梅毒螺旋体疫苗的研究进展

梅毒是由密螺旋体苍白亚种( Treponema pallidum subsp. pallidum , Tp)感染引起的慢性系统性性传播疾病,流行于中低等收入国家。越来越多的临床病例表明清除Tp感染需要加强公共卫生筛查和治疗,而接种疫苗是预防Tp感染极有价值和首选的方法。本文概述了研制Tp疫苗的必要性,总结疫苗研究过程中候选抗原的相关信息及递送系统,分析Tp疫苗发展策略。     

梅毒螺旋体耐药性的研究进展

梅毒疫情成为全球普遍关注的公共卫生问题。由于缺乏疫苗预防,控制梅毒主要依赖对感染人群的诊断与抗生素治疗。虽然青霉素治疗梅毒仍然有效,但临床上对一线青霉素的替代药大环内酯类抗生素耐药的梅毒螺旋体(Tp)菌株已在许多国家普遍流行。了解Tp耐药性的遗传基础对于加强Tp耐药分子监测十分必要。就Tp对大环内酯类抗生素耐药性的遗传基础和对其他可能严重阻碍梅毒治疗和控制的抗生素潜在的耐药性进行了综述。     

壳聚糖纳米包裹的IL-2与TpGpd核酸疫苗联合免疫后对Tp感染兔皮肤前后的免疫效应评估

梅毒是一种由梅毒螺旋体(Treponema pallidum,Tp)引起的临床表现复杂的性传播疾病,近年来世界各国包括中国的梅毒发病率呈逐年上升趋势,研制有效疫苗预防该种疾病已成为各国关注的公共卫生问题.DNA疫苗具有免疫效果好且持久、无毒力回复等特点成为近年来研究热点.对于Tp核酸疫苗研究,国内外除了本课题组构建TpDNA疫苗免疫新西兰兔进行免疫活性的初步研究外,尚未见Tp核酸疫苗的相关研究.本研究旨在探讨评价白细胞介素-2(interleukin-2,IL-2)与Tp膜蛋白GpdDNA疫苗用壳聚糖(chitosan,CS)纳米颗粒包裹联合免疫新西兰兔后对Tp皮肤感染后的保护效应.将真核表达重组体pcDNA3.1(+)/IL-2和pcDNA3.1(+)/TpGpd采用壳聚糖纳米颗粒包裹或未包裹方式处理后分别或联合免疫新西兰兔,每隔2周加强1次共免疫3次,并于初次免疫后第10周各实验组兔皮下接种Tp标准株进行背部皮肤感染实验,观察记录感染早期各实验组皮损的变化情况,在免疫及感染期间不同时间点ELISA检测免疫兔特异性抗体产生水平和脾细胞IL-2及IFN-诱导水平,MTT法检测兔脾细胞增殖水平.初步结果证实,pcD/IL-2基因佐剂可以显著加强pTpGpd疫苗在免疫期(0~8周)兔体内的特异性抗体及脾细胞增殖分化水平以及维持Tp感染后168天时间内长期稳定的高抗体水平及高脾细胞增殖分化水平.pcD/IL-2基因佐剂和CS纳米颗粒的联合使用对pcD/TpGpd疫苗的抗Tp皮肤感染的保护性效应达到最佳.     

梅毒螺旋体外膜蛋白Tp92及其同源蛋白的研究进展

梅毒是由梅毒螺旋体(Tp)引起的一种严重危害人类健康的慢性感染性疾病,由于Tp目前尚不能体外人工培养,从而限制了对Tp致病机制的深入研究。Tp对宿主靶细胞的早期黏附定植是其后续病程发展的关键,而最早与宿主细胞直接接触的Tp外膜及外膜蛋白就成了关注的焦点。随着Tp全基因组序列的解析和分子生物学技术的发展,Tp外膜蛋白的筛选、鉴定及功能研究取得了一定进展。Tp92是首个在感染了梅毒的兔调理素抗毒血清中通过差示免疫筛选方法筛选出来的Tp外膜蛋白,序列高度保守,具有较强的抗原性,与其他螺旋体属及许多革兰阴性菌的外膜蛋白均具有较高的同源性,其在Tp的致病过程及机体的免疫应答中可能发挥着重要作用。就目前Tp外膜蛋白Tp92及其同源蛋白的研究进展进行了综述。     

