|Home | About | Journals | Submit | Contact Us | Français|
The Bordetella species are Gram-negative bacterial pathogens that are characterized by long-term colonization of the mammalian respiratory tract and are causative agents of respiratory diseases in humans and animals. Despite widespread and efficient vaccination, there has been a world-wide resurgence of pertussis, which remains the leading cause of vaccine-preventable death in developed countries. It has been proposed that current acellular vaccines (Pa) composed of only a few bacterial proteins may be less efficacious because of vaccine-induced antigenic shifts and adaptations. To gain insight into the development of a newer generation of vaccines, we constructed a Bordetella bronchiseptica strain (LPaV) that does not express the antigenic homologs included in any of the Pa vaccines currently in use. This strain also lacks adenylate cyclase toxin, an essential virulence factor, and BipA, a surface protein. While LPaV colonized the mouse nose as efficiently as the wild-type strain, it was highly deficient in colonization of the lower respiratory tract and was attenuated in induction of inflammation and injury to the lungs. Strikingly, to our surprise, we found that in an intranasal murine challenge model, LPaV elicited cross-species protection against both B. bronchiseptica and Bordetella pertussis. Our data suggest the presence of immunogenic protective components other than those included in the pertussis vaccine. Combined with the whole-genome sequences of many Bordetella spp. that are available, the results of this study should serve as a platform for strategic development of the next generation of acellular pertussis vaccines.
Bacteria belonging to the genus Bordetella are readily transmitted either by direct contact or through aerosol transmission via respiratory secretions or fomites (6, 30). Bordetella bronchiseptica has a broad host range and infects a wide variety of animals. It either is the etiological agent or is associated with a number of veterinary syndromes, such as kennel cough in dogs, atrophic rhinitis and pneumonia in pigs, and bronchopneumonia in guinea pigs, rabbits, horses, rats, mice, cats, and nonhuman primates (19). Bordetella parapertussis strains can be divided into two genetically distinct types, strains which infect humans and cause a pertussis-like illness and strains which cause respiratory infections in sheep (15, 16, 42). In contrast, Bordetella pertussis is pathogen of only humans and causes the acute respiratory disease known as pertussis or whooping cough (6).
Several vaccines against pertussis are currently available. The whole-cell vaccines (Pw) consisting of killed B. pertussis whole cells were the first generation of vaccines developed and are still being used in several countries (30). In many industrialized countries, the so-called acellular pertussis vaccines (Pa), which may include up to five antigens (filamentous hemagglutinin [FHA], pertactin [Prn], pertussis toxin [PT], and two fimbrial proteins [Fim]) have replaced the Pw vaccines (30, 36). These Pa vaccines differ greatly in antigen composition and the amounts of antigens in a dose (27, 30). Despite the availability of these vaccines, pertussis continues to be a significant cause of morbidity and mortality in infants and young children throughout the world (11). Although vaccination has decreased mortality considerably, B. pertussis continues to circulate and persist even in populations that have traditionally achieved high vaccination coverage. It is estimated that 20 to 30% of adolescents and adults who have a chronic cough lasting for more than 1 week are infected with B. pertussis (18, 57). Adults and adolescents carrying B. pertussis may act as reservoirs for infection of young children, in whom the disease can be severe and sometimes lethal (9). In most reported instances of such human-to-human transmission, infants and children were generally exposed to adults who did not have disease symptoms typical of pertussis but rather had only a simple prolonged cough (55, 56). Immunity following vaccination or infection is incomplete and wanes in a short time (26).
Several explanations and hypotheses have been suggested for the reemergence of this disease. These include waning immunity following vaccination in the absence of natural and vaccinal boosters, lower efficacy of the current vaccines, and changes in the circulating strains because of vaccine-induced adaptation (7, 11). It has been suggested that vaccination may select for vaccine escape mutants that have a different genotype and/or different antigenic expression pattern than the parent vaccine strains (4). Such concerns are heightened by the recent discovery of circulating strains that are deficient in two of the antigens included in the Pa vaccines, PT and Prn (3). Strains having alterations in the ptx promoter that result in increased production of PT have also been isolated (38). Thus, recent reports raise the extreme possibility that a strain that has lost all of the antigens included in the Pa vaccines could emerge, rendering Pa vaccines ineffective.
