ContentslistsavailableatScienceDirect
Vaccine
jo u rn a l h o m e pa ge : w w w . e l s e v i e r . c o m / l o c a t e / v a c c i n e
Nasal
vaccination
with
attenuated
Salmonella
expressing
VapA:
TLR2
activation
is
not
essential
for
protection
against
R.
equi
infection
Silvia
Almeida
Cardoso
a,b,
Aline
Ferreira
Oliveira
c,
Luciana
Pereira
Ruas
a,b,
Marcel
Montels
Trevisani
a,
Leandro
Licursi
De
Oliveira
d,
Ebert
Seixas
Hanna
a,b,
Maria
Cristina
Roque-Barreira
a,
Sandro
Gomes
Soares
a,b,∗aDepartamentodeBiologiaCelulareMoleculareBioagentesPatogênicos,FaculdadedeMedicinadeRibeirãoPreto,USP,14049-900,Brazil bInventBiotecnologia,14040-900,Brazil
cDepartamentodeMicrobiologiaeImunologia,InstitutodeBiologia,UniversidadeEstadualdeCampinas(UNICAMP),Campinas13083-862,SP,Brazil dDepartamentodeBiologiaGeral,UniversidadeFederaldeVic¸osa(UFV),Vic¸osa36570-000,MG,Brazil
a
r
t
i
c
l
e
i
n
f
o
Articlehistory: Received6May2013
Receivedinrevisedform15July2013 Accepted25July2013
Available online 7 August 2013 Keywords: Rhodococcusequi Vectoredvaccine VapA AttenuatedSalmonella Toll-likereceptors
a
b
s
t
r
a
c
t
VirulentstrainsofRhodococcusequihavealargeplasmidof80–90kb,whichencodesseveral virulence-associated proteins (Vap), including VapA, alipoprotein highly associated withdisease. We have previouslydemonstratedthatoralimmunisationwithattenuatedSalmonellaentericaTyphimuriumstrain expressingtheantigenVapA(STMVapA+)inducesspecificandlong-termhumoralandcellular immu-nityagainstR.equi.ItwasshownthatVapAactivatesToll-likereceptor2(TLR2)onmacrophagesby establishinganinteractionthatultimatelyfavoursimmunityagainstR.equiinfection.Thepurposeof thisstudywastoevaluatetheimmuneresponsetriggeredbynasalimmunisationwithSTMVapA+and todeterminewhetherTLR2supportsthevaccineeffect.Wedevelopedanoptimisedprotocolforasingle nasalimmunisationthatconferredprotectionagainstR.equiinfectioninmice,whichwasmanifested byefficientR.equiclearanceinchallengedanimals.NasalvaccinationwithSTMVapA+hasalsoinduced protectioninTlr2−/−miceandmicewithnon-functionalTLR4.Moreover,spleencellsofvaccinatedmice augmentedT-betexpression,aswellastheproductionofIL-12,IFN-␥,nitricoxideandhydrogen perox-ide.Notably,thepopulationofCD4+Tcellswithmemoryphenotypesignificantlyincreasedinthespleens
ofvaccinatedmicechallenged1or5monthsafterimmunisation.Intheseanimals,thespleenbacterial burdenwasalsoreduced.WhensimilarexperimentalprocedureswereperformedinTLR2knockout mice,anincreaseinCD4+Tcellswithmemoryphenotypewasnotobserved.Consequently,weconclude
thatnasalvaccinationwithattenuatedSalmonellaexpressingtheR.equivirulencefactorVapAconfers long-lastingprotectionagainstexperimentalrhodoccocosisandthatTLR2engagementwasnotcrucial toinducethisprotectionbutmayberequiredforalong-termimmuneresponse.
© 2013 Elsevier Ltd. All rights reserved.
1. Introduction
Rhodococcusequiisasoilorganismdistributedworldwidethat infectsfoalsaged1–6monthsandcausesseveregranulomatous pneumonia[1].AsR.equisurvivesandreproducesinsidehostcells, pneumoniacausedbythispathogenmustbetreatedwithlipophilic drugsoveraprolongedperiodoftime[2].Currently,novaccines areavailable,althoughseveralimmunisationstrategieshavebeen testedtopreventrhodococcosis[3].
∗ Correspondingauthorat:InventBiotecnologia,IncubadoraSupera,USP,Av. Bandeirantes,3900,14040-900RibeirãoPreto,SP,Brazil.Tel.:+551681370617.
E-mailaddresses:soares@inventbiotech.com.br,soares@fmrp.usp.br
(S.G.Soares).
