Salmonella Typhimurium TTSS-2 deficient mig-14 mutant shows attenuation in immunocompromised mice and offers protection against wild-type Salmonella Typhimurium infection
© Pati et al.; licensee BioMed Central Ltd. 2013
Received: 14 May 2013
Accepted: 24 September 2013
Published: 22 October 2013
Development of Salmonella enterica serovar Typhimurium (S. Typhimurium) live attenuated vaccine carrier strain to prevent enteric infections has been a subject of intensive study. Several mutants of S. Typhimurium have been proposed as an effective live attenuated vaccine strain. Unfortunately, many such mutant strains failed to successfully complete the clinical trials as they were suboptimal in delivering effective safety and immunogenicity. However, it remained unclear, whether the existing live attenuated S. Typhimurium strains can further be attenuated with improved safety and immune efficacy or not.
We deleted a specific non-SPI (Salmonella Pathogenicity Island) encoded virulence factor mig-14 (an antimicrobial peptide resistant protein) in ssaV deficient S. Typhimurium strain. The ssaV is an important SPI-II gene involved in Salmonella replication in macrophages and its mutant strain is considered as a potential live attenuated strain. However, fatal systemic infection was previously reported in immunocompromised mice like Nos2−/− and Il-10−/− when infected with ssaV deficient S. Typhimurium. Here we reported that attenuation of S. Typhimurium ssaV mutant in immunocompromised mice can further be improved by introducing additional deletion of gene mig-14. The ssaV, mig-14 double mutant was as efficient as ssaV mutant, with respect to host colonization and eliciting Salmonella-specific mucosal sIgA and serum IgG response in wild-type C57BL/6 mice. Interestingly, this double mutant did not show any systemic infection in immunocompromised mice.
This study suggests that ssaV, mig-14 double mutant strain can be effectively used as a potential vaccine candidate even in immunocompromised mice. Such attenuated vaccine strain could possibly used for expression of heterologous antigens and thus for development of a polyvalent vaccine strain.
Enteric infections represent a major threat to human health worldwide affecting both children and adults in developing and industrialized countries. These infections are caused by a number of pathogens including Salmonella, Shigella, Campylobacter species, Aeromonas, Plesiomonas, Vibrio, Yersinia entercolitica, E. coli 0157:H7 and Rotavirus. Among these enteric pathogens, Salmonella enterica with more than 2500 serovars is considered as a key pathogen that can infect a wide range of host species and is the leading cause of acute gastroenteritis. The increased mortality, morbidity and limited availability of specific drugs against these infection demands an alternative to reduce the global disease burden. One such promising alternative is the development of live-attenuated vaccines. These vaccines are attenuated forms of the pathogen itself which can provide defense against the infection from the same pathogen. In case of Salmonella, a facultative intracellular pathogen, specific cell mediated immune response is critical to control and clear the pathogen from the host [1–4]. In order to stimulate cellular immunity with higher efficacy, live attenuated Salmonella are preferred over the inactivated or killed vaccine candidates [5–7]. Ideally, a live attenuated vaccine strain should be able to withstand the host stress, provide defense against the concerned pathogen and should successfully colonize the host lymphoid tissues while retaining its avirulent nature. Researchers have established mice models in order to efficiently screen the possible vaccine attributes of genetically modified Salmonella enterica strains or their derivatives [8–12]. However, many live attenuated strains are known to develop systemic infection when administered to immune deficient individuals [13–15]. In order to prevent the systemic infection in immune-compromised patients, it is very crucial to attain sufficient attenuation. Many attenuated Salmonella vaccine strains carrying deletion mutation either in the metabolic gene or in the virulence factors have been developed but with a little success in the clinical trials . This study primarily focuses on the development of an improved live-attenuated S. Typhimurium strain. A number of S. Typhimurium mutants developed, are known to elicit optimal immune response but showed reduced survival efficacy [17–26]. Earlier studies have shown that only a few such mutants have been actually tested in a pilot study in order to investigate their protection efficacy [27–29]. When tested, such a few proposed vaccine strains resulted in developing diseases in the hosts of variable immune status [20, 30–32]. Therefore, the development of a safer immunogenic live-attenuated S. Typhimurium strain is a need of an hour  and can be accomplished by development of a suitably attenuated strain with an avirulent property in immunocompromised individuals. Previous studies have shown that TTSS-2 deficient S. Typhimurium strains were highly attenuated and conferred protection from further challenges of wild-type S. Typhimurium by eliciting O-antigen specific serum IgG and secretory IgA in C57BL/6 mice [34–36]. In a recent study, the ssaV mutant of S. Typhimurium was found to be virulent in immune compromised C57BL/6 mice devoid of Nos2 and Il-10 gene . These two mice strains were used as they lack key elements of the antibacterial defense like the inducible nitric oxide (NO) synthase, a reactive oxygen species generating enzyme and interleukin-10 gene . In this study, we have also used CD40L KO mice to screen the attenuation of proposed vaccine strain. This particular mouse model is used as it is partially immunocompromised in terms of generation of different class of antibodies.
