Developments in Tularemia Animal Models UNM Alexandra Scrymgeour Gloria Statom Jason Zsemlye Terry Wu C. Rick Lyons 1 Active milestones 5 Evaluation of small animal models • • Fischer 344 rat is potentially a good model Eliminated Hartley guinea pigs from further evaluation 12/13 Assays for detecting relevant immune responses • • 19 IFNg Elispot assay may be better than proliferation assay for mouse model Developing the IFNg Elispot and proliferation assays for the rat model Interaction between human alveolar macrophages and F. tularensis • Developing culture conditions 21 T cell-induced macrophage killing of intracellular bacteria • • Assay developed in mouse model for killing LVS; working on SCHU S4 Developing killing assay for the rat model 27 Optimization of T cell assays to define vaccine candidates • Testing IFNg Elispot as alternative to T cell proliferation assay for screening 34 Optimization of RNA isolation and hybridization conditions 2 Fischer 344 rats 3 It all started here… 4 Comparison of human and rat vaccine studies Species Sensitivity to respiratory SCHU S4 challenge Sensitivity to LVS vaccination Vaccine-induced protection against aerosol or i.n. SCHU S4 challenge Scarification (s.c. / i.d.) Pulmonary (Aerosol / i.n.) Scarification vaccination Pulmonary vaccination Human High MID = 10 40-60% mortality Low Low (> 108 LVS) Protected against < 2 x 103 SCHU S4 Protected against 2.5 x 104 SCHU S4 Fischer 344 Rats High LD50 ~ 180 100% mortality Low (> 5 x 107 LVS) Low (> 2 x 107 LVS) Protected against > 104 SCHU S4 Protected against > 104 SCHU S4 Species Innate immunity Humoral immunity Cell mediated immunity Human Macrophages, neutrophils, type II alveolar epithelial cells, TNF IgM, IgA, IgG appear 14 d after vaccination and persist for years CD4 & CD8 T cell proliferation and IFNg production appear 14 d after vaccination and persists for years Fischer 344 Rats ??? ??? ??? 5 Method of pulmonary infection 6 RC Molthen. J Am Assoc Lab Anim Sci. 2006 Jan;45(1):88-93. Tracking pulmonary delivery in rats 7 Sensitivity of naïve Fischer 344 rats to i.t. SCHU S4 challenge 8 Clinical signs and scoring (-) (+/-) (+) (++) (+++) Active, bright, alert, and responsive to cage movement Active, alert and responsive to cage movement, slight piloerection, slight porphyrin secretion around eyes Slightly decreased activity, alertness and responsiveness to cage movement, clear piloerection, eyes open but with slight porphyrin secretion Definite decreased activity, moves slowly to cage movement , very ruffled coat, rapid and shallow breathing, hunched over, huddle in group, eyes half closed with large amount of porphyrin secretion Inactive and unresponsive to cage movement, very ruffled coat, weight loss, wobbly, difficulty walking, labored breathing, eyes closed, isolated from group 9 Sensitivity of naïve Fischer 344 rats to various routes of LVS vaccination Route of LVS vaccination 4 wk survival Dose ratio (CFU/rat) (# survived/total) i.t. 2.0 x 107 28/30 i.d. 5.0 x 107 30/30 s.c. 5.0 x 107 30/30 10 Kinetics of LVS proliferation, dissemination and clearance after s.c. vaccination Log10 mean bacterial load ± SD (No. infected tissue/total) Day p.i. Spleen Liver Lung 1 4.2 ± 0.7 (6/6) 3.7 ± 0.2 (5/6) 2.5 ± 0.2 (3/6) 2 4.5 ± 0.2 (6/6) 4.3 ± 0.4 (6/6) 3.1 ± 0.4 (5/6) 3 4.0 ± 0.6 (5/6) 4.0 ± 0.6 (6/6) 3.5 ± 0.6 (4/6) 4 4.1 ± 0.1 (6/6) 3.5 ± 0.3 (6/6) 2.5 ± 0.6 (2/6) 5 3.8 ± 0.3 (6/6) 2.7 ± 0.3 (3/6) 2.8 ± 0.4 (4/6) 6 3.5 ± 0.2 (6/6) 0 (0/6) 2.1 (1/6) 14 0 (0/6) 0 (0/6) 0 (0/6) Inoculum = 3.7 x 107 CFU/rat 11 Sero-conversion after s.c. LVS vaccination 12 Vaccination protects Fischer 344 rats against i.t. SCHU S4 challenge 13 Vaccination protects Fischer 344 rats against i.t. SCHU S4 challenge: experiment 2 14 SCHU S4 proliferation and dissemination in naïve and vaccinated Fischer 344 rats Mean Log10 CFU/organ ± SD Naïve Day Lung 0 4.2 ± 0.3 1 7.3 ± 0.1 2.5 (1/4) 1.9 ± (1/4) 2 8.2 ± 0.2 5.0 ± 0.6 4.7 ± 0.7 7.4 ± 0.1 4.5 ± 0.3 3 8.5 ± 0.3 7.2 ± 0.2 7.1 ± 0.4 7.4 ± 0.1 4.5 ± 1.0.2 4 8.9 ± 0.3 7.9 ± 0.3 8.4 ± 0.3 7.7 ± 0.7 5.1 ± 0.3 6.8 ± 0.4 5.0 ± 0.2 4.6 ± 0.3 6 6.0 ± 0.8 3.9 ± 0.7 4.1 ± 0.8 21 2.9 ± 0.3 0 0 42 0 0 0 5 Liver s.c. LVS vaccinated Spleen Lung Liver Spleen 2.2 ± 0.3 0 4.2 ± 0.1 Died n = 4-5/group 15 Frequency of IFNg-producing, LVSspecific splenocytes 16 Summary of the Fischer 344 rat model • • • • Extremely sensitive to i.t. SCHU S4 challenge (LD50 = 180) Can be vaccinated s.c., i.d. or i.t. with large doses of LVS Vaccination increases resistance to SCHU S4 by 3- 4 logs Vaccination limits SCHU S4 proliferation, dissemination and histopathology • Vaccination increases frequency of LVS-specific T cells • The best model so far for human disease, but more characterization required 17 Problems and resolutions 5 Evaluation of small animal models • • Problem: Occasionally missing pulmonary infection Resolution: Quantum dots or surgical infection 12/13 Assays for detecting relevant immune responses • • Problem: Unreliable T cell proliferation results Resolution: Testing IFNg Elispot as an alternative 19 Interaction between human alveolar macrophages and F. tularensis • • Problem: Accessibility to human volunteers Resolution: School started and monocyte-derived macrophages 21 T cell-induced macrophage killing of intracellular bacteria • • Problem: Generating/maintaining macrophage monolayer Resolution: Received help from Karen Elkins 27 Optimization of T cell assays to define vaccine candidates • • Problem: Unreliable T cell proliferation results Resolution: Testing IFNg Elispot as an alternative 34 Optimization of RNA isolation and hybridization conditions • Problems: None 18 Next six months… 5 Evaluation of small animal models • Detailed characterization of the rat model for comparison with humans, including roles of CD4 and CD8 T cells, B cells and antibodies, cytokines 12/13 Assays for detecting relevant immune responses • • Optimize IFNg Elispot assay for the mouse model Develop and evaluate IFNg Elispot and T cell proliferation assays for the rat model 19 Interaction between human alveolar macrophages and F. tularensis • • • Establish conditions for working with human alveolar macrophages and monocyte-derived macrophages Characterize the growth of LVS and SCHU S4 in macrophages Determine the effect of IFNg 19 Next six months… 21 T cell-induced macrophage killing of intracellular bacteria • • • Develop killing assay in the mouse model using SCHU S4 Develop assay in the rat model Develop assay using macrophages and T cells from vaccinated volunteers 27 Optimization of T cell assays to define vaccine candidates • Test usefulness of the IFNg Elispot assay for screening candidate peptide and protein vaccines from ASU 34 Optimization of RNA isolation and hybridization conditions • Provide ASU with RNA and DNA as needed 20 Questions after presentation • • • • • • Karl: why vaccinate intratracheal rather than intranasal? Rick: turvinates in rats cause a volume issue; can’t get enough volume down their lungs via the intranasal route. 50ul in mouse goes down to the lungs but 50ul in rats doesn’t get down into the lungs. Some rats even drowned with 50ul intranasally. SAJ: are the T cells cd 8 or cd4 involved in the rat? Terry responded that UNM hasn’t done the experiment yet. Rick: Guinea Pig is very resistant to LVS and LVS provided no protection to SCHU S4 challenge. Rat is giving a little bigger window for vaccination and protection than the mouse gave. Rick doesn’t like any naïve controls surviving a lethal SCHU S4 challenge. Consistently down in 80-90% survival which is reasonable. Fisher 344 are inbred rats. UNM still has work to do on the rat model but is promsing. Karl: Has UNM used nose aerosol exposures yet? Chuck: One can do nose only in the rats. It may be easier to do aerosol with nose, rather than intratracheal in rats. It maybe faster to give 1 dose to 100 rats by aerosol cone than intratracheal infection. 21