As R. equi harbours an 80–90-kb plasmid, proteins (Vaps) encodedbythisplasmidareconsideredgoodcandidatesfor vacci-nalantigens.VapAisthemostinvestigatedimmunogenencoded by this pathogenicity island and hasbeen reported toaccount for R. equi virulence[4,5] and elicit specific immune responses
[6,7]. In this context, our group has previously demonstrated that oral immunisation with live attenuated Salmonella enter-icaTyphimuriumexpressingVapA conferslong-termprotection againstR.equi.Protectionisduetotheinductionofstrongmucosal, humoralandcell-mediatedTh1-immunity,whichisappropriately regulated,asverifiedbytheprofileofcytokinesexpressedinthe organs of vaccinated miceafter bacterialchallenge [8,9].These promising resultshavemotivated ustoadvancestudies onthe vaccinalconceptionofVapA.
StudiesontheinnateimmuneresponsetoR.equihaveshown that infected macrophages with viable bacteria undergo NFkB
0264-410X/$–seefrontmatter © 2013 Elsevier Ltd. All rights reserved.
S.A.Cardosoetal./Vaccine31 (2013) 4528–4535 4529
translocationandproduceavarietyofpro-inflammatory media-tors,includingTNF,IL-12,andnitricoxide(NO).Thisresponsewas attributedtoa pathwaythatis stronglydependentonthe acti-vationofToll-likereceptor2(TLR2)butnotofTLR4.Aspurified VapAinducesresponsesthataresimilartothosetriggeredbythe wholebacteria,TLR2activationwasattributedtoitsinteraction withVapA.Theseobservationspromptedustoinvestigatewhether TLR2accountsforprotectionconferredbyvaccinationwithVapA.
Inthepresentstudy,westandardisedanewrouteand regi-menofimmunisationwiththeVapAantigeninthecontextofa Salmonella-vectoredvaccineandinvestigatedtherole thatTLR2 playsinthevaccineeffect.Wefoundthatnasalvaccinationofmice withasingledoseofVapA-expressingSalmonellaconfers protec-tionagainstR.equiinfectionviaamechanismthatdoesnotdepend onTLR2activation.Moreover,thevaccinationprocedure stimu-latesmemoryTCD4+cellsandpromotesspecificimmuneresponse
recall.
2. Materialsandmethods 2.1. Experimentalanimals
Groupsof femalemice, 6–8weeksof age,includingBALB/c, C3H/HeJ,C3H/HePAS,Tlr2−/− andwildtype (WT)C57BL/6mice (fivemicepergroup),werehousedunderspecificpathogen-free conditionsintheAnimalResearchFacilitiesoftheMedicalSchool ofRibeirãoPreto-USP.Thestudieswereconductedasrequiredby theEthicsCommitteeonAnimalResearchoftheUniversityofSão Paulo.
2.2. Bacterialstrains
TheattenuatedS.entericaTyphimurium3987strains,carrying eithertheVapAantigen(STMVapA+)ortheemptyvector(control VapA−),weregrownandpreparedfortheimmunisationof ani-malsasdescribedbyOliveiraetal.[9].ThevirulentstrainofR.equi (ATCC33701)wasgrownandthetitreofthechallengeinoculum wascalculatedasdescribedbyOliveiraetal.[8].
2.3. Immunisationandchallengeprotocol
Groupsofanimalswereimmunisedwithasingledoseortwo dosesofattenuatedSalmonellaharbouringtheVapAantigenvia intranasalroute(1×109 CFU,5L/animal).Asacontrol,groups
wereinoculatedwithattenuatedSalmonellacarryinganempty vec-toraccordingtothesameschedule.
ThechallengeswereconductedusinganATCCvirulent,R.equi strain3370130daysafterthefirstimmunisation. IntheBalb/c recallexperiments,theanimalswerechallenged5monthsafter immunisation.Incontrast,intheC57Bl/6recallexperiments,WT andTlr2−/−animalswerechallenged120daysafterimmunisation. Organswerecollected5daysafterchallengeforR.equiclearance evaluationandotheranalysesasdescribedbelow.
2.4. Estimationofbacterialclearanceintheorgansofinfected mice
QuantificationofviableR.equirecoveredfromthespleenand liverofchallengedmicewasperformedonday5post-infectionas reportedelsewhere[8].Briefly,30daysafterthefirst immunisa-tionprocedurewithSTMVapA+,micewereinfectedwith4×106
CFUs(ColonyForming Units)ofvirulent R.equi viaintravenous route.Fivedaysafterthechallenge,spleenandliverwerecollected andasepticallyhomogenised.TodeterminethenumberofCFUs,
aliquotsof100LofthehomogenateswereseriallydilutedinPBS, platedontoBHIagarinduplicate,andincubatedat37◦Cfor36h.
2.5. Detectionofcytokinesinspleenhomogenates
Spleen homogenatesampleswereanalysed viaELISAfor IL-12p40,INF-␥,andTNF-␣usingcommerciallyavailablekits(OptEIA set;Pharmingen,SanDiego,CA,USA).Theassayswereperformed accordingtothemanufacturer’srecommendations.
