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2.
Tuberculosis (Edinb) ; 104: 46-57, 2017 05.
Artículo en Inglés | MEDLINE | ID: mdl-28454649

RESUMEN

M.bovis BCG vaccination against tuberculosis (TB) notoriously displays variable protective efficacy in different human populations. In non-human primate studies using rhesus macaques, despite efforts to standardise the model, we have also observed variable efficacy of BCG upon subsequent experimental M. tuberculosis challenge. In the present head-to-head study, we establish that the protective efficacy of standard parenteral BCG immunisation varies among different rhesus cohorts. This provides different dynamic ranges for evaluation of investigational vaccines, opportunities for identifying possible correlates of protective immunity and for determining why parenteral BCG immunisation sometimes fails. We also show that pulmonary mucosal BCG vaccination confers reduced local pathology and improves haematological and immunological parameters post-infection in animals that are not responsive to induction of protection by standard intra-dermal BCG. These results have important implications for pulmonary TB vaccination strategies in the future.


Asunto(s)
Vacuna BCG/administración & dosificación , Inmunogenicidad Vacunal , Mycobacterium tuberculosis/inmunología , Tuberculosis/prevención & control , Vacunación , Administración por Inhalación , Animales , Vacuna BCG/toxicidad , Modelos Animales de Enfermedad , Femenino , Inmunidad Mucosa , Inyecciones Intradérmicas , Macaca mulatta , Masculino , Mycobacterium tuberculosis/patogenicidad , Mucosa Respiratoria/inmunología , Mucosa Respiratoria/microbiología , Factores de Tiempo , Tuberculosis/inmunología , Tuberculosis/microbiología
3.
PLoS One ; 10(11): e0142270, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26544594

RESUMEN

The incidence of bovine tuberculosis (bTB) in the GB has been increasing since the 1980s. Immunisation, alongside current control measures, has been proposed as a sustainable measure to control bTB. Immunisation with Mycobacterium bovis bacillus Calmette-Guerin (BCG) has been shown to protect against bTB. Furthermore, much experimental data indicates that pulmonary local immunity is important for protection against respiratory infections including Mycobacterium tuberculosis and that pulmonary immunisation is highly effective. Here, we evaluated protection against M. bovis, the main causative agent of bTB, conferred by BCG delivered subcutaneously, endobronchially or by the new strategy of simultaneous immunisation by both routes. We also tested simultaneous subcutaneous immunisation with BCG and endobronchial delivery of a recombinant type 5 adenovirus expressing mycobacterial antigen 85A. There was significantly reduced visible pathology in animals receiving the simultaneous BCG/BCG or BCG/Ad85 treatment compared to naïve controls. Furthermore, there were significantly fewer advanced microscopic granulomata in animals receiving BCG/Ad85A compared to naive controls. Thus, combining local and systemic immunisation limits the development of pathology, which in turn could decrease bTB transmission.


Asunto(s)
Adenoviridae/genética , Antígenos Bacterianos/genética , Antígenos Bacterianos/inmunología , Vacuna BCG/genética , Vacuna BCG/inmunología , Mycobacterium bovis/inmunología , Vacunación/métodos , Animales , Antígenos Bacterianos/administración & dosificación , Vacuna BCG/administración & dosificación , Bovinos , Vías de Administración de Medicamentos , Expresión Génica , Masculino , Tuberculosis Bovina/prevención & control
4.
J Immunol ; 193(5): 2306-16, 2014 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-25070842

RESUMEN

Tuberculosis remains a global health problem so that a more effective vaccine than bacillus Calmette-Guérin is urgently needed. Cytomegaloviruses persist lifelong in vivo and induce powerful immune and increasing ("inflationary") responses, making them attractive vaccine vectors. We have used an m1-m16-deleted recombinant murine CMV (MCMV) expressing Mycobacterium tuberculosis Ag 85A to show that infection of mice with this recombinant significantly reduces the mycobacterial load after challenge with M. tuberculosis, whereas control empty virus has a lesser effect. Both viruses induce immune responses to H-2(d)-restricted epitopes of MCMV pp89 and M18 Ags characteristic of infection with other MCMVs. A low frequency of 85A-specific memory cells could be revealed by in vivo or in vitro boosting or after challenge with M. tuberculosis. Kinetic analysis of M. tuberculosis growth in the lungs of CMV-infected mice shows early inhibition of M. tuberculosis growth abolished by treatment with NK-depleting anti-asialo ganglio-N-tetraosylceramide Ab. Microarray analysis of the lungs of naive and CMV-infected mice shows increased IL-21 mRNA in infected mice, whereas in vitro NK assays indicate increased levels of NK activity. These data indicate that activation of NK cells by MCMV provides early nonspecific protection against M. tuberculosis, potentiated by a weak 85A-specific T cell response, and they reinforce the view that the innate immune system plays an important role in both natural and vaccine-induced protection against M. tuberculosis.


