Abstract
Schistosomiasis is a neglected parasitic disease of major public health concern as it affects over 250 million people in developing countries. Currently there is no licensed vaccine available against schistosomiasis. The Schistosoma mansoni calpain protein, Sm-p80, is a leading vaccine candidate now ready to move to clinical trials. In order to better assess Sm-p80 vaccine immunogenicity; here we used a systems biology approach employing RNA-sequencing to identify gene signatures and epistatic interactions following Sm-p80 vaccination in mouse and baboon models that may predict vaccine efficacy. Recombinant Sm-p80 + CpG-oligodeoxynucleotide (ODN) vaccine formulation induced both cellular and humoral immunity genes with a predominant TH1 response as well as TH2 and TH17 gene signatures. Early gene responses and gene-network interactions in mice immunized with rSm-p80 + ODN appear to be initiated through TLR4 signaling. CSF genes, S100A alarmin genes and TNFRSF genes appear to be a signature of vaccine immunogenicity/efficacy as identified by their participation in gene network interactions in both mice and baboons. These gene families may provide a basis for predicting desirable outcomes for vaccines against schistosomiasis leading to a better understanding of the immune system response to vaccination.
Introduction
Vaccines are one of the most cost-effective approaches to control infectious diseases [1–3]. The parasitic disease schistosomiasis currently affects over 250 million people with a global impact on over a billion people in more than 78 countries [4]. Despite integrated control measures, schistosomiasis continues to spread to new regions [5]. Therefore, the development of a protective vaccine against schistosomiasis still remains potentially the most effective means for controlling the disease [6, 7]. Schistosoma mansoni calpain (Sm-p80) has been shown to elicit immune protection against schistosomiasis making it a promising vaccine candidate and is now in preparation for GMP production for Phase I/II human clinical trials [8–10]. In order to further evaluate and understand vaccine-mediated mechanisms of protection, it is important to demonstrate their effectiveness and identify correlates of protection. Recently, systems vaccinology has been successfully applied in dissecting the molecular mechanism of human approved vaccines for yellow fever, influenza, and meningococcus [11–13]. However, this approach has not been employed using next-generation sequencing (NGS) in the evaluation of a non-licensed parasitic vaccine. In this study, we employed NGS to understand epistatic interactions that correlate to Sm-p80 vaccine immunogenicity and disease protection in mouse and baboon models of infection. In order to do so, we integrated data obtained from different RNA-sequencing experiments. First, we identified transcriptional responses to five different Sm-p80 vaccine formulations in mice. Second, we identified early-gene immune responses to rSm-p80 + ODN vaccine formulation in mice. Third, we compared mice gene responses to Sm-p80 vaccination and S. mansoni infection in naïve mice. Last, we identified epistatic interactions in response to Sm-p80 vaccination in baboons across different immune system tissues, peripheral blood mononuclear cells, spleen, and lymph nodes. Our results describe the potential of RNA-sequencing to identify gene interactions as possible correlates of vaccine mediated protection in mice and baboons.
Materials and methods
Ethics statement
This study was carried out in strict adherence with the recommendations for the Care and Use of Laboratory Animals of the National Institutes of Health. Naïve female 4–6 weeks old C57BL/6 mice were purchased from Charles River Laboratories International Inc. (Wilmington, MA, USA). The Institutional Animal Care and Use Committee (IACUC) of Texas Tech University Health Sciences Center Laboratory Animal Resource Center approved the use of mice for this study. Male and female non-human primates, olive baboons (Papio anubis) ages 2.3 to 6.29 years old were obtained from the University of Oklahoma Health Sciences Center (OUHSC; Oklahoma City, OK) baboon breeding colony and housed in Association for Assessment and Accreditation of Laboratory Animal Care accredited facilities at OUSHC.
Mice studies presented in this publication were approved by the IACUC (Protocol Number 20010202 (Texas Tech University Health Sciences Center). Animals are housed in facilities maintained by the animal resources program at the TTUHSC. The Animal Research Facilities meet the NIH standards as set forth in the “Guide for the Care and Use of Laboratory Animals” and accepts as mandatory the PHS “Policy on Humane Care and use of Laboratory Animals by Awardees Institutions” and NIH “Principals for the Utilization and Care of Vertebrate Animals Used in Testing, Research and Training”. TTUHSC (A-3056-01) has on file with the Office for Protection from Research Risk an approved Assurance of Compliance. Mice were be sacrificed by CO2 asphyxiation followed by cervical dislocation following the recommendations of the Panel on Euthanasia of the American Veterinary Medical association. Nonhuman primate (baboon) studies presented in this publication were approved by the IACUC (Protocol Number: 11-160-I (Oklahoma University Health Sciences Center). OUHSC maintains a USDA-reviewed program for environmental enhancement to promote psychological well-being of our nonhuman primates. OUHSC also have been an Assured Institution (Category 1, #A-3165-01) in full compliance with the Public Health Service Policy and approved by the Office for Protection from Research Risks since 1986. Social housing, structural enrichment, cage manipulanda, interaction with animal care staff, and novel dietary supplementation are standard procedures for our primate populations as to ensure regular food and water, sufficient space, and social interactions and stimulation for play. To minimize distress caused by the isolation of protocol regimens, baboons are returned to the colony/cage-mate as soon as possible or housed separately but adjacent to familiar cohorts. To minimize distress, baboons were sedated with ketamine 10 mg/kg IM. All animals were euthanized by deeply anesthetizing with sodium pentobarbital. Once a deep surgical level of anesthesia is reached, baboons were exsanguinated via cardiac puncture. Procedures are in accordance with the recommendations of the 2013 Report of the AVMA Panel on Euthanasia. Prior to experiment all baboons were prescreened for intestinal and blood parasites, as well as tested for serum antibody cross-reactivity with Sm-p80. All animals were found negative for parasites and Sm-p80 cross-reactive antibodies. The use of animals for this study was approved by the Institutional Care and Use Committee. Biomphalaria glabrata (Puerto Rican strain), snails, were obtained from the National Institute of Allergy and Infectious Diseases Schistosomiasis Resource Center, Biomedical Research Institute (Rockville, MD, USA).
Sm-p80 vaccine preparations
DNA vaccine
Sm-p80-DNA based vaccine formulation protection efficacy in mice has already been reported [14]. Briefly, the large subunit of S. mansoni calpain, Sm-p80, was cloned into the BamHI site of the mammalian expression plasmid VR1020 (Vical Incorporated, San Diego, CA, USA). Plasmid DNA containing Sm-p80 was obtained by alkaline lysing transformed E. coli hosting the vector. The resulting DNA was purified on Sepharose CL4B colum and ethanol precipitated for resuspension in sterile, endotoxin-free phosphate buffered saline.
