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为模型胞内病原体,F. tularensis LVS 开发疫苗诱导保护的功能和分子相关性。

Development of functional and molecular correlates of vaccine-induced protection for a model intracellular pathogen, F. tularensis LVS.

机构信息

Laboratory of Mycobacterial Diseases and Cellular Immunology, Division of Bacterial, Parasitic and Allergenic Products, Center for Biologics Evaluation and Research, U.S. Food and Drug Administration, Rockville, Maryland, United States of America.

出版信息

PLoS Pathog. 2012 Jan;8(1):e1002494. doi: 10.1371/journal.ppat.1002494. Epub 2012 Jan 19.

Abstract

In contrast with common human infections for which vaccine efficacy can be evaluated directly in field studies, alternative strategies are needed to evaluate efficacy for slowly developing or sporadic diseases like tularemia. For diseases such as these caused by intracellular bacteria, serological measures of antibodies are generally not predictive. Here, we used vaccines varying in efficacy to explore development of clinically useful correlates of protection for intracellular bacteria, using Francisella tularensis as an experimental model. F. tularensis is an intracellular bacterium classified as Category A bioterrorism agent which causes tularemia. The primary vaccine candidate in the U.S., called Live Vaccine Strain (LVS), has been the subject of ongoing clinical studies; however, safety and efficacy are not well established, and LVS is not licensed by the U.S. FDA. Using a mouse model, we compared the in vivo efficacy of a panel of qualitatively different Francisella vaccine candidates, the in vitro functional activity of immune lymphocytes derived from vaccinated mice, and relative gene expression in immune lymphocytes. Integrated analyses showed that the hierarchy of protection in vivo engendered by qualitatively different vaccines was reflected by the degree of lymphocytes' in vitro activity in controlling the intramacrophage growth of Francisella. Thus, this assay may be a functional correlate. Further, the strength of protection was significantly related to the degree of up-regulation of expression of a panel of genes in cells recovered from the assay. These included IFN-γ, IL-6, IL-12Rβ2, T-bet, SOCS-1, and IL-18bp. Taken together, the results indicate that an in vitro assay that detects control of bacterial growth, and/or a selected panel of mediators, may ultimately be developed to predict the outcome of vaccine efficacy and to complement clinical trials. The overall approach may be applicable to intracellular pathogens in general.

摘要

与可直接在现场研究中评估疫苗效力的常见人类感染不同,对于像土拉菌病这样发展缓慢或偶发的疾病,需要替代策略来评估其效力。对于这些由细胞内细菌引起的疾病,抗体的血清学测量通常没有预测性。在这里,我们使用效力不同的疫苗来探索针对细胞内细菌的临床有用保护相关性的发展,使用土拉弗朗西斯菌作为实验模型。土拉弗朗西斯菌是一种被归类为 A 类生物恐怖主义剂的细胞内细菌,可引起土拉菌病。美国的主要疫苗候选物称为活疫苗株(LVS),一直是正在进行的临床研究的主题;然而,其安全性和效力尚未得到很好的确立,并且 LVS 未获得美国 FDA 的许可。使用小鼠模型,我们比较了一组定性不同的弗朗西斯菌疫苗候选物在体内的功效、从接种疫苗的小鼠中衍生的免疫淋巴细胞的体外功能活性以及免疫淋巴细胞中的相对基因表达。综合分析表明,体内定性不同疫苗产生的保护层次与淋巴细胞体外活性控制弗朗西斯菌在巨噬细胞内生长的程度相对应。因此,该测定可能是一种功能相关性。此外,保护强度与从测定中回收的细胞中一组基因表达的上调程度显著相关。这些基因包括 IFN-γ、IL-6、IL-12Rβ2、T-bet、SOCS-1 和 IL-18bp。总之,结果表明,一种可以检测细菌生长控制的体外测定法,和/或一组选定的介质,最终可能被开发出来以预测疫苗效力的结果并补充临床试验。总体方法可能适用于一般的细胞内病原体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd9e/3262015/77772a5386b3/ppat.1002494.g001.jpg

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