IAI Accepts, published online ahead of print on 13 October 2014 Infect. Immun. doi:10.1128/IAI.02334-14 Copyright © 2014, American Society for Microbiology. All Rights Reserved.
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Mucosal immunization with a live attenuated vaccine SPY1 induces humoral and
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Th2-Th17-Treg cellular immunity and protects against pneumococcal infection
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Xiuyu Xu1, 2, Hong Wang1, Yusi Liu1, Yiping Wang1, Lingbing Zeng1, Kaifeng Wu1,
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Jianmin Wang1, Feng Ma1, Wenchun Xu1, Yibing Yin1, and Xuemei Zhang1*
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1 Department of Laboratory Medicine, Key Laboratory of Diagnostic Medicine
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(Ministry of Education), Chongqing Medical University, Chongqing, People’s
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Republic of China
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2 Department of Laboratory Medicine, The First Affiliated Hospital of Chongqing
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Medical University, Chongqing, People’s Republic of China
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Abstract
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Mucosal immunization with attenuated vaccine can protect against pneumococcal
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invasion infection, but the function was unknown. Our study found that mucosal
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delivery with the live attenuated vaccine SPY1 strain can confer T cells and B cells
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dependent protection against pneumococcal colonization and invasive infection, yet
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it’s still unclear which cell subsets contribute to the protection and their roles in
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pneumococcal colonization and invasion remain elusive. Adoptive transfer of
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anti-SPY1 antibody conferred protection to naïve μMT mice and immune T cells were
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indispensable to protection examined in nude mice. A critical role of IL-17A in
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colonization was demonstrated in mice lacking IL-17A and vaccine-specific Th2 * Corresponding authors at: Mailing address: Department of Laboratory Medicine, Key Laboratory of Diagnostic Medicine (Ministry of Education), Chongqing Medical University, 1 Yixueyuan Road, Yuzhong District, Chongqing 400016, People’s Republic of China. Tel.: +86 23 68485216; fax: +86 23 68485005. E-mail addresses:
[email protected] (X. Zhang). 1
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immune subset was necessary for systemic protection. Of note, we found that SPY1
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could stimulate immunoregulatory response and SPY1-elicited regulatory T cells
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participated in protection against colonization and lethal infection. The data presented
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here aid our understanding of how live attenuated strains are able to function as
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effective vaccines, and may be contribute to a more comprehensive evaluation of live
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vaccines and other mucosal vaccines.
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Key words:
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Streptococcus pneumoniae; live attenuated vaccine; Th2; Th17; regulatory T cell
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Running title: SPY1 induces humoral and Th2-Th17-Treg immunity
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Introduction
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Vaccination is an indispensable strategy to prevent infection caused by Streptococcus
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pneumonia (S. pneumoniae), which is estimated to cause mortality rate of more than
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50 deaths in every 1000 births in children under 5 years of age in some countries (1).
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The commercially available 23-valent polysaccharide vaccine contains the most
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common types causing pneumococcal infection and is effective in adults but fails to
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protect children of less than 2 years of age, who are most vulnerable to pneumococcal
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infection. The recent extensive introduction of conjugated capsular polysaccharide
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vaccine (PCV) has drastically decreased the child morbidity and mortality caused by
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strains of S. pneumoniae expressing capsular serotypes included in the vaccine,
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however, the serotypes coverage of PCV is limited and growing evidences showed
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that PCV could induce selective pressure and gradual replacement with nonvaccine 2
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types (serotype replacement) (2, 3). The conjugated vaccine is also very expensive
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and is complex in design, making its application in the low income countries having
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the highest burden of S. pneumoniae infections more difficult (4).
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As a consequence of these shortcomings with the commercially available S.
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pneumoniae vaccines, other approaches have been explored, including protein
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antigens vaccines, killed whole cell S. pneumoniae, or attenuated live S. pneumoniae
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vaccines (5, 6). The wide range of antigenic molecules present in live attenuated
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vaccines promising the immune responses they induce are likely to be multiple and
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powerful and may also more closely mimic those obtained in natural infection
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compared to immune responses to a sub-component or killed bacterial vaccine (7).
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Some of live bacterial vaccines have been clinically used, including the BCG (8) and
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vaccines for preventing typhoid (9). Hence live vaccines could be potentially useful
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against S. pneumoniae, and there are some reports about live attenuated vaccine
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candidates. Roche et al. proved a live unencapsulated attenuated S. pneumoniae
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strains elicited effective systemic and mucosal protection (10), and Richards et al.
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demonstrated that prior nasopharyngeal colonization with a pneumolysin deficient
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pneumococcal mutant resulted in serotype independent protection against invasive
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pneumoccoal infection (11). More recently, serotype cross protection induced by a
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bacterial lysis deficient pneumococcal mutant was reported in systemic and mucosal
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infection mice model (12).