Recombinant protein vaccine
Details of the preparation of recombinant Sm-p80 protein vaccine have been described elsewhere [15]. Briefly, the full-length coding sequence of Sm-p80 was cloned into pCold II vector for transformation in E. coli BL21 (DE3). Transformed cells were cultured in LB plus ampicillin at 37°C and cold induced using IPTG. Harvested cells were re-suspended in pCold lysis buffer for sonication. Cell lysate supernatant was collected and incubated with nickel resin for binding. Imidazole was used for protein elution and dialyzed. Protein expression was confirmed by SDS-PAGE and immunoblotting. Three different rSm-p80 vaccine formulations were tested on different adjuvants: one, coupled with TLR7 agonist alum; two, coupled with TLR9 ligand, CpG-ODN, and three, coupled with TLR4 agonist glucopyranosyl lipid A oil-in-water stable emulsion formulation (GLA-SE). Prior injection, rSm-p80 was added and mixed with the designated adjuvant to make the final vaccine formulation.
Heterologous prime/boost vaccine
Sm-p80-based dual vaccine strategy (prime/boost) was a combination of DNA vaccine preparation, pcDNA3-Sm-80, and recombinant protein Sm-p80 in CpG-ODN preparation. Mice were primed with DNA vaccine, and then boosted two times at 4 week intervals with rSm-p80 + ODN [15].
Immunization strategies
Sm-p80 vaccine formulations study
Each immunization regimen consisted of 30 mice, 15 animals randomly assigned as control and experimental groups, respectively. For DNA vaccine strategy, experimental mice were immunized with 100μg Sm-p80-VR1020 plasmid DNA on weeks 0, 4, and 8. Control animals were immunized with the same concentration with empty vector VR1020 at the same time-intervals. For prime/boost immunization strategy, experimental animals received 100μg of DNA vaccine (Sm-p80-pcDNA3) with 50μg CpG ODN (101014) in one leg and 25μg of recombinant protein (rSm-p80) plus 50μg CpG ODN in the other leg. Mice in control group received the same dosages of DNA vector with ODN. For recombinant protein immunization in alum, experimental mice were vaccinated with 25μg rSm-p80 in 150μg alum at weeks 0, 4, and 8; control mice received 150μg alum only. For recombinant Sm-p80 immunization in CpG ODN strategy; experimental animals were administered 25μg rSm-p80 in 50μg CpG ODN 101104 at weeks 0, 4, and 8; control mice received 50μg CpG ODN 2137. Lastly, for rSm-p80 plus GLA-SE vaccine strategy; experimental animals were injected with 25μg rSm-p80 in 5μg GLA-SE while control animals received 5μg GLA-SE only at week 0, 4, and 8. All injections were intramuscularly administered [14, 15].
Early-gene responses in mice study
Mice were randomly and equally distributed according to given treatment: control (ODN) and experimental (rSm-p80 + ODN) groups, where n = 30 for each group. Five mice were also assigned as pre-treatment control, naïve, for baseline comparisons (n = 5). To study the time-dependent transcriptome response to Sm-p80 vaccination in mice we collected spleens at different time intervals after vaccination: 24 hours, 48 hours, 7 days, and 21 days post-vaccination. At time 0, mice from control and experimental groups were treated. Control mice were administered 50μg of CpG-ODN2137 re-suspended in PBS. Experimental group mice were immunized with a total concentration of 25μg of rSm-p80 and 50μg of CpG-ODN10104 re-suspended in PBS. All immunizations were administered intra-muscularly in the mice’s quadriceps. At 24 hours post-vaccination, five mice from each group were euthanized by carbon dioxide asphyxiation followed by cervical dislocation. Immediately, cardiac puncture was performed for blood collection followed by splenectomy for splenocytes harvest. Likely, at 48 hours, 7 days, and 21 days post-vaccination, mice were euthanized and tissues were collected as described.
Gene responses in baboon study
To perform the experiment 8 baboons were randomly and equally designated into control (ODN only) and experimental (rSm-p80 + ODN) groups. Animals were immunized with 250 μg rSm-p80 plus 250 μg ODN. All animals received prime immunization followed by two boosts at 4 week intervals. After the last immunization all animals were percutaneously exposed to 1,000 S. mansoni cercariae each. To allow for disease progression and egg laying animals were under observation for 8 weeks [9].
Parasite challenge
Mouse model
At week 12-post prime immunization all mice were challenged with S. mansoni cercariae. Each mouse was infected with 150 cercariae via tail exposure. The 150 cercariae were then pipetted to a glass test tube and filled up with spring water. Each mouse was then inserted into a restrainer tube with its tail placed into the test tube containing the cercariae. After 8 weeks, mice were euthanized by carbon dioxide asphyxiation followed by cervical dislocation. Adult worms are counted from the perfusate and mesenteric veins are inspected to collect any worms remained in tissues. Worm reduction in vaccinated versus control animals was calculated from the number of worms recovered from each mouse (worm burden). Worm burden reduction was then calculated using the standard formula: %P = ; where P equals protection, C equals average worm burden of control animals, and I equals average worm burden of experimental animals.
Baboon model
All animals were percutaneously exposed to 1,000 S. mansoni cercariae each [9]. To allow for disease progression and egg laying animals were under observation for 8 weeks. Following disease progression observation period, animals were euthanized. Adult S. mansoni worms were recovered by perfusion of the liver ad intestines, followed by careful visual inspection of the intestinal mesenteric veins.
Tissue collection
Spleens were mashed with the aid of a syringe plunger and washed with RPMI supplemented with antibiotics (kanamycin, gentamycin, and streptomycin). The resulting cell pellets were re-suspended in freezing media and aliquoted for storage at -80°C.
Baboon blood samples were collected in heparinized vacutainer tubes for storage until processing. Peripheral blood mononuclear cells (PBMCs) were isolated from whole blood using Histopaque-1077 (Sigma Aldrich, St. Louis, MO). Purified PBMCs were re-suspended in freezing media (10% DMSO in fetal bovine sera plus RPMI) for storage and later use. Cell suspensions were washed and stored in freezing media until use.
Total RNA extraction
Total RNA was extracted and RNA-Seq libraries were prepared from individual samples from each animal. Total RNA was extracted using QIAGEN RNeasy Mini Prep Kit (Redwood City, CA) following manufacturer’s instructions. Briefly, PBMCs, splenocytes, and lymph node cells stored in freezing media were centrifuged to collect cell pellets. Immediately, RLT buffer was added to the pellets for cell lysis and homogenization. Homogenized samples were passed through a genomic DNA shredder column and ethanol was added to adjust binding conditions. Samples were then passed through an RNeasy spin column for RNA absorption and washing. Total RNA was then eluted in DEPC treated water. Total RNA concentrations were calculated using Qubit® 3.0 fluorometer and RNA HS assay kit. RNA samples were stored at -80°C until sequencing library preparation.
