Pneumococcal Polysaccharide Vaccine Ameliorates Murine Lupus.

Abstract:

:Current guidelines encourage administering pneumococcal vaccine Prevnar-13 to patients with lupus, but whether such vaccinations affect disease severity is unclear. To address this issue, we treated 3-month-old MRL-lpr mice, that spontaneously develop a lupus-like syndrome, with Prevnar-13 or vehicle control. After 3 months, we quantified circulating anti-Pneumococcal polysaccharide capsule (PPS) antibodies and signs of disease severity, including albuminuria, renal histology and skin severity score. We also compared immunophenotypes and function of T and B cells from treated and untreated animals. Prevnar-13 elicited the formation of anti-pneumococcal IgM and IgG. Prevnar-13 treated animals showed reduced albuminuria, renal histological lesions, and milder dermatitis compared to vehicle-treated controls. Mitigated disease severity was associated with reduced and increased T follicular helper cells (TFH) and T follicular regulatory cells (TFR), respectively, in Prevnar-treated animals. T cells from Prevnar-13 vaccinated mice showed differential cytokine production after aCD3/aCD28 stimulation, with significantly decreased IL-17 and IL-4, and increased IL-10 production compared to non-vaccinated mice. In conclusion, pneumococcal vaccination elicits anti-pneumococcal antibody response and ameliorates disease severity in MRL-lpr mice, which associates with fewer TFH and increased TFR. Together, the data support use of Prevnar vaccination in individuals with SLE.

journal_name

Front Immunol

journal_title

Frontiers in immunology

authors

Cantarelli C,Guglielmo C,Hartzell S,Salem FE,Andrighetto S,Gazivoda VP,Fiaccadori E,La Manna G,Zaza G,Leventhal J,Tassiulas I,Cravedi P

doi

10.3389/fimmu.2019.02695

subject

Has Abstract

pub_date

2019-11-20 00:00:00

pages

2695

issn

1664-3224

journal_volume

10

pub_type

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