Figures & data
Figure 1. Upper part of the figure: representative schematic time line of vaccinations. (A) Mice were immunized three times with 30 days intervals. Blood samples were collected 30 days after each vaccination. Two days after the first vaccination, mice were euthanized to collect right quadriceps muscle and draining lymph nodes. Thirty days after the last vaccination, mice were infected with Mtb. Forty-five days after Mtb challenge, mice were euthanized to collect lung and spleen for analysis. Lower part of the figure: representative histopathological images of quadriceps muscle tissues of immunized mice. BALB/c mice were immunized in the quadriceps muscle with the different formulations and euthanized after two days for morphological analysis. Saline group (B), recombinant protein alone (C), Advax4 alone (D), Advax4 plus recombinant protein (E). In (E) is possible to observe a leukocyte increase consistent with chemotaxis induced by the vaccine formulation rather than an inflammatory process. The results shown are representative of two independent experiments (N = 6, *p<0.05). H&E staining, x100 magnification. Arrows indicate increase of mononuclear cells.
![Figure 1. Upper part of the figure: representative schematic time line of vaccinations. (A) Mice were immunized three times with 30 days intervals. Blood samples were collected 30 days after each vaccination. Two days after the first vaccination, mice were euthanized to collect right quadriceps muscle and draining lymph nodes. Thirty days after the last vaccination, mice were infected with Mtb. Forty-five days after Mtb challenge, mice were euthanized to collect lung and spleen for analysis. Lower part of the figure: representative histopathological images of quadriceps muscle tissues of immunized mice. BALB/c mice were immunized in the quadriceps muscle with the different formulations and euthanized after two days for morphological analysis. Saline group (B), recombinant protein alone (C), Advax4 alone (D), Advax4 plus recombinant protein (E). In (E) is possible to observe a leukocyte increase consistent with chemotaxis induced by the vaccine formulation rather than an inflammatory process. The results shown are representative of two independent experiments (N = 6, *p<0.05). H&E staining, x100 magnification. Arrows indicate increase of mononuclear cells.](/cms/asset/ff45e930-dc2d-4c88-9c3f-a410eef08d33/khvi_a_1368598_f0001_oc.gif)
Figure 2. Specific rCMX cells present in the draining lymph nodes 2 days after injection. BALB/c mice inoculated with Saline, rCMX, Advax4, or Advax4 + CMX were euthanized after 2 days, and the draining lymph nodes were collected. Cells were stained with gp38, CD31, F4/80, CD11C. (A) Percentage of blood endothelial cells (BEC). (B) Percentage of lymphatic endothelial cells (LEC). (C) Percentage of activated macrophages (F4/80+/CD11b). The results shown are representative of two independent experiments (N = 6, *p < 0.05).
![Figure 2. Specific rCMX cells present in the draining lymph nodes 2 days after injection. BALB/c mice inoculated with Saline, rCMX, Advax4, or Advax4 + CMX were euthanized after 2 days, and the draining lymph nodes were collected. Cells were stained with gp38, CD31, F4/80, CD11C. (A) Percentage of blood endothelial cells (BEC). (B) Percentage of lymphatic endothelial cells (LEC). (C) Percentage of activated macrophages (F4/80+/CD11b). The results shown are representative of two independent experiments (N = 6, *p < 0.05).](/cms/asset/c5bb3ae0-ff76-4b8a-a90f-64bc5120d577/khvi_a_1368598_f0002_b.gif)
Figure 3. Humoral Immune Response to CMX. Animals were bled 30 days after the first, second and third vaccinations. Antibody levels were measured after sera separation. (A) IgG1 levels induced by CpG-DNA + CMX, Advax4 + CMX and controls. (B) IgG2a levels induced by CpG-DNA + CMX, Advax4 + CMX and controls. (C) IgG1 levels induced by Advax4 + ECMX. (D) IgG2a levels induced by Advax4 + ECMX. (E) IgG2a/IgG1 ratio of all vaccine formulations. All vaccines induced high antibody levels since 30 days after the first vaccination. The results shown are representative of two independent experiments (N = 6; *, # p < 0.05). * Statistical difference between the analyzed group and the same group after the first vaccination. # Statistical difference with the saline group.
![Figure 3. Humoral Immune Response to CMX. Animals were bled 30 days after the first, second and third vaccinations. Antibody levels were measured after sera separation. (A) IgG1 levels induced by CpG-DNA + CMX, Advax4 + CMX and controls. (B) IgG2a levels induced by CpG-DNA + CMX, Advax4 + CMX and controls. (C) IgG1 levels induced by Advax4 + ECMX. (D) IgG2a levels induced by Advax4 + ECMX. (E) IgG2a/IgG1 ratio of all vaccine formulations. All vaccines induced high antibody levels since 30 days after the first vaccination. The results shown are representative of two independent experiments (N = 6; *, # p < 0.05). * Statistical difference between the analyzed group and the same group after the first vaccination. # Statistical difference with the saline group.](/cms/asset/4a47f118-ca9e-4190-b8fb-4d67a6e1a2c5/khvi_a_1368598_f0003_b.gif)
Figure 4. Cellular immune response against rCMX 45 days after challenge. Thirty days after the third immunization, BALB/c mice were challenged with Mtb (105 CFU per mice) and then euthanized after 45 days to evaluate the cellular response. (A) Anti-rCMX or anti-rECMX CD4+IFN-γ+ lung cells 45 days after challenge. (B) Anti-CMX or anti-ECMX CD4+IFN-γ+ splenocytes 45 days after challenge. The results shown are representative of two different experiments (N = 3; *p < 0.05). * Statistical difference between the analyzed group and the BCG group. # Statistical difference with the saline group.
![Figure 4. Cellular immune response against rCMX 45 days after challenge. Thirty days after the third immunization, BALB/c mice were challenged with Mtb (105 CFU per mice) and then euthanized after 45 days to evaluate the cellular response. (A) Anti-rCMX or anti-rECMX CD4+IFN-γ+ lung cells 45 days after challenge. (B) Anti-CMX or anti-ECMX CD4+IFN-γ+ splenocytes 45 days after challenge. The results shown are representative of two different experiments (N = 3; *p < 0.05). * Statistical difference between the analyzed group and the BCG group. # Statistical difference with the saline group.](/cms/asset/3e6bbde9-c0b5-43dc-a5b1-d478df23dd10/khvi_a_1368598_f0004_b.gif)
Table 1. Histopathological lesion score of the lungs from vaccinated mice.
Figure 5. Representative histopathological images of lungs, 45 days post Mtb challenge (A) Saline, (B) infection control, (C) BCG, (D) Advax4, (E) Advax4 + CMX, (F) Advax4 + ECMX. H&E staining, x100 magnification. Inflammatory injury reduction is observed 45 days after challenge in the Advax4 + ECMX group.
![Figure 5. Representative histopathological images of lungs, 45 days post Mtb challenge (A) Saline, (B) infection control, (C) BCG, (D) Advax4, (E) Advax4 + CMX, (F) Advax4 + ECMX. H&E staining, x100 magnification. Inflammatory injury reduction is observed 45 days after challenge in the Advax4 + ECMX group.](/cms/asset/92928487-b1f4-4d07-a996-dc3a6416d697/khvi_a_1368598_f0005_oc.gif)