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1.
Front Immunol ; 15: 1372349, 2024.
Article in English | MEDLINE | ID: mdl-38698863

ABSTRACT

Pseudomonas aeruginosa (Pa) is an opportunistic bacterial pathogen responsible for severe hospital acquired infections in immunocompromised and elderly individuals. Emergence of increasingly drug resistant strains and the absence of a broad-spectrum prophylactic vaccine against both T3SA+ (type III secretion apparatus) and ExlA+/T3SA- Pa strains worsen the situation in a post-pandemic world. Thus, we formulated a candidate subunit vaccine (called ExlA/L-PaF/BECC/ME) against both Pa types. This bivalent vaccine was generated by combining the C-terminal active moiety of exolysin A (ExlA) produced by non-T3SA Pa strains with our T3SA-based vaccine platform, L-PaF, in an oil-in-water emulsion. The ExlA/L-PaF in ME (MedImmune emulsion) was then mixed with BECC438b, an engineered lipid A analogue and a TLR4 agonist. This formulation was administered intranasally (IN) to young and elderly mice to determine its potency across a diverse age-range. The elderly mice were used to mimic the infection seen in elderly humans, who are more susceptible to serious Pa disease compared to their young adult counterparts. After Pa infection, mice immunized with ExlA/L-PaF/BECC/ME displayed a T cell-mediated adaptive response while PBS-vaccinated mice experienced a rapid onset inflammatory response. Important genes and pathways were observed, which give rise to an anti-Pa immune response. Thus, this vaccine has the potential to protect aged individuals in our population from serious Pa infection.


Subject(s)
Emulsions , Pseudomonas Infections , Pseudomonas Vaccines , Pseudomonas aeruginosa , Vaccines, Subunit , Animals , Pseudomonas aeruginosa/immunology , Vaccines, Subunit/immunology , Vaccines, Subunit/administration & dosage , Mice , Pseudomonas Infections/immunology , Pseudomonas Infections/prevention & control , Pseudomonas Vaccines/immunology , Pseudomonas Vaccines/administration & dosage , Female , Vaccine Development , Humans , Antibodies, Bacterial/immunology , Antibodies, Bacterial/blood , Disease Models, Animal , Bacterial Proteins/immunology , Bacterial Proteins/genetics
2.
Pol J Vet Sci ; 24(2): 303-305, 2021 Jun.
Article in English | MEDLINE | ID: mdl-34250786

ABSTRACT

In a dairy cow herd consisted of herd of 200 lactating Holstein-Friesian cows and heifers, clinical signs of mastitis in 40 out of 170 animals were observed. Treatments with antibiotics were proved ineffective. Milk bacterial cultures from 15 affected animals revealed Pseudomonas aeruginosa. An autogenous vaccine was administered subcutaneously, twice in a month period, to all adults. Cases of clinical mastitis declined significantly (p⟨0.0001) during next 3 months.


Subject(s)
Disease Outbreaks/veterinary , Mastitis, Bovine/microbiology , Pseudomonas Infections/therapy , Pseudomonas Infections/veterinary , Pseudomonas Vaccines/immunology , Animals , Cattle , Female , Mastitis, Bovine/prevention & control , Mastitis, Bovine/therapy , Pseudomonas Infections/epidemiology , Pseudomonas Infections/prevention & control , Pseudomonas Vaccines/administration & dosage , Pseudomonas aeruginosa
3.
Infect Immun ; 89(2)2021 01 19.
Article in English | MEDLINE | ID: mdl-33199354

ABSTRACT

Pseudomonas aeruginosa is a Gram-negative pathogen that causes severe pulmonary infections associated with high morbidity and mortality in immunocompromised patients. The development of a vaccine against P. aeruginosa could help prevent infections caused by this highly antibiotic-resistant microorganism. We propose that identifying the vaccine-induced correlates of protection against P. aeruginosa will facilitate the development of a vaccine against this pathogen. In this study, we investigated the mechanistic correlates of protection of a curdlan-adjuvanted P. aeruginosa whole-cell vaccine (WCV) delivered intranasally. The WCV significantly decreased bacterial loads in the respiratory tract after intranasal P. aeruginosa challenge and raised antigen-specific antibody titers. To study the role of B and T cells during vaccination, anti-CD4, -CD8, and -CD20 depletions were performed prior to WCV vaccination and boosting. The depletion of CD4+, CD8+, or CD20+ cells had no impact on the bacterial burden in mock-vaccinated animals. However, depletion of CD20+ B cells, but not CD8+ or CD4+ T cells, led to the loss of vaccine-mediated bacterial clearance. Also, passive immunization with serum from WCV group mice alone protected naive mice against P. aeruginosa, supporting the role of antibodies in clearing P. aeruginosa We observed that in the absence of T cell-dependent antibody production, mice vaccinated with the WCV were still able to reduce bacterial loads. Our results collectively highlight the importance of the humoral immune response for protection against P. aeruginosa and suggest that the production of T cell-independent antibodies may be sufficient for bacterial clearance induced by whole-cell P. aeruginosa vaccination.


