Guttormsen Hilde-Kari, Paoletti Lawrence C, Mansfield Keith G, Jachymek Wojcieck, Jennings Harold J, Kasper Dennis L
Channing Laboratory, Department of Medicine, Brigham and Women's Hospital, and Institute for Microbiology and Molecular Genetics, Harvard Medical School, Boston, MA 02115, USA.
Proc Natl Acad Sci U S A. 2008 Apr 15;105(15):5903-8. doi: 10.1073/pnas.0710799105. Epub 2008 Mar 31.
Many pathogens are sheltered from host immunity by surface polysaccharides that would be ideal as vaccines except that they are too similar to host antigens to be immunogenic. The production of functional IgG is a desirable response to vaccines; because IgG is the only isotype that crosses the placenta, it is of particular importance in maternal vaccines against neonatal disease due to group B Streptococcus (GBS). Clinical studies found a substantially lower proportion of IgG-relative to IgM-among antibodies elicited by conjugates prepared with purified GBS type V capsular polysaccharide (CPS) than among those evoked by CPSs of other GBS serotypes. The epitope specificity of IgG elicited in humans by a conjugate prepared with type V CPS is for chemically desialylated type V CPS (dV CPS). We studied desialylation as a mechanism for enhancing the ability of type V CPS to induce IgM-to-IgG switching. Desialylation did not affect the structural conformation of type V CPS. Rhesus macaques, whose isotype responses to GBS conjugates match those of humans, produced functionally active IgG in response to a dV CPS-tetanus toxoid conjugate (dV-TT), and 98% of neonatal mice born to dams vaccinated with dV-TT survived lethal challenge with viable GBS. Targeted chemical engineering of a carbohydrate to create a molecule less like host self may be a rational approach for improving other glycoconjugates.
许多病原体通过表面多糖躲避宿主免疫,这些多糖作为疫苗很理想,只是它们与宿主抗原过于相似,因而缺乏免疫原性。产生功能性IgG是对疫苗的理想反应;由于IgG是唯一能穿过胎盘的抗体亚型,在预防由B族链球菌(GBS)引起的新生儿疾病的母体疫苗中尤为重要。临床研究发现,相对于IgM,用纯化的V型GBS荚膜多糖(CPS)制备的结合物引发的抗体中,IgG的比例显著低于其他GBS血清型CPS引发的抗体中的IgG比例。用V型CPS制备的结合物在人体内引发的IgG的表位特异性针对化学去唾液酸化的V型CPS(dV CPS)。我们研究了去唾液酸化作为增强V型CPS诱导IgM向IgG转换能力的一种机制。去唾液酸化并不影响V型CPS的结构构象。恒河猴对GBS结合物的抗体亚型反应与人类相似,对dV CPS-破伤风类毒素结合物(dV-TT)产生了功能性活性IgG,接种dV-TT的母鼠所生的98%的新生小鼠在受到活GBS的致命攻击后存活下来。对碳水化合物进行靶向化学工程改造以创造一个不太像宿主自身的分子,可能是改进其他糖结合物的一种合理方法。