Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 72
Filtrar
1.
Virologie (Montrouge) ; 27(3): 35-49, 2023 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-37476987

RESUMO

Enteroviruses (EVs) include many human pathogens of increasing public health concern. These EVs are often associated with mild clinical manifestations, but they can lead to serious complications such as encephalitis, meningitis, pneumonia, myocarditis or poliomyelitis. Despite significant advances, there is no approved antiviral therapy for the treatment of enterovirus infections. Due to the high genotypic diversity of EVs, molecules targeting highly conserved viral proteins may be considered for developing a pan-EV treatment. In this regard, the ATPase/Helicase 2C, which is a highly conserved non-structural protein among EVs, has essential functions for viral replication and is therefore an attractive antiviral target. Recent functional and structural studies on the 2C protein led to the identification of molecules showing ex vivo anti-EV activity and associated with resistance mutations on the coding sequence of the 2C protein. This review presents the current state of knowledge about the 2C protein from an antiviral target perspective and the mode of action of specific inhibitors for this therapeutic target.


Assuntos
Infecções por Enterovirus , Enterovirus , Humanos , Enterovirus/genética , Enterovirus/metabolismo , Antivirais/farmacologia , Antivirais/uso terapêutico , Infecções por Enterovirus/tratamento farmacológico , Antígenos Virais/metabolismo , Antígenos Virais/farmacologia , Antígenos Virais/uso terapêutico , Replicação Viral
2.
Aliment Pharmacol Ther ; 53(2): 314-320, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33222190

RESUMO

BACKGROUND: Serum hepatitis B virus (HBV) RNA may reflect intrahepatic HBV replication. Novel anti-viral drugs have shown potent HBV RNA decline without concomitant hepatitis B surface antigen (HBsAg) decrease. How this relates to off-treatment response is yet unclear. AIM: To study the degree of on-treatment viral antigen decline among patients with pronounced HBV RNA decrease in relation to off-treatment sustained response and HBsAg loss. METHODS: HBV RNA, HBsAg and hepatitis B core-related antigen (HBcrAg) were quantified in patients with chronic hepatitis B who participated in two randomised controlled trials of peginterferon-based therapy. Sustained response (HBV DNA <2000 IU/mL) and/or HBsAg loss were assessed in patients with and without on-treatment HBV RNA response (either >2 log HBV RNA decline or >1 log decline resulting in an undetectable value at on-treatment week 24), stratified by concomitant HBsAg decline (<0.5/0.5-1/>1 log). RESULTS: We enrolled 279 patients; 176 were hepatitis B e antigen (HBeAg)-positive, and 103 were HBeAg-negative. Sustained response was achieved in 20.4% of patients. At on-treatment week 24, HBV RNA response was associated with higher sustained response rates (27.4% vs 13.0% in non-responders, P =  0.004). However, among patients with an HBV RNA response (n = 135), 56.4% did not experience >0.5 log HBsAg decline. Among HBV RNA responders, sustained response was achieved in 47.6% of those with >1 log HBsAg decline (n = 20/42), vs 16.0% with <0.5 log decline (n = 12/75, P = 0.001). Similar results were obtained with HBcrAg and when response was defined as HBsAg loss. CONCLUSIONS: In this cohort, many patients with HBV RNA response during peginterferon-based treatment did not experience HBsAg and/or HBcrAg decline. The absence of concomitant decline in these viral antigens was associated with low rates of treatment response and HBsAg loss. Future trials should therefore consider kinetics of combined biomarkers to assess anti-viral efficacy. Trial registration, ClinicalTrials.gov: NCT00114361, NCT00146705.


Assuntos
Antivirais , Hepatite B Crônica , Antígenos Virais/uso terapêutico , Antivirais/uso terapêutico , DNA Viral , Antígenos de Superfície da Hepatite B , Antígenos E da Hepatite B , Vírus da Hepatite B/genética , Hepatite B Crônica/tratamento farmacológico , Humanos , Probabilidade , RNA/uso terapêutico , Ensaios Clínicos Controlados Aleatórios como Assunto , Resultado do Tratamento
3.
PLoS One ; 13(11): e0205139, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30427829

RESUMO

BACKGROUND: Live, attenuated viral vectors that express HIV-1 antigens are being investigated as an approach to generating durable immune responses against HIV-1 in humans. We recently developed a replication-competent, highly attenuated Ad26 vector that expresses mosaic HIV-1 Env (rcAd26.MOS1.HIV-Env, "rcAd26"). Here we present the results of a first-in-human, placebo-controlled clinical trial to test the safety, immunogenicity and mucosal shedding of rcAd26 given orally. METHODS: Healthy adults were randomly assigned to receive a single oral dose of vaccine or placebo at 5:1 ratio in a dosage escalation of 10^8 to 10^11 rcAd26 VP (nominal doses) at University of Rochester Medical Center, Rochester, NY, USA. Participants were isolated and monitored for reactogenicity for 10 days post-vaccination, and adverse events were recorded up to day 112. Rectal and oropharyngeal secretions were evaluated for shedding of the vaccine. Humoral and cellular immune responses were measured. Household contacts were monitored for secondary vaccine transmission. RESULTS: We enrolled 22 participants and 11 household contacts between February 7 and June 24, 2015. 18 participants received one dose of HIV-1 vaccine and 4 participants received placebo. The vaccine caused only mild to moderate adverse events. No vaccine-related SAEs were observed. No infectious rcAd26 viral particles were detected in rectal or oropharyngeal secretions from any participant. Env-specific ELISA and ELISPOT responses were undetectable. No household contacts developed vaccine-induced HIV-1 seropositivity or vaccine-associated illness. CONCLUSIONS: The highly attenuated rcAd26.MOS1.HIV-Env vaccine was well tolerated up to 10^11 VP in healthy, HIV-1-uninfected adults, though the single dose was poorly immunogenic suggesting the replicative capacity of the vector was too attenuated. There was no evidence of shedding of infectious virus or secondary vaccine transmission following the isolation period. These data suggest the use of less attenuated viral vectors in future studies of live, oral HIV-1 vaccines. TRIAL REGISTRATION: ClinicalTrials.gov NCT02366013.


