Torosantucci Antonella, Bromuro Carla, Chiani Paola, De Bernardis Flavia, Berti Francesco, Galli Chiara, Norelli Francesco, Bellucci Cinzia, Polonelli Luciano, Costantino Paolo, Rappuoli Rino, Cassone Antonio
Department of Infectious, Parasitic and Immune-mediated Diseases, Istituto Superiore di Sanità, Rome, Italy.
J Exp Med. 2005 Sep 5;202(5):597-606. doi: 10.1084/jem.20050749.
To generate a vaccine to protect against a variety of human pathogenic fungi, we conjugated laminarin (Lam), a well-characterized but poorly immunogenic beta-glucan preparation from the brown alga Laminaria digitata, with the diphtheria toxoid CRM197, a carrier protein used in some glyco-conjugate bacterial vaccines. This Lam-CRM conjugate proved to be immunogenic and protective as immunoprophylactic vaccine against both systemic and mucosal (vaginal) infections by Candida albicans. Protection probably was mediated by anti-beta-glucan antibodies as demonstrated by passive transfer of protection to naive mice by the whole immune serum, the immune vaginal fluid, and the affinity-purified anti-beta-glucan IgG fractions, as well as by administration of a beta-glucan-directed IgG2b mAb. Passive protection was prevented by adsorption of antibodies on Candida cells or beta-glucan particles before transfer. Anti-beta-glucan antibodies bound to C. albicans hyphae and inhibited their growth in vitro in the absence of immune-effector cells. Remarkably, Lam-CRM-vaccinated mice also were protected from a lethal challenge with conidia of Aspergillus fumigatus, and their serum also bound to and markedly inhibited the growth of A. fumigatus hyphae. Thus, this novel conjugate vaccine can efficiently immunize and protect against two major fungal pathogens by mechanisms that may include direct antifungal properties of anti-beta-glucan antibodies.
为了研发一种能预防多种人类致病真菌的疫苗,我们将海带多糖(Lam)与白喉类毒素CRM197进行了偶联。海带多糖是一种来自褐藻海带的特性明确但免疫原性较差的β-葡聚糖制剂,而白喉类毒素CRM197是一种用于某些糖偶联细菌疫苗的载体蛋白。这种Lam-CRM偶联物被证明具有免疫原性,作为免疫预防性疫苗可预防白色念珠菌引起的全身和黏膜(阴道)感染。保护作用可能是由抗β-葡聚糖抗体介导的,这通过将全免疫血清、免疫阴道液和亲和纯化的抗β-葡聚糖IgG组分被动转移给未免疫小鼠得到证明,以及通过给予β-葡聚糖导向的IgG2b单克隆抗体也得到了证明。在转移前,通过将抗体吸附在念珠菌细胞或β-葡聚糖颗粒上可阻止被动保护。抗β-葡聚糖抗体与白色念珠菌菌丝结合,并在无免疫效应细胞的情况下在体外抑制其生长。值得注意的是,接种Lam-CRM疫苗的小鼠也受到了保护,免受烟曲霉分生孢子的致死性攻击,并且它们的血清也与烟曲霉菌丝结合并显著抑制其生长。因此,这种新型偶联疫苗可以通过包括抗β-葡聚糖抗体的直接抗真菌特性在内的机制,有效地免疫并预防两种主要的真菌病原体。