Vaccination with FimH adhesin protects cynomolgus monkeys from colonization and infection by uropathogenic

S Langermann1, R Möllby, J E Burlein

  • 1MedImmune, Inc., Gaithersburg, MD 20878, USA. langermanns@medimmune. com

Insights

A vaccine targeting Escherichia coli FimH adhesin protected monkeys from bladder infections. This suggests a potential FimH vaccine could prevent human cystitis caused by E. coli.

Area of Science:

  • Microbiology
  • Immunology
  • Vaccinology

Background:

  • Escherichia coli FimH adhesin facilitates bacterial attachment to the bladder lining.
  • Previous studies in mice demonstrated vaccine-induced protection against E. coli challenge.
  • Urinary tract infections, particularly cystitis, represent a significant public health concern.

Purpose of the Study:

  • To evaluate the immunogenicity and efficacy of a FimH adhesin-chaperone complex vaccine in a non-human primate model.
  • To assess protection against experimentally induced E. coli cystitis.

Main Methods:

  • Four non-human primates received intramuscular injections of FimCH adhesin-chaperone complex with MF59 adjuvant.
  • Control group (four primates) received adjuvant only.
  • Vaccination involved two initial doses and a booster, followed by challenge with E. coli cystitis isolate NU14.

Main Results:

  • Vaccinated monkeys developed a robust IgG antibody response to FimH after vaccination.
  • Three out of four vaccinated monkeys were protected from developing bacteruria and pyuria post-challenge.
  • All control monkeys exhibited signs of infection.

Conclusions:

  • A vaccine based on the FimH adhesin of E. coli type 1 pili demonstrates protective potential.
  • This FimH-based vaccine may offer a viable strategy for preventing human cystitis.
  • Further research into FimH adhesin vaccines is warranted for UTI prevention.