Hacking Commensal Bacteria to Consolidate the Adaptive Mucosal Immune Response in the Gut-Lung Axis: Future

Marcela Pereira1, Ju Kyoung Oh1, Dae-Kyung Kang2

  • 1Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, 17165 Stockholm, Sweden.

Insights

This review explores bacterial mucosal vaccine vectors for targeting respiratory pathogens like SARS-CoV-2. Alpha streptococci show potential as upper respiratory tract carriers for enhanced mucosal and adaptive immunity.

Area of Science:

  • Immunology and Microbiology
  • Vaccine Development
  • Respiratory Pathogen Research

Background:

  • Mucosal pathogens cause significant mortality and morbidity, necessitating strategies to target entry points for protective immunity.
  • SARS-CoV-2 primarily affects the upper respiratory mucosa, with gut-lung axis microbiome dysregulation impacting disease severity.
  • Understanding mucosal and adaptive immune responses is key to designing effective bacterial mucosal vaccine vectors.

Purpose of the Study:

  • To review mucosal vaccine vectors developed from 2015 to the present.
  • To explore the potential of resident bacteria as vaccine carriers.
  • To investigate the use of alpha streptococci in the upper respiratory tract as a novel vaccine carrier.

Main Methods:

  • Literature review of mucosal vaccine vectors from 2015 to present.
  • Analysis of bacterial candidates (e.g., Salmonella, lactic acid bacteria) used as vaccine carriers.
  • Evaluation of strategies for displaying antigens (e.g., SARS-CoV-2 Spike proteins) to enhance immunogenicity.

Main Results:

  • Some studies utilize Salmonella and lactic acid bacteria to display SARS-CoV-2 Spike proteins or fragments.
  • Research on these vectors shows promising results, despite limited studies beyond in vitro or in vivo efficiency.
  • The gut-lung axis microbiome's role in mucosal immunity is discussed.

Conclusions:

  • Bacterial mucosal vaccine vectors offer a promising approach to target mucosal pathogens.
  • Further research is needed to fully establish the efficacy of current vectors.
  • Alpha streptococci present a novel potential carrier for upper respiratory tract mucosal vaccines.