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Effect of Breastfeeding and Additional Household Children on Cytomegalovirus Seroprevalence among U.S. Children 1 to 5 Years of Age. 母乳喂养和额外的家庭儿童对美国1至5岁儿童巨细胞病毒血清患病率的影响
Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2017-11-06 Print Date: 2017-11-01 DOI: 10.1128/CVI.00243-17
Susanna Schmink, Deanna Kruszon-Moran, Sheila C Dollard, Tatiana M Lanzieri
Congenital cytomegalovirus (CMV) infection may occur as a consequence of primary or nonprimary maternal infection during pregnancy (1). Postnatal CMV infection may develop in up to 40% of infants who are fed breast milk for 1 month by a CMV-seropositive mother (1). Further spread of CMV may result from child-to-child transmission in the household or day care center (2). In the 2011–2012 National Health and Nutrition Examination Survey (NHANES), overall CMV IgG seroprevalence among U.S. children 1 to 5 years of age was 21%, with a significant increase among those who were 5 years old (31%) compared to those who were 1 year old (12%) (3). CMV seroprevalence was significantly higher among nonHispanic black (25%) and Hispanic (31%) children than among non-Hispanic white children (11%) and among children living below versus at or above the poverty line (31% versus 15%) (3). Here, we describe additional results for the history of breastfeeding and number of household children 5 years old. NHANES, a nationally representative cross-sectional survey of the civilian noninstitutionalized U.S. population (4), included CMV antibody testing for 699 (62%) of the 1,135 children who were 1 to 5 years old examined in 2011 to 2012. To assess independent predictors of CMV IgG seroprevalence, we repeated the analysis as described in the previous report (3) and performed additional logistic-regression modeling on 636 children with complete data (out of the 682 children in the survey born in the 50 U.S. states and the District of Columbia). We performed all analyses using SUDAAN version 9.0 (Research Triangle Institute, Research Triangle Park, NC); results for which the P value was 0.05 were considered statistically significant. After adjusting for age, race/Hispanic origin, and poverty level, CMV IgG seroprevalence was significantly higher among children who were breastfed for 6 months (adjusted odds ratio [aOR] 3.1; 95% confidence interval [CI] 1.3 to 7.5), but not among children who were breastfed for up to 6 months (aOR 1.4; 95% CI 0.9 to 2.1), than among children who were not breastfed and among children living with 1 or more 5-year-old children in the household versus no other children (aOR 2.0; 95% CI 1.2 to 3.5). In the United States, demographic differences in CMV seroprevalence among children 1 to 5 years of age likely result from demographic differences in maternal CMV seroprevalence, breastfeeding, and child care practices. CMV seroprevalence is 90% among non-Hispanic black and Hispanic mothers and 53% among non-Hispanic white mothers (5); black mothers are the least likely to initiate and maintain breastfeeding compared to Hispanic and white mothers (6). In our study, the maternal CMV serostatus Citation Schmink S, Kruszon-Moran D, Dollard SC, Lanzieri TM. 2017. Effect of breastfeeding and additional household children on cytomegalovirus seroprevalence among U.S. children 1 to 5 years of age. Clin Vaccine Immunol 24:e00243-17. https://doi.org/10 .1128/CVI.