In this study, we constructed a strain of B. bronchiseptica (LPaV [lacks components of the acellular pertussis vaccine]) that has deletions in homologs of the genes encoding all of the antigens included in Pa vaccines. The LPaV strain also has deletions in the cyaA gene, which encodes adenylate cyclase toxin (ACT), and bipA, which encodes the surface protein Bordetella intermediate phase protein A (BipA). While ACT is not included in any of the Pa vaccines, we deleted cyaA because ACT is a critical virulence factor (23, 54). The bipA gene was deleted based on previous reports that BipA is highly immunogenic in both naturally and experimentally infected animals (17, 53). In a murine model of intranasal infection, LPaV colonized and persisted in the noses of mice. Because this strain did not colonize the tracheas and lungs of mice and induced less respiratory inflammation than the wild-type strain, we tested its efficacy for protection against two Bordetella species, B. bronchiseptica and B. pertussis. Surprisingly, we found that this mutant strain elicited protection against both species, as defined by reduced colonization in the respiratory tract. These results suggest that there are immunogenic cross-protective antigens and accentuate the need to develop a new generation of pertussis vaccines by identifying novel protective antigens.
B. pertussis wild-type strain Bp536 and B. bronchiseptica strain RB50 used in this study have been described previously (37, 51). The LPaV strain has in-frame deletions in five B. bronchiseptica open reading frames, fhaB, prn, cyaA, fim, and bipA. The parental strain, RB71, an isogenic derivative of RB50, was a gift from Jeff F. Miller. To construct the LPaV strain, we deleted the bipA gene from RB71 as described previously (49). The genotype of this strain was confirmed by PCR.
All of the strains were maintained on Bordet-Gengou (BG) agar supplemented with 7.5% defibrinated sheep blood and containing 50 μg/ml of streptomycin. For animal inoculation and other assays, the B. bronchiseptica strains were grown at 37°C in Stainer-Scholte (SS) (45) broth on a roller drum. For Bp536, the SS medium was supplemented with heptakis (2,6-di-O-methyl-β-cyclodextrin).
Four- to six-week-old female C57/BL6 mice obtained from Jackson Laboratories were lightly anesthetized with isoflurane and intranasally inoculated with 5 × 105 CFU of RB50 or the LPaV strain in 25 μl of phosphate-buffered saline (PBS) by deposition onto the nares. The number of CFU administered was verified by plating an aliquot of the inoculum on BG agar plates containing streptomycin. For time course colonization experiments, groups of 4 or 5 mice were sacrificed 1, 3, 14, and 30 days postinoculation, the entire nasal septum, 1 cm of the trachea, and the left lung of each mouse were homogenized in PBS, and serial dilutions of the suspensions were plated on BG agar containing streptomycin to determine the numbers of viable CFU. To obtain anti-Bordetella antibodies, sera were collected from infected mice 30 days postinoculation. All experimental procedures complied with institutional regulations.
For immunization studies, groups of 4 or 5 C57BL/6 mice were intranasally immunized on day 0 with 5 × 105 CFU of the LPaV strain in 25 μl of PBS. The control group of mice received 25 μl of sterile PBS. Four weeks after the primary infection with the LPaV strain or inoculation of PBS, mice were challenged with 5 × 105 CFU of either RB50 or Bp536. Mice were sacrificed 7 days after challenge with RB50 and 3 and 7 days after challenge with Bp536. The bacterial burdens in the lungs, trachea, and nasal septum were determined as described above.
The colonies of the RB50 and LPaV strains recovered from the mouse respiratory tract were distinguished based on hemolytic activity and colony morphology. Due to deletion of the cyaA gene, the LPaV strain is nonhemolytic. To distinguish between the Bp536 and LPaV strains, bacteria were plated on BG agar plates containing streptomycin and nalidixic acid. The LPaV strain is susceptible to nalidixic acid.
