Adenovirus vector-based multi-epitope vaccine provides partial protection against H5, H7, and H9 avian influenza viruses

The emergence of H5, H7, and H9 avian influenza virus subtypes in humans reveals their pandemic potential. Although human-to-human transmission has been limited, the genetic reassortment of the avian and human/porcine influenza viruses or mutations in some of the genes resulting in virus replication in the upper respiratory tract of humans could generate novel pandemic influenza viruses. Current vaccines do not provide cross protection against antigenically distinct strains of the H5, H7, and H9 influenza viruses. Therefore, newer vaccine approaches are needed to overcome these potential threats. We developed an egg-independent, adenovirus vector-based, multi-epitope (ME) vaccine approach using the relatively conserved immunogenic domains of the H5N1 influenza virus [M2 ectodomain (M2e), hemagglutinin (HA) fusion domain (HFD), T-cell epitope of nucleoprotein (TNP). and HA α-helix domain (HαD)]. Our ME vaccine induced humoral and cell-mediated immune responses and caused a significant reduction in the viral loads in the lungs of vaccinated mice that were challenged with antigenically distinct H5, H7, or H9 avian influenza viruses. These results suggest that our ME vaccine approach provided broad protection against the avian influenza viruses. Further improvement of this vaccine will lead to a pre-pandemic vaccine that may lower morbidity, hinder transmission, and prevent mortality in a pandemic situation before a strain-matched vaccine becomes available.

[1]  W. Cao,et al.  A highly immunogenic vaccine against A/H7N9 influenza virus. , 2016, Vaccine.

[2]  I. Wilson,et al.  Preferential Recognition of Avian-Like Receptors in Human Influenza A H7N9 Viruses , 2013, Science.

[3]  K. Subbarao,et al.  H5N1 vaccines in humans. , 2013, Virus Research.

[4]  H. Son,et al.  The highly conserved HA2 protein of the influenza A virus induces a cross protective immune response. , 2013, Journal of virological methods.

[5]  D. Burke,et al.  Limited airborne transmission of influenza A/H7N9 virus between ferrets , 2013, Nature.

[6]  Ke Xu,et al.  Probable person to person transmission of novel avian influenza A (H7N9) virus in Eastern China, 2013: epidemiological investigation , 2013, BMJ.

[7]  Y. Guan,et al.  Infectivity, Transmission, and Pathology of Human-Isolated H7N9 Influenza Virus in Ferrets and Pigs , 2013, Science.

[8]  Jie Dong,et al.  Human Infection with a Novel Avian-Origin Influenza A (H7N9) Virus. , 2018 .

[9]  R. Donis,et al.  Broadly Protective Adenovirus-Based Multivalent Vaccines against Highly Pathogenic Avian Influenza Viruses for Pandemic Preparedness , 2013, PloS one.

[10]  R. Webby,et al.  Safety and immunogenicity of an oral, replicating adenovirus serotype 4 vector vaccine for H5N1 influenza: a randomised, double-blind, placebo-controlled, phase 1 study , 2013, The Lancet. Infectious diseases.

[11]  K. Kedzierska,et al.  Nucleoprotein of influenza A virus is a major target of immunodominant CD8+ T‐cell responses , 2013, Immunology and cell biology.

[12]  F. Kostolanský,et al.  Epitope specificity of anti‐HA2 antibodies induced in humans during influenza infection , 2012, Influenza and other respiratory viruses.

[13]  R. Hai,et al.  Hemagglutinin Stalk-Reactive Antibodies Are Boosted following Sequential Infection with Seasonal and Pandemic H1N1 Influenza Virus in Mice , 2012, Journal of Virology.

[14]  Theo M Bestebroer,et al.  Airborne Transmission of Influenza A/H5N1 Virus Between Ferrets , 2012, Science.

[15]  P. Palese,et al.  A Pan-H1 Anti-Hemagglutinin Monoclonal Antibody with Potent Broad-Spectrum Efficacy In Vivo , 2012, Journal of Virology.

[16]  R. Donis,et al.  Impact of Preexisting Adenovirus Vector Immunity on Immunogenicity and Protection Conferred with an Adenovirus-Based H5N1 Influenza Vaccine , 2012, PloS one.

[17]  Gabriele Neumann,et al.  Experimental adaptation of an influenza H5 haemagglutinin (HA) confers respiratory droplet transmission to a reassortant H5 HA/H1N1 virus in ferrets , 2012, Nature.

[18]  R. Couch,et al.  Evaluation of age-related differences in the immunogenicity of a G9 H9N2 influenza vaccine. , 2011, Vaccine.

[19]  F. E. Lee,et al.  Antibodies Against Conserved Antigens Provide Opportunities for Reform in Influenza Vaccine Design , 2011, Front. Immun..

