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Infection and Immunity, March 2001, p. 1547-1553, Vol. 69, No. 3
0019-9567/01/$04.00+0 DOI: 10.1128/IAI.69.3.1547-1553.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Mucosal Immune Responses and Protection against
Tetanus Toxin after Intranasal Immunization with Recombinant
Lactobacillus plantarum
Corinne
Grangette,1,*
Heide
Müller-Alouf,1
Denise
Goudercourt,1
Marie-Claude
Geoffroy,1
Mireille
Turneer,2 and
Annick
Mercenier1
Département de Microbiologie des
Ecosystèmes, Institut Pasteur de Lille, 59019 Lille Cedex,
France,1 and Laboratoire du
Tétanos, Institut Pasteur de Bruxelles, B-1180 Brussels,
Belgium2
Received 2 October 2000/Returned for modification 2 November
2000/Accepted 6 December 2000
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ABSTRACT |
The use of live microorganisms as an antigen delivery system is an
effective means to elicit local immune responses and thus represents a
promising strategy for mucosal vaccination. In this respect, lactic
acid bacteria represent an original and attractive approach, as they
are safe organisms that are used as food starters and probiotics. To
determine whether an immune response could be elicited by intranasal
delivery of recombinant lactobacilli, a Lactobacillus
plantarum strain of human origin (NCIMB8826) was selected as the
expression host. Cytoplasmic production of the 47-kDa fragment C of
tetanus toxin (TTFC) was achieved at different levels depending on the
plasmid construct. All recombinant strains proved to be immunogenic by
the intranasal route in mice and able to elicit very high systemic
immunoglobulin G (IgG1, IgG2b, and IgG2a) responses which correlated to
the antigen dose. No significant differences in enzyme-linked
immunosorbent assay IgG titers were observed when mice were immunized
with live or mitomycin C-treated recombinant lactobacilli.
Nevertheless, protection against the lethal effect of tetanus toxin was
obtained only with the strains producing the highest dose of antigen
and was greater following immunization with live bacteria. Significant
TTFC-specific mucosal IgA responses were measured in bronchoalveolar
lavage fluids, and antigen-specific T-cell responses were detected in
cervical lymph nodes, both responses being higher in mice receiving a
double dose of bacteria (at a 24-h interval) at each administration. These results demonstrate that recombinant lactobacilli can induce specific humoral (protective) and mucosal antibodies and cellular immune response against protective antigens upon nasal administration.
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INTRODUCTION |
Most pathogens enter the body
through mucosal surfaces, and the development of vaccines protective at
such sites should be a very effective means of preventing a wide range
of infectious diseases (4). Moreover, vaccines that can be
administered by the oral or nasal route would not necessitate the
professional health care infrastructure required for injectable
preparations and may offer an inexpensive and convenient way of
vaccination, limiting the risk for cross-contamination by needles. In
addition, they are expected to induce less adverse effects
(36). One approach for inducing efficient local immune
responses relies on the development of live bacterial carriers.
Attention in this area, has focused mainly on attenuated pathogenic
vectors such as Salmonella, Bordetella, Vibrio, and
Mycobacterium strains for the delivery of heterologous antigens to mucosal sites (1, 3, 10, 11, 19, 29). One of
the drawbacks of such systems is the need to reduce the pathogenicity
of the live carrier through the use of recombinant DNA techniques or
classical genetics (33). This attenuation may impair their
immunogenicity and raises questions about the safety of the final
vector, especially when it is destined for immunodeficient individuals.
Commensal bacteria, such as lactic acid bacteria, offer an original
alternative as antigen delivery vehicles, as they are generally
recognized as safe (17, 26 35). Moreover, their
large-scale production is quite easy and inexpensive. The noncolonizing
gram-positive bacterium Lactococcus lactis has been used
successfully to induce secretory and protective systemic responses
against tetanus toxin (TT) after intranasal or intragastric
immunization (21, 28). In this respect,
Lactobacillus strains which are able to persist in the
intestinal tract for several days after administration may be
particularly interesting for the mucosal presentation of antigens
(18). In addition, specific members of this genus exert a
probiotic, i.e., health-promoting, effect linked to their
immunostimulation property and capacity to regulate the endogenous
microflora (8, 13, 14, 15, 20, 21).
