Clinical and parasitological protection in a Leishmania infantum-macaque model vaccinated with adenovirus and the recombinant A2 antigen.

BACKGROUND: Visceral leishmaniasis (VL) is a severe vector-born disease of humans and dogs caused by Leishmania donovani complex parasites. Approximately 0.2 to 0.4 million new human VL cases occur annually worldwide. In the new world, these alarming numbers are primarily due to the impracticality o...

Full description

Bibliographic Details
Main Authors: Gabriel Grimaldi, Antonio Teva, Renato Porrozzi, Marcelo A Pinto, Renato S Marchevsky, Maria Gabrielle L Rocha, Miriam S Dutra, Oscar Bruña-Romero, Ana-Paula Fernandes, Ricardo T Gazzinelli
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-06-01
Series:PLoS Neglected Tropical Diseases
Online Access:http://europepmc.org/articles/PMC4063746?pdf=render
_version_ 1819212743089061888
author Gabriel Grimaldi
Antonio Teva
Renato Porrozzi
Marcelo A Pinto
Renato S Marchevsky
Maria Gabrielle L Rocha
Miriam S Dutra
Oscar Bruña-Romero
Ana-Paula Fernandes
Ricardo T Gazzinelli
author_facet Gabriel Grimaldi
Antonio Teva
Renato Porrozzi
Marcelo A Pinto
Renato S Marchevsky
Maria Gabrielle L Rocha
Miriam S Dutra
Oscar Bruña-Romero
Ana-Paula Fernandes
Ricardo T Gazzinelli
author_sort Gabriel Grimaldi
collection DOAJ
description BACKGROUND: Visceral leishmaniasis (VL) is a severe vector-born disease of humans and dogs caused by Leishmania donovani complex parasites. Approximately 0.2 to 0.4 million new human VL cases occur annually worldwide. In the new world, these alarming numbers are primarily due to the impracticality of current control methods based on vector reduction and dog euthanasia. Thus, a prophylactic vaccine appears to be essential for VL control. The current efforts to develop an efficacious vaccine include the use of animal models that are as close to human VL. We have previously reported a L. infantum-macaque infection model that is reliable to determine which vaccine candidates are most worthy for further development. Among the few amastigote antigens tested so far, one of specific interest is the recombinant A2 (rA2) protein that protects against experimental L. infantum infections in mice and dogs. METHODOLOGY/PRINCIPAL FINDINGS: Primates were vaccinated using three rA2-based prime-boost immunization regimes: three doses of rA2 plus recombinant human interleukin-12 (rhIL-12) adsorbed in alum (rA2/rhIL-12/alum); two doses of non-replicative adenovirus recombinant vector encoding A2 (Ad5-A2) followed by two boosts with rA2/rhIL-12/alum (Ad5-A2+rA2/rhIL12/alum); and plasmid DNA encoding A2 gene (DNA-A2) boosted with two doses of Ad5-A2 (DNA-A2+Ad5-A2). Primates received a subsequent infectious challenge with L. infantum. Vaccines, apart from being safe, were immunogenic as animals responded with increased pre-challenge production of anti-A2-specific IgG antibodies, though with some variability in the response, depending on the vaccine formulation/protocol. The relative parasite load in the liver was significantly lower in immunized macaques as compared to controls. Protection correlated with hepatic granuloma resolution, and reduction of clinical symptoms, particularly when primates were vaccinated with the Ad5-A2+rA2/rhIL12/alum protocol. CONCLUSIONS/SIGNIFICANCE: The remarkable clinical protection induced by A2 in an animal model that is evolutionary close to humans qualifies this antigen as a suitable vaccine candidate against human VL.
first_indexed 2024-12-23T06:47:49Z
format Article
id doaj.art-f9ec055b98584101997fe7a5317ddee3
institution Directory Open Access Journal
issn 1935-2727
1935-2735
language English
last_indexed 2024-12-23T06:47:49Z
publishDate 2014-06-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS Neglected Tropical Diseases
spelling doaj.art-f9ec055b98584101997fe7a5317ddee32022-12-21T17:56:31ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352014-06-0186e285310.1371/journal.pntd.0002853Clinical and parasitological protection in a Leishmania infantum-macaque model vaccinated with adenovirus and the recombinant A2 antigen.Gabriel GrimaldiAntonio TevaRenato PorrozziMarcelo A PintoRenato S MarchevskyMaria Gabrielle L RochaMiriam S DutraOscar Bruña-RomeroAna-Paula FernandesRicardo T GazzinelliBACKGROUND: Visceral leishmaniasis (VL) is a severe vector-born disease of humans and dogs caused by Leishmania donovani complex parasites. Approximately 0.2 to 0.4 million new human VL cases occur annually worldwide. In the new world, these alarming numbers are primarily due to the impracticality of current control methods based on