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Humoral and cell-mediated immune responses to H5N1 plant-made virus-like particle vaccine are differentially impacted by alum and GLA-SE adjuvants in a Phase 2 clinical trial

Identifieur interne : 000144 ( Pmc/Checkpoint ); précédent : 000143; suivant : 000145

Humoral and cell-mediated immune responses to H5N1 plant-made virus-like particle vaccine are differentially impacted by alum and GLA-SE adjuvants in a Phase 2 clinical trial

Auteurs : Stéphane Pillet ; Éric Aubin ; Sonia Trépanier ; Jean-François Poulin ; Bader Yassine-Diab ; Jan Ter Meulen [États-Unis] ; Brian J. Ward ; Nathalie Landry

Source :

RBID : PMC:5780465

Abstract

The hemagglutinination inhibition (HI) response remains the gold standard used for the licensure of influenza vaccines. However, cell-mediated immunity (CMI) deserves more attention, especially when evaluating H5N1 influenza vaccines that tend to induce poor HI response. In this study, we measured the humoral response (HI) and CMI (flow cytometry) during a Phase II dose-ranging clinical trial (NCT01991561). Subjects received two intramuscular doses, 21 days apart, of plant-derived virus-like particles (VLP) presenting the A/Indonesia/05/2005 H5N1 influenza hemagglutinin protein (H5) at the surface of the VLP (H5VLP). The vaccine was co-administrated with Alhydrogel® or with a glucopyranosyl lipid adjuvant-stable emulsion (GLA-SE). We demonstrated that low doses (3.75 or 7.5 μg H5VLP) of GLA-SE-adjuvanted vaccines induced HI responses that met criteria for licensure at both antigen doses tested. Alhydrogel adjuvanted vaccines induced readily detectable HI response that however failed to meet licensure criteria at any of three doses (10, 15 and 20 μg) tested. The H5VLP also induced a sustained (up to 6 months) polyfunctional and cross-reactive HA-specific CD4+ T cell response in all vaccinated groups. Interestingly, the frequency of central memory Th1-primed precursor cells before the boost significantly correlated with HI titers 21 days after the boost. The ability of the low dose GLA-SE-adjuvanted H5VLP to elicit both humoral response and a sustained cross-reactive CMI in healthy adults is very attractive and could result in significant dose-sparing in a pandemic situation.


Url:
DOI: 10.1038/s41541-017-0043-3
PubMed: 29387473
PubMed Central: 5780465


Affiliations:


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PMC:5780465

Le document en format XML

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<p id="Par1">The hemagglutinination inhibition (HI) response remains the gold standard used for the licensure of influenza vaccines. However, cell-mediated immunity (CMI) deserves more attention, especially when evaluating H5N1 influenza vaccines that tend to induce poor HI response. In this study, we measured the humoral response (HI) and CMI (flow cytometry) during a Phase II dose-ranging clinical trial (NCT01991561). Subjects received two intramuscular doses, 21 days apart, of plant-derived virus-like particles (VLP) presenting the A/Indonesia/05/2005 H5N1 influenza hemagglutinin protein (H5) at the surface of the VLP (H5VLP). The vaccine was co-administrated with Alhydrogel
<sup>®</sup>
or with a glucopyranosyl lipid adjuvant-stable emulsion (GLA-SE). We demonstrated that low doses (3.75 or 7.5 μg H5VLP) of GLA-SE-adjuvanted vaccines induced HI responses that met criteria for licensure at both antigen doses tested. Alhydrogel adjuvanted vaccines induced readily detectable HI response that however failed to meet licensure criteria at any of three doses (10, 15 and 20 μg) tested. The H5VLP also induced a sustained (up to 6 months) polyfunctional and cross-reactive HA-specific CD4
<sup>+</sup>
T cell response in all vaccinated groups. Interestingly, the frequency of central memory Th1-primed precursor cells before the boost significantly correlated with HI titers 21 days after the boost. The ability of the low dose GLA-SE-adjuvanted H5VLP to elicit both humoral response and a sustained cross-reactive CMI in healthy adults is very attractive and could result in significant dose-sparing in a pandemic situation.</p>
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<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">NPJ Vaccines</journal-id>
<journal-id journal-id-type="iso-abbrev">NPJ Vaccines</journal-id>
<journal-title-group>
<journal-title>NPJ Vaccines</journal-title>
</journal-title-group>
<issn pub-type="epub">2059-0105</issn>
<publisher>
<publisher-name>Nature Publishing Group UK</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">29387473</article-id>
<article-id pub-id-type="pmc">5780465</article-id>
<article-id pub-id-type="publisher-id">43</article-id>
<article-id pub-id-type="doi">10.1038/s41541-017-0043-3</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Humoral and cell-mediated immune responses to H5N1 plant-made virus-like particle vaccine are differentially impacted by alum and GLA-SE adjuvants in a Phase 2 clinical trial</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Pillet</surname>
<given-names>Stéphane</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Aubin</surname>
<given-names>Éric</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Trépanier</surname>
<given-names>Sonia</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Poulin</surname>
<given-names>Jean-François</given-names>
</name>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yassine-Diab</surname>
<given-names>Bader</given-names>
</name>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>ter Meulen</surname>
<given-names>Jan</given-names>
</name>
<xref ref-type="aff" rid="Aff4">4</xref>
<xref ref-type="aff" rid="Aff5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ward</surname>
<given-names>Brian J.</given-names>
</name>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Landry</surname>
<given-names>Nathalie</given-names>
</name>
<address>
<email>Landryn@medicago.com</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<aff id="Aff1">
<label>1</label>
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0004 0635 0044</institution-id>
<institution-id institution-id-type="GRID">grid.421219.d</institution-id>
<institution>Medicago Inc.,</institution>
</institution-wrap>
Québec, G1V 3V9 QC Canada</aff>
<aff id="Aff2">
<label>2</label>
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0000 9064 4811</institution-id>
<institution-id institution-id-type="GRID">grid.63984.30</institution-id>
<institution>Research Institute of the McGill University Health Centre,</institution>
</institution-wrap>
Montreal, H4A 3J1 QC Canada</aff>
<aff id="Aff3">
<label>3</label>
Caprion Biosciences, Montreal, H2X 3Y7 QC Canada</aff>
<aff id="Aff4">
<label>4</label>
Immune Design, Seattle, WA 98102 USA</aff>
<aff id="Aff5">
<label>5</label>
Immune Design, San Francisco, CA 94080-7006 USA</aff>
</contrib-group>
<pub-date pub-type="epub">
<day>23</day>
<month>1</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>23</day>
<month>1</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="collection">
<year>2018</year>
</pub-date>
<volume>3</volume>
<elocation-id>3</elocation-id>
<history>
<date date-type="received">
<day>2</day>
