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Choy RKM, Bourgeois AL, Ockenhouse CF, Walker RI, Sheets RL, Flores J. Controlled Human Infection Models To Accelerate Vaccine Development. Clin Microbiol Rev 2022; 35:e0000821. [PMID: 35862754 PMCID: PMC9491212 DOI: 10.1128/cmr.00008-21] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
The timelines for developing vaccines against infectious diseases are lengthy, and often vaccines that reach the stage of large phase 3 field trials fail to provide the desired level of protective efficacy. The application of controlled human challenge models of infection and disease at the appropriate stages of development could accelerate development of candidate vaccines and, in fact, has done so successfully in some limited cases. Human challenge models could potentially be used to gather critical information on pathogenesis, inform strain selection for vaccines, explore cross-protective immunity, identify immune correlates of protection and mechanisms of protection induced by infection or evoked by candidate vaccines, guide decisions on appropriate trial endpoints, and evaluate vaccine efficacy. We prepared this report to motivate fellow scientists to exploit the potential capacity of controlled human challenge experiments to advance vaccine development. In this review, we considered available challenge models for 17 infectious diseases in the context of the public health importance of each disease, the diversity and pathogenesis of the causative organisms, the vaccine candidates under development, and each model's capacity to evaluate them and identify correlates of protective immunity. Our broad assessment indicated that human challenge models have not yet reached their full potential to support the development of vaccines against infectious diseases. On the basis of our review, however, we believe that describing an ideal challenge model is possible, as is further developing existing and future challenge models.
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Affiliation(s)
- Robert K. M. Choy
- PATH, Center for Vaccine Innovation and Access, Seattle, Washington, USA
| | - A. Louis Bourgeois
- PATH, Center for Vaccine Innovation and Access, Seattle, Washington, USA
| | | | - Richard I. Walker
- PATH, Center for Vaccine Innovation and Access, Seattle, Washington, USA
| | | | - Jorge Flores
- PATH, Center for Vaccine Innovation and Access, Seattle, Washington, USA
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Delbecq S. Major Surface Antigens in Zoonotic Babesia. Pathogens 2022; 11:pathogens11010099. [PMID: 35056047 PMCID: PMC8780968 DOI: 10.3390/pathogens11010099] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 01/06/2022] [Accepted: 01/11/2022] [Indexed: 11/16/2022] Open
Abstract
Human babesiosis results from a combination of tick tropism for humans, susceptibility of a host to sustain Babesia development, and contact with infected ticks. Climate modifications and increasing diagnostics have led to an expanded number of Babesia species responsible for human babesiosis, although, to date, most cases have been attributed to B. microti and B. divergens. These two species have been extensively studied, and in this review, we mostly focus on the antigens involved in host–parasite interactions. We present features of the major antigens, so-called Bd37 in B. divergens and BmSA1/GPI12 in B. microti, and highlight the roles of these antigens in both host cell invasion and immune response. A comparison of these antigens with the major antigens found in some other Apicomplexa species emphasizes the importance of glycosylphosphatidylinositol-anchored proteins in host–parasite relationships. GPI-anchor cleavage, which is a property of such antigens, leads to soluble and membrane-bound forms of these proteins, with potentially differential recognition by the host immune system. This mechanism is discussed as the structural basis for the protein-embedded immune escape mechanism. In conclusion, the potential consequences of such a mechanism on the management of both human and animal babesiosis is examined.
