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. Author manuscript; available in PMC: 2014 Nov 1.
Published in final edited form as: Future Virol. 2014;9(6):565–585. doi: 10.2217/fvl.14.36

Table 2. Host factors.

Factors Targets Results Ref.
Innate immunity

PRRs (TLRs) TLR-7 agonist: GS-9620 Suppression of HBV DNA in both serum and
liver of HBV-infected chimpanzees; induction of
IFN-α and cytokines
Phase I trials in CHB patients
Animal study: [124]

Phase I study in healthy volunteers: [125]

Phase I trials in CHB (completed)
[126,127]

Cytokines IL-7
Recombinant human IL-7
(rhIL-7)-CYT 107
IL-21
Recombinant IL-21
Preclinical data:
Immunorestorative and vaccine adjuvant effect
Phase I-II clinical trial on CHB patients ongoing
Possible immunorestorative effect when used in
combination with antivirals
Small animal study (LCMV mice):
[128,129]

Small animal study (LCMV mice):
[134135,137]

Adaptive immunity

Inhibitory
T lymphocytes
PD-1/PD-L1 Blockade of PD-1/PD-L1 interaction leading to
restoration of T-cell function
Small animal study (LCMV mice): [146]
Wood chucks (WHV infected): [153,154]

Humoral & adaptive immunity

Therapeutic
vaccination
Immunogenic complexes:
HBsAg with anti-HBs
immunoglobulin)
Priming of HBV-specific CD8+ CTL responses Clinical trial: [165]
Phase 11 b clinical trial: [164]
Phase III clinical trial: [166]
HBsAg and HBcAg
Combination: NASVAC
Recombinant HBcAg act as potent Th1 adjuvant
to HBsAg and strong immunogen
Phase I clinical trial in HVs demonstrated safety
and immunologic efficacy
Phase III clinical trial is on going in CHB patients
Phase I clinical trial: [169]
Phase III clinical trial: [170]
Whole recombinant yeast-
based therapeutic vaccine:
tarmogens:
GS-4774 (formerly GI-13020)
Antigen-specific T-cell responses; tarmogens
elicited HBV-specific T-cell responses ex vivo
in samples collected from HVs and donors
with CHB; induce both CD4+ and CD8+ T-cell
responses in ex vivo model; induce HBV-specific
T-cell response
[172,183]
Phase I trial in HV completed: [184]
Phase II trial in CHB patients: [185]
Adenovirus-based
therapeutic vaccination
TG1050
Stimulate polyfunctional, multispecific, robust
and long-lasting T cells targeting multiple
epitopes from three major viral proteins, expected to control the HBV replication and to
elicit viral clearance
[173]
DNA vaccines Activate not only the T-cell responses specific to
HBV but also natural killer cells
Phase I clinical trial: [175]
Proof-of-concept study/CHB carriers:
[176]
T-cell peptide epitope
vaccine
String of 30 HBV-derived CTL epitopes linked
to 16 Th epitopes presented to T cells by a large
number of HLA molecules
Mouse model: [177]

AASLD: American Association for the Study of Liver Diseases; anti-HBs: Hepatitis B surface antibody; CHB: Chronic hepatitis B; CTL: Cytotoxic T lymphocyte; HBcAg: Hepatitis B core antigen; HBsAg: Hepatitis B surface antigen; HV: Healthy volunteer; LCMV:lymphocytic choriomeningitis virus; NASVAC: Nasal HBV vaccine candidate; PD1/PD-L1: Programmed death-1/Programmed death-ligand 1; PRR: Pattern recognition receptor; Th: T helper; TLR: Toll-like receptor.