There is an emerging interest to develop human
vaccines against medically-important fungal pathogens and a need for a preclinical animal model to assess
vaccine efficacies and protective correlates.
HLA-DR4 (DRB1∗0401 allele) transgenic mice express a human major histocompatibility complex class II (MHC II) receptor in such a way that CD4+ T-cell response is solely restricted by this human molecule. In this study
HLA-DR4 transgenic mice were immunized with a live-
attenuated vaccine (ΔT) and challenged by the intranasal route with 50-70 Coccidioides posadasii spores, a potentially lethal dose. The same vaccination regimen offers 100% survival for C57BL/6 mice. Conversely, ΔT-vaccinated
HLA-DR4 mice displayed 3 distinct manifestations of
Coccidioides infection including 40% fatal acute (
FAD), 30% disseminated (DD) and 30%
pulmonary disease (PD). The latter 2 groups of mice had reduced loss of
body weight and survived to at least 50days postchallenge (dpc). These results suggest that ΔT vaccinated
HLA-DR4 mice activated heterogeneous immunity against pulmonary
Coccidioides infection. Vaccinated
HLA-DR4 mice displayed early expansion of Th1 and Th17 cells and recruitment of inflammatory innate cells into Coccidioides-infected lungs during the first 9dpc. While contraction rates of Th cells and the inflammatory response during 14-35dpc significantly differed among the 3 groups of vaccinated
HLA-DR4 mice. The
FAD group displayed a sharply reduced Th1 and Th17 response, while overwhelmingly recruiting neutrophils into lungs during 9-14days. The
FAD group approached moribund by 14dpc. In contrast, vaccinated
HLA-DR4 survivors gradually contracted Th cells and inflammatory response with the greatest rate in the PD group. While vaccinated
HLA-DR4 mice are susceptible to
Coccidioides infection, they are useful for evaluation of
vaccine efficacy and identification of immunological correlates against this mycosis.