Library preparations and RNA-sequencing
Mouse
Complementary DNA libraries for sequencing were prepared from total RNA extracted from individual mouse spleens. From each sample, 3μg of total RNA was used for cDNA library construction following the protocol supplied with the TruSeq® Stranded mRNA HT sample preparation kit (illumina, San Diego, USA). Briefly, total RNA was incubated with magnetic oligo (dT) beads and heat denatured to facilitate binding of the polyA RNA to the beads for mRNA isolation. Beads were then washed to discard rRNA and other contaminants to posteriorly fragment the libraries. Cleaved RNA fragments that were primed with random hexamers were then transcribed into first strand cDNA using SuperScript® III reverse transcriptase (Thermo Fisher Scientific, Waltham, MA, USA) and random primers, followed by second strand cDNA synthesis using DNA polymerase I. The resulting blunt-ended dscDNA were then 3’ adenylated to prevent the fragments from ligating to one another and to provide a complementary overhang for ligating adapters. Libraries were then dual-indexed using unique combination of indexes for each sample. The resulting indexed libraries were enriched using PCR to selectively amplify DNA fragments that have adapter molecules on both ends and to amplify the amount of DNA in the library. The resulting libraries were cleaned using Agencourt AMPure XP purification beads (Beckman Coulter, Brea, CA, USA) and re-suspended in 30μL of resuspension buffer. Library preparation resulted in 56 dual-indexed libraries with a mid-insert size of 300 bp. Libraries were validated for insert size by capillary gel electrophoresis on an Agilent 2200 TapeStation instrument using D1000 ScreenTape for analysis (Santa Clara, CA, USA). All libraries were quantified in triplicates using Qubit® 3.0 fluorometer using dsDNA HS assay kit. Prior to cluster generation for sequencing, samples were normalized to an equimolar concentration. Validated and indexed stock libraries were diluted in 10mM Tris-HCl, pH 8.5 with 0.1% Tween 20 to 10nM, concentrations were quantified in triplicates using Qubit 3.0® fluorometer. The resulting 10nM libraries were then further diluted to 5nM for pooling. The pooled cDNA libraries were denatured, diluted, and loaded in a HiSeq 2500 sequencer (illumina, San Diego, USA). Paired end sequencing with 2X125 bp read length was performed using HiSeq Rapid SBS Kits with v2 chemistry.
Baboon
Due to limited RNA concentrations to prepare libraries through conventional kits (illumina TruSeq® kits); cDNA was prepared before library preparation using Smarter kit (Clonetech Laboratories, Inc. Mountview CA). A total of 10pg total RNA was used as input for cDNA synthesis following manufacturer’s protocol described in SMART-Seq v4 Ultra Low Input RNA kit for sequencing. Resulting cDNA was used for sequencing library construction following Nextera® XT DNA library preparation protocol which fragments and tags (tagmentation) dscDNA. The resulting dual-indexed paired-end libraries were validated for insert size Agilent 2200 TapeStation (Agilent Technologies). Library concentrations were measured in triplicates using Qubit® fluorometer and dsDNA HS assay kit. Library normalization was performed to ensure equal library representation in the pooled sample. Libraries were diluted in 10mM Tris-HCl, pH 8.5 with 0.1% Tween 20 to a final concentration of 4nM. A total of two pools were prepared; one pool containing all PBMCs samples, the second pool containing all lymph node and splenocytes samples. After pooling, samples were denatured with 0.2N NaOH and loaded into a cBot for cluster generation in a V4 flow cell. After cluster generation, the flow cells were transferred to an illumina HiSeq for 2 X 125 bp paired end sequencing utilizing v4 chemistry in a high output run mode.
Bioinformatics
Mouse
Sequencing run data containing base call information was demultiplexed in BaseSpace® Sequence Hub cloud-based genomics computing environment for next-generation sequencing (NGS) data management and analysis tool. Samples were analyzed automatically using the illumina workflow apps according to the designed sample sheet. The resulting fastq.gz files were decompressed using 7-zip software to generate fastq files for read 1 and read 2 for each sample. Raw reads quality assessment was performed by QC statistics with FastQC software tool (Babraham Bioinformatics). For raw-read alignment and differential gene expression analysis fastq files were imported into QSeq® Version 13.0 software (DNASTAR, Madison, WI, USA) and aligned to Mus musculus reference genome (assembly GRCm38.p4) with reads assigned per kilobase of target per million mapped reads (RPKM) normalization. Student’s two-tailed unpaired t-test with Benjamin Hochberg FDR correction was used to compare the means of gene expression values for five individual replicates for a given gene. RNA-Seq QSeq data was analyzed by creating replicate group sets according to mice post-vaccination time-point and treatment group. The genes were identified as differentially expressed with ≥ two-fold changes if they had the false discovery rate method for multiple test correction p-value of ≤ 0.05. For each observation, the resulting differentially expressed genes (DEGs) with annotations, Log2 fold-change, and p-value were exported for input for into pathway mapping into Ingenuity Pathway Analysis Software (IPA®, QIAGEN Redwood City) tool core analysis using standard settings with duplicates resolved. Comparison analysis was performed to analyze differences across time-points post-vaccination in control and experimental animals. The network molecules associated with an immune system response in the Knowledge Base were considered for analysis and identification of key molecular signatures as well as molecules and pathways with greatest activation z-score difference were selected for further analysis. Right-tailored Fisher’s exact test was used to calculate the p-value to reflect the likelihood of an overlap between a set of molecules and a given process is due to random chance. Activation z-score statistic was used to predict the directional effect of one molecule on another or on a process to predict the activation state (inhibition/activation). Heat maps were generated using Gene-E (Broad Institute, https://software.broadinstitute.org/GENE-E/).
Baboon
Sequencing run data containing base call information was stored and demultiplexed in BaseSpace® Sequence Hub. The resulting fast.gz files were decompressed using 7-zip to obtain fastq files for read 1 and read 2 for each sample. Raw reads quality assessment was performed by QC statistics with FastQC software tool (Babraham Bioinformatics). A summary of the quality scores for the sequencing run are depicted in S5 Dataset. The resulting folders containing reads 1 and 2 for each animal for each tissue sample were aligned to the Homo sapiens Human Genome version 19 downloaded from NCBI RefSeq using QSeq® version 13.0 software (DNASTAR, Madison, WI, USA) for differential gene expression analysis using RPKM normalization. RNA sequencing data was analyzed by creating different replicate groups. Samples were separated by tissue of origin (lymph node, spleen, or PBMCs), experimental group assignation, and, in the case of PBMC samples, separated by time-point. Differential gene expression analysis was performed by comparing the experimental group samples to their corresponding control samples. The resulting DEGs with annotation, log2 fold-change, p-value, and standard deviation, were exported. Differentially expressed gene lists were then loaded into PANTHER Classification System for gene ontology. Gene list files were also uploaded into Ingenuity Pathway Analysis Software tool core analysis using standard setting with duplicates resolved. IPA analysis consisted of identifying canonical pathways, upstream regulators, molecular networks, and regulator effects associated with an immune system response, cell signaling, and cellular development were considered for identification of key molecules and network mapping. Right-tailored Fisher’s exact test was used to calculate the p-value to reflect the likelihood of an overlap between a set of molecules and a given process is due to random chance. Activation z-score statistic was used to predict the directional effect of one molecule on another or on a process to predict the activation state (inhibition/activation).