梅毒螺旋体膜蛋白研究进展

梅毒螺旋体苍白亚种（ Tp）引起的梅毒是一种严重危害人类健康的慢性性传播性疾病,其发病具有多阶段、进行性的特点。由于Tp尚不能体外培养,抗原获取困难,其致病机制研究尚不清楚。随着Tp全基因序列的解析,重组Tp膜蛋白的成功表达及蛋白功能结构日益明确,为Tp发病机制的研究及疫苗的研制奠定了良好的基础。对于Tp主要外膜蛋白的结构、功能研究进展进行了综述。     

梅毒螺旋体部分膜蛋白的研究现状

梅毒螺旋体(Tp)目前尚不能体外培养,抗原获取困难,从而影响到Tp致病机制、实验室诊断方法及疫苗的研究。随着分子生物学技术的发展和Tp全基因序列的解析、多种重组Tp膜蛋白的成功表达及其结构功能的日益明确,为Tp发病机理的研究、诊断方法的更新和疫苗的研制奠定了良好的基础。     

梅毒螺旋体TprK膜蛋白的研究现状

梅毒是由梅毒螺旋体(Tp)引起的一种严重危害人类健康的性传播疾病,其中TprK是Tp的一个重要的膜蛋白,从属于TprP重复蛋白家族,具有增强Tp逃避宿主免疫反应和维持慢性感染的能力,可能是Tp有效疫苗的组分之一。现就TprK膜蛋白的研究现状作一综述。     

苍白密螺旋体苍白亚种单克隆抗体的制备及应用

苍白密螺旋体苍白亚种,俗称梅毒螺旋体(Treponema pallidum,Tp)是严重危害人类健康的性传播疾病——梅毒的病原体。由于Tp体外培养至今尚未成功,从而制约了Tp的基础研究。自从Tp单克隆抗体(TpMcAb)问世以后,已应用于Tp感染的临床诊断、抗原性质分析等方面的研究,其制备方法的完善和改进将对梅毒的诊断和防治提供新的方法。本文对Tp McAb的制备和应用作一综述,以展示近年来Tp McAb的最新研究进展。     

苍白螺旋体基因亚型研究及其意义

苍白螺旋体(Treponema pallidum,Tp)是引起梅毒的病原体,几乎可侵犯全身各个组织和器官,导致组织器官损伤,甚至引起感染者死亡.梅毒在许多发展中国家高度流行,在发达国家社会经济地位较低人群中仍为一重要的公共卫生问题.有关研究肯定梅毒是增加人类免疫缺陷病毒(humanimmunodeficiency virus,HIV)传播的危险因素,因而对Tp的研究愈加受到重视.     

梅毒螺旋体Tp92蛋白B细胞表位的预测与鉴定

【目的】预测和鉴定梅毒螺旋体(Tp)Tp92蛋白的B细胞表位,为深入探讨这些表位在梅毒表位疫苗中的作用奠定基础。【方法】采用Mobyle、ABCpred和IEDB在线软件综合分析预测Tp92蛋白的B细胞表位,人工合成6条表位多肽,以梅毒患者/感染兔血清(同时设健康人/兔血清对照)为标本,用间接ELISA法鉴定预测Tp92蛋白B细胞表位的免疫反应性。【结果】软件预测显示,Tp92蛋白的P1(24-39AA)、P2(332-347AA)、P3(520-536AA)、P4(575-588AA)、P5(103-118AA)、P6(694-712AA)氨基酸序列可能为其B细胞表位。间接ELISA分析表明,预测的P1、P3、P5和P6均与梅毒患者/感染兔血清呈阳性反应,而与健康人/兔血清不反应。【结论】本研究初步得出以下结论:P1、P3、P5和P6均为Tp92蛋白潜在的特异性B细胞表位,尤其是P3和P6免疫反应性最强。     

梅毒螺旋体免疫相关膜蛋白的研究进展

梅毒是一种由梅毒螺旋体(Treponema.pallidum,Tp)感染所引起的慢性性传播疾病。近年来,其发病率居高不下,引起了全社会广泛的关注。随着分子生物技术的发展和人们的不断探究发现,膜蛋白可能在Tp致病过程中与宿主黏附、宿主免疫炎症反应等方面起着非常重要的作用,可能为Tp的主要致病因子。因此,对Tp膜蛋白的研究是认识其对宿主的致病性和进行致病机制研究的关键,就Tp的几种主要免疫相关膜蛋白的研究进展作了简要综述。     

