Live attenuated B. pertussis as a single-dose nasal vaccine against whooping cough

Nathalie Mielcarek1, Anne-Sophie Debrie, Dominique Raze

  • 11INSERM U629, Lille, France.

Plos Pathogens
|July 15, 2006
PubMed

Insights

A novel nasal vaccine, BPZE1, offers potent protection against whooping cough (pertussis) in infants. This live attenuated Bordetella pertussis strain provides needle-free immunization, crucial for protecting the most vulnerable populations.

Area of Science:

  • Immunology
  • Vaccinology
  • Microbiology

Background:

  • Pertussis (whooping cough) remains a significant global health threat, with increasing incidence despite high vaccination rates.
  • Infants are particularly vulnerable to severe pertussis and mortality, as current vaccines are not optimally effective in early life.

Purpose of the Study:

  • To develop a novel live attenuated Bordetella pertussis vaccine (BPZE1) for early-life immunization.
  • To evaluate the efficacy and safety of BPZE1 as a single-dose nasal vaccine in neonates.

Main Methods:

  • BPZE1 was engineered through genetic modification to inactivate or remove three key pertussis toxins.
  • The vaccine's immunogenicity and protective efficacy were assessed in mouse models following nasal administration.
  • Immune responses and protection against Bordetella pertussis and Bordetella parapertussis were compared to a standard acellular pertussis vaccine (aPV).

Main Results:

  • BPZE1 demonstrated high attenuation in mice while effectively colonizing the respiratory tract.
  • A single nasal dose of BPZE1 induced robust protective immunity against B. pertussis, comparable to two doses of aPV in adult mice and superior in infant mice.
  • BPZE1 conferred protection against Bordetella parapertussis, a benefit not observed with aPV.

Conclusions:

  • BPZE1 is a promising vaccine candidate for protecting infants against whooping cough via needle-free nasal administration.
  • The vaccine's ability to induce broad protection, including against B. parapertussis, highlights its potential for improved pertussis control.
  • Nasal administration at birth represents a feasible strategy for early-life immunization against pertussis.

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