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. 2022 Aug 17;13:965572. doi: 10.3389/fmicb.2022.965572

TABLE 3.

Only vaccinated mice survived the infection if 21 days of co-trimoxazole was initiated 93 h or 117 h post exposure to aerosolized B. pseudomallei.

Vaccination status and treatment groupsa % Survival through day 30 post challenge Day 30 survival
P-valueb
% Survival through day 86 post challenge Day 86 survival
P-valueb
Ratio of Sterile survivors/Total Survivorsc TTM
P-valueb
PBS 0% n/a 0% n/a n/a n/a
PBS + co-trimoxazole 93 h 0%f NSd 0% NS n/a NS
PBS + co-trimoxazole 117 h 0%g NS 0% NS n/a 0.0018
668 ΔilvI 30% NS 30% NS 3/3 <0.0001
668 ΔilvI + co-trimoxazole 93 h 100% 0.0031 100% 0.0031 9/10e 0.0012
668 ΔilvI + co-trimoxazole 117 h 100% 0.0031 100% 0.0031 9/10e 0.0012
AhpC + Hcp1 + conjugate 80% 0.0007 40% NS 4/4 <0.0001
AhpC + Hcp1 + conjugate +
co-trimoxazole 93 h
100% NS 100% 0.0108 9/10e 0.0039
AhpC + Hcp1+ conjugate +
co-trimoxazole 117 h
100% NS 100% 0.0108 9/10e 0.0039
Hcp1 + conjugate 80% 0.0007 70% 0.0031 5/7e <0.0001
Hcp1 + conjugate + co-trimoxazole 93 h 100% NS 100% NS 7/10e NS
Hcp1 + conjugate + co-trimoxazole 117 h 90% NS 90% NS 9/9 NS

aMice were vaccinated as described in Section “Materials and methods.” If co-trimoxazole was provided it was initiated at the time-point after exposure to approximately 1.57 × 103 CFU (+/− 2.34 × 102 CFU) of aerosolized B. pseudomallei K96243 on day 35 post-last vaccination. Sham vaccinated mice were not rescued from lethal infection with the delayed initiation of co-trimoxazole therapy.

bStatistical comparison to respective control group without co-trimoxazole or in the case of vaccines only to the PBS alone group. P-values indicate the result of a Log-rank or Fisher exact test for the survival and TTM, respectively.

cSurvivors were determined to be free of B. pseudomallei CFU in lungs and spleens and there was no visible pyogranuloma formation noted at gross necropsy.

dNS, not significant.

eSee Supplementary Table 2 for bacterial burden data for each mouse shown to retain B. pseudomallei. Limit of detection for tissue homogenates is 5 CFU/organ.

f50% of mice succumbed or were euthanized prior to co-trimoxazole initiation.

g100% of mice succumbed or were euthanized prior to co-trimoxazole initiation.