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Infection and Immunity, October 2000, p. 5809-5815, Vol. 68, No. 10
AgResearch, Wallaceville Animal Research
Centre, Upper Hutt, New Zealand,1 and
Mycobacteria Research Laboratories, Department of Microbiology,
Colorado State University, Fort Collins, Colorado
805232
Received 10 April 2000/Returned for modification 15 May
2000/Accepted 3 July 2000
In this study vaccines prepared from culture filtrate proteins
(CFP) of Mycobacterium bovis and interleukin-2 (IL-2) were tested in cattle for their capacity to stimulate immune responses and
to protect against an intratracheal challenge with virulent M. bovis. Nine groups of cattle were vaccinated with combinations of
different doses of CFP and bovine IL-2 mixed with a monophosphoryl lipid A (MPL) adjuvant. An additional group was vaccinated with M. bovis BCG. Immune responses in CFP-IL-2-vaccinated
animals differed from those seen in BCG-vaccinated animals by inducing high antigen-specific antibody responses and low levels of gamma interferon and IL-2 released from purified protein
derivative-stimulated whole-blood cultures. In a concurrent experiment,
additional animals were added to the high-dose CFP-IL-2, MPL control,
and BCG groups and these expanded groups of animals were challenged
intratracheally with virulent M. bovis. Although the lung
lesion scores were significantly lower for both the CFP-IL-2-and
BCG-vaccinated groups compared to the MPL control group, the overall
level of protection was greatest for the BCG-vaccinated animals. There
were more animals with extrathoracic spread of disease in the CFP-IL-2
group than in the other groups. While vaccination of cattle with
M. bovis CFP gave an encouraging reduction in tuberculous
lesions and did not induce a delayed-type hypersensitivity response to
PPD, future CFP vaccines must prevent any extrathoracic spread of disease.
The widespread occurrence of bovine
tuberculosis in developing countries and its potential contribution to
the prevalence of human tuberculosis has raised concerns. Tuberculosis,
predominantly caused by Mycobacterium tuberculosis, is a
major opportunistic infection in human immunodeficiency virus-infected
people, particularly in sub-Saharan Africa (26). The
epidemic of human immunodeficiency virus infection in developing
countries, together with the widespread incidence of M. bovis infection in domestic and wild animals and conditions that
favor zoonotic transmission, provides opportunity for zoonotic
tuberculosis to become a serious public health problem (12,
23). Programs to eradicate bovine tuberculosis based on a "test
and slaughter" approach eliminate animals identified as being
infected with M. bovis. However, these programmes have been
only partially effective in countries such as the United Kingdom,
Ireland, and New Zealand, which have a wildlife reservoir of infected
animals. Furthermore, this approach to the control of bovine
tuberculosis is economically and socially unacceptable in many African
countries. Therefore, in both industrialized countries where there is
persistence of infected wildlife and in developing countries, the use
of a vaccine against bovine tuberculosis warrants serious consideration.
The attenuated BCG strain of M. bovis has been used widely
as a vaccine against human tuberculosis and for experimental studies in
cattle (8, 9). However, the inconsistencies in the
effectiveness of BCG in both humans and cattle and its interference
with the detection of infected animals by the intradermal
tuberculin test necessitate the development of better vaccines. An
improved tuberculosis vaccine for animals will probably also have an
application for use in humans.
A major research effort to develop new vaccines against human and
bovine tuberculosis has recently been initiated. One approach has
centered on the development of live attenuated strains of M. tuberculosis and M. bovis (13, 19, 21). An
alternative approach, which focuses on the use of protective protein
antigens released from live mycobacteria, has the potential not to
compromise diagnostic tests and also perhaps to be unaffected by prior
sensitization to environmental mycobacteria. Culture filtrates prepared
from M. tuberculosis contain proteins that are highly
stimulatory to T cells of human tuberculosis patients (14),
mice (1, 27), and cattle (25) experimentally
infected with tuberculosis. Several studies using small-animal models
have demonstrated the protective potential of antigens contained in
culture filtrates. Immunization of mice and guinea pigs with culture
filtrate proteins (CFP) from M. tuberculosis gave high
levels of protection against aerogenic challenge with M. tuberculosis (3, 27). Similarly, a CFP vaccine derived
from M. bovis induced significant protection in mice against
aerogenic challenge with virulent M. bovis (5).
