Top of pageAbstract Dissemination of anthrax spores in a terrorism event could result in inhalational anthrax, an infection that resulted in 45% mortality in the recent US anthrax attacks. The focus of this study is to use adenovirus gene transfer vectors as a rapidly-acting highly-defined anthrax vaccine. Bacillus anthracis, the etiologic agent of anthrax, produces two exotoxins that are associated with the fatal pathophysiology of the disease, the most important of which is lethal toxin, composed of protective antigen (PA) and lethal factor (LF). Although PA has been the focus of prior vaccine development with Ad vectors and a variety of delivery systems, there is evidence suggesting that LF may also be an excellent target for an anti-anthrax vaccine. In this context, we have developed two LF-based anti-anthrax vaccines, one using Ad5 to express wild type LF (AdsechLF) and the second using Ad5 to express a mutant form of LF that is not toxic due to modification of the active site (AdsechLFmut). Both vectors were designed to secrete the LF antigen, and in both, the LF sequence was modified with codons optimized for mammalian expression. The LF-specific immune responses in mice immunized with these vectors were analyzed and compared to the PA-specific immune responses elicited in mice immunized with AdsechPA, an Ad-based anti-anthrax vaccine expressing PA. Groups of 5 BALB/c mice were immunized intramuscularly with 109 particle units (pu) AdsechLF, AdsechLFmut or AdsechPA. As negative controls, one group of mice was immunized with AdNull, an isogenic vector with no transgene, and one group of mice was naive. Serum IgG titers were measured by ELISA. Maximal anti-LF IgG titers were reached at wk 4 in both groups receiving LF-based vectors (AdsechLF 3400, AdsechLFmut 12,400). No anti-LF IgG titers were detectable in AdsechPA, AdNull-immunized mice or in naive mice. Consistent with the vectors stimulating antigen-specific IgG titers, the immunization also protected mice against a fatal challenge with lethal toxin. In contrast to AdNull-immunized mice and naive mice, which did not survive the challenge, immunization with all Ad-based vaccine vectors resulted in significant protection (AdsechLF 90%, AdsechLFmut, 100%, AdsechPA 100%). These observations demonstrate that lethal factor is an excellent candidate for an adenovirus-based vaccine against anthrax infection. Interestingly, a form of lethal factor that has been rendered non-functional as a toxin functions equally well as an anti-anthrax toxin immunogen as lethal factor, suggesting that the AdsechLFmut may be the best candidate as a safe, effective anthrax vaccine.
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