PT - JOURNAL ARTICLE AU - Zhang, Tian-Ying AU - Guo, Xue-Ran AU - Wu, Yang-Tao AU - Kang, Xiao-Zhen AU - Zheng, Qing-Bing AU - Qi, Ruo-Yao AU - Chen, Bin-Bing AU - Lan, Ying AU - Wei, Min AU - Wang, Shao-Juan AU - Xiong, Hua-Long AU - Cao, Jia-Li AU - Zhang, Bao-Hui AU - Qiao, Xiao-Yang AU - Huang, Xiao-Fen AU - Wang, Ying-Bin AU - Fang, Mu-Jin AU - Zhang, Ya-Li AU - Cheng, Tong AU - Chen, Yi-Xin AU - Zhao, Qin-Jian AU - Li, Shao-Wei AU - Ge, Sheng-Xiang AU - Chen, Pei-Jer AU - Zhang, Jun AU - Yuan, Quan AU - Xia, Ning-shao TI - A unique B cell epitope-based particulate vaccine shows effective suppression of hepatitis B surface antigen in mice AID - 10.1136/gutjnl-2018-317725 DP - 2020 Feb 01 TA - Gut PG - 343--354 VI - 69 IP - 2 4099 - http://gut.bmj.com/content/69/2/343.short 4100 - http://gut.bmj.com/content/69/2/343.full SO - Gut2020 Feb 01; 69 AB - Objective This study aimed to develop a novel therapeutic vaccine based on a unique B cell epitope and investigate its therapeutic potential against chronic hepatitis B (CHB) in animal models.Methods A series of peptides and carrier proteins were evaluated in HBV-tolerant mice to obtain an optimised therapeutic molecule. The immunogenicity, therapeutic efficacy and mechanism of the candidate were investigated systematically.Results Among the HBsAg-aa119-125-containing peptides evaluated in this study, HBsAg-aa113-135 (SEQ13) exhibited the most striking therapeutic effects. A novel immunoenhanced virus-like particle carrier (CR-T3) derived from the roundleaf bat HBV core antigen (RBHBcAg) was created and used to display SEQ13, forming candidate molecule CR-T3-SEQ13. Multiple copies of SEQ13 displayed on the surface of this particulate antigen promote the induction of a potent anti-HBs antibody response in mice, rabbits and cynomolgus monkeys. Sera and purified polyclonal IgG from the immunised animals neutralised HBV infection in vitro and mediated efficient HBV/hepatitis B virus surface antigen (HBsAg) clearance in the mice. CR-T3-SEQ13-based vaccination induced long-term suppression of HBsAg and HBV DNA in HBV transgenic mice and eradicated the virus completely in hydrodynamic-based HBV carrier mice. The suppressive effects on HBsAg were strongly correlated with the anti-HBs level after vaccination, suggesting that the main mechanism of CR-T3-SEQ13 vaccination therapy was the induction of a SEQ13-specific antibody response that mediated HBV/HBsAg clearance.Conclusions The novel particulate protein CR-T3-SEQ13 suppressed HBsAg effectively through induction of a humoural immune response in HBV-tolerant mice. This B cell epitope-based therapeutic vaccine may provide a novel immunotherapeutic agent against chronic HBV infection in humans.