For passive immunization, groups of 4 or 5 mice were injected intraperitoneally with either 200 μl of pooled anti-LPaV convalescent-phase serum or sterile PBS. Three to four hours later, mice were challenged intranasally with 5 × 105 CFU of RB50 in 25 μl of sterile PBS. Mice were sacrificed 7 days postchallenge, and colonization levels were determined as described above.
Immediately following sacrifice, the right lungs were harvested, fixed using neutral buffered formalin for 24 h, trimmed, and processed for histology as described previously (50). Hematoxylin and eosin (H&E)-stained sections were examined by light microscopy for evidence of injury in a blind manner by an American College of Veterinary Pathologists board-certified veterinary pathologist (N.D.K.). The sections were evaluated for overall cellularity and consolidation, alveolar wall thickness, amount of edema fluid present, and infiltrating neutrophils and macrophages in the airways (alveoli and bronchioles) and interstitium. Each parameter was scored subjectively using scores ranging from 0 to 5; 0 was considered normal or unaffected, and 5 indicated that there was a marked change. The averages for the parameters were added to obtain the final inflammatory score for each group.
Serum antibody responses to RB50 or LPaV were quantified by coating 96-well flat-bottom plates with one of the strains. Overnight cultures of the strains were diluted to obtain an optical density at 600 nm (OD600) of 0.05 in 100 μl of 0.1 M sodium carbonate-sodium bicarbonate buffer, and the plates were incubated at 4°C overnight. Washing and blocking were carried out as described previously (50). Serum from RB50- or LPaV-infected mice was serially diluted and added to the plates as the primary antibody. The total IgG antibodies were detected using horseradish peroxidase (HRP)-conjugated goat anti-mouse antibody (1:2,000). Absorbance at 450 nm was determined using a Labsystems Multiskan Plus plate reader. The OD450 were plotted against the corresponding dilutions, and endpoint titers were determined as previously described (50).
Opsonophagocytosis assays were carried out using murine macrophage cell line J774A.1, as described previously (50). Briefly, PBS or different dilutions of sera from naïve LPaV-infected mice were heat inactivated at 55°C and incubated with 2 × 106 CFU of RB50. Subsequently, the bacterium-serum suspensions were added to the macrophage cells at a multiplicity of infection (MOI) of 1:10. The plates were incubated at 37°C for 1 h. Following gentamicin treatment, the number of bacteria that were phagocytosed was determined by lysing the macrophage cells and plating different dilutions.
An unpaired two-tailed Student t test was used to determine the statistical significance of differences between treatment groups. P values of ≤0.05 were considered significant.
B. bronchiseptica establishes a life-long infection in the nasopharyngeal cavity of laboratory animals (22, 40). In experimental animal models of intranasal infection, B. bronchiseptica initially colonizes both the upper and lower respiratory tracts. While this species is eventually cleared from the lower respiratory tract, high numbers of bacteria are recovered from the nasal cavity up to 270 days postinoculation (22, 40). Previous results have shown that loss of individual virulence factors (FHA, Fim, Prn, ACT, or BipA) has little, if any, effect on the ability of B. bronchiseptica to colonize the nasal cavity (12, 28, 31, 39, 49). Since Bordetella species express multiple adhesins and toxins, we hypothesized that while the lack of individual factors may not have an effect, simultaneous absence of five factors may result in a defect in nasal colonization. In order to test this hypothesis, we constructed a penta-mutant (LPaV) with in-frame deletions in prn, cyaA, fhaB, fimBCD, and bipA. Immunoblotting of the outer membrane fractions of the LPaV strain using convalescent-phase sera from an RB50-infected mouse confirmed that the FHA, Fim, Prn, ACT, and BipA proteins were not present (data not shown). Moreover, B. bronchiseptica does not express PT because of inactivating mutations in the ptx promoter (21). Thus, LPaV does not produce any of the protein homologs included in the current Pa vaccines.