Quantitative real-time PCR
Real-time PCR was carried out to determine and validate the expression levels of selected genes as well as to identify rSm-p80 + ODN immunized mice in a blinded study. Specific primers for qRT-PCR were designed from mRNA sequences obtained from NCBI for mice genes: CSF2, TLR4, S100A8, HEBP1, STAT1, FOS, CDK1, and GAPDH. Selected baboon DEGs were used as reference for template-guided assembly using raw reads to obtain mapped contings. Contig consensus was obtained using N-Gen and SNPs were modified according to general consensus among contigs. Primers were designed and obtained using PrimerQuest from Integrated DNA Technologies (IDT, Coralville, IA). All primer sequences for qRT-PCR are shown in S6 Dataset. The final concentrations of both forward and reverse primers for each reaction were 0.2 μM in a 100μL. Briefly, synthesized cDNA were used as templates for PCR amplification using SYBR Green PCR Master Mix (Takara, Japan) on a StepOneTM Plus Real time PCR system (Applied Biosystems) The reaction mixture was prepared on MicroAmp® 96-well reaction plate. Reaction conditions were: initial denaturation at 95°C for 30 seconds; PCR amplification for 40 cycles at 95°C for 5 seconds and 60°C for 30 seconds. GAPDH was used as the housekeeping gene for normalization. All reactions were carried out in triplicates. Results were analyzed using DataAssistTM software v3.0. Graphpad Prism v7 was used to assess the statistical significance of the fold change in expression pattern (S8 Fig).
Independent blinded vaccination
Ten mice were equally, randomly, and blindly administered either rSm-p80 + ODN or ODN alone. Twenty-four hours post immunization mice were euthanized and spleens were processed to isolate RNA and synthesize cDNA for qRT-PCR studies of selected genes (CSF2, TLR4, S100A8, FOS, HEBP1, and STAT1). Based on expression levels for each gene mice were assigned to an experimental group. After assessment of all expression levels for all genes the animals were categorized as ODN or rSm-p80 + ODN. All animals were un-blinded to identify the accuracy of the identification.
Data acquisition
Sequencing quality scores were evaluated using FastQC (S5 Dataset) before mapping into the corresponding genome. Gene expression differences were obtained using DNASTAR-QSeq [16]. DEGs were used as input to generate CIRCOS plots, gene ontology classification was performed using PANTHER GO; networks and pathways were generated using Ingenuity Pathway Analysis (IPA®, QIAGEN Redwood) and Cytoscape [17–20]. Data from each experiment were deposited at NCBI-SRA under Bioprojects: SRP079915, SRP081153, SRP081155, and SRP081154. Individual accession numbers for all samples in each BioProject are described in detail in S1 Dataset.
Results
Transcriptomics comparison for five different Sm-p80 vaccine formulations
We compared three different Sm-p80-based vaccination strategies: A DNA-based vaccine, Sm-p80-VR1020 [14]; Heterologous prime-boost vaccination [15] with Sm-p80-pcDNA3 as a prime boosted with rSm-p80 + the TLR9 agonistic ODN; and the recombinant protein based antigen, rSm-p80, paired with different adjuvants: alum, GLA-SE, or the ODN [21, 22]. For this purpose, mice immunized with a given Sm-p80-based strategy were challenged with S. mansoni and assessed for worm burden. Here protection levels as measured by reductions in worm burden ranged from 47 to 70%, with rSm-p80 + ODN demonstrating the highest level of protection [14, 15, 21–23]. To explore the transcriptomes and identify gene signatures in which each vaccine induced protective immunity, we used RNA-Seq of mouse splenocytes (Fig 1A). Bioinformatic analysis revealed that in this model rSm-p80 + ODN based vaccines induce the highest number of differentially expressed genes (DEGs) mapping to an immune system process (Fig 2A, S1A Fig and S2 Dataset). Differential expression of a total of 83 genes was common to all vaccination strategies, 59 of which were also induced by S. mansoni infection in naïve mice while 24 genes were unique to Sm-p80 immunized mice (Fig 2B). Comparison of the 59 genes differentially expressed in both vaccine and infection groups revealed up-regulation of nearly all these genes in the control challenged group while most genes were down-regulated in vaccinated animals. Several immunoglobulin-variable (Ighv and Ighk) region-related genes were observed to be highly upregulated in rSm-p80 + ODN immunized mice, pointing to active Ig-gene rearrangement with a decrease in IghD and an increase in IghA, IghG1, IghG2 gene expression (Fig 2C). Expression levels for the 24 Sm-p80 induced unique genes were found to be more heterogeneous in comparison (Fig 2D). Sm-p80 + ODN differed from the other formulations in that it exhibited characteristics of a TH1 response (IFNγ, IL15, IL18, and LTBR), TH2-associated gene expression (IL4 and IL13Ra2) as well as TH17 helper T cell cytokine/receptor expression profiles (IL17C and D receptors and IL15). We also found increased interferon regulatory factors (IRF3 and 7) gene expression with many interferon inducible genes upregulated compared to the other vaccine formulations. Other increased signatures included MHC genes (class I and class II); the C1qa/C1qb, C4a/C4b, and C8g components of both the classical and alternative complement pathways; the Ly6 gene family; and—significantly–signaling molecules like Ca2+ binding protein S100A gene family (alarmins). In addition, we found an increased expression of transcriptional initiation factors, protein folding genes, ribosomal proteins (Rpl22—survival of expanding αβ T cells), antioxidant enzymes, proteasome genes important for processing class I peptides and various mitochondrial genes (S1B Fig). Further mapping of DEGs into canonical pathways (S1 Table) identified rSm-p80 + ODN to have 167 canonical pathways in common with the S. mansoni infection control (Fig 2E). The high similarity of induced canonical pathways between S. mansoni infected naïve mice and rSm-p80 + ODN immunized mice suggests similar immune transcriptome responses to parasite infection and Sm-p80 vaccination.
