Evaluation of vaccine candidates against Rhodococcus equi in BALB/c mice infection model: cellular and humoral immune responses

Liu, Lu; Cai, Peng; Gu, Weifang; Duan, **ngxun; Gao, Shiwen; Ma, Xuelian; Ma, Yuhui; Ma, Siyuan; Li, Guoqing; Wang, **angyu; Cai, Kuojun; Wang, Yanfeng; Cai, Tao; Zhao, Hongqiong

doi:10.1186/s12866-024-03408-z

Evaluation of vaccine candidates against Rhodococcus equi in BALB/c mice infection model: cellular and humoral immune responses

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Published: 08 July 2024

Volume 24, article number 249, (2024)
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Evaluation of vaccine candidates against Rhodococcus equi in BALB/c mice infection model: cellular and humoral immune responses

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Lu Liu^1,2,
Peng Cai¹,
Weifang Gu¹,
**ngxun Duan¹,
Shiwen Gao¹,
Xuelian Ma^1,2,
Yuhui Ma³,
Siyuan Ma¹,
Guoqing Li¹,
**angyu Wang¹,
Kuojun Cai¹,
Yanfeng Wang¹,
Tao Cai⁴ &
…
Hongqiong Zhao^1,2

Abstract

Rhodococcus equi (R. equi) is a zoonotic opportunistic pathogen that mainly causes fatal lung and extrapulmonary abscesses in foals and immunocompromised individuals. To date, no commercial vaccine against R. equi exists. We previously screened all potential vaccine candidates from the complete genome of R. equi using a reverse vaccinology approach. Five of these candidates, namely ABC transporter substrate-binding protein (ABC transporter), penicillin-binding protein 2 (PBD2), NlpC/P60 family protein (NlpC/P60), esterase family protein (Esterase), and M23 family metallopeptidase (M23) were selected for the evaluation of immunogenicity and immunoprotective effects in BALB/c mice model challenged with R. equi. The results showed that all five vaccine candidate-immunized mice experienced a significant increase in spleen antigen-specific IFN-γ- and TNF-α-positive CD4 + and CD8 + T lymphocytes and generated robust Th1- and Th2-type immune responses and antibody responses. Two weeks after the R. equi challenge, immunization with the five vaccine candidates reduced the bacterial load in the lungs and improved the pathological damage to the lungs and livers compared with those in the control group. NlpC/P60, Esterase, and M23 were more effective than the ABC transporter and PBD2 in inducing protective immunity against R. equi challenge in mice. In addition, these vaccine candidates have the potential to induce T lymphocyte memory immune responses in mice. In summary, these antigens are effective candidates for the development of protective vaccines against R. equi. The R. equi antigen library has been expanded and provides new ideas for the development of multivalent vaccines.

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Introduction

Rhodococcus equi (R. equi) is a zoonotic opportunistic pathogen that mainly causes fatal lung and extrapulmonary abscesses in foals and immunocompromised individuals and threatens the health of the livestock industry and public health safety worldwide [1,2,3]. Although R. equi affects a variety of animal species, R. equi is a well-known major horse pathogen in veterinary medicine, causing life-threatening multifocal pneumonia in foals with frequent extrapulmonary involvement. Attack rates in horse-breeding farms where the disease caused by R. equi is endemic are typically 20–40% [3, 4]. In humans, R. equi mainly causes pneumonia that radiographically and pathologically resembles pulmonary tuberculosis. In recent years, R. equi has become more widely recognized due to the growing number of human cases [3, 5,6,7,8].

