2019
DOI: 10.1038/s41467-019-09105-0
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Vaccination to prevent T cell subversion can protect against persistent hepacivirus infection

Abstract: Efforts to develop an effective vaccine against the hepatitis C virus (HCV; human hepacivirus) have been stymied by a lack of small animal models. Here, we describe an experimental rat model of chronic HCV-related hepacivirus infection and its response to T cell immunization. Immune-competent rats challenged with a rodent hepacivirus (RHV) develop chronic viremia characterized by expansion of non-functional CD8 + T cells. Single-dose vaccination with a recombinant adenovirus vector expre… Show more

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Cited by 28 publications
(84 citation statements)
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References 66 publications
(69 reference statements)
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“…A well‐defined feature of HCV infection is CD8 + T‐cell escape mutants contributing to persistence, also observed in Lewis rats . Mutations were found concurrently in both the immunodominant CD8 + T‐cell epitopes defined in the present study; given that SD rats are outbred and the major histocompatibility complexes were not haplotyped, this is suggestive of escape mutation but not conclusive.…”
Section: Discussionmentioning
confidence: 52%
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“…A well‐defined feature of HCV infection is CD8 + T‐cell escape mutants contributing to persistence, also observed in Lewis rats . Mutations were found concurrently in both the immunodominant CD8 + T‐cell epitopes defined in the present study; given that SD rats are outbred and the major histocompatibility complexes were not haplotyped, this is suggestive of escape mutation but not conclusive.…”
Section: Discussionmentioning
confidence: 52%
“…Boosting with ChAd‐NS or DNA‐NS or using a 7‐fold higher single dose enhanced resolution compared to ChAd‐NS at the standard priming dose. One third of these rats (6/18) showed no detectable RHV viremia at any time point, an outcome not seen with the standard dose of ChAd‐NS in SD or Lewis rats . This result demonstrates that a suboptimal vaccination regime against a hepacivirus can be transformed into a highly protective regime through boosting or a higher single dose, suggesting that in the case of clinical trials of HCV vaccines resulting in low but statistically significant efficacy, large improvements could be achievable with minor adjustments in the vaccination regimen, warranting such further clinical testing.…”
Section: Discussionmentioning
confidence: 92%
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