The kinetics of colonization of the mouse respiratory tract by the LPaV strain were compared with those of wild-type strain RB50. Consistent with previous results, high numbers of RB50 bacteria were recovered from the nasal septa, tracheas, and lungs of all of the animals at 1, 3, and 14 days postinoculation (Fig. (Fig.1)1) (22). At 30 days postinfection, while RB50 was cleared from the tracheas and lungs, more than 1,000 CFU was recovered from the nasal septa. In contrast, the LPaV mutant displayed a drastic defect in colonization of the trachea and the lungs at all time points examined (Fig. (Fig.1).1). As early as 1 day postchallenge, significantly lower numbers of bacteria were recovered from the lungs and tracheas of the LPaV-infected mice than from these lungs and tracheas of the wild-type strain-infected mice (Fig. (Fig.1).1). By 14 days postinfection, the LPaV strain was not recovered from the lungs. Three of five mice completely cleared the LPaV infection from the trachea, and in two mice the bacterial load was at the limit of detection. However, the ability of this mutant strain to colonize the nasal septum at 14 and 30 days postinfection was indistinguishable from that of the wild-type strain (Fig. (Fig.1).1). These data suggest that concomitant deletion of fhaB, cyaA, fim, prn, and bipA does not significantly affect the ability to persist in the upper respiratory tract.
In order to determine if decreased colonization of the lower respiratory tract by the mutant strain correlated with reduced pulmonary injury, lungs were collected at 1 and 14 days postchallenge, and sections were fixed, processed for H&E staining, and examined microscopically. At 1 day postinfection, lungs of RB50-infected mice had extensive alveolar wall thickening, mostly due to infiltration of neutrophils, and the mean pathology score was 4.0 (Fig. (Fig.2).2). At 14 days postinfection, the lungs of this group of infected mice showed enhanced infiltration by macrophages but contained fewer neutrophils (average pathology score, 3.5). In contrast, lungs from mice infected with LPaV exhibited modest changes, and the average pathology scores were 1.5 and 1.0 at 1 and 14 days, respectively (Fig. (Fig.2).2). The average pathology score for the lungs from PBS-inoculated mice was 1.0 at both 1 and 14 days postinfection, and there was no evidence of significant injury (Fig. (Fig.2).2). These observations suggest that LPaV causes less injury in the lungs, possibly due to decreased colonization of the lungs.
B. bronchiseptica elicits a strong antibody response during experimental animal infections (25). Because many of the factors missing from the LPaV strain differentially contribute to generation of humoral responses against B. bronchiseptica (12, 31, 39, 49), we measured the anti-Bordetella titers in sera of mice infected with this mutant. ELISAs using RB50 cells as the antigen revealed that LPaV-infected mice had significantly lower anti-Bordetella titers than RB50-infected mice at 30 days postinoculation (Fig. (Fig.3).3). However, the serum antibody responses were similar in LPaV-infected mice and RB50-infected mice when LPaV cells were used as the antigen (Fig. (Fig.3),3), indicating that despite the absence of five antigens, infection with LPaV induces anti-Bordetella antibodies. These data further suggest that there are other known or yet-to-be-identified antigens in the LPaV strain.
Anti-Bordetella antibodies are critical for resolving Bordetella infections, as well as for vaccine-mediated immune responses (20, 25). Previous studies have demonstrated that passive immunization with sera from RB50-infected convalescent mice leads to rapid elimination of B. bronchiseptica from the lower respiratory tract (25, 50). Therefore, we investigated if adoptive transfer of sera from LPaV-infected animals provided protection from colonization with wild-type strain RB50 in the mouse respiratory tract. Pooled sera collected from LPaV-infected mice or sterile PBS was administered intraperitoneally, and this was followed by challenge with RB50. Seven days postchallenge the bacterial burdens in the noses, tracheas, and lungs were determined. While mock-treated mice harbored more than 105 CFU in their lungs, 4 of 5 mice treated with the LPaV serum completely cleared RB50 from the lungs (Fig. (Fig.4).4). Although not as drastic as that for the lungs, passive immunization with LPaV sera also resulted in a significant lowering of the bacterial load in the trachea, and 2 of 5 mice that received the LPaV serum had no detectable bacteria at this site (Fig. (Fig.4).4). Adoptive transfer of LPaV antibodies did not have a significant effect on nasal colonization by RB50 (Fig. (Fig.4).4). Previous studies (25, 50) demonstrated that adoptively transferred anti-Bordetella antibodies have no effect on colonization of the upper respiratory tract by Bordetella in mice. Our results suggest that in spite of lower titers, antibodies elicited during infection of mice with the LPaV strain efficiently provide protection against wild-type B. bronchiseptica infection in the lower respiratory tract.
