OMV vaccine against Gonorrhea - ABSTRACT
Gonorrhea is a genital tract infection caused by Neisseria gonorrhoeae, which can be acquired repeatedly
and does not naturally induce a state of specific protective immunity against reinfection. Despite public
health measures, gonorrhea persists at an unacceptably high frequency, and there is no vaccine against
it. The continuing emergence of antibiotic resistance threatens to render gonorrhea untreatable. Our
findings have revealed that N. gonorrhoeae subverts the immune system for its own benefit by inducing
high levels of the immuno-regulatory cytokine, interleukin-10 (IL-10). Using the established murine model
of vaginal gonococcal infection, we propose to investigate a novel strategy of vaccination against N.
gonorrhoeae, exploiting neutralizing antibody against IL-10 encapsulated in biodegradable micro-particles
(GneXa10®) as adjuvant. As vaccine antigen, outer membrane vesicles (OMV) derived from a double-
mutant (dm) strain of N. gonorrhoeae, designed to reduce adverse responses to administration in humans,
will be used. We will determine the role of serum and mucosal antibody and T-cell cytokine responses to
intra-nasal (i.n.) immunization with dmOMV plus GneXa10®, in resistance to challenge infection with both
homologous and heterologous strains. Persistence of immunity and recall of memory responses at
increasing time intervals after immunization will be evaluated. Functional antibodies active against N.
gonorrhoeae will be assessed in vitro. This work will provide proof-of-principle for a vaccine based on
gonococcal dmOMVs and GneXa10®. Future SBIR phase II studies will further elucidate mechanisms of
cross-protection against diverse strains of N. gonorrhoeae, and validate the expected applicability of
scaled-up vaccine development, evaluating yield, bioactivity, batch-to-batch consistency, and shelf
stability. This proposal is part of our company’s response to the CDC’s and WHO’s calls for development
of novel vaccine approaches in the face of the public health threat posed by antibiotic-resistant N.
gonorrhoeae.