Subject(s)
Adjuvants, Immunologic/administration & dosage , Antibodies, Bacterial/immunology , Pneumonia, Bacterial/prevention & control , Pseudomonas Infections/prevention & control , Pseudomonas Vaccines/administration & dosage , Pseudomonas Vaccines/immunology , Animals , Humans , Immunization , Mice , Models, Animal , Pneumonia, Bacterial/physiopathology , Pseudomonas Infections/physiopathology , Vaccination
4.
Biol Pharm Bull ; 43(10): 1469-1475, 2020 Oct 01.
Article in English | MEDLINE | ID: mdl-32779581

ABSTRACT

Hospital-acquired infections with Pseudomonas aeruginosa have become a great challenge in caring for critically ill and immunocompromised patients. The cause of high mortality is the presence of multi-drug resistant (MDR) strains, which confers a pressing need for vaccines. Although vaccines against P. aeruginosa have been in development for more than several decades, there is no vaccine for patients at present. In this study, we purified genomic DNA of P. aeruginosa from sera of patients affected, constructed genome-wide library with random recombinants, and screened candidate protein antigens by evaluating their protective effects in vivo. After 13-round of screening, 115 reactive recombinants were obtained, among which 13 antigens showed strong immunoreactivity (more than 10% reaction to PcrV, a well-characterized V-antigen of P. aeruginosa). These 13 antigens were: PpiA, PtsP, OprP, CAZ10_34235, HmuU_2, PcaK, CarAd, RecG, YjiR_5, LigD, KinB, RtcA, and PscF. In vivo studies showed that vaccination with PscF protected against lethal P. aeruginosa challenge, and decreased lung inflammation and injury. A genomic library of P. aeruginosa could be constructed in this way for the first time, which could not only screen candidate antigens but also in a high-throughput way. PscF was considered as an ideal promising vaccine candidate for combating P. aeruginosa infection and was supported for further evaluation of its safety and efficacy.


Subject(s)
Antigens, Bacterial/genetics , Cross Infection/prevention & control , Pseudomonas Infections/prevention & control , Pseudomonas Vaccines/immunology , Pseudomonas aeruginosa/immunology , Animals , Antibodies, Bacterial/blood , Antibodies, Bacterial/immunology , Antigens, Bacterial/immunology , Antigens, Bacterial/isolation & purification , Cross Infection/blood , Cross Infection/immunology , Cross Infection/microbiology , DNA, Bacterial/genetics , Disease Models, Animal , Female , Genomic Library , High-Throughput Screening Assays/methods , Humans , Immunogenicity, Vaccine , Immunoglobulin G/blood , Immunoglobulin G/immunology , Mice , Pseudomonas Infections/blood , Pseudomonas Infections/immunology , Pseudomonas Infections/microbiology , Pseudomonas Vaccines/administration & dosage , Pseudomonas Vaccines/genetics , Pseudomonas aeruginosa/genetics , Recombinant Proteins/genetics , Recombinant Proteins/immunology , Recombinant Proteins/isolation & purification , Vaccines, Synthetic/administration & dosage , Vaccines, Synthetic/genetics , Vaccines, Synthetic/immunology
5.
Front Immunol ; 10: 2497, 2019.
Article in English | MEDLINE | ID: mdl-31708925

ABSTRACT

Pseudomonas aeruginosa is an opportunistic pathogen causing acute and chronic respiratory infections associated with morbidity and mortality, especially in patients with cystic fibrosis. Vaccination against P. aeruginosa before colonization may be a solution against these infections and improve the quality of life of at-risk patients. To develop a vaccine against P. aeruginosa, we formulated a novel peptide-based P. aeruginosa subunit vaccine based on the extracellular regions of one of its major siderophore receptors, FpvA. We evaluated the effectiveness and immunogenicity of the FpvA peptides conjugated to keyhole limpet hemocyanin (KLH) with the adjuvant curdlan in a murine vaccination and challenge model. Immunization with the FpvA-KLH vaccine decreased the bacterial burden and lung edema after P. aeruginosa challenge. Vaccination with FpvA-KLH lead to antigen-specific IgG and IgM antibodies in sera, and IgA antibodies in lung supernatant. FpvA-KLH immunized mice had an increase in recruitment of CD11b+ dendritic cells as well as resident memory CD4+ T cells in the lungs compared to non-vaccinated challenged mice. Splenocytes isolated from vaccinated animals showed that the FpvA-KLH vaccine with the adjuvant curdlan induces antigen-specific IL-17 production and leads to a Th17 type of immune response. These results indicate that the intranasal FpvA-KLH conjugate vaccine can elicit both mucosal and systemic immune responses. These observations suggest that the intranasal peptide-based FpvA-KLH conjugate vaccine with curdlan is a potential vaccine candidate against P. aeruginosa pneumonia.


Subject(s)
Pneumonia, Bacterial/immunology , Pneumonia, Bacterial/prevention & control , Pseudomonas Infections/immunology , Pseudomonas Infections/prevention & control , Pseudomonas Vaccines/immunology , Pseudomonas aeruginosa/immunology , Vaccines, Conjugate/immunology , Vaccines, Subunit/immunology , Administration, Intranasal , Animals , Antibodies, Bacterial/immunology , Bacterial Outer Membrane Proteins/chemistry , Bacterial Outer Membrane Proteins/immunology , Cytokines/metabolism , Disease Models, Animal , Female , Hemocyanins/chemistry , Hemocyanins/immunology , Humans , Immunity, Mucosal , Immunization , Memory, Short-Term , Mice , Pneumonia, Bacterial/microbiology , Pneumonia, Bacterial/pathology , Pseudomonas Infections/microbiology , Pseudomonas Infections/pathology , Pseudomonas Vaccines/administration & dosage , Recombinant Proteins , Vaccines, Conjugate/administration & dosage , Vaccines, Subunit/administration & dosage
6.
Vaccine ; 37(6): 808-816, 2019 02 04.
Article in English | MEDLINE | ID: mdl-30638799

