丙肝疫苗研究的困惑与希望

约80％的非甲非乙型肝炎为丙型肝炎病毒(HCV)所致。与甲肝、乙肝不同的是,约有60％的丙肝呈慢性化,且容易发生肝硬化,并与肝细胞肝癌关系密切”,危害很大。长期以来,对丙肝的治疗一直悬而未决。近几年采用基因工程产物IFN-α、IFN-β等治疗,但很不理想。因此对丙肝的预防很重要。除了加强对抗-HCV及HCV RNA的检测外,人们已注意到HCV疫苗,但由于多种因素的影响,该疫苗的研制并不顺利。本文着重就HCV疫苗研制中所存在的问题及     

丙型肝炎病毒疫苗的研究进展

丙型肝炎是由丙型肝炎病毒(HCV)感染引起的重要传染病,有效的治疗性和预防性疫苗目前均尚未研制成功.HCV的高变异性及多种免疫逃避途径是疫苗研制的主要障碍.目前,已有多种类型的HCV候选疫苗进入临床试验或临床前期试验阶段,但其有效性、安全性等还不能令人满意.随着对HCV相关免疫应答机制的深入了解,有望研制出相应的治疗性和预防性疫苗.     

丙型肝炎病毒疫苗的评价及研究进展

丙型肝炎病毒(hepatitis C virus,HCV)感染导致全球严重的疾病负担。虽然相关疾病的治疗药物已取得了突破性进展,但高昂的价格使得用药覆盖率成为难题。疫苗是控制HCV感染相关疾病的根本途径。现就HCV疫苗的评价及研究进展作一概述。     

丙型肝炎病毒细胞和动物模型的研究进展

丙型肝炎病毒(HCV)是造成慢性肝炎、肝硬化及肝癌的重要病因之一,目前全世界约1.7亿人感染HCV.HCV的自然宿主范围很窄,由于缺少有效的HCV细胞培养系统和小动物模型,人们对其生活周期、作用机制等仍不是很清楚,从而严重阻碍了HCV疫苗及治疗药物的开发与研制.我们简要综述了近几年在HCV细胞和动物模型方面的进展,同时...     

表达丙型肝炎病毒(HCV)截短型NS3与core融合抗原的重组腺病毒疫苗在小鼠中的免疫原性与保护效果分析

为研发安全广谱有效的丙型肝炎病毒(Hepatitis C virus,HCV)T细胞疫苗,本研究构建了表达HCV截短型非结构蛋白3(Nonstructural protein 3,NS3)与核心蛋白(core)融合抗原的重组腺病毒疫苗。体外免疫荧光及蛋白印迹实验表明该融合抗原可有效表达;小鼠免疫结果表明该重组腺病毒疫苗除了激发抗原特异的抗体反应外,还可激发较强的针对NS3抗原特异的T细胞免疫应答。该T细胞免疫应答主要表现为IFN-γ+与TNF-α+CD4+T细胞亚群。采用异型(JFH1,2a型)HCV重组痘病毒接种小鼠进行保护效果分析,与对照组相比,表达截短型NS3与core融合抗原的重组腺病毒疫苗2针免疫后可产生明显的交叉免疫保护。本研究为进一步研究HCV免疫保护机制及新型疫苗研制提供了参考。     

丙型肝炎病毒E2蛋白的研究进展

HCV E2包膜糖蛋白是HCV的结构蛋白之一,具有重要的受体结合位点和抗原表位,在病毒感染和宿主免疫过程中起着十分重要的作用,也是目前疫苗研究的热点。其分子和功能特性的研究对HCV作用机制及预防和治疗的研究有重要意义。近年来,该领域的研究取得一定进展。本文综述了E2蛋白基本结构及其受体,机体的免疫应答及其在疫苗研制方面的研究。     

丙型肝炎病毒囊膜蛋白基因DNA疫苗的构建及动物免疫试验

丙型肝炎病毒(Hepatitis C virus,HCV)主要通过输血传播,可以导致多种临床型的肝炎及其它肝脏疾病,包括肝硬化及肝细胞癌[1,2].目前尚无一种有效的抗HCV的措施,这使人们把眼光放到该病的预防上,DNA疫苗的产生为研制丙型肝炎(丙肝)的预防及治疗性疫苗提供了新的思路.     

