Virology Laboratory, Basil Hetzel Institute for Translational Health Research, Discipline of Surgery, University of Adelaide, Adelaide, SA, Australia.
Molecular Mucosal Vaccine Immunology Group, The John Curtin School of Medical Research, The Australian National University, Canberra, ACT, Australia.
Front Cell Infect Microbiol. 2019 Apr 3;9:91. doi: 10.3389/fcimb.2019.00091. eCollection 2019.
Human immunodeficiency virus (HIV)-1 and hepatitis C virus (HCV) are major contributors to the global disease burden with many experts recognizing the requirement of an effective vaccine to bring a durable end to these viral epidemics. The most promising vaccine candidates that have advanced into pre-clinical models and the clinic to eliminate or provide protection against these chronic viruses are viral vectors [e.g., recombinant cytomegalovirus, Adenovirus, and modified vaccinia Ankara (MVA)]. This raises the question, is there a need to develop DNA vaccines against HIV-1 and HCV? Since the initial study from Wolff and colleagues which showed that DNA represents a vector that can be used to express transgenes durably , DNA has been regularly evaluated as a vaccine vector albeit with limited success in large animal models and humans. However, several recent studies in Phase I-IIb trials showed that vaccination of patients with recombinant DNA represents a feasible therapeutic intervention to even cure cervical cancer, highlighting the potential of using DNA for human vaccinations. In this review, we will discuss the limitations and the strategies of using DNA as a vector to develop prophylactic T cell-mediated vaccines against HIV-1 and HCV. In particular, we focus on potential strategies exploiting DNA vectors to elicit protective localized CD8 T cell immunity in the liver for HCV and in the cervicovaginal mucosa for HIV-1 as localized immunity will be an important, if not critical component, of an efficacious vaccine against these viral infections.
人类免疫缺陷病毒 (HIV)-1 和丙型肝炎病毒 (HCV) 是全球疾病负担的主要原因,许多专家认识到需要有效的疫苗来持久消除这些病毒流行。最有希望的疫苗候选物已经进入临床前模型和临床,以消除或提供针对这些慢性病毒的保护,这些候选物是病毒载体[例如,重组巨细胞病毒、腺病毒和改良安卡拉牛痘病毒 (MVA)]。这就提出了一个问题,是否有必要开发针对 HIV-1 和 HCV 的 DNA 疫苗?自从 Wolff 及其同事的最初研究表明 DNA 代表一种可以持久表达转基因的载体以来,尽管在大型动物模型和人类中取得了有限的成功,但 DNA 一直被定期评估为疫苗载体。然而,最近的几项 I 期- IIb 期试验的研究表明,用重组 DNA 对患者进行疫苗接种是一种可行的治疗干预措施,甚至可以治愈宫颈癌,突出了使用 DNA 进行人类疫苗接种的潜力。在这篇综述中,我们将讨论使用 DNA 作为载体开发针对 HIV-1 和 HCV 的预防性 T 细胞介导疫苗的局限性和策略。特别是,我们关注利用 DNA 载体来引发 HCV 肝内和 HIV-1 宫颈阴道黏膜内保护性局部 CD8 T 细胞免疫的潜在策略,因为局部免疫将是针对这些病毒感染的有效疫苗的重要(如果不是关键)组成部分。
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