Abstract
Bacteria produce a range of virulence factors that allow them to invade, colonize, and cause disease in humans and other hosts. Bacterial toxins are harmful virulence factors that can kill or damage host cells and have powerful immunomodulatory that can subvert immune responses of the host. Immune responses against these toxins, in particular the production of antitoxin antibodies, are often a key component of the protective immunity against the bacteria and modified bacterial toxins, inactivated by chemically or genetic means, have formed the basis of several successful antibacterial vaccines. However, because of their immunomodulatory properties, bacterial toxins can also enhance immune responses to unrelated antigens, especially when administered by mucosal routes. Therefore bacterial toxins and nontoxic derivatives are also developed as mucosal adjuvant for subunit vaccines against a range of infectious diseases.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Medzhitov R, Janeway C. Innate immunity: the virtues of a nonclonal system of recognition. Cell 1997;91:295–298.
Takeda K, Akira S. Toll-like receptors in innate immunity. Int Immunol 2005;17:1–14.
Hemmi H, Takeuchi O, Kawai T, et al. A Toll-like receptor recognizes bacterial DNA. Nature 2000;408:740–745.
Mossman TR, Sad S. The expanding universe of T-cell subsets: Th1, Th2 and more. Immunol Today 1996;17:138–146.
Mahon BP, Katrak K, Nomoto A, Macadam AJ, Minor PD, Mills KHG. Poliovirus-specific Th1 clones with cytotoxic and helper activity mediate protective humoral immunity against a lethal poliovirus infection in a transgenic mouse model. J Exp Med 1995;181:1285–1292.
Moore A, McGuirk P, Adams S, Jones WC, McGee JP, O’Hagan D, Mills KHG. Induction of HIV-specific CD8+ CTL and CD4+ Th1 cells by immunization with recombinant gp120 entrapped in biodegradable microparticles. Vaccine 1995;13:1741–1749.
Mills KHG. Regulatory T cells: friend or foe in immunity to infection? Nat Rev Immunol 2004;4:841–855.
Banchereau J, Briere F, Caux C, et al. Immunobiology of dendritic cells. Ann Rev Immunol 2000;18:767–811.
Trinchieri G, Pflanz S, and Kastelein RA. The IL-12 family of heterodimeric cytokines: new players in the regulation of T cell responses. Immunity 19:641–644.
Dinarello CA, Novick D, Puren AJ, et al. Overview of interleukin-18: more than an interferon-γ inducing factor. J Leuc Biol 1998;63:658–664.
d’Ostiani CF, Del Sero G, Bacci A, et al. Dendritic cells discriminate between yeasts and hyphae of the fungus Candida albicans. Implications for initiation of T helper cell immunity in vitro and in vivo. J Exp Med 2000;191:1661–1674.
Sallusto F, Palermo B, Lenig D, et al. Rapid and coordinated switch in chemokine receptor expression during dendritic cell maturation. Eur J Immunol 1998;28:2760–2769.
Whelan M, Harnett MM, Houston KM, Patel V, Harnett W, Rigley KP. A filarial nematode secreted product signals dendritic cells to acquire a phenotype that drives development of Th2 cells. J Immunol 2000;164:6453–6260.
Lavelle EC, McNeela E, Armstrong ME, Leavy O, Higgins SC, Mills KH. Cholera toxin promotes the induction of regulatory T cells specific for bystander antigens by modulating dendritic cell activation. J Immunol 2003;171:2384–2392.
McGuirk P, McCann C, Mills KH. Pathogen-specific T regulatory 1, cells induced in the respiratory tract by a bacterial molecule that stimulates interleukin 10, production by dendritic cells: a novel strategy for evasion of protective T helper type 1, responses by Bordetella pertussis. J Exp Med 2002;195:221–231.
Chambers CA. The expanding world of co-stimulation: the two signal model revisited. Immunol Today 2001;22:217–223.
Friede P, Gunzer M. Interaction of T cells with APCs: the serial encounter model. Immunol Today 2001;22:187–191.
Ryan M, McCarthy L, Mahon B, Rappuoli R, Mills KHG. Pertussis toxin potentiates Th1, and Th2, responses to co-injected antigen: adjuvant action is associated with enhanced regulatory cytokine production and expression of the co-stimulatory molecules B7-1, B7-2, and CD28. Int Immunol 1998;10:651–662.
Leavy O. Mechanisms of immunomodulatory activity of cholera toxin. PhD thesis, Trinity College Dublin, 2005.
van Ginkel FW, Nguyen HH, McGhee JR Vaccines for mucosal immunity to combat emerging infectious diseases. Emerg Infect Dis 2000;6:123–132.
Raychaudhuri S, Morrow JW. Can soluble antigens induce CD8+ cytotoxic T-cell responses? A paradox revisited. Immunol Today 1993;14:344–348.
Osicka R, Osickova A, Basar T, et al. Delivery of CD8+ T-cell epitopes into major histocompatibility complex class I antigen presentation pathway by Bordetella pertussis adenylate cyclase: delineation of cell invasive structures and permissive insertion sites. Infect Immun 2000;68:247–256.
Simmons CP, Hussell T, Sparer T, Walzl G, Openshaw P, Dougan G. Mucosal delivery of a respiratory syncytial virus CTL peptide with enterotoxin-based adjuvants elicits protective, immunopathogenic, and immunoregulatory antiviral CD8+ T cell responses. Immunol J 2001;166:1106–1113.
Czerkinsky C, Anjuere F, McGhee JR, et al. Mucosal immunity and tolerance: relevance to vaccine development. Immunol Rev 1999;170:197–222.
Greco D, Salmaso S, Mastrantonio P, et al. A controlled trial of two acellular vaccines and one whole-cell vaccine against pertussis. Progetto Pertosse Working Group. N Engl J Med 1996;334:341–348.
Gustafsson L, Hallander HO, Olin P, Reizenstein E, Storsaeter J. A controlled trial of a two-component acellular, a five-component acellular, and a whole-cell pertussis vaccine. N Engl J Med 1996;334:349–355.
