Journal of Virology, January 1999, p. 281-289, Vol. 73, No. 1
0022-538X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Immunization of Woodchucks with Plasmids Expressing
Woodchuck Hepatitis Virus (WHV) Core Antigen and Surface Antigen
Suppresses WHV Infection
Mengji
Lu,1
Gero
Hilken,2
Johannes
Kruppenbacher,1
Thekla
Kemper,1
Reinhold
Schirmbeck,3
Joerg
Reimann,3 and
Michael
Roggendorf1,*
Institut für
Virologie1 and
Zentraltierlabor,2
Universitätsklinikum Essen, Essen, and
Institut für
Medizinische Mikrobiologie und Immunologie, Universität Ulm,
Ulm,3 Germany
Received 6 July 1998/Accepted 7 October 1998
 |
ABSTRACT |
DNA vaccination can induce humoral and cellular immune response to
viral antigens and confer protection to virus infection. In woodchucks,
we tested the protective efficacy of immune response to woodchuck
hepatitis core antigen (WHcAg) and surface antigen (WHsAg) of woodchuck
hepatitis virus (WHV) elicited by DNA-based vaccination. Plasmids
pWHcIm and pWHsIm containing WHV c- or pre-s2/s genes expressed WHcAg
and WHsAg in transient transfection assays. Pilot experiments in mice
revealed that a single intramuscular injection of 100 µg of plasmid
pWHcIm DNA induced an anti-WHcAg titer over 1:300 that was enhanced by
boost injections. However, two injections of 100 µg of pWHcIm did not
induce detectable anti-WHcAg in woodchucks. With an increase in the
dose to 1 mg of pWHcIm per injection, transient anti-WHcAg response and
WHcAg-specific proliferation of peripheral mononuclear blood cells
(PMBCs) appeared in woodchucks after repeated immunizations. Four
woodchucks vaccinated with pWHcIm were challenged with 104
or 105 of the WHV 50% infective dose. They remained
negative for markers of WHV replication (WHV DNA and WHsAg) in
peripheral blood and developed anti-WHs in week 5 after challenge. In
contrast, woodchucks not immunized or immunized with the control vector
pcDNA3 developed acute WHV infection. Two woodchucks immunized with 1 mg of pWHsIm developed WHsAg-specific proliferative response of PBMCs
but no measurable anti-WHsAg response. A rapid anti-WHsAg response
developed during week 2 after virus challenge. Neither woodchuck
developed any signs of WHV infection. These data indicate that
DNA-based vaccination with WHcAg and WHsAg can elicit immunity to WHV infection.
 |
INTRODUCTION |
Hepatitis B virus (HBV) causes acute
self-limiting and chronic infection in humans (24). A
chronic HBV infection leads to a high risk for the development of liver
cirrhosis and hepatocellular carcinoma (30, 54). The current
strategy for preventing HBV infection is vaccination with hepatitis B
surface antigen (HBsAg), which induces virus-neutralizing anti-HBsAg
antibodies (28). Though HBsAg is a potent immunogen and
induces protective immunity in the majority of vaccines, 5 to 10% of
persons who receive the HBsAg vaccine failed to develop anti-HBsAg
antibodies. In addition, HBV variants carrying mutations within the
HBsAg can escape the neutralization of vaccine-induced anti-HBsAg and
establish acute or chronic infection (3, 4, 6, 25, 29, 43).
Therefore, a new vaccine strategy would be desirable to induce a
multiple immune response consisting of HBV-specific T helper (Th),
cytotoxic T cells (CTLs), and anti-HBsAg antibodies. HBV-specific Th
and CTL responses play a pivotal role for the clearance of virus in a
primary HBV infection and may control HBV persisting in unknown reservoirs in patients whose disease is resolved (1, 7, 16, 18,
26, 27, 35, 41, 42, 44, 45). The induction of HBV-specific
humoral and cellular immune response by a single vaccine may overcome
the nonresponsiveness of individuals to conventional HBsAg vaccines and
control immune escape variants of HBV with mutations within HBsAg.