2.6. RealtimequantitativePCRanalysis
TotalcellularRNAwasextractedfromspleencellsamplesusing TRIzolReagent(InvitrogenLifeTechnologies,Carlsbad,CA,USA) accordingtothemanufacturer’srecommendations.RealtimePCR wasperformedaspreviouslydescribedbyOliveiraetal.[9]using primersforGATA-3,T-bet,TLR2,and-actin.
2.7. Flowcytometryanalysis
Stainingforflowcytometrywasperformedonspleencells iso-latedfromimmunisedand controlmice30days post-infection. Afterharvestingthespleencells,1×106 cellswerewashedwith
ice-coldPBSandincubatedfor30minat4◦Cwith0.5gof anti-CD16/CD32mAb(Fcblock,clone2.4G2,BDPharmingen,SanDiego, CA).Next,thecellswereincubatedforover30minuteswith5gof phycoerythrin-conjugatedanti-CD62L,fluorescein isothiocyanate-conjugatedanti-CD44,anti-TLR2,andPECy5-conjugatedanti-CD3 (BDPharmingen,SanDiego,CA).Washingstepswereperformed withPBS0.5%BSAandthecellswerethensubmittedfor analy-sisonaGuavaflowcytometer(Millipore,Billerica,MA,USA)using GuavaCytoSoftversion4.2.1(Millipore,Billerica,MA,USA). 2.8. Statisticalanalysis
Statistical analysis (one-way analysis of variance) was per-formedin conjunctionwiththeTukeymultiplecomparisontest usingGraphPadPrismversion5.00(GraphPadSoftware,SanDiego, CA,USA).TheresultsarepresentedasthemeanandSE.Differences betweengroupswereconsideredsignificantatthelevelofp<0.05. 3. Results
3.1. NasalimmunisationwithSTMVapA+protectsmiceagainst R.equiinfection
Ourpreviousstudieshavedemonstratedthatoral immunisa-tionofBalb/cmicewithliveattenuatedS.entericaTyphimurium (STM)expressingVapAantigen(STMVapA+)isaneffectivestrategy toinduceprotectionagainstR.equiinfection[8,9].Inthepresent study,weperformednasalimmunisationofBalb/cmicewitha sin-gledoseortwodosesoftheSTMVapA+.Bothproceduresresulted inasignificantreductionintheR.equiburdeninthespleenandliver ofmicechallenged30daysafterthefirstimmunisationcompared withtheorgansofanimalsinjectedwithcontrolVapA−(negative control)(Fig.1AandB).Becausebothimmunisationregimens pro-motedcomparableR.equi clearance,theprotocolusingasingle nasalinoculationofSTMVapA+waselectedforsubsequent exper-iments.
Tooptimisethequantityof thevaccineinoculum,groups of Balb/cmicewereimmunisedwithdifferentdosesofSTMVapA+ (102–109)and challengedwithR.equi 30days after
immunisa-tion.AsignificantreductioninsplenicR.equiburdenwasobserved whentheinoculumoftheVapA+vaccinestrainwasatleast107
Fig.1. NasalimmunisationwithSTMVapA+reducesR.equiburdenininfectedmice.Balb/cmicewereimmunisedwithasingledoseortwodosesofattenuatedSalmonella entericaTyphimuriumcarryingVapAantigen(STMVapA+).Allanimalswereeuthanisedonday5afterinfection,andR.equiburdenwasevaluatedinthespleen(A)and liver(B).PanelCshowstherecoveringofR.equifromthespleenoftheanimalsthatwereimmunisedwithasingledoseofvariousvaccineinoculum.AttenuatedSalmonella carryingemptyvectorwasusedasanegativecontrol(Control).Datarepresentthemean±SE,n=5animals.#p<0.05.
3.2. NasalimmunisationwithSTMVapA+inducesTh1immunity Toevaluatewhethertheprotectionconferredwiththenovel vaccinationprocedurewasassociatedwiththedevelopmentofTh1 immunityaspreviouslyverifiedfororalvaccination,weassessed thelevelofsomemediatorsinthespleensofmiceimmunisedwith theSTMVapA+strainandchallengedtheanimalswithR.equi.IL-12 (Fig.2A),nitricoxide(Fig.2B)andhydrogenperoxidelevels(Fig.2C) weresignificantlyhigherinthespleentissueofVapA+-immunised mice,whilethelevelsofTNF-␣remainedlower(Fig.2D).