融合表达DEC205单链抗体和NS3蛋白的HCV DNA疫苗的免疫原性研究

为研发新型HCV DNA疫苗并探讨优化其免疫原性的策略,我们分析靶向树突状细胞(Dendritic cells,DC)的分子对HCV DNA疫苗免疫原性的影响。我们基于抗小鼠DC细胞表面分子DEC205/CD205的单克隆抗体DEC205的单链分子,构建可单独表达DEC205单链抗体或者与HCV非结构蛋白NS3融合表达的DNA表达质粒,并构建单独表达HCV非结构蛋白NS3的DNA表达质粒;经瞬时转染法鉴定HCV NS3及其与DEC205单链抗体融合蛋白的表达;随后采用注射结合电转的方式免疫Balb/C小鼠并研究各疫苗的体液(NS3特异性IgG抗体)与细胞免疫(IFN-γELISPOT)效果。结果表明:DEC205单链抗体基因与HCV NS3编码基因的融合可显著增强NS3特异的免疫应答;采用皮内注射加卡钳电极电转的方式可以产生最强的NS3特异性抗体和T细胞免疫反应。因此,通过DEC205单链抗体与HCV DNA疫苗靶抗原融合可明显增强免疫应答效果。该策略为HCV及其他类似病原的新型DNA疫苗研制提供重要依据。     

艾滋病疫苗的研制进展

1990年10月,由美国国家过敏和感染疾病研制所(NIAID)组织邀请有关专家参加艾滋病(AIDS)疫苗研制进展的国际会议。该研究所艾滋病疫苗研制室主任W.C.Koff教授在1991年第2期《美国微生物学会会讯》撰文介绍了这次会议有关艾滋病疫苗研制进展并提出了加快疫苗研制的战略。     

口服型HCV融合抗原DNA疫苗在小鼠诱导免疫应答

将编码一个外源信号肽、一个通用型辅助性T淋巴细胞抗原表位和HCV核心 包膜蛋白E2融合抗原基因的真核表达质粒pST CE2t(DNA疫苗 )转化到减毒鼠伤寒沙门菌SL72 0 7.将该重组菌口服接种BALB c小鼠 3次 .小鼠的抗HCV核心和E2抗体阳转率分别达 6 0 %和 70 % .体外以重组HCV核心或E2抗原刺激小鼠脾细胞 ,均使之发生明显的增殖反应 ,且小鼠脾细胞能有效杀伤表达HCV核心抗原的同系骨髓瘤细胞SP2 0 .这为研制高效免疫、成本低廉、接种方便的HCV疫苗提供了一个新的可行途径     

丙型肝炎病毒（HCV）实验性疫苗的研究进展

丙型肝炎病毒是引起输血相关肝炎及慢性肝炎、肝硬化、肝癌的主要病原,目前尚无有效的治疗与预防手段。本文将综述HCV感染所引起的机体免疫应答及近年来实验性疫苗（主要是DNA疫苗、病毒载体疫苗及联合疫苗）的研究进展。     

Challenges for development of hepatitis C virus vaccines

Abstract: Impediments to the development of a hepatitis C virus (HCV) vaccine are reviewed. Foremost is the perception that the limited transmissability of HCV, and reduced spread by blood-associated routes, make this a low priority target. It is argued that such a vaccine may have an important therapeutic use in the treatment of chronic HCV carriers of which an estimated 30 million exist worldwide. An HCV vaccine would also have prophylactic use in multivalent (hepatitis) vaccines, and in the developing world. An effective HCV vaccine vaccine will not be easy to develop. The high variability of the viral proteins, especially that of the envelope proteins, provide a major challenge. The association of HCV with very low density lipoproteins renders a major proportion of the virions non-neutralizable, a further challenge. It may be necessary to design an HCV vaccine which acts primarily through the generation of cytotoxic lymphocytes reactive with conserved epitopes displayed on the surface of infected cells.     

