The MVA vector, despite of its attenuated phenotype, still contains genes that encode proteins that can interfere with host immune responses to viral infection
[34], and it is described that deletion of immunomodulatory proteins in orthopoxviruses can enhance immune responses (
[17],
[34],
[35],
[36],
[37],
[38],
[39]). The function of some of these genes, like the VACV gene
C6L, is unknown. We report here the immunomodulatory role of
C6L, showing the effects of the C6 protein on virus replication, innate immune sensing and immunogenicity
in vivo.
MVA-B, the attenuated VACV vector MVA expressing the clade B HIV-1 antigens Env, as monomeric gp120, and Gag, Pol and Nef, as a polyprotein of about 160 kDa is considered a vaccine candidate against HIV/AIDS
[18] based on preclinical studies in different animal models
[17],
[18],
[20],
[22] and on gene signatures triggered in human DCs infected with MVA-B, where the expression of HIV-1 proteins induced the expression of immunomodulatory molecules such as cytokines, cytokine receptors, chemokines, chemokine receptors and molecules involved in antigen uptake and processing
[24]. Moreover, human DCs exposed to MVA-B induced highly functional HIV-1-specific CD8
+ T-cell responses in HIV-1 infected individuals
[25]. Thus, due to the good immunogenicity behavior of MVA-B, a prophylactic phase I clinical trial was initiated in Spain.
To improve the immunogenicity elicited by MVA-B and to investigate the possible immunomodulatory role of
C6L we have removed from the MVA-B viral genome the
C6L gene, generating the deletion mutant termed MVA-B ΔC6L. First, we showed in cultured cells that MVA-B ΔC6L does not express the C6 protein, but efficiently produced the four HIV-1 antigens (Env, Gag, Pol and Nef) in a stable manner and at the same level as MVA-B during the course of virus infection. Also, MVA-B ΔC6L replicates similarly to MVA-B in cultured cells, indicating that deletion of
C6L has no effect on virus propagation. Therefore,
C6L is not essential for viral replication in cell culture. Moreover, similar to MVA-B, MVA-B ΔC6L maintains an attenuated phenotype and does not replicate in mammalian cells. Western blot analyses demonstrated that C6 is expressed early in cells infected with the VACV strains WR and MVA. This early expression profile is consistent with genome-wide transcriptome analyses that detected C6 mRNA 30 minutes post-infection
[2]. Most VACV immunomodulatory proteins are expressed early during infection, and the early expression pattern of C6 suggests that it is involved in immune evasion as we confirmed in experiments using human macrophages and DCs. In addition, C6 localizes to the cytoplasm of infected cells, opening the possibility that C6 modulates, directly or indirectly, intracellular signalling pathways controlling immune responses.
Yeast two-hybrid and pull-down assays revealed that VACV C6 protein binds to three host human cell proteins
[14]. However, none of these proteins seems to be directly related with the host immune response. One of the C6 binding partners is programmed cell death 6 interacting protein (PDCD6IP/ALIX), which has been involved in the regulation of apoptosis, cytokinesis and HIV-1 budding. VACV C6 also interacts with keratin 4 (KRT4), present in intermediate filaments, and which also binds IMV surface protein A27. C6 protein has also been detected in a low proportion in intracellular mature virions
[13], similar to other proteins of the poxvirus family Pox_A46 (A46). One possible reason for presence of C6 in the virion could be that C6 is necessary for viral cycle early after virus entry or that C6 have a function in IMV-cell attachment, fusion, and/or microtubule transport through their interaction with KRT4. Finally, C6 also binds to troponin I, skeletal, fast (TNNI2), a co-activator of estrogen receptor-related receptor α (ERRα), suggesting that C6 could have a role in ERRα-mediated transcriptional activity. Additional experiments will be required to decipher the relationship between the C6 interaction with binding partners and C6 immunomodulatory function.
