Improving Therapeutic Vaccination against Hepatitis B—Insights from Preclinical Models of Immune Therapy against Persistent Hepatitis B Virus Infection

Chronic hepatitis B affects more than 250 million individuals worldwide, putting them at risk of developing liver cirrhosis and liver cancer. While antiviral immune responses are key to eliminating hepatitis B virus (HBV) infections, insufficient antiviral immunity characterized by failure to elimin...

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Autores principales: Percy A. Knolle, Li-Rung Huang, Anna Kosinska, Dirk Wohlleber, Ulrike Protzer
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:312508e884104ee695c394701ea6736e2021-11-25T19:11:24ZImproving Therapeutic Vaccination against Hepatitis B—Insights from Preclinical Models of Immune Therapy against Persistent Hepatitis B Virus Infection10.3390/vaccines91113332076-393Xhttps://doaj.org/article/312508e884104ee695c394701ea6736e2021-11-01T00:00:00Zhttps://www.mdpi.com/2076-393X/9/11/1333https://doaj.org/toc/2076-393XChronic hepatitis B affects more than 250 million individuals worldwide, putting them at risk of developing liver cirrhosis and liver cancer. While antiviral immune responses are key to eliminating hepatitis B virus (HBV) infections, insufficient antiviral immunity characterized by failure to eliminate HBV-infected hepatocytes is associated with chronic hepatitis B. Prophylactic vaccination against hepatitis B successfully established protective immunity against infection with the hepatitis B virus and has been instrumental in controlling hepatitis B. However, prophylactic vaccination schemes have not been successful in mounting protective immunity to eliminate HBV infections in patients with chronic hepatitis B. Here, we discuss the current knowledge on the development and efficacy of therapeutic vaccination strategies against chronic hepatitis B with particular emphasis on the pathogenetic understanding of dysfunctional anti-viral immunity. We explore the development of additional immune stimulation measures within tissues, in particular activation of immunogenic myeloid cell populations, and their use for combination with therapeutic vaccination strategies to improve the efficacy of therapeutic vaccination against chronic hepatitis B.Percy A. KnolleLi-Rung HuangAnna KosinskaDirk WohlleberUlrike ProtzerMDPI AGarticlehepatitis B virus (HBV)vaccinationtherapeutic vaccinationMedicineRENVaccines, Vol 9, Iss 1333, p 1333 (2021)
institution DOAJ
collection DOAJ
language EN
topic hepatitis B virus (HBV)
vaccination
therapeutic vaccination
Medicine
R
spellingShingle hepatitis B virus (HBV)
vaccination
therapeutic vaccination
Medicine
R
Percy A. Knolle
Li-Rung Huang
Anna Kosinska
Dirk Wohlleber
Ulrike Protzer
Improving Therapeutic Vaccination against Hepatitis B—Insights from Preclinical Models of Immune Therapy against Persistent Hepatitis B Virus Infection
description Chronic hepatitis B affects more than 250 million individuals worldwide, putting them at risk of developing liver cirrhosis and liver cancer. While antiviral immune responses are key to eliminating hepatitis B virus (HBV) infections, insufficient antiviral immunity characterized by failure to eliminate HBV-infected hepatocytes is associated with chronic hepatitis B. Prophylactic vaccination against hepatitis B successfully established protective immunity against infection with the hepatitis B virus and has been instrumental in controlling hepatitis B. However, prophylactic vaccination schemes have not been successful in mounting protective immunity to eliminate HBV infections in patients with chronic hepatitis B. Here, we discuss the current knowledge on the development and efficacy of therapeutic vaccination strategies against chronic hepatitis B with particular emphasis on the pathogenetic understanding of dysfunctional anti-viral immunity. We explore the development of additional immune stimulation measures within tissues, in particular activation of immunogenic myeloid cell populations, and their use for combination with therapeutic vaccination strategies to improve the efficacy of therapeutic vaccination against chronic hepatitis B.
format article
author Percy A. Knolle
Li-Rung Huang
Anna Kosinska
Dirk Wohlleber
Ulrike Protzer
author_facet Percy A. Knolle
Li-Rung Huang
Anna Kosinska
Dirk Wohlleber
Ulrike Protzer
author_sort Percy A. Knolle
title Improving Therapeutic Vaccination against Hepatitis B—Insights from Preclinical Models of Immune Therapy against Persistent Hepatitis B Virus Infection
title_short Improving Therapeutic Vaccination against Hepatitis B—Insights from Preclinical Models of Immune Therapy against Persistent Hepatitis B Virus Infection
title_full Improving Therapeutic Vaccination against Hepatitis B—Insights from Preclinical Models of Immune Therapy against Persistent Hepatitis B Virus Infection
title_fullStr Improving Therapeutic Vaccination against Hepatitis B—Insights from Preclinical Models of Immune Therapy against Persistent Hepatitis B Virus Infection
title_full_unstemmed Improving Therapeutic Vaccination against Hepatitis B—Insights from Preclinical Models of Immune Therapy against Persistent Hepatitis B Virus Infection
title_sort improving therapeutic vaccination against hepatitis b—insights from preclinical models of immune therapy against persistent hepatitis b virus infection
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/312508e884104ee695c394701ea6736e
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