Mutants of the Escherichia coli heat-labile enterotoxin as safe and strong adjuvants for intranasal delivery of vaccines

Cholera toxin and Escherichia coli heat-labile enterotoxin are powerful mucosal adjuvants but their high toxicity hampers their use in humans. Site-directed mutagenesis has allowed the generation of several cholera toxin and E. coli heat-labile enterotoxin mutants with abolished or strongly reduced...

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Veröffentlicht in:Expert review of vaccines 2003-04, Vol.2 (2), p.285-293
Hauptverfasser: Peppoloni, Samuele, Ruggiero, Paolo, Contorni, Mario, Morandi, Maurizio, Pizza, Mariagrazia, Rappuoli, Rino, Podda, Audino, Giudice, Giuseppe Del
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container_issue 2
container_start_page 285
container_title Expert review of vaccines
container_volume 2
creator Peppoloni, Samuele
Ruggiero, Paolo
Contorni, Mario
Morandi, Maurizio
Pizza, Mariagrazia
Rappuoli, Rino
Podda, Audino
Giudice, Giuseppe Del
description Cholera toxin and Escherichia coli heat-labile enterotoxin are powerful mucosal adjuvants but their high toxicity hampers their use in humans. Site-directed mutagenesis has allowed the generation of several cholera toxin and E. coli heat-labile enterotoxin mutants with abolished or strongly reduced toxicity that still retain strong mucosal adjuvanticity. Among them, LTK63 (Ser to Lys substitution at position 63 in the A subunit) is completely nontoxic and LTR72 (Ala to Arg at position 72) retains a very low residual enzymatic activity. Both of them have been shown to be safe and effective in enhancing the immunogenicity of intranasally coadministered vaccines, also resulting in protective responses in several animal models. Clinical grade preparations of these mutants have now been produced, tested in animals and proven to be totally safe. Indeed, they did not induce any inflammatory event in the respiratory tract nor, more importantly, in the olfactory bulbs and in the meninges. The fully nontoxic LTK63 mutant has now been successfully tested in human volunteers with a trivalent subunit influenza vaccine.
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Site-directed mutagenesis has allowed the generation of several cholera toxin and E. coli heat-labile enterotoxin mutants with abolished or strongly reduced toxicity that still retain strong mucosal adjuvanticity. Among them, LTK63 (Ser to Lys substitution at position 63 in the A subunit) is completely nontoxic and LTR72 (Ala to Arg at position 72) retains a very low residual enzymatic activity. Both of them have been shown to be safe and effective in enhancing the immunogenicity of intranasally coadministered vaccines, also resulting in protective responses in several animal models. Clinical grade preparations of these mutants have now been produced, tested in animals and proven to be totally safe. Indeed, they did not induce any inflammatory event in the respiratory tract nor, more importantly, in the olfactory bulbs and in the meninges. 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subjects adjuvants
Adjuvants, Immunologic - administration & dosage
Administration, Intranasal
Analysis
Animals
Bacterial Toxins - administration & dosage
Bacterial Toxins - genetics
Cholera
Cholera toxin
Contamination
Drug therapy, Combination
Enterotoxins - administration & dosage
Enterotoxins - genetics
Enzymes
Escherichia coli
Escherichia coli - genetics
Escherichia coli - immunology
Escherichia coli Proteins
Humans
Immunity, Mucosal
Influenza
Influenza Vaccines - administration & dosage
mucosal
Mutation
Safety
Vaccines
Vaccines - administration & dosage
title Mutants of the Escherichia coli heat-labile enterotoxin as safe and strong adjuvants for intranasal delivery of vaccines
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