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Published on: April 5, 2019
Rationale for the development of immunotherapy regimens against enterococcal infections
Christian Theilacker1, Wolfgang A Krueger, Andrea Kropec
1Infectious Diseases, Department of Medicine, University Hospital Freiburg, Germany.
Abstract:
Enterococci are the third most common pathogen isolated in bloodstream infections. Increasing resistance against multiple antimicrobial agents has left few treatment options for enterococcal infections, and alternative therapeutic approaches are needed. Although a variety of virulence factors have been described for Enterococcus faecalis, only aggregation substance (AS) and a teichoic acid-like capsular polysaccharide have been evaluated for their potential for vaccine development. Antibodies raised against purified capsular polysaccharide are highly opsonic and protect mice against bacteremia after active and passive immunization. Since E. faecalis expresses only a limited number of capsular serotypes, this antigen may be an attractive candidate for development of a conjugate vaccine.
Insights
Enterococci cause frequent bloodstream infections, and rising antimicrobial resistance necessitates new treatments. Capsular polysaccharide of Enterococcus faecalis shows promise as a vaccine candidate against these difficult-to-treat infections.
Area of Science:
- Microbiology
- Immunology
- Vaccinology
Background:
- Enterococci are a leading cause of hospital-acquired bloodstream infections.
- Increasing antimicrobial resistance limits treatment options for enterococcal infections.
- Novel therapeutic strategies, including vaccines, are urgently needed.
Purpose of the Study:
- To evaluate the potential of Enterococcus faecalis capsular polysaccharide as a vaccine candidate.
- To assess the immunogenicity and protective efficacy of antibodies against the capsular polysaccharide.
Main Methods:
- Immunization of mice with purified capsular polysaccharide.
- Assessment of antibody opsonic activity.
- Evaluation of protection against bacteremia via active and passive immunization.
Main Results:
- Antibodies against the capsular polysaccharide were highly opsonic.
- Active and passive immunization with anti-capsular polysaccharide antibodies protected mice against E. faecalis bacteremia.
- E. faecalis exhibits a limited number of capsular serotypes.
Conclusions:
- The capsular polysaccharide of Enterococcus faecalis is a promising target for vaccine development.
- A conjugate vaccine based on the capsular polysaccharide could be an effective strategy against E. faecalis infections.
- Further research into E. faecalis vaccine development is warranted.
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