Abstract
Dental caries remains a major health issue and the Gram-positive bacterium Streptococcus mutans is considered as the major pathogen causing caries. More recently, S. mutans has been recognised as a cause of endocarditis, ulcerative colitis and fatty acid liver disease along with the likelihood of increased cerebral hemorrhage following a stroke if S. mutans is present systemically. We initiated this study to examine the vaccine candidacy of the serotype specific polysaccharides elaborated by S. mutans. We have confirmed the carbohydrate structures for the serotype specific rhamnan containing polysaccharides from serotypes c, f and k. We have prepared glycoconjugate vaccines using the rhamnan containing polymers from serotypes f and k and immunised mice and rabbits. We consistently obtained a robust immune response to the glycoconjugates with cross-reactivity consistent with the structural similarities of the polymers from the different serotypes. We developed an opsonophagocytic assay which illustrated the ability of the post-immune sera to facilitate opsonophagocytic killing of the homologous and heterologous serotypes at titers consistent with the structural homologies. We conclude that glycoconjugates of the rhamnan polymers of S. mutans are a potential vaccine candidate to target dental caries and other sequelae following the escape of S. mutans from the oral cavity.
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References
Taubman, M.A., Nash, D.A.: The scientific and public health imperative for a vaccine against dental caries. Nat. Rev. Immunol. 6, 555–563 (2006)
Nobbs, A.: Getting to the heart of the matter: Role of Streptococcus mutans adhesin Cnm in systemic disease. Virulence. 8, 1–4 (2017)
Nakano, K., Hokamura, K., Taniguchi, N., Wada, K., Kudo, C., Nomura, R., et al.: The collagen binding protein of Streptococcus mutans is involved in haemorrhagic stroke. Nat. Commun. 2, 485–494 (2011)
Kojima, A., Nomura, R., Naka, S., Okawa, R., Ooshima, T., Nakano, K.: Aggravation of inflammatory bowel disease by oral streptococci. Oral Dis. 20, 359–366 (2014)
Naka, S., Nomura, R., Takashima, Y., Okawa, R., Ooshima, T., Nakano, K.: A specific Streptococcus mutans strain aggravates non-alcoholic fatty liver disease. Oral Dis. 20, 700–706 (2014)
Gould, F.K., Denning, D.W., Elliott, T.S., Foweraker, J., Perry, J.D., Prendergast, B.D., et al.: Guidelines for the diagnosis and antibiotic treatment of endocarditis in adults: a report of the working Party of the British Society for antimicrobial chemotherapy. J. Antimicrob. Chemother. 67, 269–289 (2012)
Elshibly, A., Coulter, W.A., Millar, B.C., Prendergast, B.D., Thornhill, M., Irwin, C., et al.: Effective oral health in infective endocarditis: efficacy of high street mouthwashes against the viridans group streptococci. Oral Microb. 5, 151–153 (2014)
Miller, J.H., Aviles-Reyes, A., Scott-Anne, K., Gregoire, S., Watson, G.E., Sampson, E., et al.: The collagen binding protein Cnm contributes to the oral colonisation and cariogenicity of Streptococcus mutans OMZ175. Infect. Immun. 83, 2001–2010 (2015)
Batista, M.T., Souza, R.D., Ferreira, E.L., Robinette, R., Crowley, P.J., Rodrigues, J.F., et al.: Immunogenicity and in vitro and in vivo protective effects of antibodies targeting a recombinant form of the Streptococcus mutans P1 surface protein. Infect. Immun. 82, 4978–4988 (2014)
Zhu, F., Zhang, H., Wu, H.: Glycosyltransferase-mediated sweet modification in oral streptococci. J. Dent. Res. 94, 659–665 (2015)
Bowen, W.H., Koo, H.: Biology of Streptococcus mutans-derived glucosyltransferases: role in extracellular matrix formation of cariogenic biofilms. Caries Res. 45, 69–86 (2011)
Weintraub, J.A., Hilton, J.F., White, J.M., Hoover, C.I., Wycoff, K.L., Yu, L., et al.: Clinical trial of a plant-derived antibody on recolonization of mutans streptococci. Caries Res. 39, 241–250 (2005)
