MVA.85A boosting of BCG and an attenuated, phoP deficient M. tuberculosis vaccine both show protective efficacy against tuberculosis in rhesus macaques

Continuous high global tuberculosis (TB) mortality rates and variable vaccine efficacy of Mycobacterium bovis Bacille Calmette-Guérin (BCG) motivate the search for better vaccine regimes. Relevant models are required to downselect the most promising vaccines entering clinical efficacy testing and to...

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Veröffentlicht in:PloS one 2009-04, Vol.4 (4), p.e5264-e5264
Hauptverfasser: Verreck, Frank A W, Vervenne, Richard A W, Kondova, Ivanela, van Kralingen, Klaas W, Remarque, Edmond J, Braskamp, Gerco, van der Werff, Nicole M, Kersbergen, Ariena, Ottenhoff, Tom H M, Heidt, Peter J, Gilbert, Sarah C, Gicquel, Brigitte, Hill, Adrian V S, Martin, Carlos, McShane, Helen, Thomas, Alan W
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container_start_page e5264
container_title PloS one
container_volume 4
creator Verreck, Frank A W
Vervenne, Richard A W
Kondova, Ivanela
van Kralingen, Klaas W
Remarque, Edmond J
Braskamp, Gerco
van der Werff, Nicole M
Kersbergen, Ariena
Ottenhoff, Tom H M
Heidt, Peter J
Gilbert, Sarah C
Gicquel, Brigitte
Hill, Adrian V S
Martin, Carlos
McShane, Helen
Thomas, Alan W
description Continuous high global tuberculosis (TB) mortality rates and variable vaccine efficacy of Mycobacterium bovis Bacille Calmette-Guérin (BCG) motivate the search for better vaccine regimes. Relevant models are required to downselect the most promising vaccines entering clinical efficacy testing and to identify correlates of protection. Here, we evaluated immunogenicity and protection against Mycobacterium tuberculosis in rhesus monkeys with two novel strategies: BCG boosted by modified vaccinia virus Ankara expressing antigen 85A (MVA.85A), and attenuated M. tuberculosis with a disrupted phoP gene (SO2) as a single-dose vaccine. Both strategies were well tolerated, and immunogenic as evidenced by induction of specific IFNgamma responses. Antigen 85A-specific IFNgamma secretion was specifically increased by MVA.85A boosting. Importantly, both MVA.85A and SO2 treatment significantly reduced pathology and chest X-ray scores upon infectious challenge with M. tuberculosis Erdman strain. MVA.85A and SO2 treatment also showed reduced average lung bacterial counts (1.0 and 1.2 log respectively, compared with 0.4 log for BCG) and significant protective effect by reduction in C-reactive protein levels, body weight loss, and decrease of erythrocyte-associated hematologic parameters (MCV, MCH, Hb, Ht) as markers of inflammatory infection, all relative to non-vaccinated controls. Lymphocyte stimulation revealed Ag85A-induced IFNgamma levels post-infection as the strongest immunocorrelate for protection (spearman's rho: -0.60). Both the BCG/MVA.85A prime-boost regime and the novel live attenuated, phoP deficient TB vaccine candidate SO2 showed significant protective efficacy by various parameters in rhesus macaques. Considering the phylogenetic relationship between macaque and man and the similarity in manifestations of TB disease, these data support further development of these primary and combination TB vaccine candidates.
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Relevant models are required to downselect the most promising vaccines entering clinical efficacy testing and to identify correlates of protection. Here, we evaluated immunogenicity and protection against Mycobacterium tuberculosis in rhesus monkeys with two novel strategies: BCG boosted by modified vaccinia virus Ankara expressing antigen 85A (MVA.85A), and attenuated M. tuberculosis with a disrupted phoP gene (SO2) as a single-dose vaccine. Both strategies were well tolerated, and immunogenic as evidenced by induction of specific IFNgamma responses. Antigen 85A-specific IFNgamma secretion was specifically increased by MVA.85A boosting. Importantly, both MVA.85A and SO2 treatment significantly reduced pathology and chest X-ray scores upon infectious challenge with M. tuberculosis Erdman strain. MVA.85A and SO2 treatment also showed reduced average lung bacterial counts (1.0 and 1.2 log respectively, compared with 0.4 log for BCG) and significant protective effect by reduction in C-reactive protein levels, body weight loss, and decrease of erythrocyte-associated hematologic parameters (MCV, MCH, Hb, Ht) as markers of inflammatory infection, all relative to non-vaccinated controls. Lymphocyte stimulation revealed Ag85A-induced IFNgamma levels post-infection as the strongest immunocorrelate for protection (spearman's rho: -0.60). Both the BCG/MVA.85A prime-boost regime and the novel live attenuated, phoP deficient TB vaccine candidate SO2 showed significant protective efficacy by various parameters in rhesus macaques. 