We have previously constructed recombinant Lactobacillus
plantarum strains (NCIMB8826) producing different levels of the C fragment of TT (TTFC) intracellularly. These strains obtained by
transformation with recombinant plasmids carrying the TTFC genetic
determinant were shown to be immunogenic by the subcutaneous route
(24; P. Chagnaud, M.-C. Geoffroy, C. Grangette, H. Müller-Alouf, N. Reveneau, D. Raze, and A. Mercenier, unpublished
data). In the present study, we address the important issue as to
whether these recombinant L. plantarum strains can be
delivered by a mucosal (intranasal) route for induction of both mucosal
and systemic immune responses against TTFC and of protection against
the lethal effect of TT.
 |
MATERIALS AND METHODS |
Bacterial inocula.
Two recombinant L. plantarum
NCIMB8826 TTFC-producing strains were used in this study. They were
obtained by electroporation with a plasmid carrying the TTFC-encoding
gene under the control of a constitutive (pldh)
or inducible (pnisA) promoter, pMEC4
(erythromycin resistance) or pMEC46 (chloramphenicol resistance),
respectively (24; Chagnaud et al., unpublished). A control strain
harboring the nonexpressing plasmid pTG2247 (chloramphenicol resistance) was used as a negative control (7). Bacteria
were grown in MRS broth (Difco, Detroit, Mich.) containing the
appropriate antibiotic, erythromycin or chloramphenicol, at a final
concentration of 5 or 10 µg per ml, respective. An overnight culture
was used to inoculate fresh medium at a 1:20 dilution, and cells were
grown to the exponential phase (optical density at 660 nm
[OD660] of
2). For strain 8826(pMEC46), induction was
performed by adding 20 ng of nisin (Sigma, St. Louis, Mo.) per ml
1 h after dilution and further incubation at 37°C for 5 h
(24). The cells were then washed twice with sterile
phosphate-buffered saline (PBS) and adjusted to 1011 CFU
per ml. For chemical inactivation of bacteria, suspensions of 5 × 109 CFU per ml in MRS medium were treated with 200 µg of
mitomycin C (MitC; Sigma) per ml for 90 mn at 37°C. The treated cells
were washed twice in sterile PBS and resuspended at 1011
CFU per ml for immunization. An aliquot of serial dilutions was plated
on selective MRS agar in order to calculate the efficiency of the treatment.
Heat-killed bacteria were prepared for T-cell in vitro stimulation by
heating a cell suspension of wild-type L. plantarum NCIMB8826 (109 CFU per ml in PBS) for 1 h at 70°C.
The absence of viable strains was checked by plating on MRS agar.
Immunoblotting assay.
Ten microliters (109 CFU)
of each inoculum was resuspended in 1 ml of 10 mM Tris (pH 8) buffer
containing lysozyme (1 mg/ml; Sigma). After 30 min of incubation at
37°C, the cells were washed once in 10 mM Tris-HCl (pH 8) and lysed
by addition of 100 µl of lysis buffer (10% glycerol, 2% Sodium
dodecyl sulfate, 375 mM Tris-HCl [pH 7.6]). An aliquot (10 µl) of
each cell extract was submitted to sodium dodecyl
sulfate-polyacrylamide gel electrophoresis in a 10% gel as described
by Laemmli (12). After transfer to nitrocellulose
membranes by electroblotting, the specific proteins were detected with
a rabbit anti-TTFC polyclonal serum (kindly provided by Innogenetics
N.V., Ghent, Belgium) and revealed by alkaline
phosphatase-conjugated goat anti-rabbit immunoglobulin G (IgG; Promega,
Madison, Wis.).
Immunizations.