Asunto(s)
Epítopos/inmunología , Vectores Genéticos , Muromegalovirus , Mycobacterium tuberculosis/inmunología , Vacunas contra la Tuberculosis/inmunología , Tuberculosis Pulmonar/prevención & control , Animales , Epítopos/genética , Femenino , Antígeno de Histocompatibilidad H-2D/genética , Antígeno de Histocompatibilidad H-2D/inmunología , Interleucinas/genética , Interleucinas/inmunología , Células Asesinas Naturales/inmunología , Células Asesinas Naturales/patología , Ratones , Ratones Endogámicos BALB C , Mycobacterium tuberculosis/genética , Vacunas contra la Tuberculosis/genética , Tuberculosis Pulmonar/genética , Tuberculosis Pulmonar/inmunología , Tuberculosis Pulmonar/patología
5.
PLoS One ; 6(11): e27477, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-22110657

RESUMEN

BACKGROUND: BCG, the only licensed vaccine against tuberculosis, provides some protection against disseminated disease in infants but has little effect on prevention of adult pulmonary disease. Newer parenteral immunization prime boost regimes may provide improved protection in experimental animal models but are unproven in man so that there remains a need for new and improved immunization strategies. METHODS AND FINDINGS: Mice were immunized parenterally, intranasally or simultaneously by both routes with BCG or recombinant mycobacterial antigens plus appropriate adjuvants. They were challenged with Mycobacterium tuberculosis (Mtb) and the kinetics of Mtb growth in the lungs measured. We show that simultaneous immunization (SIM) of mice by the intranasal and parenteral routes is highly effective in increasing protection over parenteral BCG administration alone. Intranasal immunization induces local pulmonary immunity capable of inhibiting the growth of Mtb in the early phase (the first week) of infection, while parenteral immunization has a later effect on Mtb growth. Importantly, these two effects are additive and do not depend on priming and boosting the immune response. The best SIM regimes reduce lung Mtb load by up to 2 logs more than BCG given by either route alone. CONCLUSIONS: These data establish SIM as a novel and highly effective immunization strategy for Mtb that could be carried out at a single clinic visit. The efficacy of SIM does not depend on priming and boosting an immune response, but SIM is complementary to prime boost strategies and might be combined with them.


Asunto(s)
Antígenos Bacterianos/administración & dosificación , Antígenos Bacterianos/inmunología , Vacuna BCG/administración & dosificación , Vacuna BCG/inmunología , Inmunización/métodos , Tuberculosis/prevención & control , Adyuvantes Inmunológicos/administración & dosificación , Adyuvantes Inmunológicos/farmacología , Animales , Vías de Administración de Medicamentos , Femenino , Pulmón/inmunología , Ratones , Ratones Endogámicos C57BL , Factores de Tiempo , Tuberculosis/inmunología , Vacunas de Subunidad/administración & dosificación , Vacunas de Subunidad/inmunología
6.
Infect Immun ; 79(8): 3328-37, 2011 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-21628524

RESUMEN

Convincing correlates of protective immunity against tuberculosis have been elusive. In BALB/c mice, intranasal immunization with a replication-deficient recombinant adenovirus expressing Mycobacterium tuberculosis antigen 85A (adenovirus-85A) induces protective lower respiratory tract immunity against pulmonary challenge with Mycobacterium tuberculosis, while intradermal immunization with adenovirus-85A does not. Here we report that intranasal immunization with adenovirus-85A induces expression of the chemokine receptor CXCR6 on lung CD8 T lymphocytes, which is maintained for at least 3 months. CXCR6-positive antigen-specific T cell numbers are increased among bronchoalveolar lavage-recoverable cells. Similarly, intranasal immunization with recombinant antigen 85A with adjuvant induces CXCR6 expression on lung CD4 cells in BALB/c and C57BL/6 mice, while a synthetic ESAT6(1-20) peptide with adjuvant induces CXCR6 expression in C57BL/6 mice. Parenteral immunization fails to do so. Upregulation of CXCR6 is accompanied by a transient elevation of serum CXCL16 after intranasal immunization, and lung cells cultured ex vivo from mice immunized intranasally show increased production of CXCL16. Administration of CXCL16 and cognate antigen intranasally to mice previously immunized parenterally increases the number of antigen-specific T lymphocytes in the bronchoalveolar lavage-recoverable population, which mediates inhibition of the early growth of Mycobacterium tuberculosis after challenge. We conclude that expression of CXCR6 on lung T lymphocytes is a correlate of local protective immunity against Mycobacterium tuberculosis after intranasal immunization and that CXCR6 and CXCL16 play an important role in the localization of T cells within lung tissue and the bronchoalveolar lavage-recoverable compartment.


