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Immunization with Lipopolysaccharide-Deficient Whole Cells Provides Protective Immunity in an Experimental Mouse Model of Acinetobacter baumannii Infection

Abstract

The increasing clinical importance of infections caused by multidrug resistant Acinetobacter baumannii warrants the development of novel approaches for prevention and treatment. In this context, vaccination of certain patient populations may contribute to reducing the morbidity and mortality caused by this pathogen. Vaccines against Gram-negative bacteria based on inactivated bacterial cells are highly immunogenic and have been shown to produce protective immunity against a number of bacterial species. However, the high endotoxin levels present in these vaccines due to the presence of lipopolysaccharide complicates their use in human vaccination. In the present study, we used a laboratory-derived strain of A. baumannii that completely lacks lipopolysaccharide due to a mutation in the lpxD gene (IB010), one of the genes involved in the first steps of lipopolysaccharide biosynthesis, for vaccination. We demonstrate that IB010 has greatly reduced endotoxin content (,1.0 endotoxin unit/106 cells) compared to wild type cells. Immunization with formalin inactivated IB010 produced a robust antibody response consisting of both IgG1 and IgG2c subtypes. Mice immunized with IB010 had significantly lower post-infection tissue bacterial loads and significantly lower serum levels of the pro-inflammatory cytokines IL-1b, TNF-a and IL-6 compared to control mice in a mouse model of disseminated A. baumannii infection. Importantly, immunized mice were protected from infection with the ATCC 19606 strain and an A. baumannii clinical isolate. These data suggest that immunization with inactivated A. baumannii whole cells deficient in lipopolysaccharide could serve as the basis for a vaccine for the prevention of infection caused by A. baumannii.

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Immunization with Lipopolysaccharide-Deficient Whole Cells Provides Protective Immunity in an Experimental Mouse Model of Acinetobacter baumannii Infection

Author: García Quintanilla, Meritxell de Jesús; Pulido, Marina R.; Pachón Díaz, Jerónimo; McConnell, MJ
Year: 2014
DOI: 10.1371/journal.pone
Source: https://idus.us.es/bitstreams/bbb8ed2b-b876-4ed1-82f7-aebb1bcdc5cf/download
RESEARCH ARTICLE
Immuniza ion wi h
Lipopolysaccha ide-De icien Whole Cells
P o ides P o ec i e Immuni y in an
Expe imen al Mouse Model o
Acine obac e baumannii In ec ion
Me i xell Ga cı´a-Quin anilla, Ma ina R. Pulido, Je o´nimo Pacho´n,
Michael J. McConnell*
Ins i u e o Biomedicine o Se illa (IBiS), Uni e si y Hospi al Vi gen del Rocı´o/CSIC/Uni e si y o Se illa,
Se illa, Spain
*[email protected]
Abs ac
The inc easing clinical impo ance o in ec ions caused by mul id ug esis an
Acine obac e baumannii wa an s he de elopmen o no el app oaches o
p e en ion and ea men . In his con ex , accina ion o ce ain pa ien popula ions
may con ibu e o educing he mo bidi y and mo ali y caused by his pa hogen.
Vaccines agains G am-nega i e bac e ia based on inac i a ed bac e ial cells a e
highly immunogenic and ha e been shown o p oduce p o ec i e immuni y agains
a numbe o bac e ial species. Howe e , he high endo oxin le els p esen in hese
accines due o he p esence o lipopolysaccha ide complica es hei use in human
accina ion. In he p esen s udy, we used a labo a o y-de i ed s ain o A.
baumannii ha comple ely lacks lipopolysaccha ide due o a mu a ion in he lpxD
gene (IB010), one o he genes in ol ed in he i s s eps o lipopolysaccha ide
biosyn hesis, o accina ion. We demons a e ha IB010 has g ea ly educed
endo oxin con en (,1.0 endo oxin uni /10
6
cells) compa ed o wild ype cells.
