2019
DOI: 10.3390/cells8090982
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E. coli Enterotoxin LtB Enhances Vaccine-Induced Anti-H. pylori Protection by Promoting Leukocyte Migration into Gastric Mucus via Inflammatory Lesions

Abstract: Current studies indicate that the anti-H. pylori protective efficacy of oral vaccines to a large extent depends on using mucosal adjuvants like E. coli heat-lable enterotoxin B unit (LtB). However, the mechanism by which Th17/Th1-driven cellular immunity kills H. pylori and the role of LtB remains unclear. Here, two L. lactis strains, expressing H. pylori NapA and LtB, respectively, were orally administrated to mice. As observed, the administration of LtB significantly enhanced the fecal SIgA level and decreas… Show more

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Cited by 8 publications
(10 citation statements)
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References 46 publications
(72 reference statements)
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“…[ 28 ] After H. pylori challenges, LAB vaccine provided sufficient protection to immunized mice that decrease the gastric H. pylori colonization and urease activity. [ 29,30 ]…”
Section: The Influence Of Administration Routes On Immune Responsesmentioning
confidence: 99%
“…[ 28 ] After H. pylori challenges, LAB vaccine provided sufficient protection to immunized mice that decrease the gastric H. pylori colonization and urease activity. [ 29,30 ]…”
Section: The Influence Of Administration Routes On Immune Responsesmentioning
confidence: 99%
“…At present, the exact protective immune mechanisms against H. pylori are still not very clear ( 23 ). The development of preventive and therapeutic H. pylori vaccines has obtained encouraging protection results in animal models ( 24 26 ), with some vaccines entering clinical studies ( 27 29 ). However, most candidate vaccines are still in the early stages of development, and there are still difficulties and challenges in the development of safe and effective H. pylori vaccines.…”
Section: Discussionmentioning
confidence: 99%
“…It is remarkable that the first use of oral vaccination against H. pylori infection is investigated by Czinn and Nedrud 53 . In most cases, CTB or LTB can serve as a strong mucosal adjuvant and promote the induction of protective immunity against H. pylori 43,44 . However, the adverse effects of these adjuvants in clinical trials, including diarrhea, low‐grade fever, and vomiting, 9,54 limit their further application.…”
Section: Discussionmentioning
confidence: 99%
“…Of note, adjuvanted H. pylori vaccines can induce significant immune protection against H. pylori infection 35–42 . Expression of fusions with Escherichia coli heat‐liable enterotoxin subunit B (LTB) or cholera toxin subunit B (CTB) has great potential to induce effective and comprehensive protection against H. pylori infection in a mouse model 43,44 . Although LTB and CTB are effective mucosal adjuvants, they do not have clinical approval and might cause diarrhea in a large proportion of volunteers 9,13 .…”
Section: Introductionmentioning
confidence: 99%
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