针对巨细胞病毒的复制缺陷型全病毒疫苗在豚鼠先天性感染模型中诱导保护性免疫。

Replication-deficient whole-virus vaccines against cytomegalovirus induce protective immunity in a guinea pig congenital infection model.

作者信息

Schleiss Mark R, Fernández-Alarcón Claudia, Bierle Craig J, Geballe Adam P, Badillo-Guzman Alexey, Tanna Christine E, Tsriwong Kanokpan, Blackstad Mark, Wang Jian Ben, McVoy Michael A

机构信息

Department of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota, USA.

Fred Hutchinson Cancer Center, Seattle, Washington, USA.

出版信息

J Virol. 2025 Jul 22;99(7):e0020725. doi: 10.1128/jvi.00207-25. Epub 2025 Jun 11.

Abstract

Vaccines are needed to prevent congenital human cytomegalovirus (HCMV) infections. This study used the guinea pig cytomegalovirus (GPCMV) model to examine replication-deficient whole-virus vaccines for protection against maternal viremia and congenital CMV infection. Two recombinant GPCMVs, GP51-DD and GP52-DD, were engineered with destabilization domains fused to the essential viral late proteins GP51 and GP52. These viruses, predicted to replicate in the presence of the synthetic ligand Shield-1 but not in its absence, were evaluated for Shield-1 dependence and for safety, immunogenicity, and efficacy in the GPCMV model. GP52-DD was profoundly Shield-1-dependent, producing no detectable infectious progeny in its absence. In contrast, the replication of GP51-DD was delayed in the absence of Shield-1 but reached similar peak titers with or without the compound. GPCMV-seronegative guinea pigs received two subcutaneous injections of phosphate-buffered saline, GP51-DD, GP52-DD, or wild-type GPCMV (WT-GPCMV). DNAemia attributable to vaccination was noted in 10/10 (100%) of WT-GPCMV-immunized animals but in only 10/28 animals (36%) immunized with DD vaccines ( < 0.001). GPCMV-specific ELISA and interferon-gamma ELISpot responses were similar in all vaccinated groups. When immunized animals were bred and challenged during pregnancy with virulent GPCMV, DNAemia was detected in all sham-immunized controls and in 44% of GP52-DD-immunized dams (at significantly reduced levels) but was absent in dams immunized with GP51-DD or WT-GPCMV. Immunization with GP52-DD, GP51-DD, or WT-GPCMV significantly reduced congenital GPCMV transmission compared to placebo (protective efficacies of 89, 94, and 100%, respectively). Thus, replication-impaired GP51-DD and replication-deficient GP52-DD vaccines were comparable to WT-GPCMV in immunogenicity and protective efficacy.IMPORTANCECongenital HCMV infections could potentially be prevented by a vaccine, but most vaccines that have advanced in clinical trials have been modestly effective, at best. Subunit HCMV vaccines chiefly target envelope glycoproteins, but none has proven effective at engendering durable protective immunity. A vaccine that confers immune responses to a broader repertoire of immunogens than a subunit vaccine, such as a whole-virus, live-attenuated vaccine, could confer improved protection. However, there are safety concerns for live-attenuated HCMV vaccines. Using the GPCMV model of congenital infection, this study demonstrates that two replication-impaired whole virus vaccines, though attenuated in animals, are highly immunogenic and induce preconception immunity that protects against maternal viremia and fetal infection after wild-type GPCMV challenge during pregnancy.

摘要

需要疫苗来预防先天性人类巨细胞病毒(HCMV)感染。本研究使用豚鼠巨细胞病毒(GPCMV)模型来检测复制缺陷型全病毒疫苗对母体病毒血症和先天性CMV感染的保护作用。构建了两种重组GPCMV,即GP51-DD和GP52-DD,它们将不稳定结构域与必需的病毒晚期蛋白GP51和GP52融合。预计这些病毒在合成配体Shield-1存在时能够复制,而在其不存在时不能复制,对它们进行了Shield-1依赖性以及在GPCMV模型中的安全性、免疫原性和有效性评估。GP52-DD对Shield-1有高度依赖性,在其不存在时不产生可检测到的感染性后代。相比之下,在没有Shield-1的情况下,GP51-DD的复制延迟,但无论有无该化合物,其峰值滴度相似。GPCMV血清阴性的豚鼠接受两次皮下注射磷酸盐缓冲盐水、GP51-DD、GP52-DD或野生型GPCMV(WT-GPCMV)。在接受WT-GPCMV免疫的动物中,10/10(100%)出现了归因于疫苗接种的病毒血症,但在接受DD疫苗免疫的动物中仅10/28(36%)出现(P<0.001)。所有接种组的GPCMV特异性ELISA和干扰素-γ ELISpot反应相似。当免疫动物在怀孕期间繁殖并用强毒株GPCMV攻击时,所有假免疫对照组和44%的GP52-DD免疫母鼠(水平显著降低)检测到病毒血症,但GP51-DD或WT-GPCMV免疫的母鼠未检测到。与安慰剂相比,用GP52-DD、GP51-DD或WT-GPCMV免疫显著降低了先天性GPCMV传播(保护效力分别为89%、94%和100%)。因此,复制受损的GP51-DD和复制缺陷的GP52-DD疫苗在免疫原性和保护效力方面与WT-GPCMV相当。重要性先天性HCMV感染有可能通过疫苗预防,但大多数进入临床试验的疫苗充其量效果一般。亚单位HCMV疫苗主要针对包膜糖蛋白,但没有一种被证明能产生持久的保护性免疫。一种能赋予比亚单位疫苗更广泛免疫原库免疫反应的疫苗,如全病毒减毒活疫苗,可能提供更好的保护。然而,减毒活HCMV疫苗存在安全性问题。利用先天性感染的GPCMV模型,本研究表明两种复制受损的全病毒疫苗虽然在动物体内减毒,但具有高度免疫原性,并能诱导孕前免疫,在孕期野生型GPCMV攻击后保护母体免受病毒血症和胎儿感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d6d/12282073/90b1587af2c2/jvi.00207-25.f001.jpg

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