1887

Abstract

Pneumococcal virulence protein-based vaccines can provide serotype-independent protection against pneumococcal infections. Many studies, including clinical observational studies on Thomsen–Friedenrich antigen exposure and haemolytic uremic syndrome, defined the role of neuraminidases NanA, NanB and NanC in host-pneumococcus interaction. Since neuraminidases are major virulence proteins, they are potential targets for both vaccines and small molecule inhibitors. Here we explored the utility of three neuraminidases as protein vaccine antigens to generate neutralizing antibodies and to increase survival following pneumococcal infections.

Rabbits and mice were immunized subcutaneously with enzymatically active recombinant NanA, NanB and NanC as individual or a combination of the three neuraminidases. Antisera titres were determined by ELISA. Neuraminidase activity inhibition by antiserum was tested by peanut lectin and flow cytometry. Clinical isolates with serotype 3, 6B, 14, 15B, 19A and 23F were used to infect immunized mice by tail vein injection.

Presence of high levels of IgG antibodies in antisera against NanA, NanB and NanC indicates that all of the three neuraminidases are immunogenic vaccine antigens. To generate potent NanA neutralizing antibodies, both lectin and catalytic domains are essential, whereas for NanB and NanC a single lectin domain is sufficient. Immunization with triple neuraminidases increased the survival of mice when intravenously challenged with clinical isolates of serotype 3 (40 %), 6B (60 %), 15B (60 %), 19A (40 %) and 23F (30 %).

We recommend the inclusion of three pneumococcal neuraminidases in future protein vaccine formulations to prevent invasive pneumococcal infection caused by various serotypes.

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2018-05-01
2024-04-18
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References

  1. Kadioglu A, Weiser JN, Paton JC, Andrew PW. The role of Streptococcus pneumoniae virulence factors in host respiratory colonization and disease. Nat Rev Microbiol 2008; 6:288–301 [View Article][PubMed]
    [Google Scholar]
  2. van der Poll T, Opal SM. Pathogenesis, treatment, and prevention of pneumococcal pneumonia. Lancet 2009; 374:1543–1556 [View Article][PubMed]
    [Google Scholar]
  3. Henriques-Normark B, Tuomanen EI. The pneumococcus: epidemiology, microbiology, and pathogenesis. Cold Spring Harb Perspect Med 2013; 3:a010215 [View Article][PubMed]
    [Google Scholar]
  4. McCullers JA. Effect of antiviral treatment on the outcome of secondary bacterial pneumonia after influenza. J Infect Dis 2004; 190:519–526 [View Article][PubMed]
    [Google Scholar]
  5. Centers for Disease Control and Prevention (CDC) Surveillance for pediatric deaths associated with 2009 pandemic influenza A (H1N1) virus infection - United States, April-August 2009. MMWR Morb Mortal Wkly Rep 2009; 58:941–947[PubMed]
    [Google Scholar]
  6. Brandt J, Wong C, Mihm S, Roberts J, Smith J et al. Invasive pneumococcal disease and hemolytic uremic syndrome. Pediatrics 2002; 110:371–376 [View Article][PubMed]
    [Google Scholar]
  7. Cochran JB, Panzarino VM, Maes LY, Tecklenburg FW. Pneumococcus-induced T-antigen activation in hemolytic uremic syndrome and anemia. Pediatr Nephrol 2004; 19:317–321 [View Article][PubMed]
    [Google Scholar]
  8. Copelovitch L, Kaplan BS. Streptococcus pneumoniae–associated hemolytic uremic syndrome: classification and the emergence of serotype 19A. Pediatrics 2010; 125:e174-182 [View Article][PubMed]
