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1 VACCINATION OF CATTLE WITH ESCHERICHIA COLI O157:H7-DERIVED PROTEINS RESULTS IN HUMORAL AND CELLULAR IMMUNE RESPONSES BUT DOES NOT CONFER PROTECTION AGAINST SUBSEQUENT CHALLENGE KATIE BOLAND DVM, PHD JUNE 15, 2013 2 E. COLI O157:H7 • Causes disease in humans • Diarrhea (MMRW, 1985) • Hemolytic-uremic syndrome (HUS) (Riley LW, Remis RS, Helgerson SD, et al, 1983) • Renal failure, hemolytic anemia and thrombocytopenia • Pathogenesis • Attaching and effacing (A/E) lesions • Pedestal formation • Dissolution of brush border • Shiga toxins • Prevention is key 3 RESERVOIR • Cattle are major source of contamination (Armstrong et al., 1996) • Transient colonization • Variable shedding • Meat • Produce • Water • Recto-anal junction • Lymphoid rich tissue 4 PRE-PROCESSING CONTROL • • • • Decontamination Probiotics Diet Antimicrobials http://www.chadcompany.com/MVC-006F.JPG 5 A/E LESIONS (Gauthier, Finlay 2002) 6 HYPOTHESES 1: Mucosal immunization of naïve cattle with recombinant intimin induces a more robust adaptive immune response at the recto-anal junction than subcutaneous immunization 2: An induced adaptive immune response to recombinant E. coli O157:H7 proteins is associated with decreased colonization 7 TRIAL SETUP • Trials 1, 2 and 3 • 3 animals per group • Trial 1: Cholera toxin B subunits (rectal) and Freund’s (SQ) • Trial 2: TLR 7/8 agonist (rectal and SQ) • Trial 3: TLR 4 agonist (rectal and SQ) • Immunized weeks 0, 3, 6 8 CELLULAR RESPONSES Systemic PBMC Responses INT OVA Trial Treatment Adjvant Week 0 Week 9 Week 0 Week 9 1 rectal SQ rectal SQ rectal SQ CTB CFA TLR7/8 TLR7/8 TLR4 TLR4 0 0 0 0 2 3 2 3 3 3 2 3 0 0 0 0 0 0 2 2 1 1 2 1 2 3 Local MRLN Responses INT OVA Trial Treatment Adjvant Week 9 Week 9 1 rectal SQ rectal SQ rectal SQ CTB CFA TLR7/8 TLR7/8 TLR4 TLR4 2 2 3 2 0 0 2 0 2 3 0 0 2 3 9 TRIAL 4 • Is the MRNL response targeted? • • • • TLR 7/8 agonist All get SQ immunization week 0 Immunized again weeks 8 and 11 All SQ immunizations on same side • Evaluate MRLNs as well and prescapular LNs 10 Trial 4 PBMC Responses Week 11 1000 Con A INT OVA Stimulation Index 100 * * * 10 * * * * ** * * * * * * 1 34545 34549 34551 34553 34590 32888 32896 34548 34570 34577 Rectal Subcutaneous Animal Numbers 11 Trial 4 MRLN Responses 1000 * * * * * ** * * * * * * * ** * * * * 100 Stimulation Index Con A INT OVA * * 10 * ** * * 1 34545 34549 34551 34553 34590 32888 32896 34548 34570 34577 Rectal Subcutaneous Animal Numbers 12 Trial 4 LN Stimulation Summary INT 10g 130 120 110 100 Stimulation Index 90 80 70 60 50 40 30 20 10 0 Draining Non-draining Lymph Nodes Mesorectal 13 SERUM ANTIBODY RESPONSES • All 4 trials: • Significant increases in titers to INT • Significant increases in titers to OVA in SQ groups • Variable responses to OVA in rectal groups • In trial 1 and 4: • Titers in SQ groups significantly increased compared to rectal groups 14 HYPOTHESES 1: Mucosal immunization of naïve cattle with recombinant intimin induces a more robust adaptive immune response at the recto-anal junction than subcutaneous immunization (reject) 2: An induced adaptive immune response to recombinant E. coli O157:H7 proteins is associated with decreased colonization 15 CHALLENGE TRIALS Trials 1 and 2 • 6 animals per group • Immunized or sham • 4(trial 1) or 3 (trial 2) doses • Challenged • Rectal (trial 1) • Oral (trial 2) Trials 3 and 4 • Trial 3 • 10 animals per group • Previous oral or rectal exposure • Oral or rectal challenge • Trial 4 • Oral group from trial 3 • Rectal challenge Colonization levels followed for 4-7 weeks Evaluated PBMC and serum antibody responses 16 Challenge 1 Colonization Levels Log10(CFU E. coli O157:H7/Swab) 7 6 Immunized Animals Sham-Immunized Animals 5 4 3 2 1 0 0 1 3 8 14 21 28 Days Post-Challenge 35 42 49 17 Challenge 1 Colonization Levels by PBMC Responses Log10(CFU E. coli O157:H7/Swab) 7 6 High Responders Low Responders 5 4 3 2 1 0 0 1 3 8 14 21 28 Days Post-Challenge 35 42 49 18 SERUM ANTIBODY RESPONSES • In trials 1 and 2: • All animals had significant increases in titers to all proteins • No change 2 weeks post-challenge • In trials 3 and 4 • Variable, low responses to all proteins • Tended to be higher in trial 4 • In all trials: • Did not correlate with colonization duration 19 CHALLENGE SUMMARY Trial Trial 1 Trial 2 Trial 3 Trial 4 Trial Groups Animals Immunization Post Challenge Challenge Treatment Adjuvant Route Total doses Bacteria Total CFUs Route Culture Time Immunized 5 INT, OVA, EspB, TIR R837 Rectal 4 A 1010 Rectal 49 Sham 5 1x PBS none Rectal 4 A 1010 Rectal 49 Immunized 6 INT, OVA, Esp A, EspB, TIR R848 SQ 3 A 1010 Oral 28 Sham 6 1x PBS none SQ 3 A 1010 Oral 28 Oral 10 109 CFU total B none Oral 1 B 109 Oral 56 Rectal 10 109 CFU total B none Rectal 1 B 109 Rectal 56 Oral 10 109 CFU total B none Oral 2 B 107 Rectal 35 20 CHALLENGE CONCLUSIONS • Immunization and experimental exposure induced lymphoproliferative responses • Immunization induced significant antibody responses • No significant increase in responses after challenge • Neither lymphoproliferative nor serum antibody responses conferred protection against colonization 21 OVERALL SUMMARY • Mucosal immunization does not induce a more robust regional immune response compared to SQ immunization • Regional responses overall more robust than systemic and are targeted in SQ immunization • Induced immune responses are not protective against challenge 22 THANK YOU! Kevin Lahmers Tim Baszler Tom Besser Wendy Brown Doug Call Esther Trueblood Tovah Kerr Susan Smart Emma Karel Fred Loaiza Lonnie Austin Alex Beck Andrea Hayles Carolyn Bohach Eric Sutten Haiqing Sheng Claudia Deobald Kathleen Sutten Allison Vilander Claire Miller WADDL Pathologists and residents VMP Faculty and staff Graduate Students Officemates Friends Family ELISA Samples Negative control 1:10 1:20 Positive if > average + 2 SD 1:1280 Titer is last positive dilution