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Xin-Xing Gu, M.D.

Acting Chief Vaccine Research Section

NIDCD/NIH
5 Research Court, 2A31
Rockville, MD 20850
Phone: (301) 402–2581
Fax: (301) 435–4040
E-mail: guxx@nidcd.nih.gov

Research Statement

Our ultimate goal is to fully understand bacterial pathogenesis and host immune responses in order to develop highly effective vaccines against otitis media. Successful conquering bacteria associated otitis media - the most common disease in childhood requires systemic investigation on both pathogens and hosts including (1) revealing functional and structural features of bacterial components and (2) elucidating regulation of host immune responses. Our major focuses are on (1) identification of bacterial antigens and/or virulence factors that may be used as vaccine candidates, (2) characterization of these bacterial antigens and virulence factors in vitro, (3) evaluation of candidate vaccines in vivo and identification of their underlying protective mechanisms, and (4) initiation of clinical trials.

Nontypeable Haemophilus influenzae (NTHi) and Moraxella catarrhalis (M. cat.) are the major causes of otitis media in children. Several lines of evidence have shown that lipooligosaccharide (LOS), a dominant surface component on bacterial outer membrane, is not only a virulence factor but also a potential protective antigen which is expected to confer immunity to both pathogens. LOS consists of two major moieties: a lipid A and a core oligosaccharide (OS). The core OS can be dissected into a linker and three OS chains in M. cat. To study functional and structural features of the LOS molecule, a series of mutant strains have been created by molecular and genetic approaches. The results suggest that the complete OS chain moiety of the LOS is important for serum resistance and adherence to host cells, whereas the linker moiety is critical for maintenance of the outer membrane integrity and stability to preserve normal bacterial growth. Both the lipid A and linker moieties contribute to the LOS toxicity. In addition, a cellular cross-talk mechanism by which LOS induces excessive middle ear inflammation has been elucidated. All these findings have significantly moved forward our understanding on the pathogenesis of bacteria associated otitis media.

Because LOS has great potential to provide protection against both NTHi and M.cat, our group has been trying to develop detoxified LOS-based conjugate vaccines. Such vaccines have been demonstrated to elicit long-lasting antibodies with bactericidal activities against NTHi and M.cat., and confer protection against bacterial challenges in animal models. Furthermore, a phase I clinical trial to evaluate a NTHi conjugate vaccine in human volunteers has been successfully concluded and the result suggests that this vaccine is safe for human use. Our ongoing projects are to identify protective epitopes of LOS molecule and fully elucidate the underlying protective mechanisms of the LOS-based conjugate vaccines. Currently, new vaccine candidates such as different types of LOS based conjugate vaccines, outer membrane protein based conjugate vaccines, peptide/DNA vaccines, and genetically engineered vaccines are being developed and evaluated.

Lab Personnel

Hassan, Md Ferdaus, Ph.D., 301-402-2581(Send e-mail)
Ren, Dabin, Ph.D., 301-402-2581(Send e-mail)
Zhang, Wenhong, Ph.D., 301-402-2581 (Send e-mail)

Selected Publications

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