Laboratory and clinical evaluation of conjugate vaccines composed of Staphylococcus aureus type 5 and type 8 capsular polysaccharides bound to Pseudomonas aeruginosa recombinant exoprotein A

Infect Immun. 1993 Mar;61(3):1023-32. doi: 10.1128/iai.61.3.1023-1032.1993.

Abstract

The synthesis, standardization, and immunogenicity in young outbred mice and clinical evaluation in adult volunteers of investigational vaccines designed to induce serum antibodies to the type 5 and type 8 capsular polysaccharides (CPs) of Staphylococcus aureus are described. Conjugates composed of the type 5 CP and a sonicated preparation of a high-molecular-weight type 8 CP bound to a nontoxic recombinant protein derived from Pseudomonas aeruginosa exotoxin A (rEPA) were synthesized. The conjugates were nontoxic and elicited serum CP antibodies after two subcutaneous injections into young outbred mice; a third injection elicited a booster response. The lower-molecular-weight type 8 CP was not immunogenic in the mice, and the high-molecular-weight type 8 CP elicited low levels of antibodies without a booster effect. In the volunteers, neither the conjugates nor the type 8 CP alone caused significant local reactions or fever. The conjugates elicited type-specific antibodies of both the immunoglobulin M (IgM) and IgG classes after the first injection; a second injection 6 weeks later did not stimulate a booster effect. The high-molecular-weight type 8 CP alone, injected once only, elicited levels of IgG and IgM type-specific antibodies similar to those of the conjugate. The vaccine-induced CP antibodies were mostly of the IgG1 and IgG2 subclasses and had opsonophagocytic activity. The conjugates elicited IgG antibodies to the native exotoxin A with neutralizing activity. In summary, the type 5 and type 8 conjugates were safe and elicited biologically active antibodies to both the CP and rEPA components.

MeSH terms

  • ADP Ribose Transferases*
  • Adult
  • Animals
  • Bacterial Capsules / immunology*
  • Bacterial Toxins*
  • Bacterial Vaccines / immunology*
  • Bacterial Vaccines / toxicity
  • Blood Bactericidal Activity
  • Evaluation Studies as Topic
  • Exotoxins / immunology*
  • Female
  • Humans
  • Male
  • Mice
  • Neutrophils / immunology
  • Phagocytosis
  • Polysaccharides, Bacterial / immunology*
  • Pseudomonas aeruginosa Exotoxin A
  • Staphylococcus aureus / immunology*
  • Vaccines, Synthetic / immunology*
  • Vaccines, Synthetic / toxicity
  • Virulence Factors*

Substances

  • Bacterial Toxins
  • Bacterial Vaccines
  • Exotoxins
  • Polysaccharides, Bacterial
  • Vaccines, Synthetic
  • Virulence Factors
  • ADP Ribose Transferases