Asunto(s)
Biomarcadores/análisis , Linfocitos T CD8-positivos/inmunología , Pulmón/inmunología , Mycobacterium tuberculosis/inmunología , Receptores CXCR/análisis , Vacunas contra la Tuberculosis/inmunología , Aciltransferasas/genética , Aciltransferasas/inmunología , Adenoviridae/genética , Administración Intranasal , Animales , Antígenos Bacterianos/genética , Antígenos Bacterianos/inmunología , Líquido del Lavado Bronquioalveolar/citología , Linfocitos T CD4-Positivos/química , Linfocitos T CD4-Positivos/inmunología , Linfocitos T CD8-positivos/química , Femenino , Ratones , Ratones Endogámicos BALB C , Ratones Endogámicos C57BL , Receptores CXCR6 , Vacunas contra la Tuberculosis/administración & dosificación , Vacunas Sintéticas/administración & dosificación , Vacunas Sintéticas/inmunología
7.
BMC Med Genomics ; 3: 46, 2010 Oct 13.
Artículo en Inglés | MEDLINE | ID: mdl-20942964

RESUMEN

BACKGROUND: Immunization of BALB/c mice with a recombinant adenovirus expressing Mycobacterium tuberculosis (M. tuberculosis) antigen 85A (Ad85A) protects against aerosol challenge with M. tuberculosis only when it is administered intra-nasally (i.n.). Immunization with Ad85A induces a lung-resident population of activated CD8 T cells that is antigen dependent, highly activated and mediates protection by early inhibition of M. tuberculosis growth. In order to determine why the i.n. route is so effective compared to parenteral immunization, we used microarray analysis to compare gene expression profiles of pulmonary and splenic CD8 T cells after i.n. or intra-dermal (i.d.) immunization. METHOD: Total RNA from CD8 T cells was isolated from lungs or spleens of mice immunized with Ad85A by the i.n. or i.d. route. The gene profiles generated from each condition were compared. Statistically significant (p ≤ 0.05) differentially expressed genes were analyzed to determine if they mapped to particular molecular functions, biological processes or pathways using Gene Ontology and Panther DB mapping tools. RESULTS: CD8 T cells from lungs of i.n. immunized mice expressed a large number of chemokines chemotactic for resting and activated T cells as well as activation and survival genes. Lung lymphocytes from i.n. immunized mice also express the chemokine receptor gene Cxcr6, which is thought to aid long-term retention of antigen-responding T cells in the lungs. Expression of CXCR6 on CD8 T cells was confirmed by flow cytometry. CONCLUSIONS: Our microarray analysis represents the first ex vivo study comparing gene expression profiles of CD8 T cells isolated from distinct sites after immunization with an adenoviral vector by different routes. It confirms earlier phenotypic data indicating that lung i.n. cells are more activated than lung i.d. CD8 T cells. The sustained expression of chemokines and activation genes enables CD8 T cells to remain in the lungs for extended periods after i.n. immunization. This may account for the early inhibition of M. tuberculosis growth observed in Ad85A i.n. immunized mice and explain the effectiveness of i.n. compared to parenteral immunization with this viral vector.


Asunto(s)
Adenoviridae/inmunología , Linfocitos T CD8-positivos/inmunología , Linfocitos T CD8-positivos/metabolismo , Quimiocinas/genética , Perfilación de la Expresión Génica , Regulación de la Expresión Génica/inmunología , Inmunización , Pulmón/inmunología , Aciltransferasas/genética , Adenoviridae/genética , Administración Intranasal , Animales , Antígenos Bacterianos/genética , Biomarcadores/metabolismo , Femenino , Inyecciones Intradérmicas , Ratones , Ratones Endogámicos BALB C , Mycobacterium tuberculosis , Bazo/inmunología
8.
Vaccine ; 28(32): 5179-84, 2010 Jul 19.
Artículo en Inglés | MEDLINE | ID: mdl-20558252

RESUMEN

Intra-nasal administration of a recombinant adenovirus expressing Mycobacterium tuberculosis antigen 85A (Ad85A) has been shown to provide protection against challenge with M. tuberculosis. However the role of the upper respiratory tract associated lymphoid tissue, specifically the nasal associated lymphoid tissue (NALT), in providing protection has yet to be elucidated. Here we administered Ad85A to BALB/c mice alone or following BCG priming, using intranasal inocula targeting the whole respiratory tract or only the NALT, to show that Ad85A induces an immune response in the NALT insufficient to provide protection. Rather, Ad85A delivered through the respiratory tract must induce a deep lung immune response in order to protect against M. tuberculosis.


