Induction of ebolavirus cross-species immunity using retrovirus-like particles bearing the Ebola virus glycoprotein lacking the mucin-like domain
© Ou et al; BioMed Central Ltd. 2012
Received: 29 December 2011
Accepted: 25 January 2012
Published: 25 January 2012
The genus Ebolavirus includes five distinct viruses. Four of these viruses cause hemorrhagic fever in humans. Currently there are no licensed vaccines for any of them; however, several vaccines are under development. Ebola virus envelope glycoprotein (GP1,2) is highly immunogenic, but antibodies frequently arise against its least conserved mucin-like domain (MLD). We hypothesized that immunization with MLD-deleted GP1,2 (GPΔMLD) would induce cross-species immunity by making more conserved regions accessible to the immune system.
To test this hypothesis, mice were immunized with retrovirus-like particles (retroVLPs) bearing Ebola virus GPΔMLD, DNA plasmids (plasmo-retroVLP) that can produce such retroVLPs in vivo, or plasmo-retroVLP followed by retroVLPs.
Cross-species neutralizing antibody and GP1,2-specific cellular immune responses were successfully induced.
Our findings suggest that GPΔMLD presented through retroVLPs may provide a strategy for development of a vaccine against multiple ebolaviruses. Similar vaccination strategies may be adopted for other viruses whose envelope proteins contain highly variable regions that may mask more conserved domains from the immune system.
The genus Ebolavirus is a member of the family Filoviridae. Ebolavirus includes five species: Zaire ebolavirus (Ebola virus, EBOV), Sudan ebolavirus (Sudan virus, SUDV), Taï Forest ebolavirus (Taï Forest virus, TAFV), Reston ebolavirus (Reston virus, RESTV), and Bundibugyo ebolavirus (Bundibugyo virus, BDBV) . Except for RESTV, the ebolaviruses cause viral hemorrhagic fever (VHF) in humans. In particular, EBOV infection causes lethality up to 90% [2, 3]. Other than supportive care, there is no FDA-approved treatment or vaccine for ebolavirus infections.
Ebolaviruses have been categorized by NIH/NIAID as Category A Priority Pathogens because they could be misused for the development of biological weapons. The availability of a vaccine that provides cross-protection against different ebolaviruses is essential for preparedness against natural outbreaks and acts of bioterrorism. While there has been progress in recent years towards development of ebolavirus vaccines, most vaccine candidates are based on antigens from one or two ebolaviruses only. Though some vaccine candidates have demonstrated evidence of cross-protection, many induce species-specific immune responses and protection [4–6].
The viral envelope glycoprotein GP1,2 is either a component of, or the sole viral antigen in many ebolavirus candidate vaccines. GP1,2 is presented on the surface of virions as trimers of GP1-GP2 heterodimers that are linked together through a disulfide bond . The C-terminal region of GP1, designated as the mucin-like domain (MLD), is highly variable among different ebolaviruses and is highly N- and O-glycosylated. The MLD is thought to form a "glycan cap" that is hypothesized to prevent antibody binding to those epitopes shielded from recognition by the immune system, suggesting that the MLD with its glycan cap provides a mechanism of immune evasion [8–10]. In addition, the MLD-glycan cap appears to be a target for antibody responses to ebolaviruses, and may thus also serve as a decoy to divert an antibody response to the more conserved regions of the envelope [11–14]. The MLD is dispensable for GP1,2-mediated virus entry [7, 15–17], and there appear to be no other known functions for the MLD other than immune shielding/evasion. We hypothesized that deletion of the MLD would expose the more conserved regions of GP1,2, such as the receptor-binding site [8, 15, 18, 19], and induce an immune response to these more conserved regions that may result in cross-species immunity.
Virus-like particles (VLPs) are ideal immunogens because 1) they mimic wild-type pathogens in morphology and thus display antigens in their native conformations; 2) the particle size allows for efficient uptake by antigen presenting cells; and 3) presentation of the multimeric form of antigens on VLPs may cross-link B cell receptors and provide a strong stimulation signal [20, 21]. In fact, both the FDA-approved hepatitis B virus and human papillomavirus vaccines are based on VLPs [20, 22]. DNA vaccines are also advantageous because they induce both humoral and cellular immune responses, are easy to manufacture at large scale and at low cost, and are stable at room temperature, thus obviating the need for a cold chain for vaccine distribution and storage [23–25]. To combine the advantages of VLP and DNA-based vaccines, several studies have used a new vaccination strategy, whereby the DNA used for immunization encodes proteins allowing for formation of VLPs in vivo. Such DNA vaccines alone or as part of DNA prime-VLP boost vaccination strategies have been tested and shown to induce protective immune responses for various viruses, for example, hepatitis C virus [26–31], but this strategy has not been tested for ebolavirus [32–38].