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引用次数: 4
Protective Vaccine Efficacy of the Complete Form of PPE39 Protein from Mycobacterium tuberculosis Beijing/K Strain in Mice. 小鼠结核分枝杆菌北京/K株PPE39蛋白全型保护性疫苗的效果
Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2017-11-06 Print Date: 2017-11-01 DOI: 10.1128/CVI.00219-17
Ahreum Kim, Yun-Gyoung Hur, Sunwha Gu, Sang-Nae Cho

The aim of this study was to evaluate the protective efficacy of MTBK_24820, a complete form of PPE39 protein derived from a predominant Beijing/K strain of Mycobacterium tuberculosis in South Korea. Mice were immunized with MTKB_24820, M. bovis Bacilli Calmette-Guérin (BCG), or adjuvant prior to a high-dosed Beijing/K strain aerosol infection. After 4 and 9 weeks, bacterial loads were determined and histopathologic and immunologic features in the lungs and spleens of the M. tuberculosis-infected mice were analyzed. Putative immunogenic T-cell epitopes were examined using synthetic overlapping peptides. Successful immunization of MTBK_24820 in mice was confirmed by increased IgG responses (P < 0.05) and recalled gamma interferon (IFN-γ), interleukin-2 (IL-2), IL-6, and IL-17 responses (P < 0.05 or P < 0.01) to MTBK_24820. After challenge with the Beijing/K strain, an approximately 0.5 to 1.0 log10 reduction in CFU in lungs and fewer lung inflammation lesions were observed in MTBK_24820-immunized mice compared to those for control mice. Moreover, MTBK_24820 immunization elicited significantly higher numbers of CD4+ T cells producing protective cytokines, such as IFN-γ and IL-17, in lungs and spleens (P < 0.01) and CD4+ multifunctional T cells producing IFN-γ, tumor necrosis factor alpha (TNF-α), and/or IL-17 (P < 0.01) than in control mice, suggesting protection comparable to that of BCG against the hypervirulent Beijing/K strain. The dominant immunogenic T-cell epitopes that induced IFN-γ production were at the N terminus (amino acids 85 to 102 and 217 to 234). Its vaccine potential, along with protective immune responses in vivo, may be informative for vaccine development, particularly in regions where the M. tuberculosis Beijing/K-strain is frequently isolated from TB patients.

这项研究的目的是评估MTBK_24820的保护作用,MTBK_24820是一种完整形式的PPE39蛋白,来自韩国结核分枝杆菌的北京/K菌株。小鼠在高剂量北京/K菌株气溶胶感染前分别接种MTKB_24820、卡介苗或佐剂。在4周和9周后,测定结核分枝杆菌感染小鼠的细菌负荷,并分析肺和脾脏的组织病理学和免疫学特征。利用合成的重叠肽检测推定的免疫原性t细胞表位。小鼠对MTBK_24820免疫成功,IgG应答增加(P < 0.05), γ干扰素(IFN-γ)、白细胞介素-2 (IL-2)、IL-6和IL-17应答恢复(P < 0.05或P < 0.01)。接种北京/K菌株后,与对照组小鼠相比,接种mtbk_24820的小鼠肺部CFU降低约0.5至1.0 log10,肺部炎症病变减少。此外,与对照组相比,MTBK_24820免疫小鼠肺和脾脏中产生IFN-γ和IL-17等保护性细胞因子的CD4+ T细胞数量显著增加(P < 0.01), CD4+多功能T细胞产生IFN-γ、肿瘤坏死因子α (TNF-α)和/或IL-17的数量显著增加(P < 0.01),表明其对北京/K高毒株的保护作用与卡介苗相当。诱导IFN-γ产生的主要免疫原性t细胞表位位于N端(氨基酸85 ~ 102和217 ~ 234)。它的疫苗潜力,以及体内的保护性免疫反应,可能为疫苗开发提供信息,特别是在经常从结核病患者身上分离出北京/ k型结核分枝杆菌菌株的地区。
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引用次数: 10
Reevaluation of Positivity Cutoff Values for the Pneumococcal Urinary Antigen Detection Assay. 肺炎球菌尿抗原检测试验阳性临界值的重新评估。
Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2017-11-06 Print Date: 2017-11-01 DOI: 10.1128/CVI.00239-17
Michael W Pride, Kathrin U Jansen
