Lung IL-17A-Producing CD4<sup>+</sup> T Cells Correlate with Protection after Intrapulmonary Vaccination with Differentially Adjuvanted Tuberculosis Vaccines

Tuberculosis (TB), caused by <i>Mycobacterium tuberculosis</i>, results in approximately 1.6 million deaths annually. BCG is the only TB vaccine currently in use and offers only variable protection; however, the development of more effective vaccines is hindered by a lack of defined corr...

Full description

Bibliographic Details
Main Authors: Erica L. Stewart, Claudio Counoupas, Diana H. Quan, Trixie Wang, Nikolai Petrovsky, Warwick J. Britton, James A. Triccas
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/12/2/128
_version_ 1797296908051415040
author Erica L. Stewart
Claudio Counoupas
Diana H. Quan
Trixie Wang
Nikolai Petrovsky
Warwick J. Britton
James A. Triccas
author_facet Erica L. Stewart
Claudio Counoupas
Diana H. Quan
Trixie Wang
Nikolai Petrovsky
Warwick J. Britton
James A. Triccas
author_sort Erica L. Stewart
collection DOAJ
description Tuberculosis (TB), caused by <i>Mycobacterium tuberculosis</i>, results in approximately 1.6 million deaths annually. BCG is the only TB vaccine currently in use and offers only variable protection; however, the development of more effective vaccines is hindered by a lack of defined correlates of protection (CoP) against <i>M. tuberculosis</i>. Pulmonary vaccine delivery is a promising strategy since it may promote lung-resident immune memory that can respond rapidly to respiratory infection. In this study, CysVac2, a subunit protein previously shown to be protective against <i>M. tuberculosis</i> in mouse models, was combined with either Advax<sup>®</sup> adjuvant or a mixture of alum plus MPLA and administered intratracheally into mice. Peripheral immune responses were tracked longitudinally, and lung-local immune responses were measured after challenge. Both readouts were then correlated with protection after <i>M. tuberculosis</i> infection. Although considered essential for the control of mycobacteria, induction of IFN-γ-expressing CD4<sup>+</sup> T cells in the blood or lungs did not correlate with protection. Instead, CD4<sup>+</sup> T cells in the lungs expressing IL-17A correlated with reduced bacterial burden. This study identified pulmonary IL-17A-expressing CD4<sup>+</sup> T cells as a CoP against <i>M. tuberculosis</i> and suggests that mucosal immune profiles should be explored for novel CoP.
first_indexed 2024-03-07T22:11:36Z
format Article
id doaj.art-f4b0819b5c944be49480f1bf7d8e91f1
institution Directory Open Access Journal
issn 2076-393X
language English
last_indexed 2024-03-07T22:11:36Z
publishDate 2024-01-01
publisher MDPI AG
record_format Article
series Vaccines
spelling doaj.art-f4b0819b5c944be49480f1bf7d8e91f12024-02-23T15:36:55ZengMDPI AGVaccines2076-393X2024-01-0112212810.3390/vaccines12020128Lung IL-17A-Producing CD4<sup>+</sup> T Cells Correlate with Protection after Intrapulmonary Vaccination with Differentially Adjuvanted Tuberculosis VaccinesErica L. Stewart0Claudio Counoupas1Diana H. Quan2Trixie Wang3Nikolai Petrovsky4Warwick J. Britton5James A. Triccas6Sydney Infectious Diseases Institute (Sydney ID), Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW 2006, AustraliaSydney Infectious Diseases Institute (Sydney ID), Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW 2006, AustraliaCentre for Infection and Immunity, Centenary Institute, Royal Prince Alfred Hospital, Camperdown, NSW 2050, AustraliaCentre for Infection and Immunity, Centenary Institute, Royal Prince Alfred Hospital, Camperdown, NSW 2050, AustraliaVaxine Pty Ltd., Warradale, Adelaide, SA 5046, AustraliaCentre for Infection and Immunity, Centenary Institute, Royal Prince Alfred Hospital, Camperdown, NSW 2050, AustraliaSydney Infectious Diseases Institute (Sydney ID), Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW 2006, AustraliaTuberculosis (TB), caused by <i>Mycobacterium tuberculosis</i>, results in