A high-throughput sequencing approach identifies immunotherapeutic targets for bacterial meningitis in neonatesResearch in context

Summary: Background: Worldwide, Escherichia coli is the leading cause of neonatal Gram-negative bacterial meningitis, but full understanding of the pathogenesis of this disease is not yet achieved. Moreover, to date, no vaccine is available against bacterial neonatal meningitis. Methods: Here, we u...

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Main Authors: Stéphanie Pons, Eric Frapy, Youssouf Sereme, Charlotte Gaultier, François Lebreton, Andrea Kropec, Olga Danilchanka, Laura Schlemmer, Cécile Schrimpf, Margaux Allain, François Angoulvant, Hervé Lecuyer, Stéphane Bonacorsi, Hugues Aschard, Harry Sokol, Colette Cywes-Bentley, John J. Mekalanos, Thomas Guillard, Gerald B. Pier, Damien Roux, David Skurnik
Format: Article
Language:English
Published: Elsevier 2023-02-01
Series:EBioMedicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S235239642300004X
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author Stéphanie Pons
Eric Frapy
Youssouf Sereme
Charlotte Gaultier
François Lebreton
Andrea Kropec
Olga Danilchanka
Laura Schlemmer
Cécile Schrimpf
Margaux Allain
François Angoulvant
Hervé Lecuyer
Stéphane Bonacorsi
Hugues Aschard
Harry Sokol
Colette Cywes-Bentley
John J. Mekalanos
Thomas Guillard
Gerald B. Pier
Damien Roux
David Skurnik
author_facet Stéphanie Pons
Eric Frapy
Youssouf Sereme
Charlotte Gaultier
François Lebreton
Andrea Kropec
Olga Danilchanka
Laura Schlemmer
Cécile Schrimpf
Margaux Allain
François Angoulvant
Hervé Lecuyer
Stéphane Bonacorsi
Hugues Aschard
Harry Sokol
Colette Cywes-Bentley
John J. Mekalanos
Thomas Guillard
Gerald B. Pier
Damien Roux
David Skurnik
author_sort Stéphanie Pons
collection DOAJ
description Summary: Background: Worldwide, Escherichia coli is the leading cause of neonatal Gram-negative bacterial meningitis, but full understanding of the pathogenesis of this disease is not yet achieved. Moreover, to date, no vaccine is available against bacterial neonatal meningitis. Methods: Here, we used Transposon Sequencing of saturated banks of mutants (TnSeq) to evaluate E. coli K1 genetic fitness in murine neonatal meningitis. We identified E. coli K1 genes encoding for factors important for systemic dissemination and brain infection, and focused on products with a likely outer-membrane or extra-cellular localization, as these are potential vaccine candidates. We used in vitro and in vivo models to study the efficacy of active and passive immunization. Results: We selected for further study the conserved surface polysaccharide Poly-β-(1-6)-N-Acetyl Glucosamine (PNAG), as a strong candidate for vaccine development. We found that PNAG was a virulence factor in our animal model. We showed that both passive and active immunization successfully prevented and/or treated meningitis caused by E. coli K1 in neonatal mice. We found an excellent opsonophagocytic killing activity of the antibodies to PNAG and in vitro these antibodies were also able to decrease binding, invasion and crossing of E. coli K1 through two blood brain barrier cell lines. Finally, to reinforce the potential of PNAG as a vaccine candidate in bacterial neonatal meningitis, we demonstrated that Group B Streptococcus, the main cause of neonatal meningitis in developed countries, also produced PNAG and that antibodies to PNAG could protect in vitro and in vivo against this major neonatal pathogen. Interpretation: Altogether, these results indicate the utility of a high-throughput DNA sequencing method to identify potential immunotherapy targets for a pathogen, including in this study a potential broad-spectrum target for prevention of neonatal bacterial infections. Fundings: ANR Seq-N-Vaq, Charles Hood Foundation, Hearst Foundation, and Groupe Pasteur Mutualité.
