Despite the recent progress in the development of new antiviral agents, hepatitis C virus (HCV) infection remains a major global health problem, and there is a need for a preventive vaccine. We previously reported that adenoviral vectors expressing HCV nonstructural proteins elicit protective T cell responses in chimpanzees and were immunogenic in healthy volunteers. Furthermore, recombinant HCV E1E2 protein formulated with adjuvant MF59 induced protective antibody responses in chimpanzees and was immunogenic in humans. To develop an HCV vaccine capable of inducing both T cell and antibody responses, we constructed adenoviral vectors expressing full-length and truncated E1E2 envelope glycoproteins from HCV genotype 1b. Heterologous prime-boost immunization regimens with adenovirus and recombinant E1E2 glycoprotein (genotype 1a) plus MF59 were evaluated in mice and guinea pigs. Adenovirus prime and protein boost induced broad HCV-specific CD8
Hepatitis C virus (HCV) infection is a major global health problem affecting an estimated 170 million people worldwide, occurring among persons of all ages, genders, races, and regions of the world. Chronically infected subjects are at risk of developing progressive liver disease, including cirrhosis, and primary hepatocellular carcinoma (1). Although the recent introduction of directly acting antiviral drugs (DAAs) has improved therapy for chronic HCV and interferon (IFN)-free regimens are on the horizon (2), treatment success may be limited by a range of factors, including awareness of infection status, access to and cost of therapy, relative efficacy of different regimens for specific HCV genotypes, adverse effects, comorbidities (e.g., cirrhosis or HIV coinfection), and host factors. For these reasons, the development of a safe, effective, and affordable preventive vaccine against HCV is the optimal long-term goal to control the global epidemic (3).Approximately 20% of infected individuals clear the virus spontaneously, and resolution is associated with HLA type and with potent, multispecific, and long-lasting T cell responses (4). T cell depletion experiments with chimpanzees confirmed the essential role of cellular immunity in controlling HCV infection (5). Moreover, antibodies targeting the HCV envelope glycoproteins have been shown to neutralize infection in vitro (6, 7) and to protect against virus challenge in the human liver-Alb-uPA/SCID murine model (8)(9)(10). A recent report demonstrated that spontaneous clearance of HCV is associated with the early appearance of a broadly neutralizing antibody response (11). Recombinant E1E2 glycoproteins have been shown to induce cross-neutralizing antibody responses against het-