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Azevedo IR, Amamura TA, Isaac L. Human leptospirosis: In search for a better vaccine. Scand J Immunol 2023; 98:e13316. [PMID: 39008520 DOI: 10.1111/sji.13316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 07/03/2023] [Accepted: 07/05/2023] [Indexed: 07/17/2024]
Abstract
Leptospirosis is a neglected disease caused by bacteria of the genus Leptospira and is more prevalent in tropical and subtropical countries. This pathogen infects humans and other animals, responsible for the most widespread zoonosis in the world, estimated to be responsible for 60 000 deaths and 1 million cases per year. To date, commercial vaccines against human leptospirosis are available only in some countries such as Japan, China, Cuba and France. These vaccines prepared with inactivated Leptospira (bacterins) induce a short-term and serovar-specific immune response, with strong adverse side effects. To circumvent these limitations, several research groups are investigating new experimental vaccines in order to ensure that they are safe, efficient, and protect against several pathogenic Leptospira serovars, inducing sterilizing immunity. Most of these protocols use attenuated cultures, preparations after LPS removal, recombinant proteins or DNA from pathogenic Leptospira spp. The aim of this review was to highlight several promising vaccine candidates, considering their immunogenicity, presence in different pathogenic Leptospira serovars, their role in virulence or immune evasion and other factors.
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Affiliation(s)
- Isabela Resende Azevedo
- Department of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil
| | - Thais Akemi Amamura
- Department of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil
| | - Lourdes Isaac
- Department of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil
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Zhao X, Guo J, Jia X, Yang Y, Liu L, Nie W, Fang Z. Internalization of Leptospira interrogans via diverse endocytosis mechanisms in human macrophages and vascular endothelial cells. PLoS Negl Trop Dis 2022; 16:e0010778. [PMID: 36137081 PMCID: PMC9531806 DOI: 10.1371/journal.pntd.0010778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Revised: 10/04/2022] [Accepted: 08/31/2022] [Indexed: 11/18/2022] Open
Abstract
Leptospirosis, one of the leading global causes of morbidity and mortality, is an emerging public health problem, particularly in large urban centers of developing countries. Leptospirosis results from infection with an organism belonging to the Leptospira genus L. interrogans. The extensive invasive ability has previously been documented, however a mechanism that describes how the organism is internalized by human macrophages and transmigrates through human blood vessel remains poorly understood. In the present study, we utilized a human macrophage and vascular endothelial cell line to study the diverse invasive mechanisms by which L. interrogans infections occur. We found that THP-1 and HUVEC had a diverse expression of cell receptors and L. interrogans entered THP-1 and HUVEC by different pathways. In the macrophage model cell line, ITGB1/FAK-signaling mediated microfilament dependent endocytosis with lysosome fusion, whereas ITGB1/CAV-1/PI3K-signaling mediated microfilament dependent endocytosis and transcytosis without lysosome fusion in the endothelial cell model. Shedding of pathogenic leptospires from HUVEC displayed higher viability than those from THP-1. The monolayer of HUVEC maintained integrity during the infection, while 3D imaging showed that leptospires were transmigrated both intra- and intercellularly. These results indicate that endocytosis of leptospires in human macrophages and human vascular endothelial cells are quite different, macrophages are responsible for eliminating leptospires in the human body during the infection while vascular endothelial cells facilitate dissemination of leptospires from blood vessels into target organs where they cause injury. Leptospirosis is a zoonotic bacterial disease which causes 1.03 million cases and 58,900 deaths each year. Human infections occur when the primary reservoir hosts, such as rodents, contaminate food and water with leptospires. Unlike other bacterial pathogens, leptospires invade the human body through mucosal barriers and enter the bloodstream, which can result in septicemia. Left untreated, leptospirosis can spread into multiple organs and tissues such as lungs, liver and kidneys. Pathological features of this disease include high fever, myalgia, lymphadenectasis, hemorrhaging and jaundice. Human macrophages and vascular endothelial cells play important roles in eliminating and preventing the transmission of this pathogen. We speculated that leptospires could be neutralized in macrophages and subsequently transported by vascular endothelial cells throughout the human body. In this research, the diverse mechanisms of human macrophages and vascular endothelial cells infected by leptospires were explored. Our findings can be used to improve the treatment, prevention, and supervision regarding leptospire transmission and infection.
