Efficient Induction of Th1-type Immune Responses to Hepatitis B Virus Antigens by DNA Prime-Adenovirus Boost

  • Lee, Chang-Geun (Laboratory of Cellular Immunology, Division of Molecular and Life Science, Pohang University of Science and Technology) ;
  • Yang, Se-Hwan (Laboratory of Cellular Immunology, Division of Molecular and Life Science, Pohang University of Science and Technology) ;
  • Park, Su-Hyung (Laboratory of Cellular Immunology, Division of Molecular and Life Science, Pohang University of Science and Technology) ;
  • Song, Man-Ki (International Vaccine Institute) ;
  • Choi, So-Young (Laboratory of Cellular Immunology, Division of Molecular and Life Science, Pohang University of Science and Technology) ;
  • Sung, Young-Chul (Laboratory of Cellular Immunology, Division of Molecular and Life Science, Pohang University of Science and Technology)
  • Published : 2005.03.31

Abstract

Background: Chronic infection with hepatitis B virus (HBV) affects about 350 million people worldwide, which have a high risk of development of cirrhosis and hepatocellular carcinoma. Treatment of chronic HBV infection relies on IFN-${\alpha}$ or lamivudine. However, interferon-${\alpha}$ is effective in only about 30% of patients. Also, the occurrence of escape mutations limits the usage of lamivudine. Therefore, the development and evaluation of new compounds or approaches are urgent. Methods: We comparatively evaluated DNA and adenoviral vaccines expressing HBV antigens, either alone or in combined regimens, for their ability to elicit Th1-type immune responses in Balb / c mice which are believed to be suited to resolve HBV infection. The vaccines were tested with or without a genetically engineered IL-12 (mIL-12 N220L) which was shown to enhance sustained Th1-type immune responses in HCV E2 DNA vaccine. Results: Considering the Th1-type cytokine secretion and the IgG2a titers, the strongest Th1-type immune response was elicited by the DNA prime-adenovirus boost regimen in the presence of mIL-12 N220L. In addition, the codelivery of mIL-12 N220L modulated differentially the immune responses by different vaccination regimens. Conclusion: Our results suggest that the DNA prime-adenovirus boost regimen in the presence of mIL-12 N220L may be the best candidate for HBV vaccine therapy of the regimens tested in this study and will be worthwhile being evaluated in chronic HBV patients.

Keywords

References

  1. Lee WM: Hepatitis B Virus. N Engl J Med 337;1733-1745, 1997 https://doi.org/10.1056/NEJM199712113372406
  2. Michel ML, Pol S, Brechot C, Tiollais P: Immunotherapy of chronic hepatitis B by anti HBV vaccine: from present to future. Vaccine 19;2395-2399, 2001 https://doi.org/10.1016/S0264-410X(00)00461-8
  3. Pride MW, Bailey CR, Muchmore E, Thanavala Y: Evaluation of B and T-cell responses in chimpanzees immunized with Hepagene, a hepatitis B vaccine containing pre-S1 , pre-S2 gene products. Vaccine 16;543-550, 1998 https://doi.org/10.1016/S0264-410X(97)00242-9
  4. Hilleman MR: Overview of the pathogenesis, prophylaxis and therapeusis of viral hepatitis B, with focus on reduction to practical applications. Vaccine 19;1837-1848, 2001 https://doi.org/10.1016/S0264-410X(00)00364-9
  5. Pancholi P, Lee DH, Liu Q, Tackney C, Taylor P, Perkus M, Andrus L, Brotman B, Prince AM. DNA prime/Canarypox boost-based immunotherapy of chronic Hepatitis B virus infection in a Chimpanzee. Hepatology 33;448-454, 2001 https://doi.org/10.1053/jhep.2001.21594