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Affiliation(s)
- Stephane Delbecq
- Centre de Biologie Structurale, Faculté de Pharmacie, University of Montpellier, UMR CNRS 5048, 34090 Montpellier, France
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Flores DA, Rodriguez AE, Tomazic ML, Torioni de Echaide S, Echaide I, Zamorano P, Langellotti C, Araujo FR, Rolls P, Schnittger L, Florin-Christensen M. Characterization of GASA-1, a new vaccine candidate antigen of Babesia bovis. Vet Parasitol 2020; 287:109275. [PMID: 33091630 DOI: 10.1016/j.vetpar.2020.109275] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Revised: 10/12/2020] [Accepted: 10/13/2020] [Indexed: 01/03/2023]
Abstract
Surface proteins bound to the cell membrane by glycosylphosphatidylinositol (GPI) anchors are considered essential for the survival of pathogenic protozoans. In the case of the tick-transmitted hemoparasite Babesia bovis, the most virulent causative agent of bovine babesiosis, the GPI-anchored proteome was recently unraveled by an in silico approach. In this work, one of the identified proteins, GASA-1 (GPI-Anchored Surface Antigen-1), was thoroughly characterized. GASA-1 is 179 aa long and has the characteristic features of a GPI-anchored protein, including a signal peptide, a hydrophilic core and a hydrophobic tail that harbors a GPI anchor signal. Transcriptomic analysis shows that it is expressed in pathogenic and attenuated B. bovis strains. Notably, the gasa-1 gene has syntenic counterparts in B. bigemina and B. ovata, which also encode GPI-anchored proteins. This is highly unusual since all piroplasmid GPI-anchored proteins described so far have been found to be species-specific. Sequencing of gasa-1 alleles from B. bovis geographical isolates originating from Argentina, USA, Brazil, Mexico and Australia showed over 98 % identity in both nucleotide and amino acid sequences. A recombinant form of GASA-1 (rGASA-1) was generated in E. coli and anti-rGASA-1 antibodies were raised in mice. Fixed and live immunofluorescence assays showed that GASA-1 is expressed in in vitro cultured B. bovis merozoites and surface-exposed. Moreover, incubation of B. bovis in vitro cultures with anti-GASA-1 antibodies partially, but significantly, reduced erythrocyte invasion, indicating that this protein bears neutralization-sensitive antibody epitopes. Splenocytes of rGASA-1-inoculated mice showed a specific proliferative response when exposed to the recombinant protein, indicating that GASA-1 bears T-cell epitopes. Finally, sera from a group of B. bovis-infected cattle reacted with the recombinant protein, demonstrating that GASA-1 is expressed during natural infection of bovines with B. bovis, and suggesting that it is immunodominant. The high degree of conservation among B. bovis isolates and the presence of syntenic genes in other Babesia species suggest a relevant role of GASA-1 and GASA-1-like proteins for parasite survival, especially considering that, due to their surface location, they are exposed to the selection pressure of the host immune system. The highlighted features of GASA-1 make it an interesting candidate for the development of vaccines against bovine babesiosis.
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Affiliation(s)
- Daniela A Flores
- Instituto de Patobiologia Veterinaria, Centro de Investigaciones en Ciencias Veterinarias y Agronomicas (CICVyA), Instituto Nacional de Tecnologia Agropecuaria (INTA), Hurlingham, Argentina; Consejo Nacional de Investigaciones Cientificas y Tecnologicas (CONICET), Buenos Aires, Argentina
| | - Anabel E Rodriguez
- Instituto de Patobiologia Veterinaria, Centro de Investigaciones en Ciencias Veterinarias y Agronomicas (CICVyA), Instituto Nacional de Tecnologia Agropecuaria (INTA), Hurlingham, Argentina
| | - Mariela L Tomazic
- Instituto de Patobiologia Veterinaria, Centro de Investigaciones en Ciencias Veterinarias y Agronomicas (CICVyA), Instituto Nacional de Tecnologia Agropecuaria (INTA), Hurlingham, Argentina; Consejo Nacional de Investigaciones Cientificas y Tecnologicas (CONICET), Buenos Aires, Argentina
| | | | - Ignacio Echaide
- Estacion Experimental Agricola Rafaela, INTA, Santa Fe, Argentina
| | - Patricia Zamorano
- Instituto de Patobiologia Veterinaria, Centro de Investigaciones en Ciencias Veterinarias y Agronomicas (CICVyA), Instituto Nacional de Tecnologia Agropecuaria (INTA), Hurlingham, Argentina; Instituto de Virologia e Innovaciones Tecnologicas, CICVyA, INTA, Argentina
| | - Cecilia Langellotti
- Instituto de Patobiologia Veterinaria, Centro de Investigaciones en Ciencias Veterinarias y Agronomicas (CICVyA), Instituto Nacional de Tecnologia Agropecuaria (INTA), Hurlingham, Argentina; Instituto de Virologia e Innovaciones Tecnologicas, CICVyA, INTA, Argentina
| | | | - Peter Rolls
- Department of Agriculture & Fisheries, Tick Fever Centre, Queensland, Australia
| | - Leonhard Schnittger
- Instituto de Patobiologia Veterinaria, Centro de Investigaciones en Ciencias Veterinarias y Agronomicas (CICVyA), Instituto Nacional de Tecnologia Agropecuaria (INTA), Hurlingham, Argentina; Consejo Nacional de Investigaciones Cientificas y Tecnologicas (CONICET), Buenos Aires, Argentina
| | - Monica Florin-Christensen
- Instituto de Patobiologia Veterinaria, Centro de Investigaciones en Ciencias Veterinarias y Agronomicas (CICVyA), Instituto Nacional de Tecnologia Agropecuaria (INTA), Hurlingham, Argentina; Consejo Nacional de Investigaciones Cientificas y Tecnologicas (CONICET), Buenos Aires, Argentina.
