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PLOS One logoLink to PLOS One
. 2023 Mar 3;18(3):e0278277. doi: 10.1371/journal.pone.0278277

An oral pH-responsive Streptococcus agalactiae vaccine formulation provides protective immunity to pathogen challenge in tilapia: A proof-of-concept study

Shazia Bashir 1,#, Nguyen Ngoc Phuoc 2,#, Tharangani Herath 3, Abdul Basit 1, Ruth N Zadoks 4,*, Sudaxshina Murdan 1,*
Editor: Mahmoud Abdel Aziz Mabrok5
PMCID: PMC9983853  PMID: 36867625

Abstract

Intensive tilapia farming has contributed significantly to food security as well as to the emergence of novel pathogens. This includes Streptococcus agalactiae or Group B Streptococcus (GBS) sequence type (ST) 283, which caused the first known outbreak of foodborne GBS illness in humans. An oral, easy-to-administer fish vaccine is needed to reduce losses in fish production and the risk of zoonotic transmission associated with GBS. We conducted a proof-of-concept study to develop an oral vaccine formulation that would only release its vaccine cargo at the site of action, i.e., in the fish gastrointestinal tract, and to evaluate whether it provided protection from experimental challenge with GBS. Formalin-inactivated S. agalactiae ST283, was entrapped within microparticles of Eudragit® E100 polymer using a double-emulsification solvent evaporation method. Exposure to an acidic medium simulating the environment in tilapia stomach showed that the size of the vaccine-loaded microparticles decreased rapidly, reflecting microparticle erosion and release of the vaccine cargo. In vivo studies in tilapia showed that oral administration of vaccine-loaded microparticles to fish provided significant protection from subsequent homologous pathogen challenge with GBS ST283 by immersion compared to the control groups which received blank microparticles or buffer, reducing mortality from 70% to 20%. The high efficacy shows the promise of the vaccine platform developed herein, which might be adapted for other bacterial pathogens and other fish species.

1. Introduction

Aquaculture is a crucial part of the economy of low and-middle income countries (LMICs), including Vietnam, employing and feeding millions of people [1]. Tilapia (Oreochromis spp.)–is eminently suitable for aquaculture due to its fast growth, ability to survive in poor water conditions, to breed throughout the year, to produce high numbers of eggs, and to eat a wide range of feeds [2], and is the third most common fish species in aquaculture [3] with global production volumes reaching 4.5 million tonnes in 2018. In addition to producing more food, intensification of tilapia farming also increases the risk of infectious disease outbreaks, causing significant waste and economic loss. Streptococcosis, the most important disease of tilapia [4], is primarily caused by Streptococcus agalactiae, known in human medicine as group B Streptococcus (GBS). Streptococcosis mostly occurs when fish are stressed due to, for example, an increase in water temperature, sub-optimal oxygen levels or overcrowding and can lead to high levels of disease and mortality, especially towards the end of the production cycle, aggravating the losses incurred [4,5]. In 2015, GBS sequence type (ST)283 caused an outbreak of invasive disease in people in Singapore. Uniquely, those affected had few underlying comorbidities, and the route of exposure was foodborne, traced back to the consumption of raw fish with GBS [5]. Based on evolutionary analysis of genomic data, GBS sequence type (ST) 283 emerged around the time of intensification of aquaculture in the early 1980s and is now a recognized cause of severe invasive disease in both fish and humans in Southeast Asia [6,7]. Its unusual–foodborne—route of transmission has led the Food and Agricultural Organisation (FAO) of the United Nations to publish a Risk Profile on its characteristics and role as a human health hazard in 2021 [8].

To control disease in fish, antimicrobials are commonly used, especially in LMICs [1,9]. This is undesirable, both from fish, and public, health perspectives, as sick fish have diminished appetite and therefore do not benefit from oral antimicrobial treatment, whilst the release of antimicrobials in the aquatic environment may exert selection for antimicrobial-resistant pathogens [1,10,11]. Prophylactic vaccination of fish is a far more desirable alternative [12], and many types of fish vaccines have been developed, including vaccines for delivery by injection, immersion, orally, or as spray [13]. Most vaccines that are available for tilapia are injectable formulations [14,15], making them suitable for fish that are large enough to be handled and anaesthetized. This process demands individual handling of fish, which can lead to handling-related stress and immunosuppression, which may have a negative impact on vaccine response, and even cause mortalities [14]. The process is also labour-intensive, making it cost-prohibitive for low value fish such as tilapia. Oral vaccination is possibly a better method for mass immunization of high volume, low value species such as tilapia. It has been proven to be effective in protecting against mass mortality [16]. In addition, oral administration stimulates mucosal immunity, i.e., the appearance of antigen specific antibodies in skin, mucus, bile, or intestine [17,18], which is generally where the first contact between aquatic pathogens and their hosts occurs [19,20].