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Streptococcus pneumoniae strain SPY1 is a capsule-negative mutant obtained
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accidently when we were studying the molecular function of SPD 1672 gene which 3
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was deleted by allelic replacement with erm cassette from D39 strain using the
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method we previously described (13). The SPY1 vaccine strain formed small,
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rough-like colonies, in sharp contrast with the big and smooth colonies of wild type
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D39 strain. In addition to variation in SPD 1672 gene, several mutations outside the
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SPD 1672 gene including mutation in the promoter of the cps locus were identified in
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SPY1 by whole genome sequencing, which contributed to the significant attenuation
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of SPY1 (14). In the previous study, we have found that intranasal immunization with
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SPY1 can reduce colonization and protect against otherwise-lethal challenge of
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homologous pneumococcal strains in a serotype-independent manner (14, 15).
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However, the immunity mechanisms mediating the protection elicited by SPY1 were
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not clear. Many researches have shown that the protection induced by living vaccine
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not only depends on the effect of B cells, but also on the effect of CD4 + T cells (16,
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17). And the vaccine-specific antibody has been recognized to participate in the
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protection. In the previous study, we have found that SPY1 can induce the foundation
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of IFN-γ, IL-17A, IL-10 and IL-4 in BALB/c mice. But, the subtypes of CD4 + T
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cells (Th1, Th2, of Th17 and Treg cells) have been shown playing different role in the
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process of resistance to S. pneumoniae infection. IL-17A has been reported to play
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different roles in local and lethal pneumococcal infections (16, 17). Also, there was no
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article reporting the function of Treg cells in pneumococcal vaccine induced
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protection.
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In this study, mechanisms mediating the protection elicited by SPY1 were
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evaluated in immune deficient mice model. Vaccine-specific protection is mediated by 4
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humoral and T cell immunity together. Th17-mediated phagocytes infiltration and Th2
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immune subset are responsible for protection against colonization and lethal
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pneumococcal challenge, respectively. We showed, for the first time, that
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SPY1-specific T regulatory cells were protective in the mucosal and systemic
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protection against pneumococcal infection. Together, these findings demonstrate the
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immune mechanisms involved in protection elicited by mucosal vaccination of SPY1,
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may contribute to a more comprehensive evaluation of living vaccines and other
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mucosal vaccines.
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Materials and methods
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Mice. C57BL/6 mice, BALB/c mice and nude BALB/c mice (4-6 weeks, female)
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were purchased from Chongqing Medical University, Chongqing, China. B cell
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deficient BALB/c mice (μMT mice) were obtained from Chinese Academy of
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Sciences, China. IFN-γ deficient C57BL/6 mice (B6.129S7-Ifngtm1Ts/J) and IL-4
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deficient C57BL/6 mice (B6.129P2-Il4tm1Cgn/J) were purchased from The Jackson
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Laboratories. IL-17A deficient C57BL/6 mice were obtained from Nankai University,
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China. Mice were kept under specific-pathogen-free conditions at the animal facilities
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of Chongqing Medical University during the time of the experiments. All the animal
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experiments were done in accordance with the Institutional Animal Care and Use
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Committee’s guidelines of Chongqing Medical University.
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Bacterial strains and immunogens. S. pneumoniae strain NCTC 7466 (D39,
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serotype 2) was obtained from the National Collection of Type Cultures (NCTC, 5
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London, UK). S. pneumoniae strain TIGR4 (serotype 4) was obtained from the
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American Type Culture Collection (ATCC, Manassas, USA). S. pneumoniae clinical
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isolates CMCC 31693 (serotype 19F), CMCC 31614 (serotype 14), CMCC 31207
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(serotype 6B), CMCC 31436 (serotype 3) and CMCC 31203 (serotype 3) were
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obtained from the National Center for Medical Culture Collections (CMCC, Beijing,
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China). SPY1 is a novel live attenuated S. pneumoniae which could be used as
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vaccine (14, 15). All S.pneumoniae strains were grown on Columbia sheep blood agar
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plates or in C plus Y medium at 37°C in 5% CO2.
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Intranasal immunization and challenge. SPY1 was grown at 37°C in 5% CO2 in C
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plus Y medium to approximately 2×108 CFU/ml. The cells were collected by
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centrifugation, washed twice, and then resuspended in sterile PBS. The final vaccine
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mixture for routine immunization contained 1×108 CFU of SPY1 and 1μg of adjuvant
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cholera toxin (CT, Sigma-Aldrich) per 20 μl dose. SPY1 was demonstrated to be
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rapidly cleared from the nasopharynx within 24 hours post intranasal vaccination in
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BALB/c mice, and no SPY1 colonies were found in mice lungs 12 hours post
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immunization (14). Similar colonization results were observed in wild C57BL/6 mice,
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as well as in the mutant mice. C57BL/6 mice were anesthetized with ethyl ether and
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received vaccine or adjuvant alone intranasally for four times at one week interval.
