Functional aspects of intrahepatic hepatitis B virus-specific T cells induced by therapeutic DNA vaccination

Mol Ther. 2015 Mar;23(3):578-90. doi: 10.1038/mt.2014.233. Epub 2014 Dec 10.

Abstract

Current therapies for the hepatitis B virus (HBV), a major cause of severe liver disease, suppress viral replication but replication rebounds if therapy is withdrawn. It is widely accepted that immune activation is needed to control replication off-therapy. To specifically activate T cells crossreactive between the hepatitis B core and e antigens (HBcAg/HBeAg) in chronically infected patients, we developed a therapeutic vaccine candidate. The vaccine encompass codon-optimized HBcAg and IL-12 expressing plasmids delivered using targeted high-pressure injection combined with in vivo electroporation. One dose of the vaccine primed a B-cell-independent polyfunctional T-cell response, in wild-type, and in HBeAg-transgenic mice with an impaired ability to respond to HBc/eAg. The response peaked at 2 weeks and contracted at week 6 after vaccination. Coadministration of IL-12 improved antibody levels, and T-cell expansion and functionality. The vaccine primed T cells that, 2 weeks after a single dose, cleared hepatocytes transiently expressing HBcAg in vaccinated wild-type and HBeAg-transgenic mice. However, 4 weeks later, these functional responses were lost. Booster doses after 8-12 weeks effectively restored function and expansion of the rapidly contracting T cells. Thus, this vaccine strategy primes functional HBcAg-specific T cells in a host with dysfunctional response to HBV.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cell Proliferation
  • Electroporation
  • Gene Expression
  • Hepatitis B Antibodies / biosynthesis*
  • Hepatitis B Core Antigens / genetics
  • Hepatitis B Core Antigens / immunology
  • Hepatitis B Vaccines / administration & dosage
  • Hepatitis B Vaccines / genetics
  • Hepatitis B Vaccines / immunology*
  • Hepatitis B e Antigens / genetics
  • Hepatitis B e Antigens / immunology
  • Hepatitis B virus / genetics
  • Hepatitis B virus / immunology*
  • Hepatitis B, Chronic / genetics
  • Hepatitis B, Chronic / immunology
  • Hepatitis B, Chronic / prevention & control*
  • Hepatitis B, Chronic / virology
  • Hepatocytes / immunology
  • Hepatocytes / virology
  • Humans
  • Interleukin-12 / genetics
  • Interleukin-12 / immunology
  • Liver / immunology
  • Liver / virology
  • Mice
  • Mice, Transgenic
  • Plasmids / chemistry
  • Plasmids / metabolism
  • T-Lymphocytes / immunology*
  • T-Lymphocytes / virology
  • Vaccination
  • Vaccines, DNA / administration & dosage
  • Vaccines, DNA / genetics
  • Vaccines, DNA / immunology*

Substances

  • Hepatitis B Antibodies
  • Hepatitis B Core Antigens
  • Hepatitis B Vaccines
  • Hepatitis B e Antigens
  • Vaccines, DNA
  • Interleukin-12