To enhance the efficacy of oral vaccines, several strategies have been evaluated, many of which focus on inhibiting antigen degradation in the fish stomach. Such methods include the concomitant administration of antacids and antiproteases, use of ‘prills’ (pellets with lyophilized vaccine incorporated into a matrix of saturated long chain fatty acids), coating of vaccine granules, beads and vaccine-coated feed pellets with acid-resistant polymers, and encapsulation of vaccine antigens into vaccine carriers such as microparticles, beads or liposomes [2135]. The pH-responsive vaccine carriers are incorporated into food pellets that are fed to the fish during regular feeding times. This approach bypasses the fish stomach to avoid exposure of the antigen to stomach acid and enzymatic degradation because the vaccine carrier will only dissolve in the fish intestines. However, polymers that are soluble in the intestinal environment of the fish (where pH is close to neutral) may also be soluble in water (where pH is also close to neutral) and vaccines fabricated from these types of polymers may leach from the feed into the aquatic environment, resulting in loss of antigen. To overcome such losses and induce appropriate levels of immune protection, fish must be fed with vaccine-loaded feed for multiple consecutive days. For example, Halimi et al. [35] developed vaccine-loaded fish feed pellets coated with Eudragit L30D-55 for rainbow trout. The relative percentage survival (RPS) was found to be very high for the vaccinated groups (85 ± 7% for Streptococcus iniae, 72 ± 8% for Lactococcus garviae) in comparison to the unvaccinated group, but this was only achieved with daily immunization for 14 consecutive days. Hayat et al. [36] assessed the effectiveness of a formalin-killed whole cell S. iniae vaccine loaded within food pellets in red hybrid tilapia. Several immunization regimens were tested, and the lowest mortality was achieved for the fish group that were orally vaccinated by feeding for 9 consecutive days and then received oral boosters (by gavage) on days 14 and 21. The need for such prolonged vaccine-feeding detracts from the potential cost-effectiveness of oral vaccines.

To address the limitations of current feed-based vaccine delivery, we investigated a different approach to those outlined above, and developed a prototype vaccine that will dissolve in the fish stomach but not in the aquatic environment, by entrapping the vaccine in a matrix of Eudragit E100. This polymer, was chosen because it is generally recognized as safe (GRAS), enabling its use in food-producing animal species [37]. In this paper, we report on the preparation and characterization of vaccine-loaded Eudragit E100 microparticles and an evaluation of vaccine efficacy using an experimental challenge model. We show that our approach protects tilapia from homologous challenge with zoonotic GBS ST283 and discuss opportunities for further development of this successful prototype.

2. Materials and methods

2.1 Bacteria

The vaccine strain, GBS isolate MRI Z2-388, belongs to ST283, and was originally isolated by the authors from the brain of a clinically affected tilapia in the Mekong Delta area, Vietnam, in 2016. To preserve the structural integrity of the bacteria, they were formalin-inactivated in 2% paraformaldehyde (1 h at room temperature, then 24 h at 4°C), followed by suspension to a calculated concentration of 109 colony forming units (CFU)/mL in 0.1 M PBS, pH 7.4.

The challenge bacteria, GBS isolate 0101030, also belongs to the ST283 strain, and was also isolated by the authors from the brain of a clinically affected tilapia in the Mekong Delta area, Vietnam. Both isolates were identified to species and strain level by colony morphology, Gram stain, and multi-locus sequence typing (MLST) as described in [6].

To determine the morphological characteristics of the formalin-inactivated bacteria used in the vaccine formulation, samples of a dilute dispersion of GBS (in de-ionized water, 107 CFU/ml) were mounted onto aluminum stubs and allowed to dry overnight before being sputter coated with gold in a high-vacuum evaporator for 3 min at 30mA (Emitech K550, Ashford, England) and photographed using a scanning electron microscope (SEM, Philips XL30, Eindhoven, Holland). The particle size and zeta potential of GBS organisms was measured by dynamic light scattering using the Zeta sizer Ultra (Malvern instruments Ltd, Worcestershire, UK), using a GBS suspension (at a concentration of 106 CFU/mL in deionized water).

2.2 Preparation and characterization of microparticles

Eudragit E100 was kindly gifted by Evonik (Essen, Germany). Polyvinyl alcohol (PVA) was purchased from BDH Laboratory supplies (Poole, England), Sorbitan monostearate from Thermo Fisher Scientific (Heysham, UK), and Absolute Ethanol (≥99.8%) and Dichloromethane from Sigma-Aldrich, UK. All materials were of laboratory grade quality.

Both blank and GBS-loaded microparticles were produced using the emulsification solvent evaporation (ESE) technique. Blank microparticles were prepared by slowly adding 3 mL of a solution of Eudragit E100 (7.6%w/v) in dichloromethane-ethanol (1:1 v/v) dropwise (over 30 min) to an aqueous solution of PVA (6 mL, 4% w/v) at 800 rpm. The mixture was left to stir overnight for solvent evaporation to occur and for microparticles to harden. The resultant microparticles were washed, lyophilized for 48 h at -85°C (Alpha 1–4 LD plus, Christ, Germany), then stored at room temperature until further use.

GBS-loaded microparticles were prepared using a water-in-oil-in-water (w/o/w) double-emulsion solvent evaporation technique adapted from [38]. The primary emulsion was formed by adding 300 μL of GBS suspension (109 CFU/mL) dropwise (slowly over a 30min period) to an organic solution (3mL) of Eudragit E100 (7.6% w/v) and sorbitan monostearate (2.5% w/v) dissolved in a dichloromethane-ethanol (1:1 v/v) mixture under continuous stirring at 800 rpm. The resultant primary emulsion was homogenized for 2 min (6000rpm, IKA T10 basic Ultra-Turrax), then added dropwise (over a period of approximately 30 min), to an aqueous 4% w/v PVA solution (6mL) under vigorous stirring at 800 rpm. The emulsion was left to stir overnight at the same speed for the solvent to evaporate and the microparticles to harden. The resultant microparticles were washed and rinsed twice (with 0.1 M PBS, pH 7.4) by centrifuging at 10,000 g for 10 min (Sigma Laborzentrifugen GmbH, Germany). After every wash cycle, the supernatant was discarded to remove excess PVA and replaced with fresh 0.1M PBS. The microparticle pellet was collected, lyophilized, and stored, as described for blank microparticles.

