Perreau Matthieu, Kremer Eric J
IGMM CNRS 5535, IFR 122, 34293 Montpellier, France.
J Virol. 2005 Dec;79(23):14595-605. doi: 10.1128/JVI.79.23.14595-14605.2005.
Multiple human adenovirus (HAd) infections during childhood generate a memory T-cell (T(M)) response, which is the primary defense against HAd-induced morbidity. This cellular memory creates a conundrum for the potential clinical use of HAd-derived vectors: vector-mediated gene transfer is efficient in immunologically naïve mammals but will be compromised by memory immunity when using vectors derived from ubiquitous human pathogens. The potential lack of cellular and humoral memory is one reason we developed vectors from canine adenovirus serotype 2 (CAV-2). Here, we assayed human peripheral blood mononuclear cells for a T(M) response that could be stimulated by CAV-2 virion and individual capsid proteins. We found that less than half of the donors harbored a proliferating T(M) response directed against the CAV-2 virion (versus >85% against HAd5) in spite of a conserved antigenic Adenoviridae epitope in the CAV-2 hexon. When CAV-2 induced proliferation, it was 2.3- to >10-fold lower than HAd5 depending on the assay. The primary proliferating cells appeared to be memory (CD45RO+) CD4+ lymphocytes, differentiated into Th1 gamma interferon-producing cells, with a frequency that was up to 66-fold lower than that obtained for HAd5. We also compared CAV-2 to prototype HAd from five of the six human species and found that CAV-2-induced cellular proliferation was similar to that found with rare HAd serotypes. Individual CAV-2 capsid proteins also induced less proliferation than their HAd5 homologues. Our data suggest that CAV-2 vectors may be safer (i.e., less immunogenic) for gene transfer but are not without a theoretical risk in a subset of potential patients.
儿童期多次感染人腺病毒(HAd)会产生记忆性T细胞(T(M))应答,这是抵御HAd所致发病的主要防御机制。这种细胞记忆给HAd衍生载体的潜在临床应用带来了难题:载体介导的基因转移在免疫未成熟的哺乳动物中效率很高,但使用源自普遍存在的人类病原体的载体时,会受到记忆性免疫的影响。细胞和体液记忆的潜在缺失是我们开发犬腺病毒2型(CAV-2)载体的原因之一。在此,我们检测了人外周血单个核细胞对CAV-2病毒体和单个衣壳蛋白刺激产生的T(M)应答。我们发现,尽管CAV-2六邻体中存在保守的腺病毒科抗原表位,但不到一半的供体具有针对CAV-2病毒体的增殖性T(M)应答(相比之下,针对HAd5的应答>85%)。根据检测方法的不同,当CAV-2诱导增殖时,其增殖水平比HAd5低2.3至>10倍。主要的增殖细胞似乎是记忆性(CD45RO+)CD4+淋巴细胞,分化为产生γ干扰素的Th1细胞,其频率比HAd5低多达66倍。我们还将CAV-2与六种人类腺病毒原型中的五种进行了比较,发现CAV-2诱导的细胞增殖与罕见HAd血清型相似。单个CAV-2衣壳蛋白诱导的增殖也比其HAd5同源物少。我们的数据表明,CAV-2载体在基因转移方面可能更安全(即免疫原性更低),但在一部分潜在患者中并非没有理论风险。