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基于病毒样颗粒的疫苗防治花生过敏的临床前疗效:抗原密度和 TLR 配体的影响

Influence of antigen density and TLR ligands on preclinical efficacy of a VLP-based vaccine against peanut allergy.

机构信息

Department of Rheumatology and Immunology, University Hospital of Bern, Bern, Switzerland.

Department of BioMedical Research, University of Bern, Bern, Switzerland.

出版信息

Allergy. 2024 Jan;79(1):184-199. doi: 10.1111/all.15897. Epub 2023 Oct 10.

Abstract

BACKGROUND

Virus-like particle (VLP) Peanut is a novel immunotherapeutic vaccine candidate for the treatment of peanut allergy. The active pharmaceutical ingredient represents cucumber mosaic VLPs (CuMV -VLPs) that are genetically fused with one of the major peanut allergens, Ara h 2 (CuMV -Ara h 2). We previously demonstrated the immunogenicity and the protective capacity of VLP Peanut-based immunization in a murine model for peanut allergy. Moreover, a Phase I clinical trial has been initiated using VLP Peanut material manufactured following a GMP-compliant manufacturing process. Key product characterization studies were undertaken here to understand the role and contribution of critical quality attributes that translate as predictive markers of immunogenicity and protective efficacy for clinical vaccine development.

METHOD

The role of prokaryotic RNA encapsulated within VLP Peanut on vaccine immunogenicity was assessed by producing a VLP Peanut batch with a reduced RNA content (VLP Peanut low RNA). Immunogenicity and peanut allergen challenge studies were conducted with VLP Peanut low RNA, as well as with VLP Peanut in WT and TLR 7 KO mice. Furthermore, mass spectrometry and SDS-PAGE based methods were used to determine Ara h 2 antigen density on the surface of VLP Peanut particles. This methodology was subsequently applied to investigate the relationship between Ara h 2 antigen density and immunogenicity of VLP Peanut.

RESULTS

A TLR 7 dependent formation of Ara h 2 specific high-avidity IgG antibodies, as well as a TLR 7 dependent change in the dominant IgG subclass, was observed following VLP Peanut vaccination, while total allergen-specific IgG remained relatively unaffected. Consistently, a missing TLR 7 signal caused only a weak decrease in allergen tolerability after vaccination. In contrast, a reduced RNA content for VLP Peanut resulted in diminished total Ara h 2 specific IgG responses, followed by a significant impairment in peanut allergen tolerability. The discrepant effect on allergen tolerance caused by an absent TLR 7 signal versus a reduced RNA content is explained by the observation that VLP Peanut-derived RNA not only stimulates TLR 7 but also TLR 3. Additionally, a strong correlation was observed between the number of Ara h 2 antigens displayed on the surface of VLP Peanut particles and the vaccine's immunogenicity and protective capacity.

CONCLUSIONS

Our findings demonstrate that prokaryotic RNA encapsulated within VLP Peanut, including antigen density of Ara h 2 on viral particles, are key contributors to the immunogenicity and protective capacity of the vaccine. Thus, antigenicity and RNA content are two critical quality attributes that need to be determined at the stage of manufacturing, providing robust information regarding the immunogenicity and protective capacity of VLP Peanut in the mouse which has translational relevance to the human setting.

摘要

背景

病毒样颗粒(VLP)花生是一种新型的免疫治疗性疫苗候选物,用于治疗花生过敏。活性药物成分为黄瓜花叶病毒 VLP(CuMV-VLPs),它与主要的花生过敏原之一 Ara h 2(CuMV-Ara h 2)发生基因融合。我们之前在花生过敏的小鼠模型中证明了基于 VLP 花生的免疫接种的免疫原性和保护能力。此外,已经启动了一项使用符合 GMP 要求的制造工艺生产的 VLP 花生材料的 I 期临床试验。在这里进行了关键的产品特征研究,以了解关键质量属性的作用和贡献,这些属性可以转化为临床疫苗开发的免疫原性和保护效力的预测标志物。

方法

通过生产 RNA 含量降低的 VLP 花生批次(VLP 花生低 RNA),评估包裹在 VLP 花生中的原核 RNA 对疫苗免疫原性的作用。使用 VLP 花生低 RNA 以及 WT 和 TLR 7 KO 小鼠中的 VLP 花生进行免疫原性和花生过敏原挑战研究。此外,使用基于质谱和 SDS-PAGE 的方法来确定 VLP 花生颗粒表面 Ara h 2 抗原的密度。随后将该方法应用于研究 VLP 花生的 Ara h 2 抗原密度与免疫原性之间的关系。

结果

在 VLP 花生接种后,观察到 TLR 7 依赖性 Ara h 2 特异性高亲和力 IgG 抗体的形成,以及 TLR 7 依赖性 IgG 亚类的变化,而总过敏原特异性 IgG 相对不受影响。一致地,TLR 7 信号缺失仅导致接种后过敏原耐受性的轻微降低。相比之下,VLP 花生的 RNA 含量降低导致 Ara h 2 特异性总 IgG 反应减弱,随后显著降低了花生过敏原的耐受性。TLR 7 信号缺失与 RNA 含量降低对过敏原耐受性的不同影响可以通过以下观察结果来解释:VLP 花生衍生的 RNA 不仅刺激 TLR 7,还刺激 TLR 3。此外,还观察到 VLP 花生颗粒表面展示的 Ara h 2 抗原数量与疫苗的免疫原性和保护能力之间存在很强的相关性。

结论

我们的研究结果表明,包裹在 VLP 花生中的原核 RNA(包括病毒颗粒上 Ara h 2 的抗原密度)是疫苗免疫原性和保护能力的关键贡献者。因此,抗原性和 RNA 含量是制造阶段需要确定的两个关键质量属性,这为 VLP 花生在小鼠中的免疫原性和保护能力提供了强有力的信息,这与人类环境具有转化相关性。

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