Lactobacilli Expressing Variable Domain of Llama Heavy‐Chain Antibody Fragments (Lactobodies) Confer Protection against Rotavirus‐Induced Diarrhea
1Division of Clinical Immunology, Department of Laboratory Medicine, Karolinska Institutet at Karolinska Huddinge, Stockholm, 2Division of Molecular Virology, University of Linköping, Linköping, 3Department of Virology, Swedish Institute for Infectious Disease Control, Karolinska Institutet, Solna, and 4Department of Medical Biochemistry and Biophysics, Umeå University, Umeå, Sweden; 5TNO, Prevention and Health, Division of Immunology and Infectious Disease, Leiden, 6BAC BV, Naarden, and 7Unilever Foods and Health Research Institute, Vlaardingen, The Netherlands; 8Laboratorio di Ultrastrutture, Instituto Superiore di Sanitá, Rome, Italy
Background.
Rotavirus‐induced diarrhea poses a worldwide medical problem in causing substantial morbidity and mortality among children in developing countries. We therefore developed a system for passive immunotherapy in which recombinant lactobacilli constitutively express neutralizing variable domain of llama heavy‐chain (VHH) antibody fragments against rotavirus.
Methods.
VHH were expressed in Lactobacillus paracasei, in both secreted and cell surface–anchored forms. Electron microscopy was used to investigate the binding efficacy of VHH‐expressing lactobacilli. To investigate the in vivo function of VHH‐expressing lactobacilli, a mouse pup model of rotavirus infection was used.
Results.
Efficient binding of the VHH antibody fragments to rotavirus was shown by enzyme‐linked immunosorbent assay and scanning electron microscopy. VHH fragments expressed by lactobacilli conferred a significant reduction in infection in cell cultures. When administered orally, lactobacilli‐producing surface‐expressed VHH markedly shortened disease duration, severity, and viral load in a mouse model of rotavirus‐induced diarrhea when administered both fresh and in a freeze‐dried form.
Conclusions.
Transformed lactobacilli may form the basis of a novel form of prophylactic treatment against rotavirus infections and other diarrheal diseases.
Received 10 February 2006; accepted 10 June 2006; electronically published 23 October 2006.
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Potential conflict of interest: Unilever has applied for a patent on the use of VHH for the mitigation of rotavirus‐induced diarrhea.
Financial support: Swedish International Development Agency; Swedish Research Council; European Union ADRI (project QLK2‐CT‐2001‐01216); Swedish Agency for Research in Developing Countries.
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N.P. and A.H. contributed equally to the work.