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Affiliation(s)
- Xin Zhao
- Institute of Health Quarantine, Chinese Academy of Inspection and Quarantine, Beijing, China
- * E-mail: (XZ); (ZF)
| | - Jun Guo
- State Key Laboratory of Food Nutrition and Safety, Key Laboratory of Food Quality and Health of Tianjin, Tianjin University of Science & Technology, Tianjin, China
| | - Xiaoyuan Jia
- College of Life Sciences and Medicine, Zhejiang Sci-Tech University, Hangzhou, China
| | - Yaling Yang
- State Key Laboratory of Food Nutrition and Safety, Key Laboratory of Food Quality and Health of Tianjin, Tianjin University of Science & Technology, Tianjin, China
| | - Lijuan Liu
- Institute of Health Quarantine, Chinese Academy of Inspection and Quarantine, Beijing, China
| | - Weizhong Nie
- Department of health quarantine, Qinhuangdao Customs District, Qinhuangdao, China
| | - Zhiqiang Fang
- Institute of Health Quarantine, Chinese Academy of Inspection and Quarantine, Beijing, China
- * E-mail: (XZ); (ZF)
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Daroz BB, Fernandes LGV, Cavenague MF, Kochi LT, Passalia FJ, Takahashi MB, Nascimento Filho EG, Teixeira AF, Nascimento ALTO. A Review on Host- Leptospira Interactions: What We Know and Future Expectations. Front Cell Infect Microbiol 2021; 11:777709. [PMID: 34900757 PMCID: PMC8657130 DOI: 10.3389/fcimb.2021.777709] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Accepted: 11/04/2021] [Indexed: 01/01/2023] Open
Abstract
Leptospirosis is a widespread zoonosis caused by pathogenic Leptospira spp. It is considered a neglected infectious disease of human and veterinary concern. Our group has been investigating proteins annotated as hypothetical, predicted to be located on the leptospiral surface. Because of their location, these proteins may have the ability to interact with various host components, which could allow establishment of the infection. These proteins act as adherence factors by binding to host receptor molecules, such as the extracellular matrix (ECM) components laminin and glycosaminoglycans to help bacterial colonization. Leptospira also interacts with the host fibrinolytic system, which has been demonstrated to be a powerful tool for invasion mechanisms. The interaction with fibrinogen and thrombin has been shown to reduce fibrin clot formation. Additionally, the degradation of coagulation cascade components by secreted proteases or by acquired surface plasmin could also play a role in reducing clot formation, hence facilitating dissemination during infection. Interaction with host complement system regulators also plays a role in helping bacteria to evade the immune system, facilitating invasion. Interaction of Leptospira to cell receptors, such as cadherins, can contribute to investigate molecules that participate in virulence. To achieve a better understanding of the host-pathogen interaction, leptospiral mutagenesis tools have been developed and explored. This work presents several proteins that mediate binding to components of the ECM, plasma, components of the complement system and cells, to gather research achievements that can be helpful in better understanding the mechanisms of leptospiral-host interactions and discuss genetic manipulation for Leptospira spp. aimed at protein function validation.
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Affiliation(s)
- Brenda B Daroz
- Laboratorio de Desenvolvimento de Vacinas, Instituto Butantan, Avenida Vital Brazil, Sao Paulo, Brazil.,Programa de Pos-Graduacao Interunidades em Biotecnologia, Instituto de Ciencias Biomedicas, Universidade de São Paulo, Sao Paulo, Brazil
| | - Luis G V Fernandes
- Laboratorio de Desenvolvimento de Vacinas, Instituto Butantan, Avenida Vital Brazil, Sao Paulo, Brazil
| | - Maria F Cavenague
- Laboratorio de Desenvolvimento de Vacinas, Instituto Butantan, Avenida Vital Brazil, Sao Paulo, Brazil.,Programa de Pos-Graduacao Interunidades em Biotecnologia, Instituto de Ciencias Biomedicas, Universidade de São Paulo, Sao Paulo, Brazil
| | - Leandro T Kochi
- Laboratorio de Desenvolvimento de Vacinas, Instituto Butantan, Avenida Vital Brazil, Sao Paulo, Brazil.,Programa de Pos-Graduacao Interunidades em Biotecnologia, Instituto de Ciencias Biomedicas, Universidade de São Paulo, Sao Paulo, Brazil
| | - Felipe J Passalia
- Laboratorio de Desenvolvimento de Vacinas, Instituto Butantan, Avenida Vital Brazil, Sao Paulo, Brazil.,Programa de Pos-Graduacao Interunidades em Biotecnologia, Instituto de Ciencias Biomedicas, Universidade de São Paulo, Sao Paulo, Brazil
| | - Maria B Takahashi
- Laboratorio de Desenvolvimento de Vacinas, Instituto Butantan, Avenida Vital Brazil, Sao Paulo, Brazil.,Programa de Pos-Graduacao Interunidades em Biotecnologia, Instituto de Ciencias Biomedicas, Universidade de São Paulo, Sao Paulo, Brazil
| | - Edson G Nascimento Filho
- Laboratorio de Desenvolvimento de Vacinas, Instituto Butantan, Avenida Vital Brazil, Sao Paulo, Brazil.,Programa de Pos-Graduacao Interunidades em Biotecnologia, Instituto de Ciencias Biomedicas, Universidade de São Paulo, Sao Paulo, Brazil
| | - Aline F Teixeira
- Laboratorio de Desenvolvimento de Vacinas, Instituto Butantan, Avenida Vital Brazil, Sao Paulo, Brazil
| | - Ana L T O Nascimento
- Laboratorio de Desenvolvimento de Vacinas, Instituto Butantan, Avenida Vital Brazil, Sao Paulo, Brazil.,Programa de Pos-Graduacao Interunidades em Biotecnologia, Instituto de Ciencias Biomedicas, Universidade de São Paulo, Sao Paulo, Brazil
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