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The positive control group comprised mice that received intraperitoneal injection of
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PPV23 (Chengdu Institute of Biological Products, China) for three times (5 μg per
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serotype) at one-week interval. For colonization model, two weeks after the last
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vaccination, mice were anesthetized and challenged with 1×108 CFU of pneumococcal 6
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strain CMCC 31693 (serotype 19F) and strain TIGR4, respectively. Mice were
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sacrificed and CFUs in nasal washes and lung homogenates were determined as
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previously described 72 hours post challenge (18). For lethal intranasal challenge
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model, C57BL/6 mice were anesthetized and then inoculated intranasally with either
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pneumococcal strain NCTC 7466 (D39, serotype 2, 5×107 CFU), strain CMCC 31436
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(serotype 3, 1.5×108 CFU), strain CMCC 31203 (serotype 3, 4×108 CFU), strain
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CMCC 31207 (serotype 6B, 5×108 CFU) or strain CMCC 31614 (serotype 14, 4×108
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CFU) in 20 μl of PBS. Survival was monitored for 21 days.
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Adoptive transfer. Passive/adoptive transfer was performed as described previously
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(19). Briefly, serum (200 μl) or approximately 1×108 whole spleen cells from
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immunized or control mice were intraperitoneally transferred to μMT mice or nude
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mice, respectively. Then, about 24 hours later, the mice were intranasally infected
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with 5×107 CFU of strain NCTC 7466 (D39, serotype 2) or 1×108 CFU of strain
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CMCC 31693 (serotype 19F), respectively. Survival rates as well as CFUs in the
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upper respiratory tract were observed as described above.
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Killing assays. Phagocytic killings for S. pneumoniae TIGR4 by vaccine-specific
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antibodies and splenocyte supernatants using differentiated HL-60 cells (promyelotic
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leukemia cells, CCL240; American Type Culture Collection, Rockville, MD) (20)
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were performed as described previously (20, 21). Pneumococcal strain TIGR4 (1×103
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CFU/ 20 μl) were primed with 20 μl of SPY1-specific serum at 37℃ and 5% CO2 for
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15 min. Following this incubation period, sterile baby rabbit serum as complement
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resource (10 μl) was added and washed differentiated HL-60 cells (4×105 cells/ 40 μl) 7
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was added to each well. The assay plate was incubated at 37°C for 45 min with
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horizontal shaking (220 rpm). After this incubation period, the incubations were
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diluted and the dilutions were plated onto blood agar plates. To evaluate killing
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enhanced by vaccine-specific cellular immunity, the neutrophils were added into 24
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well plates, cultured for 4 hours in 50% conditioned media (from vaccinated or naive
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splenocytes exposed to killed SPY1 for 3 days) plus 50% complete media (DMEM +
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10% FBS). The conditioned media was then aspirated, and the pneumococcal strain
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TIGR4 was added to the wells in fresh DMEM plus 10% fetal bovine serum. Bacteria
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were added to the wells at a ratio of 10:1 cells to bacteria. The cells were incubated at
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37℃ for 1 h and after this incubation period, mixtures were diluted and the dilutions
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were plated onto blood agar plates. Killing was defined as the percent reduction CFUs
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in wells containing co-cultures of phagocytes cells and bacteria compared to wells just
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containing bacteria.
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Cytokines measurement. One week after the final immunization, after washing and
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removal of red blood cells by hemolysis, splenocytes from immunized or control mice
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were plated into 24-well tissue culture plates (2×106 cells/well) in 1 ml of DMEM
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culture medium with 10% fetal calf-serum (Hyclone). Following 72-hour stimulation
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with concanavalin A (5 mg/ml, Sigma) or 70% ethanol-killed SPY1 (equivalent to 107
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CFU/ml), levels of IFN-γ, IL-4, IL-10 and IL-17A in the culture supernatants were
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detected
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recommendations. Samples were diluted when required.
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P17 peptide challenge. P17 peptide (KRIWFIPRSSWYERA, purity>95% by HPLC)
by
ELISA
kits
(Biolegend)
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according
to
the
manufacturer’s
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was synthesized by GL Biochem (Shanghai, China). The procedure of intraperitoneal
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injection of P17 to down-regulate Treg cells was performed as described previously
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(22, 23).
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Flow cytometry. Mouse lung cell suspensions, at 2×108 cells/ml were incubated with
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purified anti-Fc receptor blocking antibody (anti-CD16/CD32; eBioscience) before
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addition of the specific antibodies. A combination of FITC anti-mouse Ly-6G
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antibody (clone RB6-8C5; BD Pharmingen) and PE anti-mouse CD-11b antibody
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(clone M1/70; BD Pharmingen) was used for neutrophils and macrophages detection.
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For Treg cells detection, cells were stained with anti-mouse CD4-FITC (clone RM4-5;
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eBioscience), anti-mouse CD25-APC (clone PC61.5; eBioscience) followed by
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anti-mouse FoxP3-APC (clone FJK-16s; eBioscience) according to the manufacturer
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instructions. Then samples were analyzed using a Becton Dickinson FACScalibur
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flow cytometer.
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Statistical analysis. Data were compared using Student’s t-test or the Mann-Whitney
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U-test. Survival rates were analyzed with the Log Rank test. Differences with P