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疫苗联合化疗方法:基于Lm3Dx_NcSAG1的疫苗与碰撞激酶抑制剂BKI-1748联合对小鼠感染的附加效应

Vaccine-Linked Chemotherapy Approach: Additive Effects of Combining the -Based Vaccine Lm3Dx_NcSAG1 With the Bumped Kinase Inhibitor BKI-1748 Against Infection in Mice.

作者信息

Imhof Dennis, Pownall William Robert, Schlange Carling, Monney Camille, Ortega-Mora Luis-Miguel, Ojo Kayode K, Van Voorhis Wesley C, Oevermann Anna, Hemphill Andrew

机构信息

Department of Infectious Diseases and Pathobiology, Institute of Parasitology, Vetsuisse Faculty, University of Bern, Bern, Switzerland.

Graduate School for Cellular and Biomedical Sciences, University of Bern, Bern, Switzerland.

出版信息

Front Vet Sci. 2022 Jun 27;9:901056. doi: 10.3389/fvets.2022.901056. eCollection 2022.

Abstract

The apicomplexan parasite causes neosporosis in numerous host species. There is no marketed vaccine and no licensed drug for the prevention and/or treatment of neosporosis. Vaccine development against this parasite has encountered significant obstacles, probably due to pregnancy-induced immunomodulation hampering efficacy, which has stimulated the search for potential drug therapies that could be applied to limit the effects of neosporosis in dams as well as in offspring. We here investigated, in a pregnant neosporosis mouse model, the safety and efficacy of a combined vaccination-drug treatment approach. Mice were vaccinated intramuscularly with 1 × 10 CFU of our recently generated vaccine vector expressing the major tachyzoite surface antigen NcSAG1 (Lm3Dx_SAG1). Following mating and experimental subcutaneous infection with 1 × 10 (NcSpain-7) tachyzoites on day 7 of pregnancy, drug treatments were initiated using the bumped kinase inhibitor BKI-1748 at 20 mg/kg/day for 5 days. In parallel, other experimental groups were either just vaccinated or only treated. Dams and offspring were followed-up until day 25 , after which all mice were euthanized. None of the treatments induced adverse effects and neither of the treatments affected fertility or litter sizes. Cerebral infection in dams as assessed by real-time PCR was significantly reduced in the vaccinated and BKI-1748 treated groups, but was not reduced significantly in the group receiving the combination. However, in non-pregnant mice, all three treatment groups exhibited significantly reduced parasite burdens. Both, vaccination as well BKI-1748 as single treatment increased pup survival to 44 and 48%, respectively, while the combination treatment led to survival of 86% of all pups. Vertical transmission in the combination group was 23% compared to 46 and 50% in the groups receiving only BKI-treatment or the vaccine, respectively. In the dams, IgG titers were significantly reduced in all treatment groups compared to the untreated control, while in non-pregnant mice, IgG titers were reduced only in the group receiving the vaccine. Overall, vaccine-linked chemotherapy was more efficacious than vaccination or drug treatment alone and should be considered for further evaluation in a more relevant experimental model.

摘要

顶复门寄生虫可在众多宿主物种中引发新孢子虫病。目前尚无用于预防和/或治疗新孢子虫病的上市疫苗和获批药物。针对这种寄生虫的疫苗研发遇到了重大障碍,这可能是由于妊娠诱导的免疫调节阻碍了疫苗效力,从而促使人们寻找可用于限制新孢子虫病对母鼠及其后代影响的潜在药物疗法。我们在此对一种联合疫苗接种 - 药物治疗方法在妊娠新孢子虫病小鼠模型中的安全性和有效性进行了研究。小鼠通过肌肉注射1×10⁶CFU我们最近构建的表达主要速殖子表面抗原NcSAG1的疫苗载体(Lm3Dx_SAG1)进行接种。在交配并于妊娠第7天经皮下感染1×10³(NcSpain - 7)个速殖子后,开始使用碰撞激酶抑制剂BKI - 1748进行药物治疗,剂量为20mg/kg/天,持续5天。同时,其他实验组要么仅接种疫苗,要么仅接受治疗。对母鼠及其后代进行随访直至第25天,之后对所有小鼠实施安乐死。所有治疗均未引起不良反应,且均未影响生育能力或产仔数。通过实时PCR评估,接种疫苗组和接受BKI - 1748治疗组的母鼠脑部感染显著减少,但联合治疗组未显著减少。然而,在未怀孕小鼠中,所有三个治疗组的寄生虫负荷均显著降低。单独接种疫苗和使用BKI - 1748治疗分别使幼崽存活率提高到了44%和48%,而联合治疗使所有幼崽的存活率达到了86%。联合治疗组的垂直传播率为23%,而仅接受BKI治疗组和接种疫苗组的垂直传播率分别为46%和50%。在母鼠中,与未治疗的对照组相比,所有治疗组的IgG滴度均显著降低,而在未怀孕小鼠中,仅接种疫苗组的IgG滴度降低。总体而言,疫苗联合化疗比单独接种疫苗或药物治疗更有效,应在更相关的实验模型中进行进一步评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d26/9272043/40cb93cdcbe7/fvets-09-901056-g0001.jpg

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