Viral vector vaccine Mechanism of action Flashcards

1
Q

What is the route of administration for an rVSV vaccine and which cells are primarily infected at the injection site?

A

The rVSV vaccine is typically administered intramuscularly. At the injection site, both myocytes and resident antigen‐presenting cells (APCs) — including dendritic cells (DCs) and macrophages — are initially infected.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How does the modified rVSV vaccine particle enter host cells, and what role does the inserted antigen spike play?

A

The vaccine particle enters cells via receptor‐mediated endocytosis. The inserted antigen spike protein, displayed on the viral envelope, may interact with its cognate receptor (e.g., ACE2 in the context of SARS‑CoV‑2), facilitating viral entry and ensuring robust antigen expression.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe the replication cycle of the rVSV vaccine and how it contributes to antigen expression.

A

Once inside the cytoplasm, the attenuated rVSV replicates using its RNA-dependent RNA polymerase. The inserted spike gene is transcribed under native VSV promoters, resulting in high levels of spike protein synthesis. This protein is incorporated into new virions and expressed on the plasma membrane of infected cells, thereby amplifying the antigen load.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How is the replication of the rVSV vaccine controlled to ensure safety while still achieving an effective immune response?

A

The virus is attenuated through targeted mutations (for instance, in the matrix protein) which reduce pathogenicity while allowing controlled replication. This balance enables sufficient antigen production without causing disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What pathogen-associated molecular patterns (PAMPs) are generated during rVSV replication, and which cellular receptors recognize these patterns?

A

Viral replication generates PAMPs such as single-stranded RNA (ssRNA) and double-stranded RNA (dsRNA) intermediates. These are recognized by endosomal Toll-like receptors (TLR7 for ssRNA and TLR3 for dsRNA) and cytosolic sensors like RIG-I and MDA5.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Explain the intracellular signaling cascades initiated by PRR engagement upon rVSV infection.

A

TLR7 engagement activates the MyD88-dependent pathway, leading to IRAK kinase activation and NF-κB translocation. Simultaneously, RIG-I/MDA5 activation recruits MAVS, which via TBK1 and IKKε leads to phosphorylation of IRF3. These cascades culminate in the production of type I interferons (IFN‑α and IFN‑β) and pro-inflammatory cytokines (IL‑6, TNF‑α, IL‑1β).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which cytokines are secreted early during the innate immune response to an rVSV vaccine, and what are their roles?

A

Type I interferons (IFN‑α, IFN‑β) are secreted to establish an antiviral state and enhance antigen presentation. Additionally, pro-inflammatory cytokines such as IL‑6, TNF‑α, and IL‑1β are released, along with chemokines like CXCL10, which recruit immune cells to the site of vaccination.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How do dendritic cells (DCs) process antigens from the rVSV vaccine, and what are the key changes they undergo upon maturation?

A

DCs endocytose viral particles and soluble spike proteins. Inside the endosomes, the spike protein is degraded into peptide fragments. PRR engagement and cytokine signals (e.g., type I IFNs, IL‑12) induce DC maturation, which is characterized by upregulation of MHC class II and costimulatory molecules (CD80, CD86, CD40), as well as migration to draining lymph nodes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

In what ways do dendritic cells prime T cells following rVSV vaccination?

A

In the draining lymph nodes, mature DCs present spike-derived peptides on MHC class II to CD4+ helper T cells and, via cross-presentation on MHC class I, to CD8+ cytotoxic T cells. Costimulatory signals (e.g., CD80/CD86 binding CD28, and CD40 binding CD40L) further facilitate robust T cell activation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What cytokines and receptor interactions are critical for T cell activation and differentiation in response to the rVSV vaccine?

A

IL‑12 promotes Th1 differentiation, while type I IFNs and IL‑2 support CTL activation and proliferation. Additionally, costimulatory interactions—CD80/CD86 on APCs with CD28 on T cells and CD40 on APCs with CD40L on T cells—are essential for full T cell activation. T cell receptors (TCRs) recognize peptide-MHC complexes, triggering specific T cell responses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How are B cells activated following rVSV vaccination, and what processes lead to the production of high-affinity antibodies?

