼠中评估 pHBV-疫苗治疗 CHB 的可行性和效率。
我们发现 pHBV-疫苗可有效且安全地降低 HBV 携带者小鼠中的 HBsAg 和 HBV DNA。进一步的研究表明,pHBV-疫苗在体内和体外促进树突状细胞的成熟和抗原呈递能力。该疫苗成功地恢复了抗原特异性 CD8 T 细胞的衰竭,并部分打破了 HBV 携带者小鼠中建立的免疫耐受。pHBV-疫苗还增强了 HBV 特异性 CD11a CD8α细胞的增殖和多功能性。重要的是,我们观察到 T 细胞活化分子 KLRG1 仅在 HBV 特异性 CD11a CD8α细胞上表达。此外,pHBV-疫苗降低了 Eomes 的表达并增加了血清 IL-12 水平,这反过来又促进了效应记忆短寿命效应细胞(SLECs)的产生,在清除 HBV 方面发挥关键作用。pHBV-疫苗诱导的 SLECs 可能在保护免受 HBV 再感染方面发挥重要作用。
本研究的结果为开发治疗性 pHBV-疫苗提供了新的依据,该疫苗可能是 CHB 临床治疗的潜在候选药物。