Trollofors B, Taranger J, Lagergard T, et al. A placebo-controlled trial of a pertussis-toxoid vaccine. N Engl J Med 1995;333:1045–1050.
Pizza M, Covacci A, Bartoloni A, et al. Mutants of pertussis toxin suitable for vaccine development. Science 1989;246:497–499.
Rappuoli R. Rational design of vaccines. Nat Med 1997;3:374–376.
Mills KHG, Ryan M, Ryan E, Mahon BP. A murine model in which protection correlates with pertussis vaccine efficacy in children reveals complementary roles for humoral and cell-mediated immunity in protection against Bordetella pertussis. Infect Immun 1998;66:594–602.
Ryan M, Mills KHG. The role of the S-1, and B-oligomer components of pertussis toxin in its adjuvant properties for Th1, and Th2, cells. Biochem Soc Trans 1997;25:126S.
Mills KHG, Barnard A, Watkins S, Redhead K. Specificity of the T cell response to Bordetella pertussis in aerosol infected mice. In: Manclarck CR, ed. Proceedings of the 6th International Symposium on Pertussis. Bethesda, MD: Department of Health and Human Services, United States Public Health Service, 1990, pp. 166–174.
Nencioni L, Volpini G, Peppoloni S, Bugnoli M, De Magistris T, Marsili I, Rappuoli R. Properties of pertussis toxin mutant PT-9K/129G after formaldehyde treatment. Infect Immun 1991;59:625–630.
Ratti G, Rappuoli R, Giannini G. The complete nucleotide sequence of the gene coding for diphtheria toxin in the corynephage omega (tox+) genome. Nuc Acids Res 1983;11:6589–6595.
Rappuoli R. (1997) New and improved vaccines against diphtheria and tetanus. In: Levine MM, Woodrow GC, Kaper JB, Cobon GS, ed. New generation vaccines (2nd edition). New York: Mercel Dekker, 1997, pp. 417–436.
Gupta RK, Collier RJ, Rappuoli R, Siber GR. Differences in the immunogenicity of native and formalinized cross reacting material (CRM197) of diphtheria toxin in mice and guinea pigs and their implications on the development and control of diphtheria vaccine based on CRMs. Vaccine 1997;15:1341–1343.
Porro M, Saletti M, Nencioni L, Tagliaferri L, Marsili I. Immunogenic correlation between cross-reacting material (CRM197) produced by a mutant of Corynebacterium diphtheriae and diphtheria toxoid. J Infect Dis 1980;142:716–724.
McNeela EA, O’Connor D, Jabbal-Gill I, et al. A mucosal vaccine against diphtheria: Formulation of cross reacting material (CRM197) of diphtheria toxin with chitosan enhances local and systemic antibody and Th2, responses following nasal delivery. Vaccine 2000;19:1188–1198.
Mills KH, Cosgrove C, McNeela EA, et al. Protective levels of diphtheria-neutralizing antibody induced in healthy volunteers by unilateral priming-boosting intranasal immunization associated with restricted ipsilateral mucosal secretory immunoglobulin a. Infect Immun 2003;71:726–732.
McNeela EA, Jabbal-Gill I, Illum L, et al. Intranasal immunization with genetically detoxified diphtheria toxin induces T cell responses in humans: enhancement of Th2, responses and toxin-neutralizing antibodies by formulation with chitosan. Vaccine 2004;22:909–914.
Spangler BD. Structure and function of cholera toxin and the related Escherichia coli heat-labile enterotoxin. Micbobiol Rev 1992;56:622–647.
Zhang RG, Scott DL, Westbrock ML, et al. The three-dimensional structure of cholera toxin. J Mol Biol 1995;251:563–573.
Rappuoli R, Pizza M, Douce G, Dougan G. Structure and mucosal adjuvanticity of cholera and Escherichia coli heat-labile enterotoxins. Immunol Today 1999;20:493–500.
Pizza M, Giuliani MM, Fontana MR, et al. Mucosal vaccines: non toxic derivatives of LT and CT as mucosal adjuvants. Vaccine 2001;19:2534–2541.
Williams NA, Hirst TR, Nashar TO. Immune modulation by the cholera-like enterotoxins: from adjuvant to therapeutic. Immunol Today 1999;20:95–101.
Holmgren J, Lonroth I, Svennerholm L. Tissue receptor for cholera exotoxin: postulated structure from studies with GM1, ganglioside and related glycolipids. Infect Immun 1973;8:208–214.
Gill DM, Rappaport RS. Origin of the enzymatically active A1, fragment of cholera toxin. J Infect Dis 1979;139:674–680.
Field M, Rao MC, Chang EB. Intestinal electrolyte transport and diarrheal disease: Part 1. N Engl J Med 1989;321:800–806.
Pelham HR. The Florey Lecture. The secretion of proteins by cells. Proc R Soc Lond B Biol Sci 1992;22(250):1–10.
Tsai SC, Noda M, Adamik R, Moss J, Vaughan M. Stimulation of choleragen enzymatic activities by GTP and two soluble proteins purified from bovine brain. J Biol Chem 1988;263:1768–1772.
Lycke N, Lindholm L, Holmgren J. IgA isotype restriction in the mucosal but not in the extramucosal immune response after oral immunizations with cholera toxin or cholera subunit B. Int Archs Allergy Appl Immunol 1983;72:119–127.
Lycke N, Holmgren J. Long-term mucosal memory to cholera toxin in mice after oral immunizations: antitoxin production from isolated lamina propria cells after in vivo or in vitro boosting. In: Strober W, Lamm ME, McGhee JR, James SP, eds. Mucosal Immunity and Infections at Mucosal Surfaces. New York: Oxford University Press, 1988, pp. 401–404.
