The current investigation was designed to build potential vaccines against
P. aeruginosa, causing virulent and persistent infections despite antibiotic treatment. Recent studies have shown an increasing trend in the occurrence of multidrug-resistant (MDR)
P. aeruginosa strains, which significantly limits the availability of chemotherapeutic agents for the treatment of patients and complicates the management of the disease (
33,
34). With the emergence of MDR strains,
P. aeruginosa-related infections are notoriously challenging to treat; hence, a possible vaccine was predicted in this study to combat this pathogenic microorganism. The bacteria’s 3 candidate proteins (OprF, OprI, and PopB) were recognized and chosen from the National Center for Biotechnology Information (NCBI) database to produce the vaccine construction. Since these antigenic proteins involve several crucial functions of
P. aeruginosa and could provoke immune response effectively, these sequences were chosen for further analysis. Fito-Boncompte et al. in 2011 proved that OprF had a prominent role in cellular adhesion and production of virulence-related factors, including biofilm (
35). A study showed that immunization with OprF/OprI and flagellin B was effective against infection generated by mucoid and non-mucoid strains of
P. aeruginosa in animal models (
36). In a previous study, immunization with highly conserved PopB, a component of the type III secretion system, evoked Th17 responses and intensified
P. aeruginosa from the spleen and lung after challenge in an animal model (
37). Following our previous study, OprF/I and PopB could simultaneously make antibody-independent and antibody-dependent protection. Therefore, in this study, we determined to work on these antigenic epitopes to develop a more effective vaccine.
The most important factor in improving computational analysis is the structural study of the vaccine candidate, predictions of antigenicity, investigating epitopes regarding a vast diversity of HLAs, and assessment of interactions with human receptors (
38). The principal feature for the vaccine approach is the determination of corrected CTLs, HTLs, and B-cells epitopes, which can produce neutralized antibodies against the pathogenic microorganism and provoke the Th cells and CTL response (
39).
The connection between epitopes produced by applying linkers can reduce the probability of junctional antigens generation and improve antigen-presenting cells (
40). The structural flexibility and rigidity of a suitable vaccine construct are relevant to choosing linkers. Regarding the study by Rahmani et al. (
41), we designed a vaccine peptide with the following linkers: EAAAK, GGGS, GPGPG, HEYGAEALERAG, AAY, and KK. EAAAK was applied between the adjuvant and Met to produce rigidity and decrease possible interference of other protein regions (
42). GGGS was used between the adjuvant and CTL epitope to make better flexibility. The proteasomal and lysosomal systems (AAY and HEYGAEALERAG) used GPGPG linkers as cleavage sites to provoke HTL immune response (
43). Ultimately, B-cell epitopes were connected with the KK linker to maintain their distinct immunogenic activity (
44). This result illustrated that the selection and distribution linkers were suitable.
Various studies related to promising vaccine antigens for
P. aeruginosa have indicated that Th1 and IFN-γ responses are linked to protection against this bacterial infection (
45,
46). Concerning these observations, the choice of the GM-CSF adjuvant, as an additional component of the multi-epitope vaccine, seemed suitable. A study revealed that GM-CSF administration accompanied by a human immunodeficiency virus type 1 DNA vaccine increased the quality and quantity of vaccine immune T-cell responses. This event was carried out primarily via developing proliferating CD4+ T cells, which concurrently create IFN-γ, IL-2, and tumor necrosis factor-α (TNF-α) (
47). Reali et al. noticed an improvement in the immune response following the local administration of GM-CSF in animal models (
48). According to the result of the IFNepitope server analysis and IL4Pred, it was documented that IFN-γ-inducing epitopes and IL4-induced predicted could cause a long-lasting cellular response. The epitopes with high antigenic properties, low allergenicity, and non-toxicity were considered a vaccine candidate. Besides, the C-ImmSim server predicted a relevant antibody production immunoglobulin (G, M, G1, and G1+G2) after immunization, which is defined as necessary for fighting against Pseudomonas infection. These outcomes indicate the probability of this vaccine candidate to provoke an effective immune response and defend against the infection.
