Abstract

Respiratory syncytial virus (RSV) is a major cause of serious acute lower respiratory tract infection in infants and the elderly. The lack of a licensed RSV vaccine calls for the development of vaccines with other targets and vaccination strategies. Here, we construct a recombinant protein, designated P-KFD1, comprising RSV phosphoprotein (P) and the E.-coli-K12-strain-derived flagellin variant KFD1. Intranasal immunization with P-KFD1 inhibits RSV replication in the upper and lower respiratory tract and protects mice against lung disease without vaccine-enhanced disease (VED). The P-specific CD4+ Tcells provoked by P-KFD1 intranasal (i.n.) immunization either reside in or migrate to the respiratory tract and mediate protection against RSV infection. Single-cell RNA sequencing (scRNA-seq) and carboxyfluorescein succinimidyl ester (CFSE)-labeled cell transfer further characterize the Th1 and Th17 responses induced by P-KFD1. Finally, we find that anti-viral protection depends on either interferon-γ (IFN-γ) or interleukin-17A (IL-17A). Collectively, P-KFD1 is a promising safe and effective mucosal vaccine candidate for the prevention of RSV infection.

Highlights

  • Human respiratory syncytial virus (RSV) was first isolated and identified as an important cause of bronchiolitis in infants as early as 1956 (Blount et al, 1956; Chanock and Finberg, 1957)

  • P-specific immune responses induced by i.n. immunization with P-KFD1 or P+cholera toxin B subunit (CTB) protect mice against Respiratory syncytial virus (RSV) infection We generated a recombinant protein, P-KFD1 (Figures S1A and S1B), and investigated the immunogenicity and anti-viral efficacy of P-KFD1 as a potential mucosal subunit RSV vaccine targeting P

  • High levels of P-specific saliva immunoglobulin A (IgA), serum IgG, and serum IgA antibody responses could be induced by i.n. immunization with either P-KFD1 or protein mixed with mg of CTB (P+CTB) compared to sham immunization (Figure 1C)

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Summary

Introduction

Human respiratory syncytial virus (RSV) was first isolated and identified as an important cause of bronchiolitis in infants as early as 1956 (Blount et al, 1956; Chanock and Finberg, 1957). It remains a major cause of severe acute lower respiratory tract infection in infants and in young children, the elderly, and immunocompromised populations worldwide (Chemaly et al, 2014; Falsey et al, 2005; Nair et al, 2010). The development of a safe and effective RSV vaccine has been elusive far

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