Virulence of TTSS-2 deficient S. Typhimurium in immunocompromised mice unveils the role of other factors favoring the replication and long-term survival of S. Typhimurium in host tissues. Mig-14, an antimicrobial peptide resistance protein, is one such important factor that supports the long-term persistence of Salmonella in the macrophages . Mig-14 protein binds to the anti-microbial peptides like CRAMPS to protect Salmonella from antimicrobial peptides . The presence of Mig-14 in the periplasmic localization inhibits the entry of antimicrobial peptides to the cytoplasm of the bacterium, eventually making macrophage a good niche for Salmonella to replicate and survive. This study proposes a diverse role for mig-14 in the survival of TTSS-2 deficient Salmonella in immunocompromised mice like Nos2 −/− , Il-10 −/− and CD40L −/− and explores the possible potential of S. Typhimurium ssaV and mig-14 double mutant as a safe vaccine carrier strain.
Bacterial strains and plasmids
Primers used in the study
AGT CGC AAT GCG TTC ATG GTT AG
TTC TTC ATT GTC CGC CAA CTC
AAT AAA ATT TCT GGA GTC GCA ATG CGT TCA TGG TTA GGT GAG GGA TGT GTA GGC TGG AGC TGC TT
GCA TCA ATT CAT TCT TCA TTG TCC GCC AAC TCC TCT TCG CTA AGG ATA TGA ATA TCC TCC TTA GT
GCA AAG CTT TGC TGC CAT TAA TCC
GAG TTT TGG TGA AAA TAC AAG AAG
GTA TAG TGT AAG TGA ATT TCG AGT AAT TG
AGC AAA AAA ATA ATA CAA AAT AGC ATT TTC AGT AAG CTA AGT CAG TGT GTA GGC TGG AGC TGC TT
GAA AAA TCT GGA CGT AAA AAA CAT ATT TAC GTC CAG GCT TTC TTT ATA TGA ATA TCC TCC TTA GT
CAT CAT CTG TTC CTG ACG CCA G
Bacterial strains and plasmids used in the study
Salmonella Typhimurium, Sm r
Salmonella Enteritidis 125109 wild type; Sm r
S. Typhimurium ΔssaV,Δmig-14; Sm r
S. Typhimurium ΔssaV; Sm r
Relevant genotype (S) and/or phenotype (S)
bla PssaH gfpmut2 plasmid with oripMB1
Red recombinase expression plasmid; ParaB; oriR101
Template plasmid; FRT-aphT-FRT
FLP recombinase expression plasmid
Bacterial growth condition
Luria-Bertani medium supplemented with 0.3 M sodium chloride (SPI-1 inducing medium) was used to grow all the bacterial strains (Table 2) at 37°C for 12 h. Strains were diluted 1:20 in fresh SPI-1 inducing medium and sub-cultured for another 4 h until the bacteria attained their early log phase. Bacterial cells were pelleted, washed in ice-cold phosphate buffered saline (PBS) and approximately 5 × 107 CFU were suspended in 50 μl cold PBS for use in the in vivo experiments. All the strains were tested for growth attenuation for 16 h in 10 ml of culture medium at 37°C with 150 rpm under aerated conditions.
All the animal experiments were performed in strict accordance with guidelines laid by the Institutional Animal Ethics Committee (IAEC) of National Centre for Cell Science (NCCS) Pune, India; Permit Number: 7/1999/CPCSEA-09/03/1999.
All experimental mice were specific pathogen free (SPF) C57BL/6 maintained in individually ventilated cages (IVC) (Tacket et al., 1992). Wild-type, Nos2−/− (B6.129P2- Nos2tm1Lau/J), Il-10 −/− (B6.129P2-Il10tm1cgn/J) and CD40L −/− (B6.129S2-Cd40lgtm1Imx/J) mice were procured from Jackson Labs (Bar Harbor, ME) and bred in the C57BL/6 background at the animal facility of National Center for Cell Sciences (NCCS), Pune, India.