DNA vaccination is a powerful method to induce antigen-specific humoral
and cellular immune response (14, 56). DNA-induced immune
response provides protective immunity to various viruses in animal
models (2, 5, 13, 19, 22, 31, 34, 36, 51, 55, 57). Genetic
vaccination to HBsAg, HBV core antigen (HBcAg), and HBV e antigen
(HBeAg) was evaluated in different animal models. In mice, a single
intramuscular injection of plasmids expressing HBsAg is sufficient to
induce a long-lasting humoral response to HBsAg and CTL response
(10, 12, 40, 50). A plasmid vaccination of chimpanzees led
to the production of low anti-HBsAg antibody titers (11,
47). Recently, Triyatni et al. reported that vaccination of ducks
with plasmid expressing duck hepatitis B virus (DHBV) surface antigens
(DHBsAg) induced antibodies to DHBsAg (55). Anti-DHBsAg
antibodies induced by DNA vaccination were able to neutralize virus in
vitro. DHBV was removed more rapidly from the bloodstreams of
vaccinated ducks after a challenge. Infection of hepatocytes by DHBV
was limited or prevented in vaccinated ducks. Therefore, the genetic
vaccination was effective to prime an anti-HBsAg antibody response in
this model. The vaccination of mice with HBcAg or HBeAg was also
effective for inducing specific CTL responses (33).
The woodchuck (Marmota monax) model is useful to study
immune response to hepadnavirus and to perform vaccination trials
(8, 9, 23, 39, 48, 49, 52). Woodchuck hepatitis virus (WHV)
causes acute self-limiting and chronic infection, like HBV in humans
(53). The humoral immune responses to woodchuck hepatitis surface antigen (WHsAg) and core antigen (WHcAg) in acute and chronic
WHV infection have the same features as those of HBV infection. Anti-WHcAg develops in woodchucks during the early phase of a primary
WHV infection and persists lifelong. Anti-WHsAgs, like anti-HBsAgs, increase at the end of the viremic phase and may provide immunity to a secondary WHV infection. Recently, T-cell response to WHsAg and WHcAg in woodchucks during acute and chronic WHV
infection was investigated by an in vitro assay to measure the
antigen-specific proliferation of peripheral blood mononuclear cells
(PBMCs) (8, 32, 38, 39). Multispecific Th response to WHcAg
and WHsAg was present during acute WHV infection but absent in
woodchucks with chronic WHV infection (39). Thus, the Th
response to WHV in woodchucks closely resembles the HBV-specific Th
response in humans (52).
The woodchuck model is informative in the study of immune response
induced by vaccines and virus challenge. Immunization of woodchucks
with WHsAg-induced anti-WHsAg antibodies provided protection against a
subsequent challenge with WHV (9). Interestingly, woodchucks
immunized with WHcAg were protected against WHV challenge even though
anti-WHcAg antibodies do not possess the ability to neutralize WHV
(49, 52). Apparently, WHcAg induced a specific T-cell
response which conferred protective immunity (39). We demonstrated that immunization with a peptide containing a T-cell epitope derived from WHcAg leads to the protection of woodchucks against WHV infection. These results emphasize the significance of
T-cell response to the core antigen for control of hepadnavirus infection (16, 18).
In the present study, we wanted to determine whether vaccination of
woodchucks with plasmids expressing WHV proteins can induce a
protective immune response to WHV. We vaccinated mice and woodchucks with plasmids expressing WHcAg and WHsAg and investigated the humoral
and cellular immune response to WHcAg and WHsAg in woodchucks. The
protective efficacy of plasmid vaccination was demonstrated in
woodchucks in subsequent challenge experiments.
 |
MATERIALS AND METHODS |
Woodchucks.
Adult WHV-negative woodchucks trapped in the
state of New York were purchased from North Eastern Wildlife (Ithaca,
N.Y.). Previous exposure to WHV of these woodchucks was excluded by
testing for anti-WHcAg, anti-WHsAg, and WHsAg.
Construction of plasmids pWHcIm and pWHsIm for DNA
vaccination.
The core gene of WHV8 was amplified by PCR with
primers wc1 (nucleotides [nt] 2015 to 2038, 5'-TGGGGCCATGGACATAGATCCTTA-3') and wc2 (nt 2595 to 2570, 5'-CATTGAATTCAGCAGTTGGCAGATGG-3')
according to the sequence described by Girones et al.