Tobettercharacterisethe immune responseinduced bythe vaccinationprocedure, wedetermined themRNAlevelsforthe transcriptionfactorsGATA-3andT-bet30daysafter immunisa-tion.Comparedwiththenegativecontrols,i.e.,miceinjectedwith controlVapA−orPBS,miceimmunisedwithSTMVapA+displayed higherlevelsofT-betmRNA(Fig.2E)andlowerlevelsofGATA-3 mRNA(Fig.2F).Similaranalyseswereperformed5daysafter chal-lenging,andnodifferenceinthelevelsofT-betmRNAwasobserved amongallgroups(Fig.2E).GATA-3mRNAlevelsremainedlowerin vaccinated/challengedanimals(Fig.2F).
3.3. NasalimmunisationwithSTMVapA+inducesmemoryTcells andimmuneresponserecall
ToevaluatetheinductionofTcellswithmemoryphenotype vianasalvaccinationwithSTMVapA+,wehaveassessedthe fre-quencyofcellsco-expressingCD3,CD62LandCD44(high)markers, whichcharacteriseTcellswithmemoryphenotype,30daysafter immunisation.Thispopulation,accordingtotheflowcytometric analysis,waslargerinthespleensofvaccinatedmicecompared withthecontrolgroups(Fig.3A).Wealsoinvestigatedwhetherthe
expansionofthepopulationofcellswasassociatedwithimmune response recall. Accordingly, Balb/c mice were immunised and challenged5monthslater.Next,spleenandliverwerecollected foranalysis5daysafterchallenge.Ourresultsdemonstratea sig-nificantdecreaseinR.equiburdeninthegroupimmunisedwith STMVapA+(Fig.3BandC).
3.4. TLR-2expressionisupregulatedafterimmunisationand downregulatedafterchallenge
It is wellestablishedthat VapA canactivate Toll-like recep-tor2;thisinteractionisconsideredamajormechanisminvolved intriggeringspecificimmuneresponsestoR.equi.Therefore,the expressionlevelsofTLR2inthespleen cellsofmicevaccinated withSTMVapA+wereevaluatedviarealtimePCR(Fig.4A)and flowcytometry(Fig.4B),whichwascompared withthe expres-sionlevelsinthecellsofmiceinjectedwiththecontrolsVapA− orPBS.Thirtydaysafterimmunisation,micespleencellsdisplayed anincreaseinTLR2expressionlevels,asdemonstratedbyelevated mRNA(Fig.4A)andproteinlevels(Fig.4B).Fivedaysafterchallenge withR.equi,murinespleencellsdisplayedreducedTLR2expression levelssimilartothatdetectedinthenegativecontrolgroup. 3.5. ProtectionagainstR.equiconferredbySTMVapA+isnot dependentonTLR2
WefurtherinvestigatedtherolethatTLR2playsintheVapA+ vaccine-inducedprotectionagainstR.equiinfection.Accordingly, groupsofTLR2knockoutmice(C57Bl/6Tlr2−/−)orwildtypemice (WT)weretreatedwiththestandardvaccinationand challenge protocols. Asexpected, among all WT vaccinated mice, R. equi
S.A.Cardosoetal./Vaccine31 (2013) 4528–4535 4531
Fig.2. NasalimmunisationwithSTMVapA+inducesTh1-immunity.Balb/cmicewereimmunisedwithasingledoseofSTMVapA+andthelevelsofIL-12(A),nitricoxide (B),hydrogenperoxide(C)andTNF-␣(D)inthespleenwereevaluated.TherelativemRNAexpressionlevelsofT-bet(E)andGATA-3(F)werealsoanalysed.Attenuated Salmonellacarryingemptyvectorwasusedasnegativecontrol.Datarepresentthemean±SE,n=5animals.#p<0.05.
burdeninthespleen(Fig.5A)andliver(Fig.5B)waslessthanthat detectedintheorgansofnegativecontrolmiceinjectedwiththe controlsVapA−orPBS.Nonetheless,similarresultswereobtained withtheTlr2−/−group,therebyindicatingthatTLR2isnotessential fortheprotectionconferredbyourVapA+methodofvaccination
usingattenuatedSalmonella.Thisindicationwasreinforcedbythe factthatsimilarlevelsofIL-12(Fig.5C),IFN-␥(Fig.5D)andTNF␣ (Fig.5E)weredetectedinthespleentissueoftheTlr2−/−andWT animals.Additionally,theseresultsshowthatSTMVapA+ vaccina-tionofC57BL/6andBalb/cmiceisabletoconferprotectionagainst R.equiinfectionandinducesTh1immuneresponseasdenotedby increasedproductionofIL-12andIFN-␥.
Similarimmunisationandchallengeswereperformedinmice withnon-functionalTLR4(C3H/HeJ).Intheseanimals,R.equi clear-ance was comparable to that observed in the spleen (Fig. 5F) andliver(Fig.5G)ofvaccinatedmiceexpressingfunctionalTLR4 (C3H/HePAS).Thisresultindicatesthattheprotectionconferredby vaccinationwiththeSTMVapA+strainisalsoindependentofTLR4.
