Publications by authors named "Pascal Mettens"

Article Synopsis
  • A successful tuberculosis (TB) vaccine requires low genomic diversity in Mycobacterium tuberculosis strains and strong T-cell responses across diverse human populations, which can be assessed through in silico MHC-peptide binding predictions.* -
  • The study focused on the candidate TB vaccine antigens Mtb72F and M72, which are recombinant proteins from Mtb32A and Mtb39A, and demonstrated their efficacy in eliciting CD4(+) T-cell responses in various global populations.* -
  • Sequence analyses showed high conservation (≥98% identity) among TB strains for the vaccine proteins, with numerous predicted MHC class II and class I-binding peptides indicating the vaccines' potential across different human genetic backgrounds.*
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Article Synopsis
  • The study investigates the effectiveness of two vaccine candidates, AdC7-GRN (a chimpanzee adenovirus) and F4/AS01 (a recombinant fusion protein), in generating immune responses against HIV-1 in both macaques and mice.
  • Results indicate that heterologous prime-boost regimens (combining both vaccines) produce stronger and more sustained CD4+ and CD8+ T-cell responses than homologous regimens, particularly in macaques.
  • The combination of these vaccines not only stimulates high-frequency, antigen-specific T-cell responses but also leads to the production of HIV-1-specific antibodies, showing potential for improved HIV-1 control strategies.
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Article Synopsis
  • - The study aimed to evaluate the safety and immune response of the TB vaccine M72/AS01 in adults with well-controlled HIV undergoing combination antiretroviral therapy (cART).
  • - Participants were randomly assigned to receive either M72/AS01, another vaccine (AS01), or a placebo, with no significant adverse effects or changes in their HIV treatment observed.
  • - Results indicated that M72/AS01 was safe and effectively stimulated a strong immune response, with consistent production of specific T-cells and antibodies throughout the study duration.
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  • A Phase II study evaluated different formulations of a candidate tuberculosis vaccine (M72) combined with various doses of the AS01 Adjuvant System to find the lowest effective dose that is safe and induces strong immune responses.
  • The study involved healthy adults in The Philippines, who received different vaccine combinations and were monitored for six months to assess their immune responses and safety.
  • Results showed all vaccine formulations were safe, with the lowest dose of M72/AS01E (10 μg) demonstrating significant immune responses, leading to its selection for further development.
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Rationale: Tuberculosis (TB) is a major cause of morbidity and mortality worldwide, thus there is an urgent need for novel TB vaccines.

Objectives: We investigated a novel TB vaccine candidate, M72/AS01, in a phase IIa trial of bacille Calmette-Guérin-vaccinated, HIV-uninfected, and Mycobacterium tuberculosis (Mtb)-infected and -uninfected adults in South Africa.

Methods: Two doses of M72/AS01 were administered to healthy adults, with and without latent Mtb infection.

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Article Synopsis
  • Vaccination with the candidate TB vaccine Mtb72F/AS02 showed promise in reducing the global TB burden and was well tolerated in adults previously vaccinated with BCG or infected with Mycobacterium tuberculosis.
  • In a controlled trial involving 38 adults, the vaccine induced immune responses, particularly persistent CD4(+) T-cell responses, although it was more reactive in those already infected with TB.
  • No serious adverse events were reported, and further investigation into the vaccine’s effectiveness is suggested.
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As a new human immunodeficiency virus type 1 (HIV-1) vaccine approach, the live-attenuated measles virus (MV) Schwarz vaccine strain was genetically engineered to express the F4 antigen (MV1-F4). F4 is a fusion protein comprising HIV-1 antigens p17 and p24, reverse transcriptase and Nef. This study assessed the toxicity, biodistribution and shedding profiles of MV1-F4.

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Background: The Bacille Calmette-Guérin (BCG) tuberculosis (TB) vaccine provides incomplete protection, necessitating development of an effective vaccine against TB disease. The Mtb72F/AS02 candidate vaccine was previously shown to be clinically well tolerated and immunogenic in Purified Protein Derivative (PPD)-negative adults. To improve the stability of Mtb72F, a point mutation was introduced into a putative serine protease site to give the final M72 construct.

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Article Synopsis
  • * Research identified new antigens from C. trachomatis using techniques like T-cell expression cloning and genome analysis, which triggered immune responses in humans and showed protective effects in mice.
  • * Promising vaccine candidates were developed using selected antigens combined with an adjuvant, demonstrating varying levels of effectiveness in preventing infection and bacterial spread in the upper genital tract in animal models.
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  • - The study investigated the Mtb72F vaccine combined with the AS02A adjuvant in cynomolgus monkeys, showing it to be immunogenic without causing adverse effects.
  • - When monkeys previously immunized with BCG received the Mtb72F boost, they demonstrated better protection against tuberculosis compared to those only given BCG, with improvements noted in health and disease outcome.
  • - This research is significant as it presents the first evidence of a vaccine enhancing long-term immunity against tuberculosis in monkeys, with important changes in immune response markers linked to improved survival rates.
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Protection against Plasmodium falciparum sporozoite infection can be achieved by vaccination with the recombinant circumsporozoite protein-based vaccine RTS,S formulated with the AS02A Adjuvant System. Since this protection is only partial and wanes over time, we have developed a new RTS,S-based vaccine adjuvanted with AS01B. RTS,S/AS01B-induced high specific antibody titers and increased the frequency of mouse CD4(+) and CD8(+) T cells expressing IFN-gamma, and of monkey CD4(+) T cells expressing IL-2 and/or IFN-gamma and/or TNF-alpha upon stimulation with vaccine antigens.

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  • Nicotine replacement therapies (NRT) aren't very effective for quitting smoking, partly due to the effects of cotinine, a metabolite of nicotine that interferes with its action.
  • Research shows that cotinine acts as a weak agonist, which can reduce the effectiveness of nicotine by desensitizing receptors in the body.
  • An experimental anti-cotinine vaccine was developed, leading to the production of antibodies that specifically target cotinine, which might help improve smoking cessation efforts by preventing cotinine from hindering nicotine's effects.
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The RTS,S/AS02A protein-based vaccine consistently demonstrates significant protection against infection with Plasmodium falciparum malaria and also against clinical malaria and severe disease in children in areas of endemicity. Here we demonstrate with rhesus macaques that priming with a replication-defective human adenovirus serotype 35 (Ad35) vector encoding circumsporozoite protein (CS) (Ad35.CS), followed by boosting with RTS,S in an improved MPL- and QS21-based adjuvant formulation, AS01B, maintains antibody responses and dramatically increases levels of T cells producing gamma interferon and other Th1 cytokines in response to CS peptides.

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Liver-stage antigen 1 (LSA1) is expressed by Plasmodium falciparum only during the intrahepatic cell stage of the parasite's development. Immunoepidemiological studies in regions where malaria is endemic suggested an association between the level of LSA1-specific humoral and cell-mediated immune responses and susceptibility to clinical malaria. A recombinant LSA1 protein, FMP011, has been manufactured as a preerythrocytic vaccine to induce an immune response that would have the effect of controlling parasitemia and disease in humans.

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Article Synopsis
  • Multiple immunotherapy approaches are being developed to treat chronic diseases, expanding from traditional uses to include conditions like cancer, autoimmunity, and even cardiovascular issues.
  • Recent advancements in technology have allowed vaccines to transition from preventive measures to therapeutic options, enabling the possibility of "life-style vaccines" for managing chronic conditions in healthy individuals.
  • The text will explore three specific types of vaccines—contraceptive vaccines, vaccines for treating addictions, and anti-dental caries vaccines—while discussing their technical implementation and ethical considerations.
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