A bioinformatic analysis indicated that
C6L has sequence similarities with the poxvirus family Pox_A46, a poxvirus Bcl-2-like gene family, which includes
A46R,
A52R,
K7R and
B15R (named
B14R in VACV strain WR)
[3]. A46
[4],
[12], A52
[4],
[7],
[8], K7
[9],
[10],
[11] and B15
[5],
[6] are intracellular proteins expressed by VACV that inhibit TLR signalling at different levels. A46 contains a Toll/IL-1 receptor (TIR) domain and targets several TIR adaptor proteins (MyD88, TIRAP, TRIF and TRAM)
[4],
[12], blocking MAP kinase activation and TRIF-mediated IRF3 activation. A52 and K7 targets IRAK2 and TRAF6 inhibiting TLR-dependent NF-κB activation
[11]. K7 also interacts with DDX3, which is part of the complex that activates transcription factor IRF3, thus inhibiting IRF3 mediated IFN-β gene transcription
[9],
[10]. B15 inhibits IKKβ phosphorylation thereby impairing NF-κB activation
[5],
[6]. Considering the sequence similarities of C6 with A46, A52, K7 and B15, we speculate that C6 may interfere with host immune responses through inhibition of TLR signalling pathways.
To examine the immunomodulatory role of
C6L, we characterized the profile of the innate immune sensing induced by MVA-B ΔC6L, MVA-B and MVA in human macrophages and moDCs. MVA-B ΔC6L significantly up-regulated IFN-β and IFN-α/β-inducible genes (IFIT1 and IFIT2) mRNA levels and increased IFN-β secretion, suggesting that C6 blocks some component of the IFN-β signalling pathway. The effect was mainly observed 6 hours post-infection and at low virus doses, probably because long-term viral exposure and high viral doses induce extensive apoptosis
[26]. Previous experiments revealed in macrophages infected with MVA a critical role for TLR2-TLR6-MyD88 in the production of IFN-β-independent chemokines and of MDA-5-IPS-1 in the production of IFN-β-dependent chemokines
[40]. Phosphorylation of IRF3, IRF7 and STAT-1, which are essential for the transcription of the IFN-β gene (IRF3) and critical targets of the IFN-β signalling pathway required for the transcriptional activation of IFN-β-dependent genes (IRF7 and STAT-1), were detected in THP-1 cells infected with MVA and associated with the induction of IFN-β
[40]. Whether C6 blocks directly or indirectly IRF3, IRF7 or STAT-1 expression or activation by phosphorylation is under investigation.
Since our goal is to develop modified MVA-B with enhanced immunogenicity to HIV-1 antigens, we carried out a detail characterization of the HIV-1-specific memory immune responses induced in mice using DNA prime/MVA boost approach, and compared parental MVA-B with the deletion mutant MVA-B ΔC6L. We used ICS, which allows a more extensive characterization of T-cell effector functions at the single-cell level
[41]. Our findings revealed that at 53 days post-boost, DNA-B/MVA-B ΔC6L triggered higher magnitude and polyfunctionality of total HIV-1-specific CD4
+ and CD8
+ T-cell memory immune responses (specific for Env, Gag and GPN) than DNA-B/MVA-B. The vaccine-induced T-cell memory responses were predominantly mediated by CD8
+ T cells in both immunization groups, with most of the response mediated by CD8
+ EM and TEMRA T cells, which have been described to have a powerful and direct antiviral capacity
[30],
[31],
[32],
[33] and have been associated with HIV-1 viral control in early and chronic infection
[42],
[43],
[44]. HIV-1-specific CD4
+ T-cell memory responses were preferentially Env-specific in both immunization groups, similar to what it is obtained with other MVA HIV-1 vaccines as MVA-CMDR
[45] or other NYVAC HIV-1 vaccines
[21],
[46],
[47]. Furthermore, immunization with DNA-B/MVA-B ΔC6L induced preferentially GPN-specific CD8
+ T-cell memory responses compared with DNA-B/MVA-B. The shift towards GPN-response triggered by MVA-B ΔC6L might result from the activation of the intrinsic pathway of antigen presentation by the Gag-Pol-Nef intracellular polyprotein due to the increased IFN-β production promoted by the deletion of
C6L. However, it is not clear yet whether the enhanced CD8
+ T-cell response to GPN is due to a greater breadth of response or could reflect an enhanced response to single epitopes. The functional relevance of Env-specific CD4
+ T-cell responses or GPN-specific CD8
+ T-cell responses in setting of vaccination for prevention of HIV-1 infection needs to be further explored. Further experiments need to be done in other animal models such as non-human primates to determine the possible benefits of the response elicited by MVA-B ΔC6L. Interestingly, enhanced Gag response has been associated with better control of virus in macaques infected with SIV and in HIV-1-infected individuals
[48],
[49].