Immuniza ion wi h o malin inac i a ed IB010 p oduced a obus an ibody esponse
consis ing o bo h IgG1 and IgG2c sub ypes. Mice immunized wi h IB010 had
signi ican ly lowe pos -in ec ion issue bac e ial loads and signi ican ly lowe se um
le els o he p o-in lamma o y cy okines IL-1b, TNF-aand IL-6 compa ed o con ol
mice in a mouse model o dissemina ed A. baumannii in ec ion. Impo an ly,
immunized mice we e p o ec ed om in ec ion wi h he ATCC 19606 s ain and an
A. baumannii clinical isola e. These da a sugges ha immuniza ion wi h inac i a ed
OPEN ACCESS
Ci a ion: Ga cı´a-Quin anilla M, Pulido MR, Pacho´n
J, McConnell MJ (2014) Immuniza ion wi h
Lipopolysaccha ide-De icien Whole Cells P o ides
P o ec i e Immuni y in an Expe imen al Mouse
Model o Acine obac e baumannii In ec ion. PLoS
ONE 9(12): e114410. doi:10.1371/jou nal.pone.
0114410
Edi o : Gunna F. Kau mann, The Sc ipps
Resea ch Ins i u e and So en o The apeu ics, Inc.,
Uni ed S a es o Ame ica
Recei ed: Ap il 16, 2014
Accep ed: No embe 9, 2014
Published: Decembe 8, 2014
Copy igh : ß2014 Ga cı´a-Quin anilla e al. This
is an open-access a icle dis ibu ed unde he
e ms o he C ea i e Commons A ibu ion
License, which pe mi s un es ic ed use, dis ibu-
ion, and ep oduc ion in any medium, p o ided he
o iginal au ho and sou ce a e c edi ed.
Da a A ailabili y: The au ho s con i m ha all da a
unde lying he indings a e ully a ailable wi hou
es ic ion. All ele an da a a e wi hin he pape .
Funding: Suppo was p o ided by REIPI REIPI
RD06/0008/0000 Conseje ı´a de Salud de la Jun a
de Andalucı´a (PI-0046-2011) Subp og ama Miguel
Se e om he Minis e io de Economı´a y
Compe i i idad o Spain (CP11/00314). The un-
de s had no ole in s udy design, da a collec ion
and analysis, decision o publish, o p epa a ion o
he manusc ip .
Compe ing In e es s: MJM and JP a e ounde s
and scien i ic ad iso s o he bio echnology
compnay Vaxdyn, S.L. This does no al e he
au ho s’ adhe ence o PLOS ONE policies on
sha ing da a and ma e ials.
PLOS ONE | DOI:10.1371/jou nal.pone.0114410 Decembe 8, 2014 1/14
A. baumannii whole cells de icien in lipopolysaccha ide could se e as he basis o
a accine o he p e en ion o in ec ion caused by A. baumannii.
In oduc ion
Acine obac e baumannii is a G am-nega i e coccobacillus wi h inc easing clinical
impo ance in he hospi al se ing. This o ganism is widely dissemina ed in he
soil and wa e o na u al en i onmen s [1], and can cause di e en ypes o
in ec ions as a nosocomial pa hogen including pneumonia, bac e emia,
meningi is and skin and so issue in ec ion, among o he s [2]. This pa hogen
ypically in ec s pa ien s ecei ing mechanical en ila ion and bu n pa ien s [3],
howe e , i has also been isola ed om communi y-acqui ed pneumonia samples
[4,5] and mili a y pe sonnel wi h auma ic inju ies in Vie nam, I aq, Kuwai and
A ghanis an [6,7]. C ude mo ali y a es associa ed wi h A. baumannii in ec ion
ha e been epo ed o be be ween 35% and 70% o nosocomial in ec ions [8].
Impo an ly, due o he well-documen ed abili y o A. baumannii o acqui e
an ibio ic esis ance, he numbe o mul id ug and pand ug esis an s ains has
inc eased ala mingly in ecen yea s [9,10]. The global eme gence o hese highly
esis an s ains has se e ely complica ed he clinical managemen o in ec ions
caused by A. baumannii. In his con ex o inc easing an ibio ic esis ance, he
de elopmen o an e icien accine agains A. baumannii could con ibu e o
educing mo bidi y and mo ali y in ce ain pa ien popula ions [11].
