In the past, DNA vaccines have proved effective in animal models, while DNA vaccines did not afford sufficient immunogenicity in human clinical studies14. Therefore, it is essential to modulate and augment the efficacy of DNA vaccines. Now a number of strategies have been investigated to increase the immunogenicity of DNA vaccines including adjuvants (such as cytokines15,16, CpG motif or CpG oligonucleotide17,18,19,20, liposomes21,22, lipopolysaccharide,23,24etc), alterations in the codon bias25,26 electroporation27,28,29, heterologous prime/boost immunization27,30,31and so on.
In the present study, we have explored the efficacy of combined multiple strategies on HPV DNA vaccine. We found that the insertion of CpG motif into the backbone of plasmid vector, mE7/HSP70 plasmid mixed with mE6/HSP70 plasmid, combined IL-28B gene adjuvant, vaccinated with electroporation could significantly enhance specific CD8+T cell response and to eradicate the established graft tumors in C57BL/6 mice. We did not detect specific CD4+T cell response and humoral immune response, just because our group and other studies previously showed that HPV DNA vaccine fused with HSP70 could significantly enhance specific CD8+T cell response, not significantly improve specific CD4+T cell response and antibody response9,32,33,34, this may due to HSP70 mainly delivers antigenic peptides to MHC-I molecules and plays cross-delivery activity35,36. Previous clinical researches also showed that CD8+T cells is necessary for therapeutic vaccine antitumor effect, while specific CD4+T cell response and antibody response are not the most critical factors for the antitumor effect5,37,38,39. So we only detected specific CD8+T cell response.
We also found that simultaneous vaccination of C57BL/6 mice with both mE6/HSP70 and mE7/HSP70 plasmids generate enhanced synergistic effect on the response of CD8+T cells rather than a simple cumulative effect of two vaccines. The reason may be that the mixed application of mE6/HSP70 and mE7/HSP70 plasmids in mice stimulated the activation and secretion of cytokines of DC cells, then further stimulated the activation of E6 and E7-specific CD8+T and CD4+T cells secreting cytokines, which constituted local immunity microenvironment. These cytokines again promoted the reactivation of E6 and E7 specific CD8+T cells, thus enlarging the immune effect.
In this study, HPV16 E6 wild protein genes were modified to insert two HLA-A2 restriction epitopes between amino acids 70–71 in the zinc finger binding region. The E7 wild protein gene was also modified, the strategies included the mutation of Rb binding site, gene cleavage and rearrangement, the addition of one HLA-A2 restriction epitope to N and C terminus respectively. Thus, the modified E6 and E7 genes contained more human CD8+T cell epitopes, which laid a foundation for inducing higher CD8+T cell response and future clinical application.
To further enhance the immune activity of this HPV DNA vaccine, cytokine gene adjuvant was also employed. Several previous studies have demonstrated the adjuvant activity of cytokines such as IL-12, IL-15, IL-28B,IFN-γ and GM-CSF. However, the adjuvant activity of the same cytokine is often unpredictable used in different vaccines or in different ways. IL-15 gene adjuvant could significantly boost specific CD8+T cell response of HIV DNA vaccine and Trypanosoma cruzi DNA vaccine40,41,42. Although IL-28B gene adjuvant could significantly augment the function of CD8+T cell and protective immune response of HIV DNA vaccine43,44,45, HSV DNA vaccine46 and Flu vaccine47, it had no effect on the immune activity and protective immunity of tuberculosis fusion protein vaccine48. GM-CSF gene adjuvant significantly enhanced the immune activity of SARS-CoV-2 DNA vaccine49, anti-Lewis lung carcinoma DNA vaccine50 and HPV16 E6/E7 DNA vaccine51, but significantly inhibited the antibody level and protective effect induced by Japanese encephalitis virus DNA vaccine52. For the first time, we used the IL-28B plasmid as an adjuvant for HPV DNA vaccine compared with IL-15 plasmid because IL-15 has been proved to enhance CD8+T cell response by our research group. Analysis of this comparison showed that IL-28B may be more effective than IL-15 in enhancing CD8+T cell response induced by HPV DNA vaccine.
The previous studies also have demonstrated that the immunogenicity of plasmid DNA may be modulated and augmented by the presence of CpG motif or ODN in the backbone. In humans, four classes of synthetic CpG ODN have been identified that differ in structure and immune activity, they are A-, B-, C- and P-type53. One study suggested that insertion of C-type motifs in anthrax DNA vaccine enhance higher cell-mediated and protective immune response than A- and B-type motifs13. Another study demonstrated mice vaccinated with C-type CpG-modified vaccines resulted in enhanced Th1-biasd T-cell response54. Morever, several clinical studies indicated that B-type CpG such as CpG7909 or CpG1018 was used as adjuvants in vaccines targeting infectious diseases and cancers, could enhance Th1-skewed immune response of these vaccines55,56. These studies suggested CpG motif might be appropriate for using as “bulit-in” adjuvants in DNA vaccine. Furthermore, the result by comparing the efficacy of vaccines modified with 5, 20 and 40 copies of CpG motifs showed that with the addition of more copies of CpG motifs produced stronger adjuvant effects13. In this study, we synthesized one CpG motifs including B type showed good stimulating activity on human immune cells12, then inserted 20 copies of CpG motif into the backbone of plasmid. Our data showed that CpG-modified HPV DNA vaccine induced significantly higher CD8 + T cell response than non-modified HPV DNA vaccine.
In general, our findings might provide one efficient strategy to optimize DNA vaccines by inserting CpG ODNs into plasmid vector, mixing mE6/HSP70 and mE7/HSP70 plasmids and combining with IL-28B gene adjuvant, vaccination with electroporation.