The standard treatment for R. equi infection in foals combines macrolides (erythromycin, clarithromycin, or azithromycin) and rifampicin [9]. With the widespread use of these antibiotics, the emergence and rapid evolution of multidrug-resistant (MDR) isolates have been reported in the USA, China, Poland, and other countries [10,11,12]. Vaccines are an effective strategy against MDR pathogens, but currently, no licensed vaccines against R. equi exist. Oral administration (gavage) of live virulent R. equi has been shown to protect foals against severe R. equi challenges [13, 14]. However, the use of live virulent pathogens as vaccines is not permitted due to risks to the environment and host. The inactivated vaccine ensures the structural integrity of R. equi and can induce humoral and cellular immune responses in foals, but it is not effective in protecting foals from the challenge of virulent R. equi [15, 16]. To date, the only licenced approach to reduce the incidence and severity of R. equi pneumonia is prophylactic transfusion of R. equi-specific hyperimmune plasma, but the results of this approach in experimental and field studies are conflicting [17, 18]. Indeed, similar to Mycobacterium tuberculosis (M. tb), the cellular immune response against this intracellular bacterium pathogen is largely thought to exert major immune protection, although the antibody response also mediates immune protection [19, 20]. Cellular immunity is the basis of host responses against R. equi infection. In this context, antigen-based subunit vaccines may be safer and effective options. However, only a limited number of R. equi antigens have been reported and validated, among which virulence-associated proteins (Vaps) have been widely investigated in vaccine development to prevent R. equi infections. Vaps-based recombinant protein subunit vaccines, recombinant DNA vaccines, vector vaccines, and other engineered vaccines can induce specific humoral and cellular immune responses in the host to varying degrees, but they provide inadequate protection for foals [21,22,23]. Bacteria have a complete cellular structure, and the complexity of their composition makes it theoretically impossible for a single antigen to be better than inactivated or live attenuated vaccines. Therefore, screening and identifying more antigens and develo** multitargeted vaccines against R. equi infection may be a safer and effective strategy.

Reverse vaccinology is a powerful approach for screening vaccine targets. This approach is based on the pathogenic genome sequence and uses a series of bioinformatics tools to predict pathogen virulence factors, essential proteins, membrane surface proteins and extracellular proteins and to evaluate the antigenicity, physicochemical properties and toxicity of proteins [24]. This approach can be used to efficiently screen antigens for the development of vaccines without cultivating pathogens, overcoming the limitations of traditional vaccine development methods. Reverse vaccinology has been extensively used for the screening of vaccine candidates for various pathogens, such as serogroup B Neisseria meningitidis (menB) [25], Acinetobacter baumannii [26], Brucella spp. [27], Shigella dysenteriae [28], and Mycoplasma synoviae [29]. With this approach, menB vaccines have been successfully developed [25]. In a previous report, we screened conserved core proteins from the complete genomes of 16 R. equi isolates from different hosts in different countries. Then, we used reverse vaccinology strategies to identify 12 vaccine candidates from the core protein pool based on host homology, subcellular localization, antigenicity, transmembrane helices, physicochemical properties, immunogenicity, and virulence factor/antigen database alignment [30]. Here, five vaccine candidates, namely, ABC transporter substrate-binding protein (ABC transporter), penicillin-binding protein 2 (PBD2), NlpC/P60 family protein (NlpC/P60), esterase family protein (Esterase), and M23 family metallopeptidase (M23), were selected, and their potential to induce protection immune against challenges by R. equi in mice was further evaluated.

Notably, equine infection models have also been used for the development of R. equi vaccines [31, 32]. However, using horses for in vivo studies with R. equi poses obvious economic and logistical constraints, and BALB/c mice have been developed as models to investigate R. equi infections and vaccine development [33, 34]. Therefore, the focus of this study was to validate the efficacy of five vaccine candidates in inducing antigen-specific immune responses and protection against challenges by R. equi. This study aimed to establish an antigen library for the development of an R. equi vaccine, which can be gradually refined it in future work.