approximately 1.6 million deaths annually. BCG is the only TB vaccine currently in use and offers only variable protection; however, the development of more effective vaccines is hindered by a lack of defined correlates of protection (CoP) against <i>M. tuberculosis</i>. Pulmonary vaccine delivery is a promising strategy since it may promote lung-resident immune memory that can respond rapidly to respiratory infection. In this study, CysVac2, a subunit protein previously shown to be protective against <i>M. tuberculosis</i> in mouse models, was combined with either Advax<sup>®</sup> adjuvant or a mixture of alum plus MPLA and administered intratracheally into mice. Peripheral immune responses were tracked longitudinally, and lung-local immune responses were measured after challenge. Both readouts were then correlated with protection after <i>M. tuberculosis</i> infection. Although considered essential for the control of mycobacteria, induction of IFN-γ-expressing CD4<sup>+</sup> T cells in the blood or lungs did not correlate with protection. Instead, CD4<sup>+</sup> T cells in the lungs expressing IL-17A correlated with reduced bacterial burden. This study identified pulmonary IL-17A-expressing CD4<sup>+</sup> T cells as a CoP against <i>M. tuberculosis</i> and suggests that mucosal immune profiles should be explored for novel CoP.https://www.mdpi.com/2076-393X/12/2/128tuberculosisvaccineadjuvantmucosalTh17IL-17A
spellingShingle Erica L. Stewart
Claudio Counoupas
Diana H. Quan
Trixie Wang
Nikolai Petrovsky
Warwick J. Britton
James A. Triccas
Lung IL-17A-Producing CD4<sup>+</sup> T Cells Correlate with Protection after Intrapulmonary Vaccination with Differentially Adjuvanted Tuberculosis Vaccines
Vaccines
tuberculosis
vaccine
adjuvant
mucosal
Th17
IL-17A
title Lung IL-17A-Producing CD4<sup>+</sup> T Cells Correlate with Protection after Intrapulmonary Vaccination with Differentially Adjuvanted Tuberculosis Vaccines
title_full Lung IL-17A-Producing CD4<sup>+</sup> T Cells Correlate with Protection after Intrapulmonary Vaccination with Differentially Adjuvanted Tuberculosis Vaccines
title_fullStr Lung IL-17A-Producing CD4<sup>+</sup> T Cells Correlate with Protection after Intrapulmonary Vaccination with Differentially Adjuvanted Tuberculosis Vaccines
title_full_unstemmed Lung IL-17A-Producing CD4<sup>+</sup> T Cells Correlate with Protection after Intrapulmonary Vaccination with Differentially Adjuvanted Tuberculosis Vaccines
title_short Lung IL-17A-Producing CD4<sup>+</sup> T Cells Correlate with Protection after Intrapulmonary Vaccination with Differentially Adjuvanted Tuberculosis Vaccines
title_sort lung il 17a producing cd4 sup sup t cells correlate with protection after intrapulmonary vaccination with differentially adjuvanted tuberculosis vaccines
topic tuberculosis
vaccine
adjuvant
mucosal
Th17
IL-17A
url https://www.mdpi.com/2076-393X/12/2/128
work_keys_str_mv AT ericalstewart lungil17aproducingcd4supsuptcellscorrelatewithprotectionafterintrapulmonaryvaccinationwithdifferentiallyadjuvantedtuberculosisvaccines
AT claudiocounoupas lungil17aproducingcd4supsuptcellscorrelatewithprotectionafterintrapulmonaryvaccinationwithdifferentiallyadjuvantedtuberculosisvaccines
AT dianahquan lungil17aproducingcd4supsuptcellscorrelatewithprotectionafterintrapulmonaryvaccinationwithdifferentiallyadjuvantedtuberculosisvaccines
AT trixiewang lungil17aproducingcd4supsuptcellscorrelatewithprotectionafterintrapulmonaryvaccinationwithdifferentiallyadjuvantedtuberculosisvaccines
AT nikolaipetrovsky lungil17aproducingcd4supsuptcellscorrelatewithprotectionafterintrapulmonaryvaccinationwithdifferentiallyadjuvantedtuberculosisvaccines
AT warwickjbritton lungil17aproducingcd4supsuptcellscorrelatewithprotectionafterintrapulmonaryvaccinationwithdifferentiallyadjuvantedtuberculosisvaccines
AT jamesatriccas lungil17aproducingcd4supsuptcellscorrelatewithprotectionafterintrapulmonaryvaccinationwithdifferentiallyadjuvantedtuberculosisvaccines