Interleukin-2 (IL-2), a cytokine secreted by activated helper T cells,
modulates the proliferation and differentiation of helper T cells,
cytotoxic T cells, activated B cells, and natural killer (NK) cells.
The expression of IL-2 by antigen-activated CD4+ T cells
during a primary immune response has been linked to enhanced memory/effector function with increased antigenic sensitivity and
expression of effector cytokines in secondary responses
(29). Studies in animals have shown that IL-2 can act as an
adjuvant for enhancing cellular immune responses to inactivated or
subunit vaccines (24, 34). Coadministration of IL-2 with a
CFP vaccine enhances the vaccine-induced protection against
tuberculosis in a guinea pig model (3).
To date the potential of CFP as an effective vaccine against bovine
tuberculosis in a natural host for M. bovis has not been determined. In the present study, immune responses induced by M. bovis CFP during experimentally induced tuberculosis in cattle were investigated and the ability of a CFP vaccine to protect cattle
against intratracheal challenge with virulent M. bovis was
determined. Cattle were vaccinated with combinations of different doses
of M. bovis CFP and bovine IL-2 mixed with a monophosphoryl lipid A (MPL) adjuvant. MPL was chosen as a suitable adjuvant for the
M. bovis CFP based on encouraging results in mice and guinea
pigs which showed that M. tuberculosis CFP vaccines
administered with this adjuvant were protective (3). Immune
responses in the CFP-IL-2-vaccinated cattle were distinguished from
those in BCG-vaccinated animals by the high antigen-specific antibody
responses and low levels of gamma interferon (IFN- Animals.
Seventy-two Friesian cross female calves,
approximately 6 months old, were obtained from tuberculosis-free
accredited herds from an area of New Zealand where both farmed and
feral animals were free of tuberculosis. Prior to the experiment, the
cattle tested negative for reactivity to bovine PPD in the whole-blood IFN- Bacterial strains and growth conditions.
M. bovis BCG
Pasteur 1172P2 was used as the vaccine strain and has been used in
previous vaccination-challenge trials in cattle (8, 9). The
challenge strain, M. bovis WAg201 (previously designated
83/6235), was originally isolated from a tuberculous possum in New
Zealand and has been used in previous studies in cattle (6, 8,
9). The vaccine and challenge strains were grown to mid-log phase
in Tween albumin broth (Dubos broth base [Difco Laboratories, Detroit,
Mich.]) supplemented with 0.006% (vol/vol) alkalinized oleic acid,
0.5% (wt/vol) albumin fraction V, and 0.25% (wt/vol) glucose.
Dilutions were made in Tween albumin broth to obtain the appropriate
doses for inoculating the cattle. The number of CFU inoculated was
determined retrospectively by plating 10-fold dilutions on Middlebrook
7H11 (Difco) supplemented with 0.5% (wt/vol) albumin, 0.2% (wt/vol)
glucose, and 1% (wt/vol) sodium pyruvate.
CFP.
The CFP used to vaccinate cattle in these experiments
was prepared as described previously (5) from three strains
of M. bovis (strains 862422, 896146, and 903053; a gift from
R. Ellis, Colorado State University, Fort Collins, Colo.), since this
gave a broader range of proteins than that produced from only one
strain. Briefly, each strain was grown separately in sodium pyruvate
alanine salts medium (0.03% [wt/vol] Bacto Casitone [Difco],
0.005% [wt/vol] ferric ammonium citrate, 0.4% [wt/vol]
K2HPO4, 0.2% [wt/vol] citric acid, 0.1%
[wt/vol] L-alanine, 0.12% [wt/vol]
MgCl2·6H2O, 0.06% [wt/vol]
K2SO4, 0.2% [wt/vol] NH4Cl,
0.18% [vol/vol] 10 N NaOH, 0.5% [wt/vol] sodium pyruvate) for 2 weeks (until mid-log phase) with gentle rolling and culture
supernatants were separated from the cells by filtration through a
0.22-µm-pore-size filter. Each CFP was concentrated by
ultrafiltration using an ultrafiltration stirred cell (Amicon, Danvers,
Mass.) with a PM10 membrane (Millipore, Bedford, Mass.) and dialyzed
against phosphate-buffered saline (PBS). The protein concentration was
determined using bicinchoninic acid (Pierce, Rockford, Ill.). The final
vaccine was prepared by pooling equal amounts of CFP from each strain,
and the preparation was lyophilized. Analysis of the CFP by
two-dimensional gel electrophoresis showed that the vaccine consisted
of a complex mixture of proteins.