Antibody-mediated bacterial uptake by phagocytes is often correlated with the protective efficacy of passively transferred immune sera (43, 50). We examined the efficiency of LPaV serum for promoting phagocytosis of RB50 by the murine macrophage cell line J774. PBS and sera collected from naïve mice were utilized as negative controls. There was a dose-dependent increase in the uptake of RB50 by J774 cells when they were opsonized with the LPaV serum compared to the results obtained for opsonization with either the serum from naïve mice or only PBS (Fig. (Fig.5).5). These results suggest that one of the mechanisms for the observed passive protection mediated by anti-LPaV serum is increased opsonization of B. bronchiseptica for phagocytosis.
Next we investigated the utility of LPaV as a potential live vaccine against B. bronchiseptica. Thirty days after inoculation with LPaV, mice were challenged with RB50. The bacterial burdens in the lungs, trachea, and nasal septum were then determined 7 days after the challenge with RB50. Although LPaV was cleared from the trachea and lungs at 30 days postinoculation, it was still present in the nose at this time point (Fig. (Fig.1).1). Thus, we utilized hemolysis to distinguish between the colonies of RB50 and the colonies of LPaV. RB50 produces colonies with a distinct hemolytic zone, whereas LPaV produces nonhemolytic colonies because of deletion of the cyaA gene. Compared to the mock-treated mice, LPaV-vaccinated mice completely cleared an RB50 infection from the lungs and trachea, and bacteria were not recovered from these organs (Fig. (Fig.6A).6A). Similarly, there was close to a 3-log reduction in the number of RB50 colonies obtained from the noses of LPaV-vaccinated mice compared to the number of RB50 colonies obtained from the noses of mock-treated mice (Fig. (Fig.6A).6A). For two of the five vaccinated mice the level of colonization was near the threshold of detection (Fig. (Fig.6A).6A). Although there were no significant differences in growth between RB50 and the LPaV strain in broth cultures (data not shown) and the LPaV strain colonized the nose as efficiently as RB50 (Fig. (Fig.1),1), we cannot exclude the possibility that the observed reduction in the number of RB50 colonies was due to competition with the resident LPaV bacteria in the nasal cavity at the time of challenge.
Based on the protection observed with RB50, we determined whether LPaV generated cross-protection against the human pathogen B. pertussis. Despite the fact that a B. bronchiseptica strain was utilized to examine protection against B. pertussis, the B. bronchiseptica-mouse model is a natural-host animal model and is also analogous to and representative of human B. pertussis infections (22). To precisely count the number of B. pertussis bacteria obtained from the nose, bacteria harvested from this site were plated on BG agar plates containing nalidixic acid and streptomycin. LPaV is susceptible to nalidixic acid. At 3 days postchallenge, the greatest decline in the bacterial load was observed in the trachea, while there was a small but significant decline in the lungs (Fig. (Fig.6B).6B). While the colonization of the nose by B. pertussis at this time point was highly variable, for two of the LPaV-vaccinated mice the numbers of CFU obtained were at or close to the limit of detection. At 7 days postchallenge, all the immunized mice had cleared B. pertussis from the trachea. Although at 7 days we did not recover bacteria from the lungs of one of the control mice, in contrast to the results for the rest of the mice in this group, on average the LPaV-immunized mice harbored 50-fold fewer bacteria in the lungs (Fig. (Fig.6B).6B). Compared to the burden at 3 days postinoculation, the burden of B. pertussis in the noses of the LPaV-vaccinated mice was further decreased at 7 days postinoculation, and in two of the mice there were no detectable bacteria at this site (Fig. (Fig.6B).6B). These results suggest that intranasal immunization with LPaV provides substantial cross-immunity to both B. bronchiseptica and B. pertussis.
