PMID- 34635391 OWN - NLM STAT- MEDLINE DCOM- 20220316 LR - 20231003 IS - 1879-1166 (Electronic) IS - 0198-8859 (Print) IS - 0198-8859 (Linking) VI - 83 IP - 1 DP - 2022 Jan TI - Associations of human leukocyte antigen with neutralizing antibody titers in a tetravalent dengue vaccine phase 2 efficacy trial in Thailand. PG - 53-60 LID - S0198-8859(21)00236-6 [pii] LID - 10.1016/j.humimm.2021.09.006 [doi] AB - The recombinant, live, attenuated, tetravalent dengue vaccine CYD-TDV has shown efficacy against all four dengue serotypes. In this exploratory study (CYD59, NCT02827162), we evaluated potential associations of host human leukocyte antigen (HLA) alleles with dengue antibody responses, CYD-TDV vaccine efficacy, and virologically-confirmed dengue (VCD) cases. Children 4-11 years old, who previously completed a phase 2b efficacy study of CYD-TDV in a single center in Thailand, were included in the study. Genotyping of HLA class I and II loci was performed by next-generation sequencing from DNA obtained from 335 saliva samples. Dengue neutralizing antibody titers (NAb) were assessed as a correlate of risk and protection. Regression analyses were used to assess associations between HLA alleles and NAb responses, vaccine efficacy, and dengue outcomes. Month 13 NAb log geometric mean titers (GMTs) were associated with decreased risk of VCD. In the vaccine group, HLA-DRB1*11 was significantly associated with higher NAb log GMT levels (beta: 0.76; p = 0.002, q = 0.13). Additionally, in the absence of vaccination, HLA associations were observed between the presence of DPB1*03:01 and increased NAb log GMT levels (beta: 1.24; p = 0.005, q = 0.17), and between DPB1*05:01 and reduced NAb log GMT levels (beta: -1.1; p = 0.001, q = 0.07). This study suggests associations of HLA alleles with NAb titers in the context of dengue outcomes. This study was registered with clinicaltrials.gov: NCT02827162. CI - Copyright (c) 2021 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Thomas, Rasmi AU - Thomas R AD - US Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA. FAU - Chansinghakul, Danaya AU - Chansinghakul D AD - Sanofi Pasteur Clinical Sciences, Bangkok 10330, Thailand. Electronic address: Danaya.Chansinghakul@sanofi.com. FAU - Limkittikul, Kriengsak AU - Limkittikul K AD - Department of Tropical Pediatrics, Faculty of Tropical Medicine, Mahidol University, Bangkok 73170, Thailand. FAU - Gilbert, Peter B AU - Gilbert PB AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109-1024, USA. FAU - Hattasingh, Weerawan AU - Hattasingh W AD - Department of Tropical Pediatrics, Faculty of Tropical Medicine, Mahidol University, Bangkok 73170, Thailand. FAU - Moodie, Zoe AU - Moodie Z AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109-1024, USA. FAU - Shangguan, Shida AU - Shangguan S AD - US Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD 20817, USA. FAU - Frago, Carina AU - Frago C AD - Global Clinical Sciences, Sanofi Pasteur, 048580, Singapore. FAU - Dulyachai, Wut AU - Dulyachai W AD - Ratchaburi Hospital, Amphoe Muang Ratchaburi, 70000, Thailand. FAU - Li, Shuying Sue AU - Li SS AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109-1024, USA. FAU - Jarman, Richard G AU - Jarman RG AD - Viral Diseases Branch, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA. FAU - Geretz, Aviva AU - Geretz A AD - US Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD 20817, USA. FAU - Bouckenooghe, Alain AU - Bouckenooghe A AD - Global Clinical Sciences, Sanofi Pasteur, 048580, Singapore. FAU - Sabchareon, Arunee AU - Sabchareon A AD - Department of Tropical Pediatrics, Faculty of Tropical Medicine, Mahidol University, Bangkok 73170, Thailand. FAU - Juraska, Michal AU - Juraska M AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109-1024, USA. FAU - Ehrenberg, Philip AU - Ehrenberg P AD - US Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA. FAU - Michael, Nelson L AU - Michael NL AD - US Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA. FAU - Bailleux, Fabrice AU - Bailleux F AD - Sanofi Pasteur, Marcy l'Etoile 69280, France. FAU - Bryant, Chris AU - Bryant C AD - The Emmes Company, Rockville, MD 20850, USA. FAU - Gurunathan, Sanjay AU - Gurunathan S AD - Sanofi Pasteur, Swiftwater, PA 18370, USA. LA - eng SI - ClinicalTrials.gov/NCT02827162 GR - R37 AI054165/AI/NIAID NIH HHS/United States GR - UM1 AI068635/AI/NIAID NIH HHS/United States PT - Clinical Trial, Phase II PT - Journal Article DEP - 20211008 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (Antibodies, Neutralizing) RN - 0 (Antibodies, Viral) RN - 0 (Dengue Vaccines) RN - 0 (HLA Antigens) RN - 0 (Vaccines, Combined) SB - IM MH - Antibodies, Neutralizing MH - Antibodies, Viral MH - Child MH - Child, Preschool MH - *Dengue/prevention & control MH - *Dengue Vaccines MH - *Dengue Virus MH - HLA Antigens/genetics MH - Humans MH - Thailand MH - Vaccines, Combined PMC - PMC10536818 MID - NIHMS1927828 OTO - NOTNLM OT - CYD-TDV OT - Dengue OT - HLA OT - Human leukocyte antigen OT - Vaccine efficacy COIS- Declaration of Competing Interest D.C., C.F., A.B., F.B., S.G. are employees of Sanofi Pasteur and may hold shares and/or stock options in the company. R.T., K.L., W.H., S.S., W.T., R.G.J., A.G., A.S., P.E., N.L.M., C.B. have no conflict of interest to declare. P.B.G., Z.M., M.J., and S.S.L. received a contract from Sanofi Pasteur to conduct the statistical analysis work. EDAT- 2021/10/13 06:00 MHDA- 2022/03/17 06:00 PMCR- 2023/09/28 CRDT- 2021/10/12 05:47 PHST- 2021/03/01 00:00 [received] PHST- 2021/08/12 00:00 [revised] PHST- 2021/09/20 00:00 [accepted] PHST- 2021/10/13 06:00 [pubmed] PHST- 2022/03/17 06:00 [medline] PHST- 2021/10/12 05:47 [entrez] PHST- 2023/09/28 00:00 [pmc-release] AID - S0198-8859(21)00236-6 [pii] AID - 10.1016/j.humimm.2021.09.006 [doi] PST - ppublish SO - Hum Immunol. 2022 Jan;83(1):53-60. doi: 10.1016/j.humimm.2021.09.006. Epub 2021 Oct 8.