Methods

Bacterial strains and animals

The R. equi 103S strain was kindly provided by Prof. Haixia Luo (College of Life Sciences, Ningxia University, Ningxia, China). Six-week-old female BALB/c mice were purchased from the Laboratory Animal Center, ** of the vaccine candidates. (b) Purification of a recombinant ABC transporter (~ 57 kDa), PBD2 (~ 51 kDa), NlpC/P60 (~ 38 kDa), Esterase (38 ~ kDa), and M23 (~ 28 kDa) protein. Line M, 180 kDa protein marker; Line 1, protein after lysis in 8 M urea buffer; Line 2, flow-through from the resin; Line 3, wash-through from the resin by 100 mM imidazole; Line 4, purified protein eluted by 600 mM imidazole

Full size image

Immunogenicity of vaccine candidates in BALB/c mice

To investigate the immunogenicity of the five vaccine candidates, BALB/c mice were immunized subcutaneously with recombinant proteins mixed with Freund’s adjuvant three times (weeks 0, 2, and 4) as shown in the schematic diagram (Fig. 2A). The control group received adjuvant alone. Two weeks after the last immunization, five mice in each group were euthanized, and antigen-specific antibody levels, cytokine levels, and IFN-γ- and TNF-α-positive T lymphocyte immune responses were evaluated (Fig. 2A). The serum concentrations of antigen-specific IgG1 and IgG2a antibodies were determined using ELISA. After the last vaccination, all five candidates stimulated the production of high levels of antigen-specific IgG1 and IgG2a antibodies (Fig. 2B, C). In addition, balanced IgG1/IgG2a responses were observed in the ABC transporter- and PBD2-immunized groups. NlpC/P60, Esterase, and M23 induced high levels of IgG2a-biased responses (Fig. 2D). The antigen-specific CD4 + and CD8 + T lymphocyte reactions in the spleen were evaluated through FCM, and the gating strategy for data analysis is shown in more detail in the attached file (Fig. S2). In splenocytes, the proportions of IFN-γ- and TNF-α-positive CD4 + T lymphocytes in mice immunized with vaccine candidates were significantly greater after 16 h of in vitro stimulation with the ABC transporter, PBD2, NlpC/P60, Esterase, or M23. Additionally, mice immunized with vaccines produced significantly greater frequencies of splenic CD8 + T lymphocyte responses to the ABC transporter, NlpC/P60, Esterase, and M23 but not to PBD2 (Fig. 2E). The levels of the serum cytokine IL-4 in mice immunized with the ABC transporter, NlpC/P60 and M23, and of IFN-γ in mice immunized with NlpC/P60 were greater than those in mice immunized with adjuvant alone, while there was no difference in TNF-α levels was found between the groups. No cytokine IL-17 was detected (Fig. 2F). These data suggest that these subunit vaccines induced Th1 and Th2 cellular immune responses but did not induce a Th17 response. Overall, immunization with the five recombinant protein subunit vaccines can induce cellular and humoral immune responses in BALB/c mice.

Recombinant protein subunit vaccines protect BALB/c mice against R. Equi

Two weeks after the last immunization, the vaccinated mice were challenged by intraperitoneal injection of 2.43 × 10⁷ CFU of R. equi 103S per mouse and euthanized at weeks 1, 2, and 4 after the challenge to evaluate protective immunity (Fig. 3A). The body weights were monitored at 1, 2, and 4 weeks post-challenge. The body weight gains of the five vaccine candidate-immunized mice were greater than those of adjuvant-only vaccinated mice at weeks 1, 2, and 4 following R. equi 130 S challenge, but the differences were not statistically significant (Fig. 3B). The feed intake of the mice in all groups returned to normal at 10 days after the R. equi 103S challenge (Fig. 3C). Serum antibody levels were measured weekly for 10 weeks after immunization, and the results showed that mice immunized with the five subunit vaccines exhibited high levels of antigen-specific IgG and IgM. Notably, the IgG antibody titres remained high until the end of the experiment (Fig. 3D, E). The rapid clearance of R. equi from the lungs of challenged mice is a key hallmark of an effective vaccine. To assess this, the bacterial burdens in the lungs were measured at 1 and 2 weeks post-challenge. The bacterial burdens were significantly lower in the five vaccine candidate-vaccinated mice than in the infection control group mice at 1 week post-challenge (Fig. 3F). Remarkably, no bacteria were cultured from the lungs at 2 weeks post-challenge in the NlpC/P60-, Esterase-, or M23-vaccinated mice (Fig. 3G).