The characteristic physicochemical analysis was performed for the chimeric protein. The aliphatic index of the vaccine constructs, which depends on the relative volume involved via the aliphatic amino acids, valine, and alanine, had the highest value among these proteins (69.79). According to Kyte and Doolittle, the negative GRAVY value exhibits a hydrophilic protein, and the positive one expresses hydrophobic characteristics (
49); our proteins had the highest GRAVY value of -0.414. Moreover, the half-life was 30 hours in mammalian reticulocytes, > 20 hours in yeast, and > 10 hours in E. coli; it had the highest theoretical PI of 6.24. Due to an instability index of 31.92, the vaccine was considered stable. Thus, the physicochemical property analysis exhibited quite good results.
The secondary structure analysis illustrated that the vaccine construct determined random coils (40.54%), alpha helices (59.39%), and extended strand (7.07%). These data revealed that this structure was stable with a random coil structure, facilitating identification by immune system agents. Next, the tertiary structure prediction of the chimeric vaccine was accomplished by applying the I-TASSER server. The GalaxyRefine server refined and improved the structural disturbance for the primary model. Then, the predicted 3D model validation using verified software revealed that 94.26% of residues were located in the favored region. The mentioned results confirmed that the predicted structure model was stable, profoundly ordered, and contained high features.
TLRs are among the most investigated pattern recognition receptor (PRR) families (
50), which can identify explicitly bacterial lipopolysaccharide (LPS). Their activation significantly contributes to the construction of pro-inflammatory cytokines, for instance, TNF, IL-6, and chemokines. The molecular docking was performed to recognize whether all the epitopes could connect with their respective MHC I and II alleles or not. The results manifested interactions between the multi-epitope-designed vaccine and receptor, using ClusPro 2.0, relying on the lowest energy score (-1132.4) carried out thoroughly. Then, the MD simulation investigation, administered by the online tool iMODS, showed that the TLR4/multi-epitope docked complex was stable, including a valid eigenvalue of 1.094677e-05.
Codon usage and in silico cloning practices were conducted with the predicted CAI value of 1.0. The result of the DNA sequence showed that it contained a high value of favorable codons and a considerate amount of GC content of 54.12% in E. coli strain K12. Ultimately, the pET-22b (+) vector, containing the ultimate vaccine, was inserted to construct a more efficient vaccine candidate in E. coli cells. Peluso et al used both recombinant His-conjugated OprF (acquired from cloning the oprF gene into the pET-28a expression vector) and native OprF (isolated and purified from PAO1). They urged that DCs induced with these antigens could provoke Th1 cells and cause resistance to infection caused by either a clinically isolated mucoid or the PAO1 strain (
51). This result is consistent with the result obtained by Wu et al who indicated a high level of IL-4, IL-17, and IFN-γ in animal models with the PopB and curdlan adjuvant compared to the control group (
37). Moreover, our result was consistent with Hu et al, showing that TLR4 was crucial in host resistance to
P. aeruginosa, and its deficiency led to increased polymorphonuclear (PMN) infiltration and pro-inflammatory cytokine production and a susceptible phenotype (
52).
Altogether, the present study provides a snapshot of a multi-epitope vaccine against P. aeruginosa. We conceive that this research can be used as a framework for future studies to improve different types of P. aeruginosa vaccine. However, more in vitro and in vivo studies are needed to confirm the findings of this study.
5.1. Conclusions
The Pseudomonas-host relationship complexity in each stage of infection is not apparent, preventing the development of an approved vaccine. In the current study, we investigated a multi-epitope chimeric vaccine using different computational studies based on protective antigens of P. aeruginosa (OprF, OprI, and PopB). A reasonably chimeric-designed vaccine is required to develop both innate and adaptive immunity according to the presence of several T-cell and B-cell epitopes, IL-4 and IFN-γ inducing epitopes, and indicated stability-binding affinity with the immune-receptor TLR4. Hence, to generate potential vaccines against P. aeruginosa, we suggest that specialists construct and purify this chimeric vaccine and investigate the vaccine efficacy before and after challenge into appropriate models.