Centro de Investigación en Dinámica Celular (IICBA), Universidad Autónoma del Estado de Morelos, Cuernavaca, Morelos, Mexico.
Inmunología, Centro de Investigaciones Biomédicas (CINBIO), Centro Singular de Investigación de Galicia, Instituto de Investigación Sanitaria Galicia Sur, Universidad de Vigo, Campus Universitario de Vigo, 36310 Vigo, Spain.
Vaccine. 2018 Jul 5;36(29):4188-4197. doi: 10.1016/j.vaccine.2018.06.005. Epub 2018 Jun 8.
Neonates have an increased susceptibility to infections, particularly those caused by intracellular pathogens, leading to high morbidity and mortality rates. This is partly because of a poor response of neonatal CD4 T cells, leading to deficient antibody production and a low production of IFN-γ, resulting in deficient elimination of intracellular pathogens. The poor memory response of human neonates has underpinned the need for improving vaccine formulations. Molecular adjuvants that improve the response of neonatal lymphocytes, such as the ligands of toll-like receptors (TLRs), are attractive candidates. Among them, flagellin, the TLR5 ligand, is effective at very low doses; prior immunity to flagellin does not impair its adjuvant activity. Human CD4 and CD8 T cells express TLR5. We found that flagellin induces the expression of IFN-γ, IL-1β and IL-12 in mononuclear cells from human neonate and adult donors. When human naïve CD4 T cells were activated in the presence of flagellin, there was high level of expression of IFN-γ in both neonates and adults. Furthermore, flagellin induced IFN-γ production in Th1 cells obtained from adult donors; in the Th2 population, it inhibited IL-4 cytokine production. Flagellin also promoted expression of the IFN-γ receptor in naive CD4 T cells from neonates and adults. To test the adjuvant capacity of flagellin in vivo, we used a murine neonate vaccination model for infection with rotavirus, a pathogen responsible for severe diarrhea in young infants. Using the conserved VP6 antigen, we observed an 80% protection against rotavirus infection in the presence of flagellin, but only in those mice previously primed in the neonatal period. Our data suggest that flagellin could be an attractive adjuvant for achieving a Th1 response.
新生儿易受感染,特别是由细胞内病原体引起的感染,导致发病率和死亡率高。这部分是由于新生儿 CD4 T 细胞反应不良,导致抗体产生不足和 IFN-γ 产生低,从而导致细胞内病原体无法有效清除。人类新生儿记忆反应差,这就需要改进疫苗配方。能够改善新生儿淋巴细胞反应的分子佐剂,如 Toll 样受体 (TLR) 的配体,是很有吸引力的候选物。其中,鞭毛蛋白是 TLR5 的配体,在非常低的剂量下就有效;先前对鞭毛蛋白的免疫不会损害其佐剂活性。人类 CD4 和 CD8 T 细胞表达 TLR5。我们发现鞭毛蛋白诱导人新生儿和成人供体单核细胞中 IFN-γ、IL-1β 和 IL-12 的表达。当在鞭毛蛋白存在的情况下激活人幼稚 CD4 T 细胞时,新生儿和成人中均有高水平的 IFN-γ 表达。此外,鞭毛蛋白诱导成人供体 Th1 细胞中 IFN-γ 的产生;在 Th2 群体中,它抑制了 IL-4 细胞因子的产生。鞭毛蛋白还促进了幼稚 CD4 T 细胞中 IFN-γ 受体的表达。为了在体内测试鞭毛蛋白的佐剂能力,我们使用了一种新生鼠轮状病毒感染疫苗模型,轮状病毒是导致婴幼儿严重腹泻的病原体。使用保守的 VP6 抗原,我们观察到在鞭毛蛋白存在的情况下,轮状病毒感染的保护率达到 80%,但仅在那些在新生儿期预先免疫的小鼠中。我们的数据表明,鞭毛蛋白可能是一种有吸引力的佐剂,可用于诱导 Th1 反应。