A panel of correlates predicts vaccine-induced protection of rats against respiratory challenge with virulent Francisella tularensis.

There are no defined correlates of protection for any intracellular pathogen, including the bacterium Francisella tularensis, which causes tularemia. Evaluating vaccine efficacy against sporadic diseases like tularemia using field trials is problematic, and therefore alternative strategies to test v...

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Main Authors: Roberto De Pascalis, Andrew Hahn, Helen M Brook, Patrik Ryden, Nathaniel Donart, Lara Mittereder, Blake Frey, Terry H Wu, Karen L Elkins
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5969757?pdf=render
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author Roberto De Pascalis
Andrew Hahn
Helen M Brook
Patrik Ryden
Nathaniel Donart
Lara Mittereder
Blake Frey
Terry H Wu
Karen L Elkins
author_facet Roberto De Pascalis
Andrew Hahn
Helen M Brook
Patrik Ryden
Nathaniel Donart
Lara Mittereder
Blake Frey
Terry H Wu
Karen L Elkins
author_sort Roberto De Pascalis
collection DOAJ
description There are no defined correlates of protection for any intracellular pathogen, including the bacterium Francisella tularensis, which causes tularemia. Evaluating vaccine efficacy against sporadic diseases like tularemia using field trials is problematic, and therefore alternative strategies to test vaccine candidates like the Francisella Live Vaccine Strain (LVS), such as testing in animals and applying correlate measurements, are needed. Recently, we described a promising correlate strategy that predicted the degree of vaccine-induced protection in mice given parenteral challenges, primarily when using an attenuated Francisella strain. Here, we demonstrate that using peripheral blood lymphocytes (PBLs) in this approach predicts LVS-mediated protection against respiratory challenge of Fischer 344 rats with fully virulent F. tularensis, with exceptional sensitivity and specificity. Rats were vaccinated with a panel of LVS-derived vaccines and subsequently given lethal respiratory challenges with Type A F. tularensis. In parallel, PBLs from vaccinated rats were evaluated for their functional ability to control intramacrophage Francisella growth in in vitro co-culture assays. PBLs recovered from co-cultures were also evaluated for relative gene expression using a large panel of genes identified in murine studies. In vitro control of LVS intramacrophage replication reflected the hierarchy of protection. Further, despite variability between individuals, 22 genes were significantly more up-regulated in PBLs from rats vaccinated with LVS compared to those from rats vaccinated with the variant LVS-R or heat-killed LVS, which were poorly protective. These genes included IFN-γ, IL-21, NOS2, LTA, T-bet, IL-12rβ2, and CCL5. Most importantly, combining quantifications of intramacrophage growth control with 5-7 gene expression levels using multivariate analyses discriminated protected from non-protected individuals with greater than 95% sensitivity and specificity. The results therefore support translation of this approach to non-human primates and people to evaluate new vaccines against Francisella and other intracellular pathogens.
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spelling doaj.art-ca1e6c3957f348d9b85a34749eae8b6e2022-12-21T18:55:30ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01135e019814010.1371/journal.pone.0198140A panel of correlates predicts vaccine-induced protection of rats against respiratory challenge with virulent Francisella tularensis.Roberto De PascalisAndrew HahnHelen M BrookPatrik RydenNathaniel DonartLara MitterederBlake FreyTerry H WuKaren L ElkinsThere are no defined correlates of protection for any intracellular pathogen, including the bacterium Francisella tularensis, which causes tularemia. Evaluating vaccine efficacy against sporadic diseases like tularemia using field trials is problematic, and therefore alternative strategies to test vaccine candidates like the Francisella Live Vaccine Strain (LVS), such as testing in animals and applying correlate measurements, are needed. Recently, we described a promising correlate strategy that predicted the degree of vaccine-induced protection in mice given parenteral challenges, primarily when using an attenuated Francisella strain. Here, we demonstrate that using peripheral blood lymphocytes (PBLs) in this approach predicts LVS-mediated protection against respiratory challenge of Fischer 344 rats with fully virulent F. tularensis, with exceptional sensitivity and specificity. Rats were vaccinated with a panel of LVS-derived vaccines and subsequently given lethal respiratory challenges with Type A F. tularensis. In parallel, PBLs from vaccinated rats were evaluated for their functional ability to control intramacrophage Francisella growth in in vitro co-culture assays. PBLs recovered from co-cultures were also evaluated for relative gene expression using a large panel of genes identified in murine studies. In vitro control of LVS intramacrophage replication reflected the hierarchy of protection. Further, despite variability between individuals, 22 genes were significantly more up-regulated in PBLs from rats vaccinated with LVS compared to those from rats vaccinated with the variant LVS-R or heat-killed LVS, which were poorly protective. These genes included IFN-γ, IL-21, NOS2, LTA, T-bet, IL-12rβ2, and CCL5. Most importantly, combining quantifications of intramacrophage growth control with 5-7 gene expression levels using multivariate analyses discriminated protected from non-protected individuals with greater than 95% sensitivity and specificity. The results therefore support translation of this approach to non-human primates and people to evaluate new vaccines against Francisella and other intracellular pathogens.http://europepmc.org/articles/PMC5969757?pdf=render
spellingShingle Roberto De Pascalis
Andrew Hahn
Helen M Brook
Patrik Ryden
Nathaniel Donart
Lara Mittereder
Blake Frey
Terry H Wu
Karen L Elkins
A panel of correlates predicts vaccine-induced protection of rats against respiratory challenge with virulent Francisella tularensis.
PLoS ONE
title A panel of correlates predicts vaccine-induced protection of rats against respiratory challenge with virulent Francisella tularensis.
title_full A panel of correlates predicts vaccine-induced protection of rats against respiratory challenge with virulent Francisella tularensis.
title_fullStr A panel of correlates predicts vaccine-induced protection of rats against respiratory challenge with virulent Francisella tularensis.
title_full_unstemmed A panel of correlates predicts vaccine-induced protection of rats against respiratory challenge with virulent Francisella tularensis.
title_short A panel of correlates predicts vaccine-induced protection of rats against respiratory challenge with virulent Francisella tularensis.
title_sort panel of correlates predicts vaccine induced protection of rats against respiratory challenge with virulent francisella tularensis
url http://europepmc.org/articles/PMC5969757?pdf=render
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