Although both wild-type Ebola virus GP1,2 and GPΔMLD are efficiently incorporated into retrovirus particles, e.g. murine leukemia virus (MLV) [39–41], Ebola virus glycoprotein-pseudotyped VLPs based on retroviral vectors have not been explored as vaccine candidates. In this study, we tested the relative immunogenicity in mice of VLPs based on MLV, termed retrovirus-like particles (retroVLPs) bearing GPΔMLD of Ebola virus, which were generated in vitro (retroVLPs) or in vivo after injection of DNA plasmids that can produce retroVLPs in vivo (plasmo-retroVLP). In addition, we evaluated the immune response after immunization with plasmo-retroVLP followed by immunization with retroVLPs. For simplicity, retroVLPs and plasmo-retroVLPs are referred to as VLP and DNA, respectively, throughout the rest of this report. We compared these vaccines in mice and demonstrated that VLP, or the combination of DNA followed by VLP were both able to induce cross-species neutralizing antibody and GP1,2-specific IFN-γ production.
Antigen preparation and immunization
Antibody response to EBOVGPΔMLD after immunization of mice
To analyze the dynamics of the antibody response, we measured at different time points 1:64 dilutions of sera from the DNA group, and 1:2000 dilutions of sera from the DNA/VLP group. Figure 3C shows that the response among the DNA group climbed slowly and reached peak levels at about 14 weeks. In contrast, response of the DNA/VLP group peaked between 6-10 weeks then dipped but then responded well to a boost (Figure 3D). These data demonstrate that DNA/VLP induces a response in mice that is quantitatively and kinetically superior to that of DNA alone.
The sera collected from mice immunized with VLP alone resulted in comparable reactivity by ELISA to both the Fc control protein and the GP1,2 protein. Therefore, for the group of mice who were immunized with VLP alone (VLP group), the GP1,2-specific antibody response was evaluated by western blot from sera at the 10 week time point. Figure 3E shows that EBOV GP1,2-reactive antibody was detected when sera were diluted as high as 1:10,000. For comparison, sera collected at week 10 of the DNA/VLP group were reactive to EBOV GP1,2 at the 1:5,000 dilution, but only a faint band was detected with sera diluted to 1:10,000 (Figure 3E). The dynamics of antibody response in the VLP group was not tested because for some time points, there was insufficient serum for the western blots.
Cross-species reactivity of the anti-EBOVGPΔMLD antibody
As shown in Figures 4A and 4B, a TAFV GP1,2 fragment of approximately 50 kDa was repeatedly detected by the immune sera but not by R.F88-2. Since R.F88-2 was raised by injecting a conserved 38-mer GP1,2 peptide (aa72-109, ), the epitope on the TAFV fragment detected by the mice presumably is from a region outside of this domain, or the region that R.F88-2 recognizes is conformationally distinct.
Neutralization activity of the sera from immunized mice
It was also unexpected that within the CpG control group, one out of three mice showed neutralization activity against wild-type VSV (Figure 5C), which persisted, albeit at a lower level, in the absence of complement (Figure 5D). In addition, individual variability was observed when sera from one of two mice in the DNA group and one in three individual mice in the CpG group collected at week 37, showing reproducible neutralization activity to wild-type VSV (Figure 5E).
Cellular immune response against GP1,2
In this study we have compared three different vaccination strategies: VLPs alone, DNA that produces VLPs in vivo, or DNA followed by VLPs. We evaluated both the humoral immune response over time after a total of four immunizations, and the cellular immune response at week 40 upon completion of all immunizations. Using a combination of ELISA, western blot analysis, and two different types of neutralization assays, we were able to demonstrate that mice immunized with VLPs bearing the GPΔMLD of a single ebolavirus, EBOV, generated cross-reactive neutralizing antibodies to the full-length GP of EBOV, as well as of the other ebolaviruses SUDV, TAFV, and BDBV. In addition, we showed that mice immunized with VLPs bearing GPΔMLD developed a low, but detectable GP1,2-specific cellular immune response.