Asunto(s)
Aciltransferasas/inmunología , Antígenos Bacterianos/inmunología , Vacuna BCG/inmunología , Tejido Linfoide/inmunología , Nariz/inmunología , Tuberculosis/prevención & control , Adenoviridae/inmunología , Administración Intranasal , Animales , Linfocitos T CD8-positivos/inmunología , Femenino , Pulmón/inmunología , Ratones , Ratones Endogámicos BALB C , Mycobacterium tuberculosis/inmunología , Tuberculosis/inmunología , Vacunas Sintéticas/inmunología
9.
PLoS One ; 4(12): e8235, 2009 Dec 09.
Artículo en Inglés | MEDLINE | ID: mdl-20011050

RESUMEN

BACKGROUND: In pulmonary Mycobacterium tuberculosis (Mtb) infection, immune responses are delayed compared to other respiratory infections, so that antigen-specific cells are not detected in the lungs earlier than day 14. Even after parenteral immunization with Bacille Calmette Guerin (BCG) or a subunit vaccine, the immune response after Mtb challenge is only slightly accelerated and the kinetics of pulmonary Mtb growth do not differ between naïve and immunized animals up to day 14. METHODS AND FINDINGS: Mice were immunized intranasally with a recombinant adenovirus expressing mycobacterial antigen 85A (Ad85A), challenged by aerosol with Mtb and the kinetics of Mtb growth in the lungs measured. Intranasal immunization with Ad85A inhibits Mtb growth in the early phase of infection, up to day 8. Protection is sustained for at least 7 months and correlates with the presence of antigen-specific activated effector CD8 T cells in the lungs. Antigen 85A-specific T cells respond to antigen presenting cells from the lungs of mice immunized with Ad85A 23 weeks previously, demonstrating the persistence of antigen in the lungs. CONCLUSIONS/SIGNIFICANCE: Intranasal immunization with Ad85A can inhibit early growth of Mtb because it establishes a lung antigen depot and maintains an activated lung-resident lymphocyte population. We propose that an optimal immunization strategy for tuberculosis should aim to induce both lung and systemic immunity, targeting the early and late phases of Mtb growth.


Asunto(s)
Adenoviridae/inmunología , Mycobacterium tuberculosis/efectos de los fármacos , Mycobacterium tuberculosis/crecimiento & desarrollo , Vacunas contra la Tuberculosis/farmacología , Tuberculosis Pulmonar/microbiología , Tuberculosis Pulmonar/prevención & control , Vacunación , Adenoviridae/efectos de los fármacos , Administración Intranasal , Animales , Antígenos Bacterianos/inmunología , Citocinas/biosíntesis , Epítopos/inmunología , Femenino , Inmunidad/efectos de los fármacos , Pulmón/efectos de los fármacos , Pulmón/inmunología , Pulmón/microbiología , Ratones , Ratones Endogámicos BALB C , Fenotipo , Factores de Tiempo , Vacunas contra la Tuberculosis/inmunología , Tuberculosis Pulmonar/inmunología , Vacunas Sintéticas/administración & dosificación , Vacunas Sintéticas/inmunología , Vacunas Sintéticas/farmacología
10.
PLoS One ; 4(11): e8084, 2009 Nov 30.
Artículo en Inglés | MEDLINE | ID: mdl-20011659

RESUMEN

BACKGROUND: Adjuvants enhance or modify an immune response that is made to an antigen. An antagonist of the chemokine CCR4 receptor can display adjuvant-like properties by diminishing the ability of CD4+CD25+ regulatory T cells (Tregs) to down-regulate immune responses. METHODOLOGY: Here, we have used protein modelling to create a plausible chemokine receptor model with the aim of using virtual screening to identify potential small molecule chemokine antagonists. A combination of homology modelling and molecular docking was used to create a model of the CCR4 receptor in order to investigate potential lead compounds that display antagonistic properties. Three-dimensional structure-based virtual screening of the CCR4 receptor identified 116 small molecules that were calculated to have a high affinity for the receptor; these were tested experimentally for CCR4 antagonism. Fifteen of these small molecules were shown to inhibit specifically CCR4-mediated cell migration, including that of CCR4(+) Tregs. SIGNIFICANCE: Our CCR4 antagonists act as adjuvants augmenting human T cell proliferation in an in vitro immune response model and compound SP50 increases T cell and antibody responses in vivo when combined with vaccine antigens of Mycobacterium tuberculosis and Plasmodium yoelii in mice.


Asunto(s)
Adyuvantes Inmunológicos/farmacología , Receptores CCR4/antagonistas & inhibidores , Receptores CCR4/metabolismo , Animales , Antígenos/química , Linfocitos T CD4-Positivos/citología , Bovinos , Movimiento Celular , Biología Computacional/métodos , Regulación hacia Abajo , Humanos , Técnicas In Vitro , Subunidad alfa del Receptor de Interleucina-2/biosíntesis , Ratones , Mycobacterium tuberculosis/metabolismo , Plasmodium yoelii/metabolismo , Unión Proteica , Linfocitos T Reguladores/citología , Vacunas/química
11.
Nat Protoc ; 4(9): 1313-27, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19696750