Xu-Amano J, Kiyono H, Jackson RL, et al. Helper T cell subsets for immunoglobulin responses A, oral immunization with tetanus toxoid and cholera toxin as adjuvant selectively induces Th2, cells in mucosa-associated tissues. J Exp Med 1993;178:1309–1320.
Marinaro M, Staats HF, Hiroi T, et al. Mucosal adjuvant effect of cholera toxin in mice results from induction of T helper 2, (Th2) cells and IL-4. J Immunol 1995;155:4621–4629.
Yamamoto S, Kiyono H, Yamamoto M, et al. A non toxic mutant of cholera toxin elicits Th2-type responses for enhanced mucosal immunity. Proc Natl Acad Sci USA 1997;94:5267–5272.
Yamamoto S, Yoshifumi K, Yamamoto M, et al. Mutants in the ADP-ribosyltransferase cleft of cholera toxin lack diarrheagenicity but retain adjuvanticity. J Exp Med 1997;185:1203–1210.
Yamamoto M, Rennert P, McGhee RJ, et al. Alternate mucosal immune system: organized Peyer’s patches are not required for IgA responses in the gastrointestinal tract. J Immunol 2000;164:5184–5191.
Simecka JW, Jackson RJ, Kiyono H, McGhee JR. Mucosally induced immunoglobulin E-associated inflammation in the respiratory tract. Infect Immun 2000;68:672–679.
Clarke CJ, Wilson AD, Williams NA, Stokes CR. Mucosal priming of T-lymphocyte responses to fed protein antigens using cholera toxin as adjuvant. Immunology 19991;72:232–328.
Douce G, Fontana M, Pizza M, Rappuoli R, Dougan G. Intranasal immunogenicity and adjuvanticity of site-directed mutant derivatives of cholera toxin. Infect Immun 1997;65:2821–2828.
Pierre P, Denis O, Bazin H, Mbella EM, Vaerman J-P. Modulation of oral tolerance to ovalbumin by cholera toxin and its subunit B. Eur J Immunol 1992;22:3127–3128.
Glenn G, Scharton-Kersten T, Vassell R, Mallet CP, Hale TL, Alving CR. Cutting edge: transcutaneous immunization with cholera toxin protects mice against lethal mucosal toxin challenge. J Immunol 1998;161:3211–3214.
Reudel C, Rieser C, Kofler N, Wick G, Wolf H. Humoral and cellular immune responses in the murine respiratory tract following oral immunization with cholera toxin or Escherichia coli heat-labile enterotoxin. Vaccine 1996;14:792–798.
Richards, CM, Shimeld C, Williams NA, Hill TJ. Induction of mucosal immunity against herpes simplex virus type 1, in the mouse protects against ocular infection and establishment of latency. J Infect Dis 1998;177:1451–1457.
Martin M, Metzger DJ, Michalek SM, Connell TD, Russell MW. Comparative analysis of the mucosal adjuvanticity of the type II heat-labile enterotoxins LT-IIa and LTIIb. Infect Immun 2000;68:281–287.
Hornquist E, Lycke N. Cholera toxin adjuvant greatly promotes antigen priming of cells T. Eur J Immunol 1993;23:2136–2143.
Pacheco SE, Gibbs RA, Ansari-Lari A, Rogers P. Intranasal immunization with HIV reverse transcriptase: effect of dose in the induction of helper type 1, and 2, immunity. AIDS Res Hum Retroviruses 2000;16:2009–2017.
Akhiani AA, Schon K, Lycke N. Vaccine-induced immunity against Helicobacter pylori infection is impaired in IL-18-deficient mice. J Immunol 2004;173:3348–3356.
Schaffeler MP, Brokenshire JS, Snider DP. Detection of precursor Th cells in mesenteric lymph nodes after oral immunization with protein antigen and cholera toxin. Int Immunol 1997;9:1555–1562.
Yanagita M, Hiroi T, Kitagaki N, et al. Nasopharyngeal-associated lymphoreticular tissue (NALT) immunity: fimbriae-specific Th1, and Th2, cell-regulated IgA responses for the inhibition of bacterial attachment to epithelial cells and subsequent inflammatory cytokine production. J Immunol 1999;162:3559–3565.
Lavelle EC, Jarnicki A, McNeela E, et al. Effects of cholera toxin on innate and adaptive immunity and its application as an immunomodulatory agent. J Leukoc Biol 2004;75:756–763.
Ryan EJ, McNeela E, Murphy G, et al. Mutants of Eesherichia coli heat labile toxin act as effective mucosal adjuvants for nasal delivery of an acellular pertussis vaccine: differential effects of the non-toxic AB complex and enzyme activity on Th1, and Th2, cells. Infect Immun 1999;67:6270–6280.
Cheng E, Cárdenas-Freytag L, Clements JD. The role of cAMP in mucosal advuvanticity of Escherichia coli heat-labile enterotoxin (LT). Vaccine 1999;18:38–49.
Takahashi I, Kiyono H, Marinaro M, et al. Mechanisms for mucosal immunogenicity and adjuvanticity of Escherichia coli labile toxin. J Infect Dis 1996;173:627–635
Douce G, Giannelli V, Pizza M, Lewis D, Everest P, Rappuoli R, Dougan G. Genetically detoxified mutants of heat-labile toxin from Escherichia coli are able to act as oral adjuvant. Infect Immun 1999;67:4400–4406.
Giuliani MM, Del Giudice G, Giannelli V, Dougan G, Douce G, Rappuoli R, Pizza M. Mucosal adjuvanticity and immunogenicity of LTR72, a novel mutant of Escherichia coli heat-labile enterotoxin with partial knockout of ADP-ribosyltransferase activity. J Exp Med 1998;187:1123–1132.
Weltzin R, Guy B, Thomas WD, Giannasca PJ, Monath TP. Parenteral adjuvant activities of Escherichia coli heat-labile toxin and its subunit for immunization of mice against gastric Helicobacter pylori infection. Infect Immun 2000;68:2775–2782.
