Academic Journal

Live attenuated varicella-zoster virus vaccine does not induce HIV target cell activation.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Live attenuated varicella-zoster virus vaccine does not induce HIV target cell activation.
Συγγραφείς: Perciani CT; Department of Immunology, University of Toronto, Toronto, Ontario, Canada., Farah B; Kenyan AIDS Vaccine Initiative-Institute of Clinical Research (KAVI-ICR), University of Nairobi, Nairobi, Kenya., Kaul R; Department of Immunology, University of Toronto, Toronto, Ontario, Canada.; Department of Medicine, University of Toronto, Toronto, Ontario, Canada.; University Health Network, Toronto, Ontario, Canada., Ostrowski MA; Department of Immunology, University of Toronto, Toronto, Ontario, Canada.; Department of Medicine, University of Toronto, Toronto, Ontario, Canada.; Keenan Research Center, St. Michael's Hospital, Toronto, Ontario, Canada., Mahmud SM; Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada., Anzala O; Kenyan AIDS Vaccine Initiative-Institute of Clinical Research (KAVI-ICR), University of Nairobi, Nairobi, Kenya.; Department of Medical Microbiology, University of Nairobi, Nairobi, Kenya., Jaoko W; Kenyan AIDS Vaccine Initiative-Institute of Clinical Research (KAVI-ICR), University of Nairobi, Nairobi, Kenya.; Department of Medical Microbiology, University of Nairobi, Nairobi, Kenya., MacDonald KS; Department of Immunology, University of Toronto, Toronto, Ontario, Canada.; Section of Infectious Diseases, Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.; Department of Medical Microbiology and Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Συλλογικό Έργο: KAVI-ICR Team
Πηγή: The Journal of clinical investigation [J Clin Invest] 2019 Feb 01; Vol. 129 (2), pp. 875-886. Date of Electronic Publication: 2019 Jan 22.
Τύπος έκδοσης: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: American Society for Clinical Investigation Country of Publication: United States NLM ID: 7802877 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1558-8238 (Electronic) Linking ISSN: 00219738 NLM ISO Abbreviation: J Clin Invest Subsets: MEDLINE
Imprint Name(s): Publication: 1999- : Ann Arbor, MI : American Society for Clinical Investigation
Original Publication: New Haven [etc.] American Society for Clinical Investigation.
Ιατρικοί όροι (MeSH): AIDS Vaccines*/administration & dosage , AIDS Vaccines*/immunology , Herpesvirus 3, Human*/genetics , Herpesvirus 3, Human*/immunology , Virus Activation*/drug effects , Virus Activation*/immunology, CD4-Positive T-Lymphocytes/*immunology , HIV-1/*physiology, CD4-Positive T-Lymphocytes/pathology ; CD4-Positive T-Lymphocytes/virology ; Vaccines, Attenuated/administration & dosage ; Vaccines, Attenuated/immunology ; Varicella Zoster Virus Infection/immunology ; Varicella Zoster Virus Infection/pathology ; Varicella Zoster Virus Infection/prevention & control ; Adult ; Female ; Humans ; Kenya
Περίληψη: Background: Varicella-zoster virus (VZV) is under consideration as a promising recombinant viral vector to deliver foreign antigens including HIV. However, new vectors have come under increased scrutiny, since trials with adenovirus serotype 5-vectored (Ad5-vectored) HIV vaccine demonstrated increased HIV risk in individuals with pre-immunity to the vector that was thought to be associated with mucosal immune activation (IA). Therefore, given the prospect of developing an HIV/VZV chimeric vaccine, it is particularly important to define the impact of VZV vaccination on IA.
Methods: Healthy VZV-seropositive Kenyan women (n = 44) were immunized with high-dose live attenuated VZV vaccine, and we assessed the expression on CD4+ T cells isolated from blood, cervix, and rectum of IA markers including CD38 and HLA-DR and of markers of cell migration and tissue retention, as well as the concentration of genital and intestinal cytokines. A delayed-start group (n = 22) was used to control for natural variations in these parameters.
Results: Although immunogenic, VZV vaccination did not result in significant difference in the frequency of cervical activated (HLA-DR+CD38+) CD4+ T cells (median 1.61%, IQR 0.93%-2.76%) at 12 weeks after vaccination when compared with baseline (median 1.58%, IQR 0.75%-3.04%), the primary outcome for this study. VZV vaccination also had no measurable effect on any of the IA parameters at 4, 8, and 12 weeks after vaccination.
Conclusion: This study provides the first evidence to our knowledge about the effects of VZV vaccination on human mucosal IA status and supports further evaluation of VZV as a potential vector for an HIV vaccine.
Trial Registration: ClinicalTrials.gov NCT02514018.
Funding: Primary support from the Canadian Institutes for Health Research (CIHR). For other sources, see Acknowledgments.
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Grant Information: THA-11960 Canada CIHR
Contributed Indexing: Keywords: AIDS vaccine; AIDS/HIV; Cytokines; T cells; Vaccines
Molecular Sequence: ClinicalTrials.gov NCT02514018
Substance Nomenclature: 0 (AIDS Vaccines)
0 (Vaccines, Attenuated)
Entry Date(s): Date Created: 20181205 Date Completed: 20191216 Latest Revision: 20200309
Update Code: 20260130
PubMed Central ID: PMC6355215
DOI: 10.1172/JCI124473
PMID: 30511963
Βάση Δεδομένων: MEDLINE