Department of Small Animal Medicine, Veterinary Teaching Hospital, Oklahoma State University, Stillwater, OK, USA.
Vaccine. 2012 Oct 19;30(47):6706-12. doi: 10.1016/j.vaccine.2012.08.028. Epub 2012 Sep 11.
Periodontal disease, gingival inflammation (gingivitis) and periodontal attachment loss (periodontitis), causes tooth loss and susceptibility to chronic inflammation. Professionally scaling and cleaning the teeth regularly controls the disease, but is expensive in companion animals. Eikenella corrodens is common in canine oral cavities where it is a source of lysine decarboxylase (LDC). In human dental biofilms (plaques), LDC converts lysine to cadaverine and impairs the gingival epithelial barrier to bacteria. LDC vaccination may therefore retard gingivitis development. Year-old beagle dogs provided blood samples, and had weight and clinical measurements (biofilm and gingivitis) recorded. After scaling and cleaning, two dogs were immunized subcutaneously with 0.2mg native LDC from E. corrodens and 2 sets of four dogs with 0.2mg recombinant LDC purified from Escherichia coli. A third set of 4 dogs was immunized intranasally. Rehydragel(®), Emulsigen(®), Polygen™ or Carbigen™ were used as adjuvant. Four additional pairs of dogs were sham-immunized with each adjuvant alone (controls). Immunizations were repeated twice, 3 weeks apart, and clinical measurements were obtained after another 2 weeks, when the teeth were scaled and cleaned again. Tooth brushing was then stopped and the diet was changed from hard to soft chow. Clinical measurements were repeated after 1, 2, 3, 4, 6 and 8 weeks. Compared with sham-immunized dogs, gingivitis was reduced over all 8 weeks of soft diet after subcutaneous immunization with native LDC, or after intranasal immunization with recombinant LDC in Carbigen™, but for only 6 of the 8 weeks after subcutaneous immunization with recombinant LDC in Emulsigen(®) (repeated measures ANOVA). Subcutaneous vaccination induced a strong serum IgG antibody response that decreased during the soft diet period, whereas intranasal immunization induced a weak serum IgA antibody response that did not decrease. Immunization with recombinant LDC may provide protection from gingivitis if procedures are optimized.
牙周病、牙龈炎症(牙龈炎)和牙周附着丧失(牙周炎)会导致牙齿脱落和易患慢性炎症。定期进行专业的牙齿刮治和清洁可以控制这种疾病,但在伴侣动物中费用较高。腐蚀埃肯菌(Eikenella corrodens)常见于犬口腔,是赖氨酸脱羧酶(LDC)的来源。在人类牙菌斑(牙垢)中,LDC 将赖氨酸转化为尸胺,破坏牙龈上皮屏障,使细菌进入。因此,LDC 疫苗接种可能会延缓牙龈炎的发展。一岁的比格犬提供了血液样本,并记录了体重和临床测量(生物膜和牙龈炎)。在刮治和清洁后,两只狗分别接受了来自腐蚀埃肯菌的 0.2mg 天然 LDC 的皮下免疫接种,以及 2 组每组四只狗的 0.2mg 重组 LDC 的皮下免疫接种,该重组 LDC 从大肠杆菌中纯化而来。第三组的 4 只狗进行了鼻内免疫接种。使用 Hydragel(®)、Emulsigen(®)、Polygen™或 Carbigen™作为佐剂。另外 4 对狗分别单独用每种佐剂进行了假免疫接种(对照组)。免疫接种重复了两次,间隔 3 周,然后在又过了 2 周,再次进行牙齿刮治和清洁后,获得了临床测量值。然后停止刷牙,并将饮食从硬食改为软食。在 1、2、3、4、6 和 8 周后重复进行了临床测量。与假免疫接种的狗相比,皮下免疫接种天然 LDC 后,或皮下免疫接种重组 LDC 后,在 Carbigen™中鼻内免疫接种,在软食期的 8 周内,牙龈炎均得到了减轻,但在 Emulsigen(®)中皮下免疫接种重组 LDC 后,只有 6 周(重复测量方差分析)。皮下接种会引起强烈的血清 IgG 抗体反应,该反应在软食期会下降,而鼻内免疫接种会引起较弱的血清 IgA 抗体反应,该反应不会下降。如果优化程序,重组 LDC 免疫接种可能会提供预防牙龈炎的保护。