Mutant Native Outer Membrane Vesicles Combined with a Serogroup A Polysaccharide Conjugate Vaccine for Prevention of Meningococcal Epidemics in Africa.

Mutant Native Outer Membrane Vesicles Combined with a Serogroup A Polysaccharide Conjugate Vaccine for Prevention of Meningococcal Epidemics in Africa.
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DOI:
10.1371/journal.pone.0066536
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发表时间:
2013
期刊:
影响因子:
3.7
通讯作者:
Granoff DM
Granoff DM
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Pajon R;Fergus AM;Granoff DM

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在撒哈拉以南非洲使用的脑膜炎球菌血清群A(MenA)多糖结合疫苗不能预防MenW或MenX菌株引起的疾病,这些菌株也会在该地区引起流行病。我们研究了具有过表达因子H结合蛋白(NOMV-fHbp)的天然外膜囊泡的疫苗潜力,该囊泡靶向非洲脑膜炎球菌菌株中的抗原,并与MenA多糖缀合物疫苗相结合。NOMV-fHbp疫苗是从具有PorA P1.5,2、减毒内毒素(Δ LpxL 1)、缺失的荚膜基因和变体组1中过表达的fHbp的突变型非洲MenW毒株制备的。用Al(OH)3吸附NOMV-fHbp并用于重构冻干的MenA缀合物疫苗,其通常用脑膜炎球菌四价缀合物疫苗(MCV 4-CRM,Novartis)中的液体MenC、Y和W缀合物重构。用NOMV-fHbp疫苗单独免疫的小鼠产生了针对15种测试的非洲MenA菌株中的13种的血清杀菌(人补体)活性; 10种非洲MenX菌株中的10种,7种非洲MenW菌株中的7种,以及具有fHbp变体组1的6种遗传多样性MenB菌株中的6种(包括来自冈比亚的1种菌株)。组合NOMV-fHbp/MenA缀合物疫苗引发针对所测试的两种MenA菌株的高血清杀菌效价,所述MenA菌株对由单独的NOMV-fHbp引发的杀菌抗体具有抗性;所述组合引发针对MenA和MenW菌株的效价高于由对照MCV 4-CRM疫苗引发的效价(P<0.05);以及针对MenX和MenB菌株的高效价。对于大多数菌株,由对照NOMV-fHbp敲除疫苗引起的滴度<1∶10,除了当菌株PorA与疫苗匹配时(滴度>1∶000)。NOMV-fHbp/MenA结合疫苗提供了与四价脑膜炎球菌结合疫苗相似或更高的针对MenA和MenW菌株的覆盖率,并延长了针对造成非洲流行病的MenX菌株和在变异组1中具有fHbp的MenB菌株的保护。
The meningococcal serogroup A (MenA) polysaccharide conjugate vaccine used in Sub-Saharan Africa does not prevent disease caused by MenW or MenX strains, which also cause epidemics in the region. We investigated the vaccine-potential of native outer membrane vesicles with over-expressed factor H-binding protein (NOMV-fHbp), which targeted antigens in African meningococcal strains, and was combined with a MenA polysaccharide conjugate vaccine. The NOMV-fHbp vaccine was prepared from a mutant African MenW strain with PorA P1.5,2, attenuated endotoxin (ΔLpxL1), deleted capsular genes, and over-expressed fHbp in variant group 1. The NOMV-fHbp was adsorbed with Al(OH)3 and used to reconstitute a lyophilized MenA conjugate vaccine, which normally is reconstituted with liquid MenC, Y and W conjugates in a meningococcal quadrivalent conjugate vaccine (MCV4-CRM, Novartis). Mice immunized with the NOMV-fHbp vaccine alone developed serum bactericidal (human complement) activity against 13 of 15 African MenA strains tested; 10 of 10 African MenX strains, 7 of 7 African MenW strains, and 6 of 6 genetically diverse MenB strains with fHbp variant group 1 (including 1 strain from The Gambia). The combination NOMV-fHbp/MenA conjugate vaccine elicited high serum bactericidal titers against the two MenA strains tested that were resistant to bactericidal antibodies elicited by the NOMV-fHbp alone; the combination elicited higher titers against the MenA and MenW strains than those elicited by a control MCV4-CRM vaccine (P<0.05); and high titers against MenX and MenB strains. For most strains, the titers elicited by a control NOMV-fHbp knock out vaccine were <1∶10 except when the strain PorA matched the vaccine (titers >1∶000). The NOMV-fHbp/MenA conjugate vaccine provided similar or higher coverage against MenA and MenW strains than a quadrivalent meningococcal conjugate vaccine, and extended protection against MenX strains responsible for epidemics in Africa, and MenB strains with fHbp in variant group 1.
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发表时间: 2011-01-29
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