Eight-week-old female C57BL/6 N Crl BR mice
(Charles River Laboratories, St. Aubin-les-Elbeuf, France) were
immunized intranasally. Initially, groups of eight mice were
anesthetized by intraperitoneal injection of 200 µl of a 5% sodium
pentobarbital solution (Sanofi, Libourne, France) or 150 µl of a
cocktail (as described in reference 2) containing 20%
Imalgene 1000 (Merial, Lyon, France), 0.5 mg of Valium (Roche,
Neuilly-sur-Seine, France), and 62.5 µg of atropine (Aguettant
Laboratory, Lyon, France) per ml. Ten microliters (109 CFU)
of the bacterial suspension was then instilled into one nostril of each
mouse. Control groups received 10 µl of buffer alone (PBS) or 10 µg
of purified recombinant TTFC (Boehringer Mannheim, Mannheim, Germany)
mixed with 1 µg of cholera toxin B subunit (CTB) as the mucosal
adjuvant (Sigma). Antigens were given at 3-week intervals by one
(single dose) or two consecutive (double dose at 24-h interval)
intranasal administrations. Ten days after each administration (priming
and two boosts), serum samples were collected and stored at
20°C
until use. Bronchoalveolar lavage fluids (BALF) were obtained 10 days
after the final boost by three consecutive lavages of the lungs with a
total volume of 400 µl of PBS containing complete protease inhibitor
cocktail (Boehringer Mannheim). After 10 min of centrifugation at
4,000 × g (at 4°C), the supernatants were collected
and stored at
20°C until analysis.
ELISA for detection of antigen-specific serum or mucosal antibody
responses.
Purified antigen (TTFC; Boehringer Mannheim) was coated
overnight at 4°C on enzyme-linked immunosorbent assay (ELISA) plates (Immulon I; Dynatech, McLean, Va.) at 200 ng per 100 µl in 0.1 M
carbonate-bicarbonate buffer (pH 9.5). After 1 h of saturation with PBS containing 3% bovine serum albumin (BSA; Sigma), samples were
tested using twofold serial dilutions from a 1:50 dilution (for primary
antisera) or a 1:2 dilution (for BALF) in PBS containing 1% BSA. After
overnight incubation at 4°C, the plates were washed three times in
PBS containing 0.1% Tween, and secondary anti-mouse biotinylated
conjugate was applied in PBS containing 1% BSA and 0.1% Tween 20 at a
1:20,000 or 1:2,000 dilution for anti-mouse IgG (and IgG subtypes) or
anti-mouse IgA (Southern Biotechnology Associates, Inc., Birmingham,
Ala.), respectively. After 1 h of incubation at room temperature,
horseradish peroxidase-conjugated streptavidine (Amersham,
Buckinghamshire, United Kingdom) was applied at a 1:2,000 dilution in
PBS containing 0.1% Tween for 30 min. After intensive washes (eight
times), 1 mg of o-phenylenediamine substrate (Sigma) per ml
in 0.2 M Na2HPO4-0.1 M citrate buffer (pH 5.5)
containing 0.2% H2O2 was added and incubated
for 30 min at 37°C. The reaction was stopped by addition of 50 µl
of 2 N HCl, and the OD490 was measured with an Elx800GUV
automated microplate reader (Bio-Tek Instruments, Inc., Vinooski, Vt.).
Endpoint titers were calculated as the reciprocal of the dilution
producing the same OD490 as 3 times the background, using
the KC4 program (Kineticalc for Windows; Bio-Tek Instruments).
As the concentration of total IgA in BALF is not constant, the amount
of TTFC-specific IgA was normalized to the total IgA concentration in
each sample. Total IgA levels were determined by ELISA, as described
above, with microplates coated with 100 µl of anti-mouse IgA
chain specific (Sigma) at 5 µg per ml. The concentration of each
sample was calculated from a standard curve of mouse myeloma
IgAk (Sigma) with twofold serial dilutions from 0.1 µg
per ml. Endpoint titers were calculated as described above for IgG.
Results are expressed as specific activity calculated by dividing the
endpoint titer by the level of total IgA concentration for each serum.
Statistical analysis.
The results are expressed as the
mean ± standard error of the mean (SEM). Statistical significance
was evaluated by Mann-Whitney U test. Differences were
considered significant at P < 0.05.
TTFC-specific T-cell response.
Cervical lymph nodes (CLN)
were aseptically removed (10 days after the last boost) and pooled for
each group of animals; single-cell suspensions were prepared by
mechanical dissociation using a homogenizer tube and passage through a
nylon cell strainer (Becton Dickinson, Franklin Lakes, N.J.). After two
washes, the cells were resuspended in complete medium RPMI 1640 (Gibco-BRL, Paisley, Scotland) containing 10% fetal calf serum
(Boehringer Mannheim), 2 mM glutamine, 8 µg of gentamicin/ml, and
0.05 mM 2-mercaptoethanol. The cells were cultured at 37°C at a
density of 2.5 × 106 cells per ml, in the presence or
absence of purified TTFC (different final concentrations) or
heat-killed L. plantarum (107 CFU/ml), for 4 days. To measure antigen-specific T-cell proliferative responses,
[methyl-3H]thymidine (2.5 µCi/ml) was added
to the culture 16 h before harvesting. The stimulation index
(experimental/control) was determined in duplicate cultures.
