Immunocompromised patients are highly susceptible to infection with Pseudomonas aeruginosa. Our laboratory previously showed that intranasal administration of an attenuated Salmonella strain expressing the P. aeruginosa lipopolysaccharide O antigen was effective in clearing bacteria and preventing mortality in wild-type mice after intranasal challenge. We were interested in investigating the efficacy of this vaccine strategy in immunocompromised mice. Mice rendered leukopenic or neutropenic by intraperitoneal treatment with cyclophosphamide (Cy) or RB6-8C5 antibody, respectively, were more susceptible to P. aeruginosa pneumonia than their nontreated counterparts, demonstrating 50% lethal doses several logs lower than that in wild-type mice. This hypersusceptiblity was also associated with bacterial dissemination to the liver and spleen and increased lung permeability in Cy mice. Vaccination of the mice prior to treatment resulted in better survival and lower bacterial loads compared to vector-immunized mice. Although the treatments had no effect on antibody titers, this level of protection was still lower than that seen in untreated vaccinated mice. Administration of antibodies directly to the site of infection at the time of bacterial delivery prolonged survival and lowered bacterial loads in the immunocompromised mice. These results demonstrate the importance of white blood cells while still suggesting a critical role for antibodies in protection against P. aeruginosa infection.Pseudomonas aeruginosa is an important opportunistic pathogen that is associated with infections in cystic fibrosis patients, burn patients, patients on ventilators, and contact lens wearers. Another important infection group consists of immunocompromised individuals, such as those undergoing chemotherapy or AIDS patients (11,14,17). Infections in these patient populations are difficult to treat, partly due to the innate antibiotic resistance of P. aeruginosa and partly due to the immunocompromised status of the patient. A particular problem associated with pneumonia in immunocompromised patients is bacteremia, which allows the bacteria to spread to other organs (11,14,17).Recently, host factors contributing to dissemination of P. aeruginosa were investigated with a gastrointestinal model of colonization leading to infection (12). Mice previously infected with P. aeruginosa in the intestinal tract and then rendered neutropenic had increased dissemination and mortality. Two methods of inducing of neutropenia were used in that study (12): treatment with cyclophosphamide (Cy) and treatment with the RB6-8C5 antibody specific for the Ly6 antigen on the surface of neutrophils (9). Neutropenic mice were also used by Vance et al. (24) as a model to monitor dissemination of type III secretion system (TTSS) mutants of P. aeruginosa.Previous work in our laboratory characterized a vaccine that confers serotype-specific protection against P. aeruginosa challenge (5). The vaccine consists of Salmonella enterica serovar Typhimurium strain SL3261, an ...