Macropathology was conducted on the lungs 2 weeks after the R. equi 103S challenge. Numerous granulomas (black arrow) were observed on the lung surfaces of the infection control mice. Large areas of congestion and oedema (black arrow) were observed in the lungs of mice immunized with ABC transporter and PBD2. In contrast, only minor lung lesions were observed in the NlpC/P60, Esterase, and M23 groups (Fig. 4A). Next, we analysed fibrotic exudation, alveolar septal changes, and inflammatory infiltration in the lung tissue by histopathology to determine whether the subunit vaccines provided protection against lung infection and injury. Mice from the infection control group displayed granulomatous pneumonia, characterized by granuloma on the lung surface (black arrow), thickened alveolar septa (blue arrow), inflammatory cell infiltration (green arrow), and fibrotic exudation in a large area of the alveolar space (red arrow). In contrast, the severity of lesions in the lung tissue of the mice vaccinated with the five subunit vaccines was reduced (Fig. 4A, B). Among them, mice in the infection control group had significantly greater lesion scores than those in the NlpC/P60, Esterase, and M23 subunit vaccine groups (Fig. 4B).

The livers were fixed and sectioned for histopathological analysis. Five mice from the infection control group displayed a disordered hepatic cord structure, inflammatory cell infiltration (green arrow), and hepatocellular degeneration in a large area (red arrow). In contrast, the severity of the lesions in the liver tissues of PBD2, NlpC/P60, Esterase, and M23 protein-immunized mice was significantly reduced (Fig. 5A, B).

Recombinant protein subunit vaccines induce immunity in long-term memory T lymphocytes

Ten weeks after the first immunization, five mice in each group were euthanized. Splenocytes were isolated and stimulated with ABC transporter, PBD2, NlpC/P60, Esterase, and M23 proteins for 16 h, and long-term memory T lymphocyte immune responses were evaluated by FCM (Fig. 6A). Compared with those in the control group, the proportions of TNF-α- and IFN-γ-positive CD8 + T lymphocytes in the splenocyte population were significantly greater after restimulation with the ABC transporter and PBD2 proteins (Fig. 6B). In addition, TNF-α- and IFN-γ-positive CD4 + T lymphocytes were significantly increased after restimulation with the ABC transporter, PBD2, and NlpC/P60 proteins (Fig. 6C). These results indicate that the ABC transporter, PBD2, and NlpC/P60 recombinant protein subunit vaccines have the potential to induce long-term memory immune responses in mice.

Discussion

R. equi is an important opportunistic pathogen infecting foals and has been identified as one of the most relevant antimicrobial-resistant bacteria for horses by the european food safety authority [33]. In recent years, many studies have attempted to develop effective and safer R. equi vaccines. The difficulty in develo** a vaccine against R. equi is attributed to the lack of knowledge about its antigens. To date, only Vaps family proteins have shown promise as vaccine candidates, but they require further development [21,22,23]. For bacterial infections, a single-antigen engineered vaccine may also not be sufficient to provide effective immune protection to foals. The identification of more antigens is very important and urgent for the development of safe and effective vaccine candidates against R. equi.

