Non-typhoidal Salmonella (NTS) are a leading cause of foodborne infections worldwide, and serogroups B, C1, C2-C3 and D are the most common serogroups associated with human disease. While live vaccine candidates that protect against S. Typhimurium (serogroup B) and S. Enteritidis (serogroup D) have been described by us and others, far less effort has been directed towards vaccines that target either serogroup C1 or C2-C3 Salmonella. Here we describe a Salmonella Newport-based live-attenuated vaccine (serogroup C2-C3). Deletion of the genes clpX or rfaL, previously used in live vaccines to attenuate S. Typhimurium and/or S. Enteritidis, failed to attenuate S. Newport. However, we found that deletion of either guaBA or htrA raised the 50% lethal dose of S. Newport in an intraperitoneal infection model in BALB/c mice. Our live-attenuated vaccine candidate CVD 1966 (S. Newport ΔguaBA ΔhtrA) elicited strong antibody responses against COPS, flagellin and outer membrane proteins when administered intraperitoneally or orally. Following lethal challenge with the parental virulent strain of S. Newport, we observed vaccine efficacies of 53% for immunization via the intraperitoneal route and 47% for immunization via the oral route. Following intraperiteonal immunization, the vaccine also significantly reduced the bacterial burden of challenge organisms in the liver and spleen. Interestingly, reducing the LPS chain length by deleting rfaL did not induce a stronger immune response towards surface antigens, and failed to elicit any protection against lethal homologous challenge. In conclusion, we have developed a live-attenuated Salmonella serogroup C2-C3 vaccine that we are further evaluating.
Non-typhoidal Salmonella (NTS) are a leading cause of foodborne infections worldwide, and serogroups B, C1, C2-C3 and D are the most common serogroups associated with human disease. While live vaccine candidates that protect against S. Typhimurium (serogroup B) and S. Enteritidis (serogroup D) have been described by us and others, far less effort has been directed towards vaccines that target either serogroup C1 or C2-C3 Salmonella. Here we describe a Salmonella Newport-based live-attenuated vaccine (serogroup C2-C3). Deletion of the genes clpX or rfaL, previously used in live vaccines to attenuate S. Typhimurium and/or S. Enteritidis, failed to attenuate S. Newport. However, we found that deletion of either guaBA or htrA raised the 50% lethal dose of S. Newport in an intraperitoneal infection model in BALB/c mice. Our live-attenuated vaccine candidate CVD 1966 (S. Newport ΔguaBA ΔhtrA) elicited strong antibody responses against COPS, flagellin and outer membrane proteins when administered intraperitoneally or orally. Following lethal challenge with the parental virulent strain of S. Newport, we observed vaccine efficacies of 53% for immunization via the intraperitoneal route and 47% for immunization via the oral route. Following intraperiteonal immunization, the vaccine also significantly reduced the bacterial burden of challenge organisms in the liver and spleen. Interestingly, reducing the LPS chain length by deleting rfaL did not induce a stronger immune response towards surface antigens, and failed to elicit any protection against lethal homologous challenge. In conclusion, we have developed a live-attenuated Salmonella serogroup C2-C3 vaccine that we are further evaluating.
Non-typhoidal Salmonella (NTS) is one of the leading causes of foodborne infections, and is estimated to have caused 78.7 million cases of illness worldwide in 2010.[1],[2] While S. Typhimurium (serogroup B; O:4) and S. Enteritidis (serogroup D; O:9) are the most common NTS serovars worldwide, serogroups C1 (O:6,7) and C2-C3 (O:8) serovars are also highly relevant to human and animal health.[3] In the U.S., collectively, serogroups C1 and C2-C3 are the most common serogroups associated with humaninfection. In 2012, 34.7% of NTS were serogroups C1 and C2-C3, 28.1% were serogroup D and 27.6% were serogroup B.[3] They are also increasing in prevalence in Europe, Africa and Asia.[3] While most NTS cause self-limiting gastroenteritis in healthy adults, some serovars are associated with higher rates of invasive disease characterized by disseminated, focal infections. In particular, S. Choleraesuis (C1) is highly invasive (up to 56% of human-associated isolates are isolated from blood), and is prevalent in certain parts of Asia such as Taiwan and Thailand.[4-9] According to the U.S. Centers for Disease Control and Prevention (CDC), the most common serogroup C1 or C2-C3 serovars isolated in the U.S. in 2015 were S. Newport (C2-C3), S. Muenchen (C2-C3) and S. Infantis (C1).[10]While live-attenuated vaccine candidates that protect against S. Typhimurium and S. Enteritidis have been described in the literature, comparatively few vaccines that target serogroup C1 or C2-C3Salmonella have been described, and none are approved for use in humans.