How significant are our
in vivo findings with regard to immune requirements for HIV-1 protection? While definition of correlates of protection to HIV-1 remains to be firmly established, there are a number of markers that can be used as potential indicators for an effective HIV-1 vaccine, such as: 1) activation of HIV-1-specific CD4
+ and CD8
+ T cells; 2) triggering polyfunctional responses; 3) enhanced magnitude and breath of the immune response; 4) induction of long-term memory cells of effector phenotype; 5) production of neutralizing antibodies with broad specificities. Several features of the T-cell response to HIV-1 are correlated with control of viral replication
[50],
[51], and a correlation of the CD8
+ T-cell response with a lowering of peak viremia in acute HIV-1 infection has been described
[52],
[53]. Also, in non-human primates there is a good correlation between vaccine-induced HIV-1-specific cellular immunogenicity and protection after a challenge with a pathogenic SHIV
[22],
[27],
[28], where CD8
+ T cells play an important role in immunity to HIV-1
[54]. Several studies have demonstrated that T-cell polyfunctionality is associated with protective antiviral immunity [
[50],
[51],
[55],
[56],
[57], for a review
[33]]. In HIV-1-infected patients that are nonprogressors, HIV-1-specific CD8
+ T cells were polyfunctional
[50]. Furthermore, the generation of memory CD8
+ T cells of EM and TEMRA phenotypes have been associated with the control of HIV-1 infection in patients
[42],
[43],
[44] and in non-human primates
[58]. Moreover, it was described recently that effector memory T-cell responses elicited after vaccination in non-human primates could control highly pathogenic SIVmac239 infection early after mucosal challenge, showing the important role of memory T-cell responses
[59]. These observations suggest that polyfunctional CD8
+ T cells and effector memory T cells are important components of a protective immune response
[33]. Importantly, both MVA-B and MVA-B ΔC6L triggered immune responses that fulfill several of the characteristics of a promising candidate HIV-1 vaccine. Indeed immunization with DNA-B/MVA-B ΔC6L induced activation of HIV-1-specific CD4
+ and CD8
+ T cells, enhanced magnitude and polyfunctionality of the immune response, triggered long-term memory T cells of effector phenotype, and increased the levels of antibodies directed against Env.
However, the immunological parameters required for protection against HIV-1 infection in humans remain unknown. The phase III Thai clinical trial reported a modest protection of about 31% against HIV-1 infection in vaccinees with the combination of recombinant vaccines canarypox and gp120, in spite of poor neutralizing antibodies and of reduced T-cell responses against HIV-1
[60]. The phase III Thai trial has pointed out that further developments of poxvirus vectors is needed. Among MVA vectors, several phase I clinical studies for HIV/AIDS have been performed with DNA prime/MVA boost protocols or with MVA administered alone
[61],
[62],
[63],
[64],
[65] and revealed promising findings. These studies proved the safety and immunogenicity of the MVA vectors and reported an important proportion of responders with multigenic responses that persisted up to one year post-vaccination. In light of our results, one might postulate that MVA-B with deletion of the
C6L gene could improve the immunogenicity of the vaccines by enhancing the magnitude, polyfunctional and memory responses T cell responses.
In conclusion, we show that deletion of C6L on MVA-B up-regulates IFN-β expression in human macrophages and DCs, and improves MVA-B immunogenicity in vivo, increasing the magnitude, polyfunctionality and memory T-cell responses against HIV-1 and the generation of Env-specific antibodies. Thus, VACV C6 protein interferes with host immune responses by at least in part, blocking some component(s) of the IFN-β signalling pathway. Understanding the mechanism of action of C6 will provide new insights in virus-host cell interactions and viral immunomodulation. Further work should be devoted to explore the relevance of our findings in a non-human primate model, as MVA-B ΔC6L represents a promising vector for developing HIV-1 vaccines.