To characterize the blank and GBS-loaded microparticles, a mass of lyophilized microparticles (~0.1mg) was added to 10mL of 0.1M PBS and the mixture was manually agitated to obtain a homogenous dispersion that appears sightly opaque. A sample of the resultant suspension was characterized for size and surface charge using the Zeta sizer Ultra (Malvern instruments Ltd, Worcestershire, UK). In addition, microparticle morphology and surface topography was examined by SEM as described for the bacteria.

The pH-responsiveness of Eudragit E100 microparticles was evaluated by placing the particles in an acidic medium (to simulate the conditions of the fasted fish stomach) and monitoring the changes in particle size with time, using the Zeta sizer Ultra. Briefly, 500μL of a microparticle dispersion (2mg in 10mL of de-ionised water) was added to 0.1 M hydrochloric acid (10mL, pH 1.3) under constant stirring at 300rpm. At time intervals, aliquots (0.7mL) were withdrawn from the mixture and the particle size was measured using the Zeta sizer Ultra. Removed aliquots were replaced with an equivalent volume of 0.1 M HCl to maintain sink conditions.

2.3 Tilapia studies

Red tilapia (Oreochromis sp.) were purchased from the Provincial Breeding Centre of Thua Thien Hue at Cu Chanh Commune, Thua Thien Hue province, Vietnam. The fish were starved for 24 h prior to transportation and maintained at 15°C during the 30-minute journey to the Laboratory of Fish Pathology, Hue University of Agriculture and Forestry (HUAF), Hue City, Vietnam. Fish were housed in 1000 L fiber-glass tanks using continuous flow-through water at a flow rate of 0.38 L min-1 at 28°C ± 2°C, and fed with commercial tilapia diet (Aquaxcel 7444, Cargill, Vietnam) at 2% of body weight for 14 days prior to commencing experiments. Mean body weight of the tilapia used in this study was 15 ± 2 g on the day of the vaccination, close to that used in [6]. Before vaccination, the population was tested for S. agalactiae based on clinical monitoring and by directly streaking the kidney and the brain of 5 euthanised fish onto tryptone soya agar (TSA, Himedia) as previously described in [6]. All experiments were conducted with approval of The Animal Ethics Committee of Hue University, and in accordance with UK Home Office standards. Written consent was also obtained from University College London.

The pH of the gastro-intestinal tract (GIT) contents of tilapia was measured using a HI 2210–02 portable pH meter (Hanna, Taiwan) and a 3-mm diameter pH probe (H1095B microelectrode, Hanna Instruments, Scientific Laboratory Supplier, UK). Tilapia were euthanized before or after feeding (1.5 h later) by exposure to an overdose of Aqui-S in an immersion bath (Bayer, Vietnam) at a concentration of 150 mg L-1 for 60 minutes as per [39]. Within the next 5–10 min, the pH of the oral cavity (anterior and posterior mouth) was measured for 5 fish per group (Fig 1A). Then, the GIT was removed and cut into sections to enable measurement of pH at multiple points along its length, namely anterior stomach, posterior stomach, and at four points in the intestine (Fig 1B).

Fig 1.

Fig 1

pH measurement of gastrointestinal tract of tilapia: A–Mouth; B– 1. Anterior stomach, 2. Posterior stomach; 3,4,5,6: intestine.

To evaluate the efficacy of GBS encapsulated in Eudragit E100 microparticles as oral vaccine, three treatment groups of a 100 fish each were used, i.e. a negative control group that received mock vaccination with PBS; a delivery system control group that received 0.2 mL of a suspension of blank Eudragit microparticles per fish; and a vaccine group that received 0.2 mL of a suspension of GBS-loaded Eudragit microparticles per fish. The number of fish per treatment group was calculated based on the study of Shoemaker et al. [40] and using an on-line calculator [41]. To maintain appropriate stocking density, fish were housed in groups of 25 per tank, with 4 tanks per treatment group. To limit the number of fish used, in line with the 3R principles and because our aim was not to see whether GBS encapsulation enhances vaccine efficacy, but rather to test the potential of encapsulated GBS to generate protective efficacy, we did not include vaccination with unencapsulated GBS as a comparator.

Vaccines and control products were administered in the fasted state i.e., one hour prior to the first meal of the day. Before oral administration of the GBS vaccine formulation, the fish were anaesthetized with Aqui-STM in an immersion bath for 10 minutes. Fish were then orally dosed (0.2mL, by gavage) with PBS, blank or GBS-loaded microparticles (dose of GBS was 5 x 106 CFU) respectively, using a 1 mL syringe without a needle. All the fish were placed into flow-through experimental tanks (120 L) and observed twice daily for 21 days.

Challenge was conducted by immersion on day 21 post-vaccination with a challenge isolate that had been passaged through naïve tilapia twice to restore pathogen virulence after storage, as previously described in [6]. Fish were transferred to 10 L tanks containing GBS bacteria at 3.5 × 106 CFU mL-1, removed after 30 minutes and placed back into the original flow-through experimental tanks and observed for a further 21 days. The bacterial concentration used for challenge was determined from pilot studies and was designed to give a 70% mortality in the control groups [6].

Throughout the experiment, the fish were fed a commercial tilapia diet (Aquaxcel 7444, Cargill, Vietnam) at 2% of body weight and examined twice daily for gross clinical signs of disease. If moribund or freshly dead fish were found in the tanks, they were killed using a Schedule 1 procedure [42]. On Day 42 of the study, equating to 21 days after challenge, the surviving fish were euthanized using the same Schedule 1 method. Bacterial recovery was attempted from moribund fish and from 3 surviving fish per tank by culturing the head kidney on trypticase soy agar [6].