T o improve the clinical diagnosis of pneumococcal infection in bacteremic and nonbacteremic community-acquired pneumonia (CAP), a Luminex technology-based multiplex urinary antigen detection (UAD) diagnostic assay was developed and validated. The UAD assay is a limit assay based on defined positivity cutoff limits and can simultaneously detect 13 different serotypes of Streptococcus pneumoniae by capturing serotype-specific S. pneumoniae polysaccharides (PnPSs) excreted in human urine. UAD assay validation and clinical validation of the corresponding positivity cutoff values were described in a previous publication in this journal (1). This assay was originally developed for use in the Community-Acquired Pneumonia Immunization Trial in Adults (CAPiTA) study (2) (adults (cid:2) 65 years of age). After the completion of sample testing in support of CAPiTA and study 6115A1-4007 (Distribu-tion of PCV 13 Serotype Streptococcus pneumoniae in Adults 50 Years and Older Presenting to Select U.S. Hospitals with Radiographically Confirmed Community-Acquired Pneumonia) (3), a critical component used in the UAD assay was received by an outside supplier and, as part of our laboratory’s standard practice, was qualified for use in the UAD assay, passing all prospectively set acceptance criteria. This new reagent was used in the UAD assay for a number of epidemiological studies to study the burden of the 13 serotypes covered by Prevnar 13 in subjects with community-acquired pneumonia. Upon review of the interim UAD results generated in support of the U.S. study 1147, it was noted that the percent positivity for serotype 5 was higher than expected for the U.S. population and higher
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引用次数: 6
Anthrax Vaccine Precipitated Induces Edema Toxin-Neutralizing, Edema Factor-Specific Antibodies in Human Recipients. 炭疽疫苗沉淀诱导人水肿毒素中和、水肿因子特异性抗体。
Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2017-11-06 Print Date: 2017-11-01 DOI: 10.1128/CVI.00165-17
Eric K Dumas, Timothy Gross, Jason Larabee, Lance Pate, Hannah Cuthbertson, Sue Charlton, Bassam Hallis, Renata J M Engler, Limone C Collins, Christina E Spooner, Hua Chen, Jimmy Ballard, Judith A James, A Darise Farris

Edema toxin (ET), composed of edema factor (EF) and protective antigen (PA), is a virulence factor of Bacillus anthracis that alters host immune cell function and contributes to anthrax disease. Anthrax vaccine precipitated (AVP) contains low but detectable levels of EF and can elicit EF-specific antibodies in human recipients of AVP. Active and passive vaccination of mice with EF can contribute to protection from challenge with Bacillus anthracis spores or ET. This study compared humoral responses to ET in recipients of AVP (n = 33) versus anthrax vaccine adsorbed (AVA; n = 66), matched for number of vaccinations and time postvaccination, and further determined whether EF antibodies elicited by AVP contribute to ET neutralization. AVP induced higher incidence (77.8%) and titer (229.8 ± 58.6) of EF antibodies than AVA (4.2% and 7.8 ± 8.3, respectively), reflecting the reported low but detectable presence of EF in AVP. In contrast, PA IgG levels and ET neutralization measured using a luciferase-based cyclic AMP reporter assay were robust and did not differ between the two vaccine groups. Multiple regression analysis failed to detect an independent contribution of EF antibodies to ET neutralization in AVP recipients; however, EF antibodies purified from AVP sera neutralized ET. Serum samples from at least half of EF IgG-positive AVP recipients bound to nine decapeptides located in EF domains II and III. Although PA antibodies are primarily responsible for ET neutralization in recipients of AVP, increased amounts of an EF component should be investigated for the capacity to enhance next-generation, PA-based vaccines.

