Abstract

Current HIV vaccine approaches are focused on immunogens encoding whole HIV antigenic proteins that mainly elicit cytotoxic CD8+ responses. Mounting evidence points toward a critical role for CD4+ T cells in the control of immunodeficiency virus replication, probably due to cognate help. Vaccine-induced CD4+ T cell responses might, therefore, have a protective effect in HIV replication. In addition, successful vaccines may have to elicit responses to multiple epitopes in a high proportion of vaccinees, to match the highly variable circulating strains of HIV. Using rational vaccine design, we developed a DNA vaccine encoding 18 algorithm-selected conserved, “promiscuous” (multiple HLA-DR-binding) B-subtype HIV CD4 epitopes - previously found to be frequently recognized by HIV-infected patients. We assessed the ability of the vaccine to induce broad T cell responses in the context of multiple HLA class II molecules using different strains of HLA class II- transgenic mice (-DR2, -DR4, -DQ6 and -DQ8). Mice displayed CD4+ and CD8+ T cell responses of significant breadth and magnitude, and 16 out of the 18 encoded epitopes were recognized. By virtue of inducing broad responses against conserved CD4+ T cell epitopes that can be recognized in the context of widely diverse, common HLA class II alleles, this vaccine concept may cope both with HIV genetic variability and increased population coverage. The vaccine may thus be a source of cognate help for HIV-specific CD8+ T cells elicited by conventional immunogens, in a wide proportion of vaccinees.

Highlights

  • Given the proportions of the AIDS pandemic, development of an effective vaccine against human immunodeficiency virus type 1 (HIV-1) remains one of the most important biomedical research priorities

  • To assess the magnitude and coverage of the peptide-specific response induced by the HIVBr18 vaccine in mouse strains transgenic to HLA-DRB1* 1502 (DR2), -DR4, -DQ6 and –DQ8, we analyzed T cell proliferation and cytokine production against pooled HIV-1 peptides

  • We have developed a DNA vaccine encoding 18 conserved, multiple HLA-DR-binding HIV-1 CD4+ T cell epitopes frequently recognized by HIV-1-infected patients

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Summary

Introduction

Given the proportions of the AIDS pandemic, development of an effective vaccine against human immunodeficiency virus type 1 (HIV-1) remains one of the most important biomedical research priorities. The lack of efficacy of the recently studied STEP trial of the Adenovirus 5 HIV-1 gag/pol/nef trivalent vaccine [6] may have been related to the narrowness of the induced T cell response – on average, only one epitope was recognized per HIV-1 gene product in each vaccinee [7]. 30% and 60% of vaccinees in the STEP trial failed to display CD8+ and CD4+ T cell responses to HIV epitopes, respectively [9]. Vaccines tested in recent efficacy trials failed to induce CD8+ and especially CD4+ T cell responses in a significant proportion of vaccinees. Innovative vaccine antigen design and immunogen formulation is needed in order to develop a vaccine able to induce broad immune responses in the majority of vaccinees. By eliminating epitope flanking regions, epitope vaccines are devoid of mutations that impair antigen processing and presentation, which may have accumulated in the flanking regions along viral evolution [15]

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