Recombinant bovine IL-2.
Bovine IL-2 was prepared in the
yeast Pichia pastoris as described previously
(33) and had a specific activity of 2,500 U/µg of protein.
Briefly, the cDNA encoding the mature IL-2 (amino acids 21 to 155) was
isolated by reverse transcription-PCR of RNA prepared from concanavalin
A (ConA)-stimulated bovine lymphocytes. A construct which placed the
mature IL-2 protein, with a six-histidine tag at the C terminus, in
frame with the yeast MF- Adjuvant and preparation of vaccines.
The adjuvant
formulation used in the vaccines was based on MPL (Ribi ImmunoChem
Research Inc., Hamilton, Mont.), which is a nontoxic derivative of
lipid A from Salmonella enterica serovar Minnesota.
Lyophilized MPL was reconstituted to a concentration of 1 mg/ml in
water containing 2 µl of triethylamine per ml. Vaccines were prepared
by diluting the MPL in sterile saline and combining it with different
amounts of CFP and IL-2, as shown in Table
1.
0019-9567/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Vaccination of Cattle with Mycobacterium
bovis Culture Filtrate Proteins and Interleukin-2 for
Protection against Bovine Tuberculosis
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ABSTRACT
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
![]()
INTRODUCTION
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
) and IL-2
released from purified protein derivative (PPD)-stimulated whole-blood
cultures. A delayed-type hypersensitivity (DTH) response to PPD was not induced by vaccination with CFP-IL-2. Furthermore, vaccination of
cattle with CFP-IL-2 reduced the severity of tuberculosis lung lesions. However, in comparison with control or BCG-vaccinated animals,
these animals had more extrathoracic tuberculous lesions.
![]()
MATERIALS AND METHODS
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
assay (28). The cattle were grazed on pasture in an
isolation unit.
signal sequence was made in the expression
plasmid pPIC9 (Invitrogen Corp., Carlsbad, Calif.). Recombinant bovine
IL-2 was produced from batch cultures of P. pastoris
transformed with this construct by methods described previously
(32). The protein was purified by immobilized
metal-chelating affinity chromatography with Talon (Clontech
Laboratories Inc., Palo Alto, Calif.), and the biological activity was
determined using an IL-2 bioassay as described previously
(8). The amount of endotoxin in the IL-2 was <0.1 endotoxin
unit/µg of protein as determined by a Limulus amebocyte
lysate assay (E. Toxate; Sigma Chemical Co., St. Louis, Mo.).
TABLE 1.
Vaccination groups used to assess the effects of dose of
CFP and IL-2 on immune responses in cattle (experiment 2)
Vaccination, M. bovis challenge, and necropsy procedure. (i) Effect of vaccination with CFP on DTH responses (experiment 1). Three groups of four calves were either vaccinated subcutaneously three times at 2-week intervals with high-dose CFP-IL-2 (as for group 9 in Table 1), once subcutaneously with 106 CFU of BCG, or not vaccinated to assess the effect of vaccination on the intradermal tuberculin test. The intradermal tuberculin test was carried out 13 weeks after the initial vaccination. For this test, the animals were inoculated intradermally with 0.1 ml containing 0.1 mg of bovine PPD (Ministry of Agriculture and Forestry, Central Animal Health Laboratory, Upper Hutt, New Zealand) (this is the PPD used for intradermal testing of cattle in New Zealand) in the right side of the neck. DTH responses were expressed as the difference in skin thickness between the time of inoculation and 72 h later.
(ii) Effect of different amounts of CFP and IL-2 on immune responses (experiment 2). Forty calves were randomly divided into 10 groups each containing four calves. Animals in groups 1 to 9 were inoculated with combinations of nil, low (200-µg), or high (1-mg) doses of CFP and nil, low (50 µg), or high (250 µg) doses of recombinant bovine IL-2 in a 3 by 3 Latin square arrangement as shown in Table 1. The preparations were injected three times, subcutaneously in the left side of the neck, 2 weeks apart. Animals in group 10 were injected with BCG at 106 CFU subcutaneously, and this was repeated 6 weeks after the initial vaccination. Clotted and heparinized (sodium heparin) blood samples were collected from the cattle at 0, 2, 4, 7, and 11 weeks after the initial vaccination.
