Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America.
Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America.
PLoS One. 2020 Jan 30;15(1):e0226803. doi: 10.1371/journal.pone.0226803. eCollection 2020.
BACKGROUND: HIV vaccine trials routinely measure multiple vaccine-elicited immune responses to compare regimens and study their potential associations with protection. Here we employ unsupervised learning tools facilitated by a bidirectional power transformation to explore the multivariate binding antibody and T-cell response patterns of immune responses elicited by two pox-protein HIV vaccine regimens. Both regimens utilized a recombinant canarypox vector (ALVAC-HIV) prime and a bivalent recombinant HIV-1 Envelope glycoprotein 120 subunit boost. We hypothesized that within each trial, there were participant subgroups sharing similar immune responses and that their frequencies differed across trials. METHODS AND FINDINGS: We analyzed data from three trials-RV144 (NCT00223080), HVTN 097 (NCT02109354), and HVTN 100 (NCT02404311), the latter of which was pivotal in advancing the tested pox-protein HIV vaccine regimen to the HVTN 702 Phase 2b/3 efficacy trial. We found that bivariate CD4+ T-cell and anti-V1V2 IgG/IgG3 antibody response patterns were similar by age, sex-at-birth, and body mass index, but differed for the pox-protein clade AE/B alum-adjuvanted regimen studied in RV144 and HVTN 097 (PAE/B/alum) compared to the pox-protein clade C/C MF59-adjuvanted regimen studied in HVTN 100 (PC/MF59). Specifically, more PAE/B/alum recipients had low CD4+ T-cell and high anti-V1V2 IgG/IgG3 responses, and more PC/MF59 recipients had broad responses of both types. Analyses limited to "vaccine-matched" antigens suggested that some of the differences in responses between the regimens could have been due to antigens in the assays that did not match the vaccine immunogens. Our approach was also useful in identifying subgroups with unusually absent or high co-responses across assay types, flagging individuals for further characterization by functional assays. We also found that co-responses of anti-V1V2 IgG/IgG3 and CD4+ T cells had broad variability. As additional immune response assays are standardized and validated, we anticipate our framework will be increasingly valuable for multivariate analysis. CONCLUSIONS: Our approach can be used to advance vaccine development objectives, including the characterization and comparison of candidate vaccine multivariate immune responses and improved design of studies to identify correlates of protection. For instance, results suggested that HVTN 702 will have adequate power to interrogate immune correlates involving anti-V1V2 IgG/IgG3 and CD4+ T-cell co-readouts, but will have lower power to study anti-gp120/gp140 IgG/IgG3 due to their lower dynamic ranges. The findings also generate hypotheses for future testing in experimental and computational analyses aimed at achieving a mechanistic understanding of vaccine-elicited immune response heterogeneity.
背景:艾滋病毒疫苗试验通常会测量多种疫苗引起的免疫反应,以比较方案并研究它们与保护的潜在关联。在这里,我们采用双向功率变换促进的无监督学习工具来探索两种痘病毒蛋白 HIV 疫苗方案引起的结合抗体和 T 细胞反应的多维模式。这两种方案都利用了重组金丝雀痘载体(ALVAC-HIV)作为初级免疫和二价重组 HIV-1 包膜糖蛋白 120 亚单位作为加强免疫。我们假设,在每个试验中,都有具有相似免疫反应的参与者亚组,并且它们在试验之间的频率不同。
方法和发现:我们分析了来自三项试验的数据-RV144(NCT00223080)、HVTN 097(NCT02109354)和 HVTN 100(NCT02404311),后者在推进经过测试的痘病毒蛋白 HIV 疫苗方案进入 HVTN 702 期 2b/3 疗效试验方面至关重要。我们发现,按年龄、出生时的性别和体重指数,CD4+T 细胞和抗 V1V2 IgG/IgG3 抗体的双变量反应模式相似,但在 RV144 和 HVTN 097 中研究的痘病毒蛋白谱系 AE/B 佐剂疫苗方案(PAE/B/alum)与在 HVTN 100 中研究的痘病毒蛋白谱系 C/C MF59 佐剂疫苗方案(PC/MF59)之间存在差异。具体而言,更多的 PAE/B/alum 接受者具有低 CD4+T 细胞和高抗 V1V2 IgG/IgG3 反应,而更多的 PC/MF59 接受者具有两种类型的广泛反应。对“疫苗匹配”抗原的分析表明,方案之间反应的一些差异可能是由于检测中与疫苗免疫原不匹配的抗原所致。我们的方法还可用于识别在不同类型检测中异常缺失或高共反应的亚组,为进一步通过功能检测对个体进行特征描述提供标记。我们还发现,抗 V1V2 IgG/IgG3 和 CD4+T 细胞的共反应具有广泛的可变性。随着更多免疫反应检测的标准化和验证,我们预计我们的框架将在多变量分析方面越来越有价值。
结论:我们的方法可用于推进疫苗开发目标,包括对候选疫苗多变量免疫反应的描述和比较,以及改进研究设计以确定保护相关性。例如,结果表明,HVTN 702 将有足够的能力来研究涉及抗 V1V2 IgG/IgG3 和 CD4+T 细胞共反应的免疫相关性,但由于其动态范围较低,研究抗 gp120/gp140 IgG/IgG3 的能力将较低。这些发现还为未来的实验和计算分析产生了假设,旨在实现对疫苗引起的免疫反应异质性的机制理解。
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