Mice infection experiment for assessment of strain attenuation
The infection experiments were performed in streptomycin pretreated SPF mice in IVC as described earlier [45, 46]. C57BL/6, iNos−/−, Il10 −/− and CD40L −/− mice were pretreated orally with 50 mg of streptomycin before infecting with wild-type and mutant strains. After 24 h, mice were infected with 5 × 107 CFU (oral gavage) of the corresponding bacterial strain (i.e. MT5, MT4 and SB300). The bacterial load in the cecum, mesenteric lymph nodes (mLNs), liver and spleen was determined by plating the respective tissue homogenates on MacConkey agar plates supplemented with appropriate antibiotics (Streptomycin, 50 μg/ml; kanamycin, 50 μg/ml; ampicillin, 100 μg/ml). For statistical analysis, samples without bacterial counts were adjusted to the minimum detection level (10 CFU/organ in the mLN, 20 CFU/organ in the spleen, 10/x CFU/g, where x represents the net weight of the cecum content or feces collected). Cecal pathology of the infected mice was scored to analyze the degree of inflammation .
Segments of the cecum, colon and ileum were embedded in Optimum Cutting Temperature solution O.C.T. (Sakura Finetek Inc., USA), snap-frozen in liquid nitrogen, and stored at −80°C. The 5 μm thick tissue sections were obtained on glass slides and stained with hematoxylin and eosin (H&E) stains after drying for at least 2 h at room temperature. The stained cryosections were evaluated on the basis of a previously described scoring system for the quantitative analysis of cecal inflammation [45, 47]. The sections were scored on the basis of the pathological changes that include sub-mucosal edema (0–3), polymorphonuclear leukocyte infiltration (0–4), loss of goblet cells (0–3) and epithelial ulceration (0–3). The cumulative pathological scores ranged from 0 to 13 with arbitrary units covering the inflammation levels that included intact intestine without any sign of inflammation (pathoscore 0); minimal sign of inflammation (pathoscore 1–2), which is commonly found in the ceca of specific pathogen-free mice and generally not considered as a pathological feature; slight inflammation as a minimal sign of tissue pathology (pathoscore 3–4); moderate inflammation (pathoscore 5–8); and significant inflammation (pathoscore 9–13).
Vaccination and challenge experiment
For vaccination study, three groups of wild type C57BL/6 mice (n = 10; each group) were pretreated with streptomycin according to the protocol described earlier . Mice groups (3 groups; n = 5 mice each group) were vaccinated with MT5, MT4 strains and PBS respectively; the mice group treated with PBS served as a negative control group [34, 48]. Fecal samples from each mice group were collected weekly and plated on MacConkey agar plate for analysis of fecal shedding of the vaccine strain. At day 30 post vaccination (p.v.), the histopathology of cecal mucosa and bacterial loads of different tissues of vaccinated mice (n = 5; each group) were analyzed. Further, the gut wash and serum samples of vaccinated mice were collected to assess serum IgG and gut secretory IgA (sIgA) by Western blot. The remaining mice (n = 5) from each vaccinated group were treated with ampicillin (25 mg by gavage) and challenged after 24 h with wild-type S. Typhimurium (SB300; 200 CFU) harboring ampicillin resistant plasmid pM973. The colonization efficiency of the challenged strain was evaluated at various host sites at day 3 post challenge (p.c.).
Evaluation of serum and gut antibody response
To measure the mucosal immune response, serum IgG and secretory gut IgA responses were quantified by Western blot as described previously [34, 48]. Serum and gut washes were collected at day 30 p.v from MT5 and MT4 immunized mice and the PBS treated control mice. The protein fractions of lysates from the overnight-grown S. Typhimurium wild-type strain (SB300), ssaV mutant (MT5), ssaV and mig-14 double mutant (MT4) and S. Enteritidis P125109 (M1525) wild-type strain were separated on polyacrylamide gels and transferred to nitrocellulose membrane. The membrane was treated with suitably diluted serum sample or gut washes followed by incubation with conjugated α-mouse IgG (for serum; Santa cruz) and α-mouse IgA (for gut wash; Santa cruz). The blots were developed by ECL kit (Thermo Scientific).
Statistical analyses were performed using the two-way ANOVA (GraphPad Prism 5). p < 0.05 was considered statistically significant.
Results and discussion
Additional mig-14 mutation in S. Typhimurium ssaVmutant shows significant attenuation in immunocompromised mice
MT4 protects wild-type C57BL/6 mice when challenged with wild-type S. Typhimurium
Mice immunized with MT4 and MT5 showed equivalent response for both luminal IgA and serum specific IgG
S. Typhimurium with a nonfunctional SPI-2 is considered as an avirulent and a potential vaccine strain . In this study we have experimentally proved that S. Typhimurium diarrhea vaccine strain with nonfunctional SPI-2 system can be further attenuated without impeding the immunogenicity in immunocompromised hosts. We additionally mutated mig-14 in ssaV deficient S. Typhimurium strain. The ssaV, mig-14 double mutant was found to be highly attenuated in wild-type C57BL/6 mice and in immunocompromised mice like Nos2 −/− , Il-10 −/− and CD40L −/− . These transgenic immunocompromised mice were selected for this study because of their high susceptibility to different infections [33, 49, 50]. One of the characteristic features of Salmonella infections in humans is that few infected individuals can become chronic carriers. Such individuals comprise about 1–6% of the total infected population [19, 24] acting as reservoirs, and restricting the pathogen within the human populations. Previous studies have established that the successive progression of host-adapted Salmonella species has led to an increased virulence because of their association with the host along with increased invasiveness and long-term persistence [51, 52]. The virulence factors essential for long-term persistence of the pathogen in their respective hosts are therefore likely to be important for its evolutionary success.