(iii) Protective efficacy of CFP vaccines (experiment 3). An additional 20 calves were allocated to three of the groups in experiment 2 to increase the group size to a sufficient level to assess the protective efficacy of the vaccines. Experiment 3 was run concurrently with experiment 2. Seven of these calves were assigned to group 1 (adjuvant alone), seven calves were assigned to group 9 (high-dose CFP-IL-2), and six calves were assigned to group 10 (BCG). These calves were vaccinated in the same manner and at the same times as the corresponding calves from groups 1, 9, and 10. The expanded groups of calves from group 1 (11 calves), group 9 (11 calves) and group 10 (10 calves), together with the original four calves from group 5 (low-dose CFP-IL-2), were challenged intratracheally with 5 × 103 CFU of virulent M. bovis at 13 weeks after the initial vaccination as previously described (8). Briefly, an 80-cm endotracheal tube containing a fine cannula was inserted per os into the trachea of an anesthetized animal. A 1.5-ml inoculum containing the M. bovis strain was injected through the cannula and flushed out with 2 ml of saline. Clotted and heparinized blood samples were collected from the animals at 0, 2, 5, 10, and 17 weeks after challenge. All cattle were killed by use of a captive bolt and severance of the carotid artery and were necropsied 17 weeks after inoculation. Procedures for identifying macroscopic tuberculous lesions and processing for histopathologic testing have been described previously (8). Samples from four thoracic lymph nodes (left and right bronchial and anterior and posterior mediastinal) were collected from all of the animals for bacterial culture. Additional samples were collected from any tuberculous lesions observed in other lymph nodes or organs. For bacterial culture, the tissue samples were homogenized in a Tenbroeck grinder (Wheaton, Millville, N.J.), decontaminated in 0.75% cetylpyridium chloride for 1 h, centrifuged at 3,500 × g for 20 min, and processed for isolation of mycobacteria as described previously (8).
Antibody ELISA.
The M. bovis culture filtrate was
prepared from M. bovis strain AN5, the strain used for the
production of bovine PPD for skin testing in New Zealand. The culture
filtrate was diluted to 3 µg/ml in carbonate buffer (pH 9.6); 100 µl per well was added to 96-well enzyme-linked immunosorbent assay
(ELISA) plates (Maxisorb; Nunc, Roskilde, Denmark), and the plates were
incubated overnight at 4°C. The antibody ELISA was carried out as
described previously (35). Sera were stored at
20°C
until tested. The results are expressed as an absorbance index,
calculated by expressing the value found for the test serum as a
fraction of the binding of a strong positive reference serum
(9) multiplied by 100.
IFN-
and IL-2 assays.
Heparinized blood was dispersed in
two 1.5-ml aliquots within 4 h of collection, and 100 µl of
either PBS or bovine PPD (300 µg/ml; supplied by CSL Ltd., Parkville,
Victoria, Australia, in the IFN-
assay kit) was added to the blood
in separate wells. The blood cultures were incubated at 37°C for
24 h, and the IFN-
levels in the plasma supernatants were
measured using a sandwich ELISA kit (supplied by CSL Ltd.) as described
previously (28). Results were expressed as optical density
(OD) indices (OD for the bovine PPD sample/OD for the PBS sample).
Bovine PPD was used in these assays rather than the vaccine CFP since
PPD is the standard antigen for testing cattle in the field.
Furthermore, the IL-2 and IFN-
responses of cattle vaccinated with a
M. tuberculosis CFP vaccine were similar with both CF and
bovine PPD antigens (B. M. Buddle and D. N. Wedlock,
unpublished observations).
-scintillation counter (LS600 IC; Beckman Instruments, Inc.,
Fullerton, Calif.). The results were expressed as a stimulation index,
defined as mean counts per minute (cpm) for bovine PPD plasma
supernatant/mean cpm for PBS plasma supernatant. Addition of a
monoclonal antibody against bovine IL-2 to the ConA-stimulated lymphoblasts immediately before addition of the plasma supernatants has
been shown to block the IL-2 bioactivity.
Statistical analyses.
Analyses of antibody, IFN-
, and
IL-2 responses and bacterial counts were done by analysis of variance
on log10-transformed data, while the analysis of
intradermal tuberculin test responses and lung lesion scores was done
by analysis of variance on raw data. The proportions of cattle with
lung lesions and lesioned lymph nodes in different treatment groups
were compared using Fisher's exact test, while the comparison of the
percentage of culture-positive thoracic lymph nodes was calculated
using
2 test.