[11-13] Four vaccines have been licensed to protect swine against S. Choleraesuis, and one licensed vaccine targets serogroup C2-C3 (S. Newport) in cattle.[14-16],[3] Two multivalent vaccines targeting serogroups B, C1, D and E are in development for use in poultry.[17],[18]Our overall goal is to develop a multivalent vaccine consisting of live-attenuated serogroup B, D, C1 and C2-C3 strains that can protect against the majority of infections due to NTS. The aim of the current study was to develop a live-attenuated S. Newport vaccine using mutations that were previously successful for S. Typhimurium, S. Enteritidis, S. Paratyphi A and S. Typhi vaccines. We previously showed that deleting genes involved in guanine biosynthesis (guaBA) or coding for the master regulatory protease ClpPX (clpPX) had a strong attenuating effect in S. Typhimurium, S. Enteritidis and S. Paratyphi A in mouse models.[11],[13],[19] Another mutation found to be strongly attenuating in S. Typhimurium and S. Typhi is the deletion of htrA (also known as degP), coding for the periplasmic protease/chaperone HtrA.[20-22] We assessed, here, whether S. Newport with deletions in guaBA, clpX and htrA would be well tolerated and immunogenic in mice. Additionally, we evaluated whether deletion of rfaL, coding for the O-antigen ligase responsible for polymerization of O-units onto the lipid A core, could improve immunogenicity as mutations that target LPS biosynthesis have been shown to enhance the immunogenicity of surface proteins.[23-26]
Results
S. Newport mouse model
We administered WT S. Newport strain Chile 361 (108 CFU) perorally (p.o.) or intraperitoneally (i.p.) to 6-8-week-old BALB/c mice, and recorded mortality daily for up to 21 days. All three mice survived oral infection but none of the three mice survived i.p. challenge with S. Newport. Next we determined the i.p. 50% lethal dose (LD50) in BALB/c mice, and found it to be 5 × 106 CFU. We selected the intraperitoneal route of infection of BALB/c mice as our challenge model.
Deletion of guaBA, clpX and htrA from S. Newport to create a live-attenuated vaccine
We deleted guaBA, clpX and htrA from S. Newport, leaving no antibiotic resistance marker in the chromosome. We verified the phenotypes of the mutants in vitro and confirmed that deletion of guaBA caused the mutant strain to become auxotrophic for guanine (Fig. 1A) and deletion of clpX resulted in hyperflagellation with increased motility (Fig. 1B). We subsequently evaluated the virulence of these mutants in our BALB/c mouse model (Table 1). The LD50 of the guaBA mutant was > 2 log10 more than the wild-type S. Newport parental strain (> 8 × 108 CFU and 5 × 106 CFU, respectively). However, deletion of clpX had no effect on virulence (LD50 of 7 × 106 CFU). Deletion of htrA increased the LD50 of the mutant strain (1.5 × 107 CFU), although not to the same extent as the guaBA mutation. We constructed the double mutant S. Newport ΔguaBA ΔhtrA (named CVD 1966) to create a live vaccine candidate and verified that this strain is attenuated compared to the WT parental strain (Table 1).
Figure 1.
Phenotype of ΔguaBA and ΔclpX mutants in S. Newport.
Panel A, guanine auxotrophy of the ΔguaBA mutant was confirmed by patching bacteria onto Chemically-Defined Media (CDM) or CDM supplemented with 0.02% (w/v) guanine. Panel B, hyperflagellation of the ΔclpX mutant was assessed by measuring the motility on soft agar plates; *** p < 0.001 (Student's t-test).
Table 1.
50% lethal dose of S. Newport strains.
Strain
Genotype
Intraperitoneal LD50
S. Newport (Chile361)
Wild-type
5 × 106 CFU
SNE-guaBA
ΔguaBA
> 5 × 108 CFU
SNE-clpX
ΔclpX
7 × 106 CFU
SNE-htrA
ΔhtrA
1.5 × 107 CFU
CVD 1966
ΔguaBA ΔhtrA
6.1 × 108 CFU
SNE-rfaL
ΔrfaL
3 × 107 CFU
Phenotype of ΔguaBA and ΔclpX mutants in S. Newport.Panel A, guanine auxotrophy of the ΔguaBA mutant was confirmed by patching bacteria onto Chemically-Defined Media (CDM) or CDM supplemented with 0.02% (w/v) guanine. Panel B, hyperflagellation of the ΔclpX mutant was assessed by measuring the motility on soft agar plates; *** p < 0.001 (Student's t-test).50% lethal dose of S. Newport strains.
Immunogenicity and protective efficacy of CVD 1966 via the intraperitoneal route
We immunized mice i.p. three times with 108 CFU of CVD 1966, three weeks apart. No adverse effects were observed following each immunization. Serum was collected four weeks after the last immunization and IgG titers against core-O polysaccharide (COPS), flagellin (FliC) as well as a crude mixture of outer membrane proteins (OMPs) were measured by ELISA (Fig. 2A; Figure S1). All animals that received CVD 1966 seroconverted (15/15), with geometric mean titers (GMT) of 9.7 × 104 ELISA units (EU)/ml (COPS), 5.5 × 104 EU/ml (FliC) and 5.5 × 105 EU/ml (OMPs), compared to a GMT lower than 25 EU/ml for each of these antigen preparations in animals that received PBS.