    [Google Scholar]
  9. Coats MT, Murphy T, Paton JC, Gray B, Briles DE. Exposure of Thomsen-Friedenreich antigen in Streptococcus pneumoniae infection is dependent on pneumococcal neuraminidase A. Microb Pathog 2011; 50:343–349 [View Article][PubMed]
    [Google Scholar]
  10. Meinel C, Spartà G, Dahse HM, Hörhold F, König R et al. Streptococcus pneumoniae from patients with hemolytic uremic syndrome binds human plasminogen via the surface protein pspc and uses plasmin to damage human endothelial cells. J Infect Dis 2018; 217:358–370 [View Article][PubMed]
    [Google Scholar]
  11. Scheiring J, Rosales A, Zimmerhackl LB. Clinical practice. Today's understanding of the haemolytic uraemic syndrome. Eur J Pediatr 2010; 169:7–13 [View Article][PubMed]
    [Google Scholar]
  12. Loirat C, Saland J, Bitzan M. Management of hemolytic uremic syndrome. Presse Med 2012; 41:e115-135 [View Article]
    [Google Scholar]
  13. Spinale JM, Ruebner RL, Kaplan BS, Copelovitch L. Update on Streptococcus pneumoniae associated hemolytic uremic syndrome. Curr Opin Pediatr 2013; 25:203–208 [View Article][PubMed]
    [Google Scholar]
  14. des Roziers NB, Bodivit G, Chadebech P, Nzouakou R, Bierling P et al. Anti-T haemolysins: the effects of sialic acid removal and 2-aminoethylisothiouronium bromide treatment of erythrocytes on immune lysis. Vox Sang 2011; 100:401–408 [View Article][PubMed]
    [Google Scholar]
  15. Grewal PK, Uchiyama S, Ditto D, Varki N, Le DT et al. The Ashwell receptor mitigates the lethal coagulopathy of sepsis. Nat Med 2008; 14:648–655 [View Article][PubMed]
    [Google Scholar]
  16. Johnson S, Waters A. Is complement a culprit in infection-induced forms of haemolytic uraemic syndrome?. Immunobiology 2012; 217:235–243 [View Article][PubMed]
    [Google Scholar]
  17. Burin des Roziers N, Chadebech P, Bodivit G, Guinchard E, Bruneel A et al. Red blood cell Thomsen-Friedenreich antigen expression and galectin-3 plasma concentrations in Streptococcus pneumoniae-associated hemolytic uremic syndrome and hemolytic anemia. Transfusion 2015; 55:1563–1571 [View Article][PubMed]
    [Google Scholar]
  18. Torres A, Bonanni P, Hryniewicz W, Moutschen M, Reinert RR et al. Pneumococcal vaccination: what have we learnt so far and what can we expect in the future?. Eur J Clin Microbiol Infect Dis 2015; 34:19–31 [View Article][PubMed]
    [Google Scholar]
  19. Geno KA, Gilbert GL, Song JY, Skovsted IC, Klugman KP et al. Pneumococcal capsules and their types: past, present, and future. Clin Microbiol Rev 2015; 28:871–899 [View Article][PubMed]
    [Google Scholar]
  20. Davis SM, Deloria-Knoll M, Kassa HT, O'Brien KL. Impact of pneumococcal conjugate vaccines on nasopharyngeal carriage and invasive disease among unvaccinated people: review of evidence on indirect effects. Vaccine 2013; 32:133–145 [View Article][PubMed]
    [Google Scholar]
  21. Su LH, Kuo AJ, Chia JH, Li HC, Wu TL et al. Evolving pneumococcal serotypes and sequence types in relation to high antibiotic stress and conditional pneumococcal immunization. Sci Rep 2015; 5:15843 [View Article][PubMed]
    [Google Scholar]
  22. Tin Tin Htar M, Christopoulou D, Schmitt HJ. Pneumococcal serotype evolution in Western Europe. BMC Infect Dis 2015; 15:419 [View Article][PubMed]
    [Google Scholar]
  23. Balsells E, Guillot L, Nair H, Kyaw MH. Serotype distribution of Streptococcus pneumoniae causing invasive disease in children in the post-PCV era: A systematic review and meta-analysis. PLoS One 2017; 12:e0177113 [View Article][PubMed]