We also examined the lungs of LPaV-vaccinated mice following challenge with RB50 or Bp536 to determine whether prior inoculation with this strain reduced pulmonary injury resulting from infection with wild-type B. bronchiseptica or B. pertussis. While the lungs of control mice infected with RB50 had alveolar wall thickening that was mostly due to infiltration of mononuclear phagocytes and had an average pathology score of 4.3, the lungs of LPaV-immunized mice exhibited less injury, and the mean pathology score was 1.5 (Fig. (Fig.7A).7A). Similarly vaccinated mice that were challenged with Bp536 exhibited reduced lung injury with a mean pathology score of 1.6, while the lungs of control mice infected with Bp536 were edematous with an average pathology score of 3.0 (Fig. (Fig.7B).7B). These results show that immunization with the LPaV strain decreases the lung pathology associated with B. bronchiseptica and B. pertussis infection (Fig. (Fig.77).
Pertussis is an important and sometimes the only vaccine-preventable infectious disease whose occurrence is increasing in countries with long-standing and very high vaccination coverage. B. pertussis continues to circulate by persisting in the human nasopharynx, which results in horizontal transmission (8, 10). Similarly, animals and birds continue to be carriers despite vaccination with the animal pathogens B. bronchiseptica and Bordetella avium, respectively (19, 44, 52). Animals and birds frequently shed bacteria, resulting in outbreaks in herds (14). Previous studies have not identified a significant role for the known surface proteins and toxins in nasal colonization (12, 28, 31, 39, 49). We hypothesized that efficient nasopharyngeal colonization by bordetellae involves coordinated participation of multiple virulence factors. We constructed mutant strain LPaV with the expectation that concurrent deletion of genes encoding five of the well-studied surface proteins and toxins would drastically reduce colonization of the upper respiratory tract. However, to our surprise, this mutant strain was as effective as the wild-type strain in colonization of the mouse nasal cavity (Fig. (Fig.1).1). In contrast, it was essentially cleared from the trachea and lungs, and an LPaV infection resulted in reduced pulmonary injury (Fig. (Fig.11 and and22).
Encouraged by the observed attenuation in the trachea and lungs and the resultant minimal damage to the host following infection with the LPaV strain, we determined the effectiveness of this mutant as a live vaccine for B. bronchiseptica. We found that prior infection of mice with this mutant conferred protection against a wild-type strain of B. bronchiseptica (Fig. (Fig.6A).6A). Immunized animals had a significant, albeit weaker, humoral immune response compared to animals infected with the wild-type strain (Fig. (Fig.3).3). Adoptive transfer of sera from immunized animals rapidly eliminated B. bronchiseptica from the lungs and reduced the bacterial burden in the trachea, suggesting that the protection mediated by this strain in the lower respiratory tract is mediated in part by antibodies (Fig. (Fig.4).4). One potential use of this mutant strain is as a live attenuated vaccine against B. bronchiseptica in animals. The currently available vaccines against B. bronchiseptica contain live, attenuated, or heat-killed bacteria (2, 28, 32, 46, 48). One of the problems associated with these vaccines is that the genetic mutations that result in attenuation are not known. It is possible that under survival pressure in the host, including coinfections with other pathogens, such vaccine strains might revert to a virulent form (47, 48). Since the LPaV mutant strain carries genetically defined mutations, it may be a safer vaccine strain. However, because of its ability to persist in the noses of experimentally infected animals the potential for herd-to-herd transmission of such a vaccine strain exists.