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RESULTS |
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Vaccination with CFP does not induce DTH responses in cattle (experiment 1). DTH responses to bovine PPD were measured by the intradermal tuberculin test at 13 weeks after vaccination. The four animals vaccinated with BCG produced DTH responses to PPD of 3.5 to 6 mm, and the mean response and standard error (SE) (4.6 ± 0.6) for these animals was greater than the means for the high-dose CFP-IL-2 (0.0 ± 0.0) and nonvaccinated (0.1 ± 0.1) groups (P < 0.05). None of the animals in the CFP-IL-2 or control groups produced DTH responses of 1 mm or greater.
Vaccination with CFP-IL-2 induces a strong antibody response
(experiment 2).
Cattle vaccinated with either a low or high dose
of CFP, combined with IL-2, produced a strong serum antibody response
to M. bovis culture filtrate by 7 weeks after the first
vaccination (Table 2). The mean responses
of these groups were higher than for the control MPL-alone group at
this time point (P < 0.05). Antibody responses were
low in animals vaccinated with either CFP alone or BCG.
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Development of T-cell responses following vaccination (experiment
2).
T-cell responses in vaccinated animals were measured by the
release of IFN-
and IL-2 from bovine PPD-stimulated whole-blood cultures. The induction of T-cell responses was analyzed by comparing the mean responses 4 weeks after vaccination with the prevaccination responses, since these responses were at their highest values at 4 weeks after vaccination. Changes in the IL-2 and IFN-
responses in
cattle vaccinated with different combinations of CFP and IL-2 or BCG
(experiment 1, groups 1 to 10) are given in Table 2. The low-dose
CFP-IL-2 group was the only CFP group to show significant increases in
the induction of IL-2 and IFN-
responses after vaccination, but
these increases were small compared to those induced by BCG vaccination
(P < 0.05).
Pathological and bacteriological findings following challenge with
M. bovis (experiment 3).
The protective efficacy of
the BCG, high-dose CFP-IL-2, and low-dose CFP-IL-2 vaccines was
determined in a vaccination-challenge experiment. The low-dose
CFP-IL-2-vaccinated group was added to the vaccination-challenge trial
when this group produced the highest cellular immune responses for the
CFP groups. The cattle were killed and examined postmortem 17 weeks
after the M. bovis challenge. The number of animals with
tuberculous lung lesions, the classification of lesions, and the mean
lung lesion scores are shown in Table 3.
The lung lesions consisted of multiple small lesions (3 mm in diameter)
or a large consolidated lesion (up to 100 mm in diameter). There were
significantly fewer BCG-vaccinated animals with lung lesions than those
in the control group, and the mean lung lesion scores were lower for
both the BCG- and high-dose CFP-IL-2-vaccinated groups than for the
control group (P < 0.05). There were no significant differences between the mean lung bacterial counts of the vaccinated groups (Table 3).
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Antibody responses following vaccination and challenge.
In the
challenge experiment, antibody responses were measured after both
vaccination and challenge. Higher antibody responses in serum
(P < 0.05) were measured in the CFP-IL-2 groups at 4, 7, and 13 weeks after vaccination than in both the BCG-vaccinated and
the adjuvant control groups (Fig. 1).
Following challenge with virulent M. bovis, there was a
marked anamnestic increase in antibody levels in serum in the animals
that were vaccinated with CFP-IL-2, particularly in the high-dose
group. The mean antibody responses in cattle in this group were higher
(P < 0.05) at 5 and 10 weeks after challenge than were
the responses in both the control and the BCG-vaccinated groups.
Antibody responses remained low in the BCG-vaccinated animals
throughout the duration of the experiment, while antibody responses in
the control animals were raised only at 17 weeks after challenge.
Following vaccination, the ratio of immunoglobulin G1 (IgG1) to IgG2
increased in animals vaccinated with either dose of CFP-IL-2 (Fig.
2). Mean ratios at 7 weeks after the
first vaccination in these groups were greater than the corresponding
ratios prevaccination (P < 0.05) and remained elevated
following the challenge.
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T-cell responses following vaccination and challenge.
High
IL-2 (Fig. 3) and IFN-
(Fig.