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spelling doaj.art-6072e4ffadcf4741b891307baa3891fb2023-02-10T04:22:25ZengElsevierEBioMedicine2352-39642023-02-0188104439A high-throughput sequencing approach identifies immunotherapeutic targets for bacterial meningitis in neonatesResearch in contextStéphanie Pons0Eric Frapy1Youssouf Sereme2Charlotte Gaultier3François Lebreton4Andrea Kropec5Olga Danilchanka6Laura Schlemmer7Cécile Schrimpf8Margaux Allain9François Angoulvant10Hervé Lecuyer11Stéphane Bonacorsi12Hugues Aschard13Harry Sokol14Colette Cywes-Bentley15John J. Mekalanos16Thomas Guillard17Gerald B. Pier18Damien Roux19David Skurnik20Division of Infectious Diseases, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA; Department of Anesthesiology and Critical Care, Sorbonne University, GRC 29, AP-HP, DMU DREAM, Pitié-Salpêtrière, Paris, FranceCNRS, INSERM, Institut Necker Enfants Malades-INEM, F-75015 Paris, France; Faculté de Médecine, University of Paris City, Paris, FranceCNRS, INSERM, Institut Necker Enfants Malades-INEM, F-75015 Paris, France; Faculté de Médecine, University of Paris City, Paris, FranceDivision of Infectious Diseases, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USADepartment of Ophthalmology and Department of Microbiology and Immunobiology, Harvard Medical School, Boston, MA 02114, USADivision of Infectious Diseases, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USADepartment of Microbiology, Harvard Medical School, Boston, MA 02115, USACNRS, INSERM, Institut Necker Enfants Malades-INEM, F-75015 Paris, FranceCNRS, INSERM, Institut Necker Enfants Malades-INEM, F-75015 Paris, FranceCNRS, INSERM, Institut Necker Enfants Malades-INEM, F-75015 Paris, FranceAssistance Publique - Hôpitaux de Paris, Pediatric Emergency Department, Necker-Enfants Malades University Hospital, University of Paris City, Paris, France; INSERM, Centre de Recherche des Cordeliers, UMRS 1138, Sorbonne Université, Université de Paris, Paris, FranceCNRS, INSERM, Institut Necker Enfants Malades-INEM, F-75015 Paris, France; Faculté de Médecine, University of Paris City, Paris, France; Department of Clinical Microbiology, Fédération Hospitalo-Universitaire Prématurité (FHU PREMA), Necker-Enfants Malades University Hospital, University of Paris City, Paris, FranceE IAME, UMR 1137, INSERM, Université de Paris, AP-HP, Paris, France; Laboratoire de Microbiologie, Hôpital Robert Debré, AP-HP, Paris, FranceCentre de Bioinformatique, Biostatistique et Biologie Intégrative (C3BI), Institut Pasteur, Paris, France; Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, MA, USAGastroenterology Department, Sorbonne University, INSERM, Centre de Recherche Saint-Antoine, CRSA, AP-HP, Saint Antoine Hospital, F-75012 Paris, France; INRA, UMR1319 Micalis & AgroParisTech, Jouy en Josas, France; Paris Centre for Microbiome Medicine FHU, Paris, FranceDivision of Infectious Diseases, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USADepartment of Microbiology, Harvard Medical School, Boston, MA 02115, USADivision of Infectious Diseases, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA; Université de Reims Champagne-Ardenne, SFR CAP-Santé, Inserm UMR-S 1250 P3Cell, Reims, France; Laboratoire de Bactériologie-Virologie-Hygiène Hospitalière-Parasitologie-Mycologie, CHU, Reims, FranceDivision of Infectious Diseases, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USADivision of Infectious Diseases, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA; Université de Paris, INSERM, UMR 1137 IAME, F-75018 Paris, France; AP-HP, Médecine Intensive Réanimation, Hôpital Louis Mourier, F-92700 Colombes, FranceDivision of Infectious Diseases, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA; CNRS, INSERM, Institut Necker Enfants Malades-INEM, F-75015 Paris, France; Faculté de Médecine, University of Paris City, Paris, France; Department of Clinical Microbiology, Fédération Hospitalo-Universitaire Prématurité (FHU PREMA), Necker-Enfants Malades University