3.6. HighfrequencyofmemoryphenotypeCD4Tcellsis maintainedintheabsenceofTLR2
TounderstandthefunctionofTLR2inthenasal immunisation-mediated response, we investigated whethertheemergence of memoryTcellsinducedbyvaccinationcouldbeaffectedbythe absenceofTLR2.ThefrequencyofCD4+orCD8+Tcells
express-ingCD44high/CD62LwasmeasuredinthespleenofWTandTlr2−/−
mice30daysafterimmunisation.AsshowninFig.6A,vaccination ledtoanincreasedcellpopulationwithaCD4+CD62L+CD44+high
phenotype.Notably,thisincreasewassimilarforWTandTlr2−/− mice.Incontrast,thepopulationofCD8+CD62L+CD44+highcellswas
elevatedonlyinthespleensofvaccinatedWTmice,thereby indi-catingthatvaccinationhadnoeffectonthefrequencyofthesecells inTlr2−/−animals(Fig.6B).
Finally,weassessedthefrequencyofTcellswithmemory phe-notypeinchallengedanimals(120dayspost-immunisation).Inthis particular case, the CD4+CD62L+CD44+high populationremained
Fig.3. NasalimmunisationwithSTMVapA+increasesthesplenicpopulationofTcellswithmemoryphenotypeandtherecallofimmuneresponse.VaccinatedBalb/cmice withSTMVapA+werechallengedwithR.equi30daysafterimmunisation,andthefrequencyofCD3+/CD62L+/CD44highcells(A)wasanalysed.AsecondgroupofBalb/cmice
waschallenged5monthsafterimmunisationandevaluatedintermsofspleen(B)andliver(C)R.equiburden.AttenuatedSalmonellacarryingemptyvectorwasusedasa negativecontrol.Datarepresentthemean±SE,n=5animals.#p<0.05.
elevatedin WT,but notinTlr2−/− mice(Fig.6C).Regardingthe CD8+CD62L+CD44+highcells,nonoticeabledifferencewasdetected
amongallgroupsofanimals(Fig.6D).
4. Discussion
Variousstrategieshavebeenproposedforthedevelopmentofa safeandeffectivevaccineagainstrhodococcosis.Forinstance,the passiveimmunisationwithhyperimmuneplasma[10],vaccination procedureswithinactivatedR.equistrains[11],VapADNAvaccine
[12]and,morerecently,attenuatedR.equivaccine[13]havebeen reported.However,noneoftheseapproacheshaveprovidedan effi-cientmethodtocontrolthedisease.Amongthedifferentstrategies ofvaccinationforintracellularpathogens,a promisingapproach maybetheuseofliveoralvaccines.Inthiscontext,ourgrouphas
demonstratedthatoralimmunisationwithanattenuatedS.enterica TyphimuriumstrainexpressingtheVapAproteininduces protec-tionagainstexperimentalrhodococcosisinmice[8].Morerecently, wehavedemonstratedthattheoralimmunisationprotocolinduces a strongandspecifichumoral andcell-mediated Th1-immunity againsttheheterologousantigen,withanappropriateregulatory responseandalong-termprotectionagainstR.equiinfection[9].In thepresentwork,wereportthatnasaldeliveryisaneffectiveroute forimmunisation,whichconfersprotectionwithasingledoseof thevaccine.Wehavealsoverifiedthatnasalvaccinationinduces aTh1immuneresponse,whichisasprotectiveandspecificasthe oralimmunisation[9].
Nasalroutehasbeenproposedasanalternativeroutefor vacci-nationduetoeaseoftheprocessofimmunisationandthepresence of nasopharynx-associatedlymphoidtissue (NALT).Aswiththe Peyer’s patches,NALTaccomplishestherequirementstoinduce
Fig.4.NasalvaccinationwithSTMVapA+enhancesTLR2+expressionlevelsinspleencells,whichisrevertedbyR.equichallenge.TherelativeexpressionlevelsofTLR2 mRNAinthespleencellsofvaccinatedBalb/cmiceeitherunchallengedorchallengedorwithR.equiisshowninpanelA.PanelBshowstherelativefrequencyofspleen cellspositiveforTLR2stainingasdetectedviaflowcytometry.AttenuatedSalmonellaharbouringemptyvectorwasusedasanegativecontrol.In(A),cDNAcontentwas normalisedonthebasisofpredetermined-actinlevels.Datarepresentthemean±SEM(n=5animals).#p<0.01.In(B),datarepresentthemean±SE.#p<0.05.