Mig-14 is an important factor for Salmonella resistance to IFN-γ-mediated host responses and to different anti-microbial peptide during the establishment of infection as well as survival in the macrophages . It has also been reported that mig-14 mutant can establish an infection but cannot persist for longer periods in the host system . These reports support the contribution of Mig-14 in Salmonella long-term virulence. Although the mechanism of Mig-14 action is not completely established, the binding of Mig-14 deficient Salmonella to cathelin-related antimicrobial peptide (CRAMP) proves its active involvement in Salmonella antimicrobial peptide resistance . Mechanistically, Mig-14 protein is a periplasmic protein which is tightly associated with the inner membrane of Salmonella. The transmission electron microscopy study has revealed that the primary site of host CRAMP activity is the bacterial cytoplasm. Study of inner membrane localization of Mig-14 and cytoplasmic CRAMP activity, possibly suggests the role of Mig-14 in preventing penetration of CRAMP into the cytoplasm . Taken together, these reports explain contribution of mig-14 towards pathogen survival by encountering host inflammatory responses and promoting both acute and persistent bacterial infection. Therefore, in the present study, mig-14 was taken as an important virulence factor to be knocked out from the existing live attenuated strain (MT5) with the goal to improve the attenuation attributes in immunocompromised mice.
In this study, we have assessed the degree of attenuation of S. Typhimurium ssaV mutant (MT5) and ssaV, mig-14 double mutant (MT4) in immunocompromised mice, by infecting these two strains to Nos2 −/− , Il-10 −/− and CD40L −/− C57BL/6 mice. The day 4 p.i. observation showed a high degree of systemic attenuation of MT4 (ssaV, mig-14) strain in Nos2 −/− , Il-10 −/− mice in comparison to the MT5 (ssaV) strain. On the other hand MT5 and MT4 strains were equally attenuated in CD40L −/− mice. Interestingly, MT4 strain also retained its capacity to colonize the mesenteric lymph node of Nos2 −/− , Il-10 −/− and CD40L −/− mice, demonstrating its ability to access the mLN but not the systemic sites. The in vivo data showed that the attenuation of MT4 in immunocompromised mice could be due to the absence of mig-14 in ssaV deficient S. Typhimurium. Furthermore, the MT4 and MT5 strains were used to vaccinate the wild-type C57BL/6 mice. Results showed that none of the mice developed cecal inflammation at day 30 p.v. However, both the strains (MT5 and MT4) equally colonized the gut lumen of vaccinated mice groups. Apart from this, at 30 day p. v., neither of the strain was found in the systemic organs which diminishes the possibility of late systemic dissemination and associated disease symptoms. Interestingly, apart from MT5, we also found a small population of MT4 strain in the mesenteric lymph node of the immunized mice, showing the potential of MT4 to stay in the lymphoid tissue for a longer period. In a challenge experiment, the vaccinated mice were protected when challenged with wild-type S. Typhimurium, however, the PBS treated mice developed significant inflammation and systemic dissemination of S. Typhimurium during subsequent Salmonella challenge.
In conclusion, the MT4 live-attenuated S. Typhimurium strain provides an efficient antibody mediated immune response which can protect even immunocompromised hosts from lethal infection of Salmonella. Specific antibody response to any protein antigens requires the involvement of both CD4+ and CD8+ T-cells along with the B-cells. The T-cell dependent antigens require the involvement of T-cells for the adaptive immune response. T helper (CD4+) cells play a vital role in stimulating the B-cells for the production of pathogen specific antibody via clonal propagation. Additionally, the activated CD4+ and CD8+ T-cells are the major producers of INF-γ which further activates the tissue and blood macrophages. As T-cell contributes to the cell mediated immune response, it is important to estimate the T-cell propagation during the course of Salmonella infection. In this study we have additionally estimated CD4+ and CD8+ T-cells from the mLN of the immunized mice. CD4+ and CD8+ T-cell population of the mice immunized with MT4 strain found to be comparable with the mice immunized with MT5 strain. Hence, it concludes that the MT4 strain retains its ability to induce the classical innate and adaptive immune response even after a strong attenuation. Therefore, we propose that incorporating additional “safety” features such as the deletion of mig-14 can be of a general interest for the design of new super live attenuated S. Typhimurium strain. This attenuated strain could also be used for developing the recombinant vaccine against other enteric pathogens.
