The Second Affiliated Hospital of Chengdu.
Ministry of Education Key Laboratory of Child Development and Disorders.
Biol Pharm Bull. 2020 Oct 1;43(10):1469-1475. doi: 10.1248/bpb.b19-01052. Epub 2020 Aug 8.
Hospital-acquired infections with Pseudomonas aeruginosa have become a great challenge in caring for critically ill and immunocompromised patients. The cause of high mortality is the presence of multi-drug resistant (MDR) strains, which confers a pressing need for vaccines. Although vaccines against P. aeruginosa have been in development for more than several decades, there is no vaccine for patients at present. In this study, we purified genomic DNA of P. aeruginosa from sera of patients affected, constructed genome-wide library with random recombinants, and screened candidate protein antigens by evaluating their protective effects in vivo. After 13-round of screening, 115 reactive recombinants were obtained, among which 13 antigens showed strong immunoreactivity (more than 10% reaction to PcrV, a well-characterized V-antigen of P. aeruginosa). These 13 antigens were: PpiA, PtsP, OprP, CAZ10_34235, HmuU_2, PcaK, CarAd, RecG, YjiR_5, LigD, KinB, RtcA, and PscF. In vivo studies showed that vaccination with PscF protected against lethal P. aeruginosa challenge, and decreased lung inflammation and injury. A genomic library of P. aeruginosa could be constructed in this way for the first time, which could not only screen candidate antigens but also in a high-throughput way. PscF was considered as an ideal promising vaccine candidate for combating P. aeruginosa infection and was supported for further evaluation of its safety and efficacy.
铜绿假单胞菌引起的医院获得性感染在治疗重症和免疫功能低下患者方面已成为巨大挑战。高死亡率的原因是存在多药耐药(MDR)菌株,这迫切需要疫苗。尽管针对铜绿假单胞菌的疫苗已经开发了几十年,但目前尚无针对患者的疫苗。在这项研究中,我们从受影响患者的血清中提取铜绿假单胞菌的基因组 DNA,用随机重组体构建全基因组文库,并通过评估其体内保护效果筛选候选蛋白抗原。经过 13 轮筛选,获得了 115 个反应性重组体,其中 13 个抗原表现出强烈的免疫反应性(对 PcrV 的反应性超过 10%,PcrV 是铜绿假单胞菌的一种特征性 V 抗原)。这些抗原是:PpiA、PtsP、OprP、CAZ10_34235、HmuU_2、PcaK、CarAd、RecG、YjiR_5、LigD、KinB、RtcA 和 PscF。体内研究表明,用 PscF 疫苗接种可预防致命的铜绿假单胞菌攻击,并减轻肺部炎症和损伤。首次可以用这种方式构建铜绿假单胞菌的基因组文库,不仅可以筛选候选抗原,还可以高通量筛选。PscF 被认为是对抗铜绿假单胞菌感染的理想有前途的疫苗候选物,并支持进一步评估其安全性和有效性。