Human cytomegalovirus (CMV), a ubiquitous human pathogen, is a leading cause of congenital infections and represents a serious health risk for the immunosuppressed patient. A vaccine against CMV is currently not available. CMV is characterized by its large genome and by multiple genes modulating the immunity of the host, which cluster predominantly at genome termini. Here, we tested whether the deletion of gene blocks rich in immunomodulatory genes could be used as a novel concept in the generation of immunogenic but avirulent, herpesvirus vaccines. To generate an experimental CMV vaccine, we selectively deleted 32 genes from the mouse cytomegalovirus (MCMV) genome. The resulting mutant grew to titers similar to that of wild-type MCMV in vitro. In vivo, the mutant was 10,000-fold attenuated and well tolerated, even by highly susceptible mice deficient for B, T, and NK cells or for the interferon type I receptor. Equally relevant for safety concerns, immune suppression did not lead to the mutant's reactivation from latency. Immunization with the replicationcompetent mutant, but not with inactivated virus, resulted in protective immunity, which increased over time.
Vaccination induced MCMV-specific antibodies and a strong T-cell response. We propose that a targeted and rational approach can improve future herpesvirus vaccines and vaccine vectors.The human cytomegalovirus (HCMV), a betaherpesvirus subfamily member, is a ubiquitous human pathogen that causes congenital infections and also represents a major morbidity risk for immune-suppressed or immunodeficient patients (56).HCMV carries approximately 200 genes, which represent a large antigenic potential. However, despite previous efforts, (59, 60), no effective vaccine has been generated so far (67). Although the Towne strain was shown in numerous studies to be a safe and immunogenic vaccine (1, 29, 30), its immunogenicity was lower than that of the wild-type (WT) virus, and it failed to confer immune protection against infection by natural contact (2). Several features of HCMV infection make vaccine development uniquely difficult. A large number of HCMV genes modulate the innate and adaptive host immune responses to the advantage of the pathogen (43,50,74). Natural CMV infection provides only partial protection, and reinfection can cause congenital CMV disease even in infants of mothers with preconceptional immunity (5, 22). Moreover, persistence of the virus in state of latency, with the possibility of reactivation over the course of the patient's life, represents a safety concern when a live attenuated herpesvirus vaccine is used. Finally, cytomegaloviruses are characterized by strict species specificity, and there is no animal model for direct studies of HCMV infection and immunity in vivo.The infection of mice with mouse CMV (MCMV) represents a widely used in vivo model of CMV infection (40).Studies with the MCMV model revealed that protective immunity against CMV infection requires both B and T cells (31)(32)(33)64). Therefore, it is not surprising that sub...