The expe imen al accines ha ha e been desc ibed o A. baumannii can be
classi ied in o wo b oad g oups, accines ha consis o a single pu i ied an igen,
and mul icomponen accines. Wi hin he i s g oup, he ou e memb ane
p o ein OmpA [12], he bio ilm-associa ed p o ein Bap [13], he memb ane
anspo e A a [14], and he memb ane associa ed polysaccha ide poly-N-ace yl-
b-(1–6)-glucosamine [15] ha e been epo ed as good candida es due o hei
abili y o elici speci ic immune esponse. Howe e , su i al expe imen s a e
ac i e immuniza ion ha e only been epo ed o OmpA, which showed pa ial
p o ec ion, and Bap, whose exp ession in s ains ha do no o m bio ilms is
unclea . The s a egies employing mul icomponen accines ha e included ou e
memb ane complexes [16], ou e memb ane esicles [17], and o malin-
inac i a ed whole cells [18]. Each o hese accines induced no only a po en
immune esponse bu also p o ided high le els o p o ec ion agains A. baumannii
in ec ions in a mu ine model using bo h he ATCC 19606 ype s ain and clinical
isola es. Howe e , despi e hese p omising esul s, he use o hese mul i-
componen app oaches in humans is complica ed by he ele a ed endo oxin
con en o hese accines due o he high le els o lipopolysaccha ide (LPS)
p esen in hese p epa a ions.
LPS consis s o he O-an igen, a co e polysaccha ide and lipid A, he moie y
esponsible o he endo oxin ac i i y o LPS. Ea ly s udies employing Esche ichia
Immuniza ion wi h LPS-De icien A. baumannii
PLOS ONE | DOI:10.1371/jou nal.pone.0114410 Decembe 8, 2014 2/14
coli demons a ed ha he p oduc ion o LPS was essen ial o bac e ial iabili y
[19]. Howe e , i was la e demons a ed ha ce ain bac e ial species, namely
Neisse ia meningi idis and Mo axella ca a halis, we e iable e en a e mu a ing
he enzymes in ol ed in LPS biosyn hesis, esul ing in a comple e lack o LPS
p oduc ion [20,21]. A ecen epo demons a ed ha A. baumannii can acqui e
esis ance o he pep ide an ibio ic colis in ia mu a ion in he genes in ol ed in
he i s s eps o lipid A syn hesis lpxA,lpxC and lpxD [22], esul ing in s ains
comple ely de icien in LPS. These esul s indica e ha A. baumannii is also iable
in he absence o LPS p oduc ion, aising he possibili y ha accines based on
hese LPS-de icien s ains could be de eloped.
The objec i e o he p esen s udy was o de elop an LPS-de icien inac i a ed
whole cell (IWC) accine agains A. baumannii and o cha ac e ize he immune
esponse o immuniza ion and i s e icacy in a mu ine sepsis model. We
demons a e ha he LPS de icien IWC p oduces a obus an ibody esponse ha
is able o educe pos -in ec ion issue bac e ial loads and p o ide p o ec ion
agains in ec ion in a mouse model o A. baumannii in ec ion.
Ma e ials and Me hods
E hics S a emen
All expe imen s in ol ing he use o animals we e app o ed by he Uni e si y
Hospi al Vi gen del Rocı
´o Commi ee on E hics and Expe imen a ion (E alua ion
code: 2013PI/296). In all expe imen s, e o s we e made o minimize su e ing,
and any animals appea ing mo ibund du ing he cou se o expe imen a ion we e
immedia ely eu hanized using hiopen al.
Bac e ial s ains
A. baumannii ATCC 19606 is an an ibio ic suscep ible e e ence s ain. An LPS-
de icien de i a i e o ATCC 19606 was ob ained by pla ing an o e nigh cul u e
o ATCC 19606 on Muelle Hin on aga con aining 10 mg/ml o colis in, as
desc ibed p e iously [22]. S ains wi h mu a ions in he genes in ol ed in LPS
biosyn hesis we e iden i ied by sequencing he lpxA,lpxC and lpxD genes o he
colis in esis an mu an s ha we e p esen a e o e nigh g ow h a 37˚C. A
s ain wi h a la ge dele ion in he lpxD gene was iden i ied and designa ed IB010.
Resis ance o colis in was con i med by b o h mic odilu ion acco ding o Clinical
Labo a o y S anda d Ins i u e guidelines [23]. Absence o LPS was con i med by
measu ing he endo oxin le els o h ee independen cul u es o each s ain using
he QCL-1000 Limulus Amebocy e Assay (Lonza) acco ding o he manu ac u e ’s
ins uc ions. The Ab-154 s ain is a p e iously cha ac e ized A. baumannii clinical
isola e [24].