4) responses were observed in cattle
vaccinated with BCG, and low responses were seen in the CFP-IL-2
groups. The mean responses in the BCG group were greater at 2 to 13 weeks after the initial vaccination than were the responses in all
other groups (P < 0.05). The IL-2 and IFN-
responses in the BCG-vaccinated animals increased rapidly by 2 weeks
after challenge, but responses at 5 and 10 weeks after challenge were
lower than those in the other groups at these times (P < 0.05). For the high-dose CFP-IL-2-vaccinated animals, the mean IL-2 and IFN-
responses at 2 weeks after the M. bovis
challenge were lower than the responses in the other groups
(P < 0.05) but rose to high levels by 5 to 10 weeks.
Responses in the control MPL-alone group rose rapidly at 2 weeks and
peaked at 5 to 10 weeks after challenge.
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DISCUSSION |
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The results from this study provide evidence that immunization
with a nonliving CFP-IL-2 vaccine can reduce the incidence of
tuberculous lung lesions in cattle resulting from a subsequent M. bovis challenge, although the level of protection was lower than
that conferred by BCG. The type of immune response induced following
vaccination with CFP included a substantial humoral component, in
comparison to a strong IFN-
response induced by vaccination with
BCG. This could imply that the immune mechanisms mediating the
reduction in the pulmonary pathology may be different for the
CFP-IL-2- and BCG-vaccinated groups. However, immunization with this
nonliving vaccine was also associated with an undesirable feature, the
extrathoracic spread of the disease. Together, these findings may
provide valuable insights into the immunological processes associated
with protection and disease.
Although CFP-IL-2-vaccinated cattle had lower lung lesion scores, there was no apparent change in the type of histopathology of the lung lesions. This contrasted with the lung lesions of the BCG-vaccinated animals, which had less necrosis and limited mineralization and appeared to have been established more recently. Mineralization of lesions has been detected as early as 35 days after experimental challenge of cattle with M. bovis (11). Recent studies on antigen recognition have also suggested that BCG vaccination of cattle can have an effect on tuberculous lesion development (10). Studies using a similar CFP-IL-2 vaccine in guinea pigs have produced results which are different from those seen in cattle. The lung lesions in the CFP-IL-2-vaccinated guinea pigs resembled those seen in the BCG-vaccinated animals and had more lymphocytic infiltration and less caseation than did those in the controls (3). These vaccinated guinea pigs also had better survival, but the bacterial counts in the lungs were not reduced below those of placebo controls 30 days after aerosol challenge. In the present study, there was similarly no reduction in the bacterial counts from infected lymph node and lungs of the CFP-IL-2-vaccinated cattle compared to the controls.
The rapid anamnestic antibody response in the CFP-IL-2-vaccinated
animals after challenge is an indicator that this type of vaccine is
predominantly priming a Th2 type response. This was further confirmed
with the increase in the ratio of the antigen-specific IgG1 to IgG2
responses after vaccination and challenge. In cattle, IL-4 enhances
IgG1 and IgE production while IFN-
enhances IgG2 production
(15, 16). In humans, IgG1 antibodies have been associated
with progressive disease and may enhance the chronic release of tumor
necrosis factor alpha from PPD-stimulated monocytes (20). In
the present study, an increase in IgG2 production was not observed in
the BCG-vaccinated cattle, since vaccination of cattle with low doses
of BCG does not induce an antibody response (8).
Cellular immune responses are considered necessary for protection
against tuberculosis, and there is little evidence that antibody plays
an important role in protective immunity. However, this is currently
being reevaluated (18, 30). The induction of partial
protection in the lungs of the CFP-IL-2-vaccinated animals in the
absence of a high IL-2 and IFN-
response in peripheral blood T cells
but the presence of antibody is an interesting and unexpected finding.
However, the induction of an antibody response in these vaccinated
animals may have contributed to the dissemination of the extrathoracic
disease. Antibodies may have served to opsonize M. bovis,
promoting the phagocytosis of the bacteria by monocytes. The infected
cells could readily traffic through the lymphatics, leading to the
development of tuberculous granulomata in lymph nodes outside the
thoracic cavity.