ABSTRACT

Respiratory infections are a leading cause of morbidity and mortality globally. This is partially due to a lack of effective vaccines and a clear understanding of how vaccination route and formulation influence protective immunity in mucosal tissues such as the lung. Pseudomonas aeruginosa is an opportunistic pathogen capable of causing acute pulmonary infections and is a leading cause of hospital-acquired and ventilator-associated pneumonia. With multidrug-resistant P. aeruginosa infections on the rise, the need for a vaccine against this pathogen is critical. Growing evidence suggests that a successful P. aeruginosa vaccine may require mucosal antibody and Th1- and Th17-type CD4+ T cells to prevent pulmonary infection. Intradermal immunization with adjuvants, such as the bacterial ADP-Ribosylating Enterotoxin Adjuvant (BARE) double mutant of E. coli heat-labile toxin (dmLT), can direct protective immune responses to mucosal tissues, including the lungs. We reasoned that intradermal immunization with P. aeruginosa outer membrane proteins (OMPs) adjuvanted with dmLT could drive neutralizing antibodies and migration of CD4+ T cells to the lungs and protect against P. aeruginosa pneumonia in a murine model. Here we show that mice immunized with OMPs and dmLT had significantly more antigen-specific IgG and Th1- and Th17-type CD4+ memory T cells in the pulmonary environment compared to control groups of mice. Furthermore, OMPs and dmLT immunized mice were significantly protected against an otherwise lethal lung infection. Protection was associated with early IFN-γ and IL-17 production in the lungs of immunized mice. These results indicate that intradermal immunization with dmLT can drive protective immunity to the lung mucosa and may be a viable vaccination strategy for a multitude of respiratory pathogens.


Subject(s)
Adjuvants, Immunologic/administration & dosage , Bacterial Outer Membrane Proteins/immunology , Bacterial Toxins/immunology , Enterotoxins/immunology , Escherichia coli Proteins/immunology , Pneumonia, Bacterial/prevention & control , Pseudomonas Infections/prevention & control , Pseudomonas Vaccines/immunology , Acute Disease , Animals , Antibodies, Bacterial/blood , Antibodies, Neutralizing/blood , Bacterial Outer Membrane Proteins/genetics , Bacterial Toxins/genetics , CD4-Positive T-Lymphocytes/immunology , Disease Models, Animal , Enterotoxins/genetics , Escherichia coli Proteins/genetics , Female , Immunoglobulin G/blood , Immunologic Memory , Injections, Intradermal , Interferon-gamma/immunology , Interleukin-17/immunology , Lung/immunology , Lung/microbiology , Mice , Mice, Inbred C57BL , Mutation , Pseudomonas Vaccines/administration & dosage , Pseudomonas aeruginosa , Vaccination/methods
7.
Microbiol Immunol ; 62(12): 774-785, 2018 Dec.
Article in English | MEDLINE | ID: mdl-30378708

ABSTRACT

An effective vaccine against Pseudomonas aeruginosa would be hugely beneficial to people who are susceptible to the serious infections it can cause. Vaccination against PcrV of the P. aeruginosa type III secretion system is a potential prophylactic strategy for improving the incidence and prognosis of P. aeruginosa pneumonia. Here, the effect of nasal PcrV adjuvanted with CpG oligodeoxynucleotide (CpG) was compared with a nasal PcrV/aluminum hydroxide gel (alum) vaccine. Seven groups of mice were vaccinated intranasally with one of the following: 1, PcrV-CpG; 2, PcrV-alum; 3, PcrV alone; 4, CpG alone; 5, alum alone; 6 and 7, saline control. Fifty days after the first immunization, anti-PcrV IgG, IgA and IgG isotype titers were measured; significant increases in these titers were detected only in the PcrV-CpG vaccinated mice. The vaccinated mice were then intratracheally infected with a lethal dose of P. aeruginosa and their body temperatures and survival monitored for 24 hr, edema, bacteria, myeloperoxidase activity and lung histology also being evaluated at 24 hr post-infection. It was found that 73% of the PcrV-CpG-vaccinated mice survived, whereas fewer than 30% of the mice vaccinated with PcrV-alum or adjuvant alone survived. Lung edema and other inflammation-related variables were less severe in the PcrV-CpG group. The significant increase in PcrV-specific IgA titers detected following PcrV-CpG vaccination is probably a component of the disease protection mechanism. Overall, our data show that intranasal PcrV-CpG vaccination has potential efficacy for clinical application against P. aeruginosa pneumonia.


Subject(s)
Antigens, Bacterial/immunology , Bacterial Toxins/immunology , Oligodeoxyribonucleotides/immunology , Pneumonia/prevention & control , Pore Forming Cytotoxic Proteins/immunology , Pseudomonas Infections/prevention & control , Pseudomonas Vaccines/immunology , Pseudomonas aeruginosa/drug effects , Vaccination , Adjuvants, Immunologic/administration & dosage , Adjuvants, Immunologic/pharmacology , Animals , Antibodies, Bacterial/blood , Antibodies, Bacterial/immunology , Antigens, Bacterial/genetics , Bacterial Toxins/genetics , Body Temperature , Disease Models, Animal , Edema , Lung/immunology , Lung/pathology , Male , Mice , Oligodeoxyribonucleotides/genetics , Peroxidase/analysis , Pore Forming Cytotoxic Proteins/genetics , Pseudomonas Infections/immunology , Pseudomonas Infections/microbiology , Pseudomonas Vaccines/administration & dosage , Pseudomonas aeruginosa/pathogenicity , Recombinant Fusion Proteins/genetics , Recombinant Fusion Proteins/immunology , Survival Rate , Type III Secretion Systems/immunology
8.
Vaccine ; 36(46): 6926-6932, 2018 11 12.
Article in English | MEDLINE | ID: mdl-30314911

