A live RSV vaccine with engineered thermostability is immunogenic in cotton rats despite high attenuation

Christopher C Stobart1,2, Christina A Rostad1,2, Zunlong Ke3

  • 1Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia 30322, USA.

Nature Communications
|December 22, 2016
PubMed

Insights

Developing a new live-attenuated vaccine (LAV) for respiratory syncytial virus (RSV) in infants is crucial. This engineered RSV LAV candidate, OE4, shows enhanced immunogenicity and efficacy while maintaining safety.

Area of Science:

  • Virology
  • Vaccinology
  • Immunology

Background:

  • Respiratory syncytial virus (RSV) is a major cause of infant hospitalization, with no approved pediatric vaccine.
  • Live-attenuated vaccines (LAVs) for RSV have been tested in infants, but balancing attenuation and immunogenicity remains difficult.

Purpose of the Study:

  • To engineer a novel respiratory syncytial virus (RSV) live-attenuated vaccine (LAV) candidate with enhanced immunogenicity.
  • To identify specific fusion (F) protein residues crucial for pre-fusion antigen stability and infectivity.

Main Methods:

  • Genetic mapping of RSV strain line 19 fusion (F) protein to identify key residues.
  • Engineering of the OE4 LAV candidate through codon-deoptimization of non-structural genes (NS1, NS2) and attachment gene (G), deletion of the small hydrophobic (SH) gene, and ablation of secreted G.
  • Evaluation of OE4 immunogenicity and efficacy in cotton rat models.

Main Results:

  • The engineered OE4 LAV candidate expresses a stabilized line 19F protein, maintaining pre-fusion antigen levels.
  • OE4 demonstrated enhanced thermal stability, immunogenicity, and efficacy in preclinical models.
  • Despite significant attenuation in the airways, OE4 maintained protective immune responses.

Conclusions:

  • The engineered OE4 RSV LAV demonstrates a promising balance of attenuation and immunogenicity.
  • This strategy of targeting F protein residues and genetic modifications offers a viable path toward an effective pediatric RSV vaccine.
  • Further development of OE4 could address the unmet need for a safe and immunogenic RSV vaccine for infants.