Douce G, Giuliani MM, Giannelli V, Pizza MG, Rappuoli R, Dougan G. Mucosal immunogenicity of genetically detoxified derivatives of heat labile toxin from Escherichia coli. Vaccine 1998;16:1065–1073.
Bowen JC, Nair SK, Reddy R, Rouse BT. Cholera toxin acts as a potent adjuvant for the induction of cytotoxic T-lymphocyte responses with non-replicating antigens. Immunology 1994;81:338–342.
Simmons CP, Mastroeni P, Fowler R, Ghaem-maghami M, Lycke N, Pizza M, Rappuoli R, Dougan G. MHC class I-restricted cytotoxic lymphocyte responses induced by enterotoxin-based. J Immunol 1999;163:6502–6510.
Tamura S, Yamanaka A, Shimohara M, et al. Synergistic action of cholera toxin B subunit (and Escherichia coli heat-labile toxin B subunit) and a trace amount of cholera whole toxin as an adjuvant for nasal influenza vaccine. Vaccine 1994;12:419–426.
Richards CM, Aman AT, Hirst TR, Hill TJ, and Williams NA. Protective mucosal immunity to ocular herpes simplex virus type 1, infection in mice by using Escherichia coli heat-labile enterotoxin B subunit as an adjuvant. J Virol 2001;75:1664–16671.
Toida N, Hajishengallis G, Wu HY, Russell MW. Oral immunization with the saliva-binding region of Streptococcus mutans AgI/II genetically coupled to the cholera toxin B subunit elicit T-helper-cell responses in gut-associated lymphoid tissues. Infect Immun 1997;65:909–915.
Isaka M, Yasuda Y, Mizokami M, et al. Mucoosal immunization against hepatitis B virus by intranasal co-administration of recombinant hepatitis B surface antigen and recombinant cholera toxin B subunit as an adjuvant. Vaccine 2001;19:1460–1466.
Sun JB, Mielcarek N, Lakew M, et al. Intranasal administration of a Schistosoma mansoni glutathione S-transferase-cholera toxoid conjugate vaccine evokes antiparasitic and antipathological immunity in mice. J Immunol 1999;15:1045–1052.
Sun J-B, Rask C, Olsson T, Holmgren J, Czerkinsky C. Treatment of experimental autoimmune encephalomyelitis by feeding myelin basic protein conjugated to cholera toxin subunit B. Proc Natl Acad Sci USA 1996;93:7196–7201.
Williams NA, Stasiuk LM, Nashar TO, et al. Prevention of autoimmune disease due to lymphocyte modulation by the B-subunit of Escherichia coli heat-labile enterotoxin. Proc Natl Acad Sci USA 1997;94:5290–5295.
Ploix C, Bergerot I, Durand A, Czerkinsky C, Holmgren J, Thivolet C. Oral administration of cholera toxin B-insulin conjugates protects NOD mice from autoimmune diabetes by inducing CD4+ regulatory T-cells. Diabetes 1999;48:2150–2156.
Widermann U, Jahn-Schmid B, Repa A, Kraft D, Ebner C. Modulation of an allergic immune response via the mucosal route in a murine model of inhalative type-1, allergy. Int. Arch. Allergy Immunol 1999;118:129–132.
Ryan EJ, McNeela E, Pizza M, Rappuoli R, O’Neill L, Mills KHG. Modulation of innate and acquired immune responses by Escherichia coli heat-labile toxin: distinct pro-and anti-inflammatory effects of the nontoxic AB complex and the enzyme activity. J Immunol 2000;165:5750–5759.
Douce G, Turcotte C, Cropley I, et al. Mutants of Escherichia coli heat-labile toxin lacking ADP-ribosyltransferase activity act as nontoxic, mucosal adjuvants. Proc Natl Acad Sci USA 1995;92:1644–1648.
Cárdenes-Freytag L, Cheng E, Mayeux P, Domer JE, Clements JD. Effectiveness of heat-killed Candida albicans and a novel mucosal adjuvant, LT(R192G), against systemic candidiasis. Infect Immun 1999;67:826–833.
O’Neal CM, Clements JD, Estes MK, Conner ME. Rotavirus 2/6, viruslike particles administered intranasally with cholera toxin, Escherichia coli heat-labile toxin (LT), and LT-R192G induce protection from rotavirus challenge. J Virol 1998;72:3390–3393.
Chong C, Friberg M, Clements JD. LT(R192G), a non-toxic mutant of the heatlabile enterotoxin of Escherichia coli, elicits enhanced humoral and cellular immune responses associated with protection against lethal oral challenge with Salmonella spp. Vaccine 1998;16:732–740.
Tebby PW, Scheuer CA, Peek JA, et al. Effective mucosal immunization against respiratory syncytial virus using purified F protein and a genetically detoxified cholera holotoxin, CT-E29H. Vaccine 2000;18:1223–2734.
Bowe F, Lavelle EC, McNeela EA, et al. Mucosal vaccination against serogroup B meningococcus: induction of bactericidal antibodies and cellular immunity following intranasal immunization with NadA of Neisseria meningitidis and mutants of Escherichia coli heat-labile enterotoxin. Infect Immun 2004;72:4052–4060.
Lycke N, Tsuji T, Holmgren J. The adjuvant effect of Vibrio cholerae and Escherichia coli heat-labile enterotoxins is linked to their ADP-ribosyltransferase activity. Eur J Immunol 1992;22:2277–2281.
Barakman JD, Ott G, O’Hagan DT. Intranasal immunization of mice with influenza virus vaccine in combination with the adjuvant LT-R72, induces potent mucosal and serum immunity which is stronger than that with traditional intramuscular immunization. Infect Immun 1999;67:4276–4279.
Agren LC, Ekman L, Lowenadler B, Lycke N. Genetically engineered nontoxic vaccine adjuvant that combines B cell targeting with immunomodulation by cholera toxin A1, subunit. J Immunol 1997;158:3936–3946.
