Human dendritic cells infected with an adenoviral vector suppress proliferation of autologous and allogeneic T cells.

Dendritic cells (DCs) play a key role in the type and course of an immune response. The manipulation of human DCs to produce therapeutic agents by transduction with viral vectors is a growing area of research. We present an investigation into the effects of adenoviral vector infection on human DCs and other cell types, and on their subsequent ability to induce T-cell proliferation. We show that infection with replication-deficient adenovirus results in impaired proliferation of T cells in a mixed lymphocyte reaction (MLR). We show this to be an active suppression rather than a defect in the DCs as T cells also fail to proliferate in response to phytohaemagglutinin in the presence of adenoviral vector-infected DCs. This suppression is not attributable to phenotypic changes, death or inability of the DCs to produce cytokines on stimulation. By separation of DCs from T cells, and addition of conditioned supernatants, we show that suppression is mediated by a soluble factor. Blocking of interleukin (IL)-10 but not transforming growth factor (TGF)-beta could overcome the suppressive effect in some donors, and the source of the suppressive IL-10 was lymphocytes exposed to conditioned supernatant. Together our data suggest that infection of DCs by adenoviral vectors leads to suppression of the resulting immune response.

Developing vaccines against flavivirus diseases: past success, present hopes and future challenges.

Vaccination still remains the most cost-effective way of protecting large populations against infectious disease. Safe and effective vaccines are available against most pathogenic flaviviruses and in recent years substantial progress has been made in developing vaccines against dengue. Dengue vaccines based on conventional and recombinant DNA technologies are being assessed and initial results are encouraging. Many other experimental vaccines have been developed, but despite the intensity of effort, concerns about the safety of new vaccines appear to be hindering their development. With the global threat from dengue increasing, might it now be the time to consider a less risk-averse approach?

Design and preparation of recombinant antigens as diagnostic reagents in solid-phase immunosorbent assays.

Analysis of the humoral immune response to infectious diseases has played, and will to continue to play, a key role in their diagnosis and immune surveillance. Although rapid genome detection methodologies, such as PCR, are beginning to replace immune assays for disease diagnosis, they are not suitable for all applications, especially the surveillance of the immune status of human populations. Here we review the limitations of current conventional tools for measuring immune responses and outline principles for the design and production of novel diagnostic reagents. Methods for the production of viral diagnostic antigens by a variety of recombinant systems are described and their relative merits and disadvantages discussed. Protocols for the production of viral diagnostic antigens in eukaryotic, insect and mammalian systems are described using measles nucleocapsid antigen as a model. Indirect ELISA protocols which can differentiate immunoglobulin classes and subclasses are also described. Examples of the use of these analyses in research and surveillance are given.

Understanding dengue pathogenesis: implications for vaccine design.

In the second half of the twentieth century dengue spread throughout the tropics, threatening the health of a third of the world's population. Dengue viruses cause 50-100 million cases of acute febrile disease every year, including more than 500,000 reported cases of the severe forms of the disease--dengue haemorrhagic fever and dengue shock syndrome. Attempts to create conventional vaccines have been hampered by the lack of suitable experimental models, the need to provide protection against all four serotypes simultaneously and the possible involvement of virus-specific immune responses in severe disease. The current understanding of dengue pathogenesis is outlined in this review, with special emphasis on the role of the immune response. The suspected involvement of the immune system in increased disease severity and vascular damage has raised concerns about every vaccine design strategy proposed so far. Clearly more research is needed on understanding the correlates of protection and mechanisms of pathogenesis. There is, however, an urgent need to provide a solution to the escalating global public health problems caused by dengue infections. Better disease management, vector control and improved public health measures will help reduce the current disease burden, but a safe and effective vaccine is probably the only long-term solution. Although concerns have been raised about the possible safety and efficacy of both conventional and novel vaccine technologies, the situation is now so acute that it is not possible to wait for the perfect vaccine. Consequently the careful and thorough evaluation of several of the current candidate vaccines may be the best approach to halting the spread of disease.