RESUMEN

Cell proliferation may be measured in vivo by quantifying DNA synthesis with isotopically labeled deoxyribonucleotide precursors. Deuterium-labeled glucose is one such precursor which, because it achieves high levels of enrichment for a short period, is well suited to the study of rapidly dividing cells, in contrast to the longer term labeling achieved with heavy water ((2)H(2)O). As deuterium is non-radioactive and glucose can be readily administered, this approach is suitable for clinical studies. It has been widely applied to investigate human lymphocyte proliferation, but solid tissue samples may also be analyzed. Rate, duration and route (intravenous or oral) of [6,6-(2)H(2)]-glucose administration should be adapted to the target cell of interest. For lymphocytes, cell separation is best achieved by fluorescence activated cell sorting (FACS), although magnetic bead separation is an alternative. DNA is then extracted, hydrolyzed enzymatically and analyzed by gas chromatography mass spectrometry (GC/MS). Appropriate mathematical modeling is critical to interpretation. Typical time requirements are as follows: labeling, 10-24 h; sampling, approximately 3 weeks; DNA extraction/derivatization, 2-3 d; and GC/MS analysis, approximately 2 d.


Asunto(s)
Deuterio/análisis , Glucosa/metabolismo , Marcaje Isotópico/métodos , Linfocitos/citología , Linfocitos/metabolismo , Coloración y Etiquetado/métodos , Proliferación Celular , ADN/análisis , ADN/biosíntesis , Humanos , Modelos Biológicos
12.
J Virol ; 83(8): 3626-36, 2009 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-19176618

RESUMEN

The role of T-lymphocyte subsets in recovery from foot-and-mouth disease virus (FMDV) infection in calves was investigated by administering subset-specific monoclonal antibodies. The depletion of circulating CD4(+) or WC1(+) gammadelta T cells was achieved for a period extending from before challenge to after resolution of viremia and peak clinical signs, whereas CD8(+) cell depletion was only partial. The depletion of CD4(+) cells was also confirmed by analysis of lymph node biopsy specimens 5 days postchallenge. Depletion with anti-WC1 and anti-CD8 antibodies had no effect on the kinetics of infection, clinical signs, and immune responses following FMDV infection. Three of the four CD4(+) T-cell-depleted calves failed to generate an antibody response to the nonstructural polyprotein 3ABC but generated a neutralizing antibody response similar to that in the controls, including rapid isotype switching to immunoglobulin G antibody. We conclude that antibody responses to sites on the surface of the virus capsid are T cell independent, whereas those directed against the nonstructural proteins are T cell dependent. CD4 depletion was found to substantially inhibit antibody responses to the G-H peptide loop VP1(135-156) on the viral capsid, indicating that responses to this particular site, which has a more mobile structure than other neutralizing sites on the virus capsid, are T cell dependent. The depletion of CD4(+) T cells had no adverse effect on the magnitude or duration of clinical signs or clearance of virus from the circulation. Overall, we conclude that CD4(+) T-cell-independent antibody responses play a major role in the resolution of foot-and-mouth disease in cattle.


Asunto(s)
Anticuerpos Antivirales/sangre , Linfocitos T CD4-Positivos/inmunología , Virus de la Fiebre Aftosa/inmunología , Animales , Bovinos , Depleción Linfocítica/métodos , Pruebas de Neutralización , Proteínas no Estructurales Virales/inmunología , Proteínas Estructurales Virales/inmunología
13.
J Immunol ; 181(7): 4955-64, 2008 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-18802099

RESUMEN

Boosting bacillus Calmette-Guérin (BCG)-primed mice with a recombinant adenovirus expressing Mycobacterium tuberculosis Ag 85A by different administration routes has very different effects on protection against aerosol challenge with M. tuberculosis. Mice boosted intradermally make very strong splenic CD4 and CD8 Th1 cytokine responses to Ag 85A, but show no change in lung mycobacterial burden over BCG primed animals. In contrast, intranasally boosted mice show greatly reduced mycobacterial burden and make a much weaker splenic response but a very strong lung CD4 and CD8 response to Ag 85A and an increased response to purified protein derivative. This effect is associated with the presence in the lung of multifunctional T cells, with high median fluorescence intensity and integrated median fluorescence intensity for IFN-gamma, IL-2, and TNF. In contrast, mice immunized with BCG alone have few Ag-specific cells in the lung and a low proportion of multifunctional cells, although individual cells have high median fluorescence intensity. Successful immunization regimes appear to induce Ag-specific cells with abundant intracellular cytokine staining.