Direct protection assay: TT challenge of mice.
Immunized and
control mice were challenged 13 days after the last boost (day 54) by
subcutaneous inoculation of a standard challenge solution of TT. The
number of 50% lethal doses (LD50) administered in the
experiment was concomitantly determined by injection of dilutions of
the challenge solution in three groups of three age-matched naive mice
and by calculation of the LD50 by the method of Reed and
Muench (27). The animals were observed each day. Mice
showing no signs of paralysis 96 h after the challenge were
considered fully protected; those surviving with signs were considered
partially protected. Unprotected mice died at the latest on the second
day after the challenge.
Indirect protection assay: determination of TT neutralizing
antibodies in mouse sera.
The toxin neutralization test was
performed on the pooled sera of each group of immunized and control
mice according to the specifications of the European Pharmacopoeia,
with slight modifications. In brief, mixtures containing serial twofold
dilutions of a pool and a definite amount of TT (L+/4,000 level) were
injected subcutaneously in two OF1 mice (obtained from the animal
facility, Institut Pasteur de Bruxelles) per mixture. A series of
dilutions of a standard antitoxin solution mixed with the same toxin
amount was included in each experiment. The neutralizing antibody
content is expressed, in international units (IU) per milliliter, as a
range that includes the actual value. Due to the small volumes of sera
that were available, the detection limit was 0.0025 IU per ml of pooled
sera. The protective level of tetanus antitoxin is usually considered
to be 0.01 IU/ml (16).
 |
RESULTS |
TTFC production by recombinant strains.
To estimate the TTFC
amount contained in the different inocula, cell extracts corresponding
to 1/10 of each bacterial dose (108 CFU) were analyzed by
immunoblotting. As shown in Fig. 1, a
specific signal at the expected molecular mass (47 kDa) was detected
for both types of TTFC-producing strains. TTFC production was notably higher in strain 8826(pMEC46) (inducible pnisA)
than in 8826(pMEC4) (constitutive pldh). No
specific signal was detected from the control strain cell extracts
[8826(pTG2247)]. These results confirmed previous analysis
(24; Chagnaud et al., unpublished) and were reproducible
for each preparation.

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FIG. 1.
Immunoblot analysis of recombinant L. plantarum cell extracts (equivalent to 108 CFU) of
8826(pTG2247) (control strain) (lane 1), 8826(pMEC4) (lane 2),
8826(pMEC46) (lane 3), and of 50 ng of purified TTFC (lane 4).
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Role of anesthesia procedure.
Two different anesthetic
protocols were evaluated. When mice were anesthetized with
pentobarbital, not only they were not completely relaxed and therefore
sneezed (loss of material), but a large part of the inoculum was
swallowed. This was checked (data not shown) by an instillation assay
of bacteria mixed with trypan blue, followed by a postmortem
examination which showed that most of the inoculum was located in the
stomach (blue colored), with only a small portion reaching the lung
(data not shown). Similar experiments performed with the anesthetic
cocktail (2) showed that all of the inoculum reached the
lungs and bronchi and that no liquid was swallowed (absence of blue
color in the stomach). We verified that there were larger variations in
the individual immune responses and less reproducible levels of
anti-TTFC serum IgG with the pentobarbital treatment than with the
anesthetic cocktail (results not shown). Therefore, the latter protocol
was used in all subsequent immunization experiments.
Induction of serum IgG antibody responses.
Two protocols
differing in the number of bacterial doses received at each
administration were compared in the same experiment. In the first, mice
received a single dose of live recombinant L. plantarum
strains; in the second, they were immunized on 2 consecutive days for
each administration. In each case, two boosts were performed after the priming.