    [Google Scholar]
  24. Janapatla RP, Hsu MH, Du JF, Hsieh YC, Lin TY et al. Sequence types and antimicrobial susceptibility of invasive streptococcus pneumoniae isolates from a region with high antibiotic selective pressure and suboptimal vaccine coverage. Pediatr Infect Dis J 2010; 29:467–469 [View Article][PubMed]
    [Google Scholar]
  25. Janapatla RP, Su LH, Chen HH, Chang HJ, Tsai TC et al. Epidemiology of culture-confirmed infections of Streptococcus pneumoniae (2012–2015) and nasopharyngeal carriage in children and households in Taiwan (2014–2015). J Med Microbiol 2017; 66:729–736 [View Article][PubMed]
    [Google Scholar]
  26. Ogunniyi AD, Paton JC. Vaccine Potential of Pneumococcal Proteins. In Brown JM, Hammerschmidt S, Orihuela C. (editors) Streptococcus pneumoniae: Molecular Mechanisms of Host-Pathogen Interactions London, UK: Academic Press; 2015 pp. 59–78
    [Google Scholar]
  27. Anderson RJ, Guru S, Weeratna R, Makinen S, Falconer DJ et al. In vivo screen of genetically conserved Streptococcus pneumoniae proteins for protective immunogenicity. Vaccine 2016; 34:6292–6300 [View Article][PubMed]
    [Google Scholar]
  28. Feldman C, Anderson R. Review: current and new generation pneumococcal vaccines. J Infect 2014; 69:309–325 [View Article][PubMed]
    [Google Scholar]
  29. Lock RA, Paton JC, Hansman D. Comparative efficacy of pneumococcal neuraminidase and pneumolysin as immunogens protective against Streptococcus pneumoniae. Microb Pathog 1988; 5:461–467 [View Article][PubMed]
    [Google Scholar]
  30. Long JP, Tong HH, Demaria TF. Immunization with native or recombinant Streptococcus pneumoniae neuraminidase affords protection in the chinchilla otitis media model. Infect Immun 2004; 72:4309–4313 [View Article][PubMed]
    [Google Scholar]
  31. Tong HH, Li D, Chen S, Long JP, Demaria TF. Immunization with recombinant Streptococcus pneumoniae neuraminidase NanA protects chinchillas against nasopharyngeal colonization. Infect Immun 2005; 73:7775–7778 [View Article][PubMed]
    [Google Scholar]
  32. Lebon A, Verkaik NJ, Labout JA, de Vogel CP, Hooijkaas H et al. Natural antibodies against several pneumococcal virulence proteins in children during the pre-pneumococcal-vaccine era: the generation R study. Infect Immun 2011; 79:1680–1687 [View Article][PubMed]
    [Google Scholar]
  33. Zysk G, Bongaerts RJ, Ten Thoren E, Bethe G, Hakenbeck R et al. Detection of 23 immunogenic pneumococcal proteins using convalescent-phase serum. Infect Immun 2000; 68:3740–3743 [View Article][PubMed]
    [Google Scholar]
  34. Giefing C, Meinke AL, Hanner M, Henics T, Bui MD et al. Discovery of a novel class of highly conserved vaccine antigens using genomic scale antigenic fingerprinting of pneumococcus with human antibodies. J Exp Med 2008; 205:117–131 [View Article][PubMed]
    [Google Scholar]
  35. Simell B, Jaakkola T, Lahdenkari M, Briles D, Hollingshead S et al. Serum antibodies to pneumococcal neuraminidase NanA in relation to pneumococcal carriage and acute otitis media. Clin Vaccine Immunol 2006; 13:1177–1179 [View Article][PubMed]
    [Google Scholar]
  36. Manco S, Hernon F, Yesilkaya H, Paton JC, Andrew PW et al. Pneumococcal neuraminidases A and B both have essential roles during infection of the respiratory tract and sepsis. Infect Immun 2006; 74:4014–4020 [View Article][PubMed]
    [Google Scholar]
  37. Pettigrew MM, Fennie KP, York MP, Daniels J, Ghaffar F. Variation in the presence of neuraminidase genes among Streptococcus pneumoniae isolates with identical sequence types. Infect Immun 2006; 74:3360–3365 [View Article][PubMed]
