Efficacy trials of adenovirus 5-vectored candidate HIV vaccines [recombinant Ad5 (rAd5)-HIV] were halted for futility due to lack of vaccine efficacy and unexpected excess HIV infections in the vaccine recipients. The potential immunologic basis for these observations is unclear. We comparatively evaluated the HIV susceptibility and phenotypes of human CD4 T cells specific to Ad5 and CMV, two viruses that have been used as HIV vaccine vectors. We show that Ad5-specific CD4 T cells, either induced by natural Ad5 exposure or expanded by rAd5 vaccination, are highly susceptible to HIV in vitro and are preferentially lost in HIV-infected individuals compared with CMV-specific CD4 T cells. Further investigation demonstrated that Ad5-specific CD4 T cells selectively display a proinflammatory Th17-like phenotype and express macrophage inflammatory protein 3α and α4β7 integrin, suggestive of gut mucosa homing potential of these cells. Analysis of HIV p24 and cytokine coexpression using flow cytometry revealed preferential infection of IL-17- and IL-2-producing, Ad5-specific CD4 T cells by HIV in vitro. Our data suggest a potential mechanism explaining the excess HIV infections in vaccine recipients after rAd5-HIV vaccination and highlight the importance of testing the HIV susceptibility of vaccine-generated, vector and insert-specific CD4 T cells in future HIV vaccine studies.Adenovirus serotype 5 (Ad5) has been used as an HIV vaccine viral vector, and the candidate HIV vaccines based on Ad5 vectors [recombinant Ad5 (rAd5)-HIV] have been intensively studied (1–5). However, development of efficacious rAd5-HIV vaccines in humans has been unsuccessful to date, despite the vaccines eliciting potent cellular immune responses. Notably, the Step trial that evaluated the Merck rAd5-HIV vaccines demonstrated no vaccine efficacy and was halted due to unexpected excess HIV infections in men who have sex with men in the vaccine arm (2, 5). The Phambili study testing the same Merck rAd5 vaccines in South Africans with heterosexual risk of HIV infection was also terminated early, and a higher HIV infection rate, albeit detected more distant from vaccination, was observed in rAd5-vaccinated individuals (3). Similarly, immunization of rhesus monkeys with replication-defective rAd5 vaccine (Merck-type) was consistent with the results of the Step trial and suggested greater risk of simian immunodeficiency virus (SIV) infection in vaccinated monkeys (6). More recently, the HVTN505 study of a different rAd5 vaccine, given with a DNA prime, was also terminated early for futility; at the time of study closure there was a nonsignificant excess of infections in the vaccine arm that seemed to diminish with time (4). The potential immunologic basis for the rAd5-associated excess HIV infection in vaccine recipients is unknown.CD4 T cells are major cellular targets by HIV for infection in vivo. Studies focusing on early immunologic events during HIV transmission revealed that virtually all initially infected cells at mucosal sites are CD4 T cells (7). Therefore, occurrence of HIV acquisition in vaccinated individuals most likely involves early exposure and infection of vulnerable CD4 T cells by HIV. Our group and others have shown that human CD4 T cells specific to different antigens demonstrate differential susceptibilities to HIV (8, 9). Because vector-specific CD4 T cells are elicited by recombinant viral vector vaccines, it should be highly informative for future HIV vaccine design to investigate whether vector antigen-specific CD4 T cells induced by a given viral vectored HIV vaccine are particularly resistant or susceptible to HIV infection. For example, in contrast to rAd5-HIV vaccines, the rhesus CMV-based SIV vaccine did not cause increase in SIV infection and was shown to stringently control SIV in vaccinated monkeys (10).A carboxyfluorescein succinimidyl ester (CFSE)-based proliferation assay used to model T-cell antigen specificity has been adapted to determine the susceptibility of antigen-specific CD4 T cells to HIV and the associated phenotypes (8). In this study we comparatively investigated human CD4 T cells specific to Ad5 and CMV, using cell samples from Ad5/CMV naturally exposed, HIV-uninfected and -infected subjects, as well as from a phase I HIV vaccine trial that evaluated a DNA prime rAd5 boost regimen (11). We found that human Ad5-specific CD4 T cells are substantially more susceptible to HIV in vitro and are preferentially lost in HIV-infected individuals compared with CMV-specific CD4 T cells. Flow cytometric and microarray analyses revealed remarkable phenotypic differences between Ad5 and CMV-specific CD4 T cells. Our data suggest that the greater HIV susceptibility of Ad5-specific CD4 T cells may pose a potential risk in HIV vaccine trials. 相似文献
The control of dipteran pests is highly relevant to humans due to their involvement in the transmission of serious diseases including malaria, dengue fever, Chikungunya, yellow fever, zika, and filariasis; as well as their agronomic impact on numerous crops. Many bacteria are able to produce proteins that are active against insect species. These bacteria include Bacillus thuringiensis, the most widely-studied pesticidal bacterium, which synthesizes proteins that accumulate in crystals with insecticidal properties and which has been widely used in the biological control of insects from different orders, including Lepidoptera, Coleoptera, and Diptera. In this review, we summarize all the bacterial proteins, from B. thuringiensis and other entomopathogenic bacteria, which have described insecticidal activity against dipteran pests, including species of medical and agronomic importance. 相似文献
Introduction: Oncolytic adenoviruses are among the most studied oncolytic viruses because of their tumor selectivity, safety, and transgene-delivery capability. With a growing number of different immunotherapies against cancer, the extraordinary immunogenicity of the adenovirus has emerged as a differentiating strength. Enabling T-cell related therapies with oncolytic adenoviruses appears a promising approach due to its inherent ability to elicit responses from the adaptive immune compartment.
Areas covered: These viruses have successfully enhanced both adoptive T-cell therapies and immune-checkpoint therapies. Oncolytic viruses induce several effects at the tumor and on the systemic level that help to circumvent current limitations of T-cells and related therapies, such as T-cell trafficking, tumor immune suppressivity and antigen spreading.
Expert opinion: Taking into account the multitude of possibilities of treating cancer with immunotherapies, learning to optimize the combinations and administration strategies of these drugs, could lead to durable responses in patients with currently incurable cancers. 相似文献
Importance of the field: Gene therapy represents a new paradigm in the prevention and treatment of many inherited and acquired diseases, including genetic disorders, such as cystic fibrosis, haemophilia and many somatic diseases, such as tumours, neurodegenerative diseases and viral infections, such as AIDS. Areas covered in this review: Among a large array of non-viral transfection agents used for in-vitro applications, cationic SLNs are the topic of this review, being recently proposed as an alternative carrier for DNA delivery, due to many technological advantages such as large-scale production from substances generally recognized as safe, good storage stability and possibility of steam sterilization and lyophilisation. What the reader will gain: The authors give some information on the knowledge of intracellular trafficking and SLNs-DNA complex chemical-physical properties reported until now in the literature. Take home message: The future success of cationic SLNs for administration of genetic material will depend on their ability to efficiently cross the physiological barriers, selectively targeting a specific cell type in vivo and expressing therapeutic genes. 相似文献