Early gene signatures of immune response to recombinant Sm-p80 + ODN vaccine formulation in mice
It is clear that vaccines induce robust adaptive immunity by triggering a vigorous innate immune response that directs the type of induced protection (cell mediated or humoral) [24, 25]. We therefore investigated the early time points during the developing adaptive immune response to identify key gene signatures of rSm-p80 + ODN vaccination. Mice were vaccinated once and splenocytes were analyzed by RNA-Seq at 24 hours, 48 hours, 7 days, and 21 days post-vaccination (Fig 1B) for differences in gene expression (S3 Dataset, S2 Fig and S3A Fig). The highest number of immune system related DEGs was observed 24 hours post-vaccination (Fig 3A). At 24 and 48 hours, we found a vigorous innate immune response including the induction of pattern recognition genes (S100A family genes, TLR4, 8, 13, and NOD-like receptors), inflammatory cytokines (CSF family, IL-1 family, IL-15, IL-18, and TNF superfamily), increased expression of IRFs 1 and 7 with induction of several interferon inducible/regulated genes, and increased expression of complement factors and antigen presenting genes (S3B Fig). We found an increase expression of IL-27, a cytokine related to IL-12A, which promotes the expansion of naïve CD4+ T cells and drives TH1 differentiation [26]. At day 7, most upregulated genes were involved in adaptive immune responses such as immunoglobulin re-arrangement (increased expression of IghG1, 2, 3 and IghE heavy chains) and cell proliferation. By 21 days, there were fewer DEGs with most being down regulated (S2 Fig and S3 Fig). Five genes were found to be linked between 24 hours to 21 days post-vaccination time points and may play a role in inducing the adaptive immune response to rSm-p80 + ODN vaccination (Fig 3B and 3C). Altered Colony Stimulating Factor 2, CSF2, expression was detected starting at 24 hours to 21 days with peak expression at 48 hours (8.5-fold increase). These 5 genes, CSF2, S100A8, Hebp1, Slc38a5, and RhD are involved in complex molecular networks of many immune system related genes, pointing to a possible role of these genes in initiating adaptive responses to Sm-p80 vaccination (S4 Fig). Epistatic interactions in mice immunized with rSm-p80 + ODN revealed major molecular networks of immune system-related gene expression altered at each time point examined (Fig 3D). At 24 hours, antigen recognition appears to be mediated by a major node of interaction, the Toll-like receptor TLR4, and its signal transducer adapter molecule MYD88 and transcription regulator FOS resulting in the expression of pro-inflammatory cytokines and IFN-inducible genes; which in overall mediate early immune response leading to an increased inflammatory responses and communication between innate and adaptive immune cell-related genes observed at 48 hours [27, 28]. At day 7, activation of leukocytes and cellular growth and differentiation processes appeared to be mediated by the cell cycle regulatory molecules CCNB1, CDK1, CCNA2, BRCA1, and CDC20. Homeostasis and contraction of immune system processes were observed at day 21. The observed homeostasis was induced by downregulation of FOS, and upregulation of BCL2L1, which acts as both an anti- and a pro-apoptotic regulator [29]. Altogether these networks display the classical phases of an adaptive immune response with: antigen recognition and presentation, lymphocyte activation and differentiation, and homeostasis (S5 Fig).
Gene signatures of immune responses to vaccination with rSm-p80 + ODN compared to wild type Schistosoma mansoni infection in mice
Surface antigenic remodeling is a mechanism employed by helminths to evade the host immune system [8, 30]. Since Sm-p80 is important in membrane biogenesis of the parasite, we compared datasets for Sm-p80 vaccination alone (24 hours and 21 days) to S. mansoni infection in naïve mice to determine using gene signatures how closely vaccination mimicked S. mansoni infection. 24 hours after recombinant Sm-p80 + ODN vaccination, a pattern of altered canonical pathways similar to S. mansoni infection in naïve mice was seen with activation markers for dendritic cell maturation, Tec kinase signaling, GNRH signaling, and leukocyte extravasation signaling, amongst others (Fig 4A). The activation state of upstream regulators revealed similar patterns in early-induced genes (24-hour post vaccination) compared to control challenged mice (chronic infection), likewise the 21 days post immunized mice were similar to vaccinated then S. mansoni challenged animals (Fig 4B and 4C). Ingenuity Pathway Analysis (IPA) identified cellular function and inflammatory response processes as one of the top 5 networks; an overlay of corresponding datasets demonstrated similar activation patterns between rSm-p80 + ODN vaccinated mice (24 hours) and S. mansoni control challenge (Fig 5). Network mapping interaction of well-established T and B cell response related genes [31] demonstrated a high activation of T cell response-related genes at 24 hours post vaccination as well as in control infection, while a more mixed activation/inhibition profile was observed in rSm-p80 + ODN immunized animals at 21 days and after S. mansoni challenge infection (Fig 6). The presence of the parasite seems to induce more B cell response-related genes since 24 hours or 21 days post-immunization few genes participate in the activation or inhibition of classical B cell responses. Whereas mice infected with S. mansoni induced the expression of IL4, IL7, CD40, BLNK, and BCL2 in both rSm-p80 + ODN immunized then challenged animals and naïve infected mice (Fig 7).
Gene signatures identified rSm-p80 + ODN immunized mice in an independent blinded study
In order to test the gene signatures potential to correlate with Sm-p80 immunization; we blindly immunized ten mice with either rSm-p80 + ODN or ODN alone. Twenty-four hours post-immunization, mice spleens were processed to extract RNA for qRT-PCR analysis of CSF2, HEBP1, S100A8, STAT1, and TLR4. Based on the top 50% expression value for each gene a cutoff value was assigned to identify each as control or experimental. The overall expression pattern for the 5 genes was used to identify each animals’ treatment. In line with the idea to use the signatures to predict vaccine efficacy, we achieved 80% accuracy in predicting protection in rSm-p80 + ODN immunized mice (Fig 8).
Epistatic interactions in baboon peripheral blood mononuclear cells and secondary lymphoid tissues after rSm-p80 + ODN vaccination and S. mansoni challenge
In order to develop a safe schistosomiasis vaccine for human use it will be essential to assess vaccine efficacy and identify correlates of protection in a biologically relevant animal model. We selected baboons (Papio anubis) in this study since they share greater physiological and immune system resemblance to humans as well as being a natural host for schistosomiasis [32]. In this baboon model of infection, we studied epistatic interaction after rSm-p80 + ODN vaccination. Baboons were immunized three times with rSm-p80 + ODN (n = 4) or ODN alone (n = 4) and peripheral blood mononuclear cells (PBMC) were collected for baseline immune signatures immediately post vaccination as well as just prior to S. mansoni challenge. Animals were euthanized at week 20—after establishment of the disease—to assess worm burden and collect PBMCs and secondary lymphoid tissues. Worm burden protection was observed to be 58% in vaccinated animals [9]. Tissue mononuclear cells (MNCs) were analyzed by RNA-Seq to identify Sm-p80 vaccine-mediated epistatic interactions (Fig 1C). Statistically significant DEGs varied across tissues with spleen at week 20 displaying the highest number of DEGs (8,637 p<0.1 and >2-fold) (S4 Dataset, S6 Fig and S7A Fig). Expression patterns across MNCs in circulation (Week 20 PBMCs) and secondary lymphoid organs were observed with 12 genes in common across all tissues (S7B and S7C Fig). Even in the presence of the parasite, baboon PBMCs at weeks 12 and 20 had almost identical expression values (S7D Fig). Similarly, PBMC and spleen at week 20 demonstrated similar expression patterns for certain common genes (S7E Fig). The most salient difference was observed between the expression values found in PBMC versus mesenteric lymph nodes (S7F Fig); as well as spleen and lymph node differences in gene expression (S7G Fig) Pathway analysis identified 310 significant canonical pathways to overlap with genes from the baboon tissue data sets (S2 Table). Most pathways were found to be unique for each tissue except for agranulocyte and granulocyte adhesion and diapedesis, crosstalk between DCs and NKCs, EIF2 signaling, HMGB1 signaling, and the production of nitric oxide and reactive oxygen species in macrophages which were differentially expressed pathways in common to at least two tissues. To further identify gene predictors of vaccine immunogenicity, immune system process related genes were mapped into networks for each tissue (Fig 9). PBMC (week 12) gene networks identified included the activation of T cell development, differentiation of TH1 cells, maturation and memory of T lymphocytes by nodes of interaction for the genes CD40LG, LCK, LEF1, IFNAA1/A13, IL-22, TNFSRSF4, LTB, CCL3 and CD27. A distinct phenotype was observed in PBMC (week 20) after infection with S. mansoni—most likely due to the immune recall response and clearance of the pathogen. Although there was still differentiation of effector helper T cells and transmigration of cells; downregulation of major nodes IL33, and upregulation of IL2RA, HLA-G, and TNFSRSF25 orchestrated a putative inhibition of inflammatory responses, cell proliferation, inhibition of expansion of effector and central memory T lymphocytes differentiation, loss of lymphocytes, and cell death of immune cells. Tissue specificity was observed in secondary lymphoid organs, however, we found similar immune system processes of innate and adaptive cellular immunity in PBMC after vaccination (week 12). Downregulation of the IFNG was observed to play a role in lymph nodes with IL-17F, CCL21, TNFRSF8, PLTP and CLEC7A mediating the predicted activation of recruitment, distribution, and migration of leukocytes; IL-17F has been shown to stimulate pro-inflammatory cytokines IL-6, IL-8 and GM-CSF2 [33, 34]. The spleen transcriptome displayed altered gene networks as well with IL6 as a major player interacting with CAMP, CEBPA, CSF3R, and TNFRSF6B to activate the expansion of lymphatic systems, induction of PBMC, cell homing, and differentiation of T and B lymphocytes. Altogether, the transcriptomes of Sm-p80 immunized baboon tissues displayed activation and proliferation of both innate inflammatory elements (S100A family, IRF7, IL-17, IL-6, INFA) and adaptive cellular TH1 helper cells, CD8 T cells, and humoral responses with B cell differentiation. Both PBMC at 12 weeks post vaccination and spleen at 20 weeks showed predicted gene signatures for memory immune responses.