[20]  A. García-Sastre,et al.  Influenza A viruses: new research developments , 2011, Nature Reviews Microbiology.

[21]  A. Fauci,et al.  Induction of unnatural immunity: prospects for a broadly protective universal influenza vaccine , 2010, Nature Medicine.

[22]  D. Ekiert,et al.  Vaccination with a synthetic peptide from the influenza virus hemagglutinin provides protection against distinct viral subtypes , 2010, Proceedings of the National Academy of Sciences.

[23]  S. Mittal,et al.  Production of adenovirus vectors and their use as a delivery system for influenza vaccines , 2010, Expert opinion on biological therapy.

[24]  G. Nabel,et al.  Induction of Broadly Neutralizing H1N1 Influenza Antibodies by Vaccination , 2010, Science.

[25]  R. Varadarajan,et al.  Design of an HA2-based Escherichia coli expressed influenza immunogen that protects mice from pathogenic challenge , 2010, Proceedings of the National Academy of Sciences.

[26]  John Steel,et al.  Influenza Virus Vaccine Based on the Conserved Hemagglutinin Stalk Domain , 2010, mBio.

[27]  Shibo Jiang,et al.  Research and development of universal influenza vaccines. , 2010, Microbes and infection.

[28]  R. Vemulapalli,et al.  Evaluation of Cross-Reactive Cell-Mediated Immune Responses among Human, Bovine and Porcine Adenoviruses , 2010, Gene Therapy.

[29]  C. Bridges,et al.  Past, Present, and Possible Future Human Infection with Influenza Virus A Subtype H7 , 2009, Emerging infectious diseases.

[30]  Gira Bhabha,et al.  Antibody Recognition of a Highly Conserved Influenza Virus Epitope , 2009, Science.

[31]  T. Tumpey,et al.  The public health impact of avian influenza viruses. , 2009, Poultry science.

[32]  W. Fiers,et al.  Universal M2 ectodomain-based influenza A vaccines: preclinical and clinical developments , 2009, Expert review of vaccines.

[33]  I. Donatelli,et al.  A phase I clinical trial of a PER.C6 cell grown influenza H7 virus vaccine. , 2009, Vaccine.

[34]  P. Tien,et al.  Enhanced protective immunity against H5N1 influenza virus challenge by vaccination with DNA expressing a chimeric hemagglutinin in combination with an MHC class I-restricted epitope of nucleoprotein in mice. , 2009, Antiviral research.

[35]  J. Shiver,et al.  Comparative immunogenicity evaluations of influenza A virus M2 peptide as recombinant virus like particle or conjugate vaccines in mice and monkeys. , 2009, Vaccine.

[36]  John Sidney,et al.  Immunomic Analysis of the Repertoire of T-Cell Specificities for Influenza A Virus in Humans , 2008, Journal of Virology.

[37]  W. Fiers,et al.  An Influenza A Vaccine Based on Tetrameric Ectodomain of Matrix Protein 2* , 2008, Journal of Biological Chemistry.

[38]  Y. Matsuoka,et al.  A broadly protective vaccine against globally dispersed clade 1 and clade 2 H5N1 influenza viruses. , 2008, The Journal of infectious diseases.

[39]  J. Katz,et al.  New Pre‐pandemic Influenza Vaccines: An Egg‐ and Adjuvant‐independent Human Adenoviral Vector Strategy Induces Long‐lasting Protective Immune Responses in Mice , 2007, Clinical pharmacology and therapeutics.

[40]  Xiaopei Huang,et al.  Innate Immune Response to Adenoviral Vectors Is Mediated by both Toll-Like Receptor-Dependent and -Independent Pathways , 2007, Journal of Virology.

[41]  R. Couch,et al.  Safety and immunogenicity of nonadjuvanted and MF59-adjuvanted influenza A/H9N2 vaccine preparations. , 2006, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[42]  Wentao Gao,et al.  Protection of Mice and Poultry from Lethal H5N1 Avian Influenza Virus through Adenovirus-Based Immunization , 2006, Journal of Virology.

[43]  J. Katz,et al.  Development of adenoviral-vector-based pandemic influenza vaccine against antigenically distinct human H5N1 strains in mice , 2006, The Lancet.

[44]  P. Doherty,et al.  Cell-mediated Protection in Influenza Infection , 2006, Emerging infectious diseases.

[45]  G. Nabel,et al.  Protection against multiple influenza A subtypes by vaccination with highly conserved nucleoprotein. , 2005, Vaccine.

[46]  S. Mittal,et al.  Development of nonhuman adenoviruses as vaccine vectors , 2005, Vaccine.

[47]  C. Elmets,et al.  Safety and immunogenicity of adenovirus-vectored nasal and epicutaneous influenza vaccines in humans. , 2005, Vaccine.