Asunto(s)
Citocinas/biosíntesis , Pulmón/inmunología , Mycobacterium tuberculosis/inmunología , Bazo/inmunología , Células TH1/inmunología , Células TH1/microbiología , Tuberculosis Pulmonar/inmunología , Tuberculosis Pulmonar/prevención & control , Aciltransferasas/administración & dosificación , Aciltransferasas/inmunología , Adenovirus Humanos/genética , Adenovirus Humanos/inmunología , Administración Intranasal , Aerosoles , Secuencia de Aminoácidos , Animales , Antígenos Bacterianos/administración & dosificación , Antígenos Bacterianos/inmunología , Vacuna BCG/administración & dosificación , Vacuna BCG/inmunología , Citocinas/fisiología , Femenino , Humanos , Inmunización Secundaria/métodos , Inyecciones Intradérmicas , Pulmón/citología , Pulmón/metabolismo , Pulmón/microbiología , Ratones , Ratones Endogámicos BALB C , Datos de Secuencia Molecular , Mycobacterium bovis/crecimiento & desarrollo , Mycobacterium bovis/inmunología , Bazo/citología , Bazo/metabolismo , Bazo/microbiología , Células TH1/metabolismo , Tuberculosis Pulmonar/microbiología
14.
Proc Natl Acad Sci U S A ; 105(29): 10221-6, 2008 Jul 22.
Artículo en Inglés | MEDLINE | ID: mdl-18621704

RESUMEN

Adjuvants are substances that enhance immune responses and thus improve the efficacy of vaccination. Few adjuvants are available for use in humans, and the one that is most commonly used (alum) often induces suboptimal immunity for protection against many pathogens. There is thus an obvious need to develop new and improved adjuvants. We have therefore taken an approach to adjuvant discovery that uses in silico modeling and structure-based drug-design. As proof-of-principle we chose to target the interaction of the chemokines CCL22 and CCL17 with their receptor CCR4. CCR4 was posited as an adjuvant target based on its expression on CD4(+)CD25(+) regulatory T cells (Tregs), which negatively regulate immune responses induced by dendritic cells (DC), whereas CCL17 and CCL22 are chemotactic agents produced by DC, which are crucial in promoting contact between DC and CCR4(+) T cells. Molecules identified by virtual screening and molecular docking as CCR4 antagonists were able to block CCL22- and CCL17-mediated recruitment of human Tregs and Th2 cells. Furthermore, CCR4 antagonists enhanced DC-mediated human CD4(+) T cell proliferation in an in vitro immune response model and amplified cellular and humoral immune responses in vivo in experimental models when injected in combination with either Modified Vaccinia Ankara expressing Ag85A from Mycobacterium tuberculosis (MVA85A) or recombinant hepatitis B virus surface antigen (rHBsAg) vaccines. The significant adjuvant activity observed provides good evidence supporting our hypothesis that CCR4 is a viable target for rational adjuvant design.


Asunto(s)
Adyuvantes Inmunológicos/farmacología , Receptores CCR4/antagonistas & inhibidores , Linfocitos T Reguladores/efectos de los fármacos , Linfocitos T Reguladores/inmunología , Adyuvantes Inmunológicos/administración & dosificación , Animales , Proliferación Celular/efectos de los fármacos , Quimiocina CCL17/metabolismo , Quimiocina CCL22/metabolismo , Quimiotaxis de Leucocito/efectos de los fármacos , Simulación por Computador , Células Dendríticas/efectos de los fármacos , Células Dendríticas/inmunología , Diseño de Fármacos , Evaluación Preclínica de Medicamentos , Femenino , Vacunas contra Hepatitis B/administración & dosificación , Humanos , Técnicas In Vitro , Ratones , Ratones Endogámicos BALB C , Modelos Moleculares , Conformación Proteica , Receptores CCR4/química , Receptores CCR4/metabolismo , Linfocitos T Reguladores/citología , Vacunas contra la Tuberculosis/administración & dosificación
15.
Nat Clin Pract Rheumatol ; 4(1): 43-9, 2008 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-18172448

RESUMEN

Protective memory is a key property of the immune system. Pathogen-associated molecular patterns of invading organisms deliver signals to pattern-recognition receptors that activate the innate immune system. Ligation of the T-cell receptor by peptides bound to MHC antigens and presented by dendritic cells, together with signals produced by the activated innate immune system, initiate T-cell responses. The nature of the T-cell response, consisting of phases of clonal expansion and contraction, and differentiation to effector and memory cells, however, is determined both by the properties of the antigen and the co-stimuli produced by the innate immune system. Short-lived effector and longer-lived memory T cells are generated during primary responses; after the death of most of the effectors, memory cells remain. Memory cells are heterogeneous in phenotype and function; subsets include the relatively quiescent central and more activated effector memory cells, as well as cells able to promote inflammation, help antibody production or regulate other immune responses. Understanding the properties of memory cells will help in the rational design of vaccines for 'difficult' organisms or cancer, as well as immunotherapies for autoimmune diseases.


