Vaccine-Induced Th1-Type Response Protects against Invasive Group A <italic toggle="yes">Streptococcus</italic> Infection in the Absence of Opsonizing Antibodies

ABSTRACT Recent global advocacy efforts have highlighted the importance of development of a vaccine against group A Streptococcus (GAS). Combo5 is a non-M protein-based vaccine that provides protection against GAS skin infection in mice and reduces the severity of pharyngitis in nonhuman primates. H...

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Autores principales: Tania Rivera-Hernandez, Mira Syahira Rhyme, Amanda J. Cork, Scott Jones, Celia Segui-Perez, Livia Brunner, Johanna Richter, Nikolai Petrovsky, Maria Lawrenz, David Goldblatt, Nicolas Collin, Mark J. Walker
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Publicado: American Society for Microbiology 2020
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spelling oai:doaj.org-article:a45d19c21a7d4f59b307fc52028682b22021-11-15T15:57:02ZVaccine-Induced Th1-Type Response Protects against Invasive Group A <italic toggle="yes">Streptococcus</italic> Infection in the Absence of Opsonizing Antibodies10.1128/mBio.00122-202150-7511https://doaj.org/article/a45d19c21a7d4f59b307fc52028682b22020-04-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mBio.00122-20https://doaj.org/toc/2150-7511ABSTRACT Recent global advocacy efforts have highlighted the importance of development of a vaccine against group A Streptococcus (GAS). Combo5 is a non-M protein-based vaccine that provides protection against GAS skin infection in mice and reduces the severity of pharyngitis in nonhuman primates. However, Combo5 with the addition of aluminum hydroxide (alum) as an adjuvant failed to protect against invasive GAS infection of mice. Here, we show that formulation of Combo5 with adjuvants containing saponin QS21 significantly improves protective efficacy, even though all 7 adjuvants tested generated high antigen-specific IgG antibody titers, including alum. Detailed characterization of Combo5 formulated with SMQ adjuvant, a squalene-in-water emulsion containing a TLR4 agonist and QS21, showed significant differences from the results obtained with alum in IgG subclasses generated following immunization, with an absence of GAS opsonizing antibodies. SMQ, but not alum, generated strong interleukin-6 (IL-6), gamma interferon (IFN-γ), and tumor necrosis alpha (TNF-α) responses. This work highlights the importance of adjuvant selection for non-M protein-based GAS vaccines to optimize immune responses and protective efficacy. IMPORTANCE Availability of a group A Streptococcus vaccine remains an unmet public health need. Here, we tested different adjuvant formulations to improve the protective efficacy of non-M protein vaccine Combo5 in an invasive disease model. We show that novel adjuvants can dramatically shape the type of immune response developed following immunization with Combo5 and significantly improve protection. In addition, protection afforded by Combo5 is not mediated by opsonizing antibodies, believed to be the main correlate of protection against GAS infections. Overall, this report highlights the importance of adjuvant selection in raising protective immune responses against GAS invasive infection. Adjuvants that can provide a more balanced Th1/Th2-type response may be required to optimize protection of GAS vaccines, particularly those based on non-M protein antigens.Tania Rivera-HernandezMira Syahira RhymeAmanda J. CorkScott JonesCelia Segui-PerezLivia BrunnerJohanna RichterNikolai PetrovskyMaria LawrenzDavid GoldblattNicolas CollinMark J. WalkerAmerican Society for Microbiologyarticlegroup A Streptococcusvaccinesadjuvantsinvasive diseaseMicrobiologyQR1-502ENmBio, Vol 11, Iss 2 (2020)
institution DOAJ
collection DOAJ
language EN
topic group A Streptococcus
vaccines
adjuvants
invasive disease
Microbiology
QR1-502
spellingShingle group A Streptococcus
vaccines
adjuvants
invasive disease
Microbiology
QR1-502
Tania Rivera-Hernandez
Mira Syahira Rhyme
Amanda J. Cork
Scott Jones
Celia Segui-Perez