<month>6</month>
<year>2017</year>
</date>
<date date-type="rev-recd">
<day>11</day>
<month>12</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>15</day>
<month>12</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>© The Author(s) 2018</copyright-statement>
<license license-type="OpenAccess">
<license-p>
<bold>Open Access</bold>
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
.</license-p>
</license>
</permissions>
<abstract id="Abs1">
<p id="Par1">The hemagglutinination inhibition (HI) response remains the gold standard used for the licensure of influenza vaccines. However, cell-mediated immunity (CMI) deserves more attention, especially when evaluating H5N1 influenza vaccines that tend to induce poor HI response. In this study, we measured the humoral response (HI) and CMI (flow cytometry) during a Phase II dose-ranging clinical trial (NCT01991561). Subjects received two intramuscular doses, 21 days apart, of plant-derived virus-like particles (VLP) presenting the A/Indonesia/05/2005 H5N1 influenza hemagglutinin protein (H5) at the surface of the VLP (H5VLP). The vaccine was co-administrated with Alhydrogel
<sup>®</sup>
or with a glucopyranosyl lipid adjuvant-stable emulsion (GLA-SE). We demonstrated that low doses (3.75 or 7.5 μg H5VLP) of GLA-SE-adjuvanted vaccines induced HI responses that met criteria for licensure at both antigen doses tested. Alhydrogel adjuvanted vaccines induced readily detectable HI response that however failed to meet licensure criteria at any of three doses (10, 15 and 20 μg) tested. The H5VLP also induced a sustained (up to 6 months) polyfunctional and cross-reactive HA-specific CD4
<sup>+</sup>
T cell response in all vaccinated groups. Interestingly, the frequency of central memory Th1-primed precursor cells before the boost significantly correlated with HI titers 21 days after the boost. The ability of the low dose GLA-SE-adjuvanted H5VLP to elicit both humoral response and a sustained cross-reactive CMI in healthy adults is very attractive and could result in significant dose-sparing in a pandemic situation.</p>
</abstract>
<abstract id="Abs2" abstract-type="LongSummary">
<title>Avian influenza: Viral shell vaccine elicits a rounded antiviral response</title>
<p id="Par2">A H5N1 bird flu vaccine consisting of the virus’ protein shell could overcome current production woes. Canadian researchers, led by the Quebec-based biotech Medicago, constructed a plant-derived, virus-like particle vaccine that presented influenza hemagglutinin surface proteins designed to prime an immune system against future infection. When injected alongside an immunity-boosting adjuvant known as GLA-SE, the vaccine elicited levels of protective antibodies that met the requirement for EU licensing. The researchers also explain that levels of immune cells recognizing the hemagglutinin should also be considered as important indicators of H5N1 vaccine performance, as cell-based immunity plays an important part in influenza protection. Current H5N1 vaccine production is limited as the virus kills the eggs in which the progenitor virus is produced, a problem Medicago’s vaccine may be able to overcome thanks to its non-virulent virus-like particles.</p>
</abstract>
<custom-meta-group>
<custom-meta>
<meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2018</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>États-Unis</li>
</country>
<region>
<li>Californie</li>
<li>Washington (État)</li>
</region>
</list>
<tree>
<noCountry>
<name sortKey="Aubin, Eric" sort="Aubin, Eric" uniqKey="Aubin E" first="Éric" last="Aubin">Éric Aubin</name>
<name sortKey="Landry, Nathalie" sort="Landry, Nathalie" uniqKey="Landry N" first="Nathalie" last="Landry">Nathalie Landry</name>
<name sortKey="Pillet, Stephane" sort="Pillet, Stephane" uniqKey="Pillet S" first="Stéphane" last="Pillet">Stéphane Pillet</name>
<name sortKey="Poulin, Jean Francois" sort="Poulin, Jean Francois" uniqKey="Poulin J" first="Jean-François" last="Poulin">Jean-François Poulin</name>
<name sortKey="Trepanier, Sonia" sort="Trepanier, Sonia" uniqKey="Trepanier S" first="Sonia" last="Trépanier">Sonia Trépanier</name>
<name sortKey="Ward, Brian J" sort="Ward, Brian J" uniqKey="Ward B" first="Brian J." last="Ward">Brian J. Ward</name>
<name sortKey="Yassine Diab, Bader" sort="Yassine Diab, Bader" uniqKey="Yassine Diab B" first="Bader" last="Yassine-Diab">Bader Yassine-Diab</name>
</noCountry>
<country name="États-Unis">
<region name="Washington (État)">
<name sortKey="Ter Meulen, Jan" sort="Ter Meulen, Jan" uniqKey="Ter Meulen J" first="Jan" last="Ter Meulen">Jan Ter Meulen</name>
</region>
<name sortKey="Ter Meulen, Jan" sort="Ter Meulen, Jan" uniqKey="Ter Meulen J" first="Jan" last="Ter Meulen">Jan Ter Meulen</name>
</country>
</tree>
</affiliations>
</record>

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