Assuntos
Vacinas contra a AIDS/uso terapêutico , Síndrome da Imunodeficiência Adquirida/terapia , HIV-1/imunologia , Imunidade Celular/imunologia , Vacinas contra a AIDS/genética , Vacinas contra a AIDS/imunologia , Síndrome da Imunodeficiência Adquirida/genética , Síndrome da Imunodeficiência Adquirida/imunologia , Síndrome da Imunodeficiência Adquirida/virologia , Adenoviridae/genética , Adulto , Antígenos Virais/genética , Antígenos Virais/imunologia , Antígenos Virais/uso terapêutico , Feminino , Vetores Genéticos/uso terapêutico , HIV-1/genética , HIV-1/patogenicidade , Humanos , Imunidade Celular/genética , Masculino , Pessoa de Meia-Idade , Replicação Viral/efeitos dos fármacos , Replicação Viral/imunologia , Adulto Jovem , Produtos do Gene env do Vírus da Imunodeficiência Humana/genética , Produtos do Gene env do Vírus da Imunodeficiência Humana/imunologia , Produtos do Gene env do Vírus da Imunodeficiência Humana/uso terapêutico
4.
J Control Release ; 247: 194-205, 2017 02 10.
Artigo em Inglês | MEDLINE | ID: mdl-28057521

RESUMO

Swine influenza virus (SwIV) is one of the important zoonotic pathogens. Current flu vaccines have failed to provide cross-protection against evolving viruses in the field. Poly(lactic-co-glycolic acid) (PLGA) is a biodegradable FDA approved polymer and widely used in drug and vaccine delivery. In this study, inactivated SwIV H1N2 antigens (KAg) encapsulated in PLGA nanoparticles (PLGA-KAg) were prepared, which were spherical in shape with 200 to 300nm diameter, and induced maturation of antigen presenting cells in vitro. Pigs vaccinated twice with PLGA-KAg via intranasal route showed increased antigen specific lymphocyte proliferation and enhanced the frequency of T-helper/memory and cytotoxic T cells (CTLs) in peripheral blood mononuclear cells (PBMCs). In PLGA-KAg vaccinated and heterologous SwIV H1N1 challenged pigs, clinical flu symptoms were absent, while the control pigs had fever for four days. Grossly and microscopically, reduced lung pathology and viral antigenic mass in the lung sections with clearance of infectious challenge virus in most of the PLGA-KAg vaccinated pig lung airways were observed. Immunologically, PLGA-KAg vaccine irrespective of not significantly boosting the mucosal antibody response, it augmented the frequency of IFN-γ secreting total T cells, T-helper and CTLs against both H1N2 and H1N1 SwIV. In summary, inactivated influenza virus delivered through PLGA-NPs reduced the clinical disease and induced cross-protective cell-mediated immune response in a pig model. Our data confirmed the utility of a pig model for intranasal particulate flu vaccine delivery platform to control flu in humans.


Assuntos
Antígenos Virais/administração & dosagem , Vírus da Influenza A Subtipo H1N1/imunologia , Vacinas contra Influenza/administração & dosagem , Ácido Láctico/química , Nanopartículas/química , Infecções por Orthomyxoviridae/prevenção & controle , Ácido Poliglicólico/química , Vacinas de Produtos Inativados/administração & dosagem , Administração Intranasal , Animais , Antígenos Virais/imunologia , Antígenos Virais/uso terapêutico , Células Cultivadas , Cães , Imunidade Celular , Vacinas contra Influenza/imunologia , Vacinas contra Influenza/uso terapêutico , Células Madin Darby de Rim Canino , Infecções por Orthomyxoviridae/imunologia , Copolímero de Ácido Poliláctico e Ácido Poliglicólico , Suínos , Vacinas de Produtos Inativados/imunologia , Vacinas de Produtos Inativados/uso terapêutico
5.
Int J Hematol ; 105(2): 206-212, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27796740