  6. Mancini M, Hadchouel M, Davis HL, Whalen RG, Tiollais P, Michel ML: DNA-mediated immunization in a transgenic mouse model of the hepatitis B surface antigen chronic carrier state. Proc Natl Acad Sci USA 93;12496-12501, 1996
  7. Roilier C, Sunyach C, Barraud L, Madani N, Jamatd C, Trepo C, Cova L: Protective and therapeutic effect of DNA-based immunization against hepadnavirus large envelope protein. Gastroenterology 116;658-665, 1999
  8. Penna A, Chisari FV, Bertoletti A, Missale G, Fowler P, Giuberti T, Fiaccadori F, Ferrari C: Cytotoxic T lymphocyte recognize an HLA-A2-restricted epitope within the hepatitis B virus nucleocaosid antigen. J Exp Med 174;1565-1570, 1991 https://doi.org/10.1084/jem.174.6.1565
  9. Nayersina R, Fowler P, Guilhot S, Missale G, Cerny A, Schlicht HJ, Vitiello A, Chesnut R, Person JL, Redeker AG, Chisari FV: HLA A2 restricted cytotoxic T lymphocyte response to multiple hepatitis B surface antigen epitope during hepatitis B virus infection. J Immunol 150;4659-4671, 1993
  10. Missale G, Redeker A, Person J, Fowler P, Guilhot S, Schlicht HJ, Ferrari C, Chisari FV: HLA-A31 and HLA-Aw68-restricted cytotoxic T cell responses to a single hepatitis B virus nucleocapsid epitope during acute viral hepatitis. J Exp Med 177;751-762, 1993 https://doi.org/10.1084/jem.177.3.751
  11. Guidotti LG , Rochford R, Chung J, Shapiro M, Purcell R, Chisari FV: Viral clearance without destruction of infected cells during acute HBV infection. Science 284;825-829, 1999 https://doi.org/10.1126/science.284.5415.825
  12. Jung MC, Hartmann B, Gerlach JT, Diepolder H, Gruber R, Schraut W, Gruner N, Zachoval R, Hoffmann R, Santantonio T, Wachtler M, Pape GR: Virus-specific lymphokine production differs quantitatively but not qualitatively in acute and chronic hepatitis B infection. Virology 261;165-172, 1999 https://doi.org/10.1006/viro.1999.9833
  13. Penna A, Del Prete G, Cavalli A, Bertoletti A, D'Elios MM, Sorrentino R, D'Amato M, Boni C, Pilli M, Fiaccadori F, Ferrari C : Predotniant T-helpcr 1 cytokine profile of hepatitis B virus nucleocapsid-specific T cells in acute self-limited hepatitis B. Hepatology 25 ;1022-1027, 1997 https://doi.org/10.1002/hep.510250438
  14. Donnelly JJ, Ulmer JB, Shiver JW, Liu MA: DNA vaccines. Annu Rev Immunol 15;617-648, 1997 https://doi.org/10.1146/annurev.immunol.15.1.617
  15. Schneider J, Gilbert SC, Blanchard TJ, Hanke T, Robson KJ, Hannan CM, Becker M, Sinden R, Smith GL, Hill AV: Enhanced immunogenicity for $CD8^+$ T cell induction and complete protective efficacy of malaria DNA vaccination by boosting with modified vaccinia virus Ankara. Nat Med 4;397-402, 1998 https://doi.org/10.1038/nm0498-397
  16. Barouch DH, Santta S, Schtnitz JE, Kuroda MJ, Fu TM, Wagner W, Bilska M, Craiu A, Zheng XX, Ktivulka GR, Beaudry K, Lifton MA, Nickerson CE, Trigona WL, Punt K, Freed DC, Guan L, Dubey S, Casimiro D, Simon A, Davies ME, Chastain M, Strom TB, Gelman RS, Montefiori DC, Lewis MG, Etnini EA, Shiver JW, Letvin NL: Conttol of viretnia and prevention of clinical AIDS in rhesus monkeys by cytokincaugmented DNA vaccination. Science 290; 486-492, 2000 https://doi.org/10.1126/science.290.5491.486