Lycke N, Schon K. The B cell targeted adjuvant, CTA1-DD, exhibits potent mucosal immunoenhancing activity despite pre-existing anti-toxin immunity. Vaccine 2001;19:2542–2548.
Marchetti M, Rossi M, Giannelli V, et al. Protection against Helicobacter pylori infection in mice by intragastric vaccination with H pylori antigens is achieved using a non-toxic mutant of E coli heat-labile enterotoxin (LT) as adjuvant. Vaccine 1998;16:33–37.
Jakobsen H, Schulz D, Pizza M, Rappuoli R, Jonsdottir I. Intranasal immunization with pneumococcal polysaccharide conjugate vaccines with nontoxic mutants of Escherichia coli heat-labile enterotoxins as adjuvants protects mice against invasive pneumococcal infection. Infect Immun 1999;67:5892–5897.
Gizurarson S, Tamura S, Kurata T, Hasiguchi K, Ogawa H. The effect of cholera toxin and cholera toxin B subunit on the nasal mucosal membrane. Vaccine 1991;9:825–832.
Lycke N, Karlsson U, Sjolander A, Magnusson KE. (1991) The adjuvant action of cholera toxin is associated with an increased intestinal permeability for luminal antigens. Scand J Immunol 1991;33:691–698.
Bromander AK, Kjerrulf M, Holmgren J, Lycke N. Cholera toxin enhances alloantigen presentation by cultured intestinal epithelial. Scand J Immunol 1993;37:452–458.
Matousek MP, Nedrud JG, Cieplak W, Harding CV. Inhibition of class II histocompatability complex antigen processing by Escherichia coli heat-labile enterotoxin requires an enzymatically active subunit A. Infect Immun 1998;66:3480–3484.
Li TK, Fox BS. Cholera toxin B subunit binding to an antigen-presenting cell directly co-stimulates cytokine production from a T cell clone. Int Immunol 1996;8:1849–1856.
Cong Y, Weaver CT, Elson CO. The mucosal adjuvanticity of cholera toxin involves enhancement of costimulatory activity by selective up-regulation of B72 expression. J Immunol 1997;159:5201–5208.
Yamamoto M, Kiyono H, Yamamoto S, et al. Direct effects on antigen-presenting cells and T lymphocytes explain the adjuvanticity of a nontoxic cholera toxin mutant. J Immunol 1999;162:7015–7021.
Williamson E, Westrich GM, Viney JL. Modulating dendritic cells to optimize mucosal immunization protocols. J Immunol 1999;163:3668–3675.
Gagliardi MC, Sallusto F, Marinaro M, Langenkamp A, Lanzavecchia A, DeMagistris MT. Cholera toxin induces maturation of human dendritic cells and licences them for Th2, priming. Eur J Immunol 2000;30:2394–2403.
Braun MC, He J, Wu CY, Kelsall BL. Cholera toxin suppresses interleukin (IL)-12, production and IL-12, receptor β1, and β2, chain expression. J Exp Med 1999;189:541–552.
Panina-Bordignon P, Mazzeo D, Lucia PD, et al. Beta2-agonists prevent Th1, development by selective inhibition of interleukin 12. J Clin Invest 1997;100:1513–1519.
Munoz E, Zubiaga AM, Merrow M, Sauter NP, Huber BT. Cholera toxin discriminates between T helper 1, and 2, cells in T cell receptor-mediated activation: role of cAMP in T cell proliferation. J Exp Med 1990;172:95–103.
De Haan L, Holtrop M, Verweij WR, Agsteribbe E, Wilschut J. Mucosal immunogenicity and adjuvant activity of recombinant A subunit of the Escherichia coli heat-labile enterotoxin. Immunology 1999;97:706–713.
Tamura M, Nogimori A, Murai A, et al. Subunit structure of islet-activation protein, pertussis toxin, in conformity with the A-model B, Biochemistry 1982;21:5516–5522.
Kaslow HR, Burns DL. Pertussis toxin and target eurkaryotic cells: binding, entry and activation. FASEB J 1992;6:2684–2690.
Saukkonen K, Burnette WN, Mar VL, Masure HR, Tuomanen EI. Pertussis toxin has eukaryotic-like carbohydrate recognition domains. Proc Natl Acad Sci USA 1992;89:118–122.
Lobet Y, Feron C, Dequesne G, Simoen E, Hauser P, Locht C. Site-specific alterations in the B oligomer that affect receptor-binding activities and mitogenicity of pertussis toxin. J Exp Med 1993;177:79–87.
Zhang XM, Berland R, Rosoff PM. Differential regulation of accessory mitogenic signaling receptors by the T cell antigen receptor. Mol Immunol 1995;32:323–332.
Li H, Wong WS. Mechanisms of pertussis toxin-induced myelomonocytic cell adhesion: role of CD14, and urokinase receptor. Immunology 2000;100:502–509.
Burnette WN. Perspectives in recombinant pertussis toxoid development. In: Koff W, Six HR, eds. Vaccine Research and Development. New York: Marcel Dekker, 1992, pp. 143–193.
Lyons AB. Pertussis toxin pretreatment alters the in vivo cell division behaviour and survival of B lymphocytes after intravenous transfer. Immunol Cell Biol 1997;75:7–12.
Meade BD, Kind PD, Manclark CR. Altered mononuclear phagocyte function in mice treated with the lymphocytosis promoting factor of Bordetella pertussis. Dev Biol Stand 1985;61:63–74.
Spangrude GJ, Sacchi F, Hill HR, Van Epps DE, Daynes RA. Inhibition of lymphocyte and neutrophil chemotaxis by pertussis toxin. J Immunol 1985;135:4135–4143.
Sidey FM, Furman BL, Wardlaw AC. Effect of hyperreactivity to endotoxin on the toxicity of pertussis vaccine and pertussis toxin in mice. Vaccine 1989;7:237–241.
Cherry JD, Brunel PA, Golden GS, Karzon DT. Report of the task force on pertussis immunization-1988. Pediatrics 1988;81:939–984.
Loetscher P, Seitz M, Clark-Lewis I, Baggiolini M, Moser B. Monocyte chemotactic proteins MCP-1, MCP-2, and MCP-3, are major attractants for human CD4+ and CD8+ lymphocytes T. FASEB J 1994;8:1055–1060.
Schorr W, Swandulla D, Zeilhofer HU. Mechanisms of IL-8-induced Ca2+ signaling in human neutrophil granulocytes. Eur Immunol 1999;29:897–904.
Allavena P, Bianchi G, Zhou D, et al. Induction of natural killer cell migration by monocyte chemotactic protein-1,-2, and-3. Eur J Immunol 1994;24:3233–3236.
Roberts M, Bacon A, Rappuoli R, et al. A mutant toxin molecule that lacks ADPribosyltransferase activity, PT-9K/129G, is an effective mucosal adjuvant for intranasally delivered proteins. Infect Immun 1995;63:2100–2108.
Mu H-H, Sewell WA. Regulation of DTH and IgE responses by IL-4, and IFN-γ in immunized mice given pertussis toxin. Immunology 1994;83:639–645.
Munoz JJ, Peacock MG. Action of Pertussigen (pertussis toxin) on serum IgE and on Fce receptors on lymphocytes. Cell Immunol 1990;127:327–336.
Bell F, Heath P, MacLennan J, et al. Adverse effects and sero-responses to an acellular pertussis/diphtheria/tetanus vaccine when combined with Haemophilus influenzae type b vaccine in an accelerated schedule. Eur J Pediatr 1999;158:329–336.
Richie E, Punjabi NH, Harjanto SJ, et al. Safety and immunogenicity of combined diphtheria-tetanus-pertussis (whole cell and acellular)-Haemophilus influenzae-b conjugate vaccines administered to Indonesian children. Vaccine 1999;17:1384–1393.
Mahon BP, Ryan M, Griffin F, Mills KHG. Interleukin-12, is produced by macrophages in response to live or killed Bordetella pertussis and enhances the efficacy of an acellular pertussis vaccine by promoting the induction of Th1 cells. Infect Immun 1996;64:5295–5301.
Samore MH, Siber GR. Pertussis toxin enhanced IgG1, and IgE responses to primary tetanus immunization are mediated by interleukin-4, and persist during secondary responses to tetanus alone. Vaccine 1996;14:290–297.
Tamura S-I, Tanaka H, Takayama R, Sato H, Sato Y, Uchida N. Break of unresponsiveness of delayed-type hypersensitivity to sheep red blood cells by pertussis toxin. Cell Immunol 1985;92:376–390.
Kamradt T, Soloway PD, Perkins DL, Gefter ML. Pertussis toxin prevents the induction of peripheral T cell anergy and enhances the T cell response to an encephalitogenic peptide of myelin basic protein. J Immunol 1991;147:3296–3302.
Zou LP, Ljunggren HG, Levi M, et al. P0, protein peptide 180–199, together with pertussis toxin induces experimental autoimmune neuritis in resistant C57BL/6, mice. J Neurosci Res 2000;62:717–721.
Sewell WA, De Moerloose PA, Hamilton JA, Schrader JW, Mackay IR, Vadas MA. Potentiation of delayed-type hypersensitivity by pertussigen or cyclohosphamide with release of different lymphokines. J Immunol 1987;61:483–488.
Fischer JE, Johnson JE, Johnson TR, Graham BS. Pertussis toxin sensitization alters the pathogenesis of subsequent respiratory syncytial virus infection. J Infect Dis 2000;182:1029–1038.
Shive CL, Hofstetter H, Arredondo L, Shaw C, Forsthuber TG. The enhanced antigen-specific production of cytokines induced by pertussis toxin is due to clonal expansion of T cells and not to altered effector functions of long-term memory cells. Eur J Immunol 2000;30:2422–2431.
Fischer JE, Johnson TR, Peebles RS, Graham BS. Vaccination with pertussis toxin alters the antibody response to simultaneous respiratory syncytial virus challenge. J Infect Dis 1999;180:714–719.
Loosmore S, Zealey G, Cockle S, Boux H, Chong P, Yacoob R, Klein M. Characterization of pertussis toxin analogs containing mutations in B-oligomer subunits. Infect Immun 1993;61:2316–2324.
Oka T, Honda T, Morokuma K, Ginnaga A, Ohkuma K, Sakoh M. Enhancing effects of pertussis toxin B oligomer on the immunogenicity of influenza vaccine administered intranasally. Vaccine 1994;12:1255–1258.
Van der Pouw-Kraan CTM, Rensink HJAM, Rappuoli R, Aarden LA. Co-stimulation of T cells via CD28, inhibits human IgE production; reversal by pertussis toxin. Clin Exp Immunol 1995;99:473–478.
Black WJ, Munoz JJ, Peacock MG, et al. ADP-ribosyltransferase activity of pertussis toxin and immunomodulation by Bordetella pertussis. Science 1988;240:656–658.
Wong WS, Rosoff PM. Pharmacology of pertussis toxin B-oligomer. Can J Physiol Pharmacol 1996;74:559–564.
Ausiello CM, Fedele G, Urbani F, Lande R, Di Carlo B, Cassone A. Native and genetically inactivated pertussis toxins induce human dendritic cell maturation and synergize with lipopolysaccharide in promoting T helper type 1, responses. J Infect Dis 2002;186:351–60.
Gonzalo JA, Gonzalez-Garcia A, Baixeras E, et al. Pertussis toxin interferes with superantigen-induced deletion of peripheral T cells without affecting T cell activation in vivo. Inhibition of deletion and associated programmed cell death depends on ADP-ribosyltransferase. J Immunol 1994;152:4291–4219.
Thom RE, Casnellie JE. Pertussis toxin activates protein kinase C and a tyrosine protein kinase in the human T cell line Jurkat. FEBS Letts 1989;244:181–184.