RESUMO

Cytomegalovirus (CMV) infection/reactivation is a serious complication after hematopoietic cell transplantation (HCT). The DNA vaccine ASP0113 contains two plasmids encoding CMV antigens (glycoprotein B and tegument phosphoprotein 65) that stimulate humoral and cellular immunity. Between June 2013 and February 2014, Astellas conducted a phase 2, open-label, uncontrolled, three-center trial to investigate the safety and tolerability of ASP0113 in Japanese patients undergoing HCT for hematologic disorders. Ten patients aged 22-61 years were enrolled; nine received at least one dose of ASP0113. Six patients received all five doses of ASP0113 5 mg at intervals before and after HCT. Pre-emptive antiviral therapy was allowed. One patient died following relapse of primary disease. All patients had serious adverse events deemed unrelated to ASP0113. CMV viremia (assessed by CMV antigenemia) occurred in seven patients, who then received anti-CMV therapy. No patients developed CMV end-organ disease. Adverse events associated with ASP0113 injection included pyrexia (three patients), skin reactions [injection site pain, injection site tenderness, and erythema (two patients each); and rash, injection site erythema, injection site induration, and injection site swelling (one patient each)], and hyperuricemia (one patient). ASP0113 was well tolerated in Japanese HCT recipients. Further studies should evaluate its efficacy and safety. ClinicalTrials.gov Identifier: NCT01903928.


Assuntos
Infecções por Citomegalovirus/terapia , Citomegalovirus/imunologia , Transplante de Células-Tronco Hematopoéticas/efeitos adversos , Vacinas de DNA/uso terapêutico , Adulto , Aloenxertos , Antígenos Virais/uso terapêutico , Povo Asiático , Infecções por Citomegalovirus/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento , Vacinas de DNA/administração & dosagem
6.
Curr Drug Discov Technol ; 13(4): 225-231, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27593388

RESUMO

BACKGROUND: Two main factors can affect the development of ebolavirus immunotherapeutics: the vast peptide commonality between ebolavirus and human proteins, and the high rate of spontaneous mutation of ebolavirus within its human host. Indeed, the viral versus human peptide overlap may represent a relevant source of autoimmune crossreactions following vaccination, while ebolavirus genome mutations can limit and/or nullify a vaccine response. METHODS: Aiming at defining safe and effective peptide-based vaccines to fight ebola disease, this study analyzed a recently described Ebola virus isolate (Hoenen et al., Emerging Infect Dis 2016, 22, 331) for sequences not shared with the human proteome and conserved among ebolaviruses. RESULTS: Using the pentapeptide as a minimal immune determinant, it was found that: 1) only 6.6% of the 4865 pentapeptides present in the Ebola virus isolate proteins are unique to the virus; 2) only 55 of the unique viral pentapeptides are conserved among 251 proteomes derived from the four ebolavirus species that may affect humans; and 3) none of the unique peptide signatures that mark Ebola virus isolate glycoprotein are 100% conserved. CONCLUSIONS: The present findings pose the basis for the construction of viral polypeptide antigens able to induce non-crossreactive, specific and broadly protective immune responses against ebolavirus, and warn against immune therapeutic/preventive approaches exclusively focused on glycoprotein epitope(s).


Assuntos
Antígenos Virais , Vacinas contra Ebola , Peptídeos , Proteínas Virais , Antígenos Virais/uso terapêutico , Ebolavirus , Doença pelo Vírus Ebola/prevenção & controle , Peptídeos/uso terapêutico , Proteínas Virais/uso terapêutico
7.
PLoS Biol ; 13(12): e1002321, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26641938

RESUMO

Antibodies stand between us and pathogens. Viruses mutate quickly to avoid detection, and antibodies mutate at similar rates to hunt them down. This death spiral is fueled by specialized proteins and error-prone polymerases that change DNA sequences. Here, we explore how B lymphocytes stay in the race by expressing activation-induced deaminase, which unleashes a tsunami of mutations in the immunoglobulin loci. This produces random DNA substitutions, followed by selection for the highest affinity antibodies. We may be able to manipulate the process to produce better antibodies by expanding the repertoire of specific B cells through successive vaccinations.


Assuntos
Anticorpos Antivirais/biossíntese , Linfócitos B/imunologia , Imunidade Ativa , Imunização Secundária , Memória Imunológica , Modelos Imunológicos , Vacinas Virais/uso terapêutico , Animais , Anticorpos Antivirais/análise , Anticorpos Antivirais/genética , Afinidade de Anticorpos , Antígenos Virais/efeitos adversos , Antígenos Virais/uso terapêutico , Linfócitos B/metabolismo , Citidina Desaminase/metabolismo , Humanos , Mutação
8.
BMJ ; 350: h988, 2015 Apr 22.
Artigo em Inglês | MEDLINE | ID: mdl-25904595

RESUMO

Cancer vaccines are designed to promote tumor specific immune responses, particularly cytotoxic CD8 positive T cells that are specific to tumor antigens. The earliest vaccines, which were developed in 1994-95, tested non-mutated, shared tumor associated antigens that had been shown to be immunogenic and capable of inducing clinical responses in a minority of people with late stage cancer. Technological developments in the past few years have enabled the investigation of vaccines that target mutated antigens that are patient specific. Several platforms for cancer vaccination are being tested, including peptides, proteins, antigen presenting cells, tumor cells, and viral vectors. Standard of care treatments, such as surgery and ablation, chemotherapy, and radiotherapy, can also induce antitumor immunity, thereby having cancer vaccine effects. The monitoring of patients' immune responses at baseline and after standard of care treatment is shedding light on immune biomarkers. Combination therapies are being tested in clinical trials and are likely to be the best approach to improving patient outcomes.


