Abstract
Aim:
To evaluate efficacy of sublingual flagellin to treat acute pneumonia.
Materials & methods:
Mice were treated sublingually with flagellin and challenged intranasally with a lethal dose of pneumococcus. Flagellins lacking TLR5 or NLRC4 activation domains were used to assess their contribution to protection.
Results:
Sublingual flagellin protected mice in a TLR5-dependent, NLRC4-independent fashion. Neutrophils were required for protection. Flagellin-stimulated lung epithelial cells recapitulated the lung's transcriptional profile suggesting they could be targeted by flagellin in vivo.
Conclusion:
Ligation of TLR5, a pathogen recognition receptor not naturally engaged by pneumococcus, protects mice from invasive pneumonia when administered via sublingual route. This can be a highly cost-effective alternative therapy against pneumonia.
Keywords:
Streptococcus pneumoniae; TLR5; antimicrobial; flagellin; immunotherapy; neutrophils; pneumonia; sublingual.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Administration, Sublingual
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Animals
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Bacterial Proteins / administration & dosage
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Bacterial Proteins / chemistry
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Bacterial Proteins / genetics
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Bacterial Proteins / immunology*
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Bacterial Vaccines / administration & dosage
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Bacterial Vaccines / chemistry
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Bacterial Vaccines / genetics
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Bacterial Vaccines / immunology
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CARD Signaling Adaptor Proteins / genetics
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CARD Signaling Adaptor Proteins / immunology*
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Calcium-Binding Proteins / genetics
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Calcium-Binding Proteins / immunology*
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Female
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Flagellin / administration & dosage
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Flagellin / chemistry
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Flagellin / genetics
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Flagellin / immunology*
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Humans
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Lung / immunology
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Lung / microbiology
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Mice
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Mice, Inbred BALB C
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Neutrophils / immunology
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Pneumonia, Pneumococcal / genetics
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Pneumonia, Pneumococcal / immunology*
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Pneumonia, Pneumococcal / microbiology
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Pneumonia, Pneumococcal / prevention & control*
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Protein Domains
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Streptococcus pneumoniae / genetics
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Streptococcus pneumoniae / immunology*
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Toll-Like Receptor 5 / genetics
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Toll-Like Receptor 5 / immunology*
Substances
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Bacterial Proteins
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Bacterial Vaccines
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CARD Signaling Adaptor Proteins
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Calcium-Binding Proteins
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NLRC4 protein, human
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TLR5 protein, human
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Toll-Like Receptor 5
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Flagellin