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Opportunities and problems in vaccination against opportunistic pathogens: the example of Clostridium perfringens in calves and chickens Evy Goossens Ghent University Department of Pathology, Bacteriology and Poultry Diseases [email protected]

Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

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Page 1: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

Opportunities and problems in vaccination against opportunistic pathogens:

the example of Clostridium perfringens in calves and chickens

Evy Goossens

Ghent UniversityDepartment of Pathology, Bacteriology and Poultry Diseases

[email protected]

Page 2: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

Past

• Antimicrobial growth promoters (AGP) in feed

• Mostly against Gram positive bacteria

increased performance

ANIMAL PRODUCTION

Disease

Future

Maximal productive performance of the animalAIM

Today

• AGP prohibited

• Curative antibiotics!

• Probiotics• Prebiotics• Bacteriocins• …

• Vaccination

Page 3: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

CLOSTRIDIUM PERFRINGENSAN IMPORTANT OPPORTUNISTIC PATHOGEN

Widely distributed in the environment

Wide array of toxins Disease

Member of normal intestinal microbiota

AnaerobicGram-positiveSpore-forming

Auxotrophic for 13 AA

Predisposing gut damage

Page 4: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

CLOSTRIDIUM PERFRINGENS

Toxinotypes

EnterotoxinNetB toxin

Perfringolysin OEnzymes (collagenases, proteases, hyaluronidases, ...)

Novel toxins to be identified and explored

Type Alpha Beta Epsilon IotaA ++ - - -B + + + -C + + - -D + - + -E + - - +U

nive

rsal

Page 5: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

Necrotic enteritis in broilers

• Clinical and subclinical• Necrosis in the gut• Performance problems

• Economically important

Necro-haemorrhagic enteritis in calves

• Necro-haemorrhagic lesions in the gut

• End of fattening period • Economically important

Page 6: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

CLOSTRIDIUM PERFRINGENSVACCINATION STRATEGY

Vaccine

Secreted toxins (and/or proteins)

SafeParenteral immunization

Single dose

Administration route

Oral immunization

toxoid

Page 7: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

NECROTIC ENTERITISPROBLEMS IN VACCINATION

Vaccination supernatants, sc d3, d12

Loss of protection when producing toxoid

Mot et al. 2013

Page 8: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

NECROTIC ENTERITISPROBLEMS IN VACCINATION

Loss of protection at single dose at day-old

Mot et al. 2013

Page 9: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

NECROTIC ENTERITISPROBLEMS IN VACCINATION

Vaccine

Secreted toxins (and/or proteins)

SafeParenteral immunization

Single dose

Administration route

Oral immunization• Live vectors

• Bacillus spores• Eimeria• …

toxoid

Formaldehyde

Genetic toxoid

Page 10: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

NetB is essential to cause diseasevaccination against NetB not sufficient to provide full protection

Page 11: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

SAME PROBLEMS IN VACCINATION AGAINST

NECRO-HAEMORRHAGIC ENTERITIS IN CALVES

Page 12: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

NECRO-HAEMORRHAGIC ENTERITIS IN CALVESPROBLEMS IN VACCINATION

Loss of protection when producing toxoid

Goossens et al. 2016

Page 13: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

Alpha toxin is essential to cause intestinal necrosis,but antibodies against alpha toxin are not sufficient to protect against intestinal necrosis

Goossens et al. 2016

NECRO-HAEMORRHAGIC ENTERITIS IN CALVESPROBLEMS IN VACCINATION

Page 14: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

THE PROBLEM?

Vaccination against essential toxins not sufficient to provide full protection

Mucosal or systemic immunity?

Difficult to eradicate bacteria in

commensal state

reduce colonization?

Other immunogenic proteins?

Parenteral vaccination impossible in chickens

Page 15: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

OPPORTUNITIES

• multiple antigens identified in serum form chickens immune to necrotic enteritis no full protection after vaccination

– Kulkarni et al. 2006, 2007– Jiang et al. 2009, 2012

• Other proteins present in protective antisera from cattle further investigation needed

Other immunogenic proteins?

Exudation of serum IgG across the inflamed intestinal epithelium possible (Kulkarni et al. 2007)

What if we would could reduce intestinal colonization?Mucosal antibodies needed?

Which antigens are detected by intestinal antibodies?

Page 16: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

VACCINATION AGAINST OPPORTUNISTIC PATHOGENS

• Commensal colonize normal mucosal surfaces

• Problem arises when the mucosal surface is damaged

• Subclinical infections reduced animal performance

What if we could reduce intestinal colonization?

Page 17: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

CnaA: a novel vaccine antigen?• CnaA = putative collagen adhesion• mutant strains has reduced ability to colonise the chicken

intestine• CnaA is involved in virulence Wade et al. 2016

Page 18: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

EFFECTIVE VACCINATION AGAINST OPPORTUNISTIC PATHOGENS• Future research should focus on intestinal colonization

and live vectors inducing both mucosal and systemic immunity combined approach: reduce colonization and neutralize toxins

• Improved animal performance

• Reduced antibiotic use– prophylactic– therapeutic

Page 19: Opportunities and problems in vaccination against ......• Commensal colonize normal mucosal surfaces • Problem arises when the mucosal surface is damaged • Subclinical infections

THANK YOU FOR YOUR ATTENTION