水肿毒素(Edema toxin, ET)由水肿因子(Edema factor, EF)和保护性抗原(保护性抗原,PA)组成,是炭疽芽孢杆菌的一种毒力因子,可改变宿主免疫细胞功能,导致炭疽病的发生。炭疽沉淀疫苗(AVP)含有低但可检测水平的EF,并可在AVP的人类受体中引发EF特异性抗体。主动和被动接种EF小鼠都有助于保护小鼠免受炭疽芽孢杆菌孢子或ET的攻击。本研究比较了AVP (n = 33)和炭疽疫苗吸附(AVA;n = 66),匹配接种次数和接种后时间,进一步确定AVP诱导的EF抗体是否有助于ET中和。AVP诱导EF抗体的发生率(77.8%)和滴度(229.8±58.6)高于AVA(分别为4.2%和7.8±8.3),反映了报道的EF在AVP中低但可检测到的存在。相比之下,使用基于荧光素酶的环AMP报告试验测量的PA IgG水平和ET中和是稳健的,并且在两个疫苗组之间没有差异。多元回归分析未能发现EF抗体对AVP受者ET中和的独立贡献;然而,从AVP血清中纯化的EF抗体可以中和ET。至少一半的EF igg阳性AVP受体的血清样本与位于EF结构域II和III的9个十肽结合。虽然PA抗体主要负责AVP受者的ET中和,但应研究增加EF成分的量,以增强下一代PA基疫苗的能力。
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引用次数: 13
Use of Reverse Vaccinology in the Design and Construction of Nanoglycoconjugate Vaccines against Burkholderia pseudomallei. 利用反向疫苗学设计和构建假马利氏伯克氏菌纳米糖结合疫苗。
Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2017-11-06 Print Date: 2017-11-01 DOI: 10.1128/CVI.00206-17
Laura A Muruato, Daniel Tapia, Christopher L Hatcher, Mridul Kalita, Paul J Brett, Anthony E Gregory, James E Samuel, Richard W Titball, Alfredo G Torres

Burkholderia pseudomallei is a Gram-negative, facultative intracellular pathogen that causes the disease melioidosis in humans and other mammals. Respiratory infection with B. pseudomallei leads to a fulminant and often fatal disease. It has previously been shown that glycoconjugate vaccines can provide significant protection against lethal challenge; however, the limited number of known Burkholderia antigens has slowed progress toward vaccine development. The objective of this study was to identify novel antigens and evaluate their protective capacity when incorporated into a nanoglycoconjugate vaccine platform. First, an in silico approach to identify antigens with strong predicted immunogenicity was developed. Protein candidates were screened and ranked according to predicted subcellular localization, transmembrane domains, adhesive properties, and ability to interact with major histocompatibility complex (MHC) class I and class II. From these in silico predictions, we identified seven "high priority" proteins that demonstrated seroreactivity with anti-B. pseudomallei murine sera and convalescent human melioidosis sera, providing validation of our methods. Two novel proteins, together with Hcp1, were linked to lipopolysaccharide (LPS) and incorporated with the surface of a gold nanoparticle (AuNP). Animals receiving AuNP glycoconjugate vaccines generated high protein- and polysaccharide-specific antibody titers. Importantly, immunized animals receiving the AuNP-FlgL-LPS alone or as a combination demonstrated up to 100% survival and reduced lung colonization following a lethal challenge with B. pseudomallei Together, this study provides a rational approach to vaccine design that can be adapted for other complex pathogens and provides a rationale for further preclinical testing of AuNP glycoconjugate in animal models of infection.

假性伯克霍尔德菌是一种革兰氏阴性的兼性细胞内病原体,在人类和其他哺乳动物中引起类鼻疽病。假芽孢杆菌引起的呼吸道感染会导致一种暴发性且常常致命的疾病。以前的研究表明,糖结合疫苗可以对致命挑战提供显著的保护;然而,已知的伯克氏菌抗原数量有限,减缓了疫苗开发的进展。本研究的目的是鉴定新的抗原,并评估其纳入纳米糖结合疫苗平台时的保护能力。首先,开发了一种计算机方法来识别具有强预测免疫原性的抗原。候选蛋白根据预测的亚细胞定位、跨膜结构域、粘附特性以及与主要组织相容性复合体(MHC) I类和II类相互作用的能力进行筛选和排名。从这些计算机预测中,我们确定了7种“高优先级”的蛋白质,它们具有抗b抗体的血清反应性。假麦氏菌小鼠血清和恢复期人类鼻疽病血清,为我们的方法提供了验证。两种新蛋白与Hcp1结合到脂多糖(LPS)上,并结合到金纳米颗粒(AuNP)的表面。接受AuNP糖结合疫苗的动物产生高蛋白和多糖特异性抗体滴度。重要的是,接受AuNP- flgl - lps单独或联合免疫的动物显示出高达100%的存活率,并在假假芽孢杆菌致命攻击后减少肺部定植。该研究为疫苗设计提供了一种合理的方法,可适用于其他复杂病原体,并为进一步在动物感染模型中进行AuNP糖缀合物的临床前测试提供了依据。
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引用次数: 37
Article of Significant Interest Selected from This Issue by the Editors 由编辑从本期杂志中选出的具有重要意义的文章
Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2017-11-01 DOI: 10.1128/cvi.00272-17
Effective Nanovaccines Protect against Lethal Burkholderia pseudomallei Infection Burkholderia pseudomallei, causative agent of melioidosis, exhibits high morbidity and mortality in humans. There are currently no vaccines available, and treatment options are limited. In the study by Muruato et al. (e00206-17), reverse vaccinology methods were used to identify novel, seroreactive Burkholderia antigens. Nanovaccines containing these proteins and Burkholderia lipopolysaccharide (LPS) generated high anti-protein and anti-LPS antibody titers in mice. One of these novel proteins, FlgL, provided 90% protection against lethal B. pseudomallei respiratory infection. Importantly, animals demonstrated a significant decrease in lung bacterial colonization compared to controls. These findings support further testing and development of nanovaccines against melioidosis.