S.A.Cardosoetal./Vaccine31 (2013) 4528–4535 4533
Fig.5.ProtectioninducedbynasalvaccinationwithSTMVapA+isindependentofTLR2activation.WTandTlr2−/−C57BL/6micewerechallengedwithR.equi30daysafter
vaccinationwithSTMVapA+.Fivedaysafterchallenge,R.equiburdeninthespleen(A)andliver(B)wasevaluated.Thespleentissuewasalsoanalysedforthelevelsof IL12p40(C),IFN-␥(D),andTNF-␣(E).SimilarexperimentalprocedureswereperformedwithC3H/HePASandC3H/HeJmice;R.equiburdenwasassessedinthespleen(F) andliver(G)samples.AttenuatedSalmonellacarryingemptyvectorwasusedasanegativecontrol.Thebarsrepresentthemean±SEM(n=5animals).#p<0.05.
andregulateaprotectiveimmuneresponse,whichinvolvesMcells, APCs,TcellsandBcells[14].Nonetheless,NALTischaracterisedas aTh0environment, whichcanberevertedtoeitherTh1orTh2 proneambiance[15].Althoughtheoraladministrationisa nat-uralroutefor Salmonella-basedvaccines,theintranasaldelivery
allowsfor theimmunogentoreachthesame organs,including thelungsandPeyer’spatchesand,asaconsequence,caninduce serologicandproliferativeresponses[16].Currently,Kimetal.[17]
havedemonstratedthatattenuatedSalmonellaTyphimuriumisan efficientcarrierofheterologousantigens,whichisabletoinvolve
Fig.6. NasalimmunisationwithSTMVapA+inducesincreasedfrequencyandrecallofCD4+TcellswithmemoryphenotypeviaaTLR2-dependentmechanism.Immunised
WTandTlr2−/−C57BL/6micewerechallengedwithR.equi30days(panelsAandB)or120days(panelsCandD)aftervaccination.ThefrequenciesofCD4+/CD62L+/CD44high
(AandC)andCD8+/CD62L+/CD44highcells(BandD)wereassessedviaflowcytometryinspleensamples.AttenuatedSalmonellacarryingemptyvectorwasusedasanegative
control.Thebarsrepresentthemean±SEM(n=5animals).#p<0.05.
Mcellsinnasopharynxandtracheobronchiallymphoidtissueand inducelocalandsystemic-specificimmuneresponses.Such find-ingshavemotivatedseveralgroupstodevelopSalmonella-vectored vaccinesforadministeredvianasalrouteinmice[18,19]andmares
[20].
Darrah and co-workers [21] have demonstrated that the lipoproteinVapAactivatesmacrophageTLR2,areceptorthatisa majormediatoroftheinnateresponsetoR.equi.Therefore,along withtheknowledgethatTLR2activationfavoursthe differentia-tionofTh1cells,it islikely thatthis receptorcouldplaya role intheprotectionconferredbySalmonella-expressingVapAused herein.Thisideawasreinforcedwiththefactthatvaccination ele-vatedTLR2expressionlevelsonmurinemacrophages.However, thehighTLR2expressionlevelswerenotmaintainedwhenthe immunisedmicewerechallenged withR. equi.Withregardsto thisfindings,theymightberelatedto(i)asupposedTLR2 inter-nalisation,whichaccompaniestheinternalisationofR.equior(ii) triggeringasignalviaTLR2activation,therebyinducinganegative feedbackmechanismabletocontrolinflammationafterchallenge. ThelatterassumptionissupportedbytheobservationthatTNF-␣ levelsalsodecreasedafterR.equichallenge.
ActivationofTLRsdirectlymodulatesTcellbiology[22–24].In thiscontext,alterationofTLR2expressionlevelsbythesecellscould affectvaccineefficiencyandthefrequencyofTcellpopulations. Surprisingly,theresultsofprotectionwiththeSTMVapA+vaccine weresomewhatsimilarforboththeWTandtheTlr2−/−animals, asshownbyasimilarreductioninR.equiburdeninthespleenand liver.Furthermore,thepopulationofCD4+ Tcellswithmemory
phenotypewassimilarlyexpandedinTlr2−/−andWTvaccinated mice.ThefrequencyofCD8+Tcellswithmemoryphenotype;
how-ever,wasonlygreaterinWTmiceaftervaccination.Theseresults are supportedby thestudy of Cottalorda and co-workers [25], whichdemonstratedthatTLR2playsacriticalroleinthe gener-ationofmemoryCD8+Tcells.OurresultsindicatethatCD4+Tcells
playamajorroleinR.equiimmunity.Thisisinagreementwith thefactthatactivatedCD4+TcellsexpressTLR3andTLR9butnot
TLR2andTLR4[24].Followingvaccination,activationofCD4+T
cellsoccursindependentoftheirdirectinteractionwithVapAor Salmonellacomponents.
