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A Multivalent mRNA Therapeutic Vaccine Exhibits Breakthroughs in Immune Tolerance and Virological Suppression of HBV by Stably Presenting the Pre-S Antigen on the Cell Membrane.

作者信息

Liu Shang, Wang Jie, Li Yunxuan, Wang Muhan, Du Pei, Zhang Zhijie, Li Wenguo, Sun Rongchen, Fan Mingtao, Yang Meijia, Yin Hongping

机构信息

School of Life Science and Technology, China Pharmaceutical University, Nanjing 211198, China.

Jiangsu Cell Tech Medical Research Institute Co., Ltd., Nanjing 211100, China.

出版信息

Pharmaceutics. 2025 Feb 7;17(2):211. doi: 10.3390/pharmaceutics17020211.


DOI:10.3390/pharmaceutics17020211
PMID:40006578
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11859219/
Abstract

: In chronic hepatitis B infection (CHB), the hepatitis B surface antigen (HBsAg) continuously exhausts the hepatitis B surface antibody (HBsAb), which leads to the formation of immune tolerance. Accordingly, the hepatitis B virus (HBV) infection can be blocked by inhibiting the binding of the hepatitis B surface pre-S1/pre-S2 antigen to the hepatocyte receptor NTCP, but the clinical cure rate of pre-S-based vaccines for CHB is limited. : In this study, we designed and prepared multivalent hepatitis B therapeutic mRNA vaccines encoding three hepatitis B surface antigen proteins (L, M, and S) at the cell membrane, verified via in vitro transfection and expression experiments. An in vivo immunization experiment in HBV transgenic (Tg) mice was first completed. Subsequently, an adeno-associated virus plasmid vector carrying the HBV1.2-fold genome (pAAV HBV1.2) model and the adeno-associated virus vector carrying HBV1.3-fold genome (rAAV HBV1.3) model were constructed and immunized with mRNA vaccines. The HBV antigen, antibodies, and HBV DNA in serum were detected. Indirect (enzyme-linked immunosorbent assay) ELISA were made to analyze the activated antigen-specific IgG in HBV Tg mice. Antigen-dependent T-cell activation experiments were carried out, as well as the acute toxicity tests in mice. : The L protein/pre-S antigens could be stably presented at the cell membrane with the support of the S protein (and M protein). After vaccinations, the vaccines effectively reactivated the production of high levels of HBsAb, disrupted immune tolerance, and activated the production of high-affinity antibodies against structural pre-S antigen in HBV Tg mice. The HBsAg seroconversion and serum HBV DNA clearance were achieved in two HBV mice models. Furthermore, pre-S antigen-dependent T-cell response against HBV infection was confirmed. The therapeutic vaccine also showed safety in mice. : A novel therapeutic mRNA vaccine was developed to break through HBsAg-mediated immune tolerance and treat CHB by stably presenting the pre-S antigen at the membrane, and the vaccine has great potential for the functional cure of CHB.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfe3/11859219/b921c6790b4a/pharmaceutics-17-00211-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfe3/11859219/891461ed0a26/pharmaceutics-17-00211-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfe3/11859219/c269c9cedf3b/pharmaceutics-17-00211-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfe3/11859219/23dc5cd8ab0c/pharmaceutics-17-00211-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfe3/11859219/fd83d71e63b9/pharmaceutics-17-00211-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfe3/11859219/734d126219ee/pharmaceutics-17-00211-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfe3/11859219/b921c6790b4a/pharmaceutics-17-00211-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfe3/11859219/891461ed0a26/pharmaceutics-17-00211-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfe3/11859219/c269c9cedf3b/pharmaceutics-17-00211-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfe3/11859219/23dc5cd8ab0c/pharmaceutics-17-00211-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfe3/11859219/fd83d71e63b9/pharmaceutics-17-00211-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfe3/11859219/734d126219ee/pharmaceutics-17-00211-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfe3/11859219/b921c6790b4a/pharmaceutics-17-00211-g006.jpg

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A Multivalent mRNA Therapeutic Vaccine Exhibits Breakthroughs in Immune Tolerance and Virological Suppression of HBV by Stably Presenting the Pre-S Antigen on the Cell Membrane.

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引用本文的文献

[1]
VVX001 Induces preS-Specific Antibodies Reacting to Common HBV Genotypes in Hepatitis B Virus (HBV) Carrier Mice.

Vaccines (Basel). 2025-8-12

[2]
Emerging therapies for HBsAg seroclearance: spotlight on novel combination strategies.

Hepatol Int. 2025-6-11

[3]
Maternal Immunization: Current Evidence, Progress, and Challenges.

Vaccines (Basel). 2025-4-24

本文引用的文献

[1]
CD40 stimulation activates CD8+ T cells and controls HBV in CD4-depleted mice.

JHEP Rep. 2024-5-21

[2]
Functional cure of hepatitis B in patients with cancer undergoing immune checkpoint inhibitor therapy.

J Hepatol. 2025-1

[3]
Varied immune responses of HBV-specific B cells in patients undergoing pegylated interferon-alpha treatment for chronic hepatitis B.

J Hepatol. 2024-12

[4]
A liver immune rheostat regulates CD8 T cell immunity in chronic HBV infection.

Nature. 2024-7

[5]
Neuropilin-1 is a novel host factor modulating the entry of hepatitis B virus.

J Hepatol. 2025-1

[6]
Optimized RNA interference therapeutics combined with interleukin-2 mRNA for treating hepatitis B virus infection.

Signal Transduct Target Ther. 2024-6-21

[7]
Therapeutic potential of co-signaling receptor modulation in hepatitis B.

Cell. 2024-7-25

[8]
Longterm Outcome of Therapeutic Vaccination with a Third Generation Pre-S/S HBV Vaccine (PreHevbrio) of Chronically HBV Infected Patients.

J Pers Med. 2024-3-29

[9]
mRNA Therapeutic Vaccine for Hepatitis B Demonstrates Immunogenicity and Efficacy in the AAV-HBV Mouse Model.

Vaccines (Basel). 2024-2-25

[10]
Therapeutic vaccine-induced plasma cell differentiation is defective in the presence of persistently high HBsAg levels.

J Hepatol. 2024-5

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