Immuniza ion wi h LPS-De icien A. baumannii
PLOS ONE | DOI:10.1371/jou nal.pone.0114410 Decembe 8, 2014 3/14
Vaccine p epa a ion and mouse immuniza ion
The IWC accines (bo h LPS-con aining and LPS-de icien ) we e p epa ed as
desc ibed based on a p e iously desc ibed me hod [22]. B ie ly, he ATCC 19606
and IB010 s ains we e g own in Muelle - Hin on b o h o OD
600
o 0.8. In he
case o IB010, 10 mg/ml o colis in we e added o he cul u e. In o de o con i m
he p esence o he dele ion a e g ow h o IB010, h ee independen cul u es o
ATCC 19606 and IB010 we e g own, and genomic DNA was isola ed om each
cul u e using he QIAmp DNA Mini Ki (Qiagen). The lpxD speci ic p ime s 59
GCTAATTGGTGAAGGTAGTC 39and 59GACGAATCGTTTGAATCTGC 39
we e used o ampli y genomic DNA om he cul u es in o de o con i m ha he
dele ion in lpxD o IB010 was p esen a e g ow h.
Fo accine p epa a ion, bac e ia we e washed ex ensi ely in phospha e bu e
saline be o e inac i a ion in 0.5 M o malin o 18 h wi h shaking a oom
empe a u e. Comple e inac i a ion o he bac e ia was con i med by pla ing on
blood aga . The concen a ion o inac i a ed cells was adjus ed o 1610
10
cells/ml
and combined 1:1 ( / ) wi h he aluminium-based adju an , Alhyd ogel 2% (w/ )
(In i oGen). Vaccina ion was ca ied ou in 6 o 8-week-old, emale C57BL/6 o
BALB/c mice by in amuscula injec ion o 100 ml o he accine in o each
quad iceps muscle on days 0 and 14. Con ol mice we e injec ed simila ly wi h a
mix u e o phospha e bu e saline and adju an .
Mouse model o A. baumannii in ec ion
A mouse model o sepsis p e iously de eloped by ou g oup and used o he
e alua ion o accines agains A. baumannii was used o cha ac e ize he e icacy
o he accine [25,26]. This model p oduces a dissemina ed in ec ion a e
in ape i oneal ins illa ion o he inoculum, ypically esul ing in dea h wi hin 24
o 48 hou s. Fo p epa a ion o he inocula, A. baumannii s ains we e g own o
18 h a 37˚C in Muelle -Hin on b o h cul u es and adjus ed o he app op ia ed
concen a ion in physiological saline as desc ibed p e iously [8,27]. Bac e ial
concen a ions o he inocula we e de e mined by pla ing on blood aga . Mice
we e in ec ed on day 21 (one week a e he second immuniza ion) o C57BL/6
and on day 28 o BALB/c mice by in ape i oneal injec ion wi h 0.5 ml o he
bac e ial suspension and su i al was moni o ed o 7 days.
Spleen bac e ial loads and se um cy okine le els
Pos -in ec ion bac e ial loads we e de e mined in accina ed and con ol mice
12 h a e in ec ion. Mice we e eu hanized wi h an o e dose o hiopen al and
a e collec ion o blood samples om he e o-o bi al sinus, spleens we e
asep ically emo ed, weighed and homogenized in 2 ml o physiological saline.
Se ial log dilu ions we e pla ed on blood aga pla es o bac e ial quan i ica ion.
Se um le els o in e leukin-1b(IL-1b), umo nec osis ac o alpha (TNF-a), and
in e leukin-6 (IL-6) we e de e mined in mice a 12 h pos -in ec ion using BD
Op EIA mouse ki s (BD Biosciences).
Immuniza ion wi h LPS-De icien A. baumannii
PLOS ONE | DOI:10.1371/jou nal.pone.0114410 Decembe 8, 2014 4/14
Enzyme-linked immunoso ben assays (ELISAs)
Fo indi ec enzyme-linked immunoso ben assays (ELISAs), 96-well pla es we e
coa ed wi h 5610
7
bac e ial cells/well in phospha e bu e saline by incuba ing a
4˚C o e nigh . ELISAs we e pe o med using se a collec ed on days 0, 7 and 21 as
desc ibed p e iously [28]. An ibody i e s we e measu ed agains he s ain which
was used o immunize he mouse, and we e de ined as he dilu ion in which
spec opho ome ic eadings we e a leas 0.1 uni s abo e backg ound wells (wells
con aining no se um).
