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Vaccination with Acinetobacter baumannii adhesin Abp2D provides protection against catheter-associated urinary tract infection.


ABSTRACT: Catheter-associated urinary tract infections (CAUTIs) contribute greatly to the burden of healthcare associated infections. Acinetobacter baumannii is a Gram-negative bacterium with high levels of antibiotic resistance that is of increasing concern as a CAUTI pathogen. A. baumannii expresses fibrinogen-binding adhesins (Abp1D and Abp2D) that mediate colonization and biofilm formation on catheters, which become coated with fibrinogen upon insertion. We developed a protein subunit vaccine against Abp1DRBD and Abp2DRBD and showed that vaccination significantly reduced bladder bacterial titers in a mouse model of CAUTI. We then determined that immunity to Abp2DRBD alone was sufficient for protection. Mechanistically, we defined the B cell response to Abp2DRBD vaccination and demonstrated that immunity was transferrable to naïve mice through passive immunization with Abp2DRBD-immune sera. This work represents a novel strategy in the prevention of A. baumannii CAUTI and has an important role to play in the global fight against antimicrobial resistance.

SUBMITTER: Timm MR 

PROVIDER: S-EPMC10441454 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature

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Vaccination with <i>Acinetobacter baumannii</i> adhesin Abp2D provides protection against catheter-associated urinary tract infection.

Timm Morgan R MR   Tamadonfar Kevin O KO   Nye Taylor M TM   Pinkner Jerome S JS   Dodson Karen W KW   Ellebedy Ali H AH   Hultgren Scott J SJ  

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Catheter-associated urinary tract infections (CAUTIs) contribute greatly to the burden of healthcare associated infections. <i>Acinetobacter baumannii</i> is a Gram-negative bacterium with high levels of antibiotic resistance that is of increasing concern as a CAUTI pathogen. <i>A. baumannii</i> expresses fibrinogen-binding adhesins (Abp1D and Abp2D) that mediate colonization and biofilm formation on catheters, which become coated with fibrinogen upon insertion. We developed a protein subunit va  ...[more]

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