Figure 2.
Serum IgG titers, opsonophagocytic uptake, survival and organ burden following intraperitoneal immunization with CVD 1966.
Mice were immunized 3 times intraperitoneally with PBS or 108 CFU of CVD 1966 and bled 4 weeks after the last immunization. Panel A, serum IgG titers against COPS, FliC and outer membrane proteins (OMPs) were measured by ELISA and reported as EU/ml; bars represent the geometric mean titers; *** p < 0.001 (Student's t-test). Panel B, antibody-mediated uptake of S. Newport WT by J774 macrophages was assessed using serum of immunized mice, and normalized against the no-serum control; bars represent the mean; *** p < 0.001 (Student's t-test). Panel C, survival of mice after lethal challenge with 4 × 107 CFU of S. Newport WT; *** p < 0.001 (Log-rank test). Panel D, immunized mice were challenged with a sub-lethal dose of S. Newport WT (106 CFU), euthanized 48 hours later and bacterial burden in the liver and spleen was assessed and reported as CFU per gram of organ; bars represent the geometric mean *** p < 0.001 (Mann-Whitney rank-sum test).
Serum IgG titers, opsonophagocytic uptake, survival and organ burden following intraperitoneal immunization with CVD 1966.Mice were immunized 3 times intraperitoneally with PBS or 108 CFU of CVD 1966 and bled 4 weeks after the last immunization. Panel A, serum IgG titers against COPS, FliC and outer membrane proteins (OMPs) were measured by ELISA and reported as EU/ml; bars represent the geometric mean titers; *** p < 0.001 (Student's t-test). Panel B, antibody-mediated uptake of S. Newport WT by J774 macrophages was assessed using serum of immunized mice, and normalized against the no-serum control; bars represent the mean; *** p < 0.001 (Student's t-test). Panel C, survival of mice after lethal challenge with 4 × 107 CFU of S. Newport WT; *** p < 0.001 (Log-rank test). Panel D, immunized mice were challenged with a sub-lethal dose of S. Newport WT (106 CFU), euthanized 48 hours later and bacterial burden in the liver and spleen was assessed and reported as CFU per gram of organ; bars represent the geometric mean *** p < 0.001 (Mann-Whitney rank-sum test).We next assessed whether vaccine-induced antibodies were able to opsonize and promote uptake of S. Newport by mouse macrophages. We found that serum from mice immunized i.p. with CVD 1966 was able to significantly (p < 0.001, Student's t-test) promote uptake of S. Newport by J774 macrophages in vitro, compared to the serum of mice that received PBS (Fig. 2B).Four weeks after the last immunization, mice were challenged i.p. with 8 x LD50 of WT S. Newport. All PBS-immunized mice succumbed to the infection between days 3 and 7, whereas 53% of mice that received CVD 1966 survived, producing a vaccine efficacy of 53% (p = 0.002, Fisher's exact test; Fig. 2C). Moreover, we found that CVD 1966-immunized mice that were not protected against mortality died at a significantly later time-point (p < 0.001, Log-rank test) compared to PBS-immunized mice (median survival of 8 days, versus 5 days).Finally, we assessed bacterial clearance following WT S. Newportinfection of mice immunized with CVD 1966 compared to PBS. Two days after challenge with a sub-lethal dose of S. Newport WT (106 CFU i.p.), animals were euthanized and bacterial burden was determined in their liver and spleen (Fig. 2D). Control mice had bacterial counts up to 107 CFU per gram in both organs, while CVD 1966-immunized mice had less than 103 CFU per gram of organ. Moreover, 50% of CVD 1966-vaccinated animals (5 mice out of 10) had no detectable bacteria in their liver, and 40% of vaccinated animals (4 out of 10) had no detectable bacteria in their spleen.We did not observe a correlation between anti-FliC, anti-OMPs or anti-COPS IgG titers and protection (p = 0.48, 0.20 and 0.80, respectively) or uptake by J774 cells (p = 0.76, 0.46 and 0.81, respectively). There was, however, a correlation between opsonophagocytic uptake and delayed time to death (Spearman coefficient r = 0.78; p = 0.04).
