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Short Vi-polysaccharide abrogates T-independent immune response and hyporesponsiveness elicited by long Vi-CRM conjugate vaccine.

Authors:
Francesca Micoli Stefania P Bjarnarson Melissa Arcuri Audur Anna Aradottir Pind Gudbjorg J Magnusdottir Francesca Necchi Roberta Di Benedetto Martina Carducci Fabiola Schiavo Carlo Giannelli Ivan Pisoni Laura B Martin Giuseppe Del Giudice Calman A MacLennan Rino Rappuoli Ingileif Jonsdottir Allan Saul

Proc Natl Acad Sci U S A 2020 09 8;117(39):24443-24449. Epub 2020 Sep 8.

Technology Platform Unit, GSK Vaccines Institute for Global Health (GVGH), 53100 Siena, Italy.

Polysaccharide-protein conjugates have been developed to overcome the T-independent response, hyporesponsiveness to repeated vaccination, and poor immunogenicity in infants of polysaccharides. To address the impact of polysaccharide length, typhoid conjugates made with short- and long-chain fractions of Vi polysaccharide with average sizes of 9.5, 22.8, 42.7, 82.0, and 165 kDa were compared. Long-chain-conjugated Vi (165 kDa) induced a response in both wild-type and T cell-deficient mice, suggesting that it maintains a T-independent response. In marked contrast, short-chain Vi (9.5 to 42.7 kDa) conjugates induced a response in wild-type mice but not in T cell-deficient mice, suggesting that the response is dependent on T cell help. Mechanistically, this was explained in neonatal mice, in which long-chain, but not short-chain, Vi conjugate induced late apoptosis of Vi-specific B cells in spleen and early depletion of Vi-specific B cells in bone marrow, resulting in hyporesponsiveness and lack of long-term persistence of Vi-specific IgG in serum and IgG antibody-secreting cells in bone marrow. We conclude that while conjugation of long-chain Vi generates T-dependent antigens, the conjugates also retain T-independent properties, leading to detrimental effects on immune responses. The data reported here may explain some inconsistencies observed in clinical trials and help guide the design of effective conjugate vaccines.

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http://dx.doi.org/10.1073/pnas.2005857117DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7533886PMC
September 2020

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