This work was supported by the grant from Department of Biotechnology, Govt. of India (Project No. BT/PR14489/Med/29/207/2010). We thank Himanshu Singh Chandel for his support during the experiments.
- Okamura M, Lillehoj HS, Raybourne RB, Babu US, Heckert RA: Cell-mediated immune responses to a killed Salmonella enteritidis vaccine: lymphocyte proliferation, T-cell changes and interleukin-6 (IL-6), IL-1, IL-2, and IFN-gamma production. Comp Immunol Microbiol Infect Dis. 2004, 27 (4): 255-272. 10.1016/j.cimid.2003.12.001.PubMedView Article
- Thatte J, Rath S, Bal V: Analysis of immunization route-related variation in the immune response to heat-killed Salmonella typhimurium in mice. Infect Immun. 1995, 63 (1): 99-103.PubMedPubMed Central
- Penha Filho RA, Moura BS, de Almeida AM, Montassier HJ, Barrow PA, Berchieri Junior A: Humoral and cellular immune response generated by different vaccine programs before and after Salmonella Enteritidis challenge in chickens. Vaccine. 2012, 30 (52): 7637-7643. 10.1016/j.vaccine.2012.10.020.PubMedView Article
- Crhanova M, Hradecka H, Faldynova M, Matulova M, Havlickova H, Sisak F, Rychlik I: Immune response of chicken gut to natural colonization by gut microflora and to Salmonella enterica serovar enteritidis infection. Infect Immun. 2011, 79 (7): 2755-2763. 10.1128/IAI.01375-10.PubMedPubMed CentralView Article
- Silva EN, Snoeyenbos GH, Weinack OM, Smyser CF: Studies on the use of 9R strain of Salmonella gallinarum as a vaccine in chickens. Avian Dis. 1981, 25 (1): 38-52. 10.2307/1589825.PubMedView Article
- Roland K, Tinge S, Warner E, Sizemore D: Comparison of different attenuation strategies in development of a Salmonella hadar vaccine. Avian Dis. 2004, 48 (3): 445-452. 10.1637/7106.PubMedView Article
- Robertsson JA, Lindberg AA, Hoiseth S, Stocker BA: Salmonella typhimurium infection in calves: protection and survival of virulent challenge bacteria after immunization with live or inactivated vaccines. Infect Immun. 1983, 41 (2): 742-750.PubMedPubMed Central
- Vladoianu IR, Dubini F: Experimental model of oral antityphoid vaccination with live streptomycin-dependent Salmonella typhimurium in C57BL/6 mice. J Hyg (Lond). 1975, 75 (2): 215-218. 10.1017/S0022172400047240.View Article
- Totemeyer S, Kaiser P, Maskell DJ, Bryant CE: Sublethal infection of C57BL/6 mice with Salmonella enterica Serovar Typhimurium leads to an increase in levels of Toll-like receptor 1 (TLR1), TLR2, and TLR9 mRNA as well as a decrease in levels of TLR6 mRNA in infected organs. Infect Immun. 2005, 73 (3): 1873-1878. 10.1128/IAI.73.3.1873-1878.2005.PubMedPubMed CentralView Article
- Vishwakarma V, Pati NB, Chandel HS, Sahoo SS, Saha B, Suar M: Evaluation of Salmonella enterica serovar Typhimurium TTSS-2 deficient fur mutant as safe live-attenuated vaccine candidate for immunocompromised mice. PLoS One. 2012, 7 (12): e52043-10.1371/journal.pone.0052043.PubMedPubMed CentralView Article
- Toobak H, Rasooli I, Talei D, Jahangiri A, Owlia P, Darvish Alipour Astaneh S: Immune response variations to Salmonella enterica serovar Typhi recombinant porin proteins in mice. Biologicals. 2013, 41 (4): 224-230. 10.1016/j.biologicals.2013.05.005.PubMedView Article
- Chaudhuri RR, Peters SE, Pleasance SJ, Northen H, Willers C, Paterson GK, Cone DB, Allen AG, Owen PJ, Shalom G, et al: Comprehensive identification of Salmonella enterica serovar typhimurium genes required for infection of BALB/c mice. PLoS Pathog. 2009, 5 (7): e1000529-10.1371/journal.ppat.1000529.PubMedPubMed CentralView Article
- Cheminay C, Hensel M: Rational design of Salmonella recombinant vaccines. Int J Med Microbiol. 2008, 298 (1–2): 87-98.PubMedView Article