Livia Brunner
Johanna Richter
Nikolai Petrovsky
Maria Lawrenz
David Goldblatt
Nicolas Collin
Mark J. Walker
Vaccine-Induced Th1-Type Response Protects against Invasive Group A <italic toggle="yes">Streptococcus</italic> Infection in the Absence of Opsonizing Antibodies
description ABSTRACT Recent global advocacy efforts have highlighted the importance of development of a vaccine against group A Streptococcus (GAS). Combo5 is a non-M protein-based vaccine that provides protection against GAS skin infection in mice and reduces the severity of pharyngitis in nonhuman primates. However, Combo5 with the addition of aluminum hydroxide (alum) as an adjuvant failed to protect against invasive GAS infection of mice. Here, we show that formulation of Combo5 with adjuvants containing saponin QS21 significantly improves protective efficacy, even though all 7 adjuvants tested generated high antigen-specific IgG antibody titers, including alum. Detailed characterization of Combo5 formulated with SMQ adjuvant, a squalene-in-water emulsion containing a TLR4 agonist and QS21, showed significant differences from the results obtained with alum in IgG subclasses generated following immunization, with an absence of GAS opsonizing antibodies. SMQ, but not alum, generated strong interleukin-6 (IL-6), gamma interferon (IFN-γ), and tumor necrosis alpha (TNF-α) responses. This work highlights the importance of adjuvant selection for non-M protein-based GAS vaccines to optimize immune responses and protective efficacy. IMPORTANCE Availability of a group A Streptococcus vaccine remains an unmet public health need. Here, we tested different adjuvant formulations to improve the protective efficacy of non-M protein vaccine Combo5 in an invasive disease model. We show that novel adjuvants can dramatically shape the type of immune response developed following immunization with Combo5 and significantly improve protection. In addition, protection afforded by Combo5 is not mediated by opsonizing antibodies, believed to be the main correlate of protection against GAS infections. Overall, this report highlights the importance of adjuvant selection in raising protective immune responses against GAS invasive infection. Adjuvants that can provide a more balanced Th1/Th2-type response may be required to optimize protection of GAS vaccines, particularly those based on non-M protein antigens.
format article
author Tania Rivera-Hernandez
Mira Syahira Rhyme
Amanda J. Cork
Scott Jones
Celia Segui-Perez
Livia Brunner
Johanna Richter
Nikolai Petrovsky
Maria Lawrenz
David Goldblatt
Nicolas Collin
Mark J. Walker
author_facet Tania Rivera-Hernandez
Mira Syahira Rhyme
Amanda J. Cork
Scott Jones
Celia Segui-Perez
Livia Brunner
Johanna Richter
Nikolai Petrovsky
Maria Lawrenz
David Goldblatt
Nicolas Collin
Mark J. Walker
author_sort Tania Rivera-Hernandez
title Vaccine-Induced Th1-Type Response Protects against Invasive Group A <italic toggle="yes">Streptococcus</italic> Infection in the Absence of Opsonizing Antibodies
title_short Vaccine-Induced Th1-Type Response Protects against Invasive Group A <italic toggle="yes">Streptococcus</italic> Infection in the Absence of Opsonizing Antibodies
title_full Vaccine-Induced Th1-Type Response Protects against Invasive Group A <italic toggle="yes">Streptococcus</italic> Infection in the Absence of Opsonizing Antibodies
title_fullStr Vaccine-Induced Th1-Type Response Protects against Invasive Group A <italic toggle="yes">Streptococcus</italic> Infection in the Absence of Opsonizing Antibodies
title_full_unstemmed Vaccine-Induced Th1-Type Response Protects against Invasive Group A <italic toggle="yes">Streptococcus</italic> Infection in the Absence of Opsonizing Antibodies
title_sort vaccine-induced th1-type response protects against invasive group a <italic toggle="yes">streptococcus</italic> infection in the absence of opsonizing antibodies
publisher American Society for Microbiology
publishDate 2020
url https://doaj.org/article/a45d19c21a7d4f59b307fc52028682b2
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