Assuntos
Técnicas de Ablação , Adjuvantes Imunológicos/uso terapêutico , Antígenos de Neoplasias/imunologia , Vacinas Anticâncer , Imunoterapia Ativa , Neoplasias/imunologia , Antígenos de Neoplasias/efeitos dos fármacos , Antígenos Virais/uso terapêutico , Antígenos CD8/imunologia , Linfócitos T CD8-Positivos/efeitos dos fármacos , Linfócitos T CD8-Positivos/imunologia , Vacinas Anticâncer/imunologia , Vacinas Anticâncer/uso terapêutico , Ensaios Clínicos como Assunto , Células Dendríticas/efeitos dos fármacos , Células Dendríticas/imunologia , Humanos , Neoplasias/prevenção & controle , Neoplasias/terapia
9.
Cancer Res ; 74(13): 3466-76, 2014 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-24795429

RESUMO

Glioblastoma multiforme (GBM) is one of the most aggressive human brain malignancies. Even with optimal treatment, median survival is less than 6 months for patients with recurrent GBM. Immune-based therapies have the potential to improve patient outcome by supplementing standard treatment. Expression of human cytomegalovirus (CMV) antigens in GBM tissues provides the unique opportunity to target viral antigens for GBM therapy. Here, we report findings of a formal clinical assessment of safety and potential clinical efficacy of autologous CMV-specific T-cell therapy as a consolidative treatment for recurrent GBM. From a total of 19 patients with recurrent GBM, CMV-specific T cells were successfully expanded from 13 patients (68.4%), 11 of whom received up to four T-cell infusions. Combination therapy based on T-cell infusion and chemotherapy was well tolerated, and we detected only minor adverse events. The overall survival of these patients since first recurrence ranged from 133 to 2,428 days, with a median overall survival of 403 days. Most importantly, 4 of 10 patients that completed the treatment remained progression free during the study period. Furthermore, molecular profiling of CMV-specific T-cell therapy from these patients revealed distinct gene expression signatures, which correlated with their clinical response. Our study suggests that a combination therapy with autologous CMV-specific T cells and chemotherapy is a safe novel treatment option and may offer clinical benefit for patients with recurrent GBM.


Assuntos
Neoplasias Encefálicas/terapia , Citomegalovirus/imunologia , Glioblastoma/terapia , Imunoterapia Adotiva/efeitos adversos , Linfócitos T/transplante , Adulto , Idoso , Antígenos Virais/imunologia , Antígenos Virais/uso terapêutico , Encéfalo/patologia , Neoplasias Encefálicas/mortalidade , Terapia Baseada em Transplante de Células e Tecidos , Intervalo Livre de Doença , Feminino , Expressão Gênica , Glioblastoma/mortalidade , Humanos , Imunoterapia Adotiva/métodos , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/imunologia , Transplante Autólogo/efeitos adversos , Transplante Autólogo/métodos , Adulto Jovem
10.
Curr Probl Dermatol ; 45: 197-215, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24643188

RESUMO

Individuals with inherited immunodeficiencies, autoimmune disorders, organ or bone marrow transplantation and with human immunodeficiency virus are particularly susceptible to developing severe, persistent and extensive manifestations of cutaneous human papillomavirus (HPV) disease. These complex cases require a unique and often multimodal approach to management. In this chapter, we discuss several states of immune compromise with increased susceptibility to HPV disease and review the literature on available management strategies including acitretin, cidofovir, Candida antigen, cimetidine, imiquimod, isotretinoin, fluorouracil, selenium, podophyllotoxin, photodynamic therapy, mammalian target of rapamycin inhibitors and the quadrivalent HPV vaccine.


Assuntos
Adjuvantes Imunológicos/uso terapêutico , Antivirais/uso terapêutico , Hospedeiro Imunocomprometido , Infecções por Papillomavirus/tratamento farmacológico , Vacinas contra Papillomavirus/uso terapêutico , Dermatopatias Virais/tratamento farmacológico , Antígenos Virais/uso terapêutico , Antioxidantes/uso terapêutico , Humanos , Infecções por Papillomavirus/imunologia , Dermatopatias Virais/imunologia
11.
Mol Ther ; 22(5): 1039-47, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24476798

RESUMO

Despite viral vectors being potent inducers of antigen-specific T cells, strategies to further improve their immunogenicity are actively pursued. Of the numerous approaches investigated, fusion of the encoded antigen to major histocompatibility complex class II-associated invariant chain (Ii) has been reported to enhance CD8(+) T-cell responses. We have previously shown that adenovirus vaccine encoding nonstructural (NS) hepatitis C virus (HCV) proteins induces potent T-cell responses in humans. However, even higher T-cell responses might be required to achieve efficacy against different HCV genotypes or therapeutic effect in chronically infected HCV patients. In this study, we assessed fusion of the HCV NS antigen to murine and human Ii expressed by the chimpanzee adenovirus vector ChAd3 or recombinant modified vaccinia Ankara in mice and nonhuman primates (NHPs). A dramatic increase was observed in outbred mice in which vaccination with ChAd3 expressing the fusion antigen resulted in a 10-fold increase in interferon-γ(+) CD8(+) T cells. In NHPs, CD8(+) T-cell responses were enhanced and accelerated with vectors encoding the Ii-fused antigen. These data show for the first time that the enhancement induced by vector vaccines encoding li-fused antigen was not species specific and can be translated from mice to NHPs, opening the way for testing in humans.


