J Clin Invest. 2022 Aug 1;132(15). doi: 10.1172/JCI161819.
Hepatitis C virus (HCV) infection remains a worldwide public health issue despite direct-acting antivirals. A substantial proportion of infected individuals (15%-45%) spontaneously clear repeated HCV infections with genetically different viruses by generating broadly neutralizing antibodies (bNAbs). However, translating this response into an effective vaccine strategy has been unsuccessful. In this issue of the JCI, Frumento and colleagues report on their study of bNAb evolution longitudinally in convalescent individuals with repeated infections. Using pseudotyped viruses, well-characterized monoclonal antibodies, and complex modeling, the authors show that multiple exposures to antigenically related, antibody-sensitive viral envelope proteins induced potent bNAbs. This work provides valuable insight into the best strategies for developing HCV vaccines in the future that may successfully reproduce the immunity induced during natural exposures.
丙型肝炎病毒(HCV)感染仍然是一个全球性的公共卫生问题,尽管有直接作用的抗病毒药物。相当一部分感染个体(15%-45%)通过产生广泛中和抗体(bNAbs)自发清除具有遗传差异的重复 HCV 感染。然而,将这种反应转化为有效的疫苗策略尚未成功。在本期 JCI 中,Frumento 及其同事报告了他们对具有重复感染的恢复期个体中 bNAb 演变的纵向研究。使用假型病毒、经过充分表征的单克隆抗体和复杂的建模,作者表明,多次接触抗原相关、抗体敏感的病毒包膜蛋白会诱导出强大的 bNAbs。这项工作为未来开发 HCV 疫苗提供了有价值的见解,这些疫苗可能成功复制自然暴露过程中诱导的免疫反应。