Discussion
rSm-p80 + ODN-based vaccines demonstrated the highest levels of protection as well as higher number of DEGs compared to the other Sm-p80 formulations. Comparison of the common 59 genes shared across all vaccine formulations and S. mansoni challenged naïve mice revealed up-regulation of nearly all genes in the control challenged group while most genes were down-regulated for vaccinated animals. Thus pointing to a similar transcriptome response induced by the vaccine and natural infection, with vaccination leading to lessened expression of S. mansoni-induced genes at time of infection.
Likewise, rSm-p80 + ODN immunization elicited a more robust immunological response at the transcriptional level compared to other Sm-p80 formulations. Surprisingly, in the presence of ODN, a TLR9 agonist, early-gene responses to Sm-p80 + ODN demonstrated upregulation and gene interactions that are associated with the innate lipopolysaccharide (LPS) sensor TLR4. We found that both vaccination and control infection induced upstream regulators associated with recognition of LPS [35]. If TLR4 is central to protective immune responses to Schistosoma spp., adjuvant formulations including a TLR4 agonist may be preferred for vaccines against these diseases. This is consistent with our findings of durable protection against parasite challenge with the SchistoShield® vaccine, a TLR4-based adjuvant formulation, GLA-SE [36, 37], combined with rSm-p80 [10].
The presence of CSF2 appears to mediate an important role during the initial response to Sm-p80. GM-CSF, the protein product of CSF2, is involved in a wide range of biological processes in both innate and adaptive immunity, with its production being tightly linked to the response to danger signals and hematopoiesis. It has also been demonstrated that Dendritic Cells (DCs) generated in the presence of GM-CSF plus IL-15 prime potent CD8+ TH1 responses [38] and GM-CSF has been used as an adjuvant to enhance B and T helper cell activity with vaccines [39, 40]. Signaling molecule, S100A8, and heme-binding protein 1, Hebp1—both molecules involved in calcium signaling in immune cells—were up-regulated at 24 hours and are known to play a role in danger signaling and chemotaxis of monocytes and DCs [41, 42]. Sodium coupled neutral amino acid transporter 5, Slc38a5; and blood group Rhesus factor, RhD were found to be increased only at day 7. The roles of Slc38a5 and RhD are not as clear and may be limited to normal cellular development during expansion of the adaptive immune response.
The identification of CSF2, HEBP1, S100A8, STAT1, and TLR4 as potential vaccine predictors support our data analysis in the identification of key genes to be associated with Sm-p80 vaccination. These results should be further evaluated in future schistosomiasis vaccination studies as well as during Sm-p80 vaccine clinical trials.
Common gene(s)/activation pathways were found to be present in data sets of both mice and baboon splenocytes. These can be summarized as detection (alarmins), migration (colony stimulating factors), and response (tumor necrosis factor receptors). The macrophage migration CSF genes appears to play a key role as may be expected for primary mediators of phagocytic cell guidance signals. Additionally, S100A alarmin genes are a common signature of vaccine efficacy as S100A8/9 in mice and S100A4/6 in baboon are found to participate in key gene networks. Finally, TNFRSF genes appear to also play a role in mediating vaccine efficacy as TNFRSF6B in baboon spleen, TNFRSF25 in baboon PBMCs, and TNFS1A/B in mice were observed to be involved in network interactions. The identification of TNFRSF-related genes in mediating vaccine efficacy has been previously reported, as the TNFRF17 gene is a predictor of antibody responses to the YF-17D and TIV [11, 13]. Contrary to the results observed with infection by normal or radiation-attenuated cercariae; the predominant early immune response was TH1 mediated and aimed at the adult worm; then after egg deposition TH1 responses diminished and were replaced by TH2 mediated response [43]. Here, we found that rSm-p80 + ODN vaccination induced gene networks associated with both cellular and humoral responses—predominantly TH1 biased–with some TH2 and TH17 gene signatures in both mice and baboons.
Systems biology approaches using data integration from different animal models immunized with Sm-p80 permitted the observation of a global transcriptome profile of vaccine-induced immune responses and the identification of epistatic interactions following S. mansoni challenge. RNA-Seq comparisons provided a method for inferring key genes involved in mediating rSm-p80 vaccine immunogenicity. As bioinformatics tools have become more accessible, this methodological approach can now be applied to investigate–and possibly predict—immunogenicity for novel non-licensed vaccine candidates prior to and during human clinical trials enabling more rapid decisions on further human development of new vaccine candidates.
Supporting information
Acknowledgments
We thank Peixin Jiang for generating CIRCOS and Cytoscape plots. We thank Stuart Blalock (The Stuart Blalock Visual Company) for help with graphics. We are grateful to Dr. Vadivel Ganapathy for critical reading of the manuscript. We are also thankful to Dr. Gul Ahmed and Dr. Workineh Torben for their work during the animal immunizations and challenge infections.
Data Availability
Data are available from the NCBI with the accession numbers SRP079915, SRP081153, SRP081155, and SRP081154.
Funding Statement
This work was supported by NIH grants [R43AI103983, R44AI103983]; Bill and Melinda Gates Foundation Grant [OPP1097535]; and the South Plains Foundation. The funder provided support in the form of salaries for authors [JUR, MWM, OEO, JS, WZ, AJM, DC, and AAS], but did not have any additional role in the study design, data collection, and analysis, decision to publish, or preparation of the manuscript. The specific roles of these authors are articulated in the “author contributions” section. The collaboration with PAI Life Sciences in this study includes data analysis and preparation of the manuscript.