- Gilks CF, Brindle RJ, Otieno LS, Simani PM, Newnham RS, Bhatt SM, Lule GN, Okelo GB, Watkins WM, Waiyaki PG, et al: Life-threatening bacteraemia in HIV-1 seropositive adults admitted to hospital in Nairobi, Kenya. Lancet. 1990, 336 (8714): 545-549. 10.1016/0140-6736(90)92096-Z.PubMedView Article
- Gordon MA, Banda HT, Gondwe M, Gordon SB, Boeree MJ, Walsh AL, Corkill JE, Hart CA, Gilks CF, Molyneux ME: Non-typhoidal salmonella bacteraemia among HIV-infected Malawian adults: high mortality and frequent recrudescence. Aids. 2002, 16 (12): 1633-1641. 10.1097/00002030-200208160-00009.PubMedView Article
- Raupach B, Kaufmann SH: Bacterial virulence, proinflammatory cytokines and host immunity: how to choose the appropriate Salmonella vaccine strain?. Microbes Infect. 2001, 3 (14–15): 1261-1269.PubMedView Article
- Dunstan SJ, Simmons CP, Strugnell RA: Comparison of the abilities of different attenuated Salmonella typhimurium strains to elicit humoral immune responses against a heterologous antigen. Infect Immun. 1998, 66 (2): 732-740.PubMedPubMed Central
- Garmory HS, Leary SE, Griffin KF, Williamson ED, Brown KA, Titball RW: The use of live attenuated bacteria as a delivery system for heterologous antigens. J Drug Target. 2003, 11 (8–10): 471-479.PubMedView Article
- Hohmann EL, Oletta CA, Miller SI: Evaluation of a phoP/phoQ-deleted, aroA-deleted live oral Salmonella typhi vaccine strain in human volunteers. Vaccine. 1996, 14 (1): 19-24. 10.1016/0264-410X(95)00173-X.PubMedView Article
- Tacket CO, Kelly SM, Schodel F, Losonsky G, Nataro JP, Edelman R, Levine MM, Curtiss R: Safety and immunogenicity in humans of an attenuated Salmonella typhi vaccine vector strain expressing plasmid-encoded hepatitis B antigens stabilized by the Asd-balanced lethal vector system. Infect Immun. 1997, 65 (8): 3381-3385.PubMedPubMed Central
- Chatfield SN, Strugnell RA, Dougan G: Live Salmonella as vaccines and carriers of foreign antigenic determinants. Vaccine. 1989, 7 (6): 495-498. 10.1016/0264-410X(89)90271-5.PubMedView Article
- Curtiss R, Wanda SY, Gunn BM, Zhang X, Tinge SA, Ananthnarayan V, Mo H, Wang S, Kong W: Salmonella enterica serovar typhimurium strains with regulated delayed attenuation in vivo. Infect Immun. 2009, 77 (3): 1071-1082. 10.1128/IAI.00693-08.PubMedPubMed CentralView Article
- Heithoff DM, Enioutina EY, Daynes RA, Sinsheimer RL, Low DA, Mahan MJ: Salmonella DNA adenine methylase mutants confer cross-protective immunity. Infect Immun. 2001, 69 (11): 6725-6730. 10.1128/IAI.69.11.6725-6730.2001.PubMedPubMed CentralView Article
- Matsui H, Suzuki M, Isshiki Y, Kodama C, Eguchi M, Kikuchi Y, Motokawa K, Takaya A, Tomoyasu T, Yamamoto T: Oral immunization with ATP-dependent protease-deficient mutants protects mice against subsequent oral challenge with virulent Salmonella enterica serovar typhimurium. Infect Immun. 2003, 71 (1): 30-39. 10.1128/IAI.71.1.30-39.2003.PubMedPubMed CentralView Article
- McFarland WC, Stocker BA: Effect of different purine auxotrophic mutations on mouse-virulence of a Vi-positive strain of Salmonella dublin and of two strains of Salmonella typhimurium. Microb Pathog. 1987, 3 (2): 129-141. 10.1016/0882-4010(87)90071-4.PubMedView Article
- Miller SI, Loomis WP, Alpuche-Aranda C, Behlau I, Hohmann E: The PhoP virulence regulon and live oral Salmonella vaccines. Vaccine. 1993, 11 (2): 122-125. 10.1016/0264-410X(93)90006-J.PubMedView Article
- Angelakopoulos H, Hohmann EL: Pilot study of phoP/phoQ-deleted Salmonella enterica serovar typhimurium expressing Helicobacter pylori urease in adult volunteers. Infect Immun. 2000, 68 (4): 2135-2141. 10.1128/IAI.68.4.2135-2141.2000.PubMedPubMed CentralView Article
