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Immunization of pigs to prevent disease in humans: construction and protective efficacy of a Salmonella enterica serovar Typhimurium live negative-marker vaccine.

Selke, Martin,Meens, Jochen,Springer, Sven,Frank, Ronald,Gerlach, Gerald-F

Abstract

Zoonotic infections caused by Salmonella enterica serovar Typhimurium pose a constant threat to consumer health, with the pig being a particularly major source of multidrug-resistant isolates. Vaccination, as a promising approach to reduce colonization and shedding, has been scarcely used, as it interferes with current control programs relying on serology as a means of herd classification. In order to overcome this problem, we set out to develop a negative-marker vaccine allowing the differentiation of infected from vaccinated animals (DIVA). Applying an immunoproteomic approach with two-dimensional gel electrophoresis, Western blot, and quadrupole time-of-flight tandem mass spectrometry, we identified the OmpD protein as a suitable negative marker. Using allelic exchange, we generated an isogenic mutant of the licensed live vaccine strain Salmoporc and showed that virulence of Salmoporc and that of the mutant strain, SalmoporcDeltaompD, were indistinguishable in BALB/c mice. In a pig infection experiment including two oral immunizations with SalmoporcDeltaompD and challenge with a multiresistant S. enterica serovar Typhimurium DT104 clinical isolate, we confirmed the protective efficacy of SalmoporcDeltaompD in pigs, showing a significant reduction of both clinical symptoms and colonization of lymph nodes and intestinal tract. OmpD immunogenic epitopes were determined by peptide spot array analyses. Upon testing of several 9-mer peptides, each including an immunogenic epitope, one peptide (positions F(100) to Y(108)) that facilitated the detection of infected animals independent of their vaccination status (DIVA function) was identified. The approach described overcomes the problems currently limiting the use of bacterial live vaccines and holds considerable potential for future developments in the field.

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INFECTION AND IMMUNITY, May 2007, p. 2476–2483 Vol. 75, No. 5 0019-9567/07/$08.00⫹0 doi:10.1128/IAI.01908-06 Copy igh © 2007, Ame ican Socie y o Mic obiology. All Righ s Rese ed. Immuniza ion o Pigs To P e en Disease in Humans: Cons uc ion and P o ec i e E icacy o a Salmonella en e ica Se o a Typhimu ium Li e Nega i e-Ma ke Vaccine 䌤 † Ma in Selke, 1 Jochen Meens, 1 S en Sp inge , 2 Ronald F ank, 3 and Ge ald-F. Ge lach 1 * Ins i u e o Mic obiology, Depa men o In ec ious Diseases, Uni e si y o Ve e ina y Medicine Hanno e , Hanno e , Ge many 1 ; Imp s o we k Dessau-To nau GmbH, PSF 214, Rodleben OT To nau, Ge many 2 ; and Depa men o Chemical Biology, Helmhol z Cen e o In ec ion Resea ch (HZI), Masche ode Weg 1, D-38124 B aunschweig, Ge many 3 Recei ed 4 Decembe 2006/Re u ned o modi ica ion 21 Janua y 2007/Accep ed 4 Feb ua y 2007 Zoono ic in ec ions caused by Salmonella en e ica se o a Typhimu ium pose a cons an h ea o consume heal h, wi h he pig being a pa icula ly majo sou ce o mul id ug- esis an isola es. Vacci- na ion, as a p omising app oach o educe coloniza ion and shedding, has been sca cely used, as i in e e es wi h cu en con ol p og ams elying on se ology as a means o he d classi ica ion. In o de o o e come his p oblem, we se ou o de elop a nega i e-ma ke accine allowing he di e en ia ion o in ec ed om accina ed animals (DIVA). Applying an immunop o eomic app oach wi h wo-dimensional gel elec opho esis, Wes e n blo , and quad upole ime-o - ligh andem mass spec ome y, we iden i ied he OmpD p o ein as a sui able nega i e ma ke . Using allelic exchange, we gene a ed an isogenic mu an o he licensed li e accine s ain Salmopo c and showed ha i ulence o Salmopo c and ha o he mu an s ain, Salmopo c⌬ompD, we e indis inguishable in BALB/c mice. In a pig in ec ion expe imen including wo o al immuniza ions wi h Salmopo c⌬ompD and challenge wi h a mul i esis an S.en e ica se o a