AIDSWEEKLY Plus; Monday, September 18, 2000
Prepared by AIDS Weekly editors from staff and other reports

NewsRx -- Two Harvard Medical School researchers working toward an HIV vaccine are yielding promising results using a novel viral vector known for its longevity, according to a study in the September 2000 Journal of Virology¹

David Knipe, professor of microbiology and molecular genetics, and a specialist in herpes simplex virus, and HIV vaccine researcher Ronald Desrosiers, professor of microbiology and molecular genetics, and director of the New England Regional Primate Research Center, have developed a live attenuated vaccine from a modified form of the herpes simplex virus that transports into host cells and expresses proteins from the simian immunodeficiency virus, or SIV, the non-human equivalent of HIV.

Knipe and Desrosiers hope that a herpesvirus transport - or vector - of SIV fragments and potentially HIV fragments will provide a key difference that other vaccine vectors have lacked: like a bad guest, it simply refuses to leave.

One of the drawbacks of otherwise promising SIV vaccines so far is that despite inciting an impressive immune response, they are not able to maintain immunity over prolonged periods of time. Although this may not matter in animals that are exposed to the virus two weeks after getting a vaccine, it would certainly be unrealistic for humans.

The herpesvirus, which gets its name from the Greek word herpein, "to creep," makes its way into the sensory neurons innervating its site of infection - usually the epithelial cells lining the mouth or genital tract. In the nervous system, the virus is able to evade immune responses and lie latent for the lifetime of its host. Knipe and Desrosiers thought that the virus' ability to elicit persisting immune responses might make it a worthy adversary to combat another aggressive virus, HIV.

In the team's initial study of the vaccine in non-human primates, two of seven animals were completely protected from the virus, and one was able to clear the virus almost completely. While three of seven may not seem good odds, the results are encouraging for several reasons. The animals were challenged with SIVmac239, a particularly virulent strain, about five months after receiving the final dose of the vaccine, a much longer period of time than other studies use. And in the field of HIV vaccines, few tactics achieve even these results.

There are also many ways to optimize the method to get better results. The initial vaccine encoded only for SIV envelope proteins, but the next generation of the vaccine will include an additional protein thought to be a target for the killer T cells that seem to be especially important for immunity to HIV.

HIV has a staggering ability to thwart the immune system early in an infection and then replicate unrelentingly. "For a vaccine to overcome that is asking a lot," said Desrosiers.

The double-edged sword of vaccine development is that battling a powerful virus requires a powerful opponent, but when the vaccine is too good at provoking an immune response, it can cause disease itself.

Most vaccines being studied now focus on three main delivery systems: HIV protein subunits, a naked DNA plasmid encoding HIV proteins, or a live vector vaccine that carries selected HIV genes, using vectors such as the vaccinia virus, canarypox virus, or Salmonella.

Each approach has advantages and disadvantages: the vaccines that do not contain a live virus have no chance of causing disease, but they may not be as effective as a live vector at inciting the immune system. Because HIV has many strategies to attack its host, no vaccine so far seems to be able to counterattack on all fronts.

The search for an HIV vaccine has recently received a boost of funding from the U.S. government to help add to the nearly 30 potential vaccines that have been brought to clinical trials. But researchers face several hurdles:

• HIV can only be approximated in animal models, using versions of SIV in monkeys as an analogy.
  


• Different stocks of SIV vary in how virulent they are, and no one really knows where HIV fits into this continuum; consequently, results from animal tests can vary according to which strain was used to challenge the animals.
  


• It is also difficult to evaluate the quality of immune responses to HIV vaccines because of the breadth of immunity necessary to protect against HIV.
  


• The idea of using a herpesvirus as a vaccine raises serious safety concerns that the team must also address, although there is a precedent for it in the live attenuated chickenpox vaccine Varivax, which is also a herpesvirus.

Knipe has worked on creating a safe candidate vaccine for HSV-2, the virus responsible for genital herpes, that is also detailed in the September 2000 Journal of Virology¹. This vaccine is a replication-defective mutant virus with two engineered mutations in genes needed for viral DNA synthesis. If Knipe's HSV-2 vaccine proves safe and effective, it could also be used as a vector for an HIV vaccine.

Knipe and Desrosiers have begun studies of an SIV vaccine using an HSV-2 vector rather than the HSV-1 vector they initially used, because HSV-2 seems to infect the monkey's cells more easily. Ideally, the HSV-2 vector could serve a double role as a vaccine for HIV as well as genital herpes.

This article was prepared by AIDS Weekly editors from staff and other reports.

Reference

1 Murphy CG, Lucas WT, et al., "Vaccine protection against simian immunodeficiency virus by recombinant strains of herpes simplex virus", J Virol 2000 Sep;74(17):7745-54.

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