Academic Journal

Protocol of a randomised controlled trial characterising the immune responses induced by varicella-zoster virus (VZV) vaccination in healthy Kenyan women: setting the stage for a potential VZV-based HIV vaccine.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Protocol of a randomised controlled trial characterising the immune responses induced by varicella-zoster virus (VZV) vaccination in healthy Kenyan women: setting the stage for a potential VZV-based HIV vaccine.
Συγγραφείς: Perciani, CT, Jaoko, W, Walmsley, S, Farah, B, Mahmud, SM, Ostrowski, M, Anzala, O, Team, K, MacDonald, KS
Στοιχεία εκδότη: University of Nairobi
Έτος έκδοσης: 2017
Συλλογή: University of Nairobi Digital Repository
Θεματικοί όροι: HIV vaccine, herpes zoster, herpesviridae infections, immune activation, mucosal immunity, varicella-zoster virus, virus diseases
Περιγραφή: INTRODUCTION: A protective HIV vaccine would be expected to induce durable effector immune responses at the mucosa, restricting HIV infection at its portal of entry. We hypothesise that use of varicella-zoster virus (VZV) as an HIV delivery vector could generate sustained and robust tissue-based immunity against HIV antigens to provide long-term protection against HIV. Given that HIV uniquely targets immune-activated T cells, the development of human vaccines against HIV must also involve a specific examination of the safety of the vector. Thus, we aim to evaluate the effects of VZV vaccination on the recipients' immune activation state, and on VZV-specific circulating humoral and cellular responses in addition to those at the cervical and rectal mucosa. METHODS AND ANALYSIS: This open-label, randomised, longitudinal crossover study includes healthy Kenyan VZV-seropositive women at low risk for HIV infection. Participants receive a single dose of a commercial live-attenuated VZVOka vaccine at either week 0 (n=22) or at week 12 (n=22) of the study and are followed for 48 and 36 weeks postvaccination, respectively. The primary outcome is the change on cervical CD4+ T-cell immune activation measured by the coexpression of CD38 and HLA-DR 12 weeks postvaccination compared with the baseline (prevaccination). Secondary analyses include postvaccination changes in VZV-specific mucosal and systemic humoral and cellular immune responses, changes in cytokine and chemokine measures, study acceptability and feasibility of mucosal sampling and a longitudinal assessment of the bacterial community composition of the mucosa. ETHICS AND DISSEMINATION: The study has ethical approval from Kenyatta National Hospital/University of Nairobi Ethics and Research Committee, the University of Toronto Research Ethics Board and by Kenyan Pharmacy and Poisons Board. Results will be presented at conferences, disseminated to participants and stakeholders as well as published in peer-reviewed journals.
Τύπος εγγράφου: article in journal/newspaper
Περιγραφή αρχείου: application/pdf
Γλώσσα: English
Relation: https://www.ncbi.nlm.nih.gov/pubmed/28939581; https://hdl.handle.net/11295/102067
Διαθεσιμότητα: https://hdl.handle.net/11295/102067
https://www.ncbi.nlm.nih.gov/pubmed/28939581
Rights: Attribution-NonCommercial-NoDerivs 3.0 United States ; http://creativecommons.org/licenses/by-nc-nd/3.0/us/
Αριθμός Καταχώρησης: edsbas.ECDA0654
Βάση Δεδομένων: BASE
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  – Url: https://hdl.handle.net/11295/102067#
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  Data: Protocol of a randomised controlled trial characterising the immune responses induced by varicella-zoster virus (VZV) vaccination in healthy Kenyan women: setting the stage for a potential VZV-based HIV vaccine.
