Channing Laboratory, 181 Longwood Ave., Boston, MA 02115, USA.
Infect Immun. 2010 Feb;78(2):746-55. doi: 10.1128/IAI.00806-09. Epub 2009 Dec 7.
Pseudomonas aeruginosa is a serious pathogen in hospitalized, immunocompromised, and cystic fibrosis (CF) patients. P. aeruginosa is motile via a single polar flagellum made of polymerized flagellin proteins differentiated into two major serotypes: a and b. Antibodies to flagella delay onset of infection in CF patients, but whether immunity to polymeric flagella and that to monomeric flagellin are comparable has not been addressed, nor has the question of whether such antibodies might negatively impact Toll-like receptor 5 (TLR5) activation, an important component of innate immunity to P. aeruginosa. We compared immunization with flagella and that with flagellin for in vitro effects on motility, opsonic killing, and protective efficacy using a mouse pneumonia model. Antibodies to flagella were superior to antibodies to flagellin at inhibiting motility, promoting opsonic killing, and mediating protection against P. aeruginosa pneumonia in mice. Protection against the flagellar type strains PAK and PA01 was maximal, but it was only marginal against motile clinical isolates from flagellum-immunized CF patients who nonetheless became colonized with P. aeruginosa. Purified flagellin was a more potent activator of TLR5 than were flagella and also elicited higher TLR5-neutralizing antibodies than did immunization with flagella. Antibody to type a but not type b flagella or flagellin inhibited TLR5 activation by whole bacterial cells. Overall, intact flagella appear to be superior for generating immunity to P. aeruginosa, and flagellin monomers might induce antibodies capable of neutralizing innate immunity due to TLR5 activation, but solid immunity to P. aeruginosa based on flagellar antigens may require additional components beyond type a and type b proteins from prototype strains.
铜绿假单胞菌是住院患者、免疫功能低下者和囊性纤维化(CF)患者的严重病原体。铜绿假单胞菌通过由聚合鞭毛蛋白分化而成的单个极鞭毛进行运动,分为两个主要血清型:a 型和 b 型。针对鞭毛的抗体可延迟 CF 患者的感染发作,但针对聚合鞭毛和单体鞭毛的免疫是否相当,以及这些抗体是否可能对 Toll 样受体 5(TLR5)激活产生负面影响,这些问题尚未得到解决,TLR5 激活是铜绿假单胞菌固有免疫的重要组成部分。我们比较了用鞭毛和鞭毛蛋白免疫对体外运动、调理杀伤和使用小鼠肺炎模型的保护效果的影响。与鞭毛蛋白相比,针对鞭毛的抗体在抑制运动、促进调理杀伤和介导针对铜绿假单胞菌肺炎的保护方面更为有效。针对鞭毛型菌株 PAK 和 PA01 的保护作用最大,但针对从鞭毛免疫的 CF 患者中分离出的运动性临床分离株的保护作用仅略有差异,但这些患者仍会定植铜绿假单胞菌。与鞭毛相比,纯化的鞭毛蛋白是更有效的 TLR5 激活剂,也比用鞭毛免疫产生更高的 TLR5 中和抗体。针对 a 型但不是 b 型鞭毛或鞭毛蛋白的抗体可抑制全细菌细胞对 TLR5 的激活。总的来说,完整的鞭毛似乎更有利于产生针对铜绿假单胞菌的免疫,而鞭毛单体可能会由于 TLR5 激活而诱导能够中和固有免疫的抗体,但基于鞭毛抗原的针对铜绿假单胞菌的牢固免疫可能需要原型菌株的 a 型和 b 型蛋白之外的其他成分。