A

B cells bind the native conformation of the spike protein via their B cell receptor (BCR), internalize and process the antigen, and present peptides on MHC class II. Interaction with T follicular helper (Tfh) cells (via IL‑21, IL‑4, and CD40L–CD40 interaction) in germinal centers drives B cell proliferation, somatic hypermutation, and class-switch recombination, resulting in the generation of plasma cells that secrete high-affinity neutralizing antibodies (IgG, and IgA in mucosal sites).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What role does cross-presentation play in the immune response elicited by an rVSV vaccine?

A

Cross-presentation by certain dendritic cell subsets enables extracellular spike antigens to be presented on MHC class I molecules, thereby priming CD8+ cytotoxic T lymphocytes (CTLs) that are crucial for targeting and lysing infected cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How is long-term immunity established following rVSV vaccination?

A

Long-term immunity is achieved through the formation of memory T and B cells. Memory CD4+ and CD8+ T cells, along with memory B cells, persist and allow for rapid, robust responses upon subsequent exposure to the pathogen, ensuring durable protection.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Summarize the key cytokines involved in the rVSV vaccine response and their immunological roles.

A

Type I Interferons (IFN‑α, IFN‑β): Establish an antiviral state and enhance antigen presentation. IL‑12: Drives Th1 differentiation and supports CTL activation. IL‑6, TNF‑α, IL‑1β: Mediate local inflammation and immune cell recruitment. IL‑2 and IFN‑γ: Promote T cell proliferation and reinforce cytotoxic functions. IL‑21: Essential for B cell maturation and the affinity maturation of antibodies.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Identify the receptor molecules and costimulatory interactions essential for initiating the immune response to the rVSV vaccine.

A

Pattern Recognition Receptors: Endosomal TLR3 and TLR7 detect viral RNA, while cytosolic receptors RIG-I and MDA5 sense viral RNA in the cytoplasm. Costimulatory Molecules: CD80/CD86 on APCs engage CD28 on T cells, and CD40 on APCs interacts with CD40L on T cells, ensuring full T cell activation. Antigen Recognition Receptors: T cell receptors (TCRs) and B cell receptors (BCRs) mediate specific recognition of antigenic peptides and native protein structures, respectively.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How does the replicative nature of the rVSV vaccine enhance immune responses while maintaining a favorable safety profile?

A

The replicative nature allows for amplification of the antigen load, leading to robust innate and adaptive immune activation. However, attenuation through specific mutations (e.g., in the matrix protein) limits pathogenicity, ensuring that viral replication is sufficient for immunogenicity but not for causing disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the significance of the local inflammatory environment generated by the rVSV vaccine?

A

The local inflammatory milieu, created by the secretion of cytokines and chemokines (e.g., type I IFNs, IL‑6, TNF‑α, CXCL10), promotes the recruitment of innate immune cells such as NK cells, monocytes, and additional dendritic cells, thereby enhancing antigen uptake, processing, and subsequent adaptive immune activation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Describe the role of pattern recognition receptors (PRRs) in the immunogenicity of the rVSV vaccine.

A

PRRs such as TLR7 (detecting ssRNA) and TLR3 (sensing dsRNA) in endosomal compartments, along with cytosolic receptors like RIG-I and MDA5, detect viral RNA produced during replication. Their activation initiates MyD88- and MAVS-dependent signaling cascades that lead to NF-κB and IRF3 activation, driving transcription of type I interferons and pro-inflammatory cytokines. These responses are crucial for establishing an antiviral state and priming adaptive immunity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the specific role of RIG-I and MDA5 in the context of rVSV vaccine-induced immunity?

A

RIG-I and MDA5 detect viral RNA replication intermediates in the cytosol. Upon recognition, they recruit the adaptor MAVS, which activates downstream kinases (TBK1 and IKKε) leading to IRF3 phosphorylation. This cascade results in the production of type I interferons (IFN‑α/β), which are key in both establishing an antiviral environment and enhancing antigen presentation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How does the secretion of type I interferons enhance the vaccine-induced immune response?