ABSTRACT

The Pseudomonas aeruginosa type III secretion system protein PopB and its chaperon protein PcrH, when co-administered with the adjuvant curdlan, elicit Th17 responses after intranasal immunization of mice. These PopB/PcrH-curdlan vaccines protect mice against acute lethal pneumonia in an IL-17-dependent fashion involving CD4 helper T cells secreting IL-17 (Th17 cells). In this study, we tested whether encapsulation of PopB/PcrH in poly-lactic-co-glycolic acid (PLGA) nanoparticles could elicit Th17 responses to PopB. Recombinant PopB/PcrH or PcrH alone was encapsulated into PLGA nanoparticles. Mice (FVB/N) were intranasally immunized with the PLGA-PopB/PcrH nanoparticles, PLGA-PcrH nanoparticles, PLGA alone, or PopB/PcrH alone. The protective efficacy was assessed in an acute lung infection model with a lethal dose of an ExoU-producing version of P. aeruginosa strain PAO1. Th17 responses were assayed by intracellular flow cytometry and by ELISA for IL-17 in supernatants of splenocytes co-cultured with purified PopB/PcrH. PLGA-PopB/PcrH-immunized mice showed 3-4-fold higher Th17 responses both in the lung and in the spleen compared to mice immunized with empty PLGA or PopB/PcrH alone. After challenge with P. aeruginosa, PLGA-PopB/PcrH-immunized mice showed significantly lower bacterial counts in the lungs and improved survival. In conclusion, encapsulation of PopB/PcrH in PLGA nanoparticles can elicit Th17 responses to intranasal vaccination and protect mice against acute lethal P. aeruginosa pneumonia.


Subject(s)
Antigens, Bacterial/immunology , Bacterial Proteins/immunology , Drug Carriers/administration & dosage , Pneumonia, Bacterial/prevention & control , Polylactic Acid-Polyglycolic Acid Copolymer/administration & dosage , Pseudomonas Infections/prevention & control , Pseudomonas Vaccines/immunology , Th17 Cells/immunology , Administration, Intranasal , Animals , Antigens, Bacterial/administration & dosage , Bacterial Load , Bacterial Proteins/administration & dosage , Disease Models, Animal , Enzyme-Linked Immunosorbent Assay , Female , Flow Cytometry , Interleukin-17/analysis , Lung/microbiology , Lung/pathology , Pseudomonas Vaccines/administration & dosage , Survival Analysis , Vaccines, Subunit/administration & dosage , Vaccines, Subunit/immunology , Vaccines, Synthetic/administration & dosage , Vaccines, Synthetic/immunology
9.
Front Immunol ; 9: 3021, 2018.
Article in English | MEDLINE | ID: mdl-30687303

ABSTRACT

High incidence, severity and increasing antibiotic resistance characterize Pseudomonas aeruginosa infections, highlighting the need for new therapeutic options. Vaccination strategies to prevent or limit P. aeruginosa infections represent a rational approach to positively impact the clinical outcome of risk patients; nevertheless this bacterium remains a challenging vaccine target. To identify novel vaccine candidates, we started from the genome sequence analysis of the P. aeruginosa reference strain PAO1 exploring the reverse vaccinology approach integrated with additional bioinformatic tools. The bioinformatic approaches resulted in the selection of 52 potential antigens. These vaccine candidates were conserved in P. aeruginosa genomes from different origin and among strains isolated longitudinally from cystic fibrosis patients. To assess the immune-protection of single or antigens combination against P. aeruginosa infection, a vaccination protocol was established in murine model of acute respiratory infection. Combinations of selected candidates, rather than single antigens, effectively controlled P. aeruginosa infection in the in vivo model of murine pneumonia. Five combinations were capable of significantly increase survival rate among challenged mice and all included PA5340, a hypothetical protein exclusively present in P. aeruginosa. PA5340 combined with PA3526-MotY gave the maximum protection. Both proteins were surface exposed by immunofluorescence and triggered a specific immune response. Combination of these two protein antigens could represent a potential vaccine to prevent P. aeruginosa infection.


Subject(s)
Genome, Bacterial , Genomics , Pseudomonas Infections/immunology , Pseudomonas Vaccines/genetics , Pseudomonas Vaccines/immunology , Pseudomonas aeruginosa/genetics , Pseudomonas aeruginosa/immunology , Animals , Antigens, Bacterial/genetics , Antigens, Bacterial/immunology , Cystic Fibrosis/complications , Disease Models, Animal , Genome-Wide Association Study , Genomics/methods , Humans , Mice , Open Reading Frames , Pseudomonas Infections/etiology , Pseudomonas Infections/mortality , Pseudomonas Infections/prevention & control , Pseudomonas Vaccines/administration & dosage , Pseudomonas aeruginosa/isolation & purification
10.
J Microbiol Biotechnol ; 27(8): 1539-1548, 2017 Aug 28.
Article in English | MEDLINE | ID: mdl-28621112

ABSTRACT

Pseudomonas aeruginosa (P. aeruginosa) is an opportunistic pathogen that commonly causes fatal infections in cystic fibrosis and burn patients as well as in patients who are hospitalized or have impaired immune systems. P. aeruginosa infections are difficult to treat owing to the high resistance of the pathogen to conventional antibiotics. Despite several efforts, no effective prophylactic vaccines against P. aeruginosa are currently available. In this study, we investigated the activity of the CIA06 adjuvant system, which is composed of alum and de-O-acylated lipooligosaccharide, on a P. aeruginosa outer membrane protein (OMP) antigen vaccine in mice. The results indicated that CIA06 significantly increased the antigen-specific IgG titers and opsonophagocytic activity of immune sera against P. aeruginosa. In addition, the antibodies induced by the CIA06-adjuvanted vaccine exhibited higher cross-reactivity with heterologous P. aeruginosa strains. Finally, mice immunized with the CIA06-adjuvanted vaccine were effectively protected from lethal P. aeruginosa challenge. Based on these data, we suggest that the CIA06 adjuvant system might be used to promote the immunogenicity and protective efficacy of the P. aeruginosa OMP vaccine.


