Rapid prototyping vaccine approach in mice against multi-drug resistant Gram-negative organisms from clinical

Michael Pritsch1,2,3,4, Najib Ben Khaled1,5, Gabriele Liegl1

  • 1Department of Bacteriology, Max von Pettenkofer-Institute (LMU), Munich, Germany.

Insights

Intranasal vaccination using outer membrane vesicles (OMV) shows promise for preventing multi-drug resistant Gram-negative organism infections. This approach elicits strong immune responses without observed toxicity in mice.

Area of Science:

  • Microbiology
  • Immunology
  • Vaccinology

Background:

  • Hospital-acquired infections caused by multi-drug resistant Gram-negative organisms (MDRGNO) present a significant global health challenge.
  • Limited therapeutic options necessitate novel strategies like vaccines to combat MDRGNO infections.

Purpose of the Study:

  • To evaluate the efficacy of intranasal outer membrane vesicles (OMV) vaccination against MDRGNO.
  • To assess the immunogenicity and toxicity of OMV vaccination in a preclinical model.

Main Methods:

  • Outer membrane vesicles (OMV) from E. coli and three MDRGNO strains were administered intranasally to mice, with and without cholera toxin adjuvant.
  • Humoral immune responses (IgM, IgG) were measured and compared to patient sera.
  • Systemic and local toxicity was evaluated.

Main Results:

  • Intranasal OMV vaccination induced robust, specific humoral immune responses against MDRGNO in mice.
  • Antibody decoration of bacterial membranes was comparable to that observed in patients who recovered from infection.
  • No local or systemic toxicity was detected following intranasal OMV vaccination.

Conclusions:

  • Intranasal OMV vaccination is a potential rapid approach to prevent colonization and infection by pathogenic MDRGNOs.
  • This strategy could be valuable in hospital outbreak settings and for patients undergoing elective procedures in high-risk environments.
  • Further research, including challenge studies and human trials, is warranted.

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