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  Data: <searchLink fieldCode="AR" term="%22Perciani%2C+CT%22">Perciani, CT</searchLink><br /><searchLink fieldCode="AR" term="%22Jaoko%2C+W%22">Jaoko, W</searchLink><br /><searchLink fieldCode="AR" term="%22Walmsley%2C+S%22">Walmsley, S</searchLink><br /><searchLink fieldCode="AR" term="%22Farah%2C+B%22">Farah, B</searchLink><br /><searchLink fieldCode="AR" term="%22Mahmud%2C+SM%22">Mahmud, SM</searchLink><br /><searchLink fieldCode="AR" term="%22Ostrowski%2C+M%22">Ostrowski, M</searchLink><br /><searchLink fieldCode="AR" term="%22Anzala%2C+O%22">Anzala, O</searchLink><br /><searchLink fieldCode="AR" term="%22Team%2C+K%22">Team, K</searchLink><br /><searchLink fieldCode="AR" term="%22MacDonald%2C+KS%22">MacDonald, KS</searchLink>
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  Data: University of Nairobi
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  Data: 2017
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  Data: <searchLink fieldCode="DE" term="%22HIV+vaccine%22">HIV vaccine</searchLink><br /><searchLink fieldCode="DE" term="%22herpes+zoster%22">herpes zoster</searchLink><br /><searchLink fieldCode="DE" term="%22herpesviridae+infections%22">herpesviridae infections</searchLink><br /><searchLink fieldCode="DE" term="%22immune+activation%22">immune activation</searchLink><br /><searchLink fieldCode="DE" term="%22mucosal+immunity%22">mucosal immunity</searchLink><br /><searchLink fieldCode="DE" term="%22varicella-zoster+virus%22">varicella-zoster virus</searchLink><br /><searchLink fieldCode="DE" term="%22virus+diseases%22">virus diseases</searchLink>
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  Data: INTRODUCTION: A protective HIV vaccine would be expected to induce durable effector immune responses at the mucosa, restricting HIV infection at its portal of entry. We hypothesise that use of varicella-zoster virus (VZV) as an HIV delivery vector could generate sustained and robust tissue-based immunity against HIV antigens to provide long-term protection against HIV. Given that HIV uniquely targets immune-activated T cells, the development of human vaccines against HIV must also involve a specific examination of the safety of the vector. Thus, we aim to evaluate the effects of VZV vaccination on the recipients' immune activation state, and on VZV-specific circulating humoral and cellular responses in addition to those at the cervical and rectal mucosa. METHODS AND ANALYSIS: This open-label, randomised, longitudinal crossover study includes healthy Kenyan VZV-seropositive women at low risk for HIV infection. Participants receive a single dose of a commercial live-attenuated VZVOka vaccine at either week 0 (n=22) or at week 12 (n=22) of the study and are followed for 48 and 36 weeks postvaccination, respectively. The primary outcome is the change on cervical CD4+ T-cell immune activation measured by the coexpression of CD38 and HLA-DR 12 weeks postvaccination compared with the baseline (prevaccination). Secondary analyses include postvaccination changes in VZV-specific mucosal and systemic humoral and cellular immune responses, changes in cytokine and chemokine measures, study acceptability and feasibility of mucosal sampling and a longitudinal assessment of the bacterial community composition of the mucosa. ETHICS AND DISSEMINATION: The study has ethical approval from Kenyatta National Hospital/University of Nairobi Ethics and Research Committee, the University of Toronto Research Ethics Board and by Kenyan Pharmacy and Poisons Board. Results will be presented at conferences, disseminated to participants and stakeholders as well as published in peer-reviewed journals.
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  Data: https://www.ncbi.nlm.nih.gov/pubmed/28939581; https://hdl.handle.net/11295/102067
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RecordInfo BibRecord:
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    Languages:
      – Text: English
    Subjects:
      – SubjectFull: HIV vaccine
        Type: general
      – SubjectFull: herpes zoster
        Type: general
      – SubjectFull: herpesviridae infections
        Type: general
      – SubjectFull: immune activation
        Type: general
      – SubjectFull: mucosal immunity
        Type: general
      – SubjectFull: varicella-zoster virus
        Type: general
      – SubjectFull: virus diseases
        Type: general
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      – TitleFull: Protocol of a randomised controlled trial characterising the immune responses induced by varicella-zoster virus (VZV) vaccination in healthy Kenyan women: setting the stage for a potential VZV-based HIV vaccine.
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