TLR3 and TLR7/8 agonists improve immunization outcome in nicotine exposed mice through different mechanisms

Mahyar Nouri-Shirazi1, Elisabeth Guinet1

  • 1Florida Atlantic University, Charles E. Schmidt College of Medicine, Integrated Medical Science Department, Florida Atlantic University, 777 Glades Road, PO Box 3091, Boca Raton, Florida, 33431, USA.

Immunology Letters
|May 16, 2022
PubMed

Insights

Nicotine from cigarette smoke weakens immune responses to vaccines. Certain Toll-like receptor (TLR) agonists can enhance vaccine efficacy in nicotine-exposed individuals by boosting NK cell activity.

Area of Science:

  • Immunology
  • Vaccinology
  • Toxicology

Background:

  • Cigarette smoke impairs immune function, increasing susceptibility to vaccine-preventable diseases.
  • Nicotine, a key component of smoke, disrupts dendritic cell (DC) function and DC-NK cell interactions crucial for vaccine immunity.
  • Previous in vitro studies indicated Toll-like receptor (TLR) agonists may counteract nicotine's immunosuppressive effects on DC-NK cell responses.

Purpose of the Study:

  • To investigate the impact of nicotine exposure on immune responses to a protein antigen formulated with alum or TLR agonists in vivo.
  • To elucidate the mechanisms underlying vaccine hyporesponsiveness in nicotine-exposed individuals.
  • To identify effective adjuvants for improving vaccine efficacy in smokers.

Main Methods:

  • Utilized wild-type (WT), NK-depleted, and interferon-gamma (IFN-γ) deficient mice exposed to nicotine.
  • Administered a protein antigen formulated with alum, R848, or Poly(I:C) adjuvants.
  • Assessed immune responses, including the percentage and number of IFN-γ-producing effector NK cells in lymph nodes.

Main Results:

  • R848 followed by Poly(I:C) demonstrated the most significant enhancement of IFN-γ-producing effector NK cells in immunized mice.
  • Protein antigen formulated with Poly(I:C) or R848 improved antigen-specific immune responses in nicotine-exposed mice.
  • These improvements occurred via NK-independent mechanisms for Poly(I:C) and NK-dependent mechanisms for R848.

Conclusions:

  • Findings provide insights into the mechanisms of vaccine hyporesponsiveness in smokers.
  • Specific TLR agonists, particularly R848 and Poly(I:C), can enhance vaccine efficacy in nicotine-exposed populations.
  • This research offers potential strategies to improve vaccine effectiveness in smokers.

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