First, the two expression systems leading to low [8826(pMEC4)] or
high [induced 8826(pMEC46)] doses of cytoplasmic TTFC were compared
to each other. As shown in Fig. 2,
immunization with a single dose of L. plantarum 8826(pMEC46)
resulted in a very high ELISA anti-TTFC serum IgG response, which was
significantly (P < 0.05) higher after the first boost
than the IgG levels induced with single dose of L. plantarum
8826(pMEC4), IgG endpoint titers reaching 122,902 ± 36,025 and
7,957 ± 3,847, respectively. Nevertheless, after two boosts, both
live vectors were able to elicit very high and significant (P < 0.05) responses (serum IgG titers of >105) in
comparison with the nonexpressing control strain [8826(pTG2247)] or
buffer alone. With the double-dose protocol, the response obtained with
the 8826(pMEC4) strain was significantly higher than with a single-dose
protocol (P < 0.05), leading to endpoint titers of
297,953 ± 102,190 and 118,554 ± 30,506, respectively, after the
second boost. Isotypes of the anti-TTFC antibodies induced by each
immunization scheme were principally IgG1 and IgG2b and to a lesser
extent IgG2a, suggesting a mixed Th1-Th2 response (Fig.
3). While no IgG3 could be detected, a
low level of IgA was observed in sera of mice immunized with
8826(pMEC4) following a double-dose protocol.

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FIG. 2.
Anti-TTFC serum IgG titers following intranasal
immunization with recombinant L. plantarum NCIMB8826.
Individual sera were collected 10 days after the first
( ) or
second
( ) boost
from groups of eight mice intranasally immunized with buffer alone
(PBS), with 109 CFU of control nonexpressing strain
8826(pTG2247), or with 109 CFU of TTFC-producing strain
8826(pMEC4) (constitutive promoter) or 8826(pMEC46) (inducible
promoter) in a single dose (sd) or double dose (dd) at each
administration. Bars represent the mean ELISA IgG titer ± SEM in
each group.
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FIG. 3.
Serum anti-TTFC antibody isotype titers after intranasal
immunization with a single dose (109 CFU) of 8826(pTG2247)
( ), 8826(pMEC4) ( ), or 8826(pMEC46)
( ) or a
double dose (109 CFU twice at 24 h interval) of
8826(pMEC4)
( ).
Isotypic responses were analyzed by ELISA on pooled sera of each group
collected 10 days after the last boost.
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Induction of local antibody and cellular responses.
The
mucosal IgA response in BALF was determined 10 days after the second
boost. Nasal administration of the recombinant strains led to a
significant (P < 0.05) anti-TTFC IgA response in BALF in comparison with the control strain [8826(pTG2247)] or buffer alone
(Fig. 4). In the single-dose protocol,
the level of the response was not significantly different (P > 0.05) between 8826(pMEC4) and 8826(pMEC46). Nevertheless, local
IgA levels were significantly higher (P < 0.05) in
mice that received a double dose of the 8826(pMEC4) strain.

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FIG. 4.
Anti-TTFC IgA levels in BALF from groups of eight mice
immunized intranasally with a single dose (sd) or double dose (dd) of
nonexpressing recombinant L. plantarum 8826(pTG2247) or
TTFC-producing L. plantarum 8826 (pMEC4) (constitutive
promoter, low TTFC dose) or 8826(pMEC46) (inducible promoter, high TTFC
dose) or with buffer alone (PBS) as a control. Individual BALF samples
were collected 10 days after the last boost, and specific IgA response
was normalized according to the level of total IgA and expressed in
specific activity (SA). Bars represent the mean IgA level ± SEM
in each group.
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T cells from CLN of mice immunized with the recombinant strains, when
restimulated in vitro with increasing doses of TTFC, elicited clear
specific dose-dependent proliferative responses. The levels of these
proliferative responses were similar for the two recombinant
strains [stimulation indices of 7.70 and 8.93 for 8826(pMEC4) and
8826(pMEC46), respectively] but was higher when mice received two
successive doses of the 8826(pMEC4) strain (SI of 14.82). No
proliferative response was elicited against the vector itself upon in
vitro restimulation with 107 CFU of heat-killed wild-type
L. plantarum per ml (Fig. 5).

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FIG. 5.
Antigen-specific T-cell proliferative responses in CLN
of mice immunized intranasally with PBS or with a single dose (sd) or
double dose (dd) of 8826(pTG2247), 8826(pMEC4), or 8826(pMEC46). T
cells were isolated from CLN 10 days after the second boost, pooled by
group of mice, and cultured for 4 days at a density of 5 × 106 cells/ml in the presence or absence of purified TTFC at
5( ),
10( ), or
50( )
µg/ml or in the presence of heat-killed L. plantarum
(107 CFU/ml)
( ).
