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新型佐剂增强了复制缺陷型人巨细胞病毒疫苗在非人灵长类动物中引发的免疫应答。

Novel adjuvants enhance immune responses elicited by a replication-defective human cytomegalovirus vaccine in nonhuman primates.

机构信息

Merck & Co., Inc., Kenilworth, NJ, USA.

Merck & Co., Inc., Kenilworth, NJ, USA.

出版信息

Vaccine. 2021 Dec 17;39(51):7446-7456. doi: 10.1016/j.vaccine.2021.10.075. Epub 2021 Nov 28.

Abstract

Adjuvants have long been explored to enhance vaccine efficacy. Current adjuvants approved for human vaccines are mostly studied for their ability to improve antibody responses. There remains a need for development of novel adjuvants, especially those able to enhance cell-mediated immunity (CMI). In this preclinical study we assessed the effect of two novel adjuvants, a delta inulin microparticle Advax formulated with or without a toll-like receptor 9 (TLR9) agonist CpG oligonucleotide, and a Merck & Co., Inc., Kenilworth, NJ, USA proprietary lipid nanoparticle (LNP), on immune responses elicited by V160, an experimental replication-defective human cytomegalovirus vaccine. Adult rhesus macaques were immunized with a low dose of V160 (10 units) either alone or in combination with the adjuvants as compared to those immunized with a high dose of V160 alone (100 units). While neither adjuvant conferred a significant benefit to vaccine-elicited humoral immune responses at the dose tested, both enhanced cellular immune responses to V160, where Advax promoted both CD4 and CD8 T cells and LNP predominantly impacted the CD4 T cell response. Transcriptome analyses of peripheral blood samples demonstrated different modes of action for these adjuvants. One day post vaccination, LNP induced upregulation of a large number of genes involved in the innate immune response similar to those triggered by viral infection. In contrast, Advax did not activate any known inflammatory pathways and did not significantly impact gene expression pattern until day 7 post administration, suggesting a unique, non-inflammatory mechanism. These data warrant further exploration of Advax and LNP as adjuvants in clinical trials for vaccines desiring to elicit both humoral and T cell responses.

摘要

佐剂一直被探索用于增强疫苗的效果。目前,已批准用于人类疫苗的佐剂主要是根据其提高抗体反应的能力进行研究的。仍需要开发新型佐剂,特别是那些能够增强细胞介导免疫(CMI)的佐剂。在这项临床前研究中,我们评估了两种新型佐剂的效果,一种是与 TLR9 激动剂 CpG 寡核苷酸联用或不联用的 delta 菊粉微球 Advax,以及一种 Merck & Co., Inc., Kenilworth, NJ,USA 专有的脂质纳米颗粒(LNP),在实验性复制缺陷型人巨细胞病毒疫苗 V160 引发的免疫反应中的作用。成年恒河猴单独或与佐剂联合接种低剂量 V160(10 单位),与单独接种高剂量 V160(100 单位)的猴子相比。虽然两种佐剂在测试剂量下均未对疫苗诱导的体液免疫反应产生显著益处,但都增强了对 V160 的细胞免疫反应,其中 Advax 促进了 CD4 和 CD8 T 细胞,而 LNP 主要影响 CD4 T 细胞反应。外周血样本的转录组分析表明这些佐剂具有不同的作用模式。接种后一天,LNP 上调了大量与先天免疫反应相关的基因,类似于病毒感染引发的反应。相比之下,Advax 没有激活任何已知的炎症途径,直到给药后第 7 天才显著影响基因表达模式,这表明它具有独特的非炎症机制。这些数据表明 Advax 和 LNP 作为佐剂在临床试验中具有进一步探索的价值,用于激发体液和 T 细胞反应的疫苗。

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