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Published on: September 16, 2022
Immunogenicity and efficacy of CNA25 as a potential whole-cell vaccine against systemic candidiasis
Satya Ranjan Sahu1,2, Abinash Dutta1, Doureradjou Peroumal1
1Department of Infectious Disease Biology, Institute of Life Sciences, Bhubaneswar, Odisha, 751023, India.
Abstract:
Disseminated fungal infections account for ~1.5 million deaths per year worldwide, and mortality may increase further due to a rise in the number of immunocompromised individuals and drug-resistance fungal species. Since an approved antifungal vaccine is yet to be available, this study explored the immunogenicity and vaccine efficacy of a DNA polymerase mutant strain of Candida albicans. CNA25 is a pol32ΔΔ strain that exhibits growth defects and does not cause systemic candidiasis in mice. Immunized mice with live CNA25 were fully protected against C. albicans and C. parapsilosis but partially against C. tropicalis and C. glabrata infections. CNA25 induced steady expression of TLR2 and Dectin-1 receptors leading to a faster recognition and clearance by the immune system associated with the activation of protective immune responses mostly mediated by neutrophils, macrophages, NK cells, B cells, and CD4+ and CD8+ T cells. Molecular blockade of Dectin-1, IL-17, IFNγ, and TNFα abolished resistance to reinfection. Altogether, this study suggested that CNA25 collectively activates innate, adaptive, and trained immunity to be a promising live whole-cell vaccine against systemic candidiasis.
Insights
A novel Candida albicans vaccine candidate, CNA25, shows promise by protecting mice against disseminated fungal infections. This live whole-cell vaccine activates innate and adaptive immunity, offering a potential new strategy against candidiasis.
Area of Science:
- Mycology
- Immunology
- Vaccinology
Background:
- Disseminated fungal infections cause significant mortality globally.
- Increasing immunocompromised populations and antifungal resistance exacerbate this threat.
- There is a critical need for effective antifungal vaccines.
Purpose of the Study:
- To investigate the immunogenicity and vaccine efficacy of a DNA polymerase mutant strain of Candida albicans (CNA25).
- To evaluate CNA25's protective potential against systemic candidiasis in a murine model.
Main Methods:
- Utilized a pol32ΔΔ mutant strain of Candida albicans (CNA25) with impaired growth and virulence.
- Assessed vaccine efficacy in mice immunized with live CNA25 against various Candida species infections.
- Analyzed immune responses, including receptor expression (TLR2, Dectin-1) and immune cell activation (neutrophils, macrophages, NK, B, T cells).
- Investigated the role of specific immune mediators (Dectin-1, IL-17, IFNγ, TNFα) via molecular blockade.
Main Results:
- CNA25 immunization conferred full protection against Candida albicans and Candida parapsilosis, and partial protection against Candida tropicalis and Candida glabrata.
- CNA25 induced sustained expression of TLR2 and Dectin-1, enhancing immune recognition and clearance.
- Immune activation involved neutrophils, macrophages, NK cells, B cells, and CD4+/CD8+ T cells.
- Blocking Dectin-1, IL-17, IFNγ, or TNFα abrogated the vaccine-induced resistance.
Conclusions:
- CNA25 demonstrates significant immunogenicity and vaccine efficacy against systemic candidiasis.
- The vaccine candidate activates innate, adaptive, and trained immunity.
- CNA25 represents a promising live whole-cell vaccine strategy for preventing disseminated fungal infections.
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