Typhimu ium DT104 clinical isola e, we con i med he p o ec i e e icacy o Salmopo c⌬ompD in pigs, showing a signi ican educ ion o bo h clinical symp oms and coloniza ion o lymph nodes and in es inal ac . OmpD immunogenic epi opes we e de e mined by pep ide spo a ay analyses. Upon es ing o se e al 9-me pep ides, each including an immunogenic epi ope, one pep ide (posi ions F 100 o Y 108 ) ha acili a ed he de ec ion o in ec ed animals independen o hei accina ion s a us (DIVA unc ion) was iden i ied. The app oach desc ibed o e comes he p oblems cu en ly limi ing he use o bac e ial li e accines and holds conside able po en ial o u u e de elopmen s in he ield. Bac e ial ood-bo ne pa hogens a e o inc easing conce n o consume s and policy make s wo ldwide, as hey e- quen ly cause epidemic in es inal disease ou b eaks and he eby a e esponsible o high economic losses. One o he mos impo an ood-bo ne pa hogens is Salmonella en e ica se o a Typhimu ium, which is esponsible o 1.9% (Czech Republic) o 64.7% (New Zealand) o he non yphoid Sal- monella in ec ions epo ed wo ldwide o he yea s 2000 o 2001 (16). In he Uni ed S a es, non yphoidal Salmonella s ains a e esponsible o an es ima ed 1.41 million cases o human in ec ions and mo e han 500 human dea hs annually (24). In Eu ope, he numbe o o icially epo ed cases amoun s o mo e han 175,000 acco ding o he epo o he Eu opean Food Sa e y Au ho i y (EFSA) o he yea 2005 (h p://www.e sa.eu opa.eu/e c/medialib/e sa/science/moni o ing _zoonoses/ epo s/zoonoses_ epo _2005.Pa .0001.File.da /Zoonoses_ epo _2005.pd ), wi h he es ima ed numbe o un epo ed cases being se e al imes highe . The eme gence and apid sp ead o mul id ug esis an Sal- monella spp. (especially phage ype DT104) (1, 3, 30, 34) limi he he apeu ic al e na i es in cases o in asi e in ec ions and ha e been shown o be associa ed wi h an inc eased bu den o illness (16). Thus, in Eu ope, 9.1% o human Salmonella in ec- ions a e caused by S.en e ica se o a Typhimu ium, wi h 21.4% o hese in ec ions being due o phage ype DT104 (EFSA epo o 2005 [see abo e]). Mul id ug- esis an S.en e ica se o a Typhimu ium s ains a e ound in pigs wi h pa icula ly high equency (15) and can be isola ed om po k and po k p od- uc s (7, 21) (EFSA epo o 2005 [see abo e]). In Ge many, o example, 3.2% o samples aken om minced po k mea we e Salmonella posi i e: 67% o hese isola es we e S.en e ica se o a Typhimu ium, and 69% o hese we e esis an o mo e han ou an ibio ics (EFSA epo o 2005 [see abo e]). In addi ion, non- ood-bo ne animal- o-human (17, 51) and hu- man- o-human (33) ansmissions o sys emically sp eading mul id ug- esis an S.en e ica se o a Typhimu ium DT104 s ains ha e been epo ed, emphasizing he po en ial isk o his pa hogen o human heal h. In o de o educe he po en ial isk o consume s, i is c ucial o minimize pa hogen in ake in o he ood chain. In he Eu opean Union, su eillance sys ems a e equi ed ( egula ion [EC] 2160/2003; h p://eu opa.eu.in /eu -lex/p i/en/oj/da /2003 /l_325/l_32520031212en00010015.pd ), and a numbe o coun- ies a e speci ically moni o ing he occu ence o Salmonella in he po k p oduc ion chain (2, 11, 19, 45, 48). In pigs, Sal- * Co esponding au ho . Mailing add ess: Ins i u u¨ Mik obiologie, Zen um u¨ In ek ionsmedizin, S i ung Tie a¨ z liche Hochschule Han- no e , Bischo shole Damm 15, 30173 Hanno e , Ge many. Phone: 49 511 856 7598. Fax: 49 511 856 7697. E-mail: [email p o ec ed]. † Supplemen al ma e ial o his a icle may be ound a h p://iai .asm.o g/. 䌤 Published ahead o p in on 12 Feb ua y 2007. 