2.4 Data analysis

Data analysis was conducted using Excel and SPSS v 26. Relative percent of survival (RPS) was calculated according to the formula proposed by Amend (1981) [43].

RPS=1(cum.mortvaccinatedcum.mortcontrol) (1)

Repeated measures ANOVA, followed by post-hoc Tukey was conducted to establish significant differences, if any, in the pH of the gastro-intestinal tract in the fed and fasted states. One way ANOVA, followed by Duncan Test was conducted to compare fish mortality in the different groups after challenge, with P < 0.05 deemed to indicate statistical significance.

3. Results

3.1 Characterization of microparticles

Light and scanning electron microscopy of formalin-inactivated GBS bacteria used as the vaccine showed the characteristic cocci and pair or chain forming features. Chains were generally short, which may be due to formalin exposure and other processing procedures (Fig 2). The surface of GBS was negatively charged (Table 1), which is characteristic of bacteria suspended in aqueous media where the various functional groups present on the external cell wall surface will ionize depending on the nature of the external environment [44,45].

Fig 2.

Fig 2

Light (A) and scanning electron (Bi-ii) micrographs of the formalin-inactivated bacteria used in vaccine formulations. Scale bar indicates 100 μm (A); 5 μm (B).

Table 1. Particle size measured by dynamic light scattering (mean ± SD), n = 12.

Mean particle size (μm) (±SD) Zeta potential (mV)
GBS (formalin inactivated) bacteria 2.46 (±0.13) -23.42 (±1.22)
Blank Eudragit E100 microparticles 2.90 (±0.91) 41.77 (±4.25)
GBS-loaded Eudragit E100 microparticles 8.92 (±2.94) -70.39 (±3.86)

Blank Eudragit E100 particles were smooth and spherical and positively charged (Fig 3). In contrast, GBS-loaded particles were negatively charged and were larger with irregular shapes with indentations, which gave the particles the appearance of deflated balls (Table 1, Fig 4).

Fig 3. Scanning electron micrograph of blank Eudragit E100 microparticles.

Fig 3

Scale bar indicates 5 μm.

Fig 4. Scanning electron micrograph of GBS-loaded Eudragit E100 microparticles after freeze-drying.

Fig 4

Scale bar indicates 10 μm.

Upon exposure to 0.1M HCl (simulating the acidic environment in the fasted tilapia stomach), the particle size of both blank and GBS-loaded microparticles decreased within 10 minutes, (Fig 5), indicating rapid dissolution of the polymeric microparticles. Blank Eudragit E100 microparticles dissolved completely, whereas acidic exposure of the GBS-loaded microparticles resulted in reduction in size until a plateau of around 2 μm was reached, indicating release of the entrapped cargo of inactivated GBS.

Fig 5. Change in particle size upon exposure to 0.1M HCl, which is simulating the acidic environment in a fasted tilapia stomach.

Fig 5

GBS-loaded Eudragit E100 microparticles (o); Blank Eudragit E100 microparticles (▪); Means are shown. Error bars reflect the SD. N = 12.

3.2 Tilapia studies

In fasted and fed tilapia, the pH of the GIT contents changed significantly along the GIT from neutral in the mouth, to acidic in the stomach, and close to neutral in the intestines (Fig 6). In both fasted and fed states, the stomach pH was significantly lower than the pH in the other sections of the GIT (repeated measures ANOVA with post-hoc comparison, P < 0.05), providing the only environment where Eudragit E100 would dissolve.

Fig 6. pH along the gastrointestinal tract of fasted and fed tilapia (mean ± SD), N = 5.

Fig 6

The challenge study was successful, as demonstrated by typical signs of S. agalactiae infection, including unilateral or bilateral opacification of the eye and eye haemorrhage (Fig 7), and 70.7 ± 4.2% mortality in the control group (Fig 8).

Fig 7. Bilateral exophthalmia of the eye (pop-eyes) and eye hemorrhages (left eye) were found in moribund fish with Streptococcus agalactiae infection.

Fig 7

Fig 8.

Fig 8

Cumulative percentage mortality in the 3 groups following oral gavage with: (ai) PBS in the negative control group; (aii) Blank Eudragit E100 microparticles; (b) GBS-loaded Eudragit E100 microparticles, and challenge by immersion using a homologous strain of Streptococus agalatiae sequence type 283 on day 21 post-gavage. Error bars represent SD from 4 replicate tanks (25 fish per tank) for each of 3 treatment groups.

The group which received the blank Eudragit E100 microparticles had similarly high mortality (67.9 ± 4.6%) (ANOVA, Duncan Test, p>0.05), indicating that blank microparticles do not induce protection against S. agalactiae challenge. In contrast, mortality in the vaccinated group was only 22.6 ± 4.6% (ANOVA, Duncan Test, p<0.05), equating to RPS = 0.70, and indicating highly successful protection against homologous challenge. The difference among the groups was also noticeable in the onset of mortality, which started at day 2 post challenge in both controls but not until day 4 post-challenge in the vaccine group, and in the last observed mortality, which occurred on day 12 for the vaccinated group but continued to day 14 in both control groups. Pure cultures of bacteria identified as S. agalactiae were recovered from 100% of moribund and fresh dead fish. No clinical signs of disease or bacteria were observed or recovered from any of the survivors.

4. Discussion

This study shows that pH-responsive Eudragit E100 is a promising polymer for preparing a GBS vaccine formulation that enables targeted delivery to the GIT of tilapia and induces a protective immune response. Eudragit E100 performed as expected, i.e. microparticles composed of this polymer dissolved in an acidic environment and released their vaccine cargo, which gave rise to protective immunity. The generally recognized as safe status of the polymer means that adoption of our vaccine platform by the fish farming industry would not meet regulatory hurdles regarding the polymer.

