1. Sustained Liver HBsAg Loss and Clonal T- and B-Cell Expansion upon Therapeutic DNA Vaccination Require Low HBsAg Levels.
- Author
-
Conceição-Neto, Nádia, Pierson, Wim, Vacca, Maurizio, Beyens, Matthias, De Clerck, Ben, Aerts, Liese, Voeten, Birgit, De Pooter, Dorien, Verschueren, Lore, Dockx, Koen, Vandenberk, Mathias, De Troyer, Ewoud, Verwilt, Kato, Van Hove, Carl, Verslegers, Mieke, Bosseler, Leslie, Crabbe, Marjolein, Krishna, Vinod, Nájera, Isabel, and Van Gulck, Ellen
- Subjects
LIVER cells ,T-cell exhaustion ,VACCINATION ,T helper cells ,LIVER - Abstract
Background: Suppression of HBV DNA, inhibition of HBV surface (HBsAg) production and therapeutic vaccination to reverse HBV-specific T-cell exhaustion in chronic HBV patients are likely required to achieve a functional cure. In the AAV-HBV mouse model, therapeutic vaccination can be effective in clearing HBV when HBsAg levels are low. Using a single-cell approach, we investigated the liver immune environment with different levels of HBsAg and sustained HBsAg loss through treatment with a GalNAc-HBV-siRNA followed by therapeutic vaccination. Methods: AAV-HBV-transduced C57BL/6 mice were treated with GalNAc-HBV-siRNA to lower HBsAg levels and then vaccinated using a DNA vaccine. We used single-cell RNA and V(D)J sequencing to understand liver immune microenvironment changes. Results: GalNAc-HBV-siRNA, followed by therapeutic vaccination, achieved sustained HBsAg loss in all mice. This was accompanied by CD4 follicular helper T-cell induction, polyclonal activation of CD8 T cells and clonal expansion of plasma cells that were responsible for antibody production. Conclusions: This study provides novel insights into liver immune changes at the single-cell level, highlighting the correlation between induced reduction of HBsAg levels and clonal expansion of CD4, CD8 T cells and plasma cells in the liver upon HBV siRNA and subsequent therapeutic vaccination. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF