Impact of pre-existing anti-replicase immunity on the efficacy of self-amplifying mRNA vaccines

Self-amplifying mRNA vaccines use a viral replicase for self-amplification. It is currently unclear whether anti-replicase immunity occurs after saRNA vaccination, and whether such pre-existing anti-replicase immunity impacts the efficacy of subsequent saRNA vaccines. Using female mice, this study demonstrates that an initial saRNA vaccination schedule elicits replicase-specific immunity, which reduces the in vivo expression and impairs the Th1 cell responses of subsequent saRNA vaccines. Passive transfer experiments demonstrate that the suppression of T cell responses is driven by a synergistic effect of both anti-replicase antibodies and anti-replicase T cells. Interestingly, pre-existing anti-replicase immunity does not affect the ability of an influenza saRNA vaccine to provide full protection against an H5N1 challenge in female mice. Taken together, these results provide crucial insights on the effects of anti-replicase immunity induced by a first saRNA vaccination schedule on the expression, immunogenicity and protection efficacy of a subsequent saRNA vaccine.

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Publication Details

Journal
Nature Communications
Published
2025-12-06
DOI
https://doi.org/10.1038/s41467-025-66993-1
Citations
2
Primary Topic
RNA Interference and Gene Delivery
Type
article
Field-Weighted Citation Impact
1.61

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Impact of pre-existing anti-replicase immunity on the efficacy of self-amplifying mRNA vaccines

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article

Impact of pre-existing anti-replicase immunity on the efficacy of self-amplifying mRNA vaccines

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article en
2 citations

Abstract

Self-amplifying mRNA vaccines use a viral replicase for self-amplification. It is currently unclear whether anti-replicase immunity occurs after saRNA vaccination, and whether such pre-existing anti-replicase immunity impacts the efficacy of subsequent saRNA vaccines. Using female mice, this study demonstrates that an initial saRNA vaccination schedule elicits replicase-specific immunity, which reduces the in vivo expression and impairs the Th1 cell responses of subsequent saRNA vaccines. Passive transfer experiments demonstrate that the suppression of T cell responses is driven by a synergistic effect of both anti-replicase antibodies and anti-replicase T cells. Interestingly, pre-existing anti-replicase immunity does not affect the ability of an influenza saRNA vaccine to provide full protection against an H5N1 challenge in female mice. Taken together, these results provide crucial insights on the effects of anti-replicase immunity induced by a first saRNA vaccination schedule on the expression, immunogenicity and protection efficacy of a subsequent saRNA vaccine.

Nature CommunicationsVol. 17(1)
HOGENT University of Applied Sciences and Arts (BE), Ghent University Hospital (BE), Ghent University (BE), Medizinische Hochschule Hannover (DE), Cancer Research Institute Ghent (BE), VIB-UGent Center for Medical Biotechnology (BE)
Universitaire Stichting, Fonds Wetenschappelijk Onderzoek, Universiteit Gent, China Scholarship Council, Vlaamse regering, Bijzonder Onderzoeksfonds UGent
Openalex Percentile: Top 14%
RNA Interference and Gene Delivery
1.61
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