Our study did not include a challenge component, and therefore, we cannot claim that the vaccination strategy described here is protective. However, the detection of neutralizing antibodies in the range of 1:25 dilution of sera is comparable to levels of neutralizing antibodies observed in rodent and non-human primate challenge studies where protection was observed, suggesting that each of these strategies may protect against natural infection [43, 44].
The observation that sera from immunized animals neutralize VSV or MLV pseudotypes carrying full-length GP1,2, suggests that the induced antibodies recognize full-length wild-type GP1,2. We had hypothesized that deleting the highly variable and highly immunogenic MLD may expose other antigenic determinants that are conserved and thus more likely to induce cross-reactive immune response. Our finding that sera from mice immunized with EBOV MLD-deleted GP1,2 could also cross-react with GP1,2 of other ebolaviruses by western blot and in some cases cross-neutralize suggests that indeed this may be the case.
The immunogenicity of the EBOV MLD-deleted GP1,2 has been previously studied [11, 45]. Dowling et al. showed that wild-type EBOV GP1,2-immunized mice induced antibodies mainly against the MLD. However, 10 out 15 mice immunized with Δ12 (a GP1,2 in which amino acid residues 312-411 were deleted), eight out of 17 mice immunized with Δ234 (a GP1,2 in which amino acid residues 342-462 were deleted) and five out of 17 mice immunized with Δ1234 (a GP1,2 in which amino acid residues 312-462 were deleted) survived lethal challenges with mouse-adapted EBOV, suggesting the MLD is not absolutely required for inducing protective immunity. In this study, amino acid residues 316-505 of GP1,2 were deleted. A potentially significant difference between this study and the one by Dowling et al. is that the GPΔMLD used in this study does not contain the cleavage site between GP1 and GP2, which would help stabilize the GP1,2 trimer and might stimulate the immune system more efficiently. Martinez et al. reported that the MLD plays a role in stimulating dendritic cells . However, antibody and cellular immune responses were not determined. GP1,2 was not presented in the VLP format in either of the two mentioned studies.
Each of the three vaccination approaches used in this study has its own advantages and disadvantages. The VLP group induced the strongest immune responses in terms of antibody titer and the number of IFN-γ secreting cells. However, the manufacturing of this type of vaccine is complex and costly. In addition, we observed non-specific reactivity making certain analyses of the immune response uninterpretable (i.e., ELISA could not be used). This is not surprising because retroviruses are well-documented to incorporate non-viral membrane proteins into viral particles [46–49]. The DNA group had a detectable, but low titer antibody response 2 weeks after the second immunization. Though antibody was induced in the DNA group and could be detected by ELISA, its titer was too low to neutralize either recombinant VSV or pseudotyped MLV viruses at a 1:25 dilution. Lower dilutions were not tested. The titer of the DNA group may be low due to inefficient VLP production in vivo. The DNA/VLP group may be an ideal choice because that VLP was used only once, thus alleviating VLP production cost and avoiding the non-specific antibody response, while retaining a strong immune response to all the ebolaviruses tested (Figure 4).
In support of greater specificity induced by the DNA/VLP regimen, there were fewer background bands in the western blots from the DNA/VLP immunized mice than from the VLP group, probably because of the incorporation of murine "self antigens" on the in vivo produced VLPs, compared to human 293T cell-derived antigens on in vitro produced VLPs. Therefore, in vivo generated VLPs from DNA immunization would not induce strong antibody response to the non-viral components of the VLP because there was only one exposure of the immune system to foreign antigens on the in vitro produced VLPs. For the VLP alone group, however, there were multiple exposures of the immune system to foreign antigens on the in vitro produced VLPs, and therefore, higher antibody responses to these foreign antigens were observed.
It remains to be confirmed whether the immune responses induced by the vaccination strategies described in this study can protect immunized mice from virus challenge. If so, these strategies may be adopted for other viruses whose envelope proteins include highly variable domains that shield the more conserved and potentially immunogenic regions from recognition by the immune system. By deleting the highly variable regions, the relatively conserved regions of the envelope protein will be exposed and presented to the immune system through virus like particles.
Cross-species humoral and cellular immune responses were successfully induced using retrovirus-like particles (retroVLPs) bearing Ebola virus GPΔMLD. The findings suggest that GPΔMLD presented through retroVLPs may provide a strategy for development of a vaccine against multiple ebolaviruses. Similar vaccination strategies may be adopted for other viruses whose envelope proteins contain highly variable regions.
