Peer Review History
| Original SubmissionJanuary 15, 2021 |
|---|
|
PONE-D-21-01499 Effects of therapeutic vaccination on the control of SIV in rhesus macaques with variable responsiveness to antiretroviral drugs. PLOS ONE Dear Dr. Fuller, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. Both reviewers found your manuscript is interesting but raised several questions (see below), and especially some of the reviewers suggest to focus on the immunogenicity of the multi antigen vaccine and discuss reasons behind this novel combination of adjuvants did not work in the setting of a therapeutic vaccine? Please submit your revised manuscript by 60 days. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file. Please include the following items when submitting your revised manuscript:
If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter. If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: http://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols We look forward to receiving your revised manuscript. Kind regards, Siddappa N. Byrareddy, PhD Academic Editor PLOS ONE Journal Requirements: When submitting your revision, we need you to address these additional requirements. 1. Please ensure that your manuscript meets PLOS ONE's style requirements, including those for file naming. The PLOS ONE style templates can be found at https://journals.plos.org/plosone/s/file?id=wjVg/PLOSOne_formatting_sample_main_body.pdf and 2. In order to comply with PLOS ONE's guidelines for non-human primate experiments (http://journals.plos.org/plosone/s/submission-guidelines#loc-non-human-primates), we kindly request that you provide specific details regarding housing conditions (e.g. cage sizes, whether housed alone), feeding regimens and the specific environmental enrichment provided. In addition, please specify the disposition of animals at the end of the study (e.g. euthanasia, returned to home colony, etc.). If animals were euthanized following the study, please provide the method of sacrifice. 3.Thank you for stating the following in the Competing Interests section: "Dr. Kenneth Bagley was a paid employee of Profectus Biosciences and had stock options with Profectus when the research was performed. This study was supported by an SBIR grant awarded to Profectus, of which Dr. Bagley was the Principal Investigator. Dr. Bagley's employment with Profectus was terminated in August 2019 and he did not exercise any stock options. " We note that one or more of the authors are employed by a commercial company: Orlance Incorporation and Profectus Biosciences a) Please provide an amended Funding Statement declaring this commercial affiliation, as well as a statement regarding the Role of Funders in your study. If the funding organization did not play a role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript and only provided financial support in the form of authors' salaries and/or research materials, please review your statements relating to the author contributions, and ensure you have specifically and accurately indicated the role(s) that these authors had in your study. You can update author roles in the Author Contributions section of the online submission form. Please also include the following statement within your amended Funding Statement. “The funder provided support in the form of salaries for authors [insert relevant initials], but did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The specific roles of these authors are articulated in the ‘author contributions’ section.” If your commercial affiliation did play a role in your study, please state and explain this role within your updated Funding Statement. b) Please also provide an updated Competing Interests Statement declaring this commercial affiliation along with any other relevant declarations relating to employment, consultancy, patents, products in development, or marketed products, etc. Within your Competing Interests Statement, please confirm that this commercial affiliation does not alter your adherence to all PLOS ONE policies on sharing data and materials by including the following statement: "This does not alter our adherence to PLOS ONE policies on sharing data and materials.” (as detailed online in our guide for authors http://journals.plos.org/plosone/s/competing-interests) . If this adherence statement is not accurate and there are restrictions on sharing of data and/or materials, please state these. Please note that we cannot proceed with consideration of your article until this information has been declared. Please include both an updated Funding Statement and Competing Interests Statement in your cover letter. We will change the online submission form on your behalf. Please know it is PLOS ONE policy for corresponding authors to declare, on behalf of all authors, all potential competing interests for the purposes of transparency. PLOS defines a competing interest as anything that interferes with, or could reasonably be perceived as interfering with, the full and objective presentation, peer review, editorial decision-making, or publication of research or non-research articles submitted to one of the journals. Competing interests can be financial or non-financial, professional, or personal. Competing interests can arise in relationship to an organization or another person. Please follow this link to our website for more details on competing interests: http://journals.plos.org/plosone/s/competing-interests [Note: HTML markup is below. Please do not edit.] Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #1: Partly Reviewer #2: No ********** 2. Has the statistical analysis been performed appropriately and rigorously? Reviewer #1: Yes Reviewer #2: Yes ********** 3. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #1: Yes Reviewer #2: Yes ********** 4. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #1: Yes Reviewer #2: Yes ********** 5. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #1: This manuscript describes the therapeutic impact of DNA vaccinations on SIV-infected rhesus macaques. In this study, 14 rhesus macaques were infected with SIV∆670 and started on ART 6 weeks post-infection. Most animals maintained low but detectable viral loads during ART. At 50 weeks post-infection, the animals were divided into three groups: (1) DNA vaccination adjuvanted with E. coli enterotoxin, (2) DNA vaccination with a combination of adjuvants, or (3) mock vaccinated. The animals received five monthly DNA immunizations encoding SIV Gag-Pol-Env, with the adjuvant combination designed to maximize mucosal and systemic T cell responses. Vaccination induced transient increases in peripheral SIV-specific T cell responses, peaking before the final immunization. Although the immunizations may have skewed T cell responses toward Gag and Env. However, after stopping ART, the vaccine-induced immune responses failed to prevent viral rebound or significantly reduce virus replication. The authors performed more in-depth analyses of macaques controlling SIV post-ART, regardless of vaccination status. Lower viral burdens and poly-functional CD8+ T cells pre-ART and Th17/Treg CD4+ T cell ratio in the colon pre-infection were associated with post-ART virus suppression. Overall, the authors provide a thorough analysis of cellular immunity during therapeutic vaccinations of SIV-infected rhesus macaques. However, it is challenging to differentiate vaccine-induced responses from those generated by persistent virus replication. Details about the study design are missing; clarifying these points will strengthen the manuscript. Small experimental groups make it challenging to contextualize the results in broader HIV cure programs. Some comparisons were statistically significant but skewed by a single animal within a group, making it difficult to draw firm conclusions from the results. Therefore, the authors should temper some of their conclusions. 1) The source of the vaccine immunogens is not mentioned in the text. Are they derived from SIV∆670 or another SIV strain? Did the peptides used in the ELISPOT/ICS assays match these immunogens and/or SIV∆670? If not, how may have heterologous antigens/peptides impact the results? 2) What is the rationale for delivering Gag p57 separately? 3) SIV∆670 is infrequently used in macaque studies. How susceptible is this strain to ARVs? Did the inherent ARV resistance of SIV∆670 contribute to persistent viral loads during ART? The susceptibility of SIV∆670 should be discussed in the text. 4) The figure legend for Figure 2 describes panels B and C as containing the cumulative IFNg responses after peptide stimulation, both displaying week 50. Why are the Y axes different? Is the animal with ~6000 SFC in figure 2C missing from 2B? Is the animal with 10^4 viral loads one with high SFC counts in 2C? If so, is it possible to distinguish vaccine-induced responses from those stimulated by ongoing virus replication? 5) The text in line 287 states that post-ATI viral control is primarily mediated by CD8+ T cells. This comment should be tempered as only bulk Env-binding antibodies were analyzed. It is formally possible that strain-specific neutralizing or non-neutralizing antibodies contributed to viral suppression. 6) Persistent virus replication could have increased viral diversity within non-controllers relative to controllers, potentially leading to immune escape and an inability to control virus replication post-ATI. This possibility should be addressed in the discussion section. 