Ruan Sanbao, Cai Yang, Ramsay Alistair J, Welsh David A, Norris Karen, Shellito Judd E
Section of Pulmonary, Critical Care Medicine, and Allergy/Immunology, LSU Health Sciences Center, New Orleans, United States.
The Research Institute for Children, Children's Hospital, New Orleans and Department of Chemistry, University of New Orleans, United States.
Vaccine. 2017 Jan 23;35(4):672-679. doi: 10.1016/j.vaccine.2016.11.073. Epub 2016 Dec 21.
Pneumocystis pneumonia is a major cause of morbidity and mortality in HIV-infected subjects, cancer patients undergoing chemotherapy and solid organ transplant recipients. No vaccine is currently available. By chemical labeling coupled with proteomic approach, we have identified a putative surface protein (SPD1, Broad Institute gene accession number PNEG_01848) derived from single suspended P. murina cysts. SPD1 was expressed in an insect cell line and tested for vaccine development.
Mice were immunized with SPD1 plus adjuvant MF-59 by subcutaneous injection. Three weeks after the last immunization, CD4+ cells were depleted with anti-CD4 antibody GK1.5. The mice were then challenged with 2×10Pneumocystis organisms. Mice were sacrificed at 4 and 6weeks after PC challenge. Spleen/lung cells and serum were harvested. B cells and memory B cells were assessed via flow cytometry. Specific Pneumocystis IgG antibody was measured by ELISA before and after challenge. Infection burden was measured as real-time PCR for P. murina rRNA.
Normal mice infected with Pneumocystis mounted a serum IgG antibody response to SPD1. Serum from rhesus macaques exposed to Pneumocystis showed a similar serum IgG response to purified SPD1. SPD1 immunization increased B cell and memory B cell absolute cell counts in CD4-depleted Balb/c mice post Pneumocystis challenge in spleen and lung. Immunization with SPD1 significantly increased specific Pneumocystis IgG antibody production before and after challenge. Mice immunized with SPD1 showed significantly decreased P. murina copy number compared with mice that did not receive SPD1 at 6weeks after challenge.
Immunization with SPD1 provides protective efficacy against P. murina infection. SPD1 protection against Pneumocystis challenge is associated with enhanced memory B cell production and higher anti-Pneumocystis IgG antibody production. SPD1 is a potential vaccine candidate to prevent or treat pulmonary infection with Pneumocystis.
肺孢子菌肺炎是人类免疫缺陷病毒(HIV)感染者、接受化疗的癌症患者以及实体器官移植受者发病和死亡的主要原因。目前尚无疫苗可用。通过化学标记结合蛋白质组学方法,我们从单个悬浮的鼠肺孢子虫包囊中鉴定出一种假定的表面蛋白(SPD1,布罗德研究所基因登录号PNEG_01848)。SPD1在昆虫细胞系中表达,并进行了疫苗开发测试。
通过皮下注射用SPD1加佐剂MF-59免疫小鼠。最后一次免疫三周后,用抗CD4抗体GK1.5清除CD4+细胞。然后用2×10个肺孢子菌生物体攻击小鼠。在肺孢子菌攻击后4周和6周处死小鼠。收集脾/肺细胞和血清。通过流式细胞术评估B细胞和记忆B细胞。在攻击前后通过酶联免疫吸附测定(ELISA)测量特异性肺孢子菌IgG抗体。感染负荷通过对鼠肺孢子虫rRNA进行实时聚合酶链反应(PCR)测量。
感染肺孢子菌的正常小鼠对SPD1产生血清IgG抗体反应。暴露于肺孢子菌的恒河猴血清对纯化的SPD1显示出类似的血清IgG反应。在肺孢子菌攻击后,SPD1免疫增加了CD4耗尽的Balb/c小鼠脾和肺中B细胞和记忆B细胞的绝对细胞计数。用SPD1免疫显著增加了攻击前后特异性肺孢子菌IgG抗体的产生。与未接受SPD1的小鼠相比,在攻击后6周,用SPD1免疫的小鼠的鼠肺孢子虫拷贝数显著降低。
用SPD1免疫可提供针对鼠肺孢子虫感染的保护效力。SPD1对肺孢子菌攻击的保护作用与记忆B细胞产生增加和抗肺孢子菌IgG抗体产生增加有关。SPD1是预防或治疗肺孢子菌肺部感染的潜在疫苗候选物。