Materials and methods
Human embryonic kidney cells expressing the SV40 large T antigen (HEK 293T) (a gift from T. Dull, Cell Genesys, CA), African green monkey kidney epithelial cells (Vero cells [ATCC CCL-81]) and African green monkey kidney fibroblast-like cells expressing the SV40 T antigen (Cos7 cells [ATCC CRL-1651]) were maintained in Dulbecco's Modified Eagle's Medium (DMEM, Lonza, Walkersville, MD) supplemented with 10% heat-inactivated fetal bovine serum (FBS, HyClone, Logan, UT), 2 mM glutamine, 100 U/ml penicillin, and 100 μg/ml streptomycin (Lonza, Walkersville, MD). Cells cultures were grown at 37°C in a humidified 5% CO2 incubator.
The pVR1012-EBOVGP, pVR1012-SUDVGP, and pVR1012-TAFVGP plasmids encode EBOV, SUDV, and TAFV GP1,2, respectively, and were kindly provided by Gary Nabel (Vaccine Research Center, NIH, Bethesda, MD) and Anthony Sanchez (CDC, Atlanta, GA). pVR1012-EBOVGPΔMLD encodes the EBOV MLD-deleted GP1,2 and was described previously . pBDBV GP1,2 encodes wild-type BDBV GP1,2 and was previously described . pMLV-GagPol is a Moloney murine leukemia virus (MLV)-based gag-pol expression plasmid and pRT43.2nlsβgal is a MLV-based packageable genome encoding β-galactosidase and a nuclear localization signal . pVSV-G is a commercial plasmid from Clontech (Mountain View, CA), encoding the G glycoprotein of Vesicular stomatitis virus (VSV).
The following EBOV GP1,2 peptides were synthesized and Reverse Phase HPLC-purified at the FDA CBER Core Facility: ZGP-1 (VSGTGPCAGDFAFHK, amino acid 141-155) , ZGP-4 (LYDRLASTV, amino acid 161-169) and ZGP-5 (EYLFEVDNL, amino acid 231-239) .
VLP and CpG production and characterization
VLPs were produced by cotransfecting 16 μg of pVR1012-EBOVGPΔMLD and 8 μg pMLV-GagPol into HEK 293T cells at a density of 5 × 106 cells/100 mm cell culture dish by using 60 μl per dish of Lipofectamine 2000 (Invitrogen, Carlsbad, CA). Supernatants were collected 48 and 72 h post transfection, clarified through 0.45 μm-pore size filters, and concentrated by Amicon Ultracel 100 k centrifugal filters (Millipore, Billerica, MA). The concentrated VLP-containing supernatants were centrifuged through a 20% (wt/vol) sucrose cushion in TNE buffer (10 mM Tris [pH 8.0], 1 mM EDTA, 100 mM NaCl) at 82,705 × g in a Beckman XL-90 ultracentrifuge using a Beckman SW28Ti rotor. The resulting pellets were resuspended in endotoxin-free phosphate-buffered saline (PBS) (Teknova, Hollister, CA) and stored at -80°C. A total of ten batches of VLPs were generated, pooled together and total protein concentration was measured using the Bio-Rad DC Protein Assay Kit (Bio-Rad, Hercules, CA). Western blot and silver stain analyses were performed to characterize the purity and makeup of the purified VLPs. Briefly, 10, 1, and 0.1 μg of the samples were denatured for 5 min at 95°C in 1× NuPAGE LDS Sample Buffer and 1× NuPAGE Sample Reducing Agent (Invitrogen, Carlsbad, CA), electrophoresed on a pre-cast NuPAGE 4-12% Bis-Tris gel at 200 V and transferred to a PVDF membrane (Invitrogen, Carlsbad, CA) for 90 min at 30 V. The membrane was probed with 35 ng/ml of an anti-GP1,2 rabbit polyclonal antibody R.F88-2, which was raised by injecting a conserved 38-mer GP1,2 peptide (amino acid residues 72-109) , followed by incubation with goat anti-rabbit IgG conjugated with horse radish peroxidase (HRP) diluted at 1:10,000 (Thermo Scientific, Rockford, IL), developed with Western Lightning™ Plus Chemiluminescence Reagent (PerkinElmer, Waltham, MA), and subsequently exposed to a Kodak BioMax MR Film (Carestream Health, Rochester, NY). Likewise, a silver stain analysis was performed using the SilverQuest™ Silver Staining Kit (Invitrogen, Carlsbad, CA) according to the manufacturer's instructions. Phosphorothioate CpG ODN 1555 (5'-GCTAGACG TTAGCGT-3', underlined portion represents the active CpG motif) was synthesized at the CBER core facility. Endotoxin was removed using the ToxinEraser™ Endotoxin Removal Kit and residual endotoxin was measured using the ToxinSensor™ Chromogenic LAL Endotoxin Assay Kit, following the manufacturers' manuals (GenScript, Piscataway, NJ).