- Hindle Z, Chatfield SN, Phillimore J, Bentley M, Johnson J, Cosgrove CA, Ghaem-Maghami M, Sexton A, Khan M, Brennan FR, et al: Characterization of Salmonella enterica derivatives harboring defined aroC and Salmonella pathogenicity island 2 type III secretion system (ssaV) mutations by immunization of healthy volunteers. Infect Immun. 2002, 70 (7): 3457-3467. 10.1128/IAI.70.7.3457-3467.2002.PubMedPubMed CentralView Article
- Toso JF, Gill VJ, Hwu P, Marincola FM, Restifo NP, Schwartzentruber DJ, Sherry RM, Topalian SL, Yang JC, Stock F, et al: Phase I study of the intravenous administration of attenuated Salmonella typhimurium to patients with metastatic melanoma. J Clin Oncol. 2002, 20 (1): 142-152. 10.1200/JCO.20.1.142.PubMedPubMed CentralView Article
- Hone DM, Tacket CO, Harris AM, Kay B, Losonsky G, Levine MM: Evaluation in volunteers of a candidate live oral attenuated Salmonella typhi vector vaccine. J Clin Invest. 1992, 90 (2): 412-420. 10.1172/JCI115876.PubMedPubMed CentralView Article
- Dilts DA, Riesenfeld-Orn I, Fulginiti JP, Ekwall E, Granert C, Nonenmacher J, Brey RN, Cryz SJ, Karlsson K, Bergman K, et al: Phase I clinical trials of aroA aroD and aroA aroD htrA attenuated S. typhi vaccines; effect of formulation on safety and immunogenicity. Vaccine. 2000, 18 (15): 1473-1484. 10.1016/S0264-410X(99)00424-7.PubMedView Article
- Kotton CN, Lankowski AJ, Scott N, Sisul D, Chen LM, Raschke K, Borders G, Boaz M, Spentzou A, Galan JE, et al: Safety and immunogenicity of attenuated Salmonella enterica serovar Typhimurium delivering an HIV-1 Gag antigen via the Salmonella Type III secretion system. Vaccine. 2006, 24 (37–39): 6216-6224.PubMedView Article
- Kwon YM, Cox MM, Calhoun LN: Salmonella-based vaccines for infectious diseases. Expert Rev Vaccines. 2007, 6 (2): 147-152. 10.1586/147605184.108.40.206.PubMedView Article
- Endt K, Stecher B, Chaffron S, Slack E, Tchitchek N, Benecke A, Van Maele L, Sirard JC, Mueller AJ, Heikenwalder M, et al: The microbiota mediates pathogen clearance from the gut lumen after non-typhoidal Salmonella diarrhea. PLoS Pathog. 2010, 6 (9): e1001097-10.1371/journal.ppat.1001097.PubMedPubMed CentralView Article
- Hensel M, Shea JE, Gleeson C, Jones MD, Dalton E, Holden DW: Simultaneous identification of bacterial virulence genes by negative selection. Science. 1995, 269 (5222): 400-403. 10.1126/science.7618105.PubMedView Article
- Shea JE, Beuzon CR, Gleeson C, Mundy R, Holden DW: Influence of the Salmonella typhimurium pathogenicity island 2 type III secretion system on bacterial growth in the mouse. Infect Immun. 1999, 67 (1): 213-219.PubMedPubMed Central
- Periaswamy B, Maier L, Vishwakarma V, Slack E, Kremer M, Andrews-Polymenis HL, McClelland M, Grant AJ, Suar M, Hardt WD: Live attenuated S. Typhimurium vaccine with improved safety in immuno-compromised mice. PLoS One. 2012, 7 (9): e45433-10.1371/journal.pone.0045433.PubMedPubMed CentralView Article
- Fang FC: Antimicrobial reactive oxygen and nitrogen species: concepts and controversies. Nat Rev Microbiol. 2004, 2 (10): 820-832. 10.1038/nrmicro1004.PubMedView Article
- Valdivia RH, Cirillo DM, Lee AK, Bouley DM, Falkow S: mig-14 is a horizontally acquired, host-induced gene required for salmonella enterica lethal infection in the murine model of typhoid fever. Infect Immun. 2000, 68 (12): 7126-7131. 10.1128/IAI.68.12.7126-7131.2000.PubMedPubMed CentralView Article
- Brodsky IE, Ghori N, Falkow S, Monack D: Mig-14 is an inner membrane-associated protein that promotes Salmonella typhimurium resistance to CRAMP, survival within activated macrophages and persistent infection. Mol Microbiol. 2005, 55 (3): 954-972.PubMedView Article