(21). The PCR products were cloned into pCRII vectors
(Invitrogen, San Diego, Calif.) according to the manufacturer's
instructions. A clone, pWHc, was selected by sequencing to verify the
correct nucleotide sequence of the PCR product. The fragment containing
the WHV core gene was isolated by digestion with EcoRI and
inserted into the EcoRI site of the pcDNA3 vector
(Invitrogen). A generated plasmid, pWHcIm, contains the WHV core gene
under the control of the cytomegalovirus (CMV) promoter (Fig. 1). The
pre-S2-S region of WHV8 (nt 107 to 987) was amplified by PCR with
primers whpres2 (nt 107 to 129, 5'-CACTTAACTATGAAAAATCAGAC-3') and whs2 (nt 987 to 968, 5'-CCACCATTTTGTTTTATTAA-3'). This PCR fragment was
cloned into pCRII vector and recloned into the EcoRI site of
pcDNA3 to generate plasmid pWHsIm by a procedure similar to that
described above (Fig. 1). The integrity of the clones was verified by sequencing.
Purification of plasmids for immunization.
Plasmids pWHcIm
and pWHsIm for immunization were prepared by using the Giga plasmid
purification kit (Qiagen, Hilden, Germany). Plasmids were dissolved in
phosphate-buffered saline (PBS) at a concentration of 1 mg/ml. The
amount of bacterial protein contaminants in these preparations was in
the range of 11 ng/ml, as determined by using microbicinchoninic acid
(BCA) protein assay reagent (Pierce, Oud Beijerland, The Netherlands).
Transient expression of WHcAg and WHsAg by transfection of pWHcIm
and pWHsIm into a baby hamster kidney (BHK) cell line and a woodchuck
liver cell line.
A BHK cell line and a woodchuck liver cell line
WH12/6 (kindly provided by P. Banasch, Deutsche Krebsforschungszentrum,
Heidelberg, Germany) were used for transfection experiments.
Transfection of liver cells was performed with Lipofectamine (Gibco
BRL, Eggenstein-Leopoldshafen, Germany). Plasmid (4 µg) was incubated
with 10 µg of lipofectamine in 100 µl of media for 45 min and
incubated further with cells in 1 ml of Opti-Media (Gibco BRL) for
6 h at 37°C, 5% CO2. Transfected cells were
maintained for 48 h at 37°C in 5% CO2 and fixed
with acetone-methanol (1:1). The expressed WHcAg and WHsAg were
detected by indirect immunofluorescence staining with rabbit antisera
to respective WHV proteins.
Immunization of mice and woodchucks by intramuscular injection of
pWHcIm and pWHsIm.
Immunization of mice was performed by the
procedure described by Schirmbeck et al. (50). Briefly, mice
were pretreated by intramuscular injection of 50 µl of cardiotoxin
(10 µM) into musculus tibialis anterior. After a week, 50 µg of
plasmid (1 mg/ml) was injected into each site in the same muscle. The
plasmid injection was repeated twice at 3-week intervals. Mice were
sacrificed 3 weeks after the last immunization. This immunization
protocol was modified for woodchucks. A week prior to the injection of plasmids, 500 µl of cardiotoxin (10 µM in PBS) was injected into the M. tibialis cranialis of woodchucks. Woodchucks were vaccinated three times by intramuscular injection of 50 or 500 µl of plasmid (1 mg/ml in PBS) into each M. tibialis cranialis at 4- or 5-week intervals. Four weeks after the last vaccination, woodchucks were challenged with an inoculum containing 104 or
105 WHV genome equivalents.
Serology and detection of WHV DNA.
Anti-WHcAg, anti-WHsAg,
and WHsAg were determined by enzyme-linked immunosorbent assay
(ELISA) as described previously (49, 52). The sensitivity of
ELISA was determined by tests of serially diluted positive sera of
woodchucks experimentally infected with WHV. The ELISA was able to
detect anti-WHcAg in woodchuck sera at a dilution of 10
3
to 10
6. Anti-WHsAg titers of post-acute phase sera were
positive, ranging between 10
3 and 10
4. The
ELISA for WHsAg detected WHsAg in sera of chronic WHV-infected woodchucks in dilutions of up to 10
4. The dot blot
technique was routinely performed to detect WHV DNA in woodchuck sera.
