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Infection and Immunity, August 2000, p. 4647-4652, Vol. 68, No. 8
Center for Vaccine Development, Division of
Infectious Diseases and Tropical Pediatrics, Department of Pediatrics,
and Division of Geographic Medicine, Department of Medicine, University
of Maryland School of Medicine, Baltimore, Maryland 21201
Received 29 February 2000/Returned for modification 11 April
2000/Accepted 10 May 2000
Live oral Ty21a and parenteral Vi polysaccharide vaccines provide
significant protection against typhoid fever, albeit by distinct immune
mechanisms. Vi stimulates serum immunoglobulin G Vi antibodies, whereas
Ty21a, which does not express Vi, elicits humoral and cell-mediated
immune responses other than Vi antibodies. Protection may be enhanced
if serum Vi antibody as well as cell-mediated and humoral responses can
be stimulated. Disappointingly, several new attenuated Salmonella
enterica serovar Typhi oral vaccines (e.g., CVD
908-htrA and Ty800) that elicit serum O and H antibody and
cell-mediated responses following a single dose do not stimulate serum
Vi antibody. Vi expression is regulated in response to environmental signals such as osmolarity by controlling the transcription of tviA in the viaB locus. To investigate if Vi
antibodies can be stimulated if Vi expression is rendered constitutive,
we replaced PtviA in serovar Typhi vaccine CVD
908-htrA with the constitutive promoter
Ptac, resulting in CVD 909. CVD 909 expresses
Vi even under high-osmolarity conditions and is less invasive for Henle
407 cells. In mice immunized with a single intranasal dose, CVD 909 was
more immunogenic than CVD 908-htrA in eliciting serum Vi
antibodies (geometric mean titer of 160 versus 49, P = 0.0007), whereas O antibody responses were virtually identical
(geometric mean titer of 87 versus 80). In mice challenged intraperitoneally with wild-type serovar Typhi 4 weeks after a single
intranasal immunization, the mortality of those immunized with CVD 909 (3 of 8) was significantly lower than that of control mice (10 of 10, P = 0.043) or mice given CVD 908-htrA (9 of 10, P = 0.0065).
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Copyright © 2000, American Society for Microbiology. All rights reserved.
Constitutive Expression of the Vi Polysaccharide
Capsular Antigen in Attenuated Salmonella enterica
Serovar Typhi Oral Vaccine Strain CVD 909

*
Corresponding author. Mailing address: Center for
Vaccine Development, University of Maryland School of Medicine, 685 W. Baltimore St., Baltimore, MD 21201. Phone: (410) 706-2493. Fax: (410)
706-6205. E-mail: mlevine{at}medicine.umaryland.edu.
Present address: Aventis Pasteur, Swiftwater, PA 18370.
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