Animals and vaccination experiment
Female BALB/c (H-2d) mice, aged 6-8 weeks, were obtained from Charles River Laboratories (Germantown, MD) and divided randomly into six vaccination groups. For VLP immunizations, mice were injected intraperitoneally (i.p.) with 33 μg of VLPs in 100 μl endotoxin-free PBS. For DNA immunizations, mice were injected intramuscularly (i.m.) with a combination of 50 μg of DNA (pVR1012-EBOVGPΔMLD + pMLV-GagPol at a 2:1 ratio) and 16 μg CpG in 100 μl endotoxin-free PBS. For CpG immunizations, mice were injected with 16 μg CpG in 100 μl endotoxin-free PBS via the i.m. route. The mice were either immunized with VLPs, DNA, a combination of DNA and VLPs, CpG or endotoxin-free PBS (Figure 2). Two weeks after each injection, blood samples were collected by nicking the tails with #10 Carbon Steel Surgical Blades (Braintree Scientific, Braintree, MA) and collecting blood in BD Microtainer tubes (Becton, Dickinson and Company, Franklin Lakes, NJ). Blood was allowed to clot for 1-2 h at room temperature, centrifuged at 8,600 xg for 3 min, and the resulting serum in the supernatant was collected and stored at -20°C. The animal protocol and procedures were approved by Institutional Animal Care and Use Committees at the Center for Biologics Evaluation and Research (protocol #2009-04) in animal facilities accredited by the Association for Assessment and Accreditation of Laboratory Animal Care International. All experiments were performed according to institutional guidelines.
Immuno 96 MicroWell plates (Nunc, Rochester, NY) were coated with 50 μl of 1 μg/mL anti-human Fc IgG antibody (Kirkegaard & Perry Laboratories, Gaithersburg, MD) in PBS overnight at 4°C. The next day, plates were washed once with PBS and blocked with 100 μl of 3% Bovine Serum Albumin (BSA) in PBS for 1 h at 37°C. Plates were then incubated with 50 μl of either Fc or GP1,2-Fc (1 μg/ml)  in TBS-T (Tris-buffered saline, 0.1% Tween-20) for 90 min at 37°C. After washing 2× with TBS-T, 50 μl of each serum sample diluted in TBS-T, as indicated in the figures and legends, was added and incubated for 1 h at 37°C. Plates were then incubated with 50 μl horseradish peroxidase (HRP)-conjugated goat anti-mouse IgG diluted at 1:500 (Pierce, Rockford, IL) for 40 min at 37°C after 2 washes with TBS-T. After washing 4× with TBS-T, 100 μl/well of the ABTS substrate (Kirkegaard & Perry Laboratories, Gaithersburg, MD) was added for 3 min at room temperature and plates were read on a VICTOR3 V plate reader (Perkin Elmer, Shelton, CT) at 405 nm.
Cell lysates for western blots were prepared by transiently transfecting 5 × 106 HEK 293T cells/100 mm cell culture dish as previously described  except for the following modifications: cells were transfected with 24 μg per plate of either pVR1012-EBOVGP, pVR1012-SUDVGP, pVR1012-TAFVGP or pBDBVGP. A mock transfection was also performed with no plasmid DNA. Total protein concentration in the cell lysates was measured by using the Bio-Rad DC Protein Assay Kit (Bio-Rad, Hercules, CA) and 20 μg were loaded in each lane on a pre-cast NuPAGE 4-12% Bis-Tris gel, electrophoresed, and transferred to PVDF membranes, as previously described . The membranes were incubated with one of the following: pooled sera from the VLP group diluted at 1:2,000, pooled sera from the DNA/VLP group diluted at 1:2,000 or an anti-GP1,2 rabbit polyclonal antibody R.F88-2 diluted at 1:10,000  Secondary antibody incubation was performed using HRP-conjugated goat anti-mouse IgG (1:5,000) or goat anti-rabbit IgG (1:10,000) (Thermo Scientific, Rockford, IL) and developed following the same protocol as above. Another western blot was also performed to titrate the pooled sera from the VLP and DNA/VLP groups at the dilutions of 1:2,000, 1:5,000 and 1:10,000.