伪伯克氏菌是类鼻疽病的病原体,在人类中具有很高的发病率和死亡率。目前没有可用的疫苗,治疗选择也有限。在Muruato等人(e00206-17)的研究中,使用反向疫苗学方法鉴定了新的、血清反应性伯克氏菌抗原。含有这些蛋白和伯克霍尔德氏菌脂多糖(LPS)的纳米疫苗在小鼠体内产生了高的抗蛋白和抗LPS抗体滴度。其中一种新蛋白FlgL对致命性假芽孢杆菌呼吸道感染提供了90%的保护。重要的是,与对照组相比,动物肺部细菌定植明显减少。这些发现支持了针对类鼻疽病的纳米疫苗的进一步测试和开发。
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引用次数: 0
Equine Arteritis Virus Elicits a Mucosal Antibody Response in the Reproductive Tract of Persistently Infected Stallions. 马动脉炎病毒在持续感染的种马生殖道中引起粘膜抗体反应。
Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2017-10-05 Print Date: 2017-10-01 DOI: 10.1128/CVI.00215-17
Mariano Carossino, Bettina Wagner, Alan T Loynachan, R Frank Cook, Igor F Canisso, Lakshman Chelvarajan, Casey L Edwards, Bora Nam, John F Timoney, Peter J Timoney, Udeni B R Balasuriya

Equine arteritis virus (EAV) has the ability to establish persistent infection in the reproductive tract of the stallion (carrier) and is continuously shed in its semen. We have recently demonstrated that EAV persists within stromal cells and a subset of lymphocytes in the stallion accessory sex glands in the presence of a significant local inflammatory response. In the present study, we demonstrated that EAV elicits a mucosal antibody response in the reproductive tract during persistent infection with homing of plasma cells into accessory sex glands. The EAV-specific immunoglobulin isotypes in seminal plasma included IgA, IgG1, IgG3/5, and IgG4/7. Interestingly, seminal plasma IgG1 and IgG4/7 possessed virus-neutralizing activity, while seminal plasma IgA and IgG3/5 did not. However, virus-neutralizing IgG1 and IgG4/7 in seminal plasma were not effective in preventing viral infectivity. In addition, the serological response was primarily mediated by virus-specific IgM and IgG1, while virus-specific serum IgA, IgG3/5, IgG4/7, and IgG6 isotype responses were not detected. This is the first report characterizing the immunoglobulin isotypes in equine serum and seminal plasma in response to EAV infection. The findings presented herein suggest that while a broader immunoglobulin isotype diversity is elicited in seminal plasma, EAV has the ability to persist in the reproductive tract, in spite of local mucosal antibody and inflammatory responses. This study provides further evidence that EAV employs complex immune evasion mechanisms during persistence in the reproductive tract that warrant further investigation.

