Ontology highlight
ABSTRACT: Background
Increasing the breadth of human immunodeficiency virus type 1 (HIV-1) vaccine-elicited immune responses or targeting conserved regions may improve coverage of circulating strains. HIV Vaccine Trials Network 083 tested whether cellular immune responses with these features are induced by prime-boost strategies, using heterologous vectors, heterologous inserts, or a combination of both.Methods
A total of 180 participants were randomly assigned to receive combinations of adenovirus vectors (Ad5 or Ad35) and HIV-1 envelope (Env) gene inserts (clade A or B) in a prime-boost regimen.Results
T-cell responses to heterologous and homologous insert regimens targeted a similar number of epitopes (ratio of means, 1.0; 95% confidence interval [CI], .6-1.6; P = .91), but heterologous insert regimens induced significantly more epitopes that were shared between EnvA and EnvB than homologous insert regimens (ratio of means, 2.7; 95% CI, 1.2-5.7; P = .01). Participants in the heterologous versus homologous insert groups had T-cell responses that targeted epitopes with greater evolutionary conservation (mean entropy [±SD], 0.32 ± 0.1 bits; P = .003), and epitopes recognized by responders provided higher coverage (49%; P = .035). Heterologous vector regimens had higher numbers of total, EnvA, and EnvB epitopes than homologous vector regimens (P = .02, .044, and .045, respectively).Conclusions
These data demonstrate that vaccination with heterologous insert prime boosting increased T-cell responses to shared epitopes, while heterologous vector prime boosting increased the number of T-cell epitopes recognized.Clinical trials registration
NCT01095224.
SUBMITTER: Walsh SR
PROVIDER: S-EPMC4721914 | biostudies-literature | 2016 Feb
REPOSITORIES: biostudies-literature
Walsh Stephen R SR Moodie Zoe Z Fiore-Gartland Andrew J AJ Morgan Cecilia C Wilck Marissa B MB Hammer Scott M SM Buchbinder Susan P SP Kalams Spyros A SA Goepfert Paul A PA Mulligan Mark J MJ Keefer Michael C MC Baden Lindsey R LR Swann Edith M EM Grant Shannon S Ahmed Hasan H Li Fusheng F Hertz Tomer T Self Steven G SG Friedrich David D Frahm Nicole N Liao Hua-Xin HX Montefiori David C DC Tomaras Georgia D GD McElrath M Juliana MJ Hural John J Graham Barney S BS Jin Xia X
The Journal of infectious diseases 20151015 4
<h4>Background</h4>Increasing the breadth of human immunodeficiency virus type 1 (HIV-1) vaccine-elicited immune responses or targeting conserved regions may improve coverage of circulating strains. HIV Vaccine Trials Network 083 tested whether cellular immune responses with these features are induced by prime-boost strategies, using heterologous vectors, heterologous inserts, or a combination of both.<h4>Methods</h4>A total of 180 participants were randomly assigned to receive combinations of a ...[more]