Neutralization of rVSV-ZEBOVGP
The recombinant VSV virus expressing the EBOV GP1,2 [rVSV-ZEBOVGP] or the wild-type VSV were generated as described previously . Briefly, BSR-T7 cells were co-transfected with pBS-N, pBS-P, pBS-L, and pVSV-EBOVGP or pVSVFL(+). After 48 h of incubation at 37°C, supernatants were collected, titrated on Vero E6, and stored at -80°C. For neutralization, VeroE6 cells were seeded at 50% confluency in 6-well plates and incubated at 37°C overnight. rVSV-ZEBOVGP or wild-type VSV (100 pfu) in 45 μl of medium, which was prepared with or without 5% guinea pig complement (Accurate Chemical Corp. Westbury, NY), was mixed with mouse serum at the final concentration of 1:25 dilution and incubated overnight at 4°C. Normal mouse serum pre-diluted at 1:25 was used as the negative control. On the next day, the virus-serum mixtures were added to the cells and incubated for 1 h at 37°C. Each serum was tested in duplicate samples. After washing two times with medium, the cells were overlaid with medium containing 1% Bacto-agar and incubated at 37°C. After 48 h, the cell monolayers were fixed with 10% TCA and stained with 1% crystal violet for 30 min. Plaque numbers were used to calculate the titer.
Neutralization of MLV pseudotyped virus bearing envelopes from different viruses
Retroviral vector pseudotypes were generated by cotransfecting HEK 293T cells as previously described  but modified by using the following plasmids: 10 μg of pRT43.2nlsβgal, 2.5 μg of pMLV-GagPol and 5 μg of the expression plasmid pVR1012-EBOVGP, pVR1012-SUDVGP, pVR1012-TAFVGP, pBDBVGP, or pVSV-G. One day prior to neutralization, 4 × 104 cells/well of Vero were seeded in 24-well cell culture plates. The next day, the vector pseudotypes were thawed on ice, incubated with serum at the final concentration of 1:25 dilution for 1 h at 37°C, supplemented with 8 μg/mL polybrene (American Bioanalytical, Natick, MA) and 200 μL of this mixture replaced the medium on Vero cells. After an overnight culture, supernatants were removed from the wells and replaced with 1 ml of complete culture media. 48 h after transduction, cells were fixed and histochemically stained for β-galactosidase activity, and the titer was quantified by microscopic enumeration of blue forming units (BFU), as previously described .
Interferon (IFN)-γ ELISPOT assay
Erythrocytes from mice splenocytes were depleted by incubating in 1× BD PharmLyse Buffer (Becton, Dickinson and Company, Franklin Lakes, NJ) for 5 min at room temperature according to manufacturer's instructions. The splenocytes were then used in an IFN-γ ELISPOT assay as previously described  except for the following modifications: 500,000 splenocytes per well were stimulated with 50 μl of 2 μg/ml ZGP-1, ZGP-4, ZGP-5 or a no-peptide negative control and 0.5 μg/ml biotinylated anti-mouse IFN-γ (Clone R4-6A2) (BD Pharmingen, Franklin Lakes, NJ) was added per well in the staining process. Three replicates were used for each combination.
To evaluate statistical significance of the ELISPOT results, we evaluated both within-group and between-group treatment difference. For the within-group comparison, three replicates for each sample were averaged and the difference between these averaged responses with respect to treatment was tested using the paired t-test. For the between-group comparison, the treatment difference for each mouse was obtained by taking the difference between treated vs. untreated averaged response (averaged over three replicates). This individual treatment difference was then used to compare the treatment effect between groups. Two-sample t-test was used for each two-group comparison.
We thank Julia Misplon and Chia-Yun Lo for their advice and input into the design of some of the immunologic evaluations performed in these studies. This research was partially supported by an inter-agency agreement with the Biomedical Advanced Research and Development Authority (BARDA). In addition, we thank Ronald Rabin and Andrew Byrnes for their critical review of the manuscript.
The content of this publication does not necessarily reflect the views or policies of the US Department of Health and Human Services or of the institutions and companies affiliated with the authors.
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