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一项采用DNA初免和复制型痘苗加强免疫的HIV疫苗试验的安全性和免疫原性

Safety and immunogenicity of an HIV vaccine trial with DNA prime and replicating vaccinia boost.

作者信息

Liu Ying, Lv Wei, Shan Pu, Li Dan, Wu Ying-Qi, Wang You-Chun, Li Yuan-Yuan, Liu Qiang, Wang Jian-Sheng, Hao Yan-Ling, Liu Yong, Huang Wei-Jin, Ren Li, Wang Shu-Hui, Li Tai-Sheng, Xu Jing, Shao Yi-Ming

机构信息

National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.

Department of Infectious Diseases, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.

出版信息

Signal Transduct Target Ther. 2025 Jul 2;10(1):208. doi: 10.1038/s41392-025-02259-y.


DOI:10.1038/s41392-025-02259-y
PMID:40593459
Abstract

Developing a safe and effective vaccine remains a global priority for ending the human immunodeficiency virus (HIV) pandemic. All HIV vaccine trials with protein, DNA, non-replication vector or their combinations failed in the past. We constructed the HIV-1 CN54 env, gag, and pol genes into both DNA and replicating vaccinia virus Tiantan vectors. In phase Ia, 12 healthy adults were given high (n = 6) or low (n = 6) doses of recombinant vaccinia virus Tiantan vaccine (rTV), to test its safety dose. In phase Ib, 36 healthy adults were assigned to the DNA (n = 6), DNA-L/rTV (n = 12), DNA-H/rTV (n = 12), and placebo (n = 6) groups. The DNA vaccine was injected intramuscularly at weeks 0, 4, and 8 and rTV with a bifurcated needle at week 12. All vaccines tested were safe and well-tolerated; most of the adverse events (AEs) were mild to moderate. The most commonly observed AEs were redness and papule at rTV vaccination sites and axillary enlarged lymph nodes at the same rTV vaccination arm. Smaller cutaneous lesions and shorter healing time were observed in smallpox vaccine experienced subjects. The DNA prime-rTV boost regimen induced anti-gp120 IgG and polyfunctional CD4 T cells. No significant differences of anti-HIV IgG and T cell responses were found between the two prime-boost groups with high and low DNA doses. Moreover, smallpox vaccine naïve subjects elicited higher T cell responses and anti-gp120 antibodies. The result of this trial supports further development of HIV vaccine with DNA and replicating vaccinia vector for advanced clinical trials.

摘要

开发一种安全有效的疫苗仍然是终结人类免疫缺陷病毒(HIV)大流行的全球首要任务。过去,所有使用蛋白质、DNA、非复制型载体或其组合的HIV疫苗试验均告失败。我们将HIV-1 CN54的env、gag和pol基因构建到DNA和复制型天坛痘苗病毒载体中。在Ia期,12名健康成年人被给予高剂量(n = 6)或低剂量(n = 6)的重组天坛痘苗病毒疫苗(rTV),以测试其安全剂量。在Ib期,36名健康成年人被分配到DNA组(n = 6)、DNA-L/rTV组(n = 12)、DNA-H/rTV组(n = 12)和安慰剂组(n = 6)。DNA疫苗在第0、4和8周进行肌肉注射,rTV在第12周用分叉针接种。所有测试疫苗均安全且耐受性良好;大多数不良事件(AE)为轻至中度。最常观察到的AE是rTV接种部位的发红和丘疹,以及同一rTV接种手臂的腋窝淋巴结肿大。在有天花疫苗接种史的受试者中观察到较小的皮肤损伤和较短的愈合时间。DNA初免-rTV加强方案诱导了抗gp120 IgG和多功能CD4 T细胞。高、低DNA剂量的两个初免-加强组之间的抗HIV IgG和T细胞反应未发现显著差异。此外,无天花疫苗接种史的受试者引发了更高的T细胞反应和抗gp120抗体。该试验结果支持进一步开发用于高级临床试验的DNA和复制型痘苗病毒载体HIV疫苗。

相似文献

[1]
Safety and immunogenicity of an HIV vaccine trial with DNA prime and replicating vaccinia boost.

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[2]
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[6]
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[7]
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本文引用的文献

[1]
Vaccinia Virus: Mechanisms Supporting Immune Evasion and Successful Long-Term Protective Immunity.

Viruses. 2024-5-29

[2]
Human Immunodeficiency Virus Vaccine: Promise and Challenges.

Infect Dis Clin North Am. 2024-9

[3]
Antibodies Induced by Smallpox Vaccination after at Least 45 Years Cross-React with and In Vitro Neutralize Mpox Virus: A Role for Polyclonal B Cell Activation?

Viruses. 2024-4-17

[4]
Prophylactic HIV-1 vaccine trials: past, present, and future.

Lancet HIV. 2024-2

[5]
Vaccine Efficacy of ALVAC-HIV and Bivalent Subtype C gp120-MF59 in Adults.

N Engl J Med. 2021-3-25

[6]
A replication-competent adenovirus-vectored influenza vaccine induces durable systemic and mucosal immunity.

J Clin Invest. 2021-3-1

[7]
Prolonged evolution of the memory B cell response induced by a replicating adenovirus-influenza H5 vaccine.

Sci Immunol. 2019-4-19

[8]
Evaluation of a mosaic HIV-1 vaccine in a multicentre, randomised, double-blind, placebo-controlled, phase 1/2a clinical trial (APPROACH) and in rhesus monkeys (NHP 13-19).

Lancet. 2018-7-6

[9]
First-in-Human Randomized, Controlled Trial of Mosaic HIV-1 Immunogens Delivered via a Modified Vaccinia Ankara Vector.

J Infect Dis. 2018-7-13

[10]
An HIV Vaccine Is Essential for Ending the HIV/AIDS Pandemic.

JAMA. 2017-10-24

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