Immunization and vaccine efficacy via the oral route
Since live-attenuated bacterial vaccines can be orally delivered, we investigated whether protection would be maintained after oral immunization with CVD 1966 (S. Newport ΔguaBA ΔhtrA). Moreover, since removal of the O-antigen has been shown to enhance responses towards surface antigens and to increase protective efficacy in live-attenuated bacterial vaccines, we assessed the addition of a mutation in rfaL (coding for the O antigen ligase) to produce CVD 1977 (S. Newport ΔguaBA ΔhtrA ΔrfaL). We found that deletion of rfaL was moderately attenuating in S. Newport strain Chile 361 (Table 1), and confirmed the alteration of the LPS profile in CVD 1977, compared to the WT strain or parent CVD 1966 (Figure S2). We observed that 4 of 30 mice showed a balance defect following peroral immunization with CVD 1966 but fully recovered.Serum was collected and analyzed by ELISA four weeks after the last immunization (Fig. 3A). Both vaccine candidates CVD 1966 and CVD 1977 elicited comparable anti-flagellin and anti-OMPs serum IgG titers. As expected, CVD 1977 elicited very low IgG production against COPS compared to CVD 1966 (56 EU/ml versus 2.9 × 104 EU/ml, respectively). Overall, fewer mice seroconverted for anti-flagellin IgG when they were immunized orally compared to i.p. immunization with CVD 1966, (67% [20/30] versus 100% seroconversion, p = 0.02, Fisher's exact test). The seroconversion rate for anti-OMP antibody was statistically not different between the two routes, however, a trend was seen towards greater seroconversion with i.p. immunization (100% for i.p. versus 78% for oral immunization [21/27], p = 0.06). All mice seroconverted for anti-COPS serum IgG when immunized with CVD 1966, regardless of the immunization route.
Figure 3.
IgG titers, opsonophagocytic uptake and survival, following oral immunization with CVD 1966 or CVD 1977. Mice were immunized 3 times orally with PBS, 109 CFU of CVD 1966 or 109 CFU of CVD 1977 and bled 4 weeks after the last immunization. Panel A, serum IgG titers against COPS, FliC and outer membrane proteins (OMPs) were measured by ELISA and reported as EU/ml; bars represent geometric mean titers; *** p < 0.001, n.s. not significant (One-way ANOVA with Holm-Sidak multiple comparison test). Panel B, antibody-mediated uptake of S. Newport WT by J774 macrophages was assessed and normalized against the no-serum control; bars represent the mean; *** p < 0.001 (One-way ANOVA with Holm-Sidak multiple comparison test). Panel C, survival of mice after lethal challenge with 4 × 107 CFU of S. Newport WT; *** p < 0.001 (Log-rank test).
IgG titers, opsonophagocytic uptake and survival, following oral immunization with CVD 1966 or CVD 1977. Mice were immunized 3 times orally with PBS, 109 CFU of CVD 1966 or 109 CFU of CVD 1977 and bled 4 weeks after the last immunization. Panel A, serum IgG titers against COPS, FliC and outer membrane proteins (OMPs) were measured by ELISA and reported as EU/ml; bars represent geometric mean titers; *** p < 0.001, n.s. not significant (One-way ANOVA with Holm-Sidak multiple comparison test). Panel B, antibody-mediated uptake of S. Newport WT by J774 macrophages was assessed and normalized against the no-serum control; bars represent the mean; *** p < 0.001 (One-way ANOVA with Holm-Sidak multiple comparison test). Panel C, survival of mice after lethal challenge with 4 × 107 CFU of S. Newport WT; *** p < 0.001 (Log-rank test).When we examined antibody-mediated uptake of S. Newport by J774 macrophages, we found that sera from mice immunized orally with CVD 1966 elicited significantly more uptake than mice than received PBS (p < 0.001), whereas no uptake-promoting functionality was noted for sera from mice immunized with CVD 1977 (Fig. 3B).We assessed the protective efficacy of CVD 1966 or CVD 1977 by immunizing mice three times orally with 109 CFU of either vaccine. Mice were challenged with S. Newport WT (4 × 107 CFU i.p., i.e., 8 x LD50; Fig. 3C), four weeks after the final immunization. Following infection, all of the PBS-immunized mice died, between days 3 and 6, as did mice that received CVD 1977 (vaccine efficacy of 0%). There was no difference in the median time to death between the two groups (5 days in both cases). Forty-seven percent of mice immunized orally with CVD 1966 survived challenge (vaccine efficacy of 47%, p = 0.002, Fisher's exact test). There was no significant delay in time to death for the CVD 1966-immunized mice that eventually succumbed to infection, compared to PBS-immunized mice (6 days).We did not observe a correlation between serum antibody levels against COPS, FliC or OMPs and protection (p = 0.84, 0.77 and 0.29, respectively). IgG titers against surface antigens (COPS and OMPs) were found to correlate with uptake of opsonized bacteria by J774 macrophages (Spearman coefficient r = 0.63 and 0.62, respectively; p < 0.001).