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TT neutralization capacity of serum antibodies.
Because mice
were sacrificed for local and cellular response analysis, the
protective effect of the circulating antibodies was assessed by an
indirect method, i.e., the ability of elicited antibodies to neutralize
TT and to protect naive mice against its lethal effect. As shown in
Table 1, all recombinant strains elicited
detectable neutralizing antitoxin antibodies, but only for L. plantarum 8826(pMEC46) was the level higher than the protective limit (>0.01 IU/ml) and obtained as early as the first boost. In this
case, a neutralizing titer 10 times higher than the protective limit
was measured after the second boost (0.08 to 0.16 IU/ml).
Responses elicited by live or MitC-treated recombinant L. plantarum strains.
We further studied the effect of
bacterial viability on the immune response after intranasal
immunization. Both recombinant L. plantarum 8826(pMEC4) and
8826(pMEC46) were administered live (109 CFU) or after
inactivation with MitC treatment. More than fourfold loss of viability
was obtained after MitC treatment, the administration of
109 total cells thus corresponding only to 0.5 × 105 viable cells (CFU). No difference in antigen level
production was observed after inactivation, as analyzed by Western
blotting analysis (data not shown). As shown in Fig.
6, chemically inactivated recombinant
L. plantarum elicited systemic IgG response, as measured by
ELISA, in the same magnitude as that induced with live vectors. The
difference between the response elicited by inactivated and live
8826(pMEC4) was not significant (P > 0.05) except
after the second boost, when the live vector was 10 times more
immunogenic. For 8826(pMEC46), no significant differences were found
between live and inactivated strains (P > 0.05). The
levels of IgG antibody response were very similar to those obtained in
the previous experiments with both vectors. Strain 8826(pMEC46) induced
a higher systemic IgG response (P < 0.05) than strain
8826(pMEC4), (43,6014 ± 33,928 and 61,595 ± 48,162, respectively) after the second boost. The level of the response induced
by strain 8826(pMEC46) was not significantly (P > 0.05) different from that elicited by intranasal administration of
10 µg of purified TTFC in the presence of 1 µg of (CTB) as the
mucosal adjuvant (Fig. 6).

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FIG. 6.
Anti-TTFC serum IgG titers following intranasal
immunization with recombinant L. plantarum NCIMB8826.
Individual sera were collected 10 days after the priming and the first
and second boosts from eight mice immunized intranasally with PBS
(  ) with 109 CFU of live 8826 (pTG2247)
( ), live
( ) or
MitC-treated
( )
8826(pMEC4) or live
( ) or
MitC-treated (-- --) 8826(pMEC46), or with 10 µg of purified TTFC
in the presence of 1 µg of CTB ( × ). Bars represent the mean
ELISA IgG level ± SEM in each group.
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In this experiment, the protection induced by recombinant L. plantarum immunization was evaluated both by a direct lethal challenge with TT (17 LD50) and by measuring the levels of
neutralizing antibodies for comparison. As shown in Table
2, only those mice immunized with live
and MitC-inactivated L. plantarum 8826(pMEC46) and with
purified TTFC adjuvanted with CTB were fully protected (except for one
mouse vaccinated with inactivated bacteria that was only partially
protected). The few surviving mice immunized with live or
MitC-inactivated 8826(pMEC4) were only partially protected (two of
eight and one of seven, respectively). Moreover, when the protection
was indirectly evaluated by the in vivo neutralization test, both live
and inactivated 8826(pMEC46) organisms could induce neutralizing titers
higher than the protective limit (>0.01 IU/ml); nevertheless, after
the second boost, the titer of the pooled sera was 10-fold higher with
live vector (0.16 to 0.32 IU/ml) than with the MitC-treated strain
(0.02 to 0.04 IU/ml). The highest neutralizing antibody titers were
obtained with a mixture of purified TTFC (10 µg) and CTB. As the
ELISA IgG antibody titers were quite similar for the three protected
groups, we further analyzed the isotypic response. No differences were
observed between live and inactivated recombinant strains, for which
the same high IgG1 and IgG2b and moderate IgG2a antibody responses were
obtained (data not shown). No qualitative difference was obtained for
the group of mice immunized with purified TTFC in the presence of CTB;
here also the isotypic response was dominated by a high IgG1 and IgG2b
response whereas the IgG2a response was limited (data not shown).
