TLR3 agonist and CD40-targeting vaccination induces immune responses and reduces HIV-1 reservoirs

L Cheng, Q Wang, G Li, R Banga, J Ma… - The Journal of …, 2018 - Am Soc Clin Investig
L Cheng, Q Wang, G Li, R Banga, J Ma, H Yu, F Yasui, Z Zhang, G Pantaleo, M Perreau…
The Journal of clinical investigation, 2018Am Soc Clin Investig
Activation of HIV-1 reservoirs and induction of anti–HIV-1 T cells are critical to control HIV-1
rebound after combined antiretroviral therapy (cART). Here we evaluated in humanized
mice (hu-mice) with persistent HIV-1 infection the therapeutic effect of TLR3 agonist and a
CD40-targeting HIV-1 vaccine, which consists of a string of 5 highly conserved CD4+ and
CD8+ T cell epitope-rich regions of HIV-1 Gag, Nef, and Pol fused to the C-terminus of a
recombinant anti-human CD40 antibody (αCD40. HIV5pep). We show that αCD40. HIV5pep …
Activation of HIV-1 reservoirs and induction of anti–HIV-1 T cells are critical to control HIV-1 rebound after combined antiretroviral therapy (cART). Here we evaluated in humanized mice (hu-mice) with persistent HIV-1 infection the therapeutic effect of TLR3 agonist and a CD40-targeting HIV-1 vaccine, which consists of a string of 5 highly conserved CD4+ and CD8+ T cell epitope-rich regions of HIV-1 Gag, Nef, and Pol fused to the C-terminus of a recombinant anti-human CD40 antibody (αCD40.HIV5pep). We show that αCD40.HIV5pep vaccination coadministered with poly(I:C) adjuvant induced HIV-1–specific human CD8+ and CD4+ T cell responses in hu-mice. Interestingly, poly(I:C) treatment also reactivated HIV-1 reservoirs. When administrated in therapeutic settings in HIV-1–infected hu-mice under effective cART, αCD40.HIV5pep with poly(I:C) vaccination induced HIV-1–specific CD8+ T cells and reduced the level of cell-associated HIV-1 DNA (or HIV-1 reservoirs) in lymphoid tissues. Most strikingly, the vaccination significantly delayed HIV-1 rebound after cART cessation. In summary, the αCD40.HIV5pep with poly(I:C) vaccination approach both activates replication of HIV-1 reservoirs and enhances the anti–HIV-1 T cell response, leading to a reduced level of cell-associated HIV-1 DNA or reservoirs. Our proof-of-concept study has significant implication for the development of CD40-targeting HIV-1 vaccine to enhance anti–HIV-1 immunity and reduce HIV-1 reservoirs in patients with suppressive cART.
The Journal of Clinical Investigation
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