Shedding of orally-administered CVD 1966 and CVD 1977
A requirement of any live oral vaccine is that it is not excreted in stool for an extended duration to prevent its dissemination. We assessed the duration of the shedding of the kanamycin-resistant precursors to CVD 1966 and CVD 1977, S. Newport ΔguaBA htrA::kan and S. Newport ΔguaBA ΔhrA rfaL::kan, respectively. We found that shedding of both strains was strongly reduced by day 3 post-immunization (less than 400 CFU per gram of stool), and below the detection limit after day 7 (Fig. 4). Additionally, no bacteria could be detected inside the liver and spleen of immunized mice euthanized at days 2 and 7 post-immunization.
Figure 4.
Shedding of KanR derivatives of CVD 1966 and CVD 1977.
Mice were immunized orally with 109 CFU of CVD 1966 KanR or CVD 1977 KanR and stools collected every two days to measure shedding in feces. Results are reported as CFU per gram of stool.
Shedding of KanR derivatives of CVD 1966 and CVD 1977.Mice were immunized orally with 109 CFU of CVD 1966 KanR or CVD 1977 KanR and stools collected every two days to measure shedding in feces. Results are reported as CFU per gram of stool.
Discussion
We have constructed a live-attenuated Salmonella Newport vaccine, CVD 1966 that was immunogenic and protected mice against lethal challenge. By combining the two independently attenuating mutations ΔguaBA and ΔhtrA, we were able to create a strain that had an i.p. LD50 greater than 100-fold higher than the parental wild-type strain. Unlike other NTS serovars such as S. Typhimurium and S. Enteritidis, S. Newport was not virulent in BALB/c mice when administered orally. Interestingly, none of the serogroup C1 or C2-C3 serovars we tested initially (S. Muenchen [C2-C3], S. Infantis [C1], S. Virchow [C1] and S. Brazzaville [C1]) were lethal when administered orally, at up to 109 CFU (data not shown). We therefore had to use intraperitoneal challenge to test our vaccine.Mice immunized with three doses of CVD 1966 produced high serum IgG titers against S. NewportCOPS and surface antigens such as flagellin and outer membrane proteins, regardless of the route of administration. It is worth noting, however, that titers against protein antigens were significantly lower when CVD 1966 was administered orally rather than intraperitoneally, while IgG responses against COPS were comparable for both routes. Additionally, there was higher variation among mice in response to oral versus i.p. immunization. Moreover, 22% (6/27) of orally-immunized mice did not mount an immune response to OMPs, and 30% (9/30) did not respond to flagellin (9/30), whereas complete seroconversion (15/15) was achieved for both antigens with intraperitoneal immunization. Although serum IgG responses against FliC and OMPs were higher in animals vaccinated i.p. versus perorally, vaccine efficacy was similar for both routes of immunization (53% for i.p. immunization and 47% for peroral immunization). Our results support those of Kinnear and Strugnell who found that despite a live-attenuated S. Typhimurium vaccine eliciting comparable protection following vaccination by two different routes (oral and intravenous), the mechanisms of protection differed.[27]The variable immunogenicity of the vaccine via the oral route may be a consequence of the requirement for transit through the stomach prior to reaching the small intestine, the site of inductive immune responses. The oral LD50 of S. Newport is higher than 108 CFU, suggesting that bacteria may not persist long enough in the gastrointestinal tract to consistently induce a robust immune response. Indeed, we observed a limited duration of shedding of CVD 1966 (<5 days), which is greatly reduced relative to our prior findings for a highly immunogenic and protective live oral S. Typhimurium candidate vaccine that was shed in feces of mice for at least 14 days.[11] We also found that our vaccine could not be detected in the spleen and liver two or seven days after oral immunization. We observed that a small number of mice showed a balance defect following peroral immunization, which has previously been reported for S. Typhimurium, but fully recovered.[28] This response was not observed in mice vaccinated intraperitoneally.While we did not observe a correlation between serum antibody levels against COPS, FliC or OMPs and protection in our mouse model, IgG titers against surface antigens (COPS and OMPs) were found to correlate with uptake of opsonized bacteria by J774 macrophages when mice were immunized orally. Such correlation was not observed when mice were immunized i.p., possibly due to the lower number of sera analyzed (15 sera versus 25 sera). It is worth noting, however, that in i.p.-immunized mice that eventually succumbed to the infection, there was a correlation between functionality of the antibodies and delayed time to death. This correlation was not found in orally-immunized mice, suggesting that the i.p. and p.o. routes of immunization may induce different types of immune responses. More importantly, our observations are in agreement with recent findings that antibody-mediated serum bactericidal activity, while not correlating with protection against infection, was associated with delayed disease onset and reduced disease severity in a humanS. Typhi challenge model.