马动脉炎病毒(EAV)能够在种马(携带者)的生殖道中建立持续感染,并通过其精液不断排出。我们最近证明,在存在显著局部炎症反应的情况下,EAV在种马副性腺的基质细胞和淋巴细胞亚群中持续存在。在本研究中,我们证明了EAV在持续感染期间引起生殖道粘膜抗体反应,浆细胞归巢到副性腺。精浆中eav特异性免疫球蛋白亚型包括IgA、IgG1、IgG3/5和IgG4/7。有趣的是,精浆IgG1和IgG4/7具有病毒中和活性,而精浆IgA和IgG3/5没有。然而,精浆中病毒中和的IgG1和IgG4/7在预防病毒感染方面没有效果。此外,血清学反应主要由病毒特异性IgM和IgG1介导,而病毒特异性血清IgA、IgG3/5、IgG4/7和IgG6同型反应未检测到。这是首次报道马血清和精浆中免疫球蛋白同型对EAV感染的反应。本文的研究结果表明,尽管在精浆中引起了更广泛的免疫球蛋白同型多样性,但EAV具有在生殖道中持续存在的能力,尽管存在局部粘膜抗体和炎症反应。本研究提供了进一步的证据,证明EAV在生殖道持续存在期间采用复杂的免疫逃避机制,值得进一步研究。
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引用次数: 19
N-Terminal Pfs230 Domain Produced in Baculovirus as a Biological Active Transmission-Blocking Vaccine Candidate. 杆状病毒n端Pfs230结构域作为生物活性传播阻断候选疫苗的研究
Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2017-10-05 Print Date: 2017-10-01 DOI: 10.1128/CVI.00140-17
Shwu-Maan Lee, Chia-Kuei Wu, Jordan L Plieskatt, Kazutoyo Miura, John M Hickey, C Richter King

Transmission-blocking vaccines have the potential to accelerate malaria parasite elimination by inducing antibodies that block parasite transmission from humans to mosquitoes. Pfs230, a gametocyte surface protein involved in gamete function, has long been a promising candidate. Due to the large size (3,135 amino acids), complex domains, and repeating 6-cysteine (6-Cys) motifs with a multitude of disulfide bonds, the feasibility of expression of a full-length protein has been difficult. A priority focus, therefore, has been on the generation of single domains, including N-terminal fragments. Here we utilized a heterologous expression system, baculovirus, to produce an N-terminal domain of Pfs230 (Pfs230C1). Pfs230C1 (amino acids 443 to 731) with a polyhistidine affinity tag was expressed in Super Sf9 cells. Since the native host lacks glycosylation machinery, a single N585Q mutation was made to eliminate potential N-linked glycosylation. The expressed protein, purified by nickel affinity, ion exchange, and size exclusion chromatography to >90% purity, was present in monomeric form with an observed mass of 33,510 Da (matching oxidized form). Peptide mapping and disulfide analysis confirmed the proper formation of predicted disulfide bonds. Antibodies, generated against Pfs230C1 in mice, bound to the gametocyte in an immunofluorescence assay (IFA) and demonstrated functional activity in both the standard membrane feeding assay (SMFA) and the exflagellation assay (EXA). The biochemical, biophysical, and immunological results reported herein support the continued advancement of an N-terminal Pfs230 antigen (Pfs230C1) as a component of a transmission-blocking vaccine. Our results also support the continued use of the scalable baculovirus expression system for the generation of complex Plasmodium proteins.