Asunto(s)
Memoria Inmunológica/inmunología , Linfocitos T/inmunología , Animales , Humanos , Ratones , Receptores de Antígenos de Linfocitos T alfa-beta/inmunología , Linfocitos T/citología
16.
Clin Vaccine Immunol ; 15(2): 182-93, 2008 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-18032593

RESUMEN

Glycoconjugate vaccines have dramatically reduced the incidence of encapsulated bacterial diseases in toddlers under 2 years of age, but vaccine-induced antibody levels in this age group wane rapidly. We immunized adults and 12-month-old toddlers with heptavalent pneumococcal conjugate vaccine to determine differences in B-cell and antibody responses. The adults and 12-month-old toddlers received a pneumococcal conjugate vaccine. The toddlers received a second dose at 14 months of age. The frequencies of diphtheria toxoid and serotype 4, 14, and 23F polysaccharide-specific plasma cells and memory B cells were determined by enzyme-linked immunospot assay. The toddlers had no preexisting polysaccharide-specific memory B cells or serum immunoglobulin G (IgG) antibody but had good diphtheria toxoid-specific memory responses. The frequencies of plasma cells and memory B cells increased by day 7 (P < 0.0001) in the adults and the toddlers following a single dose of conjugate, but the polysaccharide responses were significantly lower in the toddlers than in the adults (P = 0.009 to <0.001). IgM dominated the toddler antibody responses, and class switching to the IgG was serotype dependent. A second dose of vaccine enhanced the antibody and memory B-cell responses in the toddlers but not the ex vivo plasma cell responses. Two doses of pneumococcal conjugate vaccine are required in toddlers to generate memory B-cell frequencies and antibody class switching for each pneumococcal polysaccharide equivalent to that seen in adults.


Asunto(s)
Anticuerpos Antibacterianos/sangre , Linfocitos B/inmunología , Cápsulas Bacterianas/inmunología , Memoria Inmunológica , Vacunas Meningococicas/inmunología , Vacunas Neumococicas/inmunología , Adulto , Factores de Edad , Toxoide Diftérico/inmunología , Femenino , Vacuna Neumocócica Conjugada Heptavalente , Humanos , Inmunoensayo , Inmunoglobulina G/sangre , Inmunoglobulina M/sangre , Lactante , Masculino , Persona de Mediana Edad
17.
Immunology ; 121(2): 258-65, 2007 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-17346281

RESUMEN

Human natural killer (NK) cells form a circulating population in a state of dynamic homeostasis. We investigated NK cell homeostasis by labelling dividing cells in vivo using deuterium-enriched glucose in young and elderly healthy subjects and patients with viral infection. Following a 24-hr intravenous infusion of 6,6-D(2)-glucose, CD3(-) CD16(+) NK cells sorted from peripheral blood mononuclear cells (PBMC) by fluorescence-activated cell sorter (FACS) were analysed for DNA deuterium content by gas chromatography mass spectrometry to yield minimum estimates for proliferation rate (p). In healthy young adults (n=5), deuterium enrichment was maximal approximately 10 days after labelling, consistent with postmitotic maturation preceding circulation. The mean (+/- standard deviation) proliferation rate was 4 x 3 +/- 2 x 4%/day (equivalent to a doubling time of 16 days) and the total production rate was 15 +/- (7 x 6) x 10(6) cells/l/day. Labelled cells disappeared from the circulation at a similar rate [6 x 9 +/- 4 x 0%/day; half-life (T((1/2))) < 10 days]. Healthy elderly subjects (n=8) had lower proliferation and production rates (P=2 x 5 +/- 1 x 0%/day and 7 x 3 +/- (3 x 7) x 10(6) cells/l/day, respectively; P=0 x 04). Similar rates were seen in patients chronically infected with human T-cell lymphotropic virus type I (HTLV-I) (P=3 x 2 +/- 1 x 9%/day). In acute infectious mononucleosis (n=5), NK cell numbers were increased but kinetics were unaffected (P=2 x 8 +/- 1 x 0%/day) a mean of 12 days after symptom onset. Human NK cells have a turnover time in blood of about 2 weeks. Proliferation rates appear to fall with ageing, remain unperturbed by chronic HTLV-I infection and normalize rapidly following acute Epstein-Barr virus infection.


Asunto(s)
Envejecimiento/inmunología , Células Asesinas Naturales/inmunología , Virosis/inmunología , Enfermedad Aguda , Adulto , Anciano , Anciano de 80 o más Años , Proliferación Celular , Enfermedad Crónica , Femenino , Infecciones por HTLV-I/inmunología , Humanos , Mononucleosis Infecciosa/inmunología , Recuento de Linfocitos , Masculino , Persona de Mediana Edad
18.
Immunology ; 119(2): 243-53, 2006 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-17005004