For PCR detection of WHV DNA in woodchuck sera, nucleic acids were
isolated from sera by proteinase K digestion and phenol extraction. PCR
for amplification of the WHV core gene was run with primers wc1 (nt
2015 to 2038, 5'-TGGGGCCATGGACATAGATCCTTA-3') and wc2 (nt 2595 to 2570, 5'-CATTGAATTCAGCAGTTGGCAGATGG-3'). In testing
serial dilutions of a cloned WHV core fragment, 10 copies of specific
templates were sufficient to give a positive result by PCR. Therefore,
a virus DNA titer of 500 copies per ml of serum could be detected.
Measurement of WHV antigen-specific proliferation of woodchuck
PBMC.
Antigen-specific proliferation of woodchuck PBMCs was
determined by 2[3H]adenine assay described previously
(32). Briefly, woodchuck PBMCs were separated by
Ficoll-Paque (Pharmacia, Freiburg, Germany) density gradient
centrifugation and suspended in 0.9% NaCl. Triplicates of 5 × 104 PBMCs were cultured in flat-bottom 96-well microtiter
plates (Falcon, Becton Dickinson, N.J.) at 37°C in a humidified
atmosphere containing 5% CO2. AIM-V medium (200 µl;
Gibco BRL) supplemented with 2% 0.2 M L-glutamine (Sigma),
1% 0.125 M gentamicin sulfate (Sigma), and 10% fetal calf serum
(Gibco BRL) was added to each well. PBMC proliferation in response to
WHcAg, WHsAg, or peptides was measured at an antigen concentration of 1 µg/ml. Peptides of the WHcAg were described previously by Menne et
al. (39). Nonoverlapping peptides of WHsAg, including the
pre-S1 region as listed in Table 1, were
purchased from Genosys (Cambridge, United Kingdom). After a 5-day
incubation, cells were labeled with 1 µCi of
2[3H]adenine (Amersham, Braunschweig, Germany) for
20 h and collected with a cell harvester (Skatron).
Results for triplicate cultures are presented as mean stimulation index
(SI [mean total absorption for stimulated PBMCs divided by the mean
total absorption for control]). The standard deviations of the means
were less than 30% of the mean (range, 15 to 50%). An SI of
3.1 was
considered significant, to distinguish the specific stimulation and
possible variation within an assay as described previously
(39).
In the present study, we have demonstrated that vaccination of
woodchucks with plasmids expressing WHcAg and WHsAg induced immune
response and controlled a subsequent WHV infection.
The level of antibody response induced by plasmid vaccination appears
to be dependent on the relation between the doses of DNA vaccines and
the body weight of the animals. After immunization with 100 µg of
pWHcIm, an anti-WHcAg titer of 1:300 developed in mice. However, the
same dose of plasmids was not effective to induce a measurable
anti-WHcAg response in woodchucks. Woodchucks transiently developed
anti-WHcAg of low titer after receiving 10-fold doses of plasmids.
Considering that woodchucks weigh 4 kg on average, a dose of 1 mg of
plasmids per injection is rather low compared with doses used for mice
(100 µg of plasmids for 20 g of body weight). Our finding is
concordant with the published results of Davis et al. that the effect
of plasmid immunization of chimpanzees with an HBsAg-expressing plasmid
was also dependent on the amount of plasmids (11).
The challenge experiments showed that a WHV infection could be
controlled by vaccination with pWHcIm. These results are consistent with previous experiments showing that immunization with WHcAg confers
protection against WHV infection (17, 28, 49). Anti-WHcAg antibody does not possess the activity to neutralize infectious virions
of WHV. Therefore, a minimal WHV infection of hepatocytes obviously
took place in vaccinated woodchucks and induced a transient increase of
anti-WHcAg titer and in the production of anti-WHsAg. The release of
WHsAg and WHV virions into the periphery was apparently limited by the
cellular branch of the immune system which was primed by vaccination.