Sommermeyer H, Resch K. Pertussis toxin B-subunit-induced Ca2+-fluxes in jurkat human lymphoma cells: the action of long-term pre-treatment with cholera and pertussis holotoxins. Cell Signal 1990;2:115–128.
Grenier-Brossette N, Bourget I, Breittmayer JP, Ferrua B, Fehlmann M, Cousin JL. Pertussis toxin-induced mitogenesis in human lymphocytes T. Immunopharmacology 1991;21:109–119.
Wakatsuki A, Borrow P, Rigley K, Beverley PC. Cell-surface bound pertussis toxin induces polyclonal T cell responses with high levels of interferon-gamma in the absence of interleukin-12. Eur J Immunol 2003;33:1859–1868.
de Jong EC, Vieira PL, Kalinski P, et al. Microbial compounds selectively induce Th1, cell-promoting or Th2, cell-promoting dendritic cells in vitro with diverse th cell-polarizing signals. J Immunol 2002;168:1704–1709.
He J, Gurunathan S, Iwasaki A, Ash-Shaheed B, Kelsall BL. Primary role for Gi protein signaling in the regulation of interleukin 12, production and the induction of T helper cell type 1, responses. J Exp Med 2000;191:1605–1610.
Gross MK, Au DC, Smith AL, Storm DR. Targeted mutations that ablate either the adenylate cyclase or hemolysin function of the bifunctional cyaA toxin of Bordetella pertussis abolish virulence. Proc Natl Acad Sci USA 1992;89:4898–4902.
Mouallem M, Farfel Z, Hanski E. Bordetella pertussis adenylate cyclase toxin: intoxication of host cells by bacterial invasion, Infect Immun 1990;58:3759–3764.
Pearson RD, Symes P, Conboy M, Weiss AA, Hewlett EL. Inhibition of monocyte oxidative responses by Bordetella pertussis adenylate cyclase toxin. J Immunol 1987;139:2749–2754.
Njamkepo E, Pinot F, Francois D, Guiso N, Polla BS, Bachelet M. Adaptive responses of human monocytes infected by Bordetella pertussis: the role of adenylate cyclase hemolysin. J Cell Physiol 2000;183:91–99.
Gueirard P, Druilhe A, Pretolani M, Guiso N. Role of adenylate cyclase-hemolysin in alveolar macrophage apoptosis during Bordetella pertussis infection in vivo. Infect Immun 1998;66:1718–1725.
Ross PJ, Lavelle EC, Mills KH, Boyd AP. Adenylate cyclase toxin from Bordetella pertussis synergizes with lipopolysaccharide to promote innate interleukin-10, production and enhances the induction of Th2, and regulatory cells T. Infect Immun 2004;72:1568–1579.
Dadaglio G, Moukrim Z, Lo-Man R, Sheshko V, Sebo P, Leclerc C. Induction of a polarized Th1, response by insertion of multiple copies of a viral T-cell epitope into adenylate cyclase of Bordetella pertussis. Infect Immun 2000;68:3867–3872.
Hormozi K, Parton R, Coote J. Adjuvant and protective properties of native and recombinant Bordetella pertussis adenylate cyclase toxin preparations in mice. Med Microbiol 1999;23:273–282.
Boyd AP, Ross PJ, Conroy H, Mahon N, Lavelle EC, Mills KHG. (2004) Bordetella pertussis adenylate cyclase toxin modulates innate and adaptive immune responses: distinct roles for acylation and enzymatic activity in immunomodulation and cell death. J Immunol 2005;175:731–738.
Dinarello CA. The proinflammatory cytokines interleukin-1, and tumour necrosis factor and treatment of the septic shock syndrome. J Infect Dis 1991;163:1177–1184.
Higgins SC, Lavelle EC, McCann C, et al. Toll-like receptor 4-mediated innate IL-10, activates antigen-specific regulatory T cells and confers resistance to Bordetella pertussis by inhibiting inflammatory pathology. J Immunol 2003;171:3119–3127.
Ribi E. Beneficial modification of the endotoxin molecule. J Biol Response Mod 1984;3:1–9.
Ulrich JT, Myers KB. Monophosphoryl lipid A as an adjuvant past experiences and new directions. In: Powell MF, Newman JM, eds. Vaccine Design: The Subunit and Adjuvant Approach. New York: Plenum Press, 1995, pp. 495–524.
Moore A, McCarthy L, Mills KHG. The adjuvant combination monophosphoryl lipid A and QS21, switches T cell responses induced with a soluble recombinant HIV protein from Th2, to Th1. Vaccine 1999;17:2517–2527.
Salkowski CA. Lipopolysaccharide and monophosphoryl lipid A differentially regulate interleukin-12, gamma interferon, and interleukin-10, mRNA production in murine macrophages. Infect Immun 1997;65:3239–3247.
Baldridge JR, Yorgensen Y, Ward JR, Ulrich JT. Monophosphoryl lipid A enhances mucosal and systemic immunity to vaccine antigens following intranasal administration. Vaccine 2000;18:2416–2425.
Childers NK. Adjuvant activity of monophosphoryl lipid A for nasal and oral immunization with soluble or liposome-associated antigen. Infect Immun 2000;68:5509–5516.
Mikloska Z, Ruckholdt M, Ghadiminejad I, Dunckley H, Denis M, Cunningham AL. Monophosphoryl lipid A and QS21, increase CD8, T lymphocyte cytotoxicity to herpes simplex virus-2, infected cell proteins 4, and 27, through IFN-g and IL-12, production. Immunol J 2000;164:5167–5176.
Peteers CCAM, Lagerman PR, De Weers O, et al. Polysaccharide-conjugate vaccines. In: Robinson A, Farrar GH, Wiblin CH, eds. Vaccine Protocols. Totowa, NJ: Humana Press, 1996, pp. 111–134.
Lagos R, Valenzuela MT, Levine OS, et al. Economisation of vaccination against Haemophilus influenzae type b: a randomised trial of immunogenicity of fractional-dose and two-dose regimens. Lancet 1998;351:1472–1476.
