HLA-driven Optimization of an HIV Vaccine Immunogen Using Epitomes

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1 HLA-driven Optimization of an HIV Vaccine Immunogen Using Epitomes N. Jojic, V. Jojic, C. Kadie, C. Meek, and D. Heckerman Microsoft Research M. John, C. Moore, and S. Mallal Royal Perth Hospital and Murdoch University Contact

2 A good vaccine immunogen: Our assumptions More epitopes are better BUT longer immunogens are worse Epitope must have proper flanking region to be presented Cross reactivity should be exploited if possible Immunodominance must be addressed

3 Overview Use discovered associations between HLA and HIV adaptation to identify new epitopes Use newly identified and previously known epitopes to design vaccine immunogens (for Nef) using multiple optimization criteria How many new epitopes are there? How long should the immunogen be? What is the correct model for cross reactivity? Analyze sensitivities to the various criteria

4 HIV adaptation to HLA-restricted immune reponses is evident at population level within published epitopes putative epitopes flanking residues =Significant after correction Moore et al Science 2002, 296; 1439

5 Example Viral polymorphism Gag T242T (WT) Gag T242N (Escaped) Host polymorphism B*5701 Non- B*5701 CTL on nonescaped (1.1, p=0.02) 4.9 Replicative cost (0.6, p=0.02) Mean viral load (log), n=197 CTL on escaped (p=ns)

6 Predicting new epitopes Assume that there is one epitope for every escape found in a population of viral strains. For every escape, find the kmer in its vicinity that is most likely to contain the epitope (if the escape had not occurred). Replace the escaped amino acid with the non-escaped amino acid to obtain the epitope Viral strains are 245 Nef sequences from WA HIV Cohort Study with ambiguities resolved by choosing the most likely amino acids at each position.

7 Predicting new epitopes HIV sequence AASDFADFSLYNTVATLALSDJAD Start with escape, replace with non-escape, run window, select most likely

8 What about the adapted (escaped) kmers? Will responses against the escaped amino acid help clearance of virus? Our assumption in this work: Use only the nonescaped kmers (focus on protective vaccine)

9 Prediction Model Mixture of decision tree and logistic regression model Trained with 8-, 9-, and 10-mers from LANL Length 6 flanking regions determined by consensus amino acids from WA HIV Cohort Study

10 Decision Tree

11 Vaccine Immunogen Optimization Choose optimization criterion (score) Construct vaccines that optimize the score for various vaccine lengths Plot optimization score vs. length (allows for making tradeoffs)

12 Optimization Score HIV sequence vaccine epitope? pop-average(fraction of epitopes that are covered) Viral strains are 245 Nef sequences from WA HIV Cohort Study with ambiguities resolved by choosing the most likely amino acids at each position.

13 Epitomes: vaccine immunogens that overlap epitopes

14 Exploiting overlap yields immunogens that cover more epitopes per unit length Nef -- No play coverage 100% 90% 80% % of Possible Score 70% 60% 50% 40% 30% consensus With overlap Without overlap 20% 10% 0% # Amino Acids in Vaccine

15 Cross Reactivity Not much in the literature (e.g., McKinney et al. 2004): One to two conservative or semi-conservative changes are typically well tolerated (provided the epitope still binds MHC-I)

16 Optimization Score HIV sequence vaccine epitope? pop-average(fraction of epitopes that are covered) Viral strains are 245 Nef sequences from WA HIV Cohort Study with ambiguities resolved by choosing the most likely amino acids at each position.

17 portion of vaccine Models of cross-reactivity epitope K A A K A A non-escaped assocations for some HLA-I allele of the patient No-play: epitope is covered if, for some HLA of the patient, both epitope and vaccine segment have non-escaped associations and an exact match on every other amino acid 2-play: epitope is covered if, for some HLA of the patient, both epitope and vaccine segment have non-escaped associations and at most two amino acids differ only by conservative amino-acid substitutions elsewhere at non-anchor sites N-play: epitope is covered if, for some HLA of the patient, both eptiope and vaccine segment have non-escaped associations and differ only by conservative amino-acid substitutions elsewhere at non-anchor sites

18 Cross-reactivity: Sensitivity analysis Construct vaccines (of various lengths) to optimize for each model of cross reactivity Score each set of vaccines according to each of the cross reactivity models For each combination of optimization criterion and score, plot coverage vs. length Is there a model of cross reactivity that produces a good vaccine regardless of which model is true?

