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Principal areas of research Biography Research For a number of years, we have been developing an HIV-1 vaccine focusing on induction of protective cell-mediated responses. Our starting platform was based on a heterologous DNA prime and recombinant modified vaccinia virus Ankara (rMVA) boost regimen delivering a common immunogen called HIVA, which is derived from consensus HIV-1 clade A Gag protein, i.e. an immunogen derived from an HIV-1 strain prevalent in Central and Eastern Africa, and a string of CD8+ T cell epitopes Extensive complementing studies in mice, non-human primates (NHP) and over four hundred healthy and HIV-1-infected humans showed that the vaccines are safe and immunogenic. In humans, the pTHr.HIVA DNA vaccine primed weakly, but consistently HIV-1-specific mostly CD4+ T cell responses, and the MVA.HIVA vaccine delivered a strong and consistent boost expanding both CD4+ and CD8+ HIV-1-specific T cells if these are well primed, e.g. by HIV-1 infection. Therefore, needle-injected DNA is likely to be a limiting factor for the vigor of the DNA prime-rMVA boost-induced response and we shall evaluate other priming strategies in humans that show greater promise in pre-clinical studies. HIVA has proven extremely useful as a model immunogen for both pre-clinical and clinical comparative studies of a number of vaccine vectors and vaccination regimens. The modalities we use in the laboratory include Semliki Forest virus, human and animal adenoviruses and Bluetongue virus-derived tubules. All these constructs infect human cells and/or deliver directly or through cross-priming HIV-1-derived peptides into the MHC class I presentation, but replicate poorly or not at all. Most recently, a recombinant Mycobacterium bovis bacillus Calmette-Guérin (BCG) expressing HIVA was generated and shown to be stable and induce durable high-quality HIV-1-specific CD4+ and CD8+ T cell responses. Furthermore, when used in a heterologous prime-boost regimen, protection against surrogate virus challenge through the HIV-1-specific responses were achieved and BCG.HIVA alone protected against aerosol challenge with M. tuberculosis. Thus, this promising approach provides a platform for development of a dual HIV-1/tuberculosis vaccine for breastfed infants born to HIV-1-positve mothers. We construct novel HIV-1-derived vaccine immunogens. To broaden immune responses induced by HIVA, we designed a second complementing immunogen, called RENTA, which consists of inactivated reverse transcriptase, inactivated tat and parts of nef and gp41, all derived from the consensus HIV-1 clade A sequence. Initially, we shall use this second immunogen together with HIVA in therapeutic clinical trials in Oxford. Also, an immunogen based on conserved regions of the HIV-1 proteome has been constructed and evaluated using mice and PBMC from HIV-1-infected patients. In summary, the laboratory develops novel vaccine modalities and evaluates them in various heterologous prime-boost strategies not only for the peak frequency, but also for the quality, location and longevity of vaccine-induced T cells in mice and NHP. The most promising approaches are tested in rapid, small, highly informative phase I clinical trials designed to optimize vaccine dose and delivery in humans and to provide a feedback for the pre-clinical vaccine improvements. Key Publications Im E-J and Hanke T. Pre-clinical evaluation of candidate HIV type1 vaccines in inbred strains and an outbred stock of mice. AIDS Res Hum Retroviruses 23: 857-862 (2007). Hanke T, McMichael AJ, and Dorrell L. Clinical experience with plasmid DNA- and modified vaccinia virus Ankara (MVA)-vectored HIV-1 clade A vaccine focusing on T cell induction. J Gen Virol 88: 1-12 (2007). Larke N, Im E-J, Wagner R, Williamson C, Williamson A-N, McMichael AJ and Hanke T. Combined single-clade candidate HIV-1 vaccines induces T cell responses limited by multiple forms of in vivo immune interference. Eur J Immunol 37: 566-577 (2007). Im E-J, Nkolola JP, di Gleria, McMichael AJ and Hanke T. Induction of long-lasting multi-specific CD8+ T cells by a 4-component DNA-MVA/HIVA-RENTA candidate HIV-1 vaccine in rhesus macaques. Eur J Immunol 36:2574-2584 (2006). Hanke T, and McMichael AJ. Design and construction of an experimental HIV-1 vaccine for a year-2000 clinical trial in Kenya. Nat Med 6, 951-955 (2000) |
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