[29],[30]In an effort to increase the immunogenicity and protective efficacy of our live-attenuated vaccine when delivered orally, we assessed the effect of removing the O-antigen chain from the LPS by deleting rfaL. Previous studies showed that removal of the O-antigen in S. Typhimurium can enhance the antibody response towards surface antigens and increase protective efficacy.[31],[23],[25] Surprisingly, ablation of OPS expression only moderately attenuated S. Newport, contrary to the avirulent phenotype observed for other serovars such as S. Typhimurium in mice.[26],[32] As anticipated, we found no anti-OPS antibody after oral immunization with CVD 1977, however, we also did not observe a concomitant increase in antibody responses towards OMPs or flagellin. Moreover, protection against lethal challenge was abrogated when rfaL was deleted from the vaccine, suggesting that OPS is an important protective antigen. Interestingly, antibodies elicited by CVD 1977 did not promote any opsonophagocytic uptake of WT S. Newport by mouse macrophages in vitro, suggesting the importance of anti-LPS antibodies for uptake in this assay. These observations are compatible with previous findings that anti-COPS antibodies induced by conjugate vaccines are protective in mice against S. Typhimurium or Enteritidis.[33-36] Additionally, it was reported recently that a live-attenuated S. Typhimurium vaccine expressing the S. Newport O-antigen cluster (wzx-wbaR-wbaL-wbaQ-wzy-wbaW-wbaZ) conferred full protection against challenge with S. Newport, compared to less than 42% vaccine efficacy with the unmodified live-attenuated strain, strengthening the importance of anti-LPS antibodies in providing protection.[37]In conclusion, we constructed a live-attenuated vaccine candidate using mutations known to be attenuating in other serovars, and showed that it is immunogenic and protective in mice, either orally or i.p. Moreover, we showed for the first time that anti-OPS antibodies play a critical role for protection against S. Newport, as deletion of rfaL abrogated in vitro uptake and in vivo protection. We are currently evaluating the effect of an additional mutation to improve the tolerability of the vaccine. We will ensure that the optimized vaccine retains its immunogenicity while improving its safety profile. Future work will also examine the protective efficacy conferred by CVD 1966 in a gastroenteritis model, such as pigs, rabbits or rhesus macaques. [38-40] Ultimately, this vaccine will be combined with other candidate vaccines against Salmonella serogroups B, D and C1 to provide broad protection against the most common serogroups of non-typhoidal Salmonella.
Materials and methods
Ethics statement
All animal procedures were approved by the Institutional Animal Care and Use Committee of the University of Maryland School of Medicine.
Bacterial strains, plasmids and culture conditions
Bacterial strains used in this study are listed in Table 2. Plasmids pKD13, pKD46 and pCP20 were used for mutagenesis of specific chromosomal loci.[41] All Salmonella strains were maintained on animal-product-free Hy-Soy medium (10 g/l soytone [Teknova # S9052], 5 g/l Hy-yest [Kerry BioScience # 5Z10313] and 5 g/l sodium chloride [AmericanBio # AB01915]). When needed, agar (AmericanBio # AB01185) was added at 15 g/l. Supplementation of medium with antibiotics (carbenicillin [Corning # 46-100-RG] or kanamycin [Sigma # K-4000], 50 µg/ml final) or guanine (Sigma-Aldrich # G11950, 0.02% [w/v] final) was added when necessary. Guanine auxotrophy was assessed using fully Chemically-Defined Media (CDM) as previously described.[11]
Table 2.
Bacterial strains used in this study.
Strain
Source/characteristics
Reference
Chile 361
Clinical isolate of Salmonella Newport
[44–46]
SNE-guaBA
S. Newport Chile 361 ΔguaBA
This work
SNE-clpX
S. Newport Chile 361 ΔclpX
This work
SNE-htrA
S. Newport Chile 361 ΔhtrA
This work
SNE-rfaL
S. Newport Chile 361 ΔrfaL
This work
SNE-OMPs
S. Newport Chile 361 ΔfliC ΔfljBA rfaL::kanR
This work
CVD 1964
S. Newport Chile 361 ΔguaBA ΔclpX ΔfliD ΔfljBA
This work
CVD 1966
S. Newport Chile 361 ΔguaBA ΔhtrA
This work
CVD 1966 KanR
S. Newport Chile 361 ΔguaBA ΔhtrA::kanR
This work
CVD 1977
S. Newport Chile 361 ΔguaBA ΔhtrA ΔrfaL
This work
CVD 1977 KanR
S. Newport Chile 361 ΔguaBA ΔhtrA ΔrfaL::kanR
This work
Bacterial strains used in this study.
Mutagenesis of S. Newport
We used lambda red-mediated homologous recombination to delete specific loci in the bacterial chromosome as described previously.[11],[41] Primers used to construct the mutants in this study are described in Table S1.
Motility assay
Motility assays were performed as described previously.[11] Briefly, bacteria were stab inoculated on motility agar plates (10 g/l soytone, 5 g/l sodium chloride, 4 g/l agar) and the plates were incubated overnight (18 to 20 hours) at 37ºC. The diameter of the zone of motility was recorded, and motility expressed as percent of the motility of the wild-type strain.
