Intranasal immunization with outer membrane vesicles (OMV) protects against airway colonization and systemic

Sophie L Higham1, Stephen Baker2, Katie E Flight1

  • 1Department of Infectious Disease, Imperial College London, St Marys Campus, Norfolk Place, London W2 1PG, United Kingdom.

Abstract

Insights

Intranasal immunization with outer membrane vesicle (OMV) vaccines effectively protects against Acinetobacter baumannii respiratory infections by reducing bacterial load. This highlights the importance of local immunity for preventing hospital-associated infections caused by this multidrug-resistant bacterium.

Area of Science:

  • Infectious Diseases
  • Vaccinology
  • Microbiology

Background:

  • Acinetobacter baumannii is a multidrug-resistant bacterium frequently causing hospital-associated infections.
  • A vaccine is needed to mitigate the burden of A. baumannii infections.

Purpose of the Study:

  • To establish a clinically relevant model for A. baumannii respiratory tract infection.
  • To evaluate the efficacy of an outer membrane vesicle (OMV) vaccine administered via different routes.

Main Methods:

  • Developed a mouse model using clinical isolates of A. baumannii from ventilator-associated pneumonia patients.
  • Administered OMV vaccine via intramuscular, subcutaneous, and intranasal routes.
  • Assessed protection by measuring local and systemic bacterial loads.

Main Results:

  • Clinical A. baumannii isolates caused disseminated infections in the respiratory tract and spleen.
  • Intramuscular immunization generated antibodies but offered no protection.
  • Intranasal immunization significantly reduced airway colonization and prevented systemic spread.

Conclusions:

  • Clinically relevant isolates provide a robust model for A. baumannii vaccine development.
  • Intranasal OMV immunization is an effective strategy for protection.
  • Local mucosal immunity plays a critical role in preventing A. baumannii infections.