HBV-Specific T Cell Response via MHC-E CMV Vector Engineering
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Solution Overview
Problem
Current immunotherapies for chronic hepatitis B virus (HBV) infection struggle to overcome T cell immunotolerance and consistently achieve lasting reversal of T cell exhaustion or sustained viral suppression, exacerbated by the lack of physiologically relevant animal models.
Innovation Solution
Administering a cytomegalovirus (CMV) vector expressing HBV antigens without active UL128, UL130, UL146, and UL147 proteins to elicit a CD8+ T cell response, utilizing MHC-E restriction to generate a unique set of T cell responses.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If conventional immunotherapies are used to treat chronic HBV infection, then T cell immunity is stimulated, but T cell immunotolerance and exhaustion prevent lasting viral suppression
Solution Approach 1:
The patent uses MHC-E as an intermediary pathway to present HBV antigens to CD8+ T cells. By utilizing the MHC-E restriction system, the invention creates a novel immunological pathway that bypasses the exhausted conventional MHC-I restricted T cell responses, enabling effective viral suppression without triggering immunotolerance
Solution Approach 2:
The invention changes the MHC restriction parameter of the T cell response by focusing on MHC-E restricted epitopes rather than conventional MHC-I epitopes. This parameter change allows the generation of robust CD8+ T cell responses that are functional in chronic infection settings where conventional pathways have failed
2Productivity
If CMV vector is used to express HBV antigens, then robust T cell response is generated, but UL128-UL147 proteins may interfere with MHC-E presentation
Solution Approach 1:
The patent extracts and removes the problematic UL128, UL130, UL146, and UL147 genes from the CMV vector. This extraction eliminates the harmful interference these proteins cause with MHC-E presentation, while preserving the beneficial robust T cell response generation capability of the CMV vector system
Solution Approach 2:
The patent converts the potential harm of CMV UL proteins into benefit by selectively removing only the interfering UL128-UL147 genes while retaining the CMV vector's strong antigen expression and T cell stimulatory capabilities. This creates an optimized vector that maintains productivity without the harmful side effects
Data Source
AI summary
The present disclosure relates to methods to generate an immune response for the treatment or prevention of hepatitis B virus infection. This disclosure also relates to methods to generate MHC-E and/or MHC-II restricted CD8+ T cells for the treatment or prevention of hepatitis B virus infection.


