1. Optimising T cell (re)boosting strategies for adenoviral and modified vaccinia Ankara vaccine regimens in humans
- Author
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Antonella Folgori, Stefano Colloca, Paul Klenerman, Cinzia Traboni, Eleanor Barnes, Stefania Capone, Alfredo Nicosia, Anthony Brown, Felicity Hartnell, Leo Swadling, Ventzislav Vassilev, Riccardo Cortese, Mariarosaria Del Sorbo, Capone, S., Brown, A., Hartnell, F., Sorbo, M. D., Traboni, C., Vassilev, V., Colloca, S., Nicosia, A., Cortese, R., Folgori, A., Klenerman, P., Barnes, E., and Swadling, L. more...
- Subjects
lcsh:Immunologic diseases. Allergy ,0301 basic medicine ,Modified vaccinia Ankara ,animal structures ,Live attenuated vaccines ,T cell ,Hepatitis C virus ,viruses ,Immunology ,Adaptive immunity ,medicine.disease_cause ,lcsh:RC254-282 ,complex mixtures ,Article ,Viral vector ,03 medical and health sciences ,0302 clinical medicine ,Antigen ,Medicine ,Pharmacology (medical) ,Pharmacology ,Vaccines ,Reactogenicity ,business.industry ,hemic and immune systems ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,Acquired immune system ,Virology ,3. Good health ,Vaccination ,030104 developmental biology ,Infectious Diseases ,medicine.anatomical_structure ,Live attenuated vaccine ,030220 oncology & carcinogenesis ,lcsh:RC581-607 ,business - Abstract
Simian adenoviral and modified vaccinia Ankara (MVA) viral vectors used in heterologous prime-boost strategies are potent inducers of T cells against encoded antigens and are in advanced testing as vaccine carriers for a wide range of infectious agents and cancers. It is unclear if these responses can be further enhanced or sustained with reboosting strategies. Furthermore, despite the challenges involved in MVA manufacture dose de-escalation has not been performed in humans. In this study, healthy volunteers received chimpanzee-derived adenovirus-3 and MVA vaccines encoding the non-structural region of hepatitis C virus (ChAd3-NSmut/MVA-NSmut) 8 weeks apart. Volunteers were then reboosted with a second round of ChAd3-NSmut/MVA-NSmut or MVA-NSmut vaccines 8 weeks or 1-year later. We also determined the capacity of reduced doses of MVA-NSmut to boost ChAd3-NSmut primed T cells. Reboosting was safe, with no enhanced reactogenicity. Reboosting after an 8-week interval led to minimal re-expansion of transgene-specific T cells. However, after a longer interval, T cell responses expanded efficiently and memory responses were enhanced. The 8-week interval regimen induced a higher percentage of terminally differentiated and effector memory T cells. Reboosting with MVA-NSmut alone was as effective as with ChAd3-NSmut/MVA-NSmut. A ten-fold lower dose of MVA (2 × 107pfu) induced high-magnitude, sustained, broad, and functional Hepatitis C virus (HCV)-specific T cell responses, equivalent to standard doses (2 × 108 pfu). Overall, we show that following Ad/MVA prime-boost vaccination reboosting is most effective after a prolonged interval and is productive with MVA alone. Importantly, we also show that a ten-fold lower dose of MVA is as potent in humans as the standard dose. more...
- Published
- 2020