Leishmaniasis is caused by the protozoan parasite Leishmania which inflicts significant morbidity and mortality, depending upon species and disease severity. Nearly 350 million people are at risk across 75 visceral leishmaniasis (VL) endemic and 87 cutaneous leishmaniasis (CL) endemic countries. 1,2 None of the vaccination trials in the past eight decades has met with considerable success. First-generation vaccines modalities such as leishmanization failed due to lack of consistent results and difficult standardization protocols. Purified recombinant proteins such as LACK, HASPB1, cysteine proteases or peptides gave unpromising results in pre-clinical or clinical trials. 3,4 Chemotherapies against leishmaniasis have reduced efficacy due to drug resistance, toxicity and non-compliance. 5 Therefore, prophylactic vaccination appears most reliable and cost-effective preventive method. 6 However, none of the antigens and modalities tested so far has been able to achieve the desired results.Generation of long-lived immunologic memory is essential in anti-leishmanial immunity. 7 Ability of a leishmanial antigen to reactivate vaccination-primed Th cells during challenge infection is necessary for protection. As intracellular expression of a protein dictates the fate of antigen presentation, 8 abundantly expressed leishmanial proteins would have a greater chance of being presented by MHC-II inside Leishmania-infected macrophages and may contribute to subsequent life-long immunity. In addition, vaccination strategy is an important factor which significantly affects the immunogenicity of an antigen by qualitative and quantitative availability of an antigen to APC. 9 As Leishmania major adenylate kinase (LmAdeK) is highly expressed in virulent Leishmania-infected unstimulated and IFN-γ stimulated macrophages, and as heterologous prime-boost (HPB) is more immunogenic than homologous
AbstractLeishmania major causes mild-to-severe cutaneous lesions resulting in significant disfigurations, if untreated. The drugs are toxic, and drug-resistance parasites are emerging. Therefore, a prophylactic vaccination is an urgent need. As no vaccine is available, we compared the genes expressed by virulent and avirulent parasites.We identify L major adenylate kinase (AdeK) as a probable vaccine candidate after a series of experimentations. We cloned the gene in mammalian pcDNA6/HisA and pet28a + vector for in vivo expression following immunization and in vitro protein expression for booster, respectively. We observed that immunization of susceptible BALB/c mice with AdeK resulted in significant protection against L major challenge infection. The protection was accompanied by increased IFN-γ producing lymphocytes and reduced IL-4, IL-17 and IL-10 secreting central and effector Th2, Th17 and Treg memory cells, respectively. These observations indicate L major AdeK as a potential vaccine candidate.
K E Y W O R D Sadenylate kinase, leishmania, Th17, Th2, vaccine