S a is ical analysis
An ibody i e s, bac e ial loads, and cy okine le els we e compa ed using he
K uskal-Wallis H es and he Mann-Whi ney U es o independen samples, and
he F iedmann and Wilcoxon es s o dependen samples. The Bon e oni
co ec ion was applied when app op ia e. Su i al da a we e compa ed using he
log- ank es . All s a is ics we e pe o med using SPSS e sion 15.0 so wa e (SPSS
Inc.), and a p alue o #0.05 was conside ed signi ican .
Resul s
Selec ion o an LPS-de icien s ain o accine de elopmen
G ow h o ATCC 19606 in he p esence o 10 mg/ml colis in esul ed in nume ous
colis in- esis an de i a i es wi h mu a ions in he lpxA,lpxC and lpxD genes
(da a no shown). One o hese s ains, IB010, con ained a la ge dele ion o 462
nucleo ides in he lpxD (nucleo ides 104–565) gene and was chosen o u he use
in accine s udies. We easoned ha on he basis ha he s ain con ained a la ge
dele ion, his s ain would be less likely o e e o wild ype du ing g ow h han
s ains con aining single nucleo ide changes o small dele ions in he LPS
biosyn hesis genes. B o h mic odilu ion expe imen s demons a ed ha he
minimum inhibi o y concen a ion o he ATCC 19606 s ain was #0.25 mg/ml
and .128 mg/ml o IB010, demons a ing ha , simila o esul s desc ibed
p e iously [22], mu a ions in lpxD can esul in esis ance o colis in. In o de o
ensu e ha he IB010 was gene ically s able du ing g ow h, genomic DNA om
h ee independen cul u es o ATCC 19606 and IB010 we e ampli ied wi h lpxD-
speci ic p ime s o con i m ha he dele ion was p esen . As shown inFigu e 1A,a
band co esponding o he mu a ed lpxD gene o IB010 con aining a dele ion o
462 nucleo ides was p esen a e ampli ica ion om h ee independen IB010
cul u es. Pheno ypic loss o LPS and educ ion in endo oxin le els we e
cha ac e ized by he Limulus Amebocy e Assay o ATCC 19606 and IB010, and
demons a ed ha mu a ion in he lpxD gene esul ed in a d ama ic educ ion in
endo oxin le els o .1 EU pe 10
6
cells (Figu e 1B).
Immuniza ion wi h LPS-De icien A. baumannii
PLOS ONE | DOI:10.1371/jou nal.pone.0114410 Decembe 8, 2014 5/14

An ibody esponse o he LPS-de icien IWC accine
Fo malin ea men o ATCC 19606 and IB010 esul ed in no iable bac e ia,
indica ing comple e bac e ial inac i a ion. No ad e se e ec s we e obse ed in
mice accina ed wi h inac i a ed IB010 and inac i a ed ATCC 19606 cells. In
o de o quan i y he an ibody esponse p oduced by immuniza ion wi h
inac i a ed IB010, indi ec ELISAs we e pe o med using se a collec ed om
nega i e con ol mice (immunized wi h PBS and adju an ) and mice accina ed
wi h 1610
9
inac i a ed IB010 cells. As a posi i e con ol, one g oup o mice was
immunized wi h 1610
9
inac i a ed ATCC 19606 cells on he basis ha we ha e
p e iously shown ha immuniza ion wi h hese cells induces a obus immune
esponse and p oduces p o ec i e immuni y agains expe imen al in ec ion [18].