References
- 1.Ozawa S, Stack ML, Bishai DM, Mirelman A, Friberg IK, Niessen L, et al. During the 'decade of vaccines,' the lives of 6.4 million children valued at $231 billion could be saved. Health affairs. 2011;30(6):1010–20. 10.1377/hlthaff.2011.0381 [DOI] [PubMed] [Google Scholar]
- 2.Stack ML, Ozawa S, Bishai DM, Mirelman A, Tam Y, Niessen L, et al. Estimated economic benefits during the 'decade of vaccines' include treatment savings, gains in labor productivity. Health affairs. 2011;30(6):1021–8. 10.1377/hlthaff.2011.0382 [DOI] [PubMed] [Google Scholar]
- 3.WHO. Global Vaccine Action Plan 2011–2020. Report. 2013.
- 4.WHO. Shistosomiasis—PCT database. In: WHO, editor. WHO: WHO; 2015. [Google Scholar]
- 5.Boissier J, Mone H, Mitta G, Bargues MD, Molyneux D, Mas-Coma S. Schistosomiasis reaches Europe. The Lancet Infectious diseases. 2015;15(7):757–8. Epub 2015/07/01. 10.1016/S1473-3099(15)00084-5 [DOI] [PubMed] [Google Scholar]
- 6.Merrifield M, Hotez PJ, Beaumier CM, Gillespie P, Strych U, Hayward T, et al. Advancing a vaccine to prevent human schistosomiasis. Vaccine. 2016;34(26):2988–91. 10.1016/j.vaccine.2016.03.079 [DOI] [PubMed] [Google Scholar]
- 7.Ricciardi A, Ndao M. Still hope for schistosomiasis vaccine. Human vaccines & immunotherapeutics. 2015;11(10):2504–8. PubMed Central PMCID: PMC4635886. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Siddiqui AA, Zhou Y, Podesta RB, Karcz SR, Tognon CE, Strejan GH, et al. Characterization of Ca(2+)-dependent neutral protease (calpain) from human blood flukes, Schistosoma mansoni. Biochimica et biophysica acta. 1993;1181(1):37–44. [DOI] [PubMed] [Google Scholar]
- 9.Ahmad G, Zhang W, Torben W, Ahrorov A, Damian RT, Wolf RF, et al. Preclinical prophylactic efficacy testing of Sm-p80-based vaccine in a nonhuman primate model of Schistosoma mansoni infection and immunoglobulin G and E responses to Sm-p80 in human serum samples from an area where schistosomiasis is endemic. The Journal of infectious diseases. 2011;204(9):1437–49. Epub 2011/09/17. PubMed Central PMCID: PMCPMC3182311. 10.1093/infdis/jir545 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Karmakar S, Zhang W, Ahmad G, Torben W, Alam MU, Le L, et al. Cross-species protection: Schistosoma mansoni Sm-p80 vaccine confers protection against Schistosoma haematobium in hamsters and baboons. Vaccine. 2014;32(11):1296–303. Epub 2014/01/09. PubMed Central PMCID: PMCPMC3934627. 10.1016/j.vaccine.2013.12.057 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Querec TD, Akondy RS, Lee EK, Cao W, Nakaya HI, Teuwen D, et al. Systems biology approach predicts immunogenicity of the yellow fever vaccine in humans. Nature immunology. 2009;10(1):116–25. Epub 2008/11/26. PubMed Central PMCID: PMCPMC4049462. 10.1038/ni.1688 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Nakaya HI, Wrammert J, Lee EK, Racioppi L, Marie-Kunze S, Haining WN, et al. Systems biology of vaccination for seasonal influenza in humans. Nature immunology. 2011;12(8):786–95. Epub 2011/07/12. PubMed Central PMCID: PMCPMC3140559. 10.1038/ni.2067 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Li S, Rouphael N, Duraisingham S, Romero-Steiner S, Presnell S, Davis C, et al. Molecular signatures of antibody responses derived from a systems biology study of five human vaccines. Nature immunology. 2014;15(2):195–204. Epub 2013/12/18. PubMed Central PMCID: PMCPMC3946932. 10.1038/ni.2789 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Zhang W, Ahmad G, Torben W, Siddiqui AA. Sm-p80-based DNA vaccine made in a human use approved vector VR1020 protects against challenge infection with Schistosoma mansoni in mouse. Parasite immunology. 2010;32(4):252–8. Epub 2010/04/20. 10.1111/j.1365-3024.2009.01181.x [DOI] [PubMed] [Google Scholar]
- 15.Ahmad G, Zhang W, Torben W, Haskins C, Diggs S, Noor Z, et al. Prime-boost and recombinant protein vaccination strategies using Sm-p80 protects against Schistosoma mansoni infection in the mouse model to levels previously attainable only by the irradiated cercarial vaccine. Parasitology research. 2009;105(6):1767–77. Epub 2009/10/08. PubMed Central PMCID: PMCPMC2813907. 10.1007/s00436-009-1646-z [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Burland TG. DNASTAR's Lasergene sequence analysis software. Methods in molecular biology (Clifton, NJ). 2000;132:71–91. Epub 1999/11/05. [DOI] [PubMed] [Google Scholar]
- 17.Kramer A, Green J, Pollard J Jr., Tugendreich S. Causal analysis approaches in Ingenuity Pathway Analysis. Bioinformatics (Oxford, England). 2014;30(4):523–30. Epub 2013/12/18. PubMed Central PMCID: PMCPMC3928520. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18.Shannon P, Markiel A, Ozier O, Baliga NS, Wang JT, Ramage D, et al. Cytoscape: a software environment for integrated models of biomolecular interaction networks. Genome research. 2003;13(11):2498–504. Epub 2003/11/05. PubMed Central PMCID: PMCPMC403769. 10.1101/gr.1239303 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Krzywinski M, Schein J, Birol I, Connors J, Gascoyne R, Horsman D, et al. Circos: an information aesthetic for comparative genomics. Genome research. 2009;19(9):1639–45. Epub 2009/06/23. PubMed Central PMCID: PMCPMC2752132. 10.1101/gr.092759.109 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Mi H, Muruganujan A, Casagrande JT, Thomas PD. Large-scale gene function analysis with the PANTHER classification system. Nature protocols. 2013;8(8):1551–66. Epub 2013/07/23. 10.1038/nprot.2013.092 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Zhang W, Ahmad G, Torben W, Siddiqui AA. Schistosoma mansoni antigen Sm-p80: Prophylactic efficacy of a vaccine formulated in human approved plasmid vector and adjuvant (VR 1020 and alum). Acta tropica. 2011;118(2):142–51. Epub 2011/02/22. PubMed Central PMCID: PMCPMC3085579. 10.1016/j.actatropica.2011.01.010 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Zhang W, Ahmad G, Le L, Rojo JU, Karmakar S, Tillery KA, et al. Longevity of Sm-p80-specific antibody responses following vaccination with Sm-p80 vaccine in mice and baboons and transplacental transfer of Sm-p80-specific antibodies in a baboon. Parasitology research. 