Broadly neutralizing antibodies protect against hepatitis C virus quasispecies challenge

A major problem in hepatitis C virus (HCV) immunotherapy or vaccine design is the extreme variability of the virus. We identified human monoclonal antibodies (mAbs) that neutralize genetically diverse HCV isolates and protect against heterologous HCV quasispecies challenge in a human liver-chimeric mouse model. The results provide evidence that broadly neutralizing antibodies to HCV protect against heterologous viral infection and suggest that a prophylactic vaccine against HCV may be achievable.     

A Hepatitis C Virus (HCV) Vaccine Comprising Envelope Glycoproteins gpE1/gpE2 Derived from a Single Isolate Elicits Broad Cross-Genotype Neutralizing Antibodies in Humans

Although a cure for HCV is on the near horizon, emerging drug cocktails will be expensive, associated with side-effects and resistance making a global vaccine an urgent priority given the estimated high incidence of infection around the world. Due to the highly heterogeneous nature of HCV, an effective HCV vaccine which could elicit broadly cross-neutralizing antibodies has represented a major challenge. In this study, we tested for the presence of cross-neutralizing antibodies in human volunteers who were immunized with recombinant glycoproteins gpE1/gpE2 derived from a single HCV strain (HCV1 of genotype 1a). Cross neutralization was tested in Huh-7.5 human hepatoma cell cultures using infectious recombinant HCV (HCVcc) expressing structural proteins of heterologous HCV strains from all known major genotypes, 1–7. Vaccination induced significant neutralizing antibodies against heterologous HCV genotype 1a virus which represents the most common genotype in North America. Of the 16 vaccinees tested, 3 were selected on the basis of strong 1a virus neutralization for testing of broad cross-neutralizing responses. At least 1 vaccinee was shown to elicit broad cross-neutralization against all HCV genotypes. Although observed in only a minority of vaccinees, our results prove the key concept that a vaccine derived from a single strain of HCV can elicit broad cross-neutralizing antibodies against all known major genotypes of HCV and provide considerable encouragement for the further development of a human vaccine against this common, global pathogen.     

Lettuce‐produced hepatitis C virus E1E2 heterodimer triggers immune responses in mice and antibody production after oral vaccination

The hepatitis C virus (HCV) is a major etiologic agent for severe liver diseases (e.g. cirrhosis, fibrosis and hepatocellular carcinoma). Approximately 140 million people have chronic HCV infections and about 500 000 die yearly from HCV‐related liver pathologies. To date, there is no licensed vaccine available to prevent HCV infection and production of a HCV vaccine remains a major challenge. Here, we report the successful production of the HCV E1E2 heterodimer, an important vaccine candidate, in an edible crop (lettuce, Lactuca sativa) using Agrobacterium‐mediated transient expression technology. The wild‐type dimer (E1E2) and a variant without an N‐glycosylation site in the E2 polypeptide (E1E2?N6) were expressed, and appropriate N‐glycosylation pattern and functionality of the E1E2 dimers were demonstrated. The humoral immune response induced by the HCV proteins was investigated in mice following oral administration of lettuce antigens with or without previous intramuscular prime with the mammalian HEK293T cell‐expressed HCV dimer. Immunization by oral feeding only resulted in development of weak serum levels of anti‐HCV IgM for both antigens; however, the E1E2?N6 proteins produced higher amounts of secretory IgA, suggesting improved immunogenic properties of the N‐glycosylation mutant. The mice group receiving the intramuscular injection followed by two oral boosts with the lettuce E1E2 dimer developed a systemic but also a mucosal immune response, as demonstrated by the presence of anti‐HCV secretory IgA in faeces extracts. In summary, our study demonstrates the feasibility of producing complex viral antigens in lettuce, using plant transient expression technology, with great potential for future low‐cost oral vaccine development.     