Although we did not measure antibody responses to the vaccine, we clearly demonstrated that the vaccine induced protective immunity, with an RPS of 70%. This compares favourably with other studies. Embregts and Forlenza [32], reviewed oral GBS vaccination studies in tilapia and report 25% to 85% protection, whereby the higher values were generally achieved with multiple vaccine doses administered, and only one vaccine regime in one study achieved 100% protection [32]. Protection of 70% or more, generally required more vaccine administrations or a higher vaccine dose (CFU/fish) than those used in our protocol. Here, we achieved an RPS of 70% after a single oral vaccine administration of only 106 CFU/fish. Most evaluations of vaccine efficacy use intraperitoneal challenge models, which do not reflect the natural route of exposure nor immuno-protective mechanisms that occur at mucosal host-pathogen interfaces. The high RPS observed in our study after a single vaccine dose may be due, at least in part, to the fact that both vaccination and challenge targeted mucosal portals of entry.

Teleost fish have a morphologically and functionally different gut associated lymphoid system (GALT) than mammals, with a distinct lack of a concentrated lymphoid tissue mass such as Peyer’s patches found in humans. Instead, lymphoid tissue in the fish gut is diffuse throughout the GIT, consisting mainly of isolated lymphoid patches. In general, development of efficacious oral vaccine is considered challenging due to antigen breakdown in the harsh gastric environment and the potential of antigenic tolerance developing in the gut [32], as well as a general lack of understanding of how tilapia immune system functions [46,47]. Our study based on encapsulation technology sheds some light on how to overcome some of the challenges and bottlenecks of oral vaccine development for fish.

While oral administration of GBS-loaded Eudragit E100 microparticles was effective at reducing mortality upon pathogen challenge, oral administration of blank microparticles resulted in similar mortality compared to fish which only received the buffer (control group, Fig 7). This shows that microparticles by themselves were not responsible for any protection.

We have shown that protective immunity against a homologous challenge strain is possible when formalin-inactivated GBS is liberated from the Eudragit E100 polymeric carrier and released into the acidic environment of the fish stomach. To develop the findings from this investigation, further studies must be conducted to determine whether encapsulated vaccine is more efficacious than unencapsulated vaccine, and to evaluate the efficacy of the encapsulated GBS when incorporated in fish feed. The latter is crucial because feed-based vaccine is the most practical, economical and welfare friendly method of administering vaccines to tilapia. Other avenues for potential refinement would be the inclusion of an adjuvant to stimulate mucosal immunity and simplification of the GBS-inactivation protocol. If heat-killed GBS could be used rather than formalin-fixed GBS, this would simplify vaccine production and reduce the cost of goods, which is an important consideration for production of economically viable vaccines. There are three major lineages of GBS that can cause streptococcosis in tilapia [48,49], and the ideal aquatic GBS vaccine should provide protection from all three. Commercial vaccines are currently mostly sold as providing protection against biotype 1 (non-haemolytic; equivalent to serotype Ib, clonal complex (CC) 552 [48]) or biotype 2 (haemolytic; serotype Ia, CC7 and serotype III, CC283 [48]) with limited cross-protection between biotypes. In the current study, we evaluated protection against homologous challenge (ST283 used as vaccine strain and as challenge strain). Further work is needed to evaluate whether mono- or multi-valent vaccines administered orally using pH-responsive particles could provide protection against heterologous challenge or multiple strains. Finally, our challenge model was based on immersion, which is a more natural route of exposure than intraperitoneal injection, but not as natural as cohabitation with infected fish. Thus, evaluation of vaccine efficacy in a cohabitation challenge model could be considered as an intermediate step between evaluation based on immersion exposure and field studies.

Although our proof-of-concept study is based on red tilapia, the acidic pH in the stomach and neutral-to-weakly alkaline pH in the intestine is similar to that of other tilapia species (e.g. Tilapia guineensis, Sarotherodon melanothron) and grey mullet (Liza falcipinnis) [50], suggesting that similar pH-sensitive particles may be useful for oral vaccination in those species.

5. Conclusions

In this manuscript, we describe the development, and show proof-of-concept of an oral vaccine for the prevention of streptococcosis in tilapia. The vaccine formulation, composed of pH-responsive microparticles entrapping killed S. agalactiae, provided very good immune protection against homologous immersion challenge in tilapia. Further vaccine refinements, notably in-feed administration, and evaluation of costs and benefits of the pH-responsive particles are logical next steps in the development of this concept, which may also have applicability across other pathogen- and host- species.

Data Availability

Data are available at: Murdan, Sudax; Phuoc, Nguyen Ngoc; Basit, Abdul; N. Zadoks, Ruth; Herath, Tharangani; Bashir, Shazia (2022): An oral pH-responsive Streptococcus agalactiae vaccine formulation provides protective immunity to pathogen challenge in tilapia. University College London. Dataset. https://doi.org/10.5522/04/19369376.v1.

Funding Statement

Financial support was obtained from University College London (UCL), via an internal UCL award funded through Research England’s ‘QR Global Challenges Research Fund’. Furthermore, UCL, Hue University (https://hueuni.edu.vn/portal/en/), The University of Sydney (https://www.sydney.edu.au/) and Harper Adams University (https://www.harper-adams.ac.uk/) funded SM’s, NNP’s, RZ’s and TH’s time, respectively, on the project. We also thank the Hue University Strong Research Group (NCM.DHH.2022.05) for staff and facilities support. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Dr Shazia Bashir received a salary from University College London.

