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Group A3: Immunological endpoints Yacouba Cissoko Agustina Errea Mamadou Korka Diallo PRECLINICAL STUDIES Assesing immune response in animal model Which endpoints? Protective immune response Available Tools. Antigen specific Celular response Humoral response Mucosal response after challenge challenge Detection of antigen especific antibodies: IgG1 and IgG2 titers * Why? Are we triggering an immune response? Other species: IgG1 correlated with response Th2 and IgG2 with Th1 Disadvantage: * How ? no correlation between B cells response and protection ELISA 10 µg/ml antigen per well Serial dilutions of sera from immunized animals from (duplicates) Anti guinea pig IgG1-HRP or Anti guinea pig IgG2- HRP Substrate: OPD - DO lecture: 492nm CTR (-): sera from non vaccinated animal CTR (+): sera from BGC vaccinated animal Titer definition: highest dilution rate yielding absorbency 3 times greater than the negative control. Antigen Specific cellular response: proliferative response by CFSE staining and FACS • CFSE techniques allows qualitative and cuantitative analysis evaluation of proliferation index Harvest sample spleen CFSE staining Proliferation assay 72 hs 1x106 Cells/ ml •CD4- Per CP •CD8- APC CFSE 5 µM •IP ( live cells) •Single cell suspension •Red blood lysis Staining cell surface markers 2x105 cells/ well Antigen: whole protein fusion CTR+: concavaline A CTR- : media alone Flow cytometry Leukocyte recruitment to lung after challenge with Mtb Why? Our boosting is able to generate immune effectors mechanism of control of the disease? Previous reports (1) : vaccinated guinea pig Tcells in lugs Macrophages MHC II + Bacterial burden Activated status Determinations: Number of CD4+ cells and CD8+ Tcells Number of CD4+ CD45+ T cells and numbers of CD8+ CD45+ T cells Number of macrophages Frequency of macrophages expressing MHCII per gram tissue (1) Ordway D et al. Clin Vaccine Immunol 2008 Aug;15(8):1248-58. Leukocyte recruitment to lung after challenge with Mtb How? Flow cytometry Cells surface markers staining Lungs Single cell suspension ≠ times points Enzimatic digestion Red blood cells lysis • Anti- CD4, CD8, pan T cell, MIL4, CD45. • Anti-macrophages (MR-1) MHCII •Singles staining and Cells without staining COMPENSATION Gating strategy Lymphocytes Expectations Boosted animals ( vs BCG CTR) Increased immune response at sistemic levels: Increased proliferation rates Increased levels of Antibodies with mix profile Increased capacity of development of active response against the pathogen at mucosal level: Increased and persistent levels of T cell to the lung after infection ( CD4 and CD8+ T cells) with an activation profile ( high numbers of T cells expressing CD45) Increased recruitment and activation of macrophages in response to infection. PHASE II CLINICAL TRIAL Primary variable to assess immune response to PFP (Ag 85A+RV2660+PPE44) CELL MEDIATED IMMUNE RESPONSE: Percentage of CD4 and CD8 T cells producing IFN-γ, TNF-α, and/or IL-2, independently or simultaneously following stimulation (peptide pools from PFV) in the different groups. Specific immune response to PFP Vaccine (Ag85A, RV2660 and PPE44) major HLA class I related peptide Ag 85A CD8 tetramer assay. proportion of memory vs naive vs effector cells by extracellular staining for CD45RO and CCR7 HUMORAL IMMUNE RESPONSE: Assessed by Ab level in sera specific to PFP. Work on frozen sample ? Brewelskloof Hospital Immunology lab Centre 1 Centre 3 Centre2 Comprehensive immunomonitoring (1) ASSAY DAY PURPOSE TUBE/V OL PFP Ab titer in sera D0,7,28, 37,86, 364 for groups A, B &C + 56, 112 for groups D &E Assess Humoral immunity to vaccine ½ of Dry Serum, 2x 0.75 ml tube /5ml aliquot, freeze at 80° (field) for Ab ELISA (main lab) HLA typing D0 Exploring Ficol confounding