Jangra Sonia, De Vrieze Jana, Choi Angela, Rathnasinghe Raveen, Laghlali Gabriel, Uvyn Annemiek, Van Herck Simon, Nuhn Lutz, Deswarte Kim, Zhong Zifu, Sanders Niek, Lienenklaus Stefan, David Sunil, Strohmeier Shirin, Amanat Fatima, Krammer Florian, Hammad Hamida, Lambrecht Bart N, Coughlan Lynda, García-Sastre Adolfo, De Geest Bruno G, Schotsaert Michael
Department of Microbiology, Icahn School of Medicine at Mount Sinai New York, NY, USA.
Department of Pharmaceutics, Ghent University, Ghent, Belgium.
bioRxiv. 2020 Oct 23:2020.10.23.344085. doi: 10.1101/2020.10.23.344085.
The search for vaccines that protect from severe morbidity and mortality as a result of infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes coronavirus disease 2019 (COVID-19) is a race against the clock and the virus. Several vaccine candidates are currently being tested in the clinic. Inactivated virus and recombinant protein vaccines can be safe options but may require adjuvants to induce robust immune responses efficiently. In this work we describe the use of a novel amphiphilic imidazoquinoline (IMDQ-PEG-CHOL) TLR7/8 adjuvant, consisting of an imidazoquinoline conjugated to the chain end of a cholesterol-poly(ethylene glycol) macromolecular amphiphile). This amphiphile is water soluble and exhibits massive translocation to lymph nodes upon local administration, likely through binding to albumin. IMDQ-PEG-CHOL is used to induce a protective immune response against SARS-CoV-2 after single vaccination with trimeric recombinant SARS-CoV-2 spike protein in the BALB/c mouse model. Inclusion of amphiphilic IMDQ-PEG-CHOL in the SARS-CoV-2 spike vaccine formulation resulted in enhanced immune cell recruitment and activation in the draining lymph node. IMDQ-PEG-CHOL has a better safety profile compared to native soluble IMDQ as the former induces a more localized immune response upon local injection, preventing systemic inflammation. Moreover, IMDQ-PEG-CHOL adjuvanted vaccine induced enhanced ELISA and in vitro microneutralization titers, and a more balanced IgG2a/IgG1 response. To correlate vaccine responses with control of virus replication in vivo, vaccinated mice were challenged with SARS-CoV-2 virus after being sensitized by intranasal adenovirus-mediated expression of the human angiotensin converting enzyme 2 (ACE2) gene. Animals vaccinated with trimeric recombinant spike protein vaccine without adjuvant had lung virus titers comparable to non-vaccinated control mice, whereas animals vaccinated with IMDQ-PEG-CHOL-adjuvanted vaccine controlled viral replication and infectious viruses could not be recovered from their lungs at day 4 post infection. In order to test whether IMDQ-PEG-CHOL could also be used to adjuvant vaccines currently licensed for use in humans, proof of concept was also provided by using the same IMDQ-PEG-CHOL to adjuvant human quadrivalent inactivated influenza virus split vaccine, which resulted in enhanced hemagglutination inhibition titers and a more balanced IgG2a/IgG1 antibody response. Enhanced influenza vaccine responses correlated with better virus control when mice were given a lethal influenza virus challenge. Our results underscore the potential use of IMDQ-PEG-CHOL as an adjuvant to achieve protection after single immunization with recombinant protein and inactivated virus vaccines against respiratory viruses, such as SARS-CoV-2 and influenza viruses.
寻找能够预防由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染导致的严重发病和死亡的疫苗,这场对抗新冠病毒(COVID-19)的战斗是与时间和病毒的赛跑。目前有几种候选疫苗正在进行临床试验。灭活病毒疫苗和重组蛋白疫苗可能是安全的选择,但可能需要佐剂来有效诱导强烈的免疫反应。在这项研究中,我们描述了一种新型两亲性咪唑喹啉(IMDQ-PEG-CHOL)TLR7/8佐剂的应用,它由一个与胆固醇-聚乙二醇大分子两亲物链端共轭的咪唑喹啉组成。这种两亲物可溶于水,局部给药后会大量转运至淋巴结,可能是通过与白蛋白结合实现的。在BALB/c小鼠模型中,将IMDQ-PEG-CHOL用于三聚体重组SARS-CoV-2刺突蛋白单次接种后诱导针对SARS-CoV-2的保护性免疫反应。在SARS-CoV-2刺突疫苗制剂中加入两亲性IMDQ-PEG-CHOL可增强引流淋巴结中免疫细胞的募集和激活。与天然可溶性IMDQ相比,IMDQ-PEG-CHOL具有更好的安全性,因为前者在局部注射后诱导更局部化的免疫反应,可防止全身炎症。此外,IMDQ-PEG-CHOL佐剂疫苗诱导的ELISA和体外微量中和效价增强,以及IgG2a/IgG1反应更平衡。为了将疫苗反应与体内病毒复制的控制相关联,在用鼻内腺病毒介导人血管紧张素转换酶2(ACE2)基因表达致敏后,对接种疫苗的小鼠用SARS-CoV-2病毒进行攻击。接种无佐剂的三聚体重组刺突蛋白疫苗的动物肺部病毒滴度与未接种疫苗的对照小鼠相当,而接种IMDQ-PEG-CHOL佐剂疫苗的动物可控制病毒复制,感染后第4天在其肺部无法检测到传染性病毒。为了测试IMDQ-PEG-CHOL是否也可用于佐剂目前已获许可用于人类的疫苗,我们还用相同的IMDQ-PEG-CHOL佐剂人四价灭活流感病毒裂解疫苗提供了概念验证,结果导致血凝抑制效价增强和IgG2a/IgG1抗体反应更平衡。当小鼠受到致死性流感病毒攻击时增强的流感疫苗反应与更好的病毒控制相关。我们的结果强调了IMDQ-PEG-CHOL作为佐剂在重组蛋白和灭活病毒疫苗单次免疫后实现针对呼吸道病毒(如SARS-CoV-2和流感病毒)的保护方面的潜在用途。