Cryptosporidium is a protozoan parasite associated with acute and persistent diarrhea that, even in asymptomatic persons, can impair normal growth and potentially cognitive and physical development in young children. The recent availability of the complete gene sequence for Cryptosporidium hominis antigen Cp15 allows examination of innovative vaccine regimens involving intra-nasal antigen priming with live bacterial vectors applicable to human populations. We used a recently described weaned mouse model of cryptosporidiosis, where nourished and malnourished vaccinated mice receive the Cp15 antigen recombinant with cytolysinA on a Salmonella serovar Typhi CVD 908-htr A vector, followed by parenteral exposure to antigen with adjuvant. After challenge with Cryptosporidium oocysts via gavage, parameters of infection and disease (stool shedding of parasites, growth rates) were quantified, and serum/lymphoid tissue harvested to elucidate the Cp15-specific adaptive immune response. In vaccinated nourished mice, the regimen was highly immunogenic, with strong antigen-specific IL-6 and IFN-γ secretion and robust Cp15-specific immunoglobulin titers. In vaccinated malnourished mice, secretion of cytokines, particularly IFN-γ, and antigen-specific humoral immunity were generally undiminished despite protein deprivation and stunted growth. In contrast, after natural (oral) challenge with an identical inoculum of Cryptosporidium oocysts, cytokine and humoral responses to Cp15 were less than one-fourth those in vaccinated mice. Nevertheless, vaccination resulted in only transient reduction in stool shedding of parasites and was not otherwise protective against disease. Overall, immunogenicity for a C. hominis antigen was documented in mice, even in the setting of prolonged malnutrition, using an innovative vaccine regimen involving intra-nasal antigen priming with a live enteric bacterial vector, that has potential applicability to vulnerable human populations irrespective of nutritional status.

译文

隐孢子虫是一种与急性和持续性腹泻相关的原生动物寄生虫,即使在无症状的人中,也会损害幼儿的正常生长以及潜在的认知和身体发育。人隐孢子虫抗原Cp15的完整基因序列的最新可用性允许使用适用于人类的活细菌载体检查涉及鼻内抗原引发的创新疫苗方案。我们使用了最近描述的断奶的隐孢子虫病小鼠模型,其中营养和营养不良的接种疫苗的小鼠在沙门氏菌血清型伤寒CVD 908-htr a载体上接受用细胞溶解素重组的Cp15抗原,然后用佐剂肠胃外暴露于抗原。通过灌胃用隐孢子虫卵囊攻击后,对感染和疾病的参数 (寄生虫的粪便脱落,生长速率) 进行定量,并收集血清/淋巴组织以阐明Cp15-specific的适应性免疫反应。在接种的营养小鼠中,该方案具有高度免疫原性,具有很强的抗原特异性IL-6和IFN-γ 分泌以及强大的Cp15-specific免疫球蛋白滴度。在接种疫苗的营养不良小鼠中,尽管蛋白质缺乏和生长发育迟缓,但细胞因子 (尤其是IFN-γ) 的分泌和抗原特异性体液免疫通常不会减少。相反,在用相同的隐孢子虫卵囊接种物进行自然 (口服) 攻击后,细胞因子和对Cp15的体液反应小于接种疫苗的小鼠中的4分之1。然而,疫苗接种仅导致寄生虫粪便脱落的短暂减少,并且无法预防疾病。总体而言,即使在长期营养不良的情况下,使用创新的疫苗方案,包括用活的肠道细菌载体进行鼻内抗原引发,即使在长期营养不良的情况下,也可以在小鼠中记录人C抗原的免疫原性,该方案对脆弱人群具有潜在的适用性,无论营养状况如何。

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