layer variable for CMI Cytokine titer in sera D0, D7 for Assess profil of ½ of Dry all groups T cell response tube /5ml D37 for to vaccine group D,E DESCRIPTION Ficol layer will be harvested for HLA typing by PCR (other lab) Serum, 2x 0.75 ml aliquot, freeze at 80° (field) for IFN-g ELISA (main lab) Comprehensive immunomonitoring (2) ASSAY STUDY DAY D0,7,28, Intracellular staining 37,86, for cytokine 364 for production groups A, B &C + 56, 112 Extra cellular for staining for cell groups percentage D&E Ag 85A - CD4 tetramer assay D0 and D364 PURPOSE TUBE/VOL DESCRIPTION Assess cellular immune response to vaccine Assess cellular immune response to vaccine Assess spécific CD8 response to one of the vaccine componment CPT /40ml Cells will be separated immediatly on the field by centrifugation in CPT, then Freeze down using linear freeze box overnight then stored in LN dryshiper /send to Main Lab/CFSE, ICS,ECS,tetram er from thawed PBMC Specific IgG to antigen in sera Will be mesured by ELISA, Quantitative ELISA using diluted sera of Ab will be performed: 10mg/ml antigen per well serial dilutions of sera from study subjects 1/100 (duplicates) Anti human IgG- HRP substrate: OPD - reader: 492nm negative control: diluents positive control: will be a sample of sera from previous positive subjects We expect to have High level Ab in boosted subject signing humoral response ELISA for INF-g in sera Quantitative ELISA with diluted INF-g standard and subjects sera : 50ml of undiluted sera per well in duplicate for each patient Standard INF-g 10 ng in 100ml PBS in first well triplicate then serial dilutions step ½ until nil (PBS) Mouse Anti INF-g IgG- Biotin lated + Avidin Peroxydase substrat: OPD - reader: 492nm Standard curve will be drawn to determine function beteween dilutions and OD then apply to the sample to find quantity of IFN-g in sera of study subject. We expect to have High level of IFN-g in boosted subject signing TH1 response Main Lab Field PBMC separation & Thawing On CPT 2tubes of 10 ml per subject Centrifuge at 1500 rpm at 25°C for 15 min Expecting to harvest 30.106 PMBC per subject per blood drawing. Resuspend in CRPMI (79%RPMI, 20% FCS) + 1%DMSO Freeze linearly (Isopropyl alcool box for 3 H at -80°C)L. Nitrogen Thaw: washing out with RPMI; resuspending with CRPMI Expecting lost of PMBC 25% during thawing remain 22.5. 106. Use cell in different assay as needed. Extra & Intra cellular staining for cell population Stimulation of PMBC 500.103 with 10 mM of PFP peptide pool in presence of Befeldin A 10 mg/ml. Incubate for 6 hours at 37°, 5% CO2. Control: - (non stimulated); + (stimulated/PHA). ECS with Anti CD4-FITC, Anti CD8-PE and Anti CD3 ECD, Fixe. Permeabilization, ICS of cytokine inside the producing cells with INF-g, TNF-a, IL2 fluorochromes labeled specific Ab. The dynamic in number of those cells will be monitored following the mentioned time points during the study. Expecting increase number of polyfunctional T cell after the boost. HLA typing /Tetramer assay HLA typing by PCR: most common HLA A aplotype in the population to select suitable peptide for CD8 tetramer A specific CMH class 1( A*0201) tetramer of peptide p4856 from the Ag85A,will be use to bind specific CD8 T cells. Simultaneous surface staining with Anti CD45Ro-APC, anti CCR7-PC5. To look at single peptide as inductor in the context of CMH class-1 for CD8 memory response (D0 vs D364) Expecting increase of specific CD8 memory T cell (D0 vs D364) Smith SM and al. J Immunol 2000;165;7088-95 Flow cytometry BD FACSCanto Standard System with 6-color capacities and 2-laser system (488, 633 nm) and a fully integrated fluidics cart software : BD FACSDiva™ Use for cell caracterisation, proliferation and tetramer assay. At least 100 000 events count Good compensation Good gate setting Data auditing