Abstract

The potency of whole-cell pertussis (wP) vaccines is still determined by an intracerebral mouse protection test. To allow development of suitable in vitro alternatives to this test, insight into relevant parameters to monitor the consistency of vaccine quality is essential. To this end, a panel of experimental wP vaccines of varying quality was prepared by sulfate-mediated suppression of the BvgASR master virulence regulatory system of Bordetella pertussis during cultivation. This system regulates the transcription of a range of virulence proteins, many of which are considered important for the induction of effective host immunity. The protein compositions and in vivo potencies of the vaccines were BvgASR dependent, with the vaccine containing the highest amount of virulence proteins having the highest in vivo potency. Here, the capacities of these vaccines to stimulate human Toll-like receptors (hTLR) 2 and 4 and the role these receptors play in wP vaccine-mediated activation of antigen-presenting cells in vitro were studied. Prolonged BvgASR suppression was associated with a decreased capacity of vaccines to activate hTLR4. In contrast, no significant differences in hTLR2 activation were observed. Similarly, vaccine-induced activation of MonoMac-6 and monocyte-derived dendritic cells was strongest with the highest potency vaccine. Blocking of TLR2 and TLR4 showed that differences in antigen-presenting cell activation could be largely attributed to vaccine-dependent variation in hTLR4 signalling. Interestingly, this BvgASR-dependent decrease in hTLR4 activation coincided with a reduction in GlcN-modified lipopolysaccharides in these vaccines. Accordingly, expression of the lgmA-C genes, required for this glucosamine modification, was significantly reduced in bacteria exposed to sulfate. Together, these findings demonstrate that the BvgASR status of bacteria during wP vaccine preparation is critical for their hTLR4 activation capacity and suggest that including such parameters to assess consistency of newly produced vaccines could bring in vitro testing of vaccine quality a step closer.

Highlights

  • BordetelIa pertussis is a Gram-negative pathogen that causes whooping cough in humans

  • Differences in the culture conditions used during whole-cell pertussis (wP) vaccine production can be sensed by the BvgASR regulatory system of Bordetella pertussis [4, 15] and can thereby influence the expression of proteins involved in virulence

  • We have shown that monocyte-derived dendritic cells (moDC) and MM6 cells represent suitable platforms to measure differences in the innate immune activation capacities of experimental wP vaccines of varying quality (Aref—E) [28], that were prepared by deliberate manipulation of the bacterial BvgASR system during the production process (Metz et al, submitted for publication)

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Summary

Introduction

BordetelIa pertussis is a Gram-negative pathogen that causes whooping cough in humans. As pertussis disease in children can be severe, development of whole-cell pertussis (wP) vaccines started soon after it was known how to cultivate the bacterium under laboratory conditions. For lot release of wP vaccines, the use of the intracerebral challenge test, known as the Kendrick test, is a regulatory requirement at this moment [8, 9] As it is questionable whether this mouse model appropriately reflects human pertussis disease, the results using these animal tests are highly variable within and among laboratories [10] and there is concern with respect to animal welfare [11], novel in vitro alternatives to assess the quality of newly produced wP vaccine lots are urgently needed

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