Hillman, J.D., McDonell, E., Cramm, T., Hillman, C.H., Zahradnik, R.T.: A spontaneous lactate dehydrogenase deficient mutant of Streptococcus rattus for use as a probiotic in the prevention of dental caries. J. Appl. Microbiol. 107, 1551–1558 (2009)
Luo, W., Wen, S., Yang, L., Zheng, G.: Mucosal anti-caries DNA vaccine: a new approach to induce protective immunity against Streptococcus mutans. Int. J. Clin. Exp. Pathol. 10, 853–857 (2017)
Smith, D.J., King, W.F., Rivero, J., Taubman, M.A.: Immunological and protective effects of di-epitopic sub-unit dental caries vaccines. Infect. Immun. 73, 2797–2804 (2005)
Childers, N.K., Michalek, S.M., Pritchard, D.G., McGhee, J.R.: Mucosal and systemic responses to an oral liposome-Streptococcus mutans carbohydrate vaccine in humans. Reg. Immunol. 3, 289–296 (1990–91)
Challacombe, S.J., Russell, M.W., Hawkes, J.E., Bergmeier, L.A., Lehner, T.: Passage of immunoglobulins from plasma to the oral cavity in rhesus monkeys. Immunology. 35, 923–931 (1978)
Nakano, K., Ooshima, T.: Serotype classification of Streptococcus mutans and its detection outside the oral cavity. Future Microbiol. 4, 891–902 (2009)
Linzer, R., Reddy, M.S., Levine, M.J.: Immunochemical aspects of serotype carbohydrate antigens of Streptococcus mutans. In: Hamada, S.M., Michalek, H., Kiyono, L.M., McGhee, J.R. (eds.) Molecular Microbiology and Immunobiology of Streptococcus mutans, pp. 29–38. Elsevier Science Publishing Inc., Amsterdam (1986)
Pritchard, D.G., Gregory, R.L., Michalek, S.M., McGhee, J.R.: Characterization of the serotype e polysaccharide antigen of Streptococcus mutans. Mol. Immunol. 23, 141–145 (1986)
Linzer, R., Reddy, M.S., Levine, M.J.: Structural studies of the serotype f polysaccharide antigen from Streptococcus mutans OMZ175. Infect. Immun. 55, 3006–3010 (1987)
Fujiwara, T., Nakano, K., Kawaguchi, M., Ooshima, T., Sobue, S., Kawabata, S., et al.: Biochemical and genetic characterization of serologically untypable Streptococcus mutans strains isolated from patients with bacteremia. Eur. J. Oral Sci. 109, 330–334 (2001)
Hamada, S., Michalek, S.M., Torii, M., Morisaki, I., McGhee, J.R.: An enzyme-linked immunosorbent assay (ELISA) for quantification of antibodies to Streptococcus mutans surface antigens. Mol. Immunol. 20, 453–464 (1983)
Sawardeker, D.G., Sloneker, J.H., Jeanes, A.: Quantitative determination of monosaccharides as their alditol acetates by gas liquid chromatography. Anal. Chem. 37, 1602–1604 (1965)
Cox, A.D., Li, J., Brisson, J.-R., Moxon, E.R., Richards, J.C.: Structural analysis of the lipopolysaccharide from Neisseria meningitidis strain BZ157 galE: localisation of two phosphoethanolamine residues in the inner core oligosaccharide. Carbohydr. Res. 337, 1435–1444 (2002)
Laemmli, U.K.: Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature. 227, 680–685 (1970)
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This article does not contain any studies with human participants performed by any of the authors. All animal care and accompanying procedures were in accordance with the guidelines and policies of the Canadian Council on Animal Care (CCAC). The study was approved by the Human Health Therapeutics’ Animal Care Committee which is certified by the CCAC.
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Supplementary Fig. 1
a. 1H–NMR spectrum for the glucorhamnan and rhamnan repeating units from Streptococcus mutans serotype c strain 10499. b. 1H–NMR spectrum for the glucorhamnan and rhamnan repeating units from Streptococcus mutans serotype f strain OMZ175. c. 1H–NMR spectrum for the galactorhamnan and rhamnan repeating units from Streptococcus mutans serotype z strain OM42X. (PDF 61 kb)
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St. Michael, F., Yang, Q., Cairns, C. et al. Investigating the candidacy of the serotype specific rhamnan polysaccharide based glycoconjugates to prevent disease caused by the dental pathogen Streptococcus mutans . Glycoconj J 35, 53–64 (2018). https://doi.org/10.1007/s10719-017-9798-z
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DOI: https://doi.org/10.1007/s10719-017-9798-z