  17. Barouch DH, Kunstman J, Kuroda MJ, Schmitz JE, Santta S, Peyerl FW, Ktivulka GR, Beaudry K, Lifton MA, Gorgone DA, Montefiori DC, Lewis MG, Wolinsky SM, Letvin NL: Eventual AIDS vaccine failure in a rhesus monkey by viral escape from cytotoxic T lymphocytes. Nature 415;335-339, 2002 https://doi.org/10.1038/415335a
  18. Robinson HL, Montefiori DC, Johnson RP, Manson KH, Kalish ML, Lifson JD, Rizvi TA, Lu S, Hu SL, Mazzara GP, Panicali DL, Herndon JG, Glickman R, Candido MA, Lydy SL, Wyand MS, McClure HM: Neutralizing antibody-independent containment of immunodeficiency virus challenges by DNA priming and recombinant pox virus booster immunization. Nat Med 5;526-534, 1999 https://doi.org/10.1038/8406
  19. Sullivan NJ, Sanchez A, Rollin PE, Yang ZY, Nabel GJ: Development of a preventive vaccine for Ebola virus infection in primates. Nature 408;605-609, 2000 https://doi.org/10.1038/35046108
  20. Shiver JW, Fu TM, Chen L, Casitniro DR, Davies ME, Evans RK, Zhang ZQ, Simon AJ, Trigona WL, Dubey SA, Huang L, Harris VA, Long RS, Liang X, Handt L, ScWeif WA, Zhu L, Freed DC, Persaud NV, Guan L, Punt KS, Tang A, Chen M, Wilson KA, Collins KB, Heidecker GJ, Fernandez VR, Perry HC, Joyce JG, Grimm KM, Cook JC, Keller PM, Kresock DS, Mach H, Troutman RD, Isopi LA, Williams DM, Xu Z, Bohannon KE, Volkin DB, Montefiori DC, Miura A, Krivulka GR, Lifton MA, Kuroda MJ, Schmitz JE, Letvin NL, Caulfield MJ, Bett AJ, Youil R, Kaslow DC, Emini EA: Replication-incompetent adenoviral vaccine vector elicits effective anti-immunodeficiency-virus immunity. Nature 415;331-335, 2002 https://doi.org/10.1038/415331a
  21. Hel Z, Tsai WP, Thornton A, Nacsa J, Giuliani L, Trvniszewska E, Poudyal M, Venzon D, Wang X, Altman J, Watkins DI, Lu W, von Gegerfelt A, Felber BK, Tartaglia J, Pavlakis GN, Franchini G: Potentiationof simian immunodeficiency virus (SIV)-specific CD4( +) and CD8( +) T cell responses by a DNA-SIV and NYV AC-SIV prime/boost regimen. J Immunol 167;7180-7191, 2001 https://doi.org/10.4049/jimmunol.167.12.7180
  22. Lee AH, Suh YS, Sung YC: DNA inoculations with HIV-1 recombinant genomes that express cytokine genes enhance HIV-1 specific immune responses. Vaccine 17;473-479, 1999 https://doi.org/10.1016/S0264-410X(98)00221-7
  23. Chow YH, Chiang BL, Lee YL, Chi WK, Lin WC, Chen YT, Tao MH: Development of Th1 and Th2 populations and the nature of immune responses to hepatitis B virus DNA vaccines can be modulated by codelivery of various cytokine genes. J Immunol 160;1320-1329, 1998
  24. Suh YS, Ha SJ, Lee CH, Sin JI, Sung YC: Enhancement of VP1-specific immune responses and protection against EMCVK challenge by codelivery of IL-12 DNA with VP1 DNA vaccine. Vaccine 19;1891-1898, 2001 https://doi.org/10.1016/S0264-410X(00)00443-6
  25. Sedegah M, Weiss W, Sacci JB Jr, Charoenvit Y, Hedstrom R, Gowda K, Majam VF, Tine J, Kumar S, Hobart P, Hoffman SL: Improving protective immunity induced by DNA-based immunization: priming with antigen and GM-CSF-encoding plasmid DNA and boosting with antigen-expressing recombinant poxvirus. J Immunol 164;5905-5912, 2000 https://doi.org/10.4049/jimmunol.164.11.5905
  26. Trinchieri G: Interleukin-12: a cytokine produced by antigenpresenting cells with immunoregulatory functions in the generation of T-helper cells type 1 and cytotoxic lymphocytes. Blood 84;4008-4027, 1994
  27. Ha SJ, Chang J, Song MK, Suh YS, Jin HT, Lee CH, Nam GH, Choi G, Choi KY, Lee SH, Kim WB, Sung YC: Engineering N-glycosylation mutationsin IL-12 enhanced cytotoxic T lymphocyte responses for DNAimmunization. Nat Biotech 20;381-386, 2002 https://doi.org/10.1038/nbt0402-381
