Mapping protective influenza-specific CD8+ T cell targets for HLA-A*24:02 in Indigenous populations (#73)
Indigenous populations, including Indigenous Australians, experience a higher burden of influenza disease compared to non-Indigenous populations and the underlying mechanisms are unknown. Our previous work suggests that failure of the predominant HLA allomorphs maintained within Indigenous populations to generate a diverse antiviral T-cell response may predispose them to more severe influenza disease. As carriage of HLA-A*24:02 is linked to influenza-induced mortality and this allele is highly expressed in Indigenous populations worldwide, including Indigenous Australians (~25%) and Alaskans (~70%), we evaluated the protective immunogenic influenza CD8+ T-cell targets in A*24:02-expressing mice and humans. To understand the breadth of influenza peptide targets capable of being presented by the A*24:02 molecule, we performed immunopeptidome studies using an infected HLA-A*24:02-expressing cell line and identified natural presentation of 38 peptides derived from 6/11 influenza virus proteins. Strikingly, these peptides were mainly derived from the PB2 (15/38 peptides) and PB1 (10/38 peptides) viral antigens, contrasting with the preference of other prominent HLA alleles to bind NP and M1 peptides. We screened A*24:02-presented peptides as well as 6 previously predicted A*24:02-binding influenza peptides in transgenic HLA-A24-expressing mice. Eight peptides were immunogenic with five inducing immunodominant CD8+ T-cell responses at day 10 after infection. Upon secondary challenge, responses to two of these peptides derived from PB1 and PB2 emerged as immunodominant. In A*24:02+ Indigenous and non-Indigenous donors, modest memory CD8+ T-cell populations focused on these highly conserved PB1 and PB2 peptides. As PB1 and PB2 are omitted from T-cell vaccines in current clinical trials, we used lipopeptide vaccines to probe the protective efficacy of these immunogenic peptides in HLA-A24-expressing mice and assessed their potential as candidate vaccine targets. Our findings demonstrate that the success of a protective broad-spectrum influenza T-cell vaccine for Indigenous people depends on understanding the distinct, HLA-determined, immunogenic T-cell targets specific to these vulnerable populations.