    [Google Scholar]
  38. Chen GY, Chen X, King S, Cavassani KA, Cheng J et al. Amelioration of sepsis by inhibiting sialidase-mediated disruption of the CD24-SiglecG interaction. Nat Biotechnol 2011; 29:428–435 [View Article][PubMed]
    [Google Scholar]
  39. Gut H, King SJ, Walsh MA. Structural and functional studies of Streptococcus pneumoniae neuraminidase B: An intramolecular trans-sialidase. FEBS Lett 2008; 582:3348–3352 [View Article][PubMed]
    [Google Scholar]
  40. Xu G, Potter JA, Russell RJ, Oggioni MR, Andrew PW et al. Crystal structure of the NanB sialidase from Streptococcus pneumoniae. J Mol Biol 2008; 384:436–449 [View Article][PubMed]
    [Google Scholar]
  41. Xu Z, von Grafenstein S, Walther E, Fuchs JE, Liedl KR et al. Sequence diversity of NanA manifests in distinct enzyme kinetics and inhibitor susceptibility. Sci Rep 2016; 6:25169 [View Article][PubMed]
    [Google Scholar]
  42. Owen CD, Lukacik P, Potter JA, Sleator O, Taylor GL et al. Streptococcus pneumoniae NanC: structural insights into the specificity and mechanism of a sialidase that produces a sialidase inhibitor. J Biol Chem 2015; 290:27736–27748 [View Article][PubMed]
    [Google Scholar]
  43. Banerjee A, Van Sorge NM, Sheen TR, Uchiyama S, Mitchell TJ et al. Activation of brain endothelium by pneumococcal neuraminidase NanA promotes bacterial internalization. Cell Microbiol 2010; 12:1576–1588 [View Article][PubMed]
    [Google Scholar]
  44. Orihuela CJ, Gao G, Francis KP, Yu J, Tuomanen EI. Tissue-specific contributions of pneumococcal virulence factors to pathogenesis. J Infect Dis 2004; 190:1661–1669 [View Article][PubMed]
    [Google Scholar]
  45. Chang YC, Uchiyama S, Varki A, Nizet V. Leukocyte inflammatory responses provoked by pneumococcal sialidase. MBio 2012; 3:e00220-11 [View Article][PubMed]
    [Google Scholar]
  46. Berry AM, Paton JC. Additive attenuation of virulence of Streptococcus pneumoniae by mutation of the genes encoding pneumolysin and other putative pneumococcal virulence proteins. Infect Immun 2000; 68:133–140 [View Article][PubMed]
    [Google Scholar]
  47. King SJ, Hippe KR, Weiser JN. Deglycosylation of human glycoconjugates by the sequential activities of exoglycosidases expressed by Streptococcus pneumoniae. Mol Microbiol 2006; 59:961–974 [View Article][PubMed]
    [Google Scholar]
  48. Brittan JL, Buckeridge TJ, Finn A, Kadioglu A, Jenkinson HF. Pneumococcal neuraminidase A: an essential upper airway colonization factor for Streptococcus pneumoniae. Mol Oral Microbiol 2012; 27:270–283 [View Article][PubMed]
    [Google Scholar]
  49. Janapatla RP, Hsu MH, Hsieh YC, Lee HY, Lin TY et al. Necrotizing pneumonia caused by nanC-carrying serotypes is associated with pneumococcal haemolytic uraemic syndrome in children. Clin Microbiol Infect 2013; 19:480–486 [View Article][PubMed]
    [Google Scholar]
  50. Singh AK, Osman AS, Woodiga SA, White P, Mahan JD et al. Defining the role of pneumococcal neuraminidases and O-glycosidase in pneumococcal haemolytic uraemic syndrome. J Med Microbiol 2016; 65:975–984 [View Article][PubMed]
    [Google Scholar]
  51. Smith A, Johnston C, Inverarity D, Slack M, Paterson GK et al. Investigating the role of pneumococcal neuraminidase A activity in isolates from pneumococcal haemolytic uraemic syndrome. J Med Microbiol 2013; 62:1735–1742 [View Article][PubMed]
    [Google Scholar]