阻断传播的疫苗有可能通过诱导阻断寄生虫从人向蚊子传播的抗体来加速消除疟疾寄生虫。Pfs230是一种参与配子功能的配子细胞表面蛋白,长期以来一直是一种有希望的候选蛋白。由于大尺寸(3135个氨基酸),复杂的结构域和重复的6-半胱氨酸(6-Cys)基序具有大量的二硫键,全长蛋白的表达可行性一直很困难。因此,优先关注的是单结构域的产生,包括n端片段。本研究利用杆状病毒异种表达系统,产生了Pfs230的n端结构域(Pfs230C1)。具有多组氨酸亲和标签的Pfs230C1(氨基酸443 ~ 731)在Super Sf9细胞中表达。由于原生宿主缺乏糖基化机制,因此进行了单个N585Q突变以消除潜在的n链糖基化。通过镍亲和、离子交换和大小隔离层析纯化的表达蛋白纯度>90%,以单体形式存在,观察到质量为33,510 Da(与氧化形式相匹配)。肽图谱和二硫分析证实了预测的二硫键的正确形成。在小鼠中产生的针对Pfs230C1的抗体在免疫荧光实验(IFA)中与配子细胞结合,并在标准膜喂养实验(SMFA)和鞭毛实验(EXA)中显示出功能活性。本文报道的生化、生物物理和免疫学结果支持继续推进n端Pfs230抗原(Pfs230C1)作为传播阻断疫苗的组成部分。我们的研究结果也支持继续使用可扩展杆状病毒表达系统来生成复杂的疟原虫蛋白。
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引用次数: 28
Chlamydia trachomatis: the Persistent Pathogen. 沙眼衣原体:持久性病原体。
Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2017-10-05 Print Date: 2017-10-01 DOI: 10.1128/CVI.00203-17
Steven S Witkin, Evelyn Minis, Aikaterini Athanasiou, Julie Leizer, Iara M Linhares

Chlamydia trachomatis is an obligate intracellular bacterium whose only natural host is humans. Although presenting as asymptomatic in most women, genital tract chlamydial infections are a leading cause of pelvic inflammatory disease, tubal factor infertility, and ectopic pregnancy. C. trachomatis has evolved successful mechanisms to avoid destruction by autophagy and the host immune system and persist within host epithelial cells. The intracellular form of this organism, the reticulate body, can enter into a persistent nonreplicative but viable state under unfavorable conditions. The infectious form of the organism, the elementary body, is again generated when the immune attack subsides. In its persistent form, C. trachomatis ceases to produce its major structural and membrane components, but synthesis of its 60-kDa heat shock protein (hsp60) is greatly upregulated and released from the cell. The immune response to hsp60, perhaps exacerbated by repeated cycles of productive infection and persistence, may promote damage to fallopian tube epithelial cells, scar formation, and tubal occlusion. The chlamydial and human hsp60 proteins are very similar, and hsp60 is one of the first proteins produced by newly formed embryos. Thus, the development of immunity to epitopes in the chlamydial hsp60 that are also present in the corresponding human hsp60 may increase susceptibility to pregnancy failure in infected women. Delineation of host factors that increase the likelihood that C. trachomatis will avoid immune destruction and survive within host epithelial cells and utilization of this knowledge to design individualized preventative and treatment protocols are needed to more effectively combat infections by this persistent pathogen.

沙眼衣原体是一种专性细胞内细菌,其唯一的天然宿主是人类。尽管在大多数妇女中表现为无症状,生殖道衣原体感染是盆腔炎、输卵管性不孕和异位妊娠的主要原因。沙眼衣原体已经进化出成功的机制来避免自噬和宿主免疫系统的破坏,并在宿主上皮细胞内持续存在。这种有机体的胞内形式,网状体,在不利条件下可以进入持续的非复制但有活力的状态。当免疫攻击消退时,有机体的感染形式,即初级体,再次产生。在沙眼衣原体的持久形态中,沙眼衣原体停止产生其主要的结构和膜成分,但其60kda热休克蛋白(hsp60)的合成被大大上调并从细胞中释放出来。对hsp60的免疫反应,可能由于重复循环的生产性感染和持续而加剧,可能促进输卵管上皮细胞的损伤,瘢痕形成和输卵管阻塞。衣原体和人的hsp60蛋白非常相似,hsp60是新形成的胚胎最早产生的蛋白之一。因此,对衣原体hsp60抗原表位的免疫发展,也存在于相应的人类hsp60中,可能增加感染妇女对妊娠失败的易感性。描述增加沙眼衣原体避免免疫破坏并在宿主上皮细胞内存活的可能性的宿主因素,并利用这一知识设计个性化的预防和治疗方案,以更有效地对抗这种持久性病原体的感染。
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引用次数: 115
