Recombinant respiratory syncytial virus that does not express the NS1 or M2-2 protein is highly attenuated and immunogenic in chimpanzees

MN Teng, SS Whitehead, A Bermingham… - Journal of …, 2000 - Am Soc Microbiol
MN Teng, SS Whitehead, A Bermingham, M St. Claire, WR Elkins, BR Murphy, PL Collins
Journal of virology, 2000Am Soc Microbiol
Mutant recombinant respiratory syncytial viruses (RSV) which cannot express the NS1 and
M2-2 proteins, designated rA2ΔNS1 and rA2ΔM2-2, respectively, were evaluated as live-
attenuated RSV vaccines. The rA2ΔNS1 virus contains a large deletion that should have the
advantageous property of genetic stability during replication in vitro and in vivo. In vitro,
rA2ΔNS1 replicated approximately 10-fold less well than wild-type recombinant RSV (rA2),
while rA2ΔM2-2 had delayed growth kinetics but reached a final titer similar to that of rA2 …
Abstract
Mutant recombinant respiratory syncytial viruses (RSV) which cannot express the NS1 and M2-2 proteins, designated rA2ΔNS1 and rA2ΔM2-2, respectively, were evaluated as live-attenuated RSV vaccines. The rA2ΔNS1 virus contains a large deletion that should have the advantageous property of genetic stability during replication in vitro and in vivo. In vitro, rA2ΔNS1 replicated approximately 10-fold less well than wild-type recombinant RSV (rA2), while rA2ΔM2-2 had delayed growth kinetics but reached a final titer similar to that of rA2. Each virus was administered to the respiratory tracts of RSV-seronegative chimpanzees to assess replication, immunogenicity, and protective efficacy. The rA2ΔNS1 and rA2ΔM2-2 viruses were 2,200- to 55,000-fold restricted in replication in the upper and lower respiratory tracts but induced a level of RSV-neutralizing antibody in serum that was only slightly reduced compared to the level induced by wild-type RSV. The replication of wild-type RSV in immunized chimpanzees after challenge was reduced more than 10,000-fold at each site. Importantly, rA2ΔNS1 and rA2ΔM2-2 were 10-fold more restricted in replication in the upper respiratory tract than was thecpts248/404 virus, a vaccine candidate that retained mild reactogenicity in the upper respiratory tracts of 1-month-old infants. Thus, either rA2ΔNS1 or rA2ΔM2-2 might be appropriately attenuated for this age group, which is the major target population for an RSV vaccine. In addition, these results show that neither NS1 nor M2-2 is essential for RSV replication in vivo, although each is important for efficient replication.
American Society for Microbiology