  52. Janapatla RP, Hsu MH, Liao WT, Chien KY, Lee HY et al. Low serum fetuin-A as a biomarker to predict pneumococcal necrotizing pneumonia and hemolytic uremic syndrome in children. Medicine 2016; 95:e3221 [View Article][PubMed]
    [Google Scholar]
  53. Chiang CS, Chen YY, Jiang SF, Liu DP, Kao PH et al. National surveillance of invasive pneumococcal diseases in Taiwan, 2008-2012: differential temporal emergence of serotype 19A. Vaccine 2014; 32:3345–3349 [View Article][PubMed]
    [Google Scholar]
  54. Ding F, Tang P, Hsu MH, Cui P, Hu S et al. Genome evolution driven by host adaptations results in a more virulent and antimicrobial-resistant Streptococcus pneumoniae serotype 14. BMC Genomics 2009; 10:158 [View Article][PubMed]
    [Google Scholar]
  55. Brookes RH, Ming M, Williams K, Hopfer R, Gurunathan S et al. Passive protection of mice against Streptococcus pneumoniae challenge by naturally occurring and vaccine-induced human anti-PhtD antibodies. Hum Vaccin Immunother 2015; 11:1836–1839 [View Article][PubMed]
    [Google Scholar]
  56. Hyams C, Camberlein E, Cohen JM, Bax K, Brown JS. The Streptococcus pneumoniae capsule inhibits complement activity and neutrophil phagocytosis by multiple mechanisms. Infect Immun 2010; 78:704–715 [View Article][PubMed]
    [Google Scholar]
  57. Dalia AB, Standish AJ, Weiser JN. Three surface exoglycosidases from Streptococcus pneumoniae, NanA, BgaA, and StrH, promote resistance to opsonophagocytic killing by human neutrophils. Infect Immun 2010; 78:2108–2116 [View Article][PubMed]
    [Google Scholar]
  58. Yesilkaya H, Soma-Haddrick S, Crennell SJ, Andrew PW. Identification of amino acids essential for catalytic activity of pneumococcal neuraminidase A. Res Microbiol 2006; 157:569–574 [View Article][PubMed]
    [Google Scholar]
  59. Yang L, Connaris H, Potter JA, Taylor GL. Structural characterization of the carbohydrate-binding module of NanA sialidase, a pneumococcal virulence factor. BMC Struct Biol 201515:15
    [Google Scholar]
  60. Melin M, Trzciński K, Antonio M, Meri S, Adegbola R et al. Serotype-related variation in susceptibility to complement deposition and opsonophagocytosis among clinical isolates of Streptococcus pneumoniae. Infect Immun 2010; 78:5252–5261 [View Article][PubMed]
    [Google Scholar]
  61. Blom AM, Bergmann S, Fulde M, Riesbeck K, Agarwal V. Streptococcus pneumoniae phosphoglycerate kinase is a novel complement inhibitor affecting the membrane attack complex formation. J Biol Chem 2014; 289:32499–32511 [View Article][PubMed]
    [Google Scholar]
  62. Bender JM, Ampofo K, Korgenski K, Daly J, Pavia AT et al. Pneumococcal necrotizing pneumonia in Utah: does serotype matter?. Clin Infect Dis 2008; 46:1346–1352 [View Article][PubMed]
    [Google Scholar]
  63. Byington CL, Hulten KG, Ampofo K, Sheng X, Pavia AT et al. Molecular epidemiology of pediatric pneumococcal empyema from 2001 to 2007 in Utah. J Clin Microbiol 2010; 48:520–525 [View Article][PubMed]
    [Google Scholar]
  64. Kalin M. Pneumococcal serotypes and their clinical relevance. Thorax 1998; 53:159–162 [View Article][PubMed]
    [Google Scholar]
  65. Choi EH, Zhang F, Lu YJ, Malley R. Capsular polysaccharide (CPS) release by serotype 3 pneumococcal strains reduces the protective effect of anti-type 3 CPS antibodies. Clin Vaccine Immunol 2016; 23:162–167 [View Article][PubMed]
    [Google Scholar]
  66. Andrews NJ, Waight PA, Burbidge P, Pearce E, Roalfe L et al. Serotype-specific effectiveness and correlates of protection for the 13-valent pneumococcal conjugate vaccine: a postlicensure indirect cohort study. Lancet Infect Dis 2014; 14:839–846 [View Article][PubMed]
