William R. Morton, Larry O. Arthur, Bernard M. Flynn, Michael Piatak, Julian W. Bess, Jeffrey D. Lifson, Robert J. Gorelick, Jason L. Yovandich, Louis E. Henderson, Bradley A. Fisher, Jeffrey L. Rossio, Raoul E. Benveniste, and LaRene Kuller
The overwhelming majority of human viral vaccines used clinically consist of either inactivated whole virus particles or live attenuated viruses. Attenuated viruses have proven to be the most effective vaccines for humans. Additionally, macaques infected with simian immunodeficiency virus (SIV) strains attenuated for in vivo virulence by deletion of the nef gene or other regulatory sequences have been shown previously to be protected from challenge with pathogenic SIV (1, 5, 12, 16–21, 30, 32, 38–40, 46, 49, 50, 55, 56, 59). Indeed, attenuated SIV strains are generally accepted as being among the most effective vaccines evaluated to date in nonhuman primate models (34). However, a major concern with attenuated virus vaccines is safety. This is especially true for viruses such as human immunodeficiency virus (HIV) or SIV that have a high mutation rate and integrate into the host's genome and for which the outcome of a pathogenic infection is potentially lethal. With the advent of recent techniques that allow in vivo expression of antigens from a DNA construct (15, 61) and information regarding the expression of nucleocapsid (NC) mutant virions from proviral constructs (23, 29), it has become possible, in principle, to duplicate the steps and immunological exposure of infection with an attenuated virus but without the associated risks of a replicating virus (42, 54). We have previously shown that cells transfected with retroviral NC mutant proviral DNA expressed viral proteins and assembled as budded, morphologically authentic viral particles that had the full complement of properly processed viral proteins but had RNA levels reduced by as much as 97% compared to those of wild-type virus. These mutant virus particles are replication defective (at least 105-fold less infectious than a comparable level of wild-type virus [23–25, 29]) and bind to target cells and induce CD4-gp120SU-dependent “fusion from without” (2, 53). Virion particles produced from these constructs effectively incorporate many of the immunologically relevant steps of the viral life cycle including particle assembly, budding from the cell (24, 25, 28, 29), attachment to receptors, and conformational changes induced upon receptor binding leading to membrane fusion. This approach may be particularly important in view of recent results suggesting that exposure of transition epitopes induced by conformational changes upon interaction of HIV envelope glycoproteins with receptors may facilitate the development of broadly neutralizing antibody responses (42). In this report, we describe the results of vaccine experiments in which we tested the premise that virions from such a DNA construct might represent a useful vaccine immunogen. Macaques were immunized with DNA constructs encoding an NC mutant virus, strain SIV(Mne). In view of the precedent for superior responses seen to DNA-priming–soluble-protein-boosting immunization regimens, an SIV protein boost was also administered in a subset of animals to examine any additional immunological benefits. Animals were subsequently challenged intravenously with pathogenic homologous virus. Virologic, immunologic, and clinical parameters were monitored in immunized and control (nonimmunized) macaques to assess vaccine efficacy.