Antigenic competition in CD4(+) T cell responses in a randomized, multicenter, double-blind clinical HIV vaccine trial
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Citações na Scopus
17
Tipo de produção
article
Data de publicação
2019
Editora
AMER ASSOC ADVANCEMENT SCIENCE
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Autores
GRUNENBERG, Nicole A.
YU, Chenchen
MANSO, Bryce
PANTALEO, Giuseppe
CASAPIA, Martin
BADEN, Lindsey R.
VALENCIA, Javier
SOBIESZCZYK, Magdalena
Hong Van Tieu
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Citação
SCIENCE TRANSLATIONAL MEDICINE, v.11, n.519, article ID eaaw1673, 10p, 2019
Resumo
T cell responses have been implicated in reduced risk of HIV acquisition in uninfected persons and control of viral replication in HIV-infected individuals. HIV Gag-specific T cells have been predominantly associated with post-infection control, whereas Env antigens are the target for protective antibodies; therefore, inclusion of both antigens is common in HIV vaccine design. However, inclusion of multiple antigens may provoke antigenic competition, reducing the potential effectiveness of the vaccine. HVTN 084 was a randomized, multicenter, double-blind phase 1 trial to investigate whether adding Env to a Gag/Pol vaccine decreases the magnitude or breadth of Gag/ Pol-specific T cell responses. Fifty volunteers each received one intramuscular injection of 1 x 10(10) particle units (PU) of rAd5 Gag/Pol and EnvA/B/C (3:1:1:1 mixture) or 5 x 10(9) PU of rAd5 Gag/Pol. CD4(+) T cell responses to Gag/ Pol measured 4 weeks after vaccination by cytokine expression were significantly higher in the group vaccinated without Env, whereas CD8(+) T cell responses did not differ significantly between the two groups. Mapping of individual epitopes revealed greater breadth of the Gag/Pol-specific T cell response in the absence of Env compared to Env coimmunization. Addition of an Env component to a Gag/Pol vaccine led to reduced Gag/Pol CD4(+) T cell response rate and magnitude as well as reduced epitope breadth, confirming the presence of antigenic competition. Therefore, T cell-based vaccine strategies should aim at choosing a minimalist set of antigens to reduce interference of individual vaccine components with the induction of the maximally achievable immune response.
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Referências
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