Abstract:
Salmonella enterica serovar Typhi (S. Typhi) is the cause of typhoid fever in humans.
Although typhoid fever has almost vanished from developed countries, it is still a major
cause of morbidity and mortality in the developing world. Its global annual incidence has
increased from 21 million cases to 26.9 million cases during the period 2000 to 2010.
Typhoid fever is curable with high dose of several antimicrobials but the treatment is
time consuming and expensive. Vaccines are the eventual source of prevention from
typhoid fever. At present, licensed typhoid vaccines are based on Vi polysaccharides.
These vaccines are not useful for children of less than 2 years of age and are ineffective
against the infections caused by Vi negative S. Typhi strains. O-Specific polysaccharides
(OSP) from lipopolysaccharides (LPS) are universally present in both Vi positive and Vi
negative S. Typhi and their conjugation with a potential immunogenic protein can make
them useful for children below 2 years of age and to elicit humoral as well as cellular
immune response. Therefore, we planned to prepare polysaccharide-protein conjugates of
Vi negative S. Typhi as potential vaccine candidates. Initially, we purified OSP from the
extracted LPS of a local Vi negative S. Typhi isolate and checked its antigenicity against
polyclonal mice antisera. To conjugate a carrier protein with the purified OSP, we used
the recombinant exoprotein A of Pseudomonas aeruginosa (rEPA) and human serum
albumin (HSA). For production of recombinant rEPA, full length rEPA gene was cloned
in expression vector. Protein expression was optimized using different isopropyl-β-D-
thiogalactoside (IPTG) concentrations, various temperatures and post-induction time. The
expressed protein was purified on Ni-NTA chromatography column from soluble fraction
as well as from inclusion bodies. His-tag was removed from rEPA using tobacco etch
virus (TEV) protease. Polyacrylamide gel and Western blot procedures were performed
to check the purity of the protein. We synthesized four glycoconjugate vaccine candidates
of Vi negative S. Typhi OSP using sodium cyanoborohydride (reductive amination) and
1-cyano-4-dimethylaminopyridinium tetrafluoroborate (CDAP). Each of the conjugate
was injected to mice on day 1, day 21 and day 42. The immune response (IgG) against
prepared conjugates were determined using enzyme-linked immunosorbent assay
(ELISA) and the results were interpreted by one way ANOVA using all conjugate groups
vs. OSP control group. The conjugate 2 elicited significantly high (P = 0.0001) antibody
titer, while the titers produced by conjugate 1 (P = 0.037), conjugate 3 (P = 0.302) and
conjugate 4 (P = 0.416) were not significantly higher than that of the control group. We
conclude that the conjugate 2 (OSP-rEPA) has the potential to be evaluated further and
recommended for the clinical trials.