Division of Bacterial & Rickettsial Diseases, Walter Reed Army Institute of Research, 503, Robert Grant Avenue, Silver Spring, MD 208914, USA.
Vaccine. 2011 Aug 26;29(37):6371-8. doi: 10.1016/j.vaccine.2011.04.115. Epub 2011 May 17.
Shigella causes diarrhea and dysentery through contaminated food and water. Shigella sonnei live vaccine candidates WRSs2 and WRSs3 are attenuated principally by the loss of VirG(IcsA) that prevents bacterial spread within the colonic epithelium. In this respect they are similar to the clinically tested vaccine candidate WRSS1. However, WRSs2 and WRSs3 are further attenuated by loss of senA, senB and WRSs3 also lacks msbB2. As previously shown in cell culture assays and in small animal models, these additional gene deletions reduced the levels of enterotoxicity and endotoxicity of WRSs2 and WRSs3, potentially making them safer than WRSS1. However the behavior of these second-generation VirG(IcsA)-based vaccine candidates in eliciting an immune response in a gastrointestinal model of infection has not been evaluated. In this study, WRSs2 and WRSs3 were nasogastrically administered to rhesus monkeys that were evaluated for colonization, as well as for systemic and mucosal immune responses. Both vaccine candidates were safe in rhesus monkeys and behaved comparably to WRSS1 in bacterial excretion rates that demonstrated robust intestinal colonization. Furthermore, humoral and mucosal immune responses elicited against bacterial antigens appeared similar in all categories across all three strains indicating that the additional gene deletions did not compromise the immunogenicity of these vaccine candidates. Based on data from previous clinical trials with WRSS1, it is likely that, WRSs2 and WRSs3 will not only be safer in human volunteers but will generate comparable levels of systemic and mucosal immune responses that were achieved with WRSS1.
志贺氏菌通过受污染的食物和水引起腹泻和痢疾。志贺氏菌 sonnei 活疫苗候选物 WRSs2 和 WRSs3 主要通过丧失 VirG(IcsA)而减弱,VirG(IcsA)可阻止细菌在结肠上皮内扩散。在这方面,它们与经过临床测试的疫苗候选物 WRSS1 相似。然而,WRSs2 和 WRSs3 进一步因丧失 senA 和 WRSs3 缺乏 msbB2 而减弱。如之前在细胞培养测定和小动物模型中所示,这些额外的基因缺失降低了 WRSs2 和 WRSs3 的肠毒性和内毒素毒性水平,使它们可能比 WRSS1 更安全。然而,这些第二代基于 VirG(IcsA)的疫苗候选物在感染胃肠道模型中引发免疫反应的行为尚未得到评估。在这项研究中,WRSs2 和 WRSs3 通过鼻胃管给予恒河猴,对其进行定植以及全身和黏膜免疫反应评估。这两种候选疫苗在恒河猴中均安全,其细菌排泄率与 WRSS1 相当,表明其具有强大的肠道定植能力。此外,针对细菌抗原产生的体液和黏膜免疫反应在所有三种菌株的所有类别中均相似,表明这些额外的基因缺失并未损害这些疫苗候选物的免疫原性。基于 WRSS1 先前临床试验的数据,WRSs2 和 WRSs3 不仅在人类志愿者中更安全,而且还可能产生与 WRSS1 相当的全身和黏膜免疫反应。