Michetti P, Kreiss C, Kotloff KL, et al. Oral immunization with urease and Escherichia coli heat-labile enterotoxin is safe and immunogenic in Helicobacter pyloriinfected adults. Gastroenterology 1999;116:804–812.
Gluck U, Gebbers JO, Gluck R. Phase 1 evaluation of intranasal virosomal influenza vaccine with and without Escherichia coli heat-labile toxin in adult volunteers. J Virol 1999;73:7780–7786
Gluck R, Mischler R, Durrer P, et al. Safety and immunogenicity of intranasally administered inactivated trivalent virosome-formulated influenza vaccine containing Escherichia coli heat-labile toxin as a mucosal adjuvant. J Infect Dis 2000;181:1129–1132.
Mutsch M, Zhou W, Rhodes P, et al. Use of the inactivated intranasal influenza vaccine and the risk of Bell’s palsy in Switzerland. N Engl J Med 2004;350:896–903.
van Ginkel FW, Jackson RJ, Yuki Y, McGhee JR. Cutting edge: the mucosal adjuvant cholera toxin redirects vaccine proteins into olfactory tissues. J Immunol 2000;165:4778–4782.
Cohen D, Orr N, Haim M, et al. Safety and immunogenicity of two different lots of the oral, killed enterotoxigenic Escherichia coli-cholera toxin B subunit vaccine in Israeli young adults. Infect Immun 2000;68:4492–4497.
Taylor DN, Cardenas V, Sanchez JL, et al. Two-year study of the protective efficacy of the oral whole cell plus recombinant B subunit cholera vaccine in Peru. J InFect Dis 2000;181:1667–1673.
Holmgren J, Svennerholm AM, Jertborn M, et al. An oral subunit B, whole cell vaccine against cholera. Vaccine 1992;10:911–914.
Bergquist C, Johansson E-L, Lagergard T, Holmgren J, Rudin A. Intranasal vaccination of humans with recombinant cholera toxin B subunit induces systemic and local antibody responses in the upper respiratory tract and the vagina. Infect Immun 1997;65:2676–2684.
Hashigucci K, Ogawa H, Ishidate T, et al. Antibody responses in volunteers induced by nasal influenza vaccine combined with Escherichia coli heat-labile enterotoxin B subunit containing a trace amount of the holotoxin. Vaccine 1996;14:113–119.
Stoute JA, Kester KE, Krzych U, et al. Long-term efficacy and immune responses following immunization with the RTSS malaria vaccine. J Infect Dis 1998;178:1139–1144.
McCormack S, Tilzey A, Carmichael A, et al. A phase I trial in HIV negative healthy volunteers evaluating the effect of potent adjuvant on immunogenicity of a recombinant gp120W61D derived from dual tropic R5X4, HIV-1ACH320. Vaccine 2000;18:1166–1177.
Miller DL, Ross EM, Alderslade R, Bellman MH, Rawson NS. Pertussis immunisation and serious acute neurological illness in children. BMJ 1981;282:1595–1599.
Donnelly S, Loscher C, Lynch Mills KHG. Whole cell but not acellular pertussis vaccines induce convulsive activity in mice: evidence of a role for toxin-induced IL-1β in a new murine model for analysis of neuronal side effects of vaccination. Infect Immun 2001;69:4217–4223.
Loscher CE, Donnelly S, McBennett S, Lynch MA, Mills KHG. Pro-inflammatory cytokines in the adverse systemic and neurologic effects associated with parenteral injection of a whole cell pertussis vaccine. Ann Acad NY Sci 1998;856:274–277.
Loscher CL, Donnelly S, Mills KHG, Lynch MA. Interlukin-1b-dependent changes in the hippocampus following parenteral immunization with a whole cell pertussis vaccine. J Neuroimmunol 2000;111:68–76.
Yuhas Y, Shulman L, Weizman A, Kaminsky E, Vanichkin A, Ashkenazi S. Involvement of tumour necrosis factor alpha and interleukin-1β in enhancement of pentylenetetrazole-induced seizures caused by Shigella dysenteriae. Infect Immun 1999;67:1455–1460.
Armstrong ME, Lavelle EC, Loscher CE, Lynch MA, Mills KHG. Induction of proinflammatory responses in the murine hypothalamus following intranasal delivery of cholera toxin: implications for the use of AB toxins as adjuvants in nasal vaccines. J Infect Dis 2005 (in press).
Rennels MB, Deloria MA, Pichichero ME, et al. Extensive swelling after booster doses of acellular pertussis-tetanus-diphtheria vaccines. Pediatrics 2000;105:e12.
Ryan EJ, Nilsson L, Kjellman N-IM, Gothefors L, Mills KHG. Booster immunization of children with an acellular pertussis vaccine enhances Th2, cytokine production and serum IgE against pertussis toxin but not against common allergens. Clin Exp Immunol 2000;121:193–200.
Marinaro M, Di Tommaso A, Uzzau S, Fasano A, De Magistris MT. Zonula Occludens toxin is a powerful mucosal adjuvant for intranasally delivered antigens. Infect Immun 1999;67:1287–1291.
Mu H-H, Sewell WA. Enhancement of interleukin-4, production by pertussis toxin. Infect Immun 1993;61:2834–2840.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2006 Humana Press Inc., Totowa, NJ
About this chapter
Cite this chapter
Lavelle, E.C., Leavy, O., Mills, K.H.G. (2006). Modified Bacterial Toxins. In: Hackett, C.J., Harn, D.A. (eds) Vaccine Adjuvants. Infectious Disease. Humana Press. https://doi.org/10.1007/978-1-59259-970-7_7
Download citation
DOI: https://doi.org/10.1007/978-1-59259-970-7_7
Publisher Name: Humana Press
Print ISBN: 978-0-89603-892-9
Online ISBN: 978-1-59259-970-7
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)