- Hoiseth SK, Stocker BA: Aromatic-dependent Salmonella typhimurium are non-virulent and effective as live vaccines. Nature. 1981, 291 (5812): 238-239. 10.1038/291238a0.PubMedView Article
- Vishwakarma V, Periaswamy B, Bhusan Pati N, Slack E, Hardt WD, Suar M: A novel phage element of Salmonella enterica serovar Enteritidis P125109 contributes to accelerated type III secretion system 2-dependent early inflammation kinetics in a mouse colitis model. Infect Immun. 2012, 80 (9): 3236-3246. 10.1128/IAI.00180-12.PubMedPubMed CentralView Article
- Datsenko KA, Wanner BL: One-step inactivation of chromosomal genes in Escherichia coli K-12 using PCR products. Proc Natl Acad Sci USA. 2000, 97 (12): 6640-6645. 10.1073/pnas.120163297.PubMedPubMed CentralView Article
- Hapfelmeier S, Stecher B, Barthel M, Kremer M, Muller AJ, Heikenwalder M, Stallmach T, Hensel M, Pfeffer K, Akira S, et al: The Salmonella pathogenicity island (SPI)-2 and SPI-1 type III secretion systems allow Salmonella serovar typhimurium to trigger colitis via MyD88-dependent and MyD88-independent mechanisms. J Immunol. 2005, 174 (3): 1675-1685.PubMedView Article
- Barthel M, Hapfelmeier S, Quintanilla-Martinez L, Kremer M, Rohde M, Hogardt M, Pfeffer K, Russmann H, Hardt WD: Pretreatment of mice with streptomycin provides a Salmonella enterica serovar Typhimurium colitis model that allows analysis of both pathogen and host. Infect Immun. 2003, 71 (5): 2839-2858. 10.1128/IAI.71.5.2839-2858.2003.PubMedPubMed CentralView Article
- Suar M, Jantsch J, Hapfelmeier S, Kremer M, Stallmach T, Barrow PA, Hardt WD: Virulence of broad- and narrow-host-range Salmonella enterica serovars in the streptomycin-pretreated mouse model. Infect Immun. 2006, 74 (1): 632-644. 10.1128/IAI.74.1.632-644.2006.PubMedPubMed CentralView Article
- Suar M, Periaswamy B, Songhet P, Misselwitz B, Muller A, Kappeli R, Kremer M, Heikenwalder M, Hardt WD: Accelerated type III secretion system 2-dependent enteropathogenesis by a Salmonella enterica serovar enteritidis PT4/6 strain. Infect Immun. 2009, 77 (9): 3569-3577. 10.1128/IAI.00511-09.PubMedPubMed CentralView Article
- Endt K, Maier L, Kappeli R, Barthel M, Misselwitz B, Kremer M, Hardt WD: Peroral ciprofloxacin therapy impairs the generation of a protective immune response in a mouse model for Salmonella enterica serovar Typhimurium diarrhea, while parenteral ceftriaxone therapy does not. Antimicrob Agents Chemother. 2012, 56 (5): 2295-2304. 10.1128/AAC.05819-11.PubMedPubMed CentralView Article
- Andrews FJ, Katz F, Jones A, Smith S, Finn A: CD40 ligand deficiency presenting as unresponsive neutropenia. Arch Dis Child. 1996, 74 (5): 458-459. 10.1136/adc.74.5.458.PubMedPubMed CentralView Article
- Padigel UM, Alexander J, Farrell JP: The role of interleukin-10 in susceptibility of BALB/c mice to infection with Leishmania mexicana and Leishmania amazonensis. J Immunol. 2003, 171 (7): 3705-3710.PubMedView Article
- Levine MM, Black RE, Lanata C: Precise estimation of the numbers of chronic carriers of Salmonella typhi in Santiago, Chile, an endemic area. J Infect Dis. 1982, 146 (6): 724-726. 10.1093/infdis/146.6.724.PubMedView Article
- Hoffman TA, Ruiz CJ, Counts GW, Sachs JM, Nitzkin JL: Waterborne typhoid fever in Dade County, Florida. Clinical and therapeutic evaluation of 105 bacteremic patients. Am J Med. 1975, 59 (4): 481-487. 10.1016/0002-9343(75)90255-7.PubMedView Article
- Brodsky IE, Ernst RK, Miller SI, Falkow S: mig-14 is a Salmonella gene that plays a role in bacterial resistance to antimicrobial peptides. J Bacteriol. 2002, 184 (12): 3203-3213. 10.1128/JB.184.12.3203-3213.2002.PubMedPubMed CentralView Article
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