A

Type I interferons (IFN‑α/β) upregulate the expression of MHC class I and II molecules on antigen-presenting cells, enhance the maturation of dendritic cells, and establish an antiviral state in surrounding cells. This cytokine burst promotes efficient antigen presentation and recruits additional immune cells, setting the stage for a robust adaptive response.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the role of IL-12 in T cell differentiation after rVSV vaccination?

A

IL‑12, secreted by activated dendritic cells, is critical for the polarization of naïve CD4+ T cells into Th1 cells. Th1 cells produce IFN‑γ and IL‑2, which further enhance cytotoxic T lymphocyte (CTL) activation and proliferation, thereby strengthening the cell-mediated immune response.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Explain the concept of cross-presentation and its significance in the rVSV vaccine response.

A

Cross-presentation is the process by which certain dendritic cells present extracellular antigens on MHC class I molecules. This allows the exogenous spike antigen from the rVSV vaccine to be presented to CD8+ T cells, effectively priming CTLs to recognize and kill infected cells displaying the antigen.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Which signaling pathways are activated in dendritic cells (DCs) during their maturation post rVSV infection?

A

DC maturation is triggered by PRR engagement (via TLR7/TLR3 and RIG-I/MDA5 pathways). This leads to activation of NF-κB and IRF3, which drive the upregulation of MHC class II and costimulatory molecules (CD80, CD86, CD40) and secretion of cytokines (e.g., IL‑12), facilitating T cell priming and migration to lymph nodes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Outline the cellular interactions that drive B cell activation following rVSV vaccination.