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Decision Letter 0

Mahmoud Abdel Aziz Mabrok

26 Sep 2022

PONE-D-22-20929An oral pH-responsive Streptococcus agalactiae vaccine formulation provides protective immunity to pathogen challenge in tilapia: a proof-of-concept studyPLOS ONE

Dear Dr. Murdan,

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 "SM received an internal UCL award funded through Research England’s ‘QR Global Challenges Research Fund’ (https://www.ucl.ac.uk/) for staff (SB) and experiments conducted at UCL and at Hue University.  Furthermore,  UCL,  Hue University (https://hueuni.edu.vn/portal/en/), The University of Sydney (https://www.sydney.edu.au/) and Harper Adams University (https://www.harper-adams.ac.uk/) further funded SM’s, NNP’s, RZ’s and TH’s time on the project. There were no grant numbers. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript."

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[Note: HTML markup is below. Please do not edit.]

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

**********

2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

**********

3. Have the authors made all data underlying the findings in their manuscript fully available?

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Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

**********

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Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

**********

5. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: This is an interesting study detailing a pH-responsive carrier with formalin-killed whole cell oral vaccine against streptococcus agalactiae ST283 infection in tilapia. However, there are several concerns listed below, for the authors to improve the manuscript.

Major concerns:

1. The Introduction and Discussion sections should be rewritten because authors confused these two parts. Introduction should be included the context, the scope and the importance of your research. In the Discussion chapter, you need summarized the key findings, did not repeat all the results and related the importance of these key findings with the existing scholarly works and so on.

2. The authors should try to acknowledge the limitations of the study in the Discussion chapter, especially in antibody detection and immune response after vaccination.

3. All the figures resolution was not high.

Minor comments:

1. In line 50, Keywords should be “oral vaccine, tilapia, streptococcus agalactiae, microparticles”

2. In line 251, author said “Mean body weight of the tilapia used in this study was 15 ± 2 g”, Why select this age for vaccination? Add references.

3. In line 517-8, “further studies must be conducted to evaluate the efficacy of the encapsulated GBS when incorporated in fish feed and compare to unencapsulated GBS”. Capsular is widely accepted as important protective antigen of Streptococci, so this sentence should be deleted.

Reviewer #2: Authors should revise the manuscript as in the attached word file.

Line 178: Authors should add reference or NCBI GenBank accession number.

Please revise italics in the reference section

All figures should be of high resolution

Reviewer #3: Dear Editor

Greeting,

The manuscript under title ( An oral pH-responsive Streptococcus agalactiaevaccine formulation provides protective immunity to pathogen challenge in tilapia: a proof-of-concept study ).

This study provides good findings that are helpful in minimizing the use of

antimicrobials and antibiotic resistance in aquaculture using oral vaccine . However, I found some points should be clarified.

Constructive Comments to the author

-The language of the text needs more revisions.

Specific comments

Abstract

The abstract section should be briefly introduce the research background and research significance and clarify the research methods, then introduce the main research results, and finally, give the corresponding conclusions. I hope to make a comprehensive modification.

Line 27-30 Add this paragraph to the introduction

Introduction

The novelty should be highlighted more in the introduction. Additionally , organize it to be simple.

Materials and methods

Organize the materials to be simple in writing.

Line 169 Improve this title

Line 176 Put title for this paragraph

Line 191 what do you mean 0.7ml at 106 cfu/mL ? especially at . Did you mean from? How do you adjust it?

Line 244 you wrote, Red tilapia (Oreochromis sp.) was purchased. What is the name of the place ?

Results

The authors can improve the results by rewriting some sentences. Please, highlight just the main results to keep it short.

Discussion

The discussion should concatenate the results of the entire experiment into a reasonable story, but the discussion here is too scattered and not focused.

Add updated references for the paragraphs

Line 439 - 453 Add references to this paragraph. However, it is a long paragraph .

**********

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Reviewer #1: No

Reviewer #2: No

Reviewer #3: Yes: Hala Fouad Ayoub

**********

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Attachment

Submitted filename: PONE-D-22-20929.docx

Attachment

Submitted filename: Report.docx

PLoS One. 2023 Mar 3;18(3):e0278277. doi: 10.1371/journal.pone.0278277.r002

Author response to Decision Letter 0


3 Nov 2022

We thank the reviewers for their constructive comments, and we have revised the manuscript extensively. Changes are shown in red font where possible. Much text has been removed so, this change cannot be shown. Also, to reduce the amount of red font, only the beginning of certain paragraphs that were changed are shown in red.

When submitting your revision, we need you to address these additional requirements.

1. Please ensure that your manuscript meets PLOS ONE's style requirements, including those for file naming. The PLOS ONE style templates can be found at

https://journals.plos.org/plosone/s/file?id=wjVg/PLOSOne_formatting_sample_main_body.pdf and

https://journals.plos.org/plosone/s/file?id=ba62/PLOSOne_formatting_sample_title_authors_affiliations.pdf

We have addressed all PLOS ONE's style requirements, apart from one. We have used Vancouver for the reference style as per PLOS ONE requirements. However, as we are using Endnote Web, the citations are coming as (X), rather than [X] i.e. square brackets. Endnote Web does not have the capability to change () to []. We could use ‘Numbered’ endnote style, but then we don’t get the first 6 authors listed in the bibliography. So we had to keep to Vancouver style. Would it be possible for the desk editors to convert the () into []? We did not do this ourselves as this would entail converting citations to plain text, in which case, we would lose the reference links.