7) In line 390, it is more appropriate to refer to these animals as controlling virus replication post-ATI than being protected from rebound since they had detectable viremia. Minor comments: Line 239: should “that” replace “this” in the phrase “an outcome this is likely due to the…”? Line 268: references supplemental figure 7, but the data appears to be in supplemental figure 9 Line 277: references supplemental figure 6, but the data appears to be in supplemental figure 8 Reviewer #2: The manuscript by Tunggal, et al., describes the preclinical evaluation of a therapeutic DNA-based HIV vaccine in SIV-infected rhesus macaques (RM) on antiretroviral therapy (ART). They evaluated two novel DNA vaccine constructs, the first containing plasmids expressing SIV proteins Gag, Pol and Env (MAG) adjuvanted with a plasmid expressing the catalytic subunit of enterotoxin (LTA1), referred to as MAG + LT. The second construct consisted of SIV DNA plasmid (MAG) adjuvanted with plasmids encoding (LTA1), the cytokines IL-12 and IL-33, the enzyme 85 retinaldehyde dehydrogenase 2 (RALDH2), soluble PD-1 (sPD-1), and soluble CD80 (sCD80) referred to as MAG + AC. Both vaccines were administered in 5 monthly doses starting 32 weeks post-infection and the impact of this therapeutic vaccination regimen on protection from virus rebound following ART interruption was assessed. They found no significant difference in protection from rebound or levels of post-ART viremia between vaccinated vs. control RM. However, due to the variability in post-ART viral loads, they examined immune correlates of viral control and showed higher frequencies of colonic CD4+ T cells and lower Th17/Treg ratios prior to infection correlated with improved post-ART viral control. While the study provides some intriguing observations, there are a few concerns. Major concerns 1. The 2 animals with incomplete viral suppression (mean pvl > 10e4) should be excluded from all analyses. If the criteria for determining therapeutic vaccine efficacy was containment of pvl < 10e3 copies/ml during ATI, then why include animals in the analysis that did not meet this criterion prior to ART withdrawal. 2. Along those lines, the IFN-g ELISPot data showed a significant difference in responses between MAG + AC and MAG + LT vaccine groups at 50 wpi (Fig 2B-C). However, the ICS data showed no difference between vaccine groups at any time point (S2-5 Figs). The reason for this discrepancy is unclear and was not discussed? Also, why were SIV Pol responses not readily detectable in either vaccine group considering Pol was included in the vaccine construct? 3. The comparison of CD8+ T cell polyfunctional responses was unclear. What proportion of CD8+ T cell responses in controllers were not polyfunctional? Also, did the vaccine improve polyfunctionality of the CD8+ T cell response? A treatment group comparison of CD8+ T cell polyfunctional responses should have been presented to bolster the correlational analysis and resultant conclusions. 4. Again, it is difficult to make the case that mucosal immune responses prior to ART suppression influence virologic outcome during and post-ART (Fig 7) if the immune corelate analysis includes animals with ongoing viremia during ART. Is it unclear how the frequencies of colonic CD4+ T cells or lower Th17/Treg ratios prior to infection would affect the ability of ART to suppress viremia. By including the 2 animals with incomplete virus suppression, it is difficult to reach any of the conclusions outlined. 5. Another major issue is the fact that the controllers had lower viral loads at the time of ART initiation (Fig 4). This would suggest that these animals already had effective T cell responses prior ART initiation, which were maintained during therapy and helped facilitate better post-ART control. So, the suggestion that “pre-infection immune parameters helped animals develop polyfunctional CD8+ T cell responses during ART” (lines 339 – 342) is not supported by the data presented. Minor concerns • The manuscript should be checked for grammatical errors. • Line 96 needs clarification as is says PD-1 and CTLA4 can “restore” immune exhaustion. • Line 268 should be “S9 Fig.” not “S7 Fig.”. • Line 277 says “S6 Fig.” but the figure which is supposed to show the correlation between viral control and Gag-specific CD4+ T cell responses is missing. • There was no data or discussion on the impact of therapeutic vaccination on cell-associated viral loads. Did the controllers have a lower reservoir size? If so, perhaps this could also contribute to improved post-ART viral control. ********** 6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #1: No Reviewer #2: No [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.] While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step. |
| Revision 1 |
|
PONE-D-21-01499R1 Effects of therapeutic vaccination on the control of SIV in rhesus macaques with variable responsiveness to antiretroviral drugs. PLOS ONE Dear Dr. Fuller, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. Please see below; both reviewers raised some minor points; once addressed, this manuscript can be accepted for publication. Please submit your revised manuscript by 5/30/2021. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file. Please include the following items when submitting your revised manuscript:
If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter. If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: http://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols. Additionally, PLOS ONE offers an option for publishing peer-reviewed Lab Protocol articles, which describe protocols hosted on protocols.io. Read more information on sharing protocols at https://plos.org/protocols?utm_medium=editorial-email&utm_source=authorletters&utm_campaign=protocols. We look forward to receiving your revised manuscript. Kind regards, Siddappa N. Byrareddy, PhD Academic Editor PLOS ONE Journal Requirements: Please review your reference list to ensure that it is complete and correct. If you have cited papers that have been retracted, please include the rationale for doing so in the manuscript text, or remove these references and replace them with relevant current references. Any changes to the reference list should be mentioned in the rebuttal letter that accompanies your revised manuscript. If you need to cite a retracted article, indicate the article’s retracted status in the References list and also include a citation and full reference for the retraction notice. [Note: HTML markup is below. Please do not edit.] Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation. Reviewer #1: (No Response) Reviewer #2: All comments have been addressed ********** 2. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #1: Yes Reviewer #2: Partly ********** 3. Has the statistical analysis been performed appropriately and rigorously? Reviewer #1: Yes Reviewer #2: I Don't Know ********** 4. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #1: Yes Reviewer #2: Yes ********** 5. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #1: Yes Reviewer #2: Yes ********** 6. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #1: This revised manuscript compares the therapeutic impact of DNA-based vaccines encoding SIV Gag, Pol, and Env antigens mixed with either a single adjuvant or combination of adjuvants in ART-treated SIV-infected rhesus macaques. The vaccines had no impact on viral rebound post-ART, but more MAG-AC immunized macaques controlled virus replication below 1x10^3 SIV copies/ml than MAG-LT or unimmunized controls. Immune parameter analysis of controllers in all groups suggests that polyfunctional SIV-specific CD8 T cells contributed to virus suppression. Although, this analysis is complicated by the partial resistance of SIV∆670 to ART, potentially preserving polyfunctional T cell responses in ART responders versus non-responders. Further, this study reports pre-infection mucosal CD4 T cell levels and Th17/Treg balances may have long-term impacts on disease progression and HIV cure strategies. 1) In figure 2F, all IFN-g responses at week 50 in A16236 are against accessory proteins, indicating that MAG+AC immunization did not amplify Gag, Pol, or Env responses. These results should be briefly discussed in the text. 2) Line 484, remove “strong” from this sentence. The data suggest that polyfunctional CD8 T cell responses contribute to controlling virus post-ART but labeling the evidence as “strong” is overstating the data. Reviewer #2: While the authors have addressed most of my concerns, to fully define how intrinsic resistance factors did not play a role in virology outcome, a table showing animal demographics including MHC typing, TRIM5 genotype and viremia status (controller or non-controller) should be included. ********** 7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #1: No Reviewer #2: No [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.] While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step. |
| Revision 2 |
|
Effects of therapeutic vaccination on the control of SIV in rhesus macaques with variable responsiveness to antiretroviral drugs. PONE-D-21-01499R2 Dear Dr. Fuller, We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements. Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication. An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org. If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org. Kind regards, Siddappa N. Byrareddy, PhD Academic Editor PLOS ONE Additional Editor Comments (optional): Reviewers' comments: |
| Formally Accepted |
|
PONE-D-21-01499R2 Effects of therapeutic vaccination on the control of SIV in rhesus macaques with variable responsiveness to antiretroviral drugs Dear Dr. Fuller: I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department. If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org. If we can help with anything else, please email us at plosone@plos.org. Thank you for submitting your work to PLOS ONE and supporting open access. Kind regards, PLOS ONE Editorial Office Staff on behalf of Dr. Siddappa N. Byrareddy Academic Editor PLOS ONE |
Open letter on the publication of peer review reports
PLOS recognizes the benefits of transparency in the peer review process. Therefore, we enable the publication of all of the content of peer review and author responses alongside final, published articles. Reviewers remain anonymous, unless they choose to reveal their names.
We encourage other journals to join us in this initiative. We hope that our action inspires the community, including researchers, research funders, and research institutions, to recognize the benefits of published peer review reports for all parts of the research system.
Learn more at ASAPbio .