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Innate immune cell activation by adjuvant AS01 in human lymph node explants is age independent
Vicki V. Stylianou, … , Kerrie J. Sandgren, Anthony L. Cunningham
Vicki V. Stylianou, … , Kerrie J. Sandgren, Anthony L. Cunningham
Published September 24, 2024
Citation Information: J Clin Invest. 2024;134(22):e174144. https://doi.org/10.1172/JCI174144.
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Research Article Immunology Article has an altmetric score of 8

Innate immune cell activation by adjuvant AS01 in human lymph node explants is age independent

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Abstract

Vaccine adjuvants are thought to work by stimulating innate immunity in the draining lymph node (LN), although this has not been proven in humans. To bridge the data obtained in animals to humans, we have developed an in situ human LN explant model to investigate how adjuvants initiate immunity. Slices of explanted LNs were exposed to vaccine adjuvants and revealed responses that were not detectable in LN cell suspensions. We used this model to compare the liposome-based AS01 with its components, monophosphoryl lipid A (MPL) and QS-21, and TLR ligands. Liposomes were predominantly taken up by subcapsular sinus–lining macrophages, monocytes, and DCs. AS01 induced DC maturation and a strong proinflammatory cytokine response in intact LN slices but not in dissociated cell cultures, in contrast to R848. This suggests that the onset of the immune response to AS01 required a coordinated activation of LN cells in time and space. Consistent with the robust immune response observed in older adults with AS01-adjuvanted vaccines, the AS01 response in human LNs was independent of age, unlike the response to R848. This human LN explant model is a valuable tool for studying the mechanism of action of adjuvants in humans and for screening new formulations to streamline vaccine development.

Authors

Vicki V. Stylianou, Kirstie M. Bertram, Van Anh Vo, Elizabeth B. Dunn, Heeva Baharlou, Darcii J. Terre, James Elhindi, Elisabeth Elder, James French, Farid Meybodi, Stéphane T. Temmerman, Arnaud M. Didierlaurent, Margherita Coccia, Kerrie J. Sandgren, Anthony L. Cunningham

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Figure 2

Fluorescent liposomes, a model for AS01, are preferentially taken up by subcapsular SMs in LNs.

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Fluorescent liposomes, a model for AS01, are preferentially taken up by ...
Slices of human LNs were exposed to DiO-, or DiD-labeled liposomes for 0.5, 2, or 24 hours. Cells were mechanically dissociated for flow cytometry, or the tissue was prepared for microscopy. (A) Representative flow cytometry plots showing DiO-liposome uptake after 2 hours of bathing, by resident myeloid cells and migratory skin-derived cells (n = 3–5). (B) Immunofluorescence image of LN slice showing DiD-labeled liposomes penetrated the tissue within 30 minutes of exposure. Arrow indicates exposed face. Scale bar: 500 μm. n = 3. (C) Uptake of DiD-labeled liposomes over 24 hours, measured by flow cytometry (n = 3). Colors in C, E, and F correspond to the cell subset legend. (D) Uptake at 2 hours was compared between LN cell subsets of the major groups: macrophages/monocytes, migratory DCs (Mig. DCs), resident DCs (Res. DCs), and lymphocytes. The median and IQR are plotted for each subset. Mixed-effects analysis with Tukey’s multiple-comparison test was performed. *P < 0.05 and **P < 0.01. For grouped statistical representation, the highest common P value is presented, but lower values were generated. (E) Immune cell subsets present in the LN (n = 50) and (F) making up the total liposome+ fraction after a 2-hour exposure (n = 5), showing cell subsets as a proportion of total live, CD45+ immune cells and myeloid cell subsets as a proportion of HLA-DR+ cells. (G) Mass cytometry image showing CD169 (red) and CD68 (green) staining in the LN. CD169+CD68+ SMs appear yellow; DAPI staining is shown (blue). Scale bar: 200 μm. (H) CD169+ (red) subcapsular SMs and CD11c+ (blue) DCs took up DiD-labeled liposomes (green) in situ in the LN after a 2-hour exposure (indicated by arrows). The capsule is visible at the top right. Scale bars: 25 μm. The median with the IQR for available donors is shown for each cell subset at each time point.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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