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,
,¶
Departments of
* Pediatrics,
Pathology and Laboratory Medicine,
Internal Medicine, and
Medical Microbiology and Immunology, and
¶ Comprehensive Cancer Center, University of Wisconsin Medical School, Madison, WI 53792
Understanding fundamental mechanisms of vaccine immunity will allow
proper use and optimization of vaccines. Vaccination with a genetically
engineered, live, attenuated strain of Blastomyces
dermatitidis carrying a targeted deletion at the
BAD1 locus confers sterilizing immunity against
experimental lethal pulmonary infection. We found in this study that

T cells are requisite for durable vaccine immunity, whereas
other T and B cells are dispensable. In immune-competent animals,
CD4+ T-cell derived cytokines TNF-
and IFN-
mediate
vaccine immunity. Surprisingly, these factors are dispensable in
immune-deficient animals, which rely on alternate mechanisms for robust
vaccine immunity, yet still require O2-
production rather than generation of NO. Our results clarify the
cellular and molecular bases behind the first genetically engineered
fungal vaccine. They also illustrate a sharp difference in vaccine
mechanisms between immune-competent and immune-deficient hosts, which
underscores the plasticity of residual immune elements in compromised
hosts, and points to the feasibility of developing vaccines against
invasive fungal infection in this fast growing patient
population.
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