A Combination of Recombinant Mycobacterium bovis BCG Strains Expressing Pneumococcal Proteins Induces Cellular and Humoral Immune Responses and Protects against Pneumococcal Colonization and Sepsis. 表达肺炎球菌蛋白的重组牛分枝杆菌卡介苗组合诱导细胞和体液免疫反应,并防止肺炎球菌定植和败血症
Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2017-10-05 Print Date: 2017-10-01 DOI: 10.1128/CVI.00133-17
Cibelly Goulart, Dunia Rodriguez, Alex I Kanno, Thiago Rojas Converso, Ying-Jie Lu, Richard Malley, Luciana C C Leite

Pneumococcal diseases remain a substantial cause of mortality in young children in developing countries. The development of potentially serotype-transcending vaccines has been extensively studied; ideally, such a vaccine should include antigens that are able to induce protection against colonization (likely mediated by interleukin-17A [IL-17A]) and invasive disease (likely mediated by antibody). The use of strong adjuvants or alternative delivery systems that are able to improve the immunological response of recombinant proteins has been proposed but poses potential safety and practical concerns in children. We have previously constructed a recombinant Mycobacterium bovis BCG strain expressing a pneumococcal surface protein A (PspA)-PdT fusion protein (rBCG PspA-PdT) that was able to induce an effective immune response and protection against sepsis in a prime-boost strategy. Here, we constructed two new rBCG strains expressing the pneumococcal proteins SP 0148 and SP 2108, which confer IL-17A-dependent protection against pneumococcal colonization in mouse models. Immunization of mice with rBCG 0148 or rBCG 2108 in a prime-boost strategy induced IL-17A and gamma interferon (IFN-γ) production. The combination of these rBCG strains with rBCG PspA-PdT (rBCG Mix), followed by a booster dose of the combined recombinant proteins (rMix) induced an IL-17A response against SP 0148 and SP 2108 and a humoral response characterized by increased levels of IgG2c against PspA and functional antibodies against pneumolysin. Furthermore, immunization with the rBCG Mix prime/rMix booster (rBCG Mix/rMix) provides protection against pneumococcal colonization and sepsis. These results suggest the use of combined rBCG strains as a potentially serotype-transcending pneumococcal vaccine in a prime-boost strategy, which could provide protection against pneumococcal colonization and sepsis.

肺炎球菌病仍然是发展中国家幼儿死亡的一个重要原因。开发可能超越血清型的疫苗已得到广泛研究;理想情况下,这种疫苗应包括能够诱导对定植(可能由白细胞介素- 17a [IL-17A]介导)和侵袭性疾病(可能由抗体介导)的保护的抗原。已经提出使用强效佐剂或替代递送系统来改善重组蛋白的免疫反应,但在儿童中存在潜在的安全性和实际问题。我们先前构建了重组牛分枝杆菌卡介苗菌株,表达肺炎球菌表面蛋白a (PspA)-PdT融合蛋白(rBCG PspA-PdT),能够诱导有效的免疫应答,并在初始-增强策略中保护败血症。在这里,我们构建了两种新的rBCG菌株,表达肺炎球菌蛋白SP 0148和SP 2108,在小鼠模型中具有il - 17a依赖的抗肺炎球菌定植保护作用。用rBCG 0148或rBCG 2108免疫小鼠可诱导IL-17A和γ干扰素(IFN-γ)的产生。将这些rBCG菌株与rBCG PspA- pdt (rBCG Mix)联合使用,然后再添加组合重组蛋白(rMix)加强剂,诱导了针对SP 0148和SP 2108的IL-17A应答,以及以提高针对PspA的IgG2c水平和抗溶血素功能抗体水平为特征的体液应答。此外,接种rBCG Mix原剂/rMix增强剂(rBCG Mix/rMix)可预防肺炎球菌定植和败血症。这些结果表明,联合rBCG菌株作为一种潜在的血清型超越肺炎球菌疫苗,可以提供预防肺炎球菌定植和败血症的保护。
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引用次数: 11
期刊
Clinical and Vaccine Immunology
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