As shown in Figu e 2A, immuniza ion wi h inac i a ed IB010 elici ed de ec able
le els o an igen-speci ic o al IgG in all mice se en days a e a single
in amuscula adminis a ion, and hese an ibody le els we e signi ican ly
inc eased upon boos ing wi h a second adminis a ion o he accine (p50.03
Wilcoxon es ). To al IgG i e s in mice ecei ing wo adminis a ions o
inac i a ed IB010 accine we e simila o i e s in mice ecei ing he accine
con aining inac i a ed wild ype cells (p50.726 Mann Whi ney U es ). Con ol
mice had no de ec able an igen-speci ic IgG a any poin . In con as , IgM le els
we e simila be ween mice immunized wi h he inac i a ed IB010 accine and
mice ecei ing inac i a ed wild ype cells se en days a e a single adminis a ion
(p50.186 Mann Whi ney U es ), howe e se en days a e a second
immuniza ion he e was no de ec able an igen-speci ic IgM in IB010- accina ed
mice whe eas all mice immunized wi h inac i a ed wild ype cells had de ec able
le els o IgM (Figu e 2B).
Le els o he IgG sub ypes IgG1 and IgG2c, he IgG2a homolog in C57BL/6
[27], we e de e mined in 21-day se um (Figu e 2C and D). Bo h g oups o mice
ecei ing he inac i a ed accines had signi ican le els o IgG1 and IgG2c
compa ed o con ol mice (p,0.001; Mann-Whi ney U es ). In e es ingly, IgG1
Figu e 1. Mu a ion and endo oxin con en o IB010. (A) Genomic DNA om h ee independen cul u es o
ATCC 19606 and IB010 was ex ac ed and ampli ied using p ime s speci ic o he lpxD gene. The band
co esponding o app oxima ely 1000 Kb co esponds o he in ac lpxD gene, whe eas he as e mig a ing
band co esponds o he lpxD gene wi h a dele ion o 462 nucleo ides. (B) Endo oxin le els o ATCC 19606
and IB010 de e mined by he Limulus Amebocy e Assay. Ba s ep esen he median alues o h ee
independen cul u es, and e o ba s ep esen he s anda d e o o he mean. EU; endo oxin uni s.
doi:10.1371/jou nal.pone.0114410.g001
Immuniza ion wi h LPS-De icien A. baumannii
PLOS ONE | DOI:10.1371/jou nal.pone.0114410 Decembe 8, 2014 6/14
i e s we e signi ican ly highe in IB010- accina ed mice compa ed o ATCC
19606- accina ed mice (p50.003; Mann-Whi ney U es ), whe eas IgG2c i e s
we e simila be ween hese g oups. These esul s indica e ha bo h Th1 and Th2
esponses a e elici ed by he inac i a ed IB010 accine simila o wha was
p e iously shown o he inac i a ed ATCC 19606 accine [18].
E ec o accina ion on pos -in ec ion bac e ial loads
In o de o cha ac e ize he e ec o accina ion on pos -in ec ion issue bac e ial
loads, we employed a mouse model p e iously de eloped by ou g oup o he
cha ac e iza ion o accine o p e en ing in ec ion by A. baumannii [16-18]. This
model apidly p oduces a dissemina ed in ec ion in which bac e ia a e de ec ed in
dis al o gans as soon as one hou pos -in ec ion [16]. Vaccina ed and con ol
mice we e in ec ed wi h 2.0610
6
c u (3006LD
50
) o he ATCC 19606 s ain, and
Figu e 2. An ibody esponse o immuniza ion wi h IB010. Se um samples we e collec ed om ATCC 19606 accina ed, IB010 accina ed and con ol
mice be o e accina ion (Day 0) and a day 7 and 21 a e he i s immuniza ion, and le els o an igen speci ic o al IgG (A) and IgM (B) we e measu ed by
ELISA (n58 mice/g oup). IgG1 (C) and IgG2c (D) le els in se um collec ed 7 days a e he second immuniza ion we e de e mined in se um we e measu ed
by ELISA in ATCC 19606 accina ed, IB010 accina ed and con ol mice In all panels box and whiske plo s ep esen he in e qua ile anges and anges,
espec i ely, and ho izon al lines ep esen median alues. * p,0.05 compa ed o le els in con ol mice a he same ime poin , #p,0.05 compa ed o 7-day
samples om he same expe imen al g oup, {p,0.05 compa ed o 21-day samples in ATCC 19606 accina ed mice.
doi:10.1371/jou nal.pone.0114410.g002
Immuniza ion wi h LPS-De icien A. baumannii
PLOS ONE | DOI:10.1371/jou nal.pone.0114410 Decembe 8, 2014 7/14
12 hou s a e in ec ion spleen bac e ial loads we e de e mined (Figu e 3). IB010
accina ion educed he numbe o bac e ia in spleens app oxima ely 1000- old
compa ed o con ol mice (p,0.05; Mann-Whi ney U es ).