19 Cross-reactivity: Sensitivity analysis Nef -- No play coverage 100% 90% 80% % of Possible Score 70% 60% 50% 40% 30% 20% 10% 0% Optimized for no play Optimized for 2 play Optimized for N play # Amino Acids in Vaccine

20 Cross-reactivity: Sensitivity analysis Nef -- 2 play coverage 100% 90% 80% % of Possible Score 70% 60% 50% 40% 30% 20% 10% 0% Optimized for no play Optimized for two play Optimized for N play # Amino Acids in Vaccine

21 Cross-reactivity: Sensitivity analysis Nef -- N play coverage 100% 90% 80% % of Possible Score 70% 60% 50% 40% 30% 20% 10% 0% Optimized for no play Optimized for 2 play Optimized for N play # Amino Acids in Vaccine Vaccine optimized for no-play model does well by all three cross-reactivity models.

22 Number of epitopes: Sensitivity analysis Baseline: LANL+ predicted Less: LANL only More: All 9mers are epitopes Is there a vaccine optimized for one of these that does well regardless of the true number?

23 What if there are fewer epitopes? 100% Nef -- no play -- assumes only epitopes in LANL + predicted set are epitopes 90% 80% % of Possible Score 70% 60% 50% 40% 30% 20% Optimized for LANL+predicted epitopes Optimized for LANL epitopes only Fewer epitopes 10% 0% % # Amino Acids in Vaccine 90% Nef -- no play -- assumes only LANL epitopes are epitopes % of Possible Score 80% 70% 60% 50% 40% 30% 20% 10% Optimized for LANL + predicted epitopes Optimized for LANL epitopes only 0% # Amino Acids in Vaccine

24 What if there are more epitopes? 100% Nef -- no play -- assumes only epitopes in LANL + predicted set are epitopes 90% 80% % of Possible Score 70% 60% 50% 40% 30% 20% 10% Optimized for LANL+ predicted epitopes Optimized assuming all 9mers are epitoes More epitopes Nef -- no play -- assumes all 9mers are epitopes 0% % 500 # Amino Acids in Vaccine 90% 80% Optimized for predicted epitopes If uncertain, should err in favor of more epitopes (overlap provides some robustness) % of Possible Score 70% 60% 50% 40% 30% 20% 10% Optimized assuming all 9mers are epitoes 0% # Amino Acids in Vaccine

25 Epitomes: vaccine immunogens that overlap epitopes

26 Gag epitome organization Each 9mer in each strain is matched to the closest matching positions in HXB2 and the epitome, and a dot is placed at these coordinates in the graph. This provides an alignment of the epitome to the HXB2. As could be seen by the darkness of the dots, the early part of the epitome is matched to a lot, and contains similar content as the consensus sequence. The tail of the epitome contains less and less frequent variations. (Note: the darkness of the dot depends on how many 9mers match there and how well they match)

27

28 What if there are more epitopes? 100% Nef -- no play -- assumes only epitopes in LANL + predicted set are epitopes 90% % of Possible Score 80% 70% 60% 50% 40% 30% 20% Optimized for LANL+ predicted epitopes Optimized assuming all 9mers are epitoes overlap 10% 0% Same score # Amino Acids in Vaccine % of Possible Score 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% All 9mers no overlap LANL+predicted no overlap 0% # Amino Acids in Vaccine no overlap

29 Immunodominance Rodriguez et al. 2002: If dominant and subdominant epitopes are delivered separately, then responses to both are elicited Generalization to vaccine (covering numerous patients): -dom1 -sub2 -sub3 -sub1 -dom2 -dom3 cocktail vaccine Becomes an HLA-sensitive optimization problem

30 Summary HLA-driven adaptation in HIV is evident at population level as associations between HLA alleles and HIV sequence Such HLA associations can be used to predict immunogenic epitopes in HIV in-vivo We have optimized HIV vaccine immunogen sequences for maximum coverage of all (non-adapted) epitopes by exploiting epitope overlap and knowledge of adaptation effects Assuming no cross reactivity yields near-optimal vaccine even if there is some cross-reactivity If uncertain about the identity of the epitopes, it is better to err in favor of more epitopes. The more the epitopes overlap, the less important it becomes to know their identity (and the less they overlap, the shorter the vaccine)

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