bMucosal immunization with attenuated vaccine can protect against pneumococcal invasion infection, but the mechanism was unknown. Our study found that mucosal delivery with the live attenuated SPY1 vaccine strain can confer T cell-and B cell-dependent protection against pneumococcal colonization and invasive infection; yet it is still unclear which cell subsets contribute to the protection, and their roles in pneumococcal colonization and invasion remain elusive. Adoptive transfer of anti-SPY1 antibody conferred protection to naive MT mice, and immune T cells were indispensable to protection examined in nude mice. A critical role of interleukin 17A (IL-17A) in colonization was demonstrated in mice lacking IL-17A, and a vaccine-specific Th2 immune subset was necessary for systemic protection. Of note, we found that SPY1 could stimulate an immunoregulatory response and that SPY1-elicited regulatory T cells participated in protection against colonization and lethal infection. The data presented here aid our understanding of how live attenuated strains are able to function as effective vaccines and may contribute to a more comprehensive evaluation of live vaccines and other mucosal vaccines.
Vaccination is an indispensable strategy to prevent infection caused by Streptococcus pneumoniae (S. pneumoniae), which is estimated to lead to a mortality rate of more than 50 deaths in every 1,000 births in children under 5 years of age in some countries (1). The commercially available 23-valent polysaccharide vaccine contains the most common serotypes that cause pneumococcal infection and is effective in adults but fails to protect children of less than 2 years of age, who are most vulnerable to pneumococcal infection. The recent extensive introduction of conjugated capsular polysaccharide vaccine (PCV) has drastically decreased the child morbidity and mortality caused by strains of S. pneumoniae expressing capsular serotypes included in the vaccine. However, the serotype coverage of PCV is limited, and a growing body of evidence showed that PCV could induce selective pressure and gradual replacement with nonvaccine serotypes (serotype replacement) (2, 3). The conjugated vaccine is also very expensive and is complex in design, making more difficult its application in the low-income countries that have the highest burden of S. pneumoniae infections (4).As a consequence of these shortcomings with the commercially available S. pneumoniae vaccines, other approaches have been explored, including protein antigen vaccines, killed whole-cell S. pneumoniae vaccines, or attenuated live S. pneumoniae vaccines (5, 6). The wide range of antigenic molecules present in live attenuated vaccines promises that the immune responses they induce are likely to be multiple and powerful and may also more closely mimic those obtained in natural infection than immune responses to a vaccine using a subcomponent or killed bacteria (7). Some live bacterial vaccines have been clinically used, including the Mycobacterium bovis BCG (8) and vaccines for prev...