To address this issue, we adopted a reverse vaccinology strategy from previous studies using a variety of bioinformatics tools to screen all potential vaccine candidates from the R. equi genome [30]. However, antigens predicted and screened based on bioinformatics tools need to be further validated by animal experiments. Therefore, in the current study, we expressed and purified five of these vaccine candidates and tested their immunogenicity and protective capacity. The results showed that all five vaccine candidate-immunized mice produced strong Th1 and Th2 immune responses and strong antibody responses. Cellular immunity plays a key role in the clearance and immunity of intracellular pathogens [34, 35]. In mice, while both CD4 + and CD8 + T lymphocytes contribute to host defence against R. equi, CD4 + helper T lymphocytes play a major role in the clearance of virulent R. equi [23, 36,37,38,39]. Foals infected with R. equi produce a mixed Th1/Th2 immune response [37, 40]. The activity of Th1 cytokines is essential for the elimination of intracellular pathogens. Studies have shown that immunocompetent BALB/c mice infected with virulent R. equi produce a Th1 cytokine response and gradually clear the infection [38, 41, 42]. The adoptive transfer of R. equi-specific Th1 or Th2 cells into R. equi-susceptible nude mice also clearly showed that the Th1 response is sufficient to affect pulmonary clearance [38]. We observed that five vaccine candidates with Freund’s adjuvant were capable of inducing a significant immune response in BALB/c mice. Two weeks after booster immunization, mice vaccinated with the vaccine candidate developed a strong antigen-specific IgG2a response. Simultaneously, the levels of the Th1 cytokines TNF-α and IFN-γ induced in mice immunized with the vaccine candidates were significantly greater than those in mice immunized with adjuvant alone. These results suggest that all five vaccine candidates can induce a Th1 cell immune response in mice, which is essential for the prevention of R. equi infection. In addition, immunization with the vaccine candidates produced a strong Th2 immune response. Immunization with ABC transporter, NlpC/P60, and M23 induced high levels of antigen-specific IgG1 and serum IL-4 in mice. Theoretically, Th2 responses counteract Th1-mediated intracellular bactericidal effects [39, 43, 44]. This finding is inconsistent with our hypothesis, possibly because an excessive Th1 proinflammatory response may lead to uncontrollable tissue damage. Therefore, Th1/Th2 homeostasis needs to be maintained to combat this damage [45]. Overall, these vaccine candidates have been shown to elicit antigen-specific humoral immunity and cellular immunity responses, which confirms their potential as protective antigens for the development of a vaccine against R. equi.

The immune protection against R. equi infection does not rely exclusively on the CD4 + Th1 lymphocyte response [46]. As with M. tb, IFN-γ-positive CD8 + T lymphocytes also contribute to immune clearance during pulmonary challenge by virulent R. equi [47, 48]. In this study, FCM was used to detect antigen-specific IFN-γ and TNF-α in splenic T lymphocytes, and the proportions of IFN-γ- and TNF-α-positive CD4 + and CD8 + T lymphocytes were significantly increased after immunization. This development is similar to the detection of intracytoplasmic concentrations of IFN-γ in equine bronchoalveolar lavage fluid cells, and the clearance of virulent strains is associated with an increased number of IFN-γ-producing CD4 + and CD8 + T lymphocytes in the lungs [47]. Studies have shown that rapid clearance of R. equi in infected horses is associated with antigen-specific proliferation of CD4 + and CD8 + pulmonary T lymphocytes [40, 47, 49]. In addition, an effective vaccine requires the induction of memory immune cells that rapidly differentiate into effector cell populations upon encountering R. equi and thereby eliminate pathogens [50, 51]. Our study showed that 10 weeks after immunization, splenic T lymphocytes can still rapidly release large amounts of IFN-γ and TNF-α after antigen stimulation. These results suggest that all five vaccine candidates have the potential to induce memory T lymphocyte immune responses in mice. However, this study only evaluated the memory immune response at 10 weeks post-immunization and 4 weeks after R. equi challenge. Further studies are needed to increase the duration of monitoring and systematically assess the ability of these agents to induce a long-term immune response. These data indicate that immunized BALB/c mice produce antigen-specific CD4 + and CD8 + T lymphocytes and memory cells, which may play a role in immunity against R. equi.

Immunocompetent mice can clear infected R. equi and usually do not experience severe pneumonia, but the organ bacterial load and pathology correlate with the degree of virulence of R. equi [34, 35]. Therefore, to evaluate the immunoprotective effect of vaccine candidates, we selected the lungs and livers as the organs of interest, and these organs were found to be reliable indicators for assessing the infection status of mice following R. equi challenge [52, 53]. One week after the R. equi challenge, the bacterial load (CFU) in the lungs of mice immunized with the five vaccine candidates was reduced. Two weeks after the challenge, R. equi was completely eliminated in the mice immunized with the NlpC/P60, Esterase, and M23 proteins. Furthermore, the NlpC/P60, Esterase, and M23 proteins successfully reduced pathological damage to the lungs and livers of vaccinated animals. In summary, all vaccine candidates protected mice against R.equi challenge, with the NlpC/P60, Esterase, and M23 proteins being more potent.

This study has potential limitations. Here, Freund’s adjuvant was used to prolong and augment the effect of vaccination. However, Freund’s adjuvant is often associated with the formation of painful granulomas at the vaccination site and may also result in tuberculin-type allergic reactions [54]. Due to concerns about animal welfare, researchers are exploring alternative adjuvants for use in animals. In addition, we used a BALB/c mouse infection model to evaluate the immunogenicity and immunoprotection of the vaccine candidates. Although BALB/c mice are the most widely used species in R. equi infection studies [34, 35], they cannot model the immunological complexity of foals and fully imitate foal R. equi pneumonia.

Conclusions

In summary, ABC transporter, PBD2, NlpC/P60, Esterase, and M23 are sufficient to elicit robust antigen-specific humoral and cellular immune responses and induce protective immunity against virulent R. equi challenge in mice. These candidates can be used as appropriate antigens for the development of vaccines and treatments for R. equi infection. Further study is required to determine the ideal delivery of adjuvants, antigen combinations, and vaccines and to investigate the cellular and humoral responses elicited by the vaccine in foals exposed to R. equi infection.

Data availability

The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.

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Acknowledgements

The authors would like to thank Professor Noah Cohen of the College of Veterinary Medicine & Biomedical Sciences at Texas A&M University for his technical support in isolation, culture, and identification of Rhodococcus equi, and Professor Haixia Luo from the College of Life Sciences of Ningxia University (Ningxia, China) for the donation of the reference strain of Rhodococcus equi.

Funding

This work was supported by the **njiang Uygur Autonomous Region Regional Collaborative Innovation Project-Shanghai Cooperation Organization Science and Technology Partnership Program and International Science and Technology Cooperation Program [grant numbers 2022E01027], and **njiang Uygur Autonomous Region Graduate Student Innovation Program [XJ2023G125].

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College of Veterinary Medicine, **njiang Agricultural University, Urumqi, China
Lu Liu, Peng Cai, Weifang Gu, **ngxun Duan, Shiwen Gao, Xuelian Ma, Siyuan Ma, Guoqing Li, **angyu Wang, Kuojun Cai, Yanfeng Wang & Hongqiong Zhao
**njiang Key Laboratory of New Drug Study and Creation for Herbivorous Animal, Urumqi, China
Lu Liu, Xuelian Ma & Hongqiong Zhao
Zhaosu **yu Horse Industry Co., Ltd., Yining, China
Yuhui Ma
**njiang Agricultural Vocational Technical College, Changji, China
Tao Cai

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Lu Liu
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**angyu Wang
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Yanfeng Wang
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Contributions

Zhao, H. and Liu, L. conceived the project; Zhao, H. and Liu, L. oversaw the project and obtained funding; Liu, L., Cai, P., and Duan, X. completed the expression and purification of recombinant proteins; Liu, L., Cai, P., Gu, W., Duan, X., Gao, S., Ma, X., Ma, Y, Ma, S., Li, G., Wang, X., Cai, K., Wang, Y. and Cai, T. conducted immunology and efficacy studies in mice; Liu, L., Gu, W., and Gao, S. processed data; Liu, L. and Zhao, H. wrote and revised the manuscript. All authors reviewed the manuscript in final form.

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Correspondence to Hongqiong Zhao.

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All animal experiments were approved by the Animal Ethics Committee of **njiang Agricultural University, Urumqi, China (Ethical Committee Approval number 2022013).

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Liu, L., Cai, P., Gu, W. et al. Evaluation of vaccine candidates against Rhodococcus equi in BALB/c mice infection model: cellular and humoral immune responses. BMC Microbiol 24, 249 (2024). https://doi.org/10.1186/s12866-024-03408-z

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Received: 28 February 2024
Accepted: 02 July 2024
Published: 08 July 2024
DOI: https://doi.org/10.1186/s12866-024-03408-z

Evaluation of vaccine candidates against Rhodococcus equi in BALB/c mice infection model: cellular and humoral immune responses

Abstract

Introduction