2014;113(6):2239–50. Epub 2014/04/15. 10.1007/s00436-014-3879-8 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Ahmad G, Torben W, Zhang W, Wyatt M, Siddiqui AA. Sm-p80-based DNA vaccine formulation induces potent protective immunity against Schistosoma mansoni. Parasite immunology. 2009;31(3):156–61. Epub 2009/02/19. PubMed Central PMCID: PMCPMC2786212. 10.1111/j.1365-3024.2008.01091.x [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Iwasaki A, Medzhitov R. Control of adaptive immunity by the innate immune system. Nature immunology. 2015;16(4):343–53. PubMed Central PMCID: PMC4507498. 10.1038/ni.3123 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Zepp F. Principles of Vaccination. Methods in molecular biology (Clifton, NJ). 2016;1403:57–84. Epub 2016/04/15. [DOI] [PubMed] [Google Scholar]
- 26.Pflanz S, Timans JC, Cheung J, Rosales R, Kanzler H, Gilbert J, et al. IL-27, a heterodimeric cytokine composed of EBI3 and p28 protein, induces proliferation of naive CD4+ T cells. Immunity. 2002;16(6):779–90. Epub 2002/07/18. [DOI] [PubMed] [Google Scholar]
- 27.Agrawal S, Agrawal A, Doughty B, Gerwitz A, Blenis J, Van Dyke T, et al. Cutting edge: different Toll-like receptor agonists instruct dendritic cells to induce distinct Th responses via differential modulation of extracellular signal-regulated kinase-mitogen-activated protein kinase and c-Fos. Journal of immunology. 2003;171(10):4984–9. [DOI] [PubMed] [Google Scholar]
- 28.Pulendran B, Artis D. New paradigms in type 2 immunity. Science. 2012;337(6093):431–5. PubMed Central PMCID: PMC4078898. 10.1126/science.1221064 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.Bruey JM, Bruey-Sedano N, Luciano F, Zhai D, Balpai R, Xu C, et al. Bcl-2 and Bcl-XL regulate proinflammatory caspase-1 activation by interaction with NALP1. Cell. 2007;129(1):45–56. Epub 2007/04/10. 10.1016/j.cell.2007.01.045 [DOI] [PubMed] [Google Scholar]
- 30.Podesta R.B. KS, Ansell M., Silva E., editor Schistosoma mansoni: apical membranes/envelop synthesis, signal transduction and protein phosphorylation. Proceedings of the UCLA Symposia on Molecular and Cell Biology; 1987: New York Alan R. Liss, Inc.
- 31.Palmer C, Diehn M, Alizadeh AA, Brown PO. Cell-type specific gene expression profiles of leukocytes in human peripheral blood. BMC genomics. 2006;7:115 PubMed Central PMCID: PMC1479811. 10.1186/1471-2164-7-115 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Nyindo M, Farah IO. The baboon as a non-human primate model of human schistosome infection. Parasitology today (Personal ed). 1999;15(12):478–82. Epub 1999/11/11. [DOI] [PubMed] [Google Scholar]
- 33.Yao Z, Painter SL, Fanslow WC, Ulrich D, Macduff BM, Spriggs MK, et al. Human IL-17: a novel cytokine derived from T cells. Journal of immunology. 1995;155(12):5483–6. [PubMed] [Google Scholar]
- 34.Muranski P, Restifo NP. Essentials of Th17 cell commitment and plasticity. Blood. 2013;121(13):2402–14. Epub 2013/01/18. PubMed Central PMCID: PMCPMC3612853. 10.1182/blood-2012-09-378653 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Chow JC, Young DW, Golenbock DT, Christ WJ, Gusovsky F. Toll-like receptor-4 mediates lipopolysaccharide-induced signal transduction. The Journal of biological chemistry. 1999;274(16):10689–92. Epub 1999/04/10. [DOI] [PubMed] [Google Scholar]
- 36.Santini-Oliveira M, Coler RN, Parra J, Veloso V, Jayashankar L, Pinto PM, et al. Schistosomiasis vaccine candidate Sm14/GLA-SE: Phase 1 safety and immunogenicity clinical trial in healthy, male adults. Vaccine. 2016;34(4):586–94. Epub 2015/11/17. 10.1016/j.vaccine.2015.10.027 [DOI] [PubMed] [Google Scholar]
- 37.Behzad H, Huckriede ALW, Haynes L, Gentleman B, Coyle K, Wilschut JC, et al. GLA-SE, a Synthetic Toll-like Receptor 4 Agonist, Enhances T-Cell Responses to Influenza Vaccine in Older Adults. Journal of Infectious Diseases. 2012;205(3):466–73. 10.1093/infdis/jir769 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 38.Pulendran B, Dillon S, Joseph C, Curiel T, Banchereau J, Mohamadzadeh M. Dendritic cells generated in the presence of GM-CSF plus IL-15 prime potent CD8+ Tc1 responses in vivo. European journal of immunology. 2004;34(1):66–73. Epub 2004/02/19. 10.1002/eji.200324567 [DOI] [PubMed] [Google Scholar]
- 39.Xiang Z, Ertl HC. Manipulation of the immune response to a plasmid-encoded viral antigen by coinoculation with plasmids expressing cytokines. Immunity. 1995;2(2):129–35. [DOI] [PubMed] [Google Scholar]
- 40.Siddiqui AA, Phillips T, Charest H, Podesta RB, Quinlin ML, Pinkston JR, et al. Induction of protective immunity against Schistosoma mansoni via DNA priming and boosting with the large subunit of calpain (Sm-p80): adjuvant effects of granulocyte-macrophage colony-stimulating factor and interleukin-4. Infection and immunity. 2003;71(7):3844–51. PubMed Central PMCID: PMC161986. 10.1128/IAI.71.7.3844-3851.2003 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 41.Gao JL, Guillabert A, Hu J, Le Y, Urizar E, Seligman E, et al. F2L, a peptide derived from heme-binding protein, chemoattracts mouse neutrophils by specifically activating Fpr2, the low-affinity N-formylpeptide receptor. Journal of immunology (Baltimore, Md: 1950). 2007;178(3):1450–6. Epub 2007/01/24. [DOI] [PubMed] [Google Scholar]
- 42.Ryckman C, Vandal K, Rouleau P, Talbot M, Tessier PA. Proinflammatory activities of S100: proteins S100A8, S100A9, and S100A8/A9 induce neutrophil chemotaxis and adhesion. Journal of immunology (Baltimore, Md: 1950). 2003;170(6):3233–42. Epub 2003/03/11. [DOI] [PubMed] [Google Scholar]
- 43.McManus DP, Loukas A. Current status of vaccines for schistosomiasis. Clinical microbiology reviews. 2008;21(1):225–42. Epub 2008/01/19. PubMed Central PMCID: PMCPMC2223839. 10.1128/CMR.00046-07 [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
Data are available from the NCBI with the accession numbers SRP079915, SRP081153, SRP081155, and SRP081154.