2476 on Janua y 20, 2017 by GESELLSCHAFT FUR BIOTECHNO-h p://iai.asm.o g/Downloaded om monella moni o ing is based on mea juice se ology (26). The e o e, immuniza ion wi h con en ional accines canno be used as a means o educe in ec ion and shedding o he pa ho- gen, bu o mula ions o accines acili a ing he di e en ia ion o in ec ed and accina ed animals (DIVA) (4, 9, 46) would be equi ed. DIVA li e accines ha e been used wi h good success o he elimina ion o i al in ec ions such as Aujeszky’s disease in pigs (42, 43) o bo ine he pes i us in ec ions (46). Fo bac e ial diseases, only expe imen al DIVA li e accines ha e been de- sc ibed (22), and no DIVA accines agains ood-bo ne pa ho- gens ha e been cons uc ed o da e. This likely is due o he easy use o an ibio ics in li es ock o he apy and as eed addi i es un il he ecen pas (5, 47), he cos s and expe imen- al di icul ies in ol ed in bac e ial DIVA li e accine cons uc- ion, and, as gene ically modi ied o ganisms a e in ol ed, he necessi y o license hese accines a he Eu opean Agency o he E alua ion o Medicinal P oduc s. This licensing p oce- du e equi es ex ensi e expe imen al es ing and he e o e is p o i able only i he ma ke demand is su icien . He e, we p esen he de elopmen o an S.en e ica se o a Typhimu ium DIVA li e accine o pigs. We desc ibe a gen- e al app oach o cons uc and es a bac e ial DIVA li e accine in ol ing (i) he iden i ica ion a o nonessen ial immu- nogenic an igen by wo-dimensional polyac ylamide gel elec- opho esis (2D-PAGE), Wes e n blo ing, and quad upole ime-o - ligh (Q-TOF) andem mass spec ome y (MS/MS), (ii) he cons uc ion o an isogenic in- ame mu an lacking o eign DNA by allelic exchange, (iii) he de elopmen o a disc imina o y enzyme-linked immunoso ben assay (ELISA) upon epi ope mapping by pep ide spo a ay analyses, and (i ) an exempla y immuniza ion and challenge expe imen . MATERIALS AND METHODS Bac e ial s ains, plasmids, and p ime s. The bac e ial s ains, plasmids, and p ime s used in his wo k a e lis ed in Table 1. P epa a ion o ou e memb ane-associa ed p o eins. Memb ane-associa ed p o eins we e p epa ed as desc ibed p e iously (14). B ie ly, S.en e ica se o a Typhimu ium cells we e g own wi h shaking in 150 ml o Lu ia-Be ani (LB) b o h a 37°C o an op ical densi y a 600 nm (OD 600 ) o 0.7. Cells we e ha es ed by cen i uga ion a 8,000 ⫻g o 10 min a 4°C, esuspended in 30 ml o de e gen wash bu e (NaCl [150 mM], T is-HCl [10 mM, pH 8.0], sodium deoxychola e [0.05%], and sodium azide [0.04%]), incuba ed o 30 min in a shaking incuba o a 37°C, and cen i uged o 10 min a 7,000 ⫻g. This ea - men e icien ly solubilizes memb ane-associa ed lipop o eins while lea ing he cells mos ly in ac . The cell- ee supe na an con aining ou e memb ane-asso- cia ed p o eins as well as con amina ing in eg al ou e memb ane p o eins was il e ed (0.22-␮m po e size) and s o ed a ⫺20°C un il u he use. P o ein concen a ions we e de e mined by Mic o-BCA (Pie ce Bio echnology, Rock- o d, ILL). Fo 2D-PAGE, he cell- ee supe na an was p ecipi a ed o e nigh wi h ichlo oace ic acid (10% inal concen a ion). A e cen i uga ion a 15,000 ⫻g o 15 min a 4°C, pelle s we e washed wice wi h pu e ace one, esuspended in 500 o 1,000 ␮l bidis illed wa e , and s o ed a ⫺20°C. P epa a ion o ou e memb ane p o eins. Bac e ia g own and ha es ed as desc ibed abo e we e esuspended in 2 ml T is-HCl (50 mM, pH 8.0) wi h suc ose (25%, w / ol) and ozen a ⫺70°C. A e hawing, bac e ia we e incu- ba ed wi h lysozyme (2 mg/ml) and sa cosyl (2%, w / ol) o 1 h, ollowed by sonica ion (B anson-Soni ie B-30; Heinemann, Schwa¨bisch Gmu¨nd, Ge many) using a mic o ip a he maximum-s eng h se ing o h ee cycles o 30 s and a du y cycle o 60%. The lysa e was cen i uged (15,000 ⫻g o 30 min), ollowed by ul acen i uga ion o he supe na an (100,000 ⫻g o 90 min). The sonica- ion in combina ion wi h sa cosyl disin eg a es he cy oplasmic memb ane and emo es ou e memb ane-associa ed p o eins. The esul ing pelle con aining he ou e memb ane ac ion wi h in eg al memb ane p o eins was esuspended in 100 ␮lH 2 O and s o ed a ⫺20°C. De ec ion o immunogenic ou e memb ane-associa ed p o eins. Aliquo s o 500 ␮g o su ace-associa ed p o eins we e sepa a ed using 2D-PAGE wi h ImmobilineD yS ips (24 cm, pH 4 o 7). Sepa a ed p o eins we e ans e ed on o a ni ocellulose memb ane using a semid y-p o ein ans e sys em (No aBlo ; Ame sham Pha macia Bio ech AB, Uppsala, Sweden) and sc eened by Wes e n blo ing wi h h ee po cine se a (a hype immune se um om a pig accina ed h ee imes wi h Salmopo c, a pool o ield se a om pigs posi i e by he Salmo ype PigSc een ELISA, and a pool o se a om pigs expe imen ally in- ec ