Sublingual flagellin protects against acute pneumococcal pneumonia in a TLR5-dependent and NLRC4-independent fashion

Future Microbiol. 2016 Sep:11:1167-77. doi: 10.2217/fmb-2016-0045. Epub 2016 Aug 22.

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

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Sublingual
  • Animals
  • Bacterial Proteins / administration & dosage
  • Bacterial Proteins / chemistry
  • Bacterial Proteins / genetics
  • Bacterial Proteins / immunology*
  • Bacterial Vaccines / administration & dosage
  • Bacterial Vaccines / chemistry
  • Bacterial Vaccines / genetics
  • Bacterial Vaccines / immunology
  • CARD Signaling Adaptor Proteins / genetics
  • CARD Signaling Adaptor Proteins / immunology*
  • Calcium-Binding Proteins / genetics
  • Calcium-Binding Proteins / immunology*
  • Female
  • Flagellin / administration & dosage
  • Flagellin / chemistry
  • Flagellin / genetics
  • Flagellin / immunology*
  • Humans
  • Lung / immunology
  • Lung / microbiology
  • Mice
  • Mice, Inbred BALB C
  • Neutrophils / immunology
  • Pneumonia, Pneumococcal / genetics
  • Pneumonia, Pneumococcal / immunology*
  • Pneumonia, Pneumococcal / microbiology
  • Pneumonia, Pneumococcal / prevention & control*
  • Protein Domains
  • Streptococcus pneumoniae / genetics
  • Streptococcus pneumoniae / immunology*
  • Toll-Like Receptor 5 / genetics
  • Toll-Like Receptor 5 / immunology*

Substances

  • Bacterial Proteins
  • Bacterial Vaccines
  • CARD Signaling Adaptor Proteins
  • Calcium-Binding Proteins
  • NLRC4 protein, human
  • TLR5 protein, human
  • Toll-Like Receptor 5
  • Flagellin