More than 500,000 people die each year from the liver diseases that result from chronic hepatitis B virus (HBV) infection. Therapeutic vaccines, which aim to elicit an immune response capable of controlling the virus, offer a potential new treatment strategy for chronic hepatitis B. Recently, an evolved, high-titer vaccine platform consisting of Semliki Forest virus RNA replicons that express the vesicular stomatitis virus glycoprotein (VSV G) has been described. This platform generates virus-like vesicles (VLVs) that contain VSV G but no other viral structural proteins. We report here that the evolved VLV vector engineered to additionally express the HBV middle surface envelope glycoprotein (
Despite the availability of an effective prophylactic vaccine, over 240 million people remain chronically infected with hepatitis B virus (HBV) (1). Although HBV infection can often be asymptomatic, chronic infection can lead to long-term consequences, such as liver cirrhosis and hepatocellular carcinoma. Currently, the main options for HBV therapy include nucleos-(t)ide analogues and alpha interferon (IFN-␣), but these treatments have several limitations. Nucleos(t)ide analogues effectively suppress virus replication but do not eliminate the infection, and once treatment is stopped, the virus rapidly rebounds. Furthermore, long-term treatment with these antivirals can result in the generation of drug-resistant mutants. In contrast to nucleos-(t)ide analogues, IFN-␣, which has both antiviral and immunomodulatory activities, can produce more durable results in some patients. However, IFN-␣ treatment is often associated with a high incidence of side effects, which makes it a suboptimal treatment option. Therefore, the design of new effective treatments for HBV-associated infection and disease is essential.One potential treatment strategy in development is the use of therapeutic vaccines. Though DNA and protein vaccines have been unable to elicit responses capable of controlling HBV infection (2), more immunogenic strategies have shown promising results in animal models. For instance, in a chimpanzee model, a retroviral vector expressing HBcAg induces HBV-specific immune responses and, in some animals, clearance of HBV (3). Adenovirus vectors have also shown efficacy in woodchuck (4) and mouse (5) models of chronic HBV infection. Finally, we have previously shown that a highly immunogenic vesicular stomatitis virus (VSV)-based vector can elicit HBV-specific immune responses in a transgenic mouse model that exhibits a severely tolerized immune response to HBV (6).Despite the success of these vaccine approaches in experimen-