Oral Peptide Vaccine against Hookworm Infection: Correlation of Antibody Titers with Protective Efficacy

Approximately 0.4 billion individuals worldwide are infected with hookworm. An effective vaccine is needed to not only improve the health of those affected and at high risk, but also to improve economic growth in disease-endemic areas. An ideal anti-hookworm therapeutic strategy for mass administrat...

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Main Authors: Ahmed O. Shalash, Luke Becker, Jieru Yang, Paul Giacomin, Mark Pearson, Waleed M. Hussein, Alex Loukas, Mariusz Skwarczynski, Istvan Toth
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/9/9/1034
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author Ahmed O. Shalash
Luke Becker
Jieru Yang
Paul Giacomin
Mark Pearson
Waleed M. Hussein
Alex Loukas
Mariusz Skwarczynski
Istvan Toth
author_facet Ahmed O. Shalash
Luke Becker
Jieru Yang
Paul Giacomin
Mark Pearson
Waleed M. Hussein
Alex Loukas
Mariusz Skwarczynski
Istvan Toth
author_sort Ahmed O. Shalash
collection DOAJ
description Approximately 0.4 billion individuals worldwide are infected with hookworm. An effective vaccine is needed to not only improve the health of those affected and at high risk, but also to improve economic growth in disease-endemic areas. An ideal anti-hookworm therapeutic strategy for mass administration is a stable and orally administered vaccine. Oral vaccines are advantageous as they negate the need for trained medical staff for administration and do not require strict sterility conditions. Vaccination, therefore, can be carried out at a significantly reduced cost. One of the most promising current antigenic targets for hookworm vaccine development is the aspartic protease digestive enzyme (APR-1). Antibody-mediated neutralization of APR-1 deprives the worm of nourishment, leading to reduced worm burdens in vaccinated hosts. Previously, we demonstrated that, when incorporated into vaccine delivery systems, the APR-1-derived p3 epitope (TSLIAGPKAQVEAIQKYIGAEL) was able to greatly reduce worm burdens (≥90%) in BALB/c mice; however, multiple, large doses of the vaccine were required. Here, we investigated a variety of p3-antigen conjugates to optimize antigen delivery and establish immune response/protective efficacy relationships. We synthesized, purified, and characterized four p3 peptide-based vaccine candidates with: (a) lipidic (lipid core peptide (LCP)); (b) classical polymeric (polymethylacrylate (PMA)); and (c) novel polymeric (polyleucine in a branched or linear arrangement, BL<sub>10</sub> or LL<sub>10</sub>, respectively) groups as self-adjuvanting moieties. BL<sub>10</sub> and LL<sub>10</sub> induced the highest serum anti-p3 and anti-APR-1 IgG titers. Upon challenge with rodent hookworms, the highest significant reduction in worm burden was observed in mice immunized with LL<sub>10</sub>. APR-1-specific serum IgG titers correlated with worm burden reduction. Thus, we provide the first vaccine-triggered immune response-protection relationship for hookworm infection.