WHcAg-specific PBMC proliferation was at least measurable in some
vaccinated woodchucks. It appears that the plasmid vaccination primed a
localized immune response, and the number of WHV antigen-specific T
cells in peripheral blood was rather low. These results are very
similar to a previous immunization experiment with peptides containing
a T-cell epitope. Immunization of woodchucks with C91-110 of WHcAg,
though it did not induce measurable PBMC proliferation, protected
woodchucks from WHV infection (39). An increase of
peptide-specific PBMC proliferation occurred after a subsequent
challenge. Anti-WHsAgs appeared 5 weeks after challenge and may
contribute to virus clearance.
Three vaccinations of woodchucks with 1 mg of pWHsIm each did not
induce a measurable anti-WHsAg response in woodchucks; this may be
explained by the following reasons. Whereas WHcAg is a potent immunogen
and leads to a high level of anti-WHc antibody in WHV-infected or
WHcAg-vaccinated woodchucks, the anti-WHsAg antibody response is
usually lower and can be absent in WHsAg-vaccinated woodchucks
(nonresponders). The difference between anti-WHcAg and anti-WHsAg may
also be partly biased by ELISAs used for follow-up of WHV infection.
Since plasmid vaccination in woodchucks induced only a low humoral
response, as shown for anti-WHcAg, the anti-WHsAg response
induced by pWHsIm might be below the detection limit of the
ELISA. Nevertheless, the rapid appearance of anti-WHsAg 2 weeks after
challenge demonstrated clearly that priming of WHsAg-specific B-cell
response took place as a result of plasmid vaccination. Similar to
results for the vaccination with pWHcIm, WHsAg, and WHV DNA, the
periphery remained below the detection limit in both woodchucks. Our
results are in concordance with results for vaccination of chimpanzees
with plasmids expressing HBsAg (11, 47). In general, a
transient low-level anti-HBsAg response could be measured in vaccinated
chimpanzees. Upon an additional vaccination with HBsAg (11)
or a challenge with HBV (47), an anamnestic anti-HBsAg developed in these chimpanzees. The primed anti-WHsAg B-cell response seems unable to block the infection of hepatocytes by input virus. A
minimal anti-WHc response was measured in WH8897. A WHcAg-specific PBMC
proliferation was detected in WH8899 in the first 2 weeks after
challenge before the appearance of anti-WHsAg. These facts indicate
that WHcAg was synthesized at a minimal level in pWHsIm-vaccinated woodchucks. The protection conferred by the plasmid vaccination may be
improved by different WHsAg expression vectors or by coadministration of cytokine-expressing plasmids (55). In ducks, two
DHBsAg-expressing plasmids showed very different protection efficacies
for preventing infection of hepatocytes, though both induced high
titers of anti-DHBs (55).
Successful genetic vaccination may depend on an appropriate delivery of
plasmid DNA. In an early experiment, three woodchucks were vaccinated
three times intramuscularly with 1 mg of WHsAg-expressing plasmid at
many randomly chosen sites. Two woodchucks developed viremia after
challenge, and only one woodchuck remained negative for viral marker
(13a). Therefore, M. tibialis cranialis in woodchuck was
chosen for DNA vaccination because of its small size and easy location.
Pretreatment with cardiotoxin may induce a local inflammatory response
and thereby enhance the antigen-specific immune response. Experiments
are under way to compare different delivery protocols for their
efficacy for inducing immunity to subsequent WHV infections. Intradermal application of plasmids by gene gun was reported to be
especially effective for inducing Th2-dominant response and would be
useful for achieving an enhanced humoral immune response to surface
antigens (15, 46). DNA vaccination against hepadnavirus infection provides new opportunities for the immunotherapy of chronic
hepatitis B. Unlike conventional vaccines, DNA vaccines may be modified
and enhanced by adding other relevant genes or applied through
different routes (15, 20, 46). With an understanding of the
mechanisms of viral persistence, effective therapeutic vaccines may be
developed to overcome these mechanisms, leading to unresponsiveness of
the immune system to hepatitis B proteins in chronically infected patients.
We thank K.-H. Heermann for the preparation of WHsAg and P. Banasch for providing woodchuck cell lines.
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