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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.
Abstract:
Infectious diseases caused by mucosal pathogens significantly increase mortality and morbidity. Thus, the possibility to target these pathogens at their primary entry points can consolidate protective immunity. Regarding SARS-CoV-2 infection, it has been observed that the upper respiratory mucosa is highly affected and that dysregulation of resident microbiota in the gut-lung axis plays a crucial role in determining symptom severity. Thus, understanding the possibility of eliciting various mucosal and adaptive immune responses allows us to effectively design bacterial mucosal vaccine vectors. Such design requires rationally selecting resident bacterial candidates as potential host carriers, evaluating effective carrier proteins for stimulating an immune response, and combining these two to improve antigenic display and immunogenicity. This review investigated mucosal vaccine vectors from 2015 to present, where a few have started to utilize Salmonella and lactic acid bacteria (LAB) to display SARS-CoV-2 Spike S proteins or fragments. Although current literature is still lacking for its studies beyond in vitro or in vivo efficiency, decades of research into these vectors show promising results. Here, we discuss the mucosal immune systems focusing on the gut-lung axis microbiome and offer new insight into the potential use of alpha streptococci in the upper respiratory tract as a vaccine carrier.
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.
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