This revised application is in response to a Program Announcement for Exploratory and Developmental Research Grants for Investigations in Rare Diseases, which is funded through the R21 award mechanism. This project centers on the rare disease cystic fibrosis (CF), with focus on immunity to the bacterial pathogen Pseudomonas aeruginosa. In CF, infection with P. aeruginosa is linked to clinical deterioration. Antibiotics are steadily and alarmingly losing effectiveness due to resistance. The long-term goals of this project are to elucidate the defects in adaptive immunity toward P. aeruginosa that allow colonization to evolve into chronic lung disease in CF patients and to devise new therapies to correct these defects and vaccines to prevent infection. The major hypothesis being evaluated is that the failure to clear P. aeruginosa in CF is partly due to defective epithelial secretion of the chemokine RANTES, which results in ineffective opsonic antibody responses. We plan to investigate this hypothesis by analyzing the systemic and mucosal humoral immunity engendered by live-attenuated vaccine strains of P. aeruginosa delivered intranasally to transgenic CF mice. We have found that although this vaccination strategy can delay oropharyngeal P. aeruginosa colonization in CF mice, overall serum opsonic antibody levels are lower than those induced in wild type mice.
In Aim 1, the mechanisms behind defective opsonic antibody production following nasal immunization of transgenic CF mice will be assessed with focus on RANTES expression using cytokine/chemokine protein arrays. Localization of labeled vaccine and expression of RANTES will also be evaluated using flow cytometry and confocal microscopic.
In Aim 2, the immune effectors responsible for delayed oropharyngeal colonization of transgenic CF mice following nasal immunization will be characterized using passive immunotherapy. We will also investigate whether the protective efficacy of this immunization approach can be augmented by the use of RANTES as a mucosal adjuvant. Knowledge gained from these studies will elucidate new strategies for the prevention and treatment of P. aeruginosa infections in the setting of CF. ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21HL079423-02
Application #
7140532
Study Section
Special Emphasis Panel (ZRG1-IDM-A (90))
Program Officer
Banks-Schlegel, Susan P
Project Start
2005-07-05
Project End
2008-06-30
Budget Start
2006-07-01
Budget End
2008-06-30
Support Year
2
Fiscal Year
2006
Total Cost
$196,033
Indirect Cost
Name
Brigham and Women's Hospital
Department
Type
DUNS #
030811269
City
Boston
State
MA
Country
United States
Zip Code
02115
Priebe, Gregory P; Walsh, Rebecca L; Cederroth, Terra A et al. (2008) IL-17 is a critical component of vaccine-induced protection against lung infection by lipopolysaccharide-heterologous strains of Pseudomonas aeruginosa. J Immunol 181:4965-75
Benarafa, Charaf; Priebe, Gregory P; Remold-O'Donnell, Eileen (2007) The neutrophil serine protease inhibitor serpinb1 preserves lung defense functions in Pseudomonas aeruginosa infection. J Exp Med 204:1901-9