Abstract

There is an ultimate need for efficacious vaccines against human cytomegalovirus (HCMV), which causes severe morbidity and mortality among neonates and immunocompromised individuals. In this study we explored synthetic long peptide (SLP) vaccination as a platform modality to protect against mouse CMV (MCMV) infection in preclinical mouse models. In both C57BL/6 and BALB/c mouse strains, prime-booster vaccination with SLPs containing MHC class I restricted epitopes of MCMV resulted in the induction of strong and polyfunctional (i.e., IFN-γ+, TNF+, IL-2+) CD8+ T cell responses, equivalent in magnitude to those induced by the virus itself. SLP vaccination initially led to the formation of effector CD8+ T cells (KLRG1hi, CD44hi, CD127lo, CD62Llo), which eventually converted to a mixed central and effector-memory T cell phenotype. Markedly, the magnitude of the SLP vaccine-induced CD8+ T cell response was unrelated to the T cell functional avidity but correlated to the naive CD8+ T cell precursor frequency of each epitope. Vaccination with single SLPs displayed various levels of long-term protection against acute MCMV infection, but superior protection occurred after vaccination with a combination of SLPs. This finding underlines the importance of the breadth of the vaccine-induced CD8+ T cell response. Thus, SLP-based vaccines could be a potential strategy to prevent CMV-associated disease.

Highlights

  • Human cytomegalovirus (HCMV) contributes substantially to morbidity in immunocompromised individuals

  • In this study we explored synthetic long peptide (SLP) vaccination as a platform modality to protect against mouse CMV (MCMV) infection in preclinical mouse models

  • We investigated in preclinical mouse models the efficacy and mechanisms of synthetic long peptide (SLP)-based vaccines eliciting mouse CMV (MCMV)-specific CD8+ T cells as a platform modality to protect against CMV infection

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Summary

Introduction

Human cytomegalovirus (HCMV) contributes substantially to morbidity in immunocompromised individuals. Organ or hematopoietic stem cell transplant recipients, people infected with HIV and patients with lymphocytic leukaemia are vulnerable to HCMV-associated disease [1]. Congenital HCMV infection of unborn and new born children can lead to severe and permanent neurological symptoms [2]. Currently available antivirals for HCMV are able to decelerate viral progression, thereby reducing the odds for major side effects, they require prolonged treatment periods and are accompanied with significant toxicity. Adoptive transfer of HCMV-specific T cells is an alternative treatment modality but is costly and laborious. The apparent burden of HCMVassociated disease and the paucity of cost-effective measures without side-effects have led to major efforts to develop effective HCMV vaccines but no licensed vaccines are currently available [3, 4]

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