RESUMEN

Interleukin (IL)-7 and IL-15 are cytokines implicated in homeostatic control of the peripheral CD8 T-cell pool. We compared the effects of IL-7 and IL-15 on survival and proliferation of purified human CD8+ T-cell subsets. Low concentrations of either cytokine reduced the spontaneous apoptosis of all subsets, and enhancement of survival corresponded to the extent of Bcl-2 up-regulation. Surprisingly, although minimal proliferation of naïve CD8+ T cells was observed during the first week of culture with cytokines, a marked expansion of these cells occurred at later time points, particularly in response to IL-15. This occurred largely without phenotypic change or acquisition of effector function, indicating a dissociation of differentiation from proliferation. Notably, progression of naïve CD8+ T cells through several cell divisions resulted in up-regulation of telomerase and the maintenance of telomere length. These data show that IL-7 and IL-15 induce cell proliferation and rescue from apoptosis in a concentration, time and subset-dependent manner, and have implications for the homeostatic expansion of the naïve CD8+ T-cell pool.


Asunto(s)
Linfocitos T CD8-positivos/inmunología , Interleucina-15/inmunología , Interleucina-7/inmunología , Telómero/inmunología , Diferenciación Celular/inmunología , Proliferación Celular , Células Cultivadas , Relación Dosis-Respuesta Inmunológica , Citometría de Flujo/métodos , Humanos , Inmunofenotipificación , Antígenos Comunes de Leucocito/metabolismo , Proteínas Proto-Oncogénicas c-bcl-2/metabolismo , Receptores CCR7 , Receptores de Quimiocina/metabolismo , Subgrupos de Linfocitos T/inmunología , Telomerasa/metabolismo
19.
J Clin Invest ; 116(9): 2423-33, 2006 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-16955142

RESUMEN

While memory T cells are maintained by continuous turnover, it is not clear how human regulatory CD4+ CD45RO+ CD25hi Foxp3+ T lymphocyte populations persist throughout life. We therefore used deuterium labeling of cycling cells in vivo to determine whether these cells could be replenished by proliferation. We found that CD4+ CD45RO+ Foxp3+ CD25hi T lymphocytes were highly proliferative, with a doubling time of 8 days, compared with memory CD4+ CD45RO+ Foxp3- CD25- (24 days) or naive CD4+ CD45RA+ Foxp3- CD25- populations (199 days). However, the regulatory population was susceptible to apoptosis and had critically short telomeres and low telomerase activity. It was therefore unlikely to be self regenerating. These data are consistent with continuous production from another population source. We found extremely close TCR clonal homology between regulatory and memory CD4+ T cells. Furthermore, antigen-related expansions within certain TCR Vbeta families were associated with parallel numerical increases of CD4+ CD45RO+ CD25hi Foxp3+ Tregs with the same Vbeta usage. It is therefore unlikely that all human CD4+ CD25+ Foxp3+ Tregs are generated as a separate functional lineage in the thymus. Instead, our data suggest that a proportion of this regulatory population is generated from rapidly dividing, highly differentiated memory CD4+ T cells; this has considerable implications for the therapeutic manipulation of these cells in vivo.


Asunto(s)
Antígenos CD/inmunología , Antígenos CD4/inmunología , Dipeptidil Peptidasa 4/inmunología , Antígenos Comunes de Leucocito/inmunología , Linfocitos T/inmunología , Adulto , Anciano , Anciano de 80 o más Años , Ciclo Celular , Femenino , Citometría de Flujo , Humanos , Memoria Inmunológica , Inmunofenotipificación , Activación de Linfocitos , Masculino , Persona de Mediana Edad , Receptores de Antígenos de Linfocitos T/inmunología , Subgrupos de Linfocitos T/inmunología , Linfocitos T/citología , Telómero/ultraestructura
20.
Eur J Immunol ; 36(8): 2150-8, 2006 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-16856204

RESUMEN

CD45 is a leukocyte tyrosine phosphatase, essential for normal immune responses. We have studied the function of splenic dendritic cells of CD45(+/+), CD45(-/-), CD45RABC and CD45RO transgenic mice. We show that there are increased numbers of plasmacytoid dendritic cells in CD45(-/-) mice. DC of all mice are capable of responding to lymphocytic choriomeningitis virus (LCMV) infection by up-regulation of MHC and costimulatory molecules. DC of CD45(-/-) mice have an impaired capacity to produce type I interferons in response to LCMV infection in vivo. These data indicate that lack of CD45 expression in DC has a profound effect on their function. This is largely restored by CD45RABC or CD45RO transgenes.


Asunto(s)
Células Dendríticas/metabolismo , Interferón Tipo I/biosíntesis , Antígenos Comunes de Leucocito/metabolismo , Animales , Proliferación Celular , Células Dendríticas/citología , Células Dendríticas/inmunología , Antígenos Comunes de Leucocito/genética , Coriomeningitis Linfocítica/metabolismo , Coriomeningitis Linfocítica/virología , Virus de la Coriomeningitis Linfocítica/fisiología , Ratones , Ratones Transgénicos , Fenotipo
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