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spelling doaj.art-6a6f34049d214de9a7621268816c1cbe2023-11-22T15:35:09ZengMDPI AGVaccines2076-393X2021-09-0199103410.3390/vaccines9091034Oral Peptide Vaccine against Hookworm Infection: Correlation of Antibody Titers with Protective EfficacyAhmed O. Shalash0Luke Becker1Jieru Yang2Paul Giacomin3Mark Pearson4Waleed M. Hussein5Alex Loukas6Mariusz Skwarczynski7Istvan Toth8School of Chemistry and Molecular Biosciences, The University of Queensland, St Lucia, QLD 4072, AustraliaCentre for Molecular Therapeutics, Australian Institute of Tropical Health and Medicine, James Cook University, Cairns, QLD 4878, AustraliaSchool of Chemistry and Molecular Biosciences, The University of Queensland, St Lucia, QLD 4072, AustraliaCentre for Molecular Therapeutics, Australian Institute of Tropical Health and Medicine, James Cook University, Cairns, QLD 4878, AustraliaCentre for Molecular Therapeutics, Australian Institute of Tropical Health and Medicine, James Cook University, Cairns, QLD 4878, AustraliaSchool of Chemistry and Molecular Biosciences, The University of Queensland, St Lucia, QLD 4072, AustraliaCentre for Molecular Therapeutics, Australian Institute of Tropical Health and Medicine, James Cook University, Cairns, QLD 4878, AustraliaSchool of Chemistry and Molecular Biosciences, The University of Queensland, St Lucia, QLD 4072, AustraliaSchool of Chemistry and Molecular Biosciences, The University of Queensland, St Lucia, QLD 4072, AustraliaApproximately 0.4 billion individuals worldwide are infected with hookworm. An effective vaccine is needed to not only improve the health of those affected and at high risk, but also to improve economic growth in disease-endemic areas. An ideal anti-hookworm therapeutic strategy for mass administration is a stable and orally administered vaccine. Oral vaccines are advantageous as they negate the need for trained medical staff for administration and do not require strict sterility conditions. Vaccination, therefore, can be carried out at a significantly reduced cost. One of the most promising current antigenic targets for hookworm vaccine development is the aspartic protease digestive enzyme (APR-1). Antibody-mediated neutralization of APR-1 deprives the worm of nourishment, leading to reduced worm burdens in vaccinated hosts. Previously, we demonstrated that, when incorporated into vaccine delivery systems, the APR-1-derived p3 epitope (TSLIAGPKAQVEAIQKYIGAEL) was able to greatly reduce worm burdens (≥90%) in BALB/c mice; however, multiple, large doses of the vaccine were required. Here, we investigated a variety of p3-antigen conjugates to optimize antigen delivery and establish immune response/protective efficacy relationships. We synthesized, purified, and characterized four p3 peptide-based vaccine candidates with: (a) lipidic (lipid core peptide (LCP)); (b) classical polymeric (polymethylacrylate (PMA)); and (c) novel polymeric (polyleucine in a branched or linear arrangement, BL<sub>10</sub> or LL<sub>10</sub>, respectively) groups as self-adjuvanting moieties. BL<sub>10</sub> and LL<sub>10</sub> induced the highest serum anti-p3 and anti-APR-1 IgG titers. Upon challenge with rodent hookworms, the highest significant reduction in worm burden was observed in mice immunized with LL<sub>10</sub>. APR-1-specific serum IgG titers correlated with worm burden reduction. Thus, we provide the first vaccine-triggered immune response-protection relationship for hookworm infection.https://www.mdpi.com/2076-393X/9/9/1034aspartic protease-1hookworminfection challengeoral vaccinepeptide-based vaccine
spellingShingle Ahmed O. Shalash
Luke Becker
Jieru Yang
Paul Giacomin
Mark Pearson
Waleed M. Hussein
Alex Loukas
Mariusz Skwarczynski
Istvan Toth
Oral Peptide Vaccine against Hookworm Infection: Correlation of Antibody Titers with Protective Efficacy
Vaccines
aspartic protease-1
hookworm
infection challenge
oral vaccine
peptide-based vaccine
title Oral Peptide Vaccine against Hookworm Infection: Correlation of Antibody Titers with Protective Efficacy
title_full Oral Peptide Vaccine against Hookworm Infection: Correlation of Antibody Titers with Protective Efficacy
title_fullStr Oral Peptide Vaccine against Hookworm Infection: Correlation of Antibody Titers with Protective Efficacy
title_full_unstemmed Oral Peptide Vaccine against Hookworm Infection: Correlation of Antibody Titers with Protective Efficacy
title_short Oral Peptide Vaccine against Hookworm Infection: Correlation of Antibody Titers with Protective Efficacy
title_sort oral peptide vaccine against hookworm infection correlation of antibody titers with protective efficacy
topic aspartic protease-1
hookworm
infection challenge
oral vaccine
peptide-based vaccine
url https://www.mdpi.com/2076-393X/9/9/1034
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