Clostridium difficile is the leading cause of infectious antibiotic-associated diarrhoea, particularly among the elderly. Its surface-layer protein (SLP) was tested as a vaccine component in a series of immunization and challenge experiments with Golden Syrian hamsters, combined with different systemic and mucosal adjuvants. Some regimens were also tested in a nonchallenge BALB/c mouse model, enabling closer monitoring of the immune response. None of the regimens conferred complete protection in the hamster model, and antibody stimulation was variable within regimens, and generally modest or poor. Mice displayed stronger antibody responses to SLP compared with hamsters. Two hamsters of five given SLP with Ribi (monophosphoryl lipid A and synthetic trehalose dicorynomycolate) survived the challenge, as did two of three given SLP with Ribi and cholera toxin. This modest trend to protection is interpreted with caution, because the survivors had low anti-SLP serum antibody titres. The hamsters were an outbred line, and subject to more genetic variability than inbred animals; however, BALB/c mice also showed strongly variable antibody responses. There is a clear need for better adjuvants for single-component vaccines, particularly for mucosal delivery. The hamster challenge model may need to be modified to be useful in active immunization experiments with SLP.

译文

:艰难梭菌是与抗生素相关的传染性腹泻的主要原因,尤其是在老年人中。它的表面层蛋白(SLP)在与金叙利亚仓鼠结合不同的全身和粘膜佐剂组合进行的一系列免疫和攻毒实验中作为疫苗成分进行了测试。还在非挑战性BALB / c小鼠模型中测试了某些方案,从而可以更紧密地监测免疫反应。没有一种方案可以在仓鼠模型中提供完全的保护,并且抗体刺激在方案中是可变的,并且通常适度或较差。与仓鼠相比,小鼠对SLP的抗体反应更强。含Ribi的SLP(单磷酰脂质A和合成的海藻糖dicorynomycolate)中的五个仓鼠中的两只仓鼠在挑战中幸存,三个具有Ribi和霍乱毒素的SLP的仓鼠中也有两个。谨慎解释这种适度的保护趋势,因为幸存者的抗SLP血清抗体滴度较低。仓鼠是近交系,比自交系动物的遗传变异性更大。然而,BALB / c小鼠也显示出强烈可变的抗体反应。显然需要用于单组分疫苗,特别是用于粘膜递送的更好的佐剂。仓鼠攻击模型可能需要修改才能在SLP主动免疫实验中使用。

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