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DISCUSSION |
The main goal of this investigation was to ascertain whether
mucosal immunization with recombinant lactobacilli would stimulate systemic and local antibody responses and exhibit a protective ability.
To this end, intranasal administration was explored using as a model
antigen the 47-kDa TTFC produced intracellularly by recombinant
L. plantarum NCIMB8826 strains. Two main parameters were
examined: effect of antigen dose, and viability of the vaccine vector.
Prior to conducting these studies, we adjusted the anesthetic protocol
to ensure minimal individual variation and high reproducibility of the
immune responses induced after intranasal immunization. The procedure
described in this report fulfilled these needs better than the
pentobarbital treatment.
In this study, we compare the immunogenicity of isogenic
antigen-producing strains where the heterologous gene was cloned under
the control of one of two different promoters (constitutive or
inducible), leading to doses of antigen that were estimated to vary
from 1 to 10% of the intracellular protein content. Even if after one
boost the strain producing a high amount of TTFC (single-dose protocol)
was more immunogenic than the strain synthesizing less antigen (single
or double-dose protocol), the levels of circulating IgG after the
second boost were very high and quite similar for both constructions
when measured by ELISA. The endpoint titers reached levels above
105. The protective response against TT correlated to the
level of antigen production, indicating that immunization with higher
amounts of antigen could have induced IgG with higher avidity. Indeed, induction of a sufficient amount (>0.01 IU/ml) of antibodies to neutralize TT in vivo, i.e., high-avidity circulating IgG directed against protective epitopes, is a prerequisite for protection against
tetanus. The neutralization test used in this work measures such
antibodies. On the contrary, sandwich ELISA takes into account antibodies directed against both protective and nonprotective epitopes,
whatever their avidity. The discrepancy between the results obtained
with these methods is well established, especially at low neutralizing
antibody concentrations and in the early phases of primary
immunization. This problem can generally be overcome by using
competition or inhibition variants of the ELISA (6, 32).
However, sandwich ELISA remains widely used in studies using TTFC as a
model antigen for evaluation of new vaccine strategies, as it is rapid
and easy to perform, relies on readily available reagents, and,
interestingly, needs very low serum volumes. Our results emphasize once
more that protection cannot be deduced solely from titers of
circulating anti-TTFC IgG, as determined by sandwich ELISA, and that it
is necessary to apply methods able to reflect the neutralizing potency
of elicited antibodies when evaluating the potential of the delivery
system under study. In the case of tetanus, these methods include
in vivo challenge with TT, in vivo neutralization test,
or in vitro assays using appropriate standards and validation by
comparison with neutralization test results.
Different mucosal presentations of antigen have been recently designed
for protection against TT, including oral or intranasal administrations
of TTFC with cholera toxin (5, 9) or recombinant live
vectors expressing TTFC, e.g., Salmonella (1, 3,
34). Recent work on protection against TT with DNA-based
vaccines (30) has shown that they induce preferentially
cytotoxic T-cell responses dominated by a T helper type 1 propensity
and a lower antibody response and then are less efficient than a
polypeptide subunit vaccine which induces a protective Th2 response.
Mucosal administration (intranasal or oral) able to initiate a
protective antibody response should thus be advantageous for
vaccination against tetanus with respect to safety, low cost, and ease
of administration (4).
In the case of lactobacilli, the isotypic response obtained after
intranasal administration of recombinant strains showed a high IgG2b
and IgG1 response associated with a moderate level of IgG2a response.
This suggests that recombinant Lactobacillus strains are
able to activate both Th1 and Th2 T helper cell subsets. Similar
results have been obtained after intranasal and intragastric immunization of mice with recombinant L. lactis producing
TTFC, which also conferred a protective immune response (22,
28). In the case of L. plantarum, immune responses
against the vector itself were not detectable (i.e., absence of
proliferative responses in cervical lymph nodes after in vitro
restimulation with heat-inactivated bacteria), while for L. lactis low serum antibody responses directed against the bacteria
were detected (28). This contrasts with the Th1 (IgG2a
isotype) profile elicited by oral administration of recombinant
Salmonella as well as the higher innate antigenicity of
other recombinant bacterial vectors, e.g., Mycobacterium
bovis BCG, Bordetella, and Salmonella
(3, 10, 19). The nature of the immune response elicited by
a given bacterial vector with respect to Th1 versus Th2 and humoral
versus cellular immunity can differ considerably and should thus be
taken into account during selection of the bacterial vector to be used.
