To date, BCG has been used as a vaccine against TB. However, its effect on pulmonary TB is debatable. Therefore, new effective, safe, and more reliable vaccines with preferably new modes of action are needed. DNA vaccines using antigens of
M. tuberculosis are candidates for future vaccines (
17). A study has shown that DNA vaccines provide protection against
M. bovis in animal models. However, this protection is found only when mycobacterial DNA is coupled with adjuvants or DNA encoding co-stimulatory molecules such as CD80 and CD86. The immunity induced by this vaccine is not equivalent to the protection offered by BCG. Of note, if this vaccine is administered as a booster after BCG, then it would elicit a more effective immune response than that achieved using BCG vaccination alone (
18). Because TB is one of the most dangerous infectious diseases, there is an urgent need for a better vaccine than BCG. Furthermore, in order to control this disease, it is necessary to design a stronger vaccine than BCG and/or a vaccine that is capable of boosting the immunogenicity of or the immune response elicited by BCG.
The advantages of direct immunization with plasmid DNA encoding antigens of
M. tuberculosis include sustainability, easy preparation and handling, and safety for immune-compromised patients. In addition, such vaccines could be stored at room temperature and could be administrated repeatedly to boost immunity (
19). Mammalian expression vectors can be injected directly into muscle cells, and as a result of continuous transcription and translation of the genes, a strong immune response is can be elicited (
20).
CFPs of
M. tuberculosis secreted during bacterial growth phase are the major targets of the T cells. In addition, Th1 cytokines and TNFα are major immune mediators against
M. tuberculosis in mice and humans. These cytokines are essential for the expression of inducible nitric oxide synthase, which is involved in the immune response against infection in mice. Culture filtered antigens of
M. tuberculosis stimulate the immune system to varying degrees. These antigens have been shown to induce a protective immune response in a model of BALB/c mice, especially in the late phase of bacterial infection, which might be related to the high density of the antigen in this phase (
21).
Mahairas and colleagues demonstrated for the first time in 1996 the existence of specific genomic regions in
M. tuberculosis. They studied genetic differences between
M. tuberculosis,
M. bovis, and BCG using genomic subtractive hybridization. Their results showed that 3 specific genomic regions that are present in
M. tuberculosis and
M. bovis are absent in BCG. These deleted regions are called regions of difference or regions deleted or briefly RDs (RD1, RD2, and RD3) (
22). Evidences suggest that the protein encoded by RD1 is recognized by the immune system and has particular importance in the immune response against TB due to its strong antigenicity (
23,
24).
This region harbors
cfp10 in the genome of
M. tuberculosis. It is noted that Cfp10 is always in complex with Esat6. Cloning and sequence analysis of
cfp10 was carried out in 1989. Further analyses revealed that the encoded protein contains 99 amino acids and a molecular weight of 10.7 kDa. The epitopes of the product were shown to be associated with T cells (
11). In one study, plasmids pcDNA3.1 (+)/esat6 and pcDNA3.1 (+)/cfp10 were constructed and injected into BALB/c mice and the RNA expression in mouse cells was verified by RT-PCR. Further investigations revealed that these vectors could induce proliferation of lymphocytes in the vaccinated mice (
25).
In our study, the vector pcDNA3.1 (+)/cfp10 was designed and cloning was confirmed using a prokaryote system. Due to the fact that it is a eukaryotic shuttle vector, RNA expression pattern in a eukaryotic system should be investigated in further research. DNA vaccine studies generally focus on Ag85a and ESAT6. However, in the present study, we used the antigen cfp10 for designing the recombinant vector. In attempts to design a protective DNA vaccine some other antigens have also been evaluated. For example, in a study conducted by Nabavinia et al. (
26)
Mtb72f was subcloned into pET21b vector, and
E. coli BL21 (DE3) was used to express the protein. Technically, in their study, 4 enzymes were employed to join the 3 genes, and finally protein expression was analyzed using western blot in a prokaryotic system. In contrast, in our study, EcoRI and XbaI were used for cloning the gene into pcDNA3.1 (+) vector. Cloning accuracy was confirmed by colony-PCR, enzyme digestion, and sequencing. In colony-PCR, the size of the cloned fragment with cfp10 primers was found to be accurate. Restriction enzyme digestion showed that the fragment separated from the vector was
cfp10. Finally, DNA sequencing with cfp10 primers confirmed the cloning. We propose to expand this study by expression of CFP10 protein and investigation of its immunogenicity in mouse.
To summarize, here we cloned cfp10 into a eukaryotic expression system for use as a vaccine. In future, studies could be carried out in order to purify the CFP10 protein and subsequent monitoring of the production of IFN-γ, TNFα, and IgG1 against CFP10 in animal models, which might lead to promising findings for human administration, although most DNA vaccines of bacteria have not reached the clinical phase.