Hospital, University of Paris City, Paris, France; Corresponding author. Département de Microbiologie, Université de Paris- Hôpital Necker Enfants Malades, 149, rue de Sèvres, 75015 Paris, France.Summary: Background: Worldwide, Escherichia coli is the leading cause of neonatal Gram-negative bacterial meningitis, but full understanding of the pathogenesis of this disease is not yet achieved. Moreover, to date, no vaccine is available against bacterial neonatal meningitis. Methods: Here, we used Transposon Sequencing of saturated banks of mutants (TnSeq) to evaluate E. coli K1 genetic fitness in murine neonatal meningitis. We identified E. coli K1 genes encoding for factors important for systemic dissemination and brain infection, and focused on products with a likely outer-membrane or extra-cellular localization, as these are potential vaccine candidates. We used in vitro and in vivo models to study the efficacy of active and passive immunization. Results: We selected for further study the conserved surface polysaccharide Poly-β-(1-6)-N-Acetyl Glucosamine (PNAG), as a strong candidate for vaccine development. We found that PNAG was a virulence factor in our animal model. We showed that both passive and active immunization successfully prevented and/or treated meningitis caused by E. coli K1 in neonatal mice. We found an excellent opsonophagocytic killing activity of the antibodies to PNAG and in vitro these antibodies were also able to decrease binding, invasion and crossing of E. coli K1 through two blood brain barrier cell lines. Finally, to reinforce the potential of PNAG as a vaccine candidate in bacterial neonatal meningitis, we demonstrated that Group B Streptococcus, the main cause of neonatal meningitis in developed countries, also produced PNAG and that antibodies to PNAG could protect in vitro and in vivo against this major neonatal pathogen. Interpretation: Altogether, these results indicate the utility of a high-throughput DNA sequencing method to identify potential immunotherapy targets for a pathogen, including in this study a potential broad-spectrum target for prevention of neonatal bacterial infections. Fundings: ANR Seq-N-Vaq, Charles Hood Foundation, Hearst Foundation, and Groupe Pasteur Mutualité.http://www.sciencedirect.com/science/article/pii/S235239642300004XNeonatal meningitisVaccineHigh-throughput sequencingE. coli K1PNAG
spellingShingle Stéphanie Pons
Eric Frapy
Youssouf Sereme
Charlotte Gaultier
François Lebreton
Andrea Kropec
Olga Danilchanka
Laura Schlemmer
Cécile Schrimpf
Margaux Allain
François Angoulvant
Hervé Lecuyer
Stéphane Bonacorsi
Hugues Aschard
Harry Sokol
Colette Cywes-Bentley
John J. Mekalanos
Thomas Guillard
Gerald B. Pier
Damien Roux
David Skurnik
A high-throughput sequencing approach identifies immunotherapeutic targets for bacterial meningitis in neonatesResearch in context
EBioMedicine
Neonatal meningitis
Vaccine
High-throughput sequencing
E. coli K1
PNAG
title A high-throughput sequencing approach identifies immunotherapeutic targets for bacterial meningitis in neonatesResearch in context
title_full A high-throughput sequencing approach identifies immunotherapeutic targets for bacterial meningitis in neonatesResearch in context
title_fullStr A high-throughput sequencing approach identifies immunotherapeutic targets for bacterial meningitis in neonatesResearch in context
title_full_unstemmed A high-throughput sequencing approach identifies immunotherapeutic targets for bacterial meningitis in neonatesResearch in context
title_short A high-throughput sequencing approach identifies immunotherapeutic targets for bacterial meningitis in neonatesResearch in context
title_sort high throughput sequencing approach identifies immunotherapeutic targets for bacterial meningitis in neonatesresearch in context
topic Neonatal meningitis
Vaccine
High-throughput sequencing
E. coli K1
PNAG
url http://www.sciencedirect.com/science/article/pii/S235239642300004X
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