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Elguero ME, Tomazic ML, Montes MG, Florin-Christensen M, Schnittger L, Nusblat AD. The Cryptosporidium parvum gp60 glycoprotein expressed in the ciliate Tetrahymena thermophila is immunoreactive with sera of calves infected with Cryptosporidium oocysts. Vet Parasitol 2019; 271:45-50. [PMID: 31303202 DOI: 10.1016/j.vetpar.2019.06.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Revised: 06/07/2019] [Accepted: 06/10/2019] [Indexed: 11/27/2022]
Abstract
Cryptosporidium parvum is a protozoan parasite of the phylum Apicomplexa responsible for cryptosporidiosis in calves, a disease that causes significant diarrhea and impairs gain of body weight, generating important production losses. As to now, no effective drugs or vaccines are available for the treatment or prevention of bovine cryptosporidiosis. Several reports suggest that development of a vaccine to prevent cryptosporidiosis is feasible, but relatively few vaccine candidates have been characterized and tested. The most prominent C. parvum antigen is gp60, an O-glycosylated mucin-like protein tethered to the parasite membrane by a glycosylphosphatidylinositol (GPI) anchor. Gp60 has been shown to be involved in essential mechanisms for the survival of C. parvum, such as recognition, adhesion to, and invasion of host cells. This work was aimed at expressing gp60 in Tetrahymena thermophila, a ciliated protozoon with numerous advantages for the heterologous expression of eukaryotic proteins, as a first approach for the development of a recombinant vaccine for bovine cryptosporidiosis. T. thermophila-expressed gp60 localized to the protozoon cell surface and oral apparatus, and partitioned into the Triton X-114 detergent phase. This indicates that the protein entered the reticuloendothelial system of the ciliate, and suggests it contains a GPI-anchor. Homogenates of gp60-expressing T. thermophila cells were recognized by sera from calves naturally infected with C. parvum demonstrating their immunoreactivity. In summary, the heterologous expression of gp60, a C. parvum-encoded GPI-anchored protein, has been successfully demonstrated in the ciliate T. thermophila.
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Affiliation(s)
- María E Elguero
- Universidad de Buenos Aires, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Instituto de Nanobiotecnología (NANOBIOTEC), Facultad de Farmacia y Bioquímica, Junín, 956 (C1113AAD), Ciudad Autónoma de Buenos Aires, Argentina
| | - Mariela L Tomazic
- Instituto Nacional de Tecnología Agropecuaria. CONICET. Instituto de Patobiología Veterinaria (IPVET), CICVyA, Hurlingham, Prov. de Buenos Aires, Argentina; CONICET, Ciudad Autónoma de Buenos Aires, Argentina
| | - María G Montes
- Universidad de Buenos Aires, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Instituto de Nanobiotecnología (NANOBIOTEC), Facultad de Farmacia y Bioquímica, Junín, 956 (C1113AAD), Ciudad Autónoma de Buenos Aires, Argentina
| | - Mónica Florin-Christensen
- Instituto Nacional de Tecnología Agropecuaria. CONICET. Instituto de Patobiología Veterinaria (IPVET), CICVyA, Hurlingham, Prov. de Buenos Aires, Argentina; CONICET, Ciudad Autónoma de Buenos Aires, Argentina
| | - Leonhard Schnittger
- Instituto Nacional de Tecnología Agropecuaria. CONICET. Instituto de Patobiología Veterinaria (IPVET), CICVyA, Hurlingham, Prov. de Buenos Aires, Argentina; CONICET, Ciudad Autónoma de Buenos Aires, Argentina
| | - Alejandro D Nusblat
- Universidad de Buenos Aires, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Instituto de Nanobiotecnología (NANOBIOTEC), Facultad de Farmacia y Bioquímica, Junín, 956 (C1113AAD), Ciudad Autónoma de Buenos Aires, Argentina.
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