A replicating Adenovirus-SIV recombinant prime/protein boost regimen induces SIVspecific T and B cell responses in lymph nodes associated with humoral immunity in the genital mucosa of female Rhesus macaques

Abstract

Abstract The efficacy of HIV vaccines relies on potent antibody (Ab) responses at major transmission sites such as the female genital tract (FGT). CD4+ T follicular helper (TFH) cells, specialized in providing B cell help in germinal centers (GCs) of secondary lymphoid organs, play an important role in initial stages of HIV-specific Ab responses. Here we investigated SIV-specific T and B cell responses and FGT immunity in Rhesus macaques following mucosal priming with Ad5hr-SIV(Env/gag/nef) vectors at wks 0 & 13 and intramuscular boosting with SIV gp120 in alum at wks 26 & 38. Lymph nodes (LNs) were collected pre-vaccination and 3–4 days post-2nd prime and post-2nd boost. Vaginal washes were obtained prior to and 3 wks post-immunizations. GC TFH and B cell frequencies positively correlated post-2nd prime (p=0.04; r=0.6) suggesting an effect of early TFH cells in GCs. GC SIV-specific TFH cells were significantly enhanced post-2nd boost (p=0.01). BCL6 upregulation was also seen in GC-TFH cells at this time, confirming the GC phenotype of TFH cells. GC SIV-specific memory B cell levels were higher post-2nd boost compared to post-prime (p=0.03) indicating efficient SIV-specific B cell generation. GC B cells post-2nd prime and boost strongly associated with SIV-specific IgG levels in vaginal washes (p=0.03, r=0.7; p=0.002, r=0.8). GC centrocytes are critical for long-lasting Ab secreting cells. GC centrocytes post 2nd prime and boost tended to correlate with vaginal wash SIV-specific IgG levels (p=0.06, p=0.05; r=0.6 for both). Overall, our vaccine regimen elicited GC T and B cell responses that supported SIV-specific humoral immunity in the FGT suggesting further development of replicating mucosal Ad-vaccines is warranted for females as well as males.