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Nature Is Weird  /  Biology

A prehistoric, extinct version of the Hepatitis B virus is the secret to creating a vaccine that actually works for chronic patients.

Traditional vaccines for chronic Hepatitis B often fail because the patient's immune system has already been exhausted by the modern virus. Researchers used a ghost lineage of the virus from prehistory to trick the body into a fresh response. This ancestral mismatch forces the immune system to prime new T cells rather than trying to fix broken ones. The resulting immune activity was far more effective at controlling the infection than standard methods. This prehistoric strategy suggests we can fight modern diseases by looking deep into the viral family tree.

Original Paper

Therapeutic HBV vaccine efficacy through ancestral mismatched T cell epitopes

Antonio Bertoletti, Nina Le Bert, Akshay Binayke, Shubhankar Ambike, Shou Kit Hang, Yazhini Avaiarasi, Previtha Sakthi Vale, Natalene Shan, Nicole Tan, Adeline Chia, Anthony Tan, Ying Tan, Qing Zhu, Yun Ji

research_square  ·  rs-8892351

Abstract Therapeutic vaccines for the treatment of chronic viral infections, such as HBV, have been mainly designed to target conserved viral regions and to preferentially restore dysfunctional virus-specific CD8 T cells. Such vaccines have failed to deliver clinical benefit, but a recent trial combining siRNA Elabsiran and PEG-IFN-α reported a remarkable ~50% HBsAg loss rate in chronic HBV patients who responded to the therapeutic vaccine BRII-179 administered prior to the trial. To define the