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Clinical and Diagnostic Laboratory Immunology, May 1999, p. 405-409, Vol. 6, No. 3
Oral Health Research
Institute1 and Departments of Oral
Biology2 and Pathology and Laboratory
Medicine,3 Schools of Dentistry and of
Medicine, Indiana University, Indianapolis, Indiana 46202-5186
Received 1 June 1998/Returned for modification 27 August
1998/Accepted 29 January 1999
Streptococcus mutans has been identified as the major
etiological agent of human dental caries. The first step in the
initiation of infection by this pathogenic bacterium is its attachment
(i.e., through bacterial surface proteins such as glucosyltransferases, P1, glucan-binding proteins, and fimbriae) to a suitable receptor. It
is hypothesized that a mucosal vaccine against a combination of
S. mutans surface proteins would protect against
dental caries by inducing specific salivary immunoglobulin A (IgA)
antibodies which may reduce bacterial pathogenesis and
adhesion to the tooth surface by affecting several adhesins
simultaneously. Conventional Sprague-Dawley rats, infected with
S. mutans at 18 to 20 days of age, were intranasally
immunized with a mixture of S. mutans surface
proteins, enriched for fimbriae and conjugated with cholera toxin B
subunit (CTB) plus free cholera toxin (CT) at 13, 15, 22, 29, and 36 days of age (group A). Control rats were either not
immunized (group B) or immunized with adjuvant alone (CTB and CT
[group C]). At the termination of the study (when rats were 46 days
of age), immunized animals (group A) had significantly (P < 0.05) higher salivary IgA and serum IgG antibody
responses to the mixture of surface proteins and to whole bacterial
cells than did the other two groups (B and C). No significant
differences were found in the average numbers of recovered
S. mutans cells among groups. However, statistically
fewer smooth-surface enamel lesions (buccal and lingual) were detected
in the immunized group than in the two other groups. Therefore, a
mixture of S. mutans surface proteins,
enriched with fimbria components, appears to be a promising
immunogen candidate for a mucosal vaccine against dental caries.
1071-412X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Intranasal Immunization against Dental Caries with
a Streptococcus mutans-Enriched Fimbrial
Preparation
*
Corresponding author. Mailing address: Oral Health
Research Institute, 415 Lansing St., Indianapolis, IN 46202. Phone: (317) 274-5626. Fax: (317) 274-5425. E-mail:
MFONTANA{at}IUSD.IUPUI.EDU.
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