Journal Article

The serogroup B meningococcal outer membrane vesicle-based vaccine 4CMenB induces cross-species protection against Neisseria gonorrhoeae

Rahman, Nazia, Leduc, Isabelle, Darnell, Stephen, Balthazar, Jacqueline T., Begum, Afrin, Shafer, William M., Connolly, Kristie L., Duncan, Joseph A., Garges, Eric C., Underwood, Knashka, Sempowski, Gregory D., Jerse, Ann E., Macintyre, Andrew N., Little, Marguerite B.

2020

Overview

There is a pressing need for a gonorrhea vaccine due to the high disease burden associated with gonococcal infections globally and the rapid evolution of antibiotic resistance in Neisseria gonorrhoeae ( Ng ). Current gonorrhea vaccine research is in the stages of antigen discovery and the identification of protective immune responses, and no vaccine has been tested in clinical trials in over 30 years. Recently, however, it was reported in a retrospective case-control study that vaccination of humans with a serogroup B Neisseria meningitidis ( Nm ) outer membrane vesicle (OMV) vaccine (MeNZB) was associated with reduced rates of gonorrhea. Here we directly tested the hypothesis that Nm OMVs induce cross-protection against gonorrhea in a well-characterized female mouse model of Ng genital tract infection. We found that immunization with the licensed Nm OMV-based vaccine 4CMenB (Bexsero) significantly accelerated clearance and reduced the Ng bacterial burden compared to administration of alum or PBS. Serum IgG and vaginal IgA and IgG that cross-reacted with Ng OMVs were induced by 4CMenB vaccination by either the subcutaneous or intraperitoneal routes. Antibodies from vaccinated mice recognized several Ng surface proteins, including PilQ, BamA, MtrE, NHBA (known to be recognized by humans), PorB, and Opa. Immune sera from both mice and humans recognized Ng PilQ and several proteins of similar apparent molecular weight, but MtrE was only recognized by mouse serum. Pooled sera from 4CMenB-immunized mice showed a 4-fold increase in serum bactericidal 50 titers against the challenge strain; in contrast, no significant difference in bactericidal activity was detected when sera from 4CMenB-immunized and unimmunized subjects were compared. Our findings directly support epidemiological evidence that Nm OMVs confer cross-species protection against gonorrhea, and implicate several Ng surface antigens as potentially protective targets. Additionally, this study further defines the usefulness of murine infection model as a relevant experimental system for gonorrhea vaccine development.

• Publisher: Public Library of Science,Public Library of Science (PLoS)
• Subject: Animals / Antigens, Bacterial - immunology / Bacterial Outer Membrane Proteins - immunology / Bacterial Vaccines - immunology / Biology and Life Sciences / Case-Control Studies / Cross Protection - immunology / Cross Reactions - immunology / Female / Gonorrhea - immunology / Humans / Immune Sera - immunology / Immunization - methods / Male / Medicine and Health Sciences / Meningococcal Infections - microbiology / Meningococcal Vaccines - immunology / Meningococcal Vaccines - metabolism / Meningococcal Vaccines - pharmacology / Mice / Mice, Inbred BALB C / Neisseria gonorrhoeae - immunology / Neisseria meningitidis - immunology / Neisseria meningitidis, Serogroup B - immunology / Research and Analysis Methods / Retrospective Studies / Serogroup / Vaccination - methods