Subject(s)
Adjuvants, Immunologic/administration & dosage , Alum Compounds/administration & dosage , Lipopolysaccharides/administration & dosage , Pseudomonas Infections/prevention & control , Pseudomonas Vaccines/immunology , Pseudomonas aeruginosa/immunology , Animals , Antibodies, Bacterial/blood , Immunoglobulin G/blood , Mice , Pseudomonas Vaccines/administration & dosage , Survival Analysis
11.
Microbiol Immunol ; 61(2): 64-74, 2017 Feb.
Article in English | MEDLINE | ID: mdl-28370521

ABSTRACT

Vaccination against the type III secretion system of P. aeruginosa is a potential prophylactic strategy for reducing the incidence and improving the poor prognosis of P. aeruginosa pneumonia. In this study, the efficacies of three different adjuvants, Freund's adjuvant (FA), aluminum hydroxide (alum) and CpG oligodeoxynucleotide (ODN), were examined from the viewpoint of inducing PcrV-specific immunity against virulent P. aeruginosa. Mice that had been immunized intraperitoneally with recombinant PcrV formulated with one of the above adjuvants were challenged intratracheally with a lethal dose of P. aeruginosa. The PcrV-FA immunized group attained a survival rate of 91%, whereas the survival rates of the PcrV-alum and PcrV-CpG groups were 73% and 64%, respectively. In terms of hypothermia recovery after bacterial instillation, PcrV-alum was the most protective, followed by PcrV-FA and PcrV-CpG. The lung edema index was lower in the PcrV-CpG vaccination group than in the other groups. PcrV-alum immunization was associated with the greatest decrease in myeloperoxidase in infected lungs, and also decreased the number of lung bacteria to a similar number as in the PcrV-FA group. There was less neutrophil recruitment in the lungs of mice vaccinated with PcrV-alum or PcrV-CpG than in those of mice vaccinated with PcrV-FA or PcrV alone. Overall, in terms of mouse survival the PcrV-CpG vaccine, which could be a relatively safe next-generation vaccine, showed a comparable effect to the PcrV-alum vaccine.


Subject(s)
Adjuvants, Immunologic/administration & dosage , Antigens, Bacterial/immunology , Bacterial Toxins/immunology , Pneumonia, Bacterial/prevention & control , Pore Forming Cytotoxic Proteins/immunology , Pseudomonas Infections/prevention & control , Pseudomonas Vaccines/immunology , Pseudomonas aeruginosa/immunology , Aluminum Hydroxide/administration & dosage , Animals , Bacterial Load , Freund's Adjuvant/administration & dosage , Lung/microbiology , Lung/pathology , Male , Mice , Mice, Inbred ICR , Oligodeoxyribonucleotides/administration & dosage , Pseudomonas Vaccines/administration & dosage , Survival Analysis , Treatment Outcome
12.
Microbiol Immunol ; 59(9): 533-44, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26249788

ABSTRACT

Pseudomonas aeruginosa poses a major threat to human health and to the mink industry. Thus, development of vaccines that elicit robust humoral and cellular immunity against P. aeruginosa is greatly needed. In this study, a recombinant attenuated Salmonella vaccine (RASV) that expresses the outer membrane proteins fusion OprF190-342 -OprI21-83 (F1I2) from P. aeruginosa was constructed and the potency of this vaccine candidate assessed by measuring F1I2-specific humoral immune responses upon vaccination through s.c. or oral routes. S.C. administration achieved higher serum IgG titers and IgA titers in the intestine and induced stronger F1I2-specific IgG and IgA titers in lung homogenate than did oral administration, which resulted in low IgG titers and no local IgA production. High titers of IFN-γ, IL-4, and T-lymphocyte subsets induced a mixed Th1/Th2 response in mice immunized s.c., indicating elicitation of cellular immunity. Importantly, when immunized mice were challenged with P. aeruginosa by the intranasal route 30 days after the initial immunization, s.c. vaccination achieved 77.78% protection, in contrast to 41.18% via oral administration and 66.67% via Escherichia coli-expressed F1I2 (His-F1I2) vaccination. These results indicate that s.c. vaccination provides a better protective response against P. aeruginosa infection than do oral administration and the His-F1I2 vaccine.


Subject(s)
Bacterial Proteins/immunology , Drug Carriers , Lipoproteins/immunology , Pseudomonas Infections/prevention & control , Pseudomonas Vaccines/immunology , Pseudomonas aeruginosa/immunology , Salmonella typhimurium/genetics , Administration, Oral , Animals , Antibodies, Bacterial/analysis , Antibodies, Bacterial/blood , Bacterial Proteins/genetics , Disease Models, Animal , Escherichia coli , Female , Immunoglobulin A/analysis , Immunoglobulin G/blood , Injections, Subcutaneous , Interferon-gamma/metabolism , Interleukin-4/metabolism , Intestinal Mucosa/immunology , Lipoproteins/genetics , Lung/immunology , Mice, Inbred BALB C , Mink , Pseudomonas Vaccines/administration & dosage , Pseudomonas Vaccines/genetics , Pseudomonas aeruginosa/genetics , Recombinant Proteins/genetics , Recombinant Proteins/immunology , Salmonella Vaccines/administration & dosage , Salmonella Vaccines/genetics , Salmonella typhimurium/growth & development , Serum/immunology , Survival Analysis , T-Lymphocyte Subsets/immunology , Treatment Outcome , Vaccines, Attenuated/administration & dosage , Vaccines, Attenuated/genetics , Vaccines, Attenuated/immunology
13.
Hum Vaccin Immunother ; 11(1): 14-20, 2015.
Article in English | MEDLINE | ID: mdl-25483510