A

B cell activation begins when the B cell receptor (BCR) binds to the native spike protein. The antigen is internalized, processed, and presented on MHC class II molecules. Interaction with T follicular helper (Tfh) cells via CD40-CD40L and cytokines (IL‑21, IL‑4) in germinal centers drives B cell proliferation, somatic hypermutation, and class-switch recombination, culminating in the production of high-affinity antibodies.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
How are memory B cells generated and why are they important in the context of rVSV vaccination?
Memory B cells form during the germinal center reaction, as activated B cells undergo affinity maturation and class-switch recombination with Tfh cell assistance. These cells persist long term, enabling rapid differentiation into plasma cells and swift production of high-affinity antibodies upon re-exposure to the pathogen, ensuring durable protection.
26
Discuss the significance of costimulatory molecules in the activation of T cells by the rVSV vaccine.
Costimulatory interactions are vital for full T cell activation. Molecules such as CD80 and CD86 on dendritic cells bind to CD28 on T cells, while CD40 on DCs interacts with CD40L on T cells. These signals, along with TCR engagement of peptide-MHC complexes, drive T cell clonal expansion, differentiation into effector cells, and memory formation.
27
What role do natural killer (NK) cells play following rVSV vaccination?
NK cells, recruited by early cytokine responses (notably type I IFNs), contribute to the initial immune defense by lysing infected cells. They also produce IFN‑γ, which reinforces the Th1 polarization and enhances adaptive immune responses.
28
Detail the signaling events from TLR engagement to the transcription of cytokine genes in the context of rVSV vaccination.
Engagement of TLRs (e.g., TLR7 recognizing ssRNA) initiates a MyD88-dependent cascade, activating IRAK kinases and leading to NF-κB nuclear translocation. Concurrently, cytosolic detection via RIG-I activates MAVS, which through TBK1 and IKKε phosphorylates IRF3. Together, these transcription factors induce the expression of type I interferons and pro-inflammatory cytokines, essential for the ensuing immune response.
29
What mechanisms ensure that the rVSV vaccine is immunogenic while maintaining a high safety profile?
The rVSV vaccine is engineered to be replication-competent yet attenuated through targeted mutations (e.g., in the matrix protein), balancing antigen amplification with limited pathogenicity. This controlled replication allows sufficient antigen production to elicit strong immune responses without causing disease.
30
How does the interplay between innate and adaptive immunity establish durable protection following rVSV vaccination?
The innate response—marked by early cytokine release (type I IFNs, IL‑6, TNF‑α) and chemokine-mediated cell recruitment—primes dendritic cells for effective antigen presentation. This facilitates robust T and B cell activation and the generation of memory cells, which together ensure rapid and effective responses upon re-exposure to the pathogen.
31
32
Describe the overall mechanism of action of an rVSV vaccine expressing a foreign antigen such as the SARS‑CoV‑2 spike protein.
The rVSV vaccine is administered intramuscularly, where the attenuated, replication‑competent vector infects local myocytes and antigen‐presenting cells (APCs). Once internalized via receptor‑mediated endocytosis, the virus replicates in the cytoplasm, producing abundant antigen. The antigen is expressed on the surface of infected cells and incorporated into progeny virions. Viral replication generates pathogen‑associated molecular patterns (PAMPs) that engage pattern recognition receptors (TLRs, RIG-I, MDA5), triggering innate responses and cytokine production. Mature dendritic cells (DCs) then process and present antigenic peptides via MHC I and II pathways to T cells, leading to CD4+ and CD8+ T cell activation, B cell help, and subsequent formation of high‑affinity neutralizing antibodies and memory cells.
33
What is the rationale behind using an attenuated yet replication‑competent rVSV vector in vaccine design?
The replicative capacity of rVSV enables in situ amplification of the foreign antigen, enhancing immunogenicity without the need for high antigen doses. Attenuation limits pathogenicity, ensuring safety while maintaining robust antigen expression.
34
Explain how the VSV genome is genetically modified to incorporate a foreign antigen such as the SARS‑CoV‑2 spike protein.
The native glycoprotein (G) gene of VSV is replaced or supplemented with the gene encoding the target antigen. This modification uses VSV’s own transcriptional control elements to drive robust expression of the spike protein.
35
How does the insertion of the spike gene alter the viral tropism and immunogenicity of the rVSV vector?
The insertion of the spike gene can modify cellular tropism by potentially engaging receptors like ACE2. This ensures efficient antigen presentation on target cells and enhances immunogenicity by focusing the immune response on the antigen of interest.
36
Discuss the safety profile of rVSV vaccines given their replicative nature.
rVSV vaccines are engineered to be replication‑competent yet attenuated. Genetic modifications reduce pathogenicity while allowing limited replication, which amplifies the antigen load. Clinical trials have demonstrated acceptable safety profiles.
37
What innate immune responses are triggered by rVSV vaccination?
The replication of rVSV generates viral RNA species that are detected by PRRs. Engagement of TLRs and cytosolic receptors initiates signaling cascades leading to the activation of NF‑κB and IRF3, resulting in the rapid production of type I interferons and pro‑inflammatory cytokines.
38
How do TLRs, RIG-I, and MDA5 contribute to the vaccine’s immunogenicity?
TLRs and cytosolic RIG-I and MDA5 detect the RNA replication intermediates of the rVSV vector. Their activation triggers downstream signaling cascades that enhance antigen presentation and activate DCs.