OurresultsdonotexcludethepossibilitythatTLR2might par-ticipateintheprotectiveresponseagainstR.equiinducedbySTM VapA+.Acloserexaminationofourresultsrevealsthatvaccinated WTmicedisplayedareducedbacterialburdenofalmost3logs, whilethevaccinatedTlr2−/− micedisplayedareducedburdenof approximately1.5logs.Thus,theVapAantigen,inthecontextof theSalmonellacell,isabletoinduceaprotectiveimmuneresponse viaapathwaythatisindependentofTLR2activation. Neverthe-less,TLR2seemstoactsynergisticallytomountastrongprotective responseagainstR.equi.
TheexactmechanismbywhichtheVapA+antigenispresented bytheattenuatedSalmonellaremainsunclear.S.entericaserovars survive inside the hostcells. Although attenuated strains were shown tobeunable tocausedisease,theyretain theability to colonisethehosttissueandtriggercertainsignalsinthecontextof thehostcells.Likewise,R.equiisanintracellularpathogenand nat-uralinfectionshouldbemimickedviavaccinationwithSTMVapA+, whichhastheadvantageofprovidingbetterconditionsfor presen-tationoftheVapAantigen.Suchpresentationseemstobecrucial, as VapA ishighly associated withR. equi virulenceand thus is extensivelydescribedasagoodantigenforvaccination.Currently, manystrategieshavebeenproposedbasedontheimmunity devel-opedagainstVapA,butonlyfewofstrategieswereconsideredto havepotentialforvaccineapplication.Theresultspresentedherein suggestthatthe3987attenuatedstrainofSalmonellaisan effi-cientcarrierfororalornasalimmunisationwithVapA.Thevaccine stimulatesantigen-specificCD4+Tcellswithouttheparticipation
ofTLR2and leadstoa profileof immuneresponsethat confers resistancetotheR.equiinfection.Mostimportantly,theefficient
S.A.Cardosoetal./Vaccine31 (2013) 4528–4535 4535
clearanceofR.equifromtheorgansofvaccinatedmiceandthe long-termrecallofimmunityindicatethatthestrategyusedhereinmay beapplicableforvaccinationagainstrhodococcosis.
Acknowledgments
WewouldliketothankSandraO.Thomazand Patricia Ven-druscolofortechnicalsupport.Thisstudywasinpartsupported bygrantsfromFAPESP(05/50460-1)andCNPq(154963/2006-2). S.A.C.wasaPhDfellowofCAPES,andMCRBisseniorfellowofCNPq. Contributors:S.A.C.andS.G.S.designedexperiments,performed assays,interpreteddataandwrotethemanuscript.A.F.O.designed experimentsandperformedassayswithTLR2KOmice.M.M.T. per-formedassayswithTLR4-deficientanimals.L.P.R.performedPCR andflowcytometryanalysis.L.L.O.,M.C.R.B.andE.S.H.interpreted dataandcontributedtothemanuscript.Competinginterests:The technologydescribedinthispaperissubjecttopendingpatents. Thedata andmaterials described hereinadheretothe Vaccine journalpoliciesforacademic,non-commercialresearch.
References
[1]Cornish N,Washington JA. Rhodococcus equiinfections: clinical features and laboratory diagnosis. Current Clinical Topics in Infectious Diseases 1999;19:198–215.
[2]PrescottJF.Rhodococcusequi:ananimalandhumanpathogen.Clinical Micro-biologyReviews1991;4:20–34.
[3]GiguèreS,CohenND,ChaffinMK,HinesSA,HondalusMK,PrescottJF,etal. Rhodococcusequi:clinicalmanifestations,virulence,andimmunity.Journalof VeterinaryInternalMedicine2011;25(6):1221–30.
[4]Takai S,KoikeK,Ohbushi S,IzumiC, Tsubaki S.Identificationof 15-to 17-kilodaltonantigensassociatedwithvirulentRhodococcusequi.Journalof ClinicalMicrobiology1991;29:439–43.
[5]JainS,BloomBR,HondalusMK.DeletionofvapAencodingvirulence asso-ciatedproteinAattenuatestheintracellularactinomyceteRhodococcusequi. MolecularMicrobiology2003;50:115–28.
[6]Hooper-McGrevyKE,GiguereS,WilkieBN,PrescottJF.Evaluationofequine immunoglobulinspecificRhodococcusequivirulence-associatedproteinsAand CforuseinprotectingfoalsagainstRhodococcusequi-inducedpneumonia. AmericanJournalofVeterinaryResearch2001;62:1307–13.
[7]Taouji S,Nomura I, Giguere S,Tomomitsu S,Kakuda T,Ganne V, etal. ImmunogenicityofsyntheticpeptidesrepresentingBcellepitopesofVapA ofRhodococcusequi.Vaccine2004;22:1114–22.
[8]OliveiraAF,FerrazLC,BrocchiM,Roque-BarreiraMC.Oraladministration ofaliveattenuatedSalmonellavaccinestrainexpressingtheVapAprotein inducesprotectionagainstinfectionbyRhodococcusequi.Microbesand Infec-tion2007;9:382–90.
