Hereditary Hemochromatosis Restores the Virulence of Plague Vaccine Strains
Open accessAbstract
Nonpigmented Yersinia pestis (pgm) strains are defective in scavenging host iron and have been used in live-attenuated vaccines to combat plague epidemics. Recently, a Y. pestis pgm strain was isolated from a researcher with hereditary hemochromatosis who died from laboratory-acquired plague. We used hemojuvelin-knockout (Hjv(-/-)) mice to examine whether iron-storage disease restores the virulence defects of nonpigmented Y. pestis. Unlike wild-type mice, Hjv(-/-) mice developed lethal plague when challenged with Y. pestis pgm strains. Immunization of Hjv(-/-) mice with a subunit vaccine that blocks Y. pestis type III secretion generated protection against plague. Thus, individuals with hereditary hemochromatosis may be protected with subunit vaccines but should not be exposed to live-attenuated plague vaccines.
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Hepcidin-deficient mice are more susceptible than wild-type mice to death from infection with Y. enterocolitica and certain attenuated strains of Y. pestis.
“Hepcidin-deficient mice are also much more susceptible than wild-type mice to death from infection with Y. enterocolitica (D. Stefanova, Y. Bulut, T.G. and E.N., unpublished observations) and certain attenuated strains of Y. pestis47.”
From Iron homeostasis in host defence and inflammation (2015) · cites this paper as [47]
Pathogenicity of Y. pestis strains lacking yersiniabactin is greatly enhanced in haemochromatotic mice generated by disruption of hepcidin or haemojuvelin.
“The pathogenicity of similar strains was greatly enhanced in haemochromatotic mice that were generated by disruption of the gene encoding either hepcidin or its essential regulator haemojuvelin47.”
From Iron homeostasis in host defence and inflammation (2015) · cites this paper as [47]
People with hereditary hemochromatosis are highly susceptible to normally noninvasive microbes such as Vibrio vulnificus and Yersinia enterocolitica.
“individuals with HH are highly susceptible to infection by normally noninvasive microbes, such as the bacteria Vibrio vulnificus and Yersinia enterocolitica 62, 63, 64.”
From Buried Treasure: Evolutionary Perspectives on Microbial Iron Piracy (2015) · cites this paper as [63]
In mouse infection models, iron's importance has been supported for Vibrio vulnificus and nonpigmented Yersinia pestis plague vaccine strains.
“The importance of iron has been corroborated in mouse models of infection by Vibrio vulnificus and nonpigmented Y. pestis (plague vaccine strains) (112, 146).”
From Transition Metals and Virulence in Bacteria (2016) · cites this paper as [112]
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- Authors
- Quenee, L. E., Hermanas, T. M., Ciletti, N., Louvel, H., Miller, N. C., Elli, D., Blaylock, B., Mitchell, A., Schroeder, J., Krausz, T., Kanabrocki, J., & Schneewind, O.
- Affiliations
- Argonne National Laboratory (US)
- University of Chicago (US)
- Corresponding author
- Quenee, L. E.
- ORCID
- Schneewind, O.
- Venue
- Journal of Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-08-14
- Volume
- 206
- Issue
- 7
- Pages
- 1050-1058
- ISSN
- 0022-1899 (ISSN-L)
- 1537-6613
- PMC
- PMC3501692
- OpenAlex
- W2170242329
- Cited by
- 65
- References
- 7
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 6 · 2023: 2 · 2022: 5 · 2021: 12 · 2020: 3 · 2019: 8 · 2018: 3 · 2017: 3 · 2016: 5 · 2015: 7 · 2014: 3 · 2013: 2 · 2012: 1
- FWCI
- 2.51
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journal of Infectious Diseases (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Allergy and Infectious Diseases (U54AI057153)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Yersinia bacterium, plague, ectoparasites research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bacillus and Francisella bacterial research
- Life Sciences › Immunology and Microbiology › Microbiology › Bacterial Infections and Vaccines
- Keywords
- hereditary hemochromatosis, Yersinia pestis, plague, iron storage, iron acquisition, subunit vaccine, type III secretion system, vaccine safety
- MeSH terms
- Hemochromatosis Protein, Animals, Female, Hemochromatosis, Liver, Membrane Proteins, Plague, Plague Vaccine, Spleen, Vaccines, Attenuated, Virulence, Yersinia pestis, Mice, Knockout, Vaccines, Subunit, Microbial Viability, Mice, Mice, 129 Strain, GPI-Linked Proteins
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