2. Thank you for stating the following financial disclosure:

"SM received an internal UCL award funded through Research England’s ‘QR Global Challenges Research Fund’ (https://www.ucl.ac.uk/) for staff (SB) and experiments conducted at UCL and at Hue University. Furthermore, UCL, Hue University (https://hueuni.edu.vn/portal/en/), The University of Sydney (https://www.sydney.edu.au/) and Harper Adams University (https://www.harper-adams.ac.uk/) further funded SM’s, NNP’s, RZ’s and TH’s time on the project. There were no grant numbers. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript."

At this time, please address the following queries:

a) Please clarify the sources of funding (financial or material support) for your study. List the grants or organizations that supported your study, including funding received from your institution.

b) State what role the funders took in the study. If the funders had no role in your study, please state: “The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.”

c) If any authors received a salary from any of your funders, please state which authors and which funders.

d) If you did not receive any funding for this study, please state: “The authors received no specific funding for this work.”

Please include your amended statements within your cover letter; we will change the online submission form on your behalf.

This is now implemented in the cover letter.

3. In your Data Availability statement, you have not specified where the minimal data set underlying the results described in your manuscript can be found. PLOS defines a study's minimal data set as the underlying data used to reach the conclusions drawn in the manuscript and any additional data required to replicate the reported study findings in their entirety. All PLOS journals require that the minimal data set be made fully available. For more information about our data policy, please see http://journals.plos.org/plosone/s/data-availability.

"Upon re-submitting your revised manuscript, please upload your study’s minimal underlying data set as either Supporting Information files or to a stable, public repository and include the relevant URLs, DOIs, or accession numbers within your revised cover letter. For a list of acceptable repositories, please see http://journals.plos.org/plosone/s/data-availability#loc-recommended-repositories. Any potentially identifying patient information must be fully anonymized.

Important: If there are ethical or legal restrictions to sharing your data publicly, please explain these restrictions in detail. Please see our guidelines for more information on what we consider unacceptable restrictions to publicly sharing data: http://journals.plos.org/plosone/s/data-availability#loc-unacceptable-data-access-restrictions. Note that it is not acceptable for the authors to be the sole named individuals responsible for ensuring data access.

We will update your Data Availability statement to reflect the information you provide in your cover letter.

4. We note that you have stated that you will provide repository information for your data at acceptance. Should your manuscript be accepted for publication, we will hold it until you provide the relevant accession numbers or DOIs necessary to access your data. If you wish to make changes to your Data Availability statement, please describe these changes in your cover letter and we will update your Data Availability statement to reflect the information you provide.

data is now available at

Murdan, Sudax; Phuoc, Nguyen Ngoc; Basit, Abdul; N. Zadoks, Ruth; Herath, Tharangani; Bashir, Shazia (2022): An oral pH-responsive Streptococcus agalactiae vaccine formulation provides protective immunity to pathogen challenge in tilapia. University College London. Dataset. https://doi.org/10.5522/04/19369376.v1

Also stated in the revised cover letter.

5. Please include your full ethics statement in the ‘Methods’ section of your manuscript file. In your statement, please include the full name of the IRB or ethics committee who approved or waived your study, as well as whether or not you obtained informed written or verbal consent. If consent was waived for your study, please include this information in your statement as well.

The name of the ethics committee who approved the study is added in the main body. Written consent was also obtained from University College London, regarding the conduct of experiments in fish.

[Note: HTML markup is below. Please do not edit.]

Reviewers' comments:

________________________________________

Reviewer #1: This is an interesting study detailing a pH-responsive carrier with formalin-killed whole cell oral vaccine against streptococcus agalactiae ST283 infection in tilapia. However, there are several concerns listed below, for the authors to improve the manuscript.

Major concerns:

1. The Introduction and Discussion sections should be rewritten because authors confused these two parts. Introduction should be included the context, the scope and the importance of your research. In the Discussion chapter, you need summarized the key findings, did not repeat all the results and related the importance of these key findings with the existing scholarly works and so on.

The introduction and discussion have been rewritten and refocused in accordance with the feedback from Reviewers 1 and 3.

2. The authors should try to acknowledge the limitations of the study in the Discussion chapter, especially in antibody detection and immune response after vaccination.

We have added to the discussion chapter that antibody profiles were not determined. It is not known whether vaccine-induced immunity is purely anti-body mediated, so we considered a protective immune response, as observed in our study, a more important read-out.

3. All the figures resolution was not high.

This is now addressed.

Minor comments:

1. In line 50, Keywords should be “oral vaccine, tilapia, streptococcus agalactiae, microparticles”

Implemented as suggested

2. In line 251, author said “Mean body weight of the tilapia used in this study was 15 ± 2 g”, Why select this age for vaccination? Add references.

This is addressed. Reference has been added.

3. In line 517-8, “further studies must be conducted to evaluate the efficacy of the encapsulated GBS when incorporated in fish feed and compare to unencapsulated GBS”. Capsular is widely accepted as important protective antigen of Streptococci, so this sentence should be deleted.

There appears to be confusion between encapsulation of a vaccine to make it pH responsive, and the capsular antigens on the surface of the bacteria. We have rephrased the text to avoid such confusion. Interestingly, capsule is an important virulence factor in human GBS but not in animal GBS. We note this here for the reviewer’s interest but have not added this to the manuscript because that addresses a different type of encapsulation. We have used the word ‘entrapment’ to avoid any confusion.

Reviewer #2: Authors should revise the manuscript as in the attached word file.

Thank you for your detailed feedback on our manuscript. To accommodate the remaining reviewers’ suggestions, we rewrote some sections of the text. Where still relevant, we have incorporated your corrections.

