Pertussis is an infectious disease of the respiratory tract that is caused by the gram-negative bacterium Bordetella pertussis. Although acellular pertussis (aP) vaccines are safe, they are not fully effective and thus require improvement. In contrast to whole-cell pertussis (wP) vaccines, aP vaccines do not contain lipopolysaccharide (LPS). Monophosphoryl lipid A (MPL) and Neisseria meningitidis LpxL2 LPS have been shown to display immune-stimulating activity while exerting little endotoxin activity. Therefore, we evaluated whether these LPS analogs could increase the efficacy of the aP vaccine. Mice were vaccinated with diphtheria-tetanus-aP vaccine with aluminum, MPL, or LpxL2 LPS adjuvant before intranasal challenge with B. pertussis. Compared to vaccination with the aluminum adjuvant, vaccination with either LPS analog resulted in lower colonization and a higher pertussis toxin-specific serum immunoglobulin G level, indicating increased efficacy. Vaccination with either LPS analog resulted in reduced lung eosinophilia, reduced eosinophil numbers in the bronchoalveolar lavage fluid, and the ex vivo production of interleukin-4 (IL-4) by bronchial lymph node cells and IL-5 by spleen cells, suggesting reduced type I hypersensitivity. Vaccination with either LPS analog increased serum IL-6 levels, although these levels remained well below the level induced by wP, suggesting that supplementation with LPS analogs may induce some reactogenicity but reactogenicity considerably less than that induced by the wP vaccine. In conclusion, these results indicate that supplementation with LPS analogs forms a promising strategy that can be used to improve aP vaccines.

译文

百日咳是由革兰氏阴性细菌百日咳杆菌引起的呼吸道传染病。尽管无细胞百日咳 (aP) 疫苗是安全的,但它们并不完全有效,因此需要改进。与全细胞百日咳 (wP) 疫苗相反,aP疫苗不含脂多糖 (LPS)。单磷酰脂质A (MPL) 和脑膜炎奈瑟氏菌LpxL2 LPS已显示出免疫刺激活性,而几乎没有内毒素活性。因此,我们评估了这些LPS类似物是否可以提高aP疫苗的效力。在对百日咳杆菌进行鼻内攻击之前,用铝,MPL或LpxL2 LPS佐剂对小鼠进行白喉-破伤风-aP疫苗接种。与铝佐剂疫苗接种相比,用LPS类似物接种可导致较低的定植和较高的百日咳毒素特异性血清免疫球蛋白G水平,表明功效增强。用LPS类似物接种疫苗会导致肺嗜酸性粒细胞减少,支气管肺泡灌洗液中嗜酸性粒细胞数量减少,支气管淋巴结细胞和脾细胞IL-5体内产生interleukin-4 (IL-4),表明I型超敏反应降低。用任何一种LPS类似物接种疫苗都会增加血清IL-6水平,尽管这些水平仍远低于wP诱导的水平,这表明补充LPS类似物可能会诱导一些反应原性,但反应原性明显低于wP疫苗诱导的反应原性。总之,这些结果表明,补充LPS类似物形成了一种有前途的策略,可用于改善aP疫苗。

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