A Novel Synthetic TLR-4 Agonist Adjuvant Increases the Protective Response to a Clinical-Stage West Nile Virus Vaccine Antigen in Multiple Formulations

PLoS One. 2016 Feb 22;11(2):e0149610. doi: 10.1371/journal.pone.0149610. eCollection 2016.

Abstract

West Nile virus (WNV) is a mosquito-transmitted member of the Flaviviridae family that has emerged in recent years to become a serious public health threat. Given the sporadic nature of WNV epidemics both temporally and geographically, there is an urgent need for a vaccine that can rapidly provide effective immunity. Protection from WNV infection is correlated with antibodies to the viral envelope (E) protein, which encodes receptor binding and fusion functions. Despite many promising E-protein vaccine candidates, there are currently none licensed for use in humans. This study investigates the ability to improve the immunogenicity and protective capacity of a promising clinical-stage WNV recombinant E-protein vaccine (WN-80E) by combining it with a novel synthetic TLR-4 agonist adjuvant. Using the murine model of WNV disease, we find that inclusion of a TLR-4 agonist in either a stable oil-in-water emulsion (SE) or aluminum hydroxide (Alum) formulation provides both dose and dosage sparing functions, whereby protection can be induced after a single immunization containing only 100 ng of WN-80E. Additionally, we find that inclusion of adjuvant with a single immunization reduced viral titers in sera to levels undetectable by viral plaque assay. The enhanced protection provided by adjuvanted immunization correlated with induction of a Th1 T-cell response and the resultant shaping of the IgG response. These findings suggest that inclusion of a next generation adjuvant may greatly enhance the protective capacity of WNV recombinant subunit vaccines, and establish a baseline for future development.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adjuvants, Immunologic / pharmacology*
  • Animals
  • Antigens, Viral / immunology
  • Antigens, Viral / pharmacology*
  • Dose-Response Relationship, Immunologic
  • Female
  • Humans
  • Immunity, Cellular / drug effects
  • Mice
  • Th1 Cells / immunology
  • Toll-Like Receptor 4 / agonists*
  • Toll-Like Receptor 4 / immunology
  • Viral Envelope Proteins / immunology
  • Viral Envelope Proteins / pharmacology*
  • West Nile Fever / immunology
  • West Nile Fever / prevention & control*
  • West Nile Virus Vaccines / immunology
  • West Nile Virus Vaccines / pharmacology*
  • West Nile virus / immunology*

Substances

  • Adjuvants, Immunologic
  • Antigens, Viral
  • Tlr4 protein, mouse
  • Toll-Like Receptor 4
  • Viral Envelope Proteins
  • West Nile Virus Vaccines
  • glycoprotein E, Flavivirus

Grants and funding

This research was supported with funding from the Bill and Melinda Gates Foundation, under grant OPP1055855, and with unrestricted IDRI funds. The external funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Hawaii Biotech Inc. provided support in the form of salaries for authors DEC, TM, and DEP, but did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The specific roles of these authors are articulated in the 'author contributions' section.