PD-1 blockade in rhesus macaques: impact on chronic infection and prophylactic vaccination

Adam C Finnefrock1, Aimin Tang, Fengsheng Li

  • 1Vaccine Basic Research, Merck Research Laboratories, West Point, PA 19486, USA. adam_finnefrock@merck.com

Insights

Blockading Programmed Cell Death 1 (PD-1) enhances immune responses against viral infections and vaccines. This immune modulation strategy shows promise for therapeutic and prophylactic applications in humans.

Area of Science:

  • Immunology
  • Virology
  • Oncology

Background:

  • Programmed Cell Death 1 (PD-1) is a key immune checkpoint receptor.
  • PD-1 signaling down-regulates immune responses, facilitating immune evasion by tumors and chronic viruses.
  • Blocking PD-1 may restore or enhance host immune functions.

Purpose of the Study:

  • To investigate the therapeutic and prophylactic potential of blocking the PD-1 pathway.
  • To evaluate anti-PD-1 monoclonal antibodies (mAbs) in nonhuman primate models.

Main Methods:

  • Generated mAbs targeting human PD-1 and assessed their in vitro binding and blocking capabilities.
  • Tested functional T cell responses in vitro.
  • Evaluated a lead anti-PD-1 mAb candidate in two in vivo rhesus macaque models: therapeutic (SIV infection) and prophylactic (SIV-gag vaccination).

Main Results:

  • In SIV-infected macaques, anti-PD-1 mAb treatment led to transient viral load increases followed by a return to baseline or lower levels.
  • In naive macaques vaccinated with an SIV-gag adenovirus vector, PD-1 blockade significantly increased the peak percentage of Gag epitope-specific T cells.
  • Results demonstrate PD-1 blockade's efficacy in modulating immune responses in vivo.

Conclusions:

  • PD-1 blockade can enhance immune responses in both therapeutic and prophylactic settings.
  • Nonhuman primate studies support a broader role for PD-1 in immune modulation.
  • Findings suggest potential applications of PD-1 blockade in human immunotherapy.