ABSTRACT

Respiratory infections caused by Pseudomonas aeruginosa are a major clinical problem globally, particularly for patients with chronic pulmonary disorders, such as those with cystic fibrosis (CF), non-CF bronchiectasis (nCFB) and severe chronic obstructive pulmonary disease (COPD). In addition, critically ill and immunocompromised patients are also at significant risk of P. aeruginosa infection. For almost half a century, research efforts have focused toward development of a vaccine against infections caused by P. aeruginosa, but a licensed vaccine is not yet available. Significant advances in identifying potential vaccine antigens have been made. Immunisations via both the mucosal and systemic routes have been trialled in animal models and their effectiveness in clearing acute infections demonstrated. The challenge for translation of this research to human applications remains, since P. aeruginosa infections in the human respiratory tract can present both as an acute or chronic infection. In addition, immunisation prior to infection may not be possible for many patients with CF, nCFB or COPD. Therefore, development of a therapeutic vaccine provides an alternative approach for treatment of chronic infection. Preliminary animal and human studies suggest that mucosal immunisation may be effective as a therapeutic vaccine against P. aeruginosa respiratory infections. Nevertheless, more research is needed to improve our understanding of the basic biology of P. aeruginosa and the mechanisms needed to upregulate the induction of host immune pathways to prevent infection. Recognition of variability in the host immune responses for a range of patient health conditions at risk from P. aeruginosa infection is also required to support development of a successful vaccine delivery strategy and vaccine. Activation of mucosal immune responses may provide improved efficacy of vaccination for P. aeruginosa during both acute exacerbations and chronic infection.


Subject(s)
Pseudomonas Infections/therapy , Pseudomonas Vaccines/administration & dosage , Pseudomonas Vaccines/immunology , Pseudomonas aeruginosa/immunology , Respiratory Tract Infections/therapy , Vaccination/methods , Administration, Mucosal , Animals , Humans , Models, Animal , Pseudomonas Infections/microbiology , Respiratory Tract Infections/microbiology
14.
Future Microbiol ; 9(4): 457-63, 2014.
Article in English | MEDLINE | ID: mdl-24810345

ABSTRACT

Pseudomonas aeruginosa is one of the most common causes of nosocomial infection in intensive care unit patients and is independently associated with worse outcomes. Resistance of P. aeruginosa to antimicrobial agents is increasingly common and treatment of these infections is a growing challenge for intensivists. The development of methods to prevent infection, such as vaccines, is thus of considerable interest. Three agents currently show promise in this population of patients and are undergoing clinical evaluation; however, further vaccine targets are being discovered and more potential agents will likely be developed in the near future.


Subject(s)
Cross Infection/immunology , Cross Infection/prevention & control , Immunization, Passive/methods , Pseudomonas Infections/immunology , Pseudomonas Infections/prevention & control , Pseudomonas Vaccines/immunology , Pseudomonas aeruginosa/immunology , Clinical Trials as Topic , Critical Illness , Humans , Intensive Care Units , Pseudomonas Vaccines/administration & dosage
15.
Hum Vaccin Immunother ; 10(1): 170-83, 2014.
Article in English | MEDLINE | ID: mdl-24064511

ABSTRACT

INTRODUCTION: IC43 is a recombinant outer membrane protein-based vaccine against Pseudomonas aeruginosa (P. aeruginosa) consisting of OprF- and OprI- epitopes (Opr, outer membrane protein; OprF/I, OprF/OprI hybrid vaccine) with an N-terminal His 6 tag (Met-Ala-(His)6-OprF190-342-OprI21-83). OBJECTIVES: The study aimed to confirm the optimal dose of IC43 in adults with regard to immunogenicity, safety, and tolerability after vaccination with three different dosages of IC43, compared with placebo, and to investigate a potential immune-enhancing effect of the adjuvant, aluminum hydroxide. Subjects were randomly allocated in a 1:1:1:1:1 ratio to one of five treatment groups: 50, 100, or 200 µg IC43 with adjuvant, 100 µg IC43 without adjuvant, or placebo (0.9% sodium chloride) and two intramuscular injections were given in the deltoid region 7 d apart. RESULTS: The primary immunogenicity analysis of OprF/I-specific IgG antibody titers on day 14 demonstrated statistically significant differences among treatment groups (P<0.0001), with a significantly higher immune response detected in each IC43 treatment group compared with placebo. From day 0 to day 14, a ≥4-fold increase in OprF/I-specific immunoglobulin G (IgG) antibody titers were observed in>90% of subjects in all IC43 treatment groups in the per-protocol (PP) and intention-to-treat (ITT) populations; a ≥50-fold titer increase was observed in 42.6% subjects including all IC43 treatment groups. On day 90, OprF/I-specific IgGs started to decline in all IC43 treatment groups but remained significantly higher until 6 mo compared with placebo. Assessment of functional antibody induction by opsonophagocytic assay (OPA) followed a similar pattern compared with OprF/I-specific IgG kinetics. At day 14, a ≥2-fold increase in OPA titer was observed in 54.5% subjects within all IC43 treatment groups. An increase in antibody avidity index was observed after the second vaccination. At day 14, >96% of subjects in each IC43 treatment group had detectable OprF/I-specific IgG antibodies. Anti-histidine IgG antibody titers peaked on day 14 and were reduced on day 90 in all IC43 treatment groups. OprF/I-specific IgG secreted by antibody-secreting cell (ASC) was detected in all IC43 groups by B-cell ELIspot after the second vaccination and up to 6 mo. All vaccinations were safe and well tolerated up to the maximum cumulative dosage of 400 µg IC43. CONCLUSION: IC43 doses equal to or greater than 50 µg were sufficient to induce a plateau of IgG antibody responses in healthy volunteers. Higher doses, whether adjuvanted or non-adjuvanted, were not more effective. METHODS: In this phase I, randomized, placebo-controlled, observer-blinded, multicenter clinical trial, 163 healthy volunteers (18-65 y) were randomly assigned to five treatment groups (1:1:1:1:1). Three groups received IC43 with adjuvant: 50 µg (n=32), 100 µg (n=33), or 200 µg (n=33). One group received IC43 100 µg without adjuvant (n=32), and one group received placebo (0.9% sodium chloride) (n=33). Each subject received two intramuscular vaccinations, separated by a 7-d interval (days 0 and 7) (Fig. 1). Humoral immune response was assessed by measurement of outer membrane protein F/I (OprF/I)-specific antibodies determined by enzyme-linked immunosorbent assay (ELISA), anti-histidine antibodies determined by ELISA, and functional antibody activity determined by opsonophagocytic assay (OPA), up to 6 mo post-vaccination. Antibody avidity was measured on days 7 and 14 from samples that had detectable vaccine antibody-specific immunoglobulin G (IgG) antibody titers. At the Austrian site only, the B-cell ELIspot assay was used to determine specific ASC responses. Safety was assessed using adverse event monitoring and clinical laboratory tests. Local and systemic tolerability was recorded in a subject diary for 7 d after each vaccination and by investigators up to 6 mo post-vaccination.


