Thèse de doctorat : Sciences de la vie et de la santé : Lille 1 : 2001. / Résumé en français et en anglais. Textes en français et en anglais. Bibliogr. f. 232-270. Notes bibliogr.

Disease caused by Bordetella pertussis persists with rates increasing over the past decade in industrialized countries. A hindrance to vaccine development has been the lack of a clear serological correlate of protective immunity. Pertussis toxin (PTx), an AB-type toxin, is one of the bacteria’s major virulence factors and among the lead candidates for potential correlates. Of the numerous monoclonal antibodies (mAbs) binding PTx, the murine IgG2a mAb 1B7 is potently neutralizing in all in vitro assays and in vivo murine models of infection. 1B7 binds an epitope on the enzymatic S1-subunit of PTx with some linear elements but previous work was unable to more precisely define the epitope or determine its exact mechanism of protection. We characterize the epitope bound by 1B7 on PTx-S1 in molecular detail and define energetically important interactions between residues at the interface including six residues on PTx-S1 and six residues on 1B7. Using this information, a model of the 1B7-S1 interaction was developed, indicating a predominantly conformational epitope located on the base of S1 near S4. The location of this epitope is consistent with previous data and is shown to be conserved across several naturally occurring strain variants including PTx-S1A, B, D, and E in addition to the catalytically inactive 9K/129G variant. Using immunofluorescent microscopy, it was determined that 1B7’s unique mode of action lies in its ability to bind to the toxin and co-traffic into target cells. Upon endocytosis, 1B7 protects from PTx intoxication by redirecting its intracellular retrograde trafficking. In order to determine whether antibody responses are differently induced by infection or acellular vaccination, we analyzed sera from 30 adults with confirmed exposure to pertussis and 30 recent vaccinees. Natural infection resulted in significantly higher titers of anti-PTx-S1, 1B7-like, and 11E6-like antibodies, while overall anti-PTx titers were similar to vaccinated samples. We also observed a direct correlation between in vitro protection and the presence of 1B7-like and 11E6-like antibodies. Thus, natural infection elicits higher titers of protective antibodies indicating that the use of detoxified PTx in current acellular vaccines although highly immunogenic results in the elicitation of predominantly non-neutralizing antibodies. / text

El objetivo general de esta tesis es generar conocimiento sobre los aspectos claves de la respuesta inicial frente a una infección respiratoria para aplicarlo en la formulación de estrategias de inmunoprofilaxis de la enfermedad. Este trabajo puede servir de prueba de concepto para contrastar las hipótesis enunciadas. Con este fin, emplearemos el modelo murino de infección por B. pertussis, analizando la contribución de distintos receptores TLR en la inducción de la defensa mucosal frente a la infección para luego evaluar cómo la activación de dichas vías en protocolos de inmunización intranasal son capaces de dar origen a respuestas protectivas frente al desafío intranasal con B. pertussis.

Mestre -- Instituto Nacional de Controle de Qualidade em Saude, Rio de Janeiro, 2003.

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Instituto Nacional de Controle de Qualidade em Saúde / Dentre os efeitos induzidos pela toxina pertussis (TP) em mamíferos, ocupa um lugar de destaque o fenômeno conhecido por sensibilização aos efeitos biológicos e letais da histamina, cuja intensidade e constância proporcionaram o estabelecimento de um ensaio in vivo de controle de qualidade para avaliação da segurança de vacinas contra a pertussis (coqueluche) e tríplice bacteriana contra a difteria, tétano e coqueluche (DTP). O ensaio de sensibilização à histamina (ESH) em camundongos NIH fêmeas mostrou-se altamente sensível à toxina pertussis de referência NIBSC 90/518 (TPR) detectando níveis tão baixos quanto 20 ng de TP/dose. Todas as 5 vacinas DTP de um produtor nacional noESH apresentaram níveis de TP ativa que variaram entre 84 a 147 ng/mL, valores inferiores ao valor limite de 1789 ng/mL obtido para a vacina pertussis de referência NIBSC 66/303 (VPR), logo, todas as vacinas foram aprovadas para uso humano. Embora o ESH tenha sido conclusivo quanto à alta especificidade à TP, o elevado número de animais, no mínimo, 40 por ensaio, acarretando alto custo e o sofrimento dos animais são fatores limitantes que dificultam o uso rotineiro como ensaio de controle de qualidade da vacina DTP. O objetivo do nosso estudo foi desenvolver uma metodologia in vitro em preparações de íleo isolado de cobaias Short Hair fêmeas (250 a 300 g) fornecidas pelo CECAL/FIOCRUZ /Rio de Janeiro para avaliação do fenômeno de sensibilização à histamina pela TPR. Todos os experimentos foram aprovados de acordo com as diretrizes estabelecidas pela CEUA/FIOCRUZ. Curvas concentração-efeito à histamina em íleos isolados de cobaias foram analisadas e os parâmetros de concentração efetiva média(CE50), concentração efetiva máxima (CEmax) e de constante de dissociação no equilíbrio do complexo droga-receptor (Kd) para histamina foram determinados [...]. / Among the effects induced by pertussis toxin (PT) in mammalian species, a prominence place is occupied by the phenomenon known as sensitization to the biological and lethal effects of the histamine, whose intensity and constancy promoted the establishment of an in vivo quality control assay to evaluate the safety of the pertussis vaccine (PV) against whooping cough and the triple bacterial vaccine, (DPT) against diphtheria, whooping cough and tetanus. The histamine sensitization assay (HSA) performed with NIH female mice was highly sensitive to reference pertussis toxin NIBSC 90/518 (RPT), detecting levels as low as 20 ng of administered RPT/dose, which caused 50% lethality. All five samples of DPT vaccines from one Brazilian producer presented active PT levels in the range of 84 and 147 ng/ml by the HSA, inferior to the limit value of 1789 ng/mL obtained for reference pertussis vaccine NIBSC 66/303 (RPV), thus all the vaccines were approved for use. Although the HSA has been conclusive in relation to its high specificity for RPT, the large number of mice used (at least 40 per assay) results in high costs and the suffering of the mice are limiting factors that make its routine use as a DPT vaccine quality control assay difficult. The aim of our study was to develop an in vitro methodology in ileum segments from female Short Hair guinea pigs (250-300 g) maintained in the animal facilities of the Oswaldo Cruz Foundation in Rio de Janeiro (FIOCRUZ), Brazil, to evaluate the histamine sensitization phenomenon by RPT. All experiments were approved in accordance with the guidelines of the Committee for Ethics in Animal Use of the FIOCRUZ. Concentration effects curves for histamine in guinea pig ileum were studied and the parameters of mean effective concentration (EC50), maximum effective concentration (ECmax) and dissociation constant of drug-receptor complex (Kd) were determined. No increase in ileum contractile response to histamine was detected in relation to control PBS 4 days after intraperitoneal treatment of guinea pigs with doses and dilutions corresponding to mean histamine sensitization dose (HSD50) obtained in NIH female mice of RPT (40 ng), RPV and of 5 DPT vaccines (0.26 IU). In all the ten assays performed on the experimental group, the data followed normal distribution, the variances were homogeneous and no significant differences occurred between assays. With doses 10 times higher than the HSD50 of RPT (400 ng) and of RPV (2.6 IU), analysis of the data showed the same behavior above. Contrary to the anticipated results, histamine EC50 and Kd values in ileum of guinea pigs treated in vivo with RPT were significantly higher than the control and RPV (p< 0.05) with no alteration in ECmax (p= 0.3672). In vitro 15 min treatment of guinea pig ileum with 30 ng/ml of RPT reduced the ECmax to about half in relation to control (p= 0.0028), with no significant reduction in the mean values of histamine EC50 and Kd (p= 0.09). In contrast, in vitro 15 min treatment of ileum with 40 ng/ml of RPT significantly reduced histamine ECmax (p< 0.0069), EC50 (p= 0.0261) and Kd (p= 0.0479) in relation to control ileum. In vitro 15 min treatment with PBS (390 and 520 µL in 13 mL of Tyrode) did not significantly alter the mean values of histamine EC50 (p=0.4043 and p= 0.1035), ECmax (p= 0.2366 and p= 0.2708) or KD (p= 0.4564 and p= 0.1158) in relation to control without treatment, demonstrating no effect of the control solvent (PBS) on ileum contractile response by histamine. In conclusion, increased histamine sensitization in female guinea pig ileum after in vitro treatment of 30 and 40 ng/ml of RPT was demonstrated.

Bordetella pertussis produces many virulent factors including adenylate cyclase toxin (CyaA) This toxin preferentially invades cells of immune system with integrin receptor CD11b/CD18 and weakens the immune system of the host. CyaA affects invaded cells in two ways. First, CyaA creates a cation-selective pores in the membrane of invaded cell and causes colloidal osmotic lysis. Second, CyaA converts cytosolic ATP into signal molecule cAMP, which causes a loss of physiological function of invaded cell and also leads to cellular death. The aim of my thesis was to test a suitability of a new model system composed from synthetic lipids - diphytanoyls, for a characterization of pore-forming properties of adenylate cyclase toxin. In the past, asolectin model system comprising many different lipid was used for characterization but it was found to be too complex for defining the role of individual lipids in CyaA activity. Further the effect of cholesterol for activity of CyaA was studied in a new model system because it was found recently that translocation of adenylate cyclase domain takes place at lipids rafts with high concentration of cholesterol. The last aim of my thesis was to characterize a newly discovered type of channel with the two conductance levels. Key words: Bordetella pertussis, adenylate...

The Bordetellae are aerobic Gram-negative coccobacilli colonizing the upper respiratory tract of mammals and thereby causing diseases with similar symptoms but different host specificity. The bacteria produce a variety of adhesins and toxins that facilitate their ability to promote infection and evade the innate immune system. Among them, the filamentous hemagglutinin (FHA) and the adenylate cyclase toxin (CyaA) are the major virulence factors providing the adherence to the host epithelial cells and the protection against bactericidal activity of phagocytic cells, respectively. Moreover, CyaA along with the Escherichia coli α-hemolysin (HlyA) and the Kingella kingae cytotoxin (RtxA) represent a prominent group of Repeats in ToXin (RTX) cytotoxins/hemolysins that undergo post-translational acylation on conserved lysine residues. Here, different mass spectrometry approaches were employed to analyze the structural features of FHA and to characterize the acylation status of the RTX toxins and their various hybrid molecules. First, the differential 16O/18O labeling revealed that the mature FHA proteins of B. pertussis (Bp-FHA) and the B. bronchiseptica (Bb-FHA) are processed at different sites, after Ala2348 and Lys2479 of the FhaB precursor, respectively. Second, the bottom-up proteomics of the...

This work is focused on the RTX (Repeats in ToXin) domains structure of selected RTX toxins and its impact on secretion and protein folding. The structural analysis included RTX domains of ApxI (Actinobacillus pleuropneumoniae-RTX-toxin I) from Actinobacillus pleuropneumoniae, HlyA (Alfa-hemolysin) from Escherichia coli and LtxA (Leukotoxin A) from Aggregatibacter actinomycetemcomitans and blocs 4 a 5 RTX domain CyaA (adenylate cyclase toxin) from Bordetella pertussis. The structures of LtxA RTX domain and CyaA RTX blocs 4 and 5 were obtained and characterized. Two models of CyaA RTX domain were built based on SAXS (Small Angle X-ray Scattering) model, previously solved RTX structures and RTX structures presented here.

No description available.

<p>Despite the advanced knowledge of the mechanisms of influenza infection and improved vaccines, Influenza A Virus still causes a life-threatening respiratory disease, especially during pandemics. Past investigations have proposed a synergism between Influenza A virus and a simultaneous or subsequent bacterial superinfection as the predominant cause of death. The recent development of animal models to study these heterologous infections has shed light onto the diverse mechanisms by which Influenza A Virus may increase the susceptibility to contract a secondary bacterial infection. These studies suggested an important role for the innate immune system in mediating such disease. We developed a model of heterologous infection combining Influenza A Virus and <em>Bordetella parapertussis</em> that demonstrated a critical role for MIP-2 to drive pulmonary neutrophilia in the pathology associated with bacterial superinfection of influenza. However, the origin of this increased MIP-2 production and the mechanisms underlying the immunopathology remained to be elucidated. The present studies proposed IL-1β overproduction as the upstream cause of the increased MIP-2 production observed in heterologous infection. This exaggerated IL-1β production was likely related to the increased bacterial burden observed in heterologously infected mice. This study also demonstrated that reduction in IL-1β production by blockade of the inflammasome seemed to provide an improvement in the clinical symptoms and the immunopathology of the disease. Thus, interventions to attenuate the exacerbated bacterial burden and the inflammatory responses derived from the subsequent IL-1β overproduction should be further investigate as possible therapeutic approaches to treat bacterial superinfections.</p> / Master of Science (MSc)