Line 178: Authors should add reference or NCBI GenBank accession number.

An NCBI Genbank accession number was not provided because this isolate has not been sequenced. Use of field isolates to develop challenge models is customary in peer-reviewed tilapia research.

Please revise italics in the reference section

Implemented as suggested.

All figures should be of high resolution

This is now addressed.

Reviewer #3: Dear Editor

Greeting,

The manuscript under title ( An oral pH-responsive Streptococcus agalactiaevaccine formulation provides protective immunity to pathogen challenge in tilapia: a proof-of-concept study ).

This study provides good findings that are helpful in minimizing the use of

antimicrobials and antibiotic resistance in aquaculture using oral vaccine . However, I found some points should be clarified.

Thank you for your positive feedback and your suggestion to improve accessibility of the information.

Constructive Comments to the author

-The language of the text needs more revisions.

Revisions have been made to all sections of the text, including Abstract, Introduction, Methods, Results and Discussion.

Specific comments

Abstract

The abstract section should be briefly introduce the research background and research significance and clarify the research methods, then introduce the main research results, and finally, give the corresponding conclusions. I hope to make a comprehensive modification.

The abstract has been rewritten using the suggested structure.

Line 27-30 Add this paragraph to the introduction

This information is covered in the introduction.

Introduction

The novelty should be highlighted more in the introduction. Additionally , organize it to be simple.

We have simplified the introduction so that it takes the reader through the importance of intensification of aquaculture for food security, and the resultant risk of disease emergence, to the need for disease control measures, which include antimicrobials and vaccines. Both have disadvantages and limitations, which are summarized briefly, leading logically to the need for better options, e.g., targeted oral vaccination. The current state of knowledge around this option is introduced in such a way that the novelty of our approach is highlighted more clearly. The introduction ends with a shortened and simplified description of the study’s aim, design, and key findings.

Materials and methods

Organize the materials to be simple in writing.

We have simplified the organization and the writing and checked with non-native speakers whether they found the text easy to understand.

Line 169 Improve this title

This title has been improved

Line 176 Put title for this paragraph

The improved title for the previous paragraph now also covers this paragraph.

Line 191 what do you mean 0.7ml at 106 cfu/mL ? especially at . Did you mean from? How do you adjust it?

No, we mean at a concentration of 106 CFU/mL.

0.7 mL was written in the text as 0.7 ml of this GBS suspension was placed in a Cuvette, which was then placed in the instrument, and measurements were then taken. We have removed 0.7ml from the text now to avoid any confusion and as it is not needed. Concentration was adjusted by dilution, prior to placement of the suspension in the cuvette.

Line 244 you wrote, Red tilapia (Oreochromis sp.) was purchased. What is the name of the place ?

Name of the place, Provincial Breeding Centre of Thua Thien Hue at Cu Chanh Commune, Thua Thien Hue province, Vietnam, is in the text.

Results

The authors can improve the results by rewriting some sentences. Please, highlight just the main results to keep it short.

The results section has been shortened, and several sentences have been rewritten.

Discussion

The discussion should concatenate the results of the entire experiment into a reasonable story, but the discussion here is too scattered and not focused.

Discussion has been rewritten and refocused in accordance with the reviewers’ feedback.

Add updated references for the paragraphs

Line 439 - 453 Add references to this paragraph. However, it is a long paragraph.

This paragraph has been removed when the manuscript has been simplified and refocused.

________________________________________

Attachment

Submitted filename: Response to Reviewers.docx

Decision Letter 1

Mahmoud Abdel Aziz Mabrok

14 Nov 2022

An oral pH-responsive Streptococcus agalactiae vaccine formulation provides protective immunity to pathogen challenge in tilapia: a proof-of-concept study

PONE-D-22-20929R1

Dear Dr. Murdan,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org.

If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

Kind regards,

Mahmoud Abdel Aziz Mabrok, PhD

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: All comments have been addressed

Reviewer #2: All comments have been addressed

**********

2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

Reviewer #2: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #2: Yes

**********

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Reviewer #1: Yes

Reviewer #2: Yes

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6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: I recommend to accept this manuscription because the authors have improved the contents according to our suggestions

Reviewer #2: (No Response)

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Reviewer #1: No

Reviewer #2: No

**********

Acceptance letter

Mahmoud Abdel Aziz Mabrok

16 Nov 2022

PONE-D-22-20929R1

An oral pH-responsive Streptococcus agalactiae vaccine formulation provides protective immunity to pathogen challenge in tilapia: a proof-of-concept study

Dear Dr. Murdan:

I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department.

If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org.

If we can help with anything else, please email us at plosone@plos.org.

Thank you for submitting your work to PLOS ONE and supporting open access.

Kind regards,

PLOS ONE Editorial Office Staff

on behalf of

Dr. Mahmoud Abdel Aziz Mabrok

Academic Editor

PLOS ONE

Associated Data

    This section collects any data citations, data availability statements, or supplementary materials included in this article.

    Supplementary Materials

    Attachment

    Submitted filename: PONE-D-22-20929.docx

    Attachment

    Submitted filename: Report.docx

    Attachment

    Submitted filename: Response to Reviewers.docx

    Data Availability Statement

    Data are available at: Murdan, Sudax; Phuoc, Nguyen Ngoc; Basit, Abdul; N. Zadoks, Ruth; Herath, Tharangani; Bashir, Shazia (2022): An oral pH-responsive Streptococcus agalactiae vaccine formulation provides protective immunity to pathogen challenge in tilapia. University College London. Dataset. https://doi.org/10.5522/04/19369376.v1.


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