The animal pathogen B. bronchiseptica is considered the evolutionary progenitor of the human pathogen B. pertussis (41). Despite this evolutionary relationship, there are distinct differences in the genome sizes and gene expression patterns between these two species. B. pertussis has a smaller genome and contains a large number of pseudogenes, many of which have been inactivated by insertion elements, in-frame stop codons, and frameshift mutations (13). Our finding that immunization with LPaV provided cross-species protection against B. pertussis (Fig. (Fig.6B)6B) is important because this strain does not produce any protein homologs of the components included in the different acellular pertussis vaccines. Not only did we observe decreased colonization of the entire respiratory tract by B. pertussis following immunization with LPaV, but there was also a significant decrease in the overall lung pathology in immunized mice. It appears that the protection against B. pertussis afforded by LPaV is mediated by antigens that are shared by B. bronchiseptica and B. pertussis. It was recently demonstrated that a B. pertussis strain lacking three of the major toxins, PT, dermonecrotic toxin (Dnt), and tracheal cytotoxin (Tct), provided protection against B. pertussis colonization of the lungs (34). B. bronchiseptica expresses both Dnt and Tct. Although the results of this study and the results of our study cannot be directly compared, it is possible that Dnt and Tct do not play a role in protection mediated by the LPaV strain. We are currently engineering deletions of dnt and tct in the LPaV strain to examine whether these genes have any role in the protection mediated by this strain. Our laboratory has recently identified a new outer membrane protein, Bordetella colonization factor A (BcfA), in B. bronchiseptica (51) and has shown that immunization with this protein significantly lowered the bacterial burden in the respiratory tract (50), which makes it one of the likely candidate protective antigens in the mutant strain. Our preliminary results suggest that there is a BcfA homolog in B. pertussis, and we are currently attempting to identify this protein in B. pertussis. Recently, it has been shown that Bps22, a protein secreted by the Bordetella type III secretion system, protects mice against B. bronchiseptica infection (33). While Bsp22 or other type III components may be antigens that protect against B. bronchiseptica infection, a recent study showed that a B. bronchiseptica strain lacking cyaA and type III secretion provided cross-species protection (28). The fact that Bp536, the B. pertussis strain utilized in this study, does not express an active type III secretion complex or the secreted proteins makes it unlikely that Bsp22 mediates the protection against B. pertussis observed. Other possible candidate protective antigens include the iron-repressible outer membrane proteins (5), lipopolysaccharide (LPS) (24), and autotransporters like BrKA (29). Utilizing immunoproteomics, multiple novel antigens from B. pertussis extracts that are recognized by immune sera were identified recently (1). Taken together, the results of this study and other studies highlight the synergistic contribution of known and yet-to-be-identified proteins in maximizing protection against B. pertussis.
In the past 2 decades, there has been an increase in the number of pertussis cases reported in many developed countries, including the United States (30). It has been discovered that currently circulating isolates of B. pertussis have genotypic changes in some of the vaccine antigens, such as Prn and PT (3). Consequently, antigens that are included in the currently available acellular vaccines may eventually not provide efficient protection. Thus, it is critical that we remain open to alternatives to Pa vaccine-based approaches to pertussis immunization. Use of live attenuated B. bronchiseptica and B. pertussis strains as vaccines for pertussis has been advocated (35). Similarly, the LPaV strain has the potential to be a highly effective and safe complement to current pertussis vaccines because it induces immunity against antigens that are not part of the Pa vaccines. Realistically, however, because of safety issues associated with Pw vaccines, it may be difficult for the public health authorities in countries where the Pa vaccines are currently used to return to use of whole-cell vaccines. Thus, observations reported here highlight the need to develop a new generation of pertussis vaccines by identification and inclusion of additional protective antigens.
We thank Jeffery F. Miller for the generous gift of the RB71 strain. We thank Manish S. Bharadwaj and Haiping Lu for technical assistance. We also thank two anonymous reviewers for providing a number of discussion points in their critiques.
Research in the laboratory of R.D. was supported by funds from National Research Initiative grant 2006-35604-16874 from the USDA National Institute of Food and Agriculture and by funds from the Microbial Functional Genomics Program, from NIH (grant 1R01AI075081), and from the American Heart Association. M.S.C. was supported by NIH predoctoral training grant T32 AI07401.
Editor: J. N. Weiser
Published ahead of print on 22 February 2010.