39
Describe the role of type I interferons in the context of rVSV vaccination.
Type I interferons are pivotal for establishing an antiviral state, upregulating MHC expression, and promoting the maturation of antigen‑presenting cells.
40
How do dendritic cells (DCs) process and present antigens following rVSV infection?
DCs internalize viral particles and free antigen. Antigens are processed into peptides, and DC maturation is induced by cytokines, resulting in the upregulation of MHC molecules and costimulatory markers.
41
What is the significance of cross‑presentation in rVSV vaccine efficacy?
Cross‑presentation allows extracellular antigens to be presented on MHC class I molecules, essential for priming CD8+ cytotoxic T lymphocytes against infected cells.
42
Describe the processes involved in T cell activation following rVSV vaccination.
T cell activation begins when mature DCs present antigenic peptides on MHC molecules. CD4+ T cells recognize peptides via MHC II and receive costimulatory signals, leading to Th1 differentiation. Cross‑presentation also primes CD8+ T cells.
43
What is the role of Th1 responses and cytotoxic T lymphocytes (CTLs) in the protective efficacy of rVSV vaccines?
Th1 responses enhance macrophage activation and promote CTL responses. CTLs are capable of recognizing and lysing infected cells, critical for clearing intracellular pathogens.
44
Why are costimulatory signals critical for T cell activation in rVSV vaccine responses?
Costimulatory molecules ensure that T cells receive a 'second signal' beyond TCR recognition. Without these signals, T cells may become anergic or undergo apoptosis.
45
Outline the steps involved in B cell activation and antibody production following rVSV vaccination.
B cells bind the native antigen through the B cell receptor, internalize it, and present processed peptides on MHC II. Interaction with T follicular helper cells stimulates clonal expansion and differentiation of plasma cells that secrete high‑affinity neutralizing antibodies.
46
How is long‑term immunological memory established after rVSV vaccination?
Both T and B cell compartments develop memory phenotypes after antigen exposure. Memory T cells and B cells persist long‑term, enabling a rapid and robust secondary immune response.
47
What are the challenges and strategies in scaling up the production of rVSV vaccines?
Scaling up involves ensuring biosafety, consistent attenuation, and high‑yield viral propagation. Strategies include optimizing bioreactor conditions and employing rigorous quality control.
48
How might pre‑existing immunity to VSV or the inserted antigen affect the efficacy of rVSV vaccines?
Pre‑existing immunity to VSV could neutralize the vector before it infects target cells, reducing antigen expression. Approaches to mitigate this include vector modification and using different serotypes.
49
Compare the rVSV vaccine platform with other viral vector platforms.
rVSV vaccines offer the advantage of cytoplasmic replication with robust antigen expression, whereas adenoviral vectors may be subject to pre‑existing immunity.
50
What are the potential limitations or safety concerns related to the replicative nature of rVSV vaccines?
Concerns include uncontrolled viral spread, especially in immunocompromised individuals, and the risk of neurotropism or unintended tissue tropism.
51
How is genetic attenuation achieved in rVSV vaccines, and what trade‑offs does this present?
Attenuation is often accomplished by introducing mutations in genes that reduce viral assembly. The trade‑off is between sufficient replication for antigen amplification and avoiding pathogenicity.
52
Describe the roles of cytokines like IL‑12, IL‑6, and TNF‑α in shaping the immune response to rVSV vaccines.
IL‑12 skews CD4+ T cell differentiation toward a Th1 phenotype, while IL‑6 and TNF‑α contribute to local inflammation and promote the recruitment of innate immune cells.
53
How can rVSV vaccine platforms be adapted for use against other viral pathogens beyond SARS‑CoV‑2?
The rVSV platform is modular. By replacing the foreign antigen gene, the vaccine can be tailored to target different viruses.
54
What strategies can be employed to further enhance the immunogenicity of rVSV vaccines?
Enhancements can include optimizing the insertion site of the antigen gene, codon optimization, and formulation with adjuvants.
55
How do rVSV vaccines induce both humoral and cellular immune responses?
The replicative nature of rVSV ensures high levels of antigen expression that trigger robust antigen presentation via both MHC I and MHC II.
56
What role do adjuvants play in rVSV vaccine formulations, if any?
Adjuvants can be used to further modulate the immune response, enhancing the magnitude and durability of responses.
57
Contrast the immune responses elicited by live replicative vaccines versus inactivated vaccines.
Live replicative vaccines induce a more robust innate response due to active viral replication, while inactivated vaccines typically require adjuvants and multiple doses.
58
What are the key factors influencing the stability and storage of rVSV vaccines?
Stability is influenced by factors such as the integrity of the viral envelope and maintenance of replication competence. Cold‑chain storage is typically required.
59
How does the replication cycle of rVSV contribute to the overall antigen load and subsequent immune activation?
The replication cycle amplifies the antigen in situ, ensuring high levels of protein expression that enhance the activation of innate immune sensors.
60
What regulatory considerations must be addressed when advancing rVSV vaccines into clinical trials?
Regulatory concerns include demonstrating genetic stability, controlled replication, and safety in pre‑clinical models.
61
What future directions or improvements would you propose for the development of rVSV vaccines?
Future improvements could include further genetic refinements, the development of multivalent rVSV constructs, and innovative delivery systems.