Foroutan Pajoohian Poorya, Aradottir Pind Audur Anna, Molina Estupiñan Jenny Lorena, Christensen Dennis, Pedersen Gabriel Kristian, Olafsdottir Thorunn A, Jonsdottir Ingileif, Bjarnarson Stefania P
Faculty of Medicine, Biomedical Center, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Department of Immunology, Landspitali, the National University Hospital of Iceland, Reykjavik, Iceland.
Front Immunol. 2025 Aug 7;16:1563345. doi: 10.3389/fimmu.2025.1563345. eCollection 2025.
An important component in the development of efficacious vaccines is the optimization of vaccination schedules to elicit protective immunity, especially in a vulnerable group like infants. Mucosal IgA plays an important role in the initial defense at mucosal surfaces, protecting against the colonization of respiratory pathogens, potentially reducing invasion and disease severity, while systemic immunity relies on protective IgG antibodies (Abs). This study aims to design an immunization strategy inducing both optimal systemic and mucosal immune responses using heterologous prime-boost immunization in comparison to homologous immunization. We immunized neonatal mice with a pneumococcal conjugate vaccine, Pn1-CRM, by heterologous subcutaneous (s.c.) priming with CAF01 adjuvant, followed by intranasal (i.n.) booster with multiple mutant of cholera toxin (mmCT) adjuvant or homologous immunizations by either route. Schedules including mucosal immunization, either once in heterologous s.c. priming followed by i.n. booster or twice with homologous i.n./i.n. immunization, induced higher serum and mucosal vaccine-specific IgA Abs and Ab-secreting cells (ASCs) than homologous s.c./s.c. immunization. However, heterologous s.c./i.n. immunization did not induce vaccine-specific IgG Abs in serum and the lung to a comparable level with that of homologous s.c./s.c. immunization. The immunization route in priming and boosting affected the induction of specific ASCs in lymphoid organs. Homologous s.c./s.c. immunization induced systemic (spleen) and local (inguinal lymph nodes) IgG responses. Homologous i.n./i.n. immunization induced systemic and local mucosal IgA responses, observed by enhanced salivary and lung IgA Abs. Meanwhile, heterologous s.c/i.n. immunization induced local humoral IgG and IgA responses in draining lymph nodes (cervical) and accelerated the early homing of IgG and IgA ASCs to the bone marrow compared to homologous i.n./i.n. immunization. Increasing the vaccine dose in the i.n. booster of heterologous immunization was needed to improve further humoral immune responses. Taken together, homologous s.c./s.c. immunization induces higher systemic IgG responses than heterologous s.c./i.n., which could be enhanced by increasing the vaccine dose in the i.n. booster but was still lower than after s.c./s.c. immunization. However, heterologous s.c./i.n. immunization has the advantage of inducing IgA responses, comparable to homologous i.n./i.n. immunization. This study indicates that heterologous immunization schedules may be an attractive approach for inducing early-life systemic and mucosal humoral immune responses.
开发有效疫苗的一个重要组成部分是优化疫苗接种方案,以诱导保护性免疫,尤其是在婴儿这样的弱势群体中。黏膜IgA在黏膜表面的初始防御中发挥重要作用,可防止呼吸道病原体定植,潜在降低侵袭和疾病严重程度,而全身免疫则依赖保护性IgG抗体(Abs)。本研究旨在设计一种免疫策略,与同源免疫相比,通过异源初免-加强免疫诱导最佳的全身和黏膜免疫反应。我们用肺炎球菌结合疫苗Pn1-CRM免疫新生小鼠,通过用CAF01佐剂进行异源皮下(s.c.)初免,随后用霍乱毒素多突变体(mmCT)佐剂进行鼻内(i.n.)加强免疫,或通过任一途径进行同源免疫。包括黏膜免疫的方案,无论是在异源s.c.初免后进行一次i.n.加强免疫,还是进行两次同源i.n./i.n.免疫,均比同源s.c./s.c.免疫诱导更高的血清和黏膜疫苗特异性IgA Abs及抗体分泌细胞(ASCs)。然而,异源s.c./i.n.免疫在血清和肺中诱导的疫苗特异性IgG Abs水平与同源s.c./s.c.免疫相当。初免和加强免疫的途径影响淋巴器官中特异性ASCs的诱导。同源s.c./s.c.免疫诱导全身(脾脏)和局部(腹股沟淋巴结)IgG反应。同源i.n./i.n.免疫诱导全身和局部黏膜IgA反应,通过唾液和肺IgA Abs增强得以观察到。同时,与同源i.n./i.n.免疫相比,异源s.c/i.n.免疫在引流淋巴结(颈部)诱导局部体液IgG和IgA反应,并加速IgG和IgA ASCs向骨髓的早期归巢。需要增加异源免疫i.n.加强免疫中的疫苗剂量以进一步改善体液免疫反应。综上所述,同源s.c./s.c.免疫诱导的全身IgG反应高于异源s.c./i.n.免疫,增加i.n.加强免疫中的疫苗剂量可增强该反应,但仍低于s.c./s.c.免疫后。然而,异源s.c./i.n.免疫具有诱导IgA反应的优势,与同源i.n./i.n.免疫相当。本研究表明,异源免疫方案可能是诱导早期全身和黏膜体液免疫反应的一种有吸引力的方法。
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