Assuntos
Antígenos Virais/imunologia , Genes MHC da Classe II/imunologia , Hepacivirus/imunologia , Hepatite C/terapia , Proteínas Recombinantes de Fusão/imunologia , Adenoviridae/genética , Adenoviridae/imunologia , Animais , Antígenos de Diferenciação de Linfócitos B/imunologia , Antígenos de Diferenciação de Linfócitos B/uso terapêutico , Antígenos Virais/genética , Antígenos Virais/uso terapêutico , Linfócitos T CD8-Positivos/imunologia , Hepatite C/imunologia , Antígenos de Histocompatibilidade Classe II/imunologia , Antígenos de Histocompatibilidade Classe II/uso terapêutico , Humanos , Interferon gama/imunologia , Interferon gama/metabolismo , Camundongos , Pan troglodytes , Proteínas Recombinantes de Fusão/uso terapêutico , Vacinas/imunologia
12.
Am J Clin Dermatol ; 14(4): 253-60, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23813361

RESUMO

Many destructive and immunotherapeutic modalities have been used for the management of warts; however, an optimal treatment with high efficacy and absent or low recurrence has not been explored to date. Recently, the use of intralesional immunotherapy with different antigens has shown promising efficacy in the treatment of warts. We review the different aspects of this new modality, including candidates, types of warts treated, dosage, number and interval between treatment sessions, mode of action, efficacy, adverse effects, recurrence rate, advantages, disadvantages, current place and future prospects. A literature review revealed that healthy immune subjects are the best candidates, and a pre-sensitization test is usually done before the start of therapy. The dosage, the number and interval between sessions, and the success rates varied among the different studies. The mode of action is still uncertain, but is essentially mediated through stimulation of T helper-1 cell cytokine response. Adverse effects are mild and generally insignificant, and the recurrence rate is absent or low. Intralesional antigen immunotherapy seems to be a promising, effective and safe treatment modality for viral warts. Future well-designed and controlled studies would help to more clearly define its place in the challenging field of wart therapy.


Assuntos
Imunoterapia/tendências , Dermatopatias/terapia , Verrugas/terapia , Antígenos Virais/imunologia , Antígenos Virais/uso terapêutico , Ensaios Clínicos como Assunto , Condiloma Acuminado/imunologia , Condiloma Acuminado/terapia , Feminino , Seguimentos , Previsões , Humanos , Imunoterapia/normas , Injeções Intralesionais , Masculino , Medição de Risco , Dermatopatias/imunologia , Resultado do Tratamento , Verrugas/diagnóstico , Verrugas/imunologia
13.
Nanotechnology ; 24(29): 295102, 2013 Jul 26.
Artigo em Inglês | MEDLINE | ID: mdl-23799651

RESUMO

Respiratory syncytial virus (RSV) is a major cause of pneumonia and wheezing in infants and the elderly, but to date there is no licensed vaccine. We developed a gold nanorod construct that displayed the major protective antigen of the virus, the fusion protein (F). Nanorods conjugated to RSV F were formulated as a candidate vaccine preparation by covalent attachment of viral protein using a layer-by-layer approach. In vitro studies using ELISA, electron microscopy and circular dichroism revealed that conformation-dependent epitopes were maintained during conjugation, and transmission electron microscopy studies showed that a dispersed population of particles could be achieved. Human dendritic cells treated with the vaccine induced immune responses in primary human T cells. These results suggest that this vaccine approach may be a potent method for immunizing against viruses such as RSV with surface glycoproteins that are targets for the human immune response.


Assuntos
Antígenos Virais/administração & dosagem , Ouro/química , Nanotubos/química , Infecções por Vírus Respiratório Sincicial/prevenção & controle , Vírus Sinciciais Respiratórios/imunologia , Idoso de 80 Anos ou mais , Antígenos Virais/química , Antígenos Virais/imunologia , Antígenos Virais/uso terapêutico , Células Cultivadas , Humanos , Proteínas Imobilizadas/administração & dosagem , Proteínas Imobilizadas/química , Proteínas Imobilizadas/imunologia , Proteínas Imobilizadas/uso terapêutico , Recém-Nascido , Linfócitos T/imunologia , Linfócitos T/virologia
14.
AIDS Res Hum Retroviruses ; 29(11): 1504-12, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23634822