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This is an open-access article distributed under the terms of the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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Relevant models are required to downselect the most promising vaccines entering clinical efficacy testing and to identify correlates of protection. Here, we evaluated immunogenicity and protection against Mycobacterium tuberculosis in rhesus monkeys with two novel strategies: BCG boosted by modified vaccinia virus Ankara expressing antigen 85A (MVA.85A), and attenuated M. tuberculosis with a disrupted phoP gene (SO2) as a single-dose vaccine. Both strategies were well tolerated, and immunogenic as evidenced by induction of specific IFNgamma responses. Antigen 85A-specific IFNgamma secretion was specifically increased by MVA.85A boosting. Importantly, both MVA.85A and SO2 treatment significantly reduced pathology and chest X-ray scores upon infectious challenge with M. tuberculosis Erdman strain. MVA.85A and SO2 treatment also showed reduced average lung bacterial counts (1.0 and 1.2 log respectively, compared with 0.4 log for BCG) and significant protective effect by reduction in C-reactive protein levels, body weight loss, and decrease of erythrocyte-associated hematologic parameters (MCV, MCH, Hb, Ht) as markers of inflammatory infection, all relative to non-vaccinated controls. Lymphocyte stimulation revealed Ag85A-induced IFNgamma levels post-infection as the strongest immunocorrelate for protection (spearman's rho: -0.60). Both the BCG/MVA.85A prime-boost regime and the novel live attenuated, phoP deficient TB vaccine candidate SO2 showed significant protective efficacy by various parameters in rhesus macaques. 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Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Verreck, Frank A W</au><au>Vervenne, Richard A W</au><au>Kondova, Ivanela</au><au>van Kralingen, Klaas W</au><au>Remarque, Edmond J</au><au>Braskamp, Gerco</au><au>van der Werff, Nicole M</au><au>Kersbergen, Ariena</au><au>Ottenhoff, Tom H M</au><au>Heidt, Peter J</au><au>Gilbert, Sarah C</au><au>Gicquel, Brigitte</au><au>Hill, Adrian V S</au><au>Martin, Carlos</au><au>McShane, Helen</au><au>Thomas, Alan W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>MVA.85A boosting of BCG and an attenuated, phoP deficient M. tuberculosis vaccine both show protective efficacy against tuberculosis in rhesus macaques</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2009-04-15</date><risdate>2009</risdate><volume>4</volume><issue>4</issue><spage>e5264</spage><epage>e5264</epage><pages>e5264-e5264</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Continuous high global tuberculosis (TB) mortality rates and variable vaccine efficacy of Mycobacterium bovis Bacille Calmette-Guérin (BCG) motivate the search for better vaccine regimes. Relevant models are required to downselect the most promising vaccines entering clinical efficacy testing and to identify correlates of protection. Here, we evaluated immunogenicity and protection against Mycobacterium tuberculosis in rhesus monkeys with two novel strategies: BCG boosted by modified vaccinia virus Ankara expressing antigen 85A (MVA.85A), and attenuated M. tuberculosis with a disrupted phoP gene (SO2) as a single-dose vaccine. Both strategies were well tolerated, and immunogenic as evidenced by induction of specific IFNgamma responses. Antigen 85A-specific IFNgamma secretion was specifically increased by MVA.85A boosting. Importantly, both MVA.85A and SO2 treatment significantly reduced pathology and chest X-ray scores upon infectious challenge with M. tuberculosis Erdman strain. MVA.85A and SO2 treatment also showed reduced average lung bacterial counts (1.0 and 1.2 log respectively, compared with 0.4 log for BCG) and significant protective effect by reduction in C-reactive protein levels, body weight loss, and decrease of erythrocyte-associated hematologic parameters (MCV, MCH, Hb, Ht) as markers of inflammatory infection, all relative to non-vaccinated controls. Lymphocyte stimulation revealed Ag85A-induced IFNgamma levels post-infection as the strongest immunocorrelate for protection (spearman's rho: -0.60). Both the BCG/MVA.85A prime-boost regime and the novel live attenuated, phoP deficient TB vaccine candidate SO2 showed significant protective efficacy by various parameters in rhesus macaques. Considering the phylogenetic relationship between macaque and man and the similarity in manifestations of TB disease, these data support further development of these primary and combination TB vaccine candidates.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>19367339</pmid><doi>10.1371/journal.pone.0005264</doi><tpages>e5264</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
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1932-6203
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subjects Acyltransferases - immunology
Animal sciences
Animals
Antigens
Antigens, Bacterial - immunology
Attenuation
Bacillus Calmette-Guerin vaccine
Bacteria
Bacterial Proteins - genetics
BCG
BCG Vaccine - immunology
Biomarkers - blood
Biosynthesis
Body weight
Body weight loss
C-reactive protein
Clinical trials
Colony Count, Microbial
Disease
Effectiveness
Genomes
Health aspects
Identification methods
Immunogenicity
Immunology
Immunology/Immunity to Infections
Infections
Infectious Diseases
Infectious Diseases/Bacterial Infections
Infectious Diseases/Respiratory Infections
Inflammation
Inflammation - blood
Interferon-gamma - secretion
Lung - diagnostic imaging
Lung - pathology
Lungs
Lymphocytes
Macaca fascicularis
Macaca mulatta
Male
Monkeys
Monkeys & apes
Mycobacterium bovis
Mycobacterium bovis - immunology
Mycobacterium tuberculosis
Mycobacterium tuberculosis - immunology
Parasitology
Phylogeny
Radiography
Sulfur dioxide
Treatment Outcome
Tuberculosis
Tuberculosis - immunology
Tuberculosis - microbiology
Tuberculosis - prevention & control
Tuberculosis vaccines
Tuberculosis Vaccines - immunology
Vaccination
Vaccine efficacy
Vaccines
Vaccines, Attenuated - immunology
Vaccines, DNA - immunology
Vaccinia virus
Vaccinia virus - immunology
Viruses
Weight reduction
Zoology
γ-Interferon
title MVA.85A boosting of BCG and an attenuated, phoP deficient M. tuberculosis vaccine both show protective efficacy against tuberculosis in rhesus macaques
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