  28. Park SH, Yang SH, Lee CG, Youn JW, Chang J, Sung YC: Efficient induction of T helper 1 CD4+ T-cell responses to hepatitis C virus core and E2 by a DNA prime-adenovirus boost. Vaccine 21;4555-4564, 2003 Park SH, Yang SH, Lee CG, Youn JW, Chang J, Sung YC: Efficient induction of T helper 1 CD4+ T-cell responses to hepatitis C virus core and E2 by a DNA prime-adenovirus boost. Vaccine 21;4555-4564, 2003 https://doi.org/10.1016/S0264-410X(03)00499-7
  29. Ertl HC, Xiang Z: Novel vaccine approaches. J Immunol 156; 3579-3582, 1996
  30. Ramshaw IA, Ramsay AJ: The prime-boost strategy: exciting prospects for improved vaccination. Immunol Today 21;1635, 2000
  31. Ramsay AJ, Leong KH, Ramshaw IA: DNA vaccination against virus infection and enhancement of antiviral immunity following consecutive immunization with DNA and viral vectors. Immunol Cell Biol 75;382-388, 1997 https://doi.org/10.1038/icb.1997.60
  32. Pancholi P, Liu Q, Tricoche N, Zhang P, Perkus ME, Prince AM: DNA prime-canarypox boost with polycistronic hepatitis C virus (HCY) genes generates potent immune responses to HCV structural and nonstructural proteins. J Infect Dis 182; 8-7, 2000
  33. Rea D, Schagen FH, Hoeben RC, Mehtali M, Havenga MJ, Toes RE, Melief CJ, Offringa R. Adenoviruses activate human dendritic cells without polarization toward a T-helper type 1-inducing subset. J Virol 73;10245-10253, 1999
  34. Takahashi M, Nakagawa Y, Berzofsky JA, Takahashi H: Counter-egulation of cytolytic activity and cytokine production in HIV-1-specific murine $CD8^+$ cytotoxic T lymphocytes by free antigenic peptide. Int Immunol 13;43-51, 2001 https://doi.org/10.1093/intimm/13.1.43
  35. Radoja S, Saio M, Schaer D, Koneru M, Vukmanovic S, Frey AB: CD8(+) tumor-infiltrating T cells are deficient in perforin-mediated cytolytic activity due to defective microtubulerganizing center mobilization and lytic granule exocytosis. J Immunol 167;5042-5051, 2001 https://doi.org/10.4049/jimmunol.167.9.5042
  36. Tau GZ, Cowan SN, Weisburg J, Braunstein NS, Rothman PB. Regulation of IFN-gamma signaling is essential for the cytotoxic activity of CD8(+) T cells. J Immunol 167;5574582, 2001
  37. Bartholdy C, Stryhn A, Hansen NJ, Buus S, Thomsen AR: Incomplete effector/memory differentiation of antigenrimed $CD8^+$ T cells in gene gun DNA-vaccinated mice. Eur J Immunol 33 ;1941-1948, 2003 https://doi.org/10.1002/eji.200323928
  38. Lasarte JJ, Corrales FJ, Casares N, Lopez-Diaz de Cerio A, Qian C, Xie X, Borras-Cuesta F, Prieto J: Different doses of adenoviral vector expressing IL-12 enhance or depress the immune response to a coadtninistered antigen: the role of nitric oxide. J Immunol 162;5270-5277, 1999
  39. Gherardi MM, Ramirez JC, Esteban M: Interleukin-12 (IL-12) enhancement of the cellular immune response against human immunodeficiency virus type 1 env antigen in a DNA prime/ accinia virus boost vaccine regimen is time and dose dependent: suppressive effects of IL-12 boost are mediated by nitric oxide. J Virol 74;6278-6286, 2000 https://doi.org/10.1128/JVI.74.14.6278-6286.2000
  40. Chen HW, Pan CH, Huan HW, Liau MY, Chiang JR, Tao MH: Suppression of immune response and protective immunity to a Japanese encephalitis virus DNA vaccine by coadministration of an IL-12-expressing plasmid. J Immunol 166; 419-7426, 2001