LPS gel electrophoresis
One-and-a-half milliliters of overnight culture grown at 37ºC under agitation (250 rpm) were centrifuged and pellets were frozen at -80ºC. Following a quick thaw at room temperature, pellets were resuspended in 100 µl of lysis buffer (400 mM Tris HCL pH 7, 10% [v/v] glycerol, 4% [v/v] beta-mercaptoethanol, 2% [w/v] SDS and 0.02% [w/v] bromophenol blue), and boiled for 10 minutes. Fifty micrograms of proteinase K (New England Biolabs # P8107) were then added and samples were incubated for one hour at 60ºC. One hundred microliters of liquefied phenol (Sigma # P9346) were added to each sample, followed by vortexing and incubation for 15 minutes at 60ºC. After centrifugation for 10 minutes at 16000 x g, 20 µl of the upper phase was mixed with 20 µl of lysis buffer, and half of this mixture was resolved on a 4–20% mini-Protean TGX gel (Bio-Rad # 456–1093). The gel was then stained using the Pro-Q Emerald 300 LPS gel stain kit (ThermoFisher # P20495) according to the manufacturer's instructions and LPS patterns were visualized at a wavelength of 300 nm with a Bio-Rad ChemiDoc MP imager.
S. Newport infection of mice
Bacteria were streaked from a frozen glycerol stock onto Hy-Soy agar (supplemented when necessary with 0.02% guanine) and grown overnight at 37ºC (18-20 hours). Bacteria were then collected with a sterile loop and resuspended in sterile PBS. Viable counts were performed on Hy-Soy agar. To determine the most appropriate route of infection, 6-8-week-old BALB/c mice (3/group) (Charles River Laboratories) were infected either perorally (p.o.) by gavage or intraperitoneally (i.p.) with 108 CFU of S. Newport wild-type (WT) and monitored for 21 days. To determine the 50% lethal dose (LD50), ten-fold or five-fold dilutions (typically, 6 doses were tested for each strain) of the bacterial strains were then administered i.p. to groups of 5 mice. Following infection, mice were monitored daily for 28 days. Any mouse that lost 20% or more of its initial body weight or that showed signs of severe morbidity (e.g., shallow breathing, lack of motility) was euthanized and scored as having succumbed to infection. The 50% lethal dose (LD50) of each strain was calculated using linear regression analysis.
Immunization and challenge of mice
Groups of 15 (for survival) or 10 (for organ burden) 6-8-week-old BALB/c mice were immunized i.p. with 108 CFU of CVD 1966, or by oral gavage with 109 CFU of CVD 1966 or CVD 1977, three times with three week intervals between each immunization. Blood samples were collected one day before each immunization, and two days before challenge. Four weeks after the last immunization, mice were challenged i.p. with 4 × 107 CFU of WT S. Newport to evaluate survival. Mice were monitored daily for 28 days for any sign of distress, as described for the LD50 experiment. To quantitate bacterial burden, mice were challenged four weeks after the last immunization with a sub-lethal dose of WT S. Newport (106 CFU i.p.), euthanized two days later and their liver and spleen collected and weighed. Following homogenization of organs in PBS with a hard-tissue homogenizer (Omni Inc.), suspensions were diluted and plated onto Hy-Soy agar for viable counts. After incubation overnight at 37ºC, bacterial burden in these organs were reported as CFU per gram of tissue.
Shedding of vaccine strains in feces
Three groups of five 6-8-week-old BALB/c mice were immunized by oral gavage with 109 CFU of S. Newport ΔguaBA htrA::kan, S. Newport ΔguaBA ΔhtrA rfaL::kan or PBS. Bacteria used for infection were prepared as described above. At days 1, 3, 5, 7 and 10, fresh fecal pellets were collected from each individual mouse and suspended in PBS at 50 mg/ml. After vortexing, disaggregation of the fecal pellets and short centrifugation (5 seconds at 500 x g), 100 µl were spread onto Hy-Soy plates supplemented with kanamycin and guanine. Colony counts were determined after overnight incubation at 37ºC, and shedding reported as CFU per gram of stool.