Subject(s)
Bacterial Proteins/immunology , Lipoproteins/immunology , Pseudomonas Vaccines/adverse effects , Pseudomonas Vaccines/immunology , Pseudomonas aeruginosa/immunology , Adolescent , Adult , Antibodies, Bacterial/blood , Bacterial Proteins/genetics , Female , Healthy Volunteers , Humans , Immunoglobulin G/blood , Injections, Intramuscular , Lipoproteins/genetics , Male , Middle Aged , Placebos/administration & dosage , Pseudomonas Vaccines/administration & dosage , Pseudomonas Vaccines/genetics , Pseudomonas aeruginosa/genetics , Recombinant Fusion Proteins/genetics , Recombinant Fusion Proteins/immunology , Vaccination/adverse effects , Vaccination/methods , Vaccines, Synthetic/administration & dosage , Vaccines, Synthetic/adverse effects , Vaccines, Synthetic/genetics , Vaccines, Synthetic/immunology , Young Adult
16.
J Infect Dev Ctries ; 6(10): 721-6, 2012 Oct 19.
Article in English | MEDLINE | ID: mdl-23103894

ABSTRACT

INTRODUCTION: This study involved 300 Pseudomonas aeruginosa strains isolated from patients admitted in four Tehran hospitals. Using standard O-specific typing sera, they were all grouped into 16 strains out of 17 known P. aeruginosa. The strains were lyophilized and each was given a code according to the Collection of Standard Bacteria, Pasteur Institute of Iran (CSBPI) for further investigations. METHODOLOGY: Among all clinical samples, CSBPI: 16-190 was the most prevalent P. aeruginosa serotype which showed a high agglutination titer (4+, 320) against homologous O-specific typing sera. This serotype was selected for extraction of P. aeruginosa major outer membrane vesicles (OMP-F). OMP-F vesicles were extracted and purified according to the Deoxycholate Ultracentrifuge Differentiation Technique. Purity and molecular weight of OMP-F were determined by SDS-PAGE and the ability of OMP-F vesicles to induce high titers of antibody in rabbit, which was shown as a sharp antibody-antigen precipitation line in the agarose gel immune-diffusion technique. RESULTS: Passive immunization of mice with anti-rabbit OMP-F antisera induced a high level of protection when the mice were post-challenged with 2×LD50 of live P. aeruginosa CSBPI: 16-190. Furthermore, active immunization of mice with 50 µg of OMP-F could protect mice against 2xLD50 of live homologous (100% protection) and 15 heterologous native Iranian P. aeruginosa serotypes with 50-100% level of protection. CONCLUSIONS: These investigations indicate that purified OMP-F of CSBPI: 16-190 can be regarded as a safe protective immunogen in vaccinothrapy against all P. aeruginosa immunotype isolated in Iran.


Subject(s)
Porins/immunology , Pseudomonas Infections/prevention & control , Pseudomonas Vaccines/immunology , Pseudomonas aeruginosa/immunology , Animals , Antibodies, Bacterial/blood , Antibodies, Bacterial/therapeutic use , Disease Models, Animal , Humans , Immunization, Passive/methods , Iran/epidemiology , Mice , Porins/isolation & purification , Pseudomonas Infections/epidemiology , Pseudomonas Infections/immunology , Pseudomonas Vaccines/administration & dosage , Pseudomonas aeruginosa/classification , Pseudomonas aeruginosa/isolation & purification , Rabbits , Secretory Vesicles/immunology , Serotyping , Survival Analysis , Vaccination/methods
17.
Article in Russian | MEDLINE | ID: mdl-22830272

