Protocols of immunization based on the
DNA prime/vaccinia virus (VV) boost regime with recombinants expressing relevant
antigens have been shown to elicit protection against a variety of pathogens in animal model systems, and various phase I clinical trials have been initiated with this vaccination approach. We have previously shown that mice immunized with
a DNA vector expressing p36/LACK of Leishmania infantum followed by a booster with VVp36/LACK induced significant protection against Leishmania major
infection. To further improve this protocol of immunization, here we investigated whether the
cytokines interleukin-12 (IL-12) and
IL-18 could enhance protection against L. major
infection in BALB/c mice. We found that priming with
DNA vectors expressing p36/LACK and either
IL-12 or
IL-18, followed by a booster with a VV recombinant expressing the same L. infantum LACK
antigen, elicit a higher cellular immune response than by using the same protocol in the absence of the
cytokines. The
cytokine IL-12 triggered a higher number of IFN-gamma-secreting cells specific for p36
protein than
IL-18. When immunized animals were challenged with promastigotes, the highest protection against L. major
infection was observed in animals primed with DNAp36 +
DNA IL-12 +
DNA IL-18 and boosted with VVp36. This protection correlated with a Th1 type of immune response. Our findings revealed that in prime/booster protocols, co-expressing
IL-12 and
IL-18 during priming is an efficient approach to protect against
leishmaniasis. This combined prime/booster immunization regime could have wide use in fighting against parasitic and other
infectious diseases.