Crystal structure of the Tp34 (TP0971) lipoprotein of treponema pallidum: implications of its metal-bound state and affinity for human lactoferrin

The Tp34 (TP0971) membrane lipoprotein of Treponema pallidum, an obligate human pathogen and the agent of syphilis, was previously reported to have lactoferrin binding properties. Given the non-cultivatable nature of T. pallidum, a structure-to-function approach was pursued to clarify further potential relationships between the Tp34 structural and biochemical properties and its propensity to bind human lactoferrin. The crystal structure of a nonacylated, recombinant form of Tp34 (rTp34), solved to a resolution of 1.9A(,) revealed two metaloccupied binding sites within a dimer; the identity of the ion most likely was zinc. Residues from both of the monomers contributed to the interfacial metal-binding sites; a novel feature was that the delta-sulfur of methionine coordinated the zinc ion. Analytical ultracentrifugation showed that, in solution, rTp34 formed a metal-stabilized dimer and that rTp34 bound human lactoferrin with a stoichiometry of 2:1. Isothermal titration calorimetry further revealed that rTp34 bound human lactoferrin at high (submicromolar) affinity. Finally, membrane topology studies revealed that native Tp34 is not located on the outer surface (outer membrane) of T. pallidum but, rather, is periplasmic. How propensity of Tp34 to bind zinc and the iron-sequestering lactoferrin may relate overall to the biology of T. pallidum infection in humans is discussed.     

The Tp38 (TpMglB-2) lipoprotein binds glucose in a manner consistent with receptor function in Treponema pallidum

A 38-kDa lipoprotein of Treponema pallidum (Tp38) was predicted to be a periplasmic sugar-binding protein based on its sequence similarity to the glucose/galactose-binding (MglB) protein of Escherichia coli (P. S. Becker, D. R. Akins, J. D. Radolf, and M. V. Norgard, Infect. Immun. 62:1381-1391, 1994). Inasmuch as glucose is believed to be the principal, if not sole, carbon and energy source for T. pallidum and is readily available to the spirochete during its obligate infection of humans, we hypothesized that Tp38 may serve as the organism's requisite glucose receptor. For the present study, a nonacylated recombinant form of Tp38 was coexpressed with GroES and GroEL in E. coli to facilitate the isolation of soluble, properly folded Tp38. The highly sensitive method of intrinsic fluorescence spectroscopy, predicated on the manner in which tryptophan residues reside and move within protein microenvironments, was then used to assess sugar binding to Tp38. The intrinsic fluorescence of Tp38 was essentially unaltered when it was exposed to D-mannose, D-fucose, D-ribose, L-glucose, or L-galactose, but it changed markedly in the presence of D-glucose, and to a lesser extent, D-galactose, indicating binding. The K(d) values for D-glucose and D-galactose binding to Tp38 were 152.2 +/- 20.73 nM and 251.2 +/- 55.25 nM, respectively. Site-directed mutagenesis of Trp-145, a residue postulated to contribute to the sugar-binding pocket in a manner akin to the essential Trp-183 in E. coli MglB, abolished Tp38's conformational change in response to D-glucose. The combined data are consistent with Tp38 serving as a glucose receptor for T. pallidum. These findings potentially have important implications for syphilis pathogenesis, particularly as they may pertain to glucose-mediated chemotactic responses by T. pallidum.     

Assessment of the immune responses to Treponema pallidum Gpd DNA vaccine adjuvanted with IL-2 and chitosan nanoparticles before and after Treponema pallidum challenge in rabbits

