Institute for Bioscience and Biotechnology Research, University of Maryland, Rockville, MD 20850, USA.
Department of Cell Biology and Molecular Genetics, University of Maryland, College Park, MD 20742, USA.
Viruses. 2024 May 18;16(5):803. doi: 10.3390/v16050803.
Hepatitis C virus (HCV) is a major medical health burden and the leading cause of chronic liver disease and cancer worldwide. More than 58 million people are chronically infected with HCV, with 1.5 million new infections occurring each year. An effective HCV vaccine is a major public health and medical need as recognized by the World Health Organization. However, due to the high variability of the virus and its ability to escape the immune response, HCV rapidly accumulates mutations, making vaccine development a formidable challenge. An effective vaccine must elicit broadly neutralizing antibodies (bnAbs) in a consistent fashion. After decades of studies from basic research through clinical development, the antigen of choice is considered the E1E2 envelope glycoprotein due to conserved, broadly neutralizing antigenic domains located in the constituent subunits of E1, E2, and the E1E2 heterodimeric complex itself. The challenge has been elicitation of robust humoral and cellular responses leading to broad virus neutralization due to the relatively low immunogenicity of this antigen. In view of this challenge, structure-based vaccine design approaches to stabilize key antigenic domains have been hampered due to the lack of E1E2 atomic-level resolution structures to guide them. Another challenge has been the development of a delivery platform in which a multivalent form of the antigen can be presented in order to elicit a more robust anti-HCV immune response. Recent nanoparticle vaccines are gaining prominence in the field due to their ability to facilitate a controlled multivalent presentation and trafficking to lymph nodes, where they can interact with both the cellular and humoral components of the immune system. This review focuses on recent advances in understanding the E1E2 heterodimeric structure to facilitate a rational design approach and the potential for development of a multivalent nanoparticle-based HCV E1E2 vaccine. Both aspects are considered important in the development of an effective HCV vaccine that can effectively address viral diversity and escape.
丙型肝炎病毒 (HCV) 是一个重大的医学健康负担,也是全球慢性肝病和癌症的主要原因。全球有超过 5800 万人慢性感染 HCV,每年有 150 万人新感染。世界卫生组织认识到,有效的 HCV 疫苗是一个主要的公共卫生和医学需求。然而,由于病毒的高度变异性及其逃避免疫反应的能力,HCV 迅速积累突变,使得疫苗的开发成为一个艰巨的挑战。有效的疫苗必须以一致的方式诱导广泛中和抗体 (bnAbs)。经过几十年的基础研究到临床开发的研究,首选的抗原被认为是 E1E2 包膜糖蛋白,因为位于 E1、E2 组成亚基和 E1E2 异二聚体复合物本身中的保守、广泛中和的抗原结构域。由于这种抗原的免疫原性相对较低,因此面临的挑战是诱导强大的体液和细胞反应,从而导致广泛的病毒中和。鉴于这一挑战,由于缺乏 E1E2 的原子水平分辨率结构来指导它们,基于结构的疫苗设计方法来稳定关键抗原结构域的方法受到了阻碍。另一个挑战是开发一种能够以多价形式呈现抗原的递送平台,以诱导更强大的抗 HCV 免疫反应。由于其能够促进受控的多价呈现和向淋巴结的运输,从而与免疫系统的细胞和体液成分相互作用,最近的纳米颗粒疫苗在该领域引起了关注。本文重点介绍了对 E1E2 异二聚体结构的理解的最新进展,以促进合理的设计方法和多价基于纳米颗粒的 HCV E1E2 疫苗的开发。这两个方面在开发有效的 HCV 疫苗中都很重要,可以有效应对病毒多样性和逃逸。
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