    [Google Scholar]
  67. Parker D, Soong G, Planet P, Brower J, Ratner AJ et al. The NanA neuraminidase of Streptococcus pneumoniae is involved in biofilm formation. Infect Immun 2009; 77:3722–3730 [View Article][PubMed]
    [Google Scholar]
  68. King SJ, Whatmore AM, Dowson CG. NanA, a neuraminidase from Streptococcus pneumoniae, shows high levels of sequence diversity, at least in part through recombination with Streptococcus oralis. J Bacteriol 2005; 187:5376–5386 [View Article][PubMed]
    [Google Scholar]
  69. Olafsdottir TA, Lingnau K, Nagy E, Jonsdottir I. Novel protein-based pneumococcal vaccines administered with the Th1-promoting adjuvant IC31 induce protective immunity against pneumococcal disease in neonatal mice. Infect Immun 2012; 80:461–468 [View Article][PubMed]
    [Google Scholar]
  70. Silva NA, McCluskey J, Jefferies JM, Hinds J, Smith A et al. Genomic diversity between strains of the same serotype and multilocus sequence type among pneumococcal clinical isolates. Infect Immun 2006; 74:3513–3518 [View Article][PubMed]
    [Google Scholar]
  71. Mann B, Thornton J, Heath R, Wade KR, Tweten RK et al. Broadly protective protein-based pneumococcal vaccine composed of pneumolysin toxoid-CbpA peptide recombinant fusion protein. J Infect Dis 2014; 209:1116–1125 [View Article][PubMed]
    [Google Scholar]
  72. Ogunniyi AD, Grabowicz M, Briles DE, Cook J, Paton JC. Development of a vaccine against invasive pneumococcal disease based on combinations of virulence proteins of Streptococcus pneumoniae. Infect Immun 2007; 75:350–357 [View Article][PubMed]
    [Google Scholar]
  73. Godfroid F, Hermand P, Verlant V, Denoël P, Poolman JT. Preclinical evaluation of the Pht proteins as potential cross-protective pneumococcal vaccine antigens. Infect Immun 2011; 79:238–245 [View Article][PubMed]
    [Google Scholar]
  74. Leroux-Roels G, Maes C, de Boever F, Traskine M, Rüggeberg JU et al. Safety, reactogenicity and immunogenicity of a novel pneumococcal protein-based vaccine in adults: a phase I/II randomized clinical study. Vaccine 2014; 32:6838–6846 [View Article][PubMed]
    [Google Scholar]
  75. Chen A, Mann B, Gao G, Heath R, King J et al. Multivalent pneumococcal protein vaccines comprising pneumolysoid with epitopes/fragments of CbpA and/or PspA elicit strong and broad protection. Clin Vaccine Immunol 2015; 22:1079–1089 [View Article][PubMed]
    [Google Scholar]
  76. Hermand P, Vandercammen A, Mertens E, di Paolo E, Verlant V et al. Preclinical evaluation of a chemically detoxified pneumolysin as pneumococcal vaccine antigen. Hum Vaccin Immunother 2017; 13:220–228 [View Article][PubMed]
    [Google Scholar]
  77. Jefferies JM, Johnston CH, Kirkham LA, Cowan GJ, Ross KS et al. Presence of nonhemolytic pneumolysin in serotypes of Streptococcus pneumoniae associated with disease outbreaks. J Infect Dis 2007; 196:936–944 [View Article][PubMed]
    [Google Scholar]
  78. Garnier F, Janapatla RP, Charpentier E, Masson G, Grélaud C et al. Insertion sequence 1515 in the ply gene of a type 1 clinical isolate of Streptococcus pneumoniae abolishes pneumolysin expression. J Clin Microbiol 2007; 45:2296–2297 [View Article][PubMed]
    [Google Scholar]
  79. Cornick JE, Tastan Bishop Ö, Yalcin F, Kiran AM, Kumwenda B et al. The global distribution and diversity of protein vaccine candidate antigens in the highly virulent Streptococcus pnuemoniae serotype 1. Vaccine 2017; 35:972–980 [View Article][PubMed]
    [Google Scholar]
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