E ec o accina ion on pos -in ec ion se um cy okine le els and
su i al
In o de o cha ac e ize he e ec o immuniza ion wi h he inac i a ed LPS
de icien accine on cy okine le els, se a we e collec ed om accina ed and
con ol mice 12 h pos -in ec ion and he le els o IL-1b, IL-6 and TNF-awe e
de e mined (Figu e 4). Le els o all h ee cy okines we e signi ican ly lowe in
bo h g oups o accina ed mice han in con ol mice (p50.003 o IL-1b, IL-6 and
TNF-a; Mann-Whi ney U es ), sugges ing ha accina ed mice did no
expe ience he p o-in lamma o y cy okine elease associa ed wi h he
de elopmen o sep ic shock.
Vaccine e icacy was es ed by in ec ing immunized and con ol mice wi h
2.25610
6
c u (340.96LD
50
) o he ATCC 19606 s ain se en days a e he
second immuniza ion, and su i al was moni o ed o e se en days (Figu e 5). All
mice accina ed wi h he IB010 accine we e p o ec ed om challenge, whe eas all
con ol mice died wi hin 48 hou s (P,0.001; log- ank es ). As expec ed, all mice
immunized wi h he ATCC 19606 s ain su i ed challenge, simila o esul s ha
we e p e iously epo ed [18]. In o de o de e mine i accina ion wi h IB010
could p o ec agains he e ologous challenge wi h an un ela ed s ain, immunized
and con ol mice we e in ec ed wi h 1.05610
6
c u (2.186LD
50
) o he p e iously
cha ac e ized A. baumannii clinical isola e Ab-154 [29]. Once again, all
immunized mice su i ed challenge whe eas con ol mice succumbed o in ec ion
wi hin 48 hou s (p,0.001; log- ank es ), indica ing ha immuniza ion wi h
IB010 can p o ide c oss p o ec ion agains challenge wi h a he e ologous s ain.
Figu e 3. E ec o accina ion on issue bac e ial loads. Immunized and con ol mice we e in ec ed wi h
2.0610
6
c u (3006LD
50
) o he ATCC 19606 s ain and spleen bac e ial loads we e de e mined 12 hou s
pos -in ec ion (n58 mice/g oup). Da a poin s ep esen bac e ial loads om indi idual mice, and ho izon al
lines ep esen median alues om g oups o mice. * p,0.05 compa ed o con ol mice. #p,0.05 compa ed
o ATCC 19606 accina ed mice.
doi:10.1371/jou nal.pone.0114410.g003
Immuniza ion wi h LPS-De icien A. baumannii
PLOS ONE | DOI:10.1371/jou nal.pone.0114410 Decembe 8, 2014 8/14
We nex wan ed o cha ac e ize he immune esponse o accina ion and he
p o ec i e capaci y o he accine in a di e en mouse s ain. As shown in
Figu e 6A, bac e ial loads in spleens, kidneys, and lungs we e signi ican ly
(app oxima ely 1000- old) lowe in BALB/c mice accina ed wi h he ATCC
19606 accine and he IB010 accine compa ed o con ol mice 12 hou s a e
in ec ion wi h 4.0610
5
c u (4.146LD
50
) o he ATCC 19606 s ain (p,0.05;
Figu e 4. E ec o accina ion on pos -in ec ion p o-in lamma o y cy okine le els. Immunized and
con ol mice we e in ec ed wi h 2.0610
6
c u (3006LD
50
) o he ATCC 19606 s ain and se um le els o IL-
1b, TNF-a, and IL-6 we e de e mined (n58 mice/g oup). Da a poin s ep esen cy okine le els om indi idual
mice, and ho izon al lines ep esen median alues om g oups o mice. * p,0.05 compa ed o con ol mice,
#p,0.05 compa ed o ATCC 19606 accina ed mice.
doi:10.1371/jou nal.pone.0114410.g004
Immuniza ion wi h LPS-De icien A. baumannii
PLOS ONE | DOI:10.1371/jou nal.pone.0114410 Decembe 8, 2014 9/14