[9]OliveiraAF,RuasLP,CardosoAS,SoaresSG,Roque-BarreiraMC.Vaccinationof micewithSalmonellaexpressingVapA:mucosalandsystemicTh1responses provideprotectionagainstRhodococcusequiinfection.PLoSONE2010;5:1–12.
[10]PrescottJF,NicholsonVM,PattersonMC,ZandonaMeleiroMC,Caterinode AraujoA,YagerJA,etal.UseofRhodococcusequivirulence-associated pro-teinforimmunizationoffoalsagainstR.equipneumonia.AmericanJournalof VeterinaryResearch1997;58:356–9.
[11]VargaJ,FodorL,RusvalM,SoosI,MakraiL.PreventionofRhodococcusequi pneumoniaoffoalsusingtwodifferentinactivatedvaccines.Veterinary Micro-biology1997;56:205–12.
[12]HaghighiHR,PrescottJF.AssessmentinmiceofVapA-DNAvaccinationagainst Rhodococcusequiinfection.VeterinaryImmunologyandImmunopathology 2005;104:215–25.
[13]vanderGeizeR,GrommenAWF,HesselsGI,JacobsAAC,DijkhuizenL.The steroid catabolicpathway ofthe intracellularpathogen Rhodococcusequi is importantforpathogenesisandatargetforvaccinedevelopment.PLoS Pathogens2011;7(8):e1002181.
[14]KiyonoH,FukuyamaS.NALT-versusPeyer’s-patch-mediatedmucosal immu-nity.NatureReviewsImmunology2004;4:699–710.
[15]HiroiT,IwataniK,IijimaH,KodamaS,YanagitaM,KiyonoH.Nasalimmune system:distinctiveTh0andTh1/Th2typeenvironmentsinmurine nasal-associatedlymphoidtissuesandnasalpassage,respectively.EuropeanJournal ofImmunology1998;28(10):3346–53.
[16]PasettiMF,PickettTE,LevineMM,SzteinMB.Acomparisonofimmunogenicity andinvivodistributionofSalmonellaentéricaserovarTyphiandTyphimurium livevectorvaccinesdeliveredbymucosalroutesinthemurinemodel.Vaccine 2000;18(28):3208–13.
[17]KimDY,SatoA,FukuyamaS,SagaraH,NagatakeT,KongIG,etal.Theairway antigensamplingsystem:respiratoryMcellsasanalternativegatewayfor inhaledantigens.JournalofImmunology2011;186(7):4253–62.
[18]RocheJK,RojoAL,CostaLB,SmeltzR,ManqueP,WoehlbierU,etal.Intranasal vaccinationinmicewithanattenuatedSalmonellaentericaSerovar908htrA expressingCp15ofCryptosporidium:impactofmalnutritionwithpreservation ofcytokinesecretion.Vaccine2013;31(6):912–8.
[19]Scavone P,UmpiérrezA,MaskellDJ,ZuninoP. Nasalimmunizationwith attenuatedSalmonellaTyphimuriumexpressinganMrpA-TetCfusionprotein significantlyreducesProteusmirabiliscolonizationinthemouseurinarytract. JournalofMedicalMicrobiology2011;60(Pt.7):899–904.
[20]CauseyRC,ArtiushinSC,CrowleyIF,WeberJA,HomolaAD,KelleyA,etal. Immunisation ofthe equine uterus againstStreptococcus equisubspecies zooepidemicususinganintranasalattenuatedSalmonellavector.Veterinary Journal2010;184(2):156–61.
[21]Darrah PA, Monaco MCG, Jain S, Hondalus MK, Golenbock DT, Mosser DM.InnateimmuneresponsestoRhodococcusequi.JournalofImmunology 2004;173:1914–24.
[22]CottalordaA,VerscheldeC,MarcaisA,TomkowiakM,MusetteP,Uematsu S,etal.TLR2engagementonCD8Tcellslowersthethresholdforoptimal antigen-inducedTcellactivation.EuropeanJournalofImmunology2006;36: 1684–93.
[23]Komai-Koma M, Jones L, Ogg GS, Xu D, Liew FY. TLR2 is expressed on activated T cells as a costimulatory receptor. Proceedings of the NationalAcademy ofSciencesoftheUnitedStatesofAmerica2004;101: 3029–34.
[24]GelmanAE, ZhangJ, ChoiY,Turka LA.Toll-likereceptorligandsdirectly promote activatedCD4+Tcellsurvival.JournalofImmunology2004;172:
6065–73.
[25]CottalordaA,MercierBC,Mbitikon-KoboFM,ArpinC,TeohDY,McMichael A,etal.TLR2engagementonmemoryCD8+Tcellsimprovestheir cytokine-mediated proliferation and IFN-gamma secretion in the absence of Ag. EuropeanJournalofImmunology2009;39:2673–81.