Characterization of Ty21a immunostimulatory effects in the mouse bladder
Lenka Polak1, Rim Hojeij1, Valerie Cesson1
1Urology Research Unit, Department of Urology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Frontiers in Immunology
|December 12, 2025
Summary
Freshly harvested Salmonella Ty21a (Ty21aFR) enhances bladder cancer immunotherapy more than lyophilized bacteria (Ty21aLYO) by increasing immune cell recruitment via TLR4-dependent and independent pathways.
Area of Science:
- Immunology
- Oncology
- Microbiology
Background:
- Intravesical Salmonella Ty21a shows promise for bladder cancer treatment by recruiting immune cells, particularly CD8+ T-cells.
- The precise mechanisms of its efficacy and the influence of bacterial formulation remain incompletely understood.
Purpose of the Study:
- To investigate the mechanisms of Salmonella Ty21a-mediated bladder cancer immunotherapy.
- To compare the efficacy of freshly harvested (Ty21aFR) versus lyophilized (Ty21aLYO) Salmonella Ty21a formulations.
- To elucidate the role of bacterial components and host immune pathways in treatment response.
Main Methods:
- Intravesical administration of Ty21aFR and Ty21aLYO in the MB49 bladder cancer mouse model.
- Analysis of immune cell infiltration, vascular permeability, and chemokine expression.
- Assessment of T-cell and myeloid cell recruitment.
- Evaluation of the role of Toll-like receptor 4 (TLR4) and MyD88 signaling pathways using knockout mice.
Main Results:
- Both Ty21aFR and Ty21aLYO increased vascular permeability, but only Ty21aFR significantly enhanced immune cell recruitment and tumor regression.
- Ty21aFR treatment led to increased levels of C5a, CXCL2, and CXCL5, with myeloid cells playing an indirect role in T-cell recruitment.
- CD8+ T-cell infiltration was dependent on TLR4 and MyD88, while myeloid cell recruitment involved TLR4-independent pathways.
Conclusions:
- Bacterial formulation significantly impacts the immunostimulatory effects of Salmonella Ty21a in bladder cancer.
- Freshly harvested Ty21aFR demonstrates superior efficacy due to enhanced immune cell recruitment, partly mediated by TLR4 signaling.
- These findings provide crucial insights into optimizing Salmonella-based immunotherapies for bladder cancer.


