Significant abundance of viable flagellated bacteria and expression of
flagellin-signaling Toll-Like Receptor 5 and Interlukin-22 in infants
with poor oral Rotavirus vaccine take in South Africa
Abstract
Bacterial flagellin, a potent intestinal innate immune activator,
prevents murine rotavirus (RV) infection independent of adaptive
immunity. The flagellin-induced immunity is mediated by Toll-like
receptor (TLR5) and Nod-like receptor C4 (NLRC4), which elicit the
production of interleukins 22 (IL-22) and IL-18, respectively. Here, we
assessed whether a high abundance of flagellin at the time of
vaccination would negatively affect the RV vaccine take. Fecal samples
were collected from infants at 7 days post first dose of Rotarix
vaccination to establish (a) vaccine shedders (n = 50) and (non-shedders
(n = 44). QPCR was used to assay the abundance of flagellin and
expression of flagellin-encoding fliC, TLR5, NLRC4, IL-22 and IL-18
genes. There was no difference in abundance of flagellin between vaccine
shedders and non-shedders ( p = 0.15). However, the expression of
FliC was increased 7.5-fold in non-shedders versus shedders ( p =
0.001). Similarly, TLR5 ( p = 0.045), and not NLRC4 ( p =
0.507,) was significantly expressed in non-shedders versus shedders. The
expression of IL-22 ( p = 0.054), and not IL-18 dependent NLRC4 (
p = 0.650), was increased 3.4-fold in non-shedders versus
shedders. Collectively, our observations suggest that the abundance of
viable flagellated bacteria at the time vaccination can negatively
impact the performance of RV vaccines.