Purification of Salmonella Newport flagellin, COPS and OMPs
Flagellin and core O-polysaccharide (COPS) were purified from a specially engineered strain of S. Newport Chile 361 carrying deletions of genes guaBA, clpX, fliD and fljBA, named CVD 1964 and constructed by lambda red mutagenesis as described above, using primers listed in Table S1. These deletions are responsible for virulence attenuation, flagellin overexpression, absence of flagellar capping protein FliD and absence of Phase 2 flagellin FljB, respectively. Monomeric phase 1 flagellin FliC and COPS were then purified from fermentation cultures as described previously.[36],[42]Outer membrane proteins (OMPs) were purified using a protocol adapted from the saline extraction method described by Logan and Trust.[43] Briefly, OMPs were purified from an S. Newport strain genetically engineered to lack Phase 1 (ΔfliC) and 2 (ΔfljB) flagellin and to lack O-antigen (ΔrfaL). S. Newport ΔfliC ΔfljBA rfaL::kan was grown overnight at 37oC on Hy-Soy plates supplemented with 50 µg/ml kanamycin and resuspended in sterile PBS. Bacteria were then washed twice with PBS, resuspended in 2.5% (w/v) NaCl and incubated for one hour at 56ºC. After centrifugation for 15 minutes at 14,000 x g, cell-free supernatants were adjusted to 0.01% (v/v) Tween 20 and dialyzed against 0.01% (v/v) Tween 20 in water for 6 hours at 4ºC with one change of buffer. The crude OMPs mixture was then analyzed by 4–20% SDS-PAGE and Coomassie staining to assess purity (Figure S1) and concentration was estimated by spectrophotometry.
Measurement of serum antibodies
Blood was collected from the retro-orbital plexus, processed using Z-gel tubes (Sarstedt # 41.1500.005), and serum stored at -80ºC until use. Levels of serum IgG antibodies against flagellin (FliC), core-O-polysaccharide (COPS) and OMPs were determined by enzyme-linked immunosorbent assay (ELISA). Briefly, 96-well, medium-binding ELISA plates (Greiner # 655001) were coated overnight at 4ºC with flagellin (5 µg/ml in 0.05 M Na2CO3, pH 9.6), COPS (5 µg/ml in PBS pH 7.4) or OMPs (15 µg/ml in PBS pH 7.4). Plates were washed twice with PBS pH 7.4 containing 0.05% (v/v) Tween 20 (PBST), blocked for 1 hour at 37ºC with 10% (w/v) nonfat dried milk in PBST (PBST-M), and washed twice with PBST. Serial dilutions in PBST-M of the sera to be tested were then added (in duplicate), plates were incubated for 1 hour at 37ºC and washed four times with PBST. Peroxidase-labeled goat anti-mouse antibody (KPL # 474–1802) diluted 1:2000 in PBST-M was then added, and plates were incubated for 1 hour at 37ºC. Following six washes with PBST, tetramethylbenzidine substrate solution (KPL # 5120-0047) was added and plates were incubated for 15 minutes in the dark at room temperature, before the reaction was stopped by adding an equal volume of 0.5 M phosphoric acid. Titers were calculated by interpolation on a standard curve as the inverse of the serum dilution that produces an absorbance value of 0.2 above the blank and reported as ELISA units per ml. Seroconversion was defined as a four-fold increase in titer after immunization, compared to pre-immunization titers.
Opsonophagocytic uptake by J774 macrophages
This assay was performed as described previously.[11] Briefly, bacteria grown to an OD600 of 0.25 were diluted 1:20 in PBS and 90 µl of this suspension were added to 10 µl of heat-inactivated (20 minutes at 56ºC) mouse serum. After incubation for 20 minutes at room temperature, 10 µl of the serum-bacteria mixture were added to semi confluent monolayers of J774 cells in a 24-well plate. After 45 minutes incubation at 37ºC, 5% CO2, cells were washed once with PBS, and Dulbecco's Modified Eagle Medium (Corning # 10-013-CV) supplemented with 100 µg/ml gentamicin (Gibco # 15750-060) was added to each well. Following incubation for 1 hour at 37ºC, 5% CO2, cells were washed 3 times with PBS, and lysed with 500 µl per well of 0.5% (wt/vol) Triton X-100 (Sigma # T8787). Neat and 3-fold dilutions of the cell lysate were then plated on agar plates for viable bacterial counts.
Statistical methods
Data were analyzed and plotted using GraphPad Prism software. For two-tailed Student's t-test and Fisher's exact test with alpha = 0.05, a p-value below 0.05 was considered significant, unless specifically stated. For data that was not normally distributed, two-tailed Mann-Whitney rank-sum test or one-way ANOVA were used instead. When appropriate, Holm-Sidak's multiple comparisons test was used to account for multiple comparisons.
Financial Support
This work was funded by NIH/NIAID under Project 4: Vaccine strategy for broad spectrum protection against non-typhoidal Salmonella (project leaders: Sharon M. Tennant and Raphael Simon) NIH/NIAID Centers for Excellence in Translation Research grant U19 AI109776-01 awarded to Myron M. Levine.
Disclosures
S.M. Tennant and R. Simon are holders of the following patents that describe development of NTS vaccines: US patent 9,050,283, “Broad spectrum vaccine against non-typhoidal Salmonella”; US patent 9,011,871, “Broad spectrum vaccine against typhoidal and non-typhoidal Salmonella disease”; and European Patent Number 2387417, “Broad spectrum vaccine against non-typhoidal Salmonella”.
Disclosure of potential conflicts of interest
No potential conflicts of interest were disclosed.
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