RESUMO

We have designed a therapeutic HIV-1 vaccine concept based on peptides together with the adjuvant CAF01. Peptides represented 15 HLA-supertype-restricted subdominant and conserved CD8 T cell epitopes and three CD4 T-helper cell epitopes. In this phase I clinical trial, safety and immunogenicity were assessed in untreated HIV-1-infected individuals in Guinea-Bissau, West Africa. Twenty-three HIV-1-infected individuals were randomized to receive placebo (n=5) or vaccine (n=18). Safety was appraised by clinical follow-up combined with monitoring of biochemistry, hematology, CD4 T cell counts, and HIV-1 viral loads. T cell immunogenicity was monitored longitudinally by interferon (IFN)-γ ELISpot. New vaccine-specific T cell responses were induced in 6/14 vaccinees for whom ELISpot data were valid. CD4 T cell counts and viral loads were stable. The study shows that therapeutic immunization is feasible and safe in Guinea-Bissau and that it is possible to redirect T cell immunity with CAF01-adjuvanted HIV-1 peptide vaccine during untreated HIV-1 infection in some patients. However, relatively few preexisting and vaccine-induced HIV-1 T cell responses to CD8 T cell epitopes were detected against HIV-1 using IFN-γ ELISpot in this chronically infected African population.


Assuntos
Vacinas contra a AIDS/efeitos adversos , Vacinas contra a AIDS/uso terapêutico , Antígenos Virais/uso terapêutico , Infecções por HIV/terapia , HIV-1/imunologia , Imunoterapia/efeitos adversos , Imunoterapia/métodos , Vacinas contra a AIDS/imunologia , Adjuvantes Imunológicos/administração & dosagem , Adulto , Antígenos Virais/imunologia , Contagem de Linfócito CD4 , ELISPOT , Epitopos de Linfócito T/imunologia , Epitopos de Linfócito T/uso terapêutico , Feminino , Guiné-Bissau , Humanos , Interferon gama/metabolismo , Lipossomos/administração & dosagem , Masculino , Pessoa de Meia-Idade , Fosfoproteínas/imunologia , Carga Viral , Adulto Jovem
15.
Blood ; 120(26): 5163-72, 2012 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-23093620

RESUMO

The reactivation of human cytomegalovirus (HCMV) poses a serious health threat to immune compromised individuals. As a treatment strategy, dendritic cell (DC) vaccination trials are ongoing. Recent work suggests that BDCA-3(+) (CD141(+)) subset DCs may be particularly effective in DC vaccination trials. BDCA-3(+) DCs had however been mostly characterized for their ability to cross-present antigen from necrotic cells. We here describe our study of human BDCA-3(+) DCs in elicitation of HCMV-specific CD8(+) T-cell clones. We show that Fcgamma-receptor (FcγR) antigen targeting facilitates antigen cross-presentation in several DC subsets, including BDCA-3(+) DCs. FcγR antigen targeting stimulates antigen uptake by BDCA-1(+) rather than BDCA-3(+) DCs. Conversely, BDCA-3(+) DCs and not BDCA-1(+) DCs show improved cross-presentation by FcγR targeting, as measured by induced release of IFNγ and TNF by antigen-specific CD8(+) T cells. FcγR-facilitated cross-presentation requires antigen processing in both an acidic endosomal compartment and by the proteasome, and did not induce substantial DC maturation. FcγRII is the most abundantly expressed FcγR on both BDCA-1(+) and BDCA-3(+) DCs. Furthermore we show that BDCA-3(+) DCs express relatively more stimulatory FcγRIIa than inhibitory FcγRIIb in comparison with BDCA-1(+) DCs. These studies support the exploration of FcγR antigen targeting to BDCA-3(+) DCs for human vaccination purposes.


Assuntos
Antígenos Virais/farmacologia , Sangue/imunologia , Apresentação Cruzada , Células Dendríticas/imunologia , Tecido Linfoide/imunologia , Receptores de IgG/imunologia , Apresentação de Antígeno/efeitos dos fármacos , Apresentação de Antígeno/fisiologia , Antígenos de Superfície/metabolismo , Antígenos Virais/imunologia , Antígenos Virais/uso terapêutico , Sangue/metabolismo , Linfócitos T CD8-Positivos/imunologia , Células Cultivadas , Apresentação Cruzada/efeitos dos fármacos , Apresentação Cruzada/imunologia , Células Dendríticas/metabolismo , Células Dendríticas/fisiologia , Sinergismo Farmacológico , Humanos , Imunoterapia Ativa/métodos , Imunoterapia Adotiva/métodos , Tecido Linfoide/metabolismo , Fosfoproteínas/imunologia , Fosfoproteínas/farmacologia , Receptores de IgG/antagonistas & inibidores , Receptores de IgG/fisiologia , Trombomodulina , Proteínas da Matriz Viral/imunologia , Proteínas da Matriz Viral/farmacologia
16.
Mol Pharm ; 9(1): 156-67, 2012 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-22149096

