RT Journal Article SR Electronic T1 A unique B cell epitope-based particulate vaccine shows effective suppression of hepatitis B surface antigen in mice JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP 343 OP 354 DO 10.1136/gutjnl-2018-317725 VO 69 IS 2 A1 Zhang, Tian-Ying A1 Guo, Xue-Ran A1 Wu, Yang-Tao A1 Kang, Xiao-Zhen A1 Zheng, Qing-Bing A1 Qi, Ruo-Yao A1 Chen, Bin-Bing A1 Lan, Ying A1 Wei, Min A1 Wang, Shao-Juan A1 Xiong, Hua-Long A1 Cao, Jia-Li A1 Zhang, Bao-Hui A1 Qiao, Xiao-Yang A1 Huang, Xiao-Fen A1 Wang, Ying-Bin A1 Fang, Mu-Jin A1 Zhang, Ya-Li A1 Cheng, Tong A1 Chen, Yi-Xin A1 Zhao, Qin-Jian A1 Li, Shao-Wei A1 Ge, Sheng-Xiang A1 Chen, Pei-Jer A1 Zhang, Jun A1 Yuan, Quan A1 Xia, Ning-shao YR 2020 UL http://gut.bmj.com/content/69/2/343.abstract 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.