Rationally designed Human Cytomegalovirus gB nanoparticle vaccine with improved immunogenicity

PLoS Pathog. 2020 Dec 28;16(12):e1009169. doi: 10.1371/journal.ppat.1009169. eCollection 2020 Dec.

Abstract

Human cytomegalovirus (HCMV) is the primary viral cause of congenital birth defects and causes significant morbidity and mortality in immune-suppressed transplant recipients. Despite considerable efforts in vaccine development, HCMV infection still represents an unmet clinical need. In recent phase II trials, a MF59-adjuvanted gB vaccine showed only modest efficacy in preventing infection. These findings might be attributed to low level of antibodies (Abs) with a neutralizing activity induced by this vaccine. Here, we analyzed the immunogenicity of each gB antigenic domain (AD) and demonstrated that domain I of gB (AD5) is the main target of HCMV neutralizing antibodies. Furthermore, we designed, characterized and evaluated immunogenic responses to two different nanoparticles displaying a trimeric AD5 antigen. We showed that mice immunization with nanoparticles induces sera neutralization titers up to 100-fold higher compared to those obtained with the gB extracellular domain (gBECD). Collectively, these results illustrate with a medically relevant example the advantages of using a general approach combining antigen discovery, protein engineering and scaffold presentation for modern development of subunit vaccines against complex pathogens.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Neutralizing / immunology
  • Antibodies, Viral / immunology*
  • Cytomegalovirus / immunology
  • Cytomegalovirus Infections / immunology*
  • Cytomegalovirus Infections / prevention & control
  • Cytomegalovirus Vaccines / immunology*
  • Female
  • Humans
  • Mice
  • Mice, Inbred BALB C
  • Nanoparticles*
  • Vaccines, Subunit / immunology
  • Viral Envelope Proteins / immunology*

Substances

  • Antibodies, Neutralizing
  • Antibodies, Viral
  • Cytomegalovirus Vaccines
  • Vaccines, Subunit
  • Viral Envelope Proteins

Grants and funding

The Novartis Foundation for Medical–Biological Research (Novartis Stiftung für Medizinisch-Biologische Forschung) supported part of the work described, (Novartis grant application #19B116 to LP). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.