[48]  M. Kinch,et al.  Decreased tumorigenic potential of EphA2-overexpressing breast cancer cells following treatment with adenoviral vectors that express EphrinA1 , 2004, Cancer Gene Therapy.

[49]  M. Tang,et al.  Protection of weaned pigs by vaccination with human adenovirus 5 recombinant viruses expressing the hemagglutinin and the nucleoprotein of H3N2 swine influenza virus. , 2004, Vaccine.

[50]  J. Shiver,et al.  Preclinical study of influenza virus A M2 peptide conjugate vaccines in mice, ferrets, and rhesus monkeys. , 2004, Vaccine.

[51]  W. Fiers,et al.  A "universal" human influenza A vaccine. , 2004, Virus research.

[52]  Marion Koopmans,et al.  Avian influenza A virus (H7N7) associated with human conjunctivitis and a fatal case of acute respiratory distress syndrome. , 2004, Proceedings of the National Academy of Sciences of the United States of America.

[53]  L. M. Albright Vectors , 2003, Current protocols in molecular biology.

[54]  P. Doherty,et al.  Differential Antigen Presentation Regulates the Changing Patterns of CD8+ T Cell Immunodominance in Primary and Secondary Influenza Virus Infections , 2003, The Journal of experimental medicine.

[55]  Maria Zambon,et al.  Boosting immunity to influenza H5N1 with MF59-adjuvanted H5N3 A/Duck/Singapore/97 vaccine in a primed human population. , 2003, Vaccine.

[56]  A. V. van Olphen,et al.  Development and Characterization of Bovine × Human Hybrid Cell Lines That Efficiently Support the Replication of both Wild-Type Bovine and Human Adenoviruses and Those with E1 Deleted , 2002, Journal of Virology.

[57]  L. Brown,et al.  Induction of Long-Term Memory CD8+ T Cells for Recall of Viral Clearing Responses against Influenza Virus , 2002, Journal of Virology.

[58]  M. Zambon,et al.  Safety and antigenicity of non-adjuvanted and MF59-adjuvanted influenza A/Duck/Singapore/97 (H5N3) vaccine: a randomised trial of two potential vaccines against H5N1 influenza , 2001, The Lancet.

[59]  M. Peiris,et al.  Human infection with influenza H9N2 , 1999, The Lancet.

[60]  Y. Guo,et al.  [Discovery of men infected by avian influenza A (H9N2) virus]. , 1999, Zhonghua shi yan he lin chuang bing du xue za zhi = Zhonghua shiyan he linchuang bingduxue zazhi = Chinese journal of experimental and clinical virology.

[61]  F. Graham,et al.  High-efficiency Cre/loxp based system for construction of adenovirus vectors , 1999 .

[62]  L. Babiuk,et al.  Pathogenesis and immunogenicity of bovine adenovirus type 3 in cotton rats (Sigmodon hispidus). , 1995, Virology.

[63]  J. Ulmer,et al.  Heterologous protection against influenza by injection of DNA encoding a viral protein. , 1993, Science.

[64]  B. Moss,et al.  Influenza A virus nucleoprotein is a major target antigen for cross-reactive anti-influenza A virus cytotoxic T lymphocytes. , 1985, Proceedings of the National Academy of Sciences of the United States of America.

[65]  J. Skehel,et al.  The influenza A virus nucleoprotein gene controls the induction of both subtype specific and cross-reactive cytotoxic T cells , 1984, The Journal of experimental medicine.

[66]  J. Skehel,et al.  Recognition of influenza A virus nucleoprotein by an H-2-restricted cytotoxic T-cell clone. , 1984, Virology.

[67]  R. Webster,et al.  Localization, synthesis, and activity of an antigenic site on influenza virus hemagglutinin. , 1983, Proceedings of the National Academy of Sciences of the United States of America.

[68]  C. Dolea,et al.  World Health Organization , 1949, International Organization.

[69]  H. Frost,et al.  The American Journal of Hygiene , 1920, Science.

[70]  F. Kostolanský,et al.  Heterosubtypic protective immunity against influenza A virus induced by fusion peptide of the hemagglutinin in comparison to ectodomain of M2 protein. , 2011, Acta virologica.

[71]  J. Shiver,et al.  Pharmaceutical and immunological evaluation of human papillomavirus viruslike particle as an antigen carrier. , 2006, Journal of pharmaceutical sciences.

[72]  T. Kuiken,et al.  Avian influenza A virus (H7N7) associated with human conjunctivitis and a fatal case of acute respiratory distress syndrome. , 2004, Proceedings of the National Academy of Sciences of the United States of America.

[73]  W Chen,et al.  Dissecting the multifactorial causes of immunodominance in class I-restricted T cell responses to viruses. , 2000, Immunity.

[74]  T. Teyler Of Mice and Monkeys. , 1971 .

[75]  in in Humans. , 2021 .