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      A human immune data-informed vaccine concept elicits strong and broad T-cell specificities associated with HIV-1 control in mice and macaques

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          Abstract

          Background

          None of the HIV T-cell vaccine candidates that have reached advanced clinical testing have been able to induce protective T cell immunity. A major reason for these failures may have been suboptimal T cell immunogen designs.

          Methods

          To overcome this problem, we used a novel immunogen design approach that is based on functional T cell response data from more than 1,000 HIV-1 clade B and C infected individuals and which aims to direct the T cell response to the most vulnerable sites of HIV-1.

          Results

          Our approach identified 16 regions in Gag, Pol, Vif and Nef that were relatively conserved and predominantly targeted by individuals with reduced viral loads. These regions formed the basis of the HIVACAT T-cell Immunogen (HTI) sequence which is 529 amino acids in length, includes more than 50 optimally defined CD4 + and CD8 + T-cell epitopes restricted by a wide range of HLA class I and II molecules and covers viral sites where mutations led to a dramatic reduction in viral replicative fitness. In both, C57BL/6 mice and Indian rhesus macaques immunized with an HTI-expressing DNA plasmid (DNA.HTI) induced broad and balanced T-cell responses to several segments within Gag, Pol, and Vif. DNA.HTI induced robust CD4 + and CD8 + T cell responses that were increased by a booster vaccination using modified virus Ankara (MVA.HTI), expanding the DNA.HTI induced response to up to 3.2% IFN-γ T-cells in macaques. HTI-specific T cells showed a central and effector memory phenotype with a significant fraction of the IFN-γ + CD8 + T cells being Granzyme B + and able to degranulate (CD107a +).

          Conclusions

          These data demonstrate the immunogenicity of a novel HIV-1 T cell vaccine concept that induced broadly balanced responses to vulnerable sites of HIV-1 while avoiding the induction of responses to potential decoy targets that may divert effective T-cell responses towards variable and less protective viral determinants.

          Electronic supplementary material

          The online version of this article (doi:10.1186/s12967-015-0392-5) contains supplementary material, which is available to authorized users.

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          Most cited references71

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          HIV nonprogressors preferentially maintain highly functional HIV-specific CD8+ T cells.

          Establishing a CD8(+) T cell-mediated immune correlate of protection in HIV disease is crucial to the development of vaccines designed to generate cell-mediated immunity. Historically, neither the quantity nor breadth of the HIV-specific CD8(+) T-cell response has correlated conclusively with protection. Here, we assess the quality of the HIV-specific CD8(+) T-cell response by measuring 5 CD8(+) T-cell functions (degranulation, IFN-gamma, MIP-1beta, TNF-alpha, and IL-2) simultaneously in chronically HIV-infected individuals and elite nonprogressors. We find that the functional profile of HIV-specific CD8(+) T cells in progressors is limited compared to that of nonprogressors, who consistently maintain highly functional CD8(+) T cells. This limited functionality is independent of HLA type and T-cell memory phenotype, is HIV-specific rather than generalized, and is not effectively restored by therapeutic intervention. Whereas the total HIV-specific CD8(+) T-cell frequency did not correlate with viral load, the frequency and proportion of the HIV-specific T-cell response with highest functionality inversely correlated with viral load in the progressors. Thus, rather than quantity or phenotype, the quality of the CD8(+) T-cell functional response serves as an immune correlate of HIV disease progression and a potential qualifying factor for evaluation of HIV vaccine efficacy.
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            Stimulation of HIV-1-specific cytolytic T lymphocytes facilitates elimination of latent viral reservoir after virus reactivation.

            Highly active antiretroviral therapy (HAART) suppresses HIV-1 replication but cannot eliminate the virus because HIV-1 establishes latent infection. Interruption of HAART leads to a rapid rebound of viremia, so life-long treatment is required. Efforts to purge the latent reservoir have focused on reactivating latent proviruses without inducing global T cell activation. However, the killing of the infected cells after virus reactivation, which is essential for elimination of the reservoir, has not been assessed. Here we show that after reversal of latency in an in vitro model, infected resting CD4(+) T cells survived despite viral cytopathic effects, even in the presence of autologous cytolytic T lymphocytes (CTLs) from most patients on HAART. Antigen-specific stimulation of patient CTLs led to efficient killing of infected cells. These results demonstrate that stimulating HIV-1-specific CTLs prior to reactivating latent HIV-1 may be essential for successful eradication efforts and should be considered in future clinical trials. Copyright © 2012 Elsevier Inc. All rights reserved.
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              HLA class I supertypes: a revised and updated classification