丙型肝炎病毒多表位DNA疫苗的研究进展

丙型肝炎病毒（hepatitis C virus,HCV）是非甲非乙型肝炎的主要病原,目前还没有有效的预防和治疗手段。多表位DNA疫苗(multi-epitope DNA vaccine, minigenes/epigenes)是指通过筛选与组合优势抗原表位(包括T细胞、B细胞表位)基因,以能产生高效细胞、体液免疫应答进而清除HCV病毒为目的的新型核酸疫苗。其优势在于通过选择最具免疫保护潜力的表位以覆盖尽量多的病毒亚型和诱导全面的机体抗病毒免疫应答,并尽量减少无关、干扰和抑制序列可能产生的负面影响。本文介绍近年来国内外在丙型肝炎多表位DNA疫苗方面的研究进展,并展望了其发展方向。     

Enhancement of immunoglobulin G2a and cytotoxic T-lymphocyte responses by a booster immunization with recombinant hepatitis C virus E2 protein in E2 DNA-primed mice

The induction of strong cytotoxic T-lymphocyte (CTL) and humoral responses appear to be essential for the elimination of persistently infecting viruses, such as hepatitis C virus (HCV). Here, we tested several vaccine regimens and demonstrate that a combined vaccine regimen, consisting of HCV E2 DNA priming and boosting with recombinant E2 protein, induces the strongest immune responses to HCV E2 protein. This combined vaccine regimen augments E2-specific immunoglobulin G2a (IgG2a) and CD8(+) CTL responses to a greater extent than immunizations with recombinant E2 protein and E2 DNA alone, respectively. In addition, the data showed that a protein boost following one DNA priming was also effective, but much less so than those following two DNA primings. These data indicate that sufficient DNA priming is essential for the enhancement of DNA encoded antigen-specific immunity by a booster immunization with recombinant E2 protein. Furthermore, the enhanced CD8(+) CTL and IgG2a responses induced by our combined vaccine regimens are closely associated with the protection of BALB/c mice from challenge with modified CT26 tumor cells expressing HCV E2 protein. Together, our results provide important implications for vaccine development for many pathogens, including HCV, which require strong antibody and CTL responses.     

研究HCV感染及发病机制的小动物模型

丙型肝炎病毒（HCV）可导致慢性肝炎,在全球约有1.8亿人感染。当前对于HCV的预防和治疗手段是很有限的,没有有效的疫苗,临床使用干扰素和利巴韦林联用有效率只有55%,而且有明显副作用,因而HCV感染的小动物模型对于抗HCV药物开发以及HCV发病机制的研究是非常重要的;但是HCV只感染人和黑猩猩,存在天然的物种限制。重点介绍利用三种方法克服物种屏障,开发小鼠感染HCV模型的进展,以及转HCV基因小鼠模型前景。     

Hepatitis C Virus E1 and E2 Proteins Used as Separate Immunogens Induce Neutralizing Antibodies with Additive Properties

Various strategies involving the use of hepatitis C virus (HCV) E1 and E2 envelope glycoproteins as immunogens have been developed for prophylactic vaccination against HCV. However, the ideal mode of processing and presenting these immunogens for effective vaccination has yet to be determined. We used our recently described vaccine candidate based on full-length HCV E1 or E2 glycoproteins fused to the heterologous hepatitis B virus S envelope protein to compare the use of the E1 and E2 proteins as separate immunogens with their use as the E1E2 heterodimer, in terms of immunogenetic potential and the capacity to induce neutralizing antibodies. The specific anti-E1 and anti-E2 antibody responses induced in animals immunized with vaccine particles harboring the heterodimer were profoundly impaired with respect to those in animals immunized with particles harboring E1 and E2 separately. Moreover, the anti-E1 and anti-E2 antibodies had additive neutralizing properties that increase the cross-neutralization of heterologous strains of various HCV genotypes, highlighting the importance of including both E1 and E2 in the vaccine for an effective vaccination strategy. Our study has important implications for the optimization of HCV vaccination strategies based on HCV envelope proteins, regardless of the platform used to present these proteins to the immune system.