Syphilis is a multistage,sexually transmitted disease caused by the spirochete,Treponema pallidum(Tp).A significantly high incidence of syphilis has been reported in several countries,including China,and there is an urgent need for the development of efficacious vaccines against syphilis.DNA vaccines are a major breakthrough in the field of vaccination with several advantages over traditional vaccines.Animal model studies of Tp DNA vaccines have not been reported elsewhere but our previous reports describe the development of a single-gene Tp DNA vaccine and preclinical immunization study.In this study,chitosan(CS) nanoparticles were used as a vector and an interleukin-2 expression plasmid(pIL-2) as an adjuvant to enhance a TpGpd DNA vaccine candidate(pTpGpd) in a rabbit Tp skin challenge model.At week 8 after the first immunization,three rabbits from each group were used to determine cytokine measurements and spleen lymphocyte proliferation assay.pTpGpd in combination with pIL-2 wrapped with CS led to the greatest enhancement of anti-TpGpd antibodies and T-cell proliferation.During infection,levels of anti-TpGpd antibodies and T-cell proliferation were measured.Both the serum special IgG and IL-2,interferon-γ were significantly increased by the co-injection of the IL-2 plasmid compared with the injection of TpGpd DNA alone(P<0.05).Furthermore,IL-2 plasmid coinjection efficiently enhanced the antigen-specific lymphocyte proliferation response.Additionally,the ratios of positive skin lesions and ulcer lesions in groups immunized with pTpGpd were significantly lower than those of the pIL-2,CS or pIL-2 mixed with CS control groups(P<0.001).CS vectored and pIL-2 adjuvanted pTpGpd immunized animals exhibited the lowest rates of positive skin tests(8.33%) and ulcer lesions(4.17%) and the fastest recovery(42 d).These experiments indicate that co-injection of a pIL-2 plasmid with pTpGpd DNA vaccine wrapped with CS can significantly strengthen the long-term stability of immune response during infection,efficiently improve the protective effect against T.pallidum spirochetes infection and attenuate syphilitic lesion development.     

梅毒检测技术研究进展

悔毒是由悔毒螺旋体引起的一种性传播疾病,传染性很强,目前已成为世界性的公共安全问题。、早发现早诊断对于悔毒的治疗极为重要．．梅毒的诊断主要依靠实验室检测。我们从病原体、抗体、基因等3个方面对近几年悔毒检测技术和方法进行了综述,论述了其基本原理、研究进展及各自的优缺点。     

Structural and biochemical basis for polyamine binding to the Tp0655 lipoprotein of Treponema pallidum: putative role for Tp0655 (TpPotD) as a polyamine receptor

Tp0655 of Treponema pallidum, the causative agent of syphilis, is predicted to be a 40 kDa membrane lipoprotein. Previous sequence analysis of Tp0655 noted its homology to polyamine-binding proteins of the bacterial PotD family, which serve as periplasmic ligand-binding proteins of ATP-binding-cassette (ABC) transport systems. Here, the 1.8 A crystal structure of Tp0655 demonstrated structural homology to Escherichia coli PotD and PotF. The latter two proteins preferentially bind spermidine and putrescine, respectively. All of these proteins contain two domains that sandwich the ligand between them. The ligand-binding site of Tp0655 can be occupied by 2-(N-morpholino)ethanesulfanoic acid, a component of the crystallization medium. To discern the polyamine binding preferences of Tp0655, the protein was subjected to isothermal titration calorimetric experiments. The titrations established that Tp0655 binds polyamines avidly, with a marked preference for putrescine (Kd=10 nM) over spermidine (Kd=430 nM), but the related compounds cadaverine and spermine did not bind. Structural comparisons and structure-based sequence analyses provide insights into how polyamine-binding proteins recognize their ligands. In particular, these comparisons allow the derivation of rules that may be used to predict the function of other members of the PotD family. The sequential, structural, and functional homology of Tp0655 to PotD and PotF prompt the conclusion that the former likely is the polyamine-binding component of an ABC-type polyamine transport system in T. pallidum. We thus rename Tp0655 as TpPotD. The ramifications of TpPotD as a polyamine-binding protein to the parasitic strategy of T. pallidum are discussed.     

Subfamily I Treponema pallidum repeat protein family: sequence variation and immunity

A 12-membered Treponema pallidum repeat (Tpr) protein family has been identified in T. pallidum subsp. pallidum, the causative agent of syphilis. The subfamily I Tpr proteins (C, D, F, and I) possess conserved sequence at the N- and C-termini and central regions that differentiate the members. These proteins may be important in the immune response during syphilis infection and in protective immunity. Strong antibody responses have been observed toward some of the subfamily I Tpr proteins during infection with different syphilis isolates. Some sequence variation has also been identified in one subfamily I Tpr member, TprD, among T. pallidum subsp. pallidum isolates. In this study, we examined sequences in the remaining subfamily I Tpr proteins among strains. Both TprF and TprI were conserved among T. pallidum subsp. pallidum isolates.While some heterogeneity was identified in TprC. We further examined the immune response and protective capacity of TprF protein in this paper. We demonstrate that the N-terminal conserved region of the subfamily I Tpr proteins elicits strong antibody and T-cell responses during infection, and immunization with this region attenuates syphilitic lesion development upon infectious challenge.