vector reduction and dog euthanasia. Thus, a prophylactic vaccine appears to be essential for VL control. The current efforts to develop an efficacious vaccine include the use of animal models that are as close to human VL. We have previously reported a L. infantum-macaque infection model that is reliable to determine which vaccine candidates are most worthy for further development. Among the few amastigote antigens tested so far, one of specific interest is the recombinant A2 (rA2) protein that protects against experimental L. infantum infections in mice and dogs. METHODOLOGY/PRINCIPAL FINDINGS: Primates were vaccinated using three rA2-based prime-boost immunization regimes: three doses of rA2 plus recombinant human interleukin-12 (rhIL-12) adsorbed in alum (rA2/rhIL-12/alum); two doses of non-replicative adenovirus recombinant vector encoding A2 (Ad5-A2) followed by two boosts with rA2/rhIL-12/alum (Ad5-A2+rA2/rhIL12/alum); and plasmid DNA encoding A2 gene (DNA-A2) boosted with two doses of Ad5-A2 (DNA-A2+Ad5-A2). Primates received a subsequent infectious challenge with L. infantum. Vaccines, apart from being safe, were immunogenic as animals responded with increased pre-challenge production of anti-A2-specific IgG antibodies, though with some variability in the response, depending on the vaccine formulation/protocol. The relative parasite load in the liver was significantly lower in immunized macaques as compared to controls. Protection correlated with hepatic granuloma resolution, and reduction of clinical symptoms, particularly when primates were vaccinated with the Ad5-A2+rA2/rhIL12/alum protocol. CONCLUSIONS/SIGNIFICANCE: The remarkable clinical protection induced by A2 in an animal model that is evolutionary close to humans qualifies this antigen as a suitable vaccine candidate against human VL.http://europepmc.org/articles/PMC4063746?pdf=render
spellingShingle Gabriel Grimaldi
Antonio Teva
Renato Porrozzi
Marcelo A Pinto
Renato S Marchevsky
Maria Gabrielle L Rocha
Miriam S Dutra
Oscar Bruña-Romero
Ana-Paula Fernandes
Ricardo T Gazzinelli
Clinical and parasitological protection in a Leishmania infantum-macaque model vaccinated with adenovirus and the recombinant A2 antigen.
PLoS Neglected Tropical Diseases
title Clinical and parasitological protection in a Leishmania infantum-macaque model vaccinated with adenovirus and the recombinant A2 antigen.
title_full Clinical and parasitological protection in a Leishmania infantum-macaque model vaccinated with adenovirus and the recombinant A2 antigen.
title_fullStr Clinical and parasitological protection in a Leishmania infantum-macaque model vaccinated with adenovirus and the recombinant A2 antigen.
title_full_unstemmed Clinical and parasitological protection in a Leishmania infantum-macaque model vaccinated with adenovirus and the recombinant A2 antigen.
title_short Clinical and parasitological protection in a Leishmania infantum-macaque model vaccinated with adenovirus and the recombinant A2 antigen.
title_sort clinical and parasitological protection in a leishmania infantum macaque model vaccinated with adenovirus and the recombinant a2 antigen
url http://europepmc.org/articles/PMC4063746?pdf=render
work_keys_str_mv AT gabrielgrimaldi clinicalandparasitologicalprotectioninaleishmaniainfantummacaquemodelvaccinatedwithadenovirusandtherecombinanta2antigen
AT antonioteva clinicalandparasitologicalprotectioninaleishmaniainfantummacaquemodelvaccinatedwithadenovirusandtherecombinanta2antigen
AT renatoporrozzi clinicalandparasitologicalprotectioninaleishmaniainfantummacaquemodelvaccinatedwithadenovirusandtherecombinanta2antigen
AT marceloapinto clinicalandparasitologicalprotectioninaleishmaniainfantummacaquemodelvaccinatedwithadenovirusandtherecombinanta2antigen
AT renatosmarchevsky clinicalandparasitologicalprotectioninaleishmaniainfantummacaquemodelvaccinatedwithadenovirusandtherecombinanta2antigen
AT mariagabriellelrocha clinicalandparasitologicalprotectioninaleishmaniainfantummacaquemodelvaccinatedwithadenovirusandtherecombinanta2antigen
AT miriamsdutra clinicalandparasitologicalprotectioninaleishmaniainfantummacaquemodelvaccinatedwithadenovirusandtherecombinanta2antigen
AT oscarbrunaromero clinicalandparasitologicalprotectioninaleishmaniainfantummacaquemodelvaccinatedwithadenovirusandtherecombinanta2antigen
AT anapaulafernandes clinicalandparasitologicalprotectioninaleishmaniainfantummacaquemodelvaccinatedwithadenovirusandtherecombinanta2antigen
AT ricardotgazzinelli clinicalandparasitologicalprotectioninaleishmaniainfantummacaquemodelvaccinatedwithadenovirusandtherecombinanta2antigen