              Background Class I major histocompatibility complex (MHC) molecules bind, and present to T cells, short peptides derived from intracellular processing of proteins. The peptide repertoire of a specific molecule is to a large extent determined by the molecular structure accommodating so-called main anchor positions of the presented peptide. These receptors are extremely polymorphic, and much of the polymorphism influences the peptide-binding repertoire. However, despite this polymorphism, class I molecules can be clustered into sets of molecules that bind largely overlapping peptide repertoires. Almost a decade ago we introduced this concept of clustering human leukocyte antigen (HLA) alleles and defined nine different groups, denominated as supertypes, on the basis of their main anchor specificity. The utility of this original supertype classification, as well several other subsequent arrangements derived by others, has been demonstrated in a large number of epitope identification studies. Results Following our original approach, in the present report we provide an updated classification of HLA-A and -B class I alleles into supertypes. The present analysis incorporates the large amount of class I MHC binding data and sequence information that has become available in the last decade. As a result, over 80% of the 945 different HLA-A and -B alleles examined to date can be assigned to one of the original nine supertypes. A few alleles are expected to be associated with repertoires that overlap multiple supertypes. Interestingly, the current analysis did not identify any additional supertype specificities. Conclusion As a result of this updated analysis, HLA supertype associations have been defined for over 750 different HLA-A and -B alleles. This information is expected to facilitate epitope identification and vaccine design studies, as well as investigations into disease association and correlates of immunity. In addition, the approach utilized has been made more transparent, allowing others to utilize the classification approach going forward.
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                Author and article information

                Contributors
                bmothe@irsicaixa.es
                xintao.hu@nih.gov
                ALlano@irsicaixa.es
                margherita.rosati@nih.gov
                aolvera@irsicaixa.es
                kviraj@gmail.com
                antonio.valentin@nih.gov
                candido.alicea@nih.gov
                guy.pilkington@nih.gov
                nsardesai@inovio.com
                mrocafort@irsicaixa.es
                mcrespo@vhebron.net
                jcarrillo@irsicaixa.es
                amarco@aspb.cat
                jmullins@u.washington.edu
                lucy.dorrell@ndm.ox.ac.uk
                tomas.hanke@ndm.ox.ac.uk
                BClotet@irsicaixa.es
                george.pavlakis@nih.gov
                barbara.felber@nih.gov
                cbrander@irsicaixa.es
                Journal
                J Transl Med
                J Transl Med
                Journal of Translational Medicine
                BioMed Central (London )
                1479-5876
                15 February 2015
                15 February 2015
                2015
                : 13
                : 60
                Affiliations
                [ ]IrsiCaixa AIDS Research Institute - HIVACAT, Hospital Germans Trias i Pujol, Crta Canyet s/n., 08916 Badalona, Barcelona Spain
                [ ]‘Lluita contra la Sida’ Foundation, Hospital Germans Trias i Pujol, Badalona, Barcelona Spain
                [ ]Universitat de Vic-Universitat Central de Catalunya (UVic-UCC), Vic, Spain
                [ ]Human Retrovirus Pathogenesis Section, National Cancer Institute-Frederick, Frederick, MD USA
                [ ]Human Retrovirus Section, National Cancer Institute-Frederick, Frederick, MD USA
                [ ]Inovio Pharmaceuticals Inc, Blue Bell, PA USA
                [ ]HIV Unit, Hospital de la Vall d’Hebrón, Barcelona, Spain
                [ ]Centres Penitenciaris BCN, Barcelona, Spain
                [ ]University of Washington, Seattle, WA USA
                [ ]Nuffield Department of Medicine, University of Oxford, The John Radcliffe Hospital, Oxford, UK
                [ ]The Jenner Institute, University of Oxford, Oxford, UK
                [ ]Universitat Autònoma de Barcelona, Barcelona, Spain
                [ ]Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona, Spain
                Article
                392
                10.1186/s12967-015-0392-5
                4336696
                25879820
                ad02a322-3d4c-452c-b81b-f4bc7bee5027
                © Mothe et al.; licensee BioMed Central. 2015

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 28 November 2014
                : 13 January 2015
                Categories
                Research
                Custom metadata
                © The Author(s) 2015

                Medicine
                hiv-1 t-cell immunogen,hiv-1 specific ctl,hla,immunogenicity,subdominant,viral fitness,ctl escape,t-helper epitope,population coverage

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