There was an initial delay in the induction of the peripheral blood
cellular immune response after challenge in the high-dose CFP-IL-2-vaccinated animals. This may have resulted from the
sequestration of M. bovis-sensitized T cells to the site of
infection in the lungs. The localization of protective T cells in the
lungs of these vaccinated animals could account for the reduction in
the severity of the pulmonary pathology. Sequestration of protective T
cells may also have occurred in the BCG-vaccinated animals but did not
produce an initial delay in induction of peripheral blood cellular
immune responses, since there was an excess of circulating M. bovis-sensitized T cells. By 5 weeks after challenge, high levels
of IFN-
and IL-2 were released from antigen-stimulated blood
cultures of the CFP-IL-2 and control group animals while the levels in
the BCG-vaccinated cattle had decreased. Previous studies have shown
that high persistent peripheral blood cellular immune responses after
challenge are associated with an active M. bovis infection
while the responses wane in BCG-vaccinated animals, which have
controlled the infection (8, 9, 31).
Our preliminary dose-response study in cattle indicated that IL-2 had to be included in the CFP vaccine for induction of immune responses to M. bovis antigens. The dose of CFP or IL-2 was not critical for induction of an antibody response. Low doses of CFP and IL-2 were more effective in inducing cellular immune responses, although these responses were weak compared to those induced by BCG. The low-dose CFP-IL-2-vaccinated group was added to the vaccination-challenge trial on the basis of inducing higher cellular immune responses. Although there were only four animals in this group, there was no evidence that this vaccine was protective, but additional animals would have to be tested to confirm this finding.
A useful characteristic of an improved tuberculosis vaccine for human and veterinary purposes would be the inability to induce DTH reactions to PPD, thus retaining the use of the intradermal tuberculin test for diagnosis. The present study has shown that immunization with a nonliving vaccine did not induce a DTH reaction to PPD. This result concurs with similar vaccines prepared from M. tuberculosis and M. bovis CFP tested in mice (5), guinea pigs (3), and monkeys (2).
There are a number of similarities between tuberculosis in humans and cattle, including the slow development of the disease, the predominant respiratory involvement, and the strong granulomatous response and walling off of the infection (4, 22). Testing of tuberculosis vaccines in cattle may provide useful information for the development of a human vaccine, particularly since cattle are a natural host for tuberculosis and an outbred population. As in humans, the efficacy of BCG vaccination for protection against tuberculosis has been variable and BCG vaccination has not been protective in cattle which have been previously sensitized to environmental mycobacteria (7). Exposure to environmental mycobacteria has been considered an explanation for the failure of BCG to protect humans against tuberculosis (17). Adjuvants which are effective in one species may not enhance immune responses in another species. For example, dimethyl-dioctyldecyl ammonium bromide (DDA), which induces immune responses and protection against tuberculosis in mice when used with CFP vaccines (1, 5), has not been shown to induce immune responses in cattle (Buddle and Wedlock, unpublished). The addition of cytokines to CFP vaccines could produce different effects in cattle and rodent models. Although it is important to use mouse and guinea pig models as primary screens for tuberculosis vaccines, cattle may give a better indication of the efficacy of tuberculosis vaccines for humans.
The CFP vaccines used in the present study have not provided an
alternative to the BCG vaccine, but they have given some unexpected results, which have the potential to lead to an improved understanding of protective immunity against bovine tuberculosis. CFP vaccines for
the control of bovine tuberculosis have an advantage in greater likely
acceptance by regulatory authorities as well as in not compromising the
use of the intradermal tuberculin test, but the effectiveness of these
vaccines must be improved. Improvements could be made by formulation
with stronger adjuvants and incorporation of other cytokines such as
IL-12 to promote antigen-specific IFN-
responses.
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ACKNOWLEDGMENTS |
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This work was supported by a grant from the New Zealand Ministry of Agriculture and Forestry (Policy Management). B.V. is supported by an USDA training grant to Colorado State University. I.M.O. is supported by NIH grant AI-75320.
We thank Denise Keen, Natalie Parlane, Allison McCarthy, Leong Goh, Robyn Midwinter, and Gary Yates for excellent technical assistance; Oliver Turner and Joseph Cassidy for histopathological examinations; and Lilian Morrison for statistical analyses.
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FOOTNOTES |
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* Corresponding author. Mailing address: AgResearch, Wallaceville Animal Research Centre, P.O. Box 40063, Upper Hutt, New Zealand. Phone: 64 4 9221593. Fax: 64 4 9221380. E-mail: wedlockn{at}agresearch.cri.nz.
Editor: S. H. E. Kaufmann
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REFERENCES |
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