ABSTRACT

AIM: Production of preparation consisting of amino acid sequences of 2 proteins of outer membrane--OprF and OprI--of P. aeruginosa and study of its protective properties from experimental P. aeruginosa infection. MATERIALS AND METHODS: Nucleotide sequences coding OprF protein (1 kb) as well as its C-terminal region (0.6 kb) and OprI protein (0.25 kb) were integrated into pQE-30 plasmid (QIAGEN). And oprF gene (C-terminal region of oprF in variant 2) and oprI gene were combined and cloned sequentially into a single vector. E. coli M15 strain cells (QIAGEN) were used for the production of producent strains of recombinant proteins. Protein products were analyzed by electrophoresis in polyacrylamide gel by Lammle. Purification of recombinant proteins was performed by affinity chromatography in Ni-sepharose columns. Live virulent culture P. aeruginosa PA-170015 strain was used for the analysis of protective properties of recombinant proteins. RESULTS: 2 hybrid recombinant proteins were produced including amino acid sequences of F and I proteins of outer membrane (OprF and OprI) of P. aeruginosa. Recombinant protein 1 included whole size sequences of OprF and OprI and protein 2--C-terminal region (including amino acid residues 192-342) of OprF and whole size sequence of OprI. These recombinant proteins after 2 immunizations protected mice from the experimental intraperitoneal infection with P. aeruginosa. Hybrid protein consisting of whole size sequences had the best protective effect. CONCLUSION: The results obtained open a perspective for further immunobiological testing of hybrid recombinant protein OprF-OprI with the aim of creating immunopreparations for prophylaxis of P. aeruginosa infection.


Subject(s)
Bacterial Proteins/genetics , Lipoproteins/genetics , Pseudomonas Infections/prevention & control , Pseudomonas Vaccines/immunology , Pseudomonas aeruginosa/immunology , Recombinant Fusion Proteins/isolation & purification , Animals , Bacterial Proteins/immunology , Chromatography, Affinity , Cloning, Molecular , Electrophoresis, Polyacrylamide Gel , Escherichia coli , Immunization , Lethal Dose 50 , Lipoproteins/immunology , Mice , Open Reading Frames , Plasmids/genetics , Polymerase Chain Reaction , Pseudomonas Infections/immunology , Pseudomonas Infections/microbiology , Pseudomonas Vaccines/administration & dosage , Pseudomonas aeruginosa/genetics , Recombinant Fusion Proteins/genetics , Recombinant Fusion Proteins/immunology
19.
Article in Russian | MEDLINE | ID: mdl-23297634

ABSTRACT

AIM: Study of biological properties of strains-producers of a number of Pseudomonas aeruginosa recombinant proteins compared with the initial strains. MATERIALS AND METHODS: 5 Escherichia coli strains (initial strains E. coli M15 and E. coli BL21 (DE3) and strains-producers of OprL, OprF, aTox3 recombinant proteins (E. coli M15/oprF, E. coli M 15/oprL, E. coli BL21-aTox3) were studied. Toxicity, toxigenicity and virulence determination were carried out in experiments in non-linear mice. Enzymatic properties of the initial strains and strains-producers were compared in a number of biochemical tests. RESULTS: The studied strains-producers of the most immunogenic P. aeruginosa recombinant proteins were confirmed to be biosafe, belong to Enterobacteriaceae family and Escherichia genus. As a result of genetic engineering manipulations carried out with E. coli M15 and E. coli BL21(DE3) alterations ofbiochemical and growth properties, virulence, toxicity and toxigenicity in the constructed strains-producers of recombinant proteins - E. coli M 15/oprF, E. coli M15/oprL, E. coli BL21-aTox3 - were not detected. CONCLUSION: The results obtained allow to consider the possibility of use of E. coli M 15/oprF, E. coli M15/oprL and E. coli BL21-aTox3 strains-producers for production and isolation of candidate proteins for inclusion into vaccine against pseudomonas infection.


Subject(s)
Bacterial Proteins/biosynthesis , Escherichia coli/genetics , Escherichia coli/pathogenicity , Pseudomonas Infections/prevention & control , Pseudomonas Vaccines/biosynthesis , Pseudomonas aeruginosa/immunology , Recombinant Proteins/biosynthesis , Animals , Bacterial Proteins/administration & dosage , Bacterial Proteins/genetics , Escherichia coli/metabolism , Fermentation , Genetic Engineering , Mice , Pseudomonas Infections/immunology , Pseudomonas Infections/microbiology , Pseudomonas Vaccines/administration & dosage , Pseudomonas Vaccines/genetics , Pseudomonas aeruginosa/drug effects , Pseudomonas aeruginosa/genetics , Recombinant Proteins/administration & dosage , Recombinant Proteins/genetics , Virulence
20.
Hum Vaccin ; 7(10): 999-1011, 2011 Oct.
Article in English | MEDLINE | ID: mdl-21941090

ABSTRACT

Infections with Pseudomonas aeruginosa are a major health problem for immune-compromised patients and individuals with cystic fibrosis. A vaccine against: P. aeruginosa has long been sought after, but is so far not available. Several vaccine candidates have been assessed in experimental animals and humans, which include sub-cellular fractions, capsule components, purified and recombinant proteins. Unique characteristics of the host and the pathogen have complicated the vaccine development. This review summarizes the current state of vaccine development for this ubiquitous pathogen, in particular to provide mucosal immunity against infections of the respiratory tract in susceptible individuals with cystic fibrosis.


Subject(s)
Pseudomonas Infections/prevention & control , Pseudomonas Vaccines/administration & dosage , Pseudomonas Vaccines/immunology , Pseudomonas aeruginosa/immunology , Pseudomonas aeruginosa/pathogenicity , Animals , Biomedical Research/trends , Clinical Trials as Topic , Cystic Fibrosis/complications , Disease Models, Animal , Drug Evaluation, Preclinical , Humans , Immunity, Mucosal , Immunocompromised Host
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