Shaw et al, (31) recently described successful mucosal
immunization with recombinant lactobacilli expressing TTFC
intracellularly or at the cell surface, which were able to induce
systemic IgG responses reaching endpoint titers of 104 or
102 after intranasal or intragastric administration,
respectively, to mice. However, protection was not evaluated in this
study. Local IgA responses were detectable after priming and boosting with three successive bacterial doses (days 1 to 3). With the system we
describe, significant local IgA responses were measured in BALF, and
antigen-specific T-cell proliferative responses were elicited by both
types of recombinant lactobacilli [8826(pMEC4) and 8826(pMEC46)]. The
levels were higher when mice received two consecutive doses at each
administration, but responses were readily detectable after a single
dose. Our results support the hypothesis (31) that the
absolute levels of TTFC produced by the lactobacilli is probably a key
factor in their immunogenicity, as illustrated by the IgG titers
induced by the isogenic pair of L. plantarum strains
producing low [8826(pMEC4)] or high [8826(pMEC46)] amounts of the
same antigen.
In addition, we evaluated the impact of the viability of the bacterial
vector on the induction of protective immune responses. Comparable
serum IgG responses (as measured by ELISA) were obtained with live and
inactivated recombinant lactobacilli, as also observed for
TTFC-producing L. lactis strains administered by the nasal route (28). In the latter case, this effect was not
unexpected, as this nonpersisting bacterium might be considered a live
antigen-loaded particle. However, no comparison of protection was
conducted with live and dead L. lactis (28). In
our case the level of protective response was 10-fold higher with the
live 8826(pMEC46) strain. Possibly different cytokine induction
patterns were initiated by live and MitC-treated recombinant bacteria.
It was recently reported that in vitro adhesion of probiotic strains to
intestinal cell lines was affected differently depending on the
bacterial killing or inactivation procedure (23). If
applicable to the in vivo situation, this observation may, at least
partly, explain why live and dead lactobacilli differ in their
immunogenicity or immunomodulation capacity. Nevertheless, no
differences in isotypic response were observed after administration of
live and inactivated Lactobacillus vectors.
In conclusion, the results obtained so far (reference 31
and this study) demonstrate that lactobacilli are capable of delivering antigen to the mucosal and systemic immune systems following intranasal immunization. The development of lactic acid bacteria as vaccine delivery vehicles involves the use of various strains which are able to
colonize different mucosal sites such as the gastrointestinal, urinary,
and genital tracts and could thus be used specifically to vaccinate
against pathogens at their site of entry. While both gut colonizers and
noncolonizers seem to work equally well by the systemic and nasal
routes, the importance of colonization or adhesion in oral
administration remains an open question. We therefore plan to examine
the potency of our recombinant L. plantarum strains as oral
vaccines, with a special focus on the effect of persistence time in the
gastrointestinal tract.
 |
ACKNOWLEDGMENTS |
This work was supported by EU grant BIO4-CT96-0542 and funds from
the Institut Pasteur de Lille, Institut Pasteur de Bruxelles, and FEDER.
We are grateful to E. Van Nerom and F. Tweepenninckx for skillful help
with TT protection experiments and to D. Guittard for help with graphic
design. We thank J. Alouf, J. Content, and C. Locht for critical
reading of the manuscript and E. Dei Cas for advice on the anesthetic
protocol. We very much appreciated the stimulating discussions with J. Delcour, P. Hols, C. Rush, and J. M. Wells. Rabbit anti-TTFC
antibodies were kindly supplied by E. Sablon, Innogenetics N. V.,
Ghent, Belgium.
 |
FOOTNOTES |
*
Corresponding author. Mailing address:
Département de Microbiologie des Ecosystèmes, Institut
Pasteur de Lille, 1, rue du Pr Calmette, B.P. 245, F-59019 Lille Cedex,
France. Phone: (33) 320-87-77-74. Fax: (33) 320-87-79-08. E-mail:
corinne.grangette{at}pasteur-lille.fr.
Editor:
J. D. Clements
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Infection and Immunity, March 2001, p. 1547-1553, Vol. 69, No. 3
0019-9567/01/$04.00+0 DOI: 10.1128/IAI.69.3.1547-1553.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
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