Abstract

Seasonal influenza virus infections cause significant morbidity and mortality every year. Annual influenza virus vaccines are effective but only when well matched with circulating strains. Therefore, there is an urgent need for better vaccines that induce broad protection against drifted seasonal and emerging pandemic influenza viruses. One approach to design such vaccines is based on targeting conserved regions of the influenza virus hemagglutinin. Sequential vaccination with chimeric hemagglutinin constructs can refocus antibody responses towards the conserved immunosubdominant stalk domain of the hemagglutinin, rather than the variable immunodominant head. A complementary approach for a universal influenza A virus vaccine is to induce T-cell responses to conserved internal influenza virus antigens. For this purpose, replication deficient recombinant viral vectors based on Chimpanzee Adenovirus Oxford 1 and Modified Vaccinia Ankara virus are used to express the viral nucleoprotein and the matrix protein 1. In this study, we combined these two strategies and evaluated the efficacy of viral vectors expressing both chimeric hemagglutinin and nucleoprotein plus matrix protein 1 in a mouse model against challenge with group 2 influenza viruses including H3N2, H7N9 and H10N8. We found that vectored vaccines expressing both sets of antigens provided enhanced protection against H3N2 virus challenge when compared to vaccination with viral vectors expressing only one set of antigens. Vaccine induced antibody responses against divergent group 2 hemagglutinins, nucleoprotein and matrix protein 1 as well as robust T-cell responses to the nucleoprotein and matrix protein 1 were detected. Of note, it was observed that while antibodies to the H3 stalk were already boosted to high levels after two vaccinations with chimeric hemagglutinins (cHAs), three exposures were required to induce strong reactivity across subtypes. Overall, these results show that a combinations of different universal influenza virus vaccine strategies can induce broad antibody and T-cell responses and can provide increased protection against influenza.

Highlights

  • The effectiveness of annual vaccination in reducing the morbidity and mortality caused by seasonal influenza virus infection strongly depends on the extent to which the selected vaccine strains match the circulating viruses

  • Four weeks post Modified Vaccinia Ankara (MVA) boost, the mice were challenged with 5x 50% lethal doses (LD50) of X-31 (H3N2; HA and NA from A/Hong Kong/1/1968 in an A/Puerto Rico/8/1934 backbone), and weight loss and survival was observed over 14 days

  • Since this unspecific background makes challenge studies impossible, IM vaccination was finalized as the route of administration for future experiments to clearly delineate immune responses specific to the influenza virus antigens encoded by viral vectors

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Summary

Introduction

The effectiveness of annual vaccination in reducing the morbidity and mortality caused by seasonal influenza virus infection strongly depends on the extent to which the selected vaccine strains match the circulating viruses. Vaccines induce antibody responses against the hemagglutinin (HA), the major surface glycoprotein of the virus [1]. The majority of the antibodies induced by these vaccines target the variable, immunodominant HA head domain and are capable of neutralizing the virus by preventing receptor interaction and viral entry. Most of the antigenic drift is mediated by the very plastic globular head domain making annual re-formulation and re-administration of the vaccine necessary.

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