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A therapeutic HBV vaccine containing a checkpoint modifier enhances CD8+ T cell and antiviral responses
Mohadeseh Hasanpourghadi, … , XiangYang Zhou, Hildegund C.J. Ertl
Mohadeseh Hasanpourghadi, … , XiangYang Zhou, Hildegund C.J. Ertl
Published September 3, 2024
Citation Information: JCI Insight. 2024;9(21):e181067. https://doi.org/10.1172/jci.insight.181067.
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Research Article Immunology Vaccines

A therapeutic HBV vaccine containing a checkpoint modifier enhances CD8+ T cell and antiviral responses

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Abstract

In patients who progress from acute hepatitis B virus (HBV) infection to a chronic HBV (CHB) infection, CD8+ T cells fail to eliminate the virus and become impaired. A functional cure of CHB likely requires CD8+ T cell responses different from those induced by the infection. Here we report preclinical immunogenicity and efficacy of an HBV therapeutic vaccine that includes herpes simplex virus (HSV) glycoprotein D (gD), a checkpoint modifier of early T cell activation, that augments CD8+ T cell responses. The vaccine is based on a chimpanzee adenovirus serotype 6 (AdC6) vector, called AdC6-gDHBV2, which targets conserved and highly immunogenic regions of the viral polymerase and core antigens fused to HSV gD. The vaccine was tested with and without gD in mice for immunogenicity, and in an AAV8-1.3HBV vector model of antiviral efficacy. The vaccine encoding the HBV antigens within gD stimulates potent and broad CD8+ T cell responses. In a surrogate model of HBV infection, a single intramuscular injection achieved pronounced and sustained declines of circulating HBV DNA copies and HBV surface antigen; both inversely correlated with HBV-specific CD8+ T cell frequencies in spleen and liver.

Authors

Mohadeseh Hasanpourghadi, Mikhail Novikov, Robert Ambrose, Arezki Chekaoui, Dakota Newman, ZhiQuan Xiang, Andrew D. Luber, Sue L. Currie, XiangYang Zhou, Hildegund C.J. Ertl

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Figure 5

Vaccine efficacy in mice infected for 16 weeks with AAV8-1.3HBV.

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Vaccine efficacy in mice infected for 16 weeks with AAV8-1.3HBV.
(A) Exp...
(A) Experimental outline for graphs in B–E. (B–E and G–K) Mice (n = 10) were injected with 1 × 1010 vg of AAV8-1.3HB. They were vaccinated 16 weeks later with the indicated vaccines. (B) Viral loads before and after vaccination shown as in Figure 3. Data were analyzed by multiple unpaired Mann-Whitney test against data obtained at baseline. P values are shown within the graphs. (C) Frequencies of CD8+ T cells from liver tested with a dextramer (dex) specific for an epitope within Pol from 5–10 mice. Data were analyzed by 1-way ANOVA and P values are shown above the lines. (D) Frequencies of AdC6-gDHBV2– or AdC6-HBV2–induced dex+CD44+CD8+ or dex+CD44–CD8+ liver lymphocytes of 5 mice per group that stained positive for T-bet. (E) Frequencies of CD44+CD8+ splenocytes tested against individual peptides representing the HBV2 insert and against the peptide pool. Data obtained without peptide stimulation were subtracted. (F) Experimental design for graphs in G–K based on experiments conducted with 5 mice per group. (G) Viral loads before and after vaccination shown as in Figure 3. Data were analyzed by multiple unpaired Mann-Whitney test against data obtained at baseline. Significant P values are shown within the graphs. (H) HbsAg levels are shown as OD values from which background values had been subtracted. The dotted line indicates results obtained with naive sera. Data were analyzed by Fisher’s LSD test comparing postvaccination time points to baseline; P values are shown within the graph. (I) PBMCs (week 4, n = 5) and spleens (week 22, n = 2) were tested by intracellular cytokine staining for CD8+ T cells against the HBV peptide pools. P values for differences between the vaccine groups are shown above the lines. (J) Frequencies of dex+CD8+ liver lymphocytes (n = 4). P values are shown within the graph. Data were analyzed by 2-way ANOVA.

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