RESUMO

Sublingual (SL) delivery, a noninvasive immunization method that bypasses the intestinal tract for direct entry into the circulation, was evaluated with an adenovirus (Ad5)-based vaccine for Ebola. Mice and guinea pigs were immunized via the intramuscular (IM), nasal (IN), oral (PO) and SL routes. SL immunization elicited strong transgene expression in and attracted CD11c(+) antigen presenting cells to the mucosa. A SL dose of 1 × 108 infectious particles induced Ebola Zaire glycoprotein (ZGP)-specific IFN-γ⁺ T cells in spleen, bronchoalveolar lavage, mesenteric lymph nodes and submandibular lymph nodes (SMLN) of naive mice in a manner similar to the same dose given IN. Ex vivo CFSE and in vivo cytotoxic T lymphocyte (CTL) assays confirmed that SL immunization elicits a notable population of effector memory CD8+ T cells and strong CTL responses in spleen and SMLN. SL immunization induced significant ZGP-specific Th1 and Th2 type responses unaffected by pre-existing immunity (PEI) that protected mice and guinea pigs from lethal challenge. SL delivery protected more mice with PEI to Ad5 than IM injection. SL immunization also reduced systemic anti-Ad5 T and B cell responses in naive mice and those with PEI, suggesting that secondary immunizations could be highly effective for both populations.


Assuntos
Antígenos Virais/administração & dosagem , Vacinas contra Ebola/administração & dosagem , Ebolavirus , Doença pelo Vírus Ebola/prevenção & controle , Adenoviridae/genética , Administração Sublingual , Animais , Células Apresentadoras de Antígenos/imunologia , Células Apresentadoras de Antígenos/metabolismo , Antígenos Virais/efeitos adversos , Antígenos Virais/uso terapêutico , Antígeno CD11c/metabolismo , Linhagem Celular , Vacinas contra Ebola/efeitos adversos , Vacinas contra Ebola/imunologia , Cobaias , Doença pelo Vírus Ebola/imunologia , Doença pelo Vírus Ebola/mortalidade , Humanos , Imunidade Celular , Imunização Secundária , Memória Imunológica , Masculino , Camundongos , Mucosa Bucal/citologia , Mucosa Bucal/imunologia , Mucosa Bucal/metabolismo , Mucosa Bucal/virologia , Proteínas Recombinantes/administração & dosagem , Proteínas Recombinantes/efeitos adversos , Proteínas Recombinantes/metabolismo , Proteínas Recombinantes/uso terapêutico , Análise de Sobrevida , Transgenes
17.
Clin Vaccine Immunol ; 18(7): 1046-51, 2011 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-21632890

RESUMO

The development of safe and efficient avian influenza vaccines for human and animal uses is essential for preventing virulent outbreaks and pandemics worldwide. In this study, we constructed a recombinant (pgsA-HA1 gene fusion) Lactococcus lactis strain that expresses and displays the avian influenza virus HA1 antigens on its surface. The vectors were administered by oral delivery with or without the addition of cholera toxin subunit B (CTB). The resulting immune responses were analyzed, and the mice were eventually challenged with lethal doses of H5N1 viruses. Significant titers of hemagglutinin (HA)-specific serum IgG and fecal IgA were detected in the group that also received CTB. Cellular immunities were also shown in both cell proliferation and gamma interferon (IFN-γ) enzyme-linked immunospot (ELISpot) assays. Most importantly, the mice that received the L. lactis pgsA-HA1 strain combined with CTB were completely protected from lethal challenge of the H5N1 virus. These findings support the further development of L. lactis-based avian influenza virus vaccines for human and animal uses.


Assuntos
Antígenos Virais/uso terapêutico , Virus da Influenza A Subtipo H5N1/imunologia , Vacinas contra Influenza/uso terapêutico , Lactococcus lactis/genética , Infecções por Orthomyxoviridae/prevenção & controle , Adjuvantes Imunológicos , Administração Oral , Animais , Antígenos Virais/genética , Toxina da Cólera , Camundongos , Resultado do Tratamento
18.
J Immunol ; 186(9): 5107-18, 2011 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-21430225

RESUMO

The hepatitis C virus (HCV)-specific T cell response in patients with chronic HCV is dysfunctional. In this study, we aimed at restoring immunological function through therapeutic vaccination in a transgenic mouse model with impaired HCV-specific T cell responses due to a persistent presence of hepatic HCV nonstructural (NS)3/4A Ags. The HCV-specific T cells have an actively maintained dysfunction reflected in reduced frequency, impaired cytokine production, and impaired effector function in vivo, which can be partially restored by blocking regulatory T cells or programmed cell death ligand 1. We hypothesized that the impairment could be corrected by including sequences that created a normal priming environment by recruiting "healthy" heterologous T cells and by activating innate signaling. Endogenously expressed hepatitis B core Ag (HBcAg) can recruit heterologous T cells and activate TLR (TLR7) signaling. Hence, by combining HCV NS3/4A with different forms of HBcAg we found that heterologous sequences somewhat improved activation and expansion of NS3/4A-specific T cells in a wild-type host. Importantly, the signals provided by HBcAg effectively restored the activation of HCV-specific T cells in a tolerant NS3/4A-transgenic mouse model. The adjuvant effect could also be transferred to the priming of dysfunctional HLA-A2-restricted NS3-specific T cells in vivo. Thus, recruiting healthy heterologous T cells to the site of priming may also help restore HCV-specific responses present in a chronically infected host.


Assuntos
Hepatite C Crônica/imunologia , Linfócitos T/imunologia , Vacinação/métodos , Vacinas contra Hepatite Viral/imunologia , Proteínas não Estruturais Virais/imunologia , Animais , Animais Geneticamente Modificados , Antígenos Virais/imunologia , Antígenos Virais/uso terapêutico , Western Blotting , Linhagem Celular Tumoral , Modelos Animais de Doenças , Ensaio de Imunoadsorção Enzimática , Hepacivirus/imunologia , Antígenos do Núcleo do Vírus da Hepatite B/imunologia , Antígenos do Núcleo do Vírus da Hepatite B/uso terapêutico , Hepatite C Crônica/terapia , Humanos , Imunoprecipitação , Ativação Linfocitária/imunologia , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Endogâmicos C57BL , Camundongos Transgênicos
19.
PLoS One ; 6(1): e15861, 2011 Jan 06.
Artigo em Inglês | MEDLINE | ID: mdl-21253014

RESUMO

Prophylactic vaccination against HIV-1 sexual transmission will probably require antibody elicitation at genital mucosal surfaces. However, HIV-1 envelope glycoprotein (Env)-based antigens are weakly immunogenic, particularly when applied mucosally. The polyanion PRO 2000 is safe for human vaginal application, and thus may represent a potential formulating agent for vaginal delivery of experimental vaccine immunogens. Based upon its biochemical properties, we hypothesized that PRO 2000 might enhance mucosal immunogenicity of HIV-1 envelope glycoprotein (Env)-based antigens, promoting local and systemic immune responses. Vaginal immunization with Env-PRO 2000 resulted in significantly increased titres of Env-specific mucosal IgA and IgG in mice and rabbits, respectively, compared to Env alone, revealing modest but significant mucosal adjuvant activity for PRO 2000. In vitro, PRO 2000 associated with Env, protecting the glycoprotein from proteolytic degradation in human vaginal lavage. Unexpectedly, PRO 2000 antagonized TLR4 activation, suppressing local production of inflammatory cytokines. Since inflammation-mediated recruitment of viral target cells is a major risk factor in HIV-1 transmission, the immune modulatory and anti-inflammatory activities of PRO 2000 combined with its intravaginal safety profile suggests promise as an HIV-1 mucosal vaccine formulating agent.


Assuntos
Vacinas contra a AIDS/química , Anticorpos Anti-HIV/biossíntese , Imunidade nas Mucosas/efeitos dos fármacos , Inflamação/prevenção & controle , Vacinas contra a AIDS/farmacologia , Adjuvantes Imunológicos/administração & dosagem , Adjuvantes Imunológicos/farmacologia , Adjuvantes Imunológicos/uso terapêutico , Administração Intravaginal , Animais , Antígenos Virais/uso terapêutico , Combinação de Medicamentos , Anticorpos Anti-HIV/efeitos dos fármacos , Proteína gp120 do Envelope de HIV/administração & dosagem , Proteína gp120 do Envelope de HIV/imunologia , Proteína gp120 do Envelope de HIV/uso terapêutico , Humanos , Imunidade nas Mucosas/imunologia , Camundongos , Naftalenossulfonatos/administração & dosagem , Naftalenossulfonatos/farmacologia , Naftalenossulfonatos/uso terapêutico , Polímeros/administração & dosagem , Polímeros/farmacologia , Polímeros/uso terapêutico , Coelhos
20.
Protein Expr Purif ; 74(1): 129-37, 2010 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-20600950

RESUMO

Arthropod-borne flaviviruses such as dengue virus (DENV) and West Nile virus (WNV) pose significant health threats to the global community. Due to escalating numbers of DENV and WNV infections worldwide, development of an effective vaccine remains a global health priority. As flavivirus envelope Domain III (DIII) protein is highly immunogenic and capable of inducing neutralizing antibodies against wild-type virus, it is both a potential protein subunit vaccine candidate and a suitable diagnostic reagent. Here, we describe the use of metal affinity membrane chromatography as a rapid and improved alternative for the purification of recombinant DIII (rDIII) antigens from DENV serotypes 1-4 and WNV - New York, Sarafend, Wengler and Kunjin strains. Optimum conditions for the expression, solubilization, renaturation and purification of these proteins were established. The purified proteins were confirmed by MALDI-TOF mass spectrometry and ELISA using antibodies raised against the respective viruses. Biological function of the purified rDIII proteins was confirmed by their ability to generate DIII-specific antibodies in mice that could neutralize the virus.


Assuntos
Antígenos Virais/isolamento & purificação , Cromatografia de Afinidade/métodos , Vírus da Dengue/genética , Dengue/prevenção & controle , Proteínas do Envelope Viral/isolamento & purificação , Febre do Nilo Ocidental/prevenção & controle , Vírus do Nilo Ocidental/genética , Animais , Antígenos Virais/genética , Antígenos Virais/uso terapêutico , Linhagem Celular , Cromatografia de Afinidade/economia , Culicidae/genética , Escherichia coli/genética , Feminino , Imunização , Camundongos , Camundongos Endogâmicos BALB C , Plasmídeos/genética , Proteínas Recombinantes/genética , Proteínas Recombinantes/isolamento & purificação , Proteínas Recombinantes/uso terapêutico , Fatores de Tempo , Proteínas do Envelope Viral/genética , Proteínas do Envelope Viral/uso terapêutico
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...