Longitudinal Analysis of the Human B Cell Response to Ebola Virus Infection
CELL
Authors: Davis, Carl W.; Jackson, Katherine J. L.; McElroy, Anita K.; Halfmann, Peter; Huang, Jessica; Chennareddy, Chakravarthy; Piper, Ashley E.; Leung, Yvonne; Albarino, Cesar G.; Crozier, Ian; Ellebedy, Ali H.; Sidney, John; Sette, Alessandro; Yu, Tianwei; Nielsen, Sandra C. A.; Goff, Arthur J.; Spiropoulou, Christina F.; Saphire, Erica Ollman; Cavet, Guy; Kawaoka, Yoshihiro; Mehta, Aneesh K.; Glass, Pamela J.; Boyd, Scott D.; Ahmed, Rafi
Abstract
Ebola virus (EBOV) remains a public health threat. We performed a longitudinal study of B cell responses to EBOV in four survivors of the 2014 West African outbreak. Infection induced lasting EBOV-specific immunoglobulin G (IgG) antibodies, but their subclass composition changed over time, with IgG1 persisting, IgG3 rapidly declining, and IgG4 appearing late. Striking changes occurred in the immunoglobulin repertoire, with massive recruitment of naive B cells that subsequently underwent hypermutation. We characterized a large panel of EBOV glycoprotein-specific monoclonal antibodies (mAbs). Only a small subset of mAbs that bound glycoprotein by ELISA recognized cell-surface glycoprotein. However, this subset contained all neutralizing mAbs. Several mAbs protected against EBOV disease in animals, including one mAb that targeted an epitope under evolutionary selection during the 2014 outbreak. Convergent antibody evolution was seen across multiple donors, particularly among VH3-13 neutralizing antibodies specific for the GP1 core. Our study provides a benchmark for assessing EBOV vaccine-induced immunity.
The TLR-4 agonist adjuvant, GLA-SE, improves magnitude and quality of immune responses elicited by the ID93 tuberculosis vaccine: first-in-human trial
NPJ VACCINES
Authors: Coler, Rhea N.; Day, Tracey A.; Ellis, Ruth; Piazza, Franco M.; Beckmann, Anna Marie; Vergara, Julie; Rolf, Tom; Lu, Lenette; Alter, Galit; Hokey, David; Jayashankar, Lakshmi; Walker, Robert; Snowden, Margaret Ann; Evans, Tom; Ginsberg, Ann; Reed, Steven G.
Abstract
Tuberculosis (TB) is the leading cause of infectious death worldwide. Development of improved TB vaccines that boost or replace BCG is a major global health goal. ID93 + GLA-SE is a fusion protein TB vaccine candidate combined with the Toll-like Receptor 4 agonist adjuvant, GLA-SE. We conducted a phase 1, randomized, double-blind, dose-escalation clinical trial to evaluate two dose levels of the ID93 antigen, administered intramuscularly alone or in combination with two dose levels of the GLA-SE adjuvant, in 60 BCG-naive, QuantiFERON-negative, healthy adults in the US (ClinicalTrials.gov identifier: NCT01599897). When administered as 3 injections, 28 days apart, all dose levels of ID93 alone and ID93 + GLA-SE demonstrated an acceptable safety profile. All regimens elicited vaccine-specific humoral and cellular responses. Compared with ID93 alone, vaccination with ID93 + GLA-SE elicited higher titers of ID93-specific antibodies, a preferential increase in IgG1 and IgG3 subclasses, and a multifaceted Fc-mediated effector function response. The addition of GLA-SE also enhanced the magnitude and polyfunctional cytokine profile of CD4(+) T cells. The data demonstrate an acceptable safety profile and indicate that the GLA-SE adjuvant drives a functional humoral and T-helper 1 type cellular response.