STING-Activating Adjuvants Elicit a Th17 Immune Response and Protect against Mycobacterium tuberculosis Infection

Cell Rep. 2018 May 1;23(5):1435-1447. doi: 10.1016/j.celrep.2018.04.003.

Abstract

There are a limited number of adjuvants that elicit effective cell-based immunity required for protection against intracellular bacterial pathogens. Here, we report that STING-activating cyclic dinucleotides (CDNs) formulated in a protein subunit vaccine elicit long-lasting protective immunity to Mycobacterium tuberculosis in the mouse model. Subcutaneous administration of this vaccine provides equivalent protection to that of the live attenuated vaccine strain Bacille Calmette-Guérin (BCG). Protection is STING dependent but type I IFN independent and correlates with an increased frequency of a recently described subset of CXCR3-expressing T cells that localize to the lung parenchyma. Intranasal delivery results in superior protection compared with BCG, significantly boosts BCG-based immunity, and elicits both Th1 and Th17 immune responses, the latter of which correlates with enhanced protection. Thus, a CDN-adjuvanted protein subunit vaccine has the capability of eliciting a multi-faceted immune response that results in protection from infection by an intracellular pathogen.

Keywords: Mycobacterium tuberculosis; Th17; cyclic dinucleotides; vaccine adjuvant.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adjuvants, Immunologic / pharmacology*
  • Animals
  • BCG Vaccine / immunology
  • BCG Vaccine / pharmacology*
  • Disease Models, Animal
  • Immunity, Cellular / drug effects
  • Membrane Proteins / immunology*
  • Mice
  • Mice, Knockout
  • Mycobacterium tuberculosis / immunology*
  • Th1 Cells / immunology
  • Th1 Cells / pathology
  • Th17 Cells / immunology*
  • Th17 Cells / pathology
  • Tuberculosis, Pulmonary / immunology
  • Tuberculosis, Pulmonary / pathology
  • Tuberculosis, Pulmonary / prevention & control*
  • Vaccines, Subunit / immunology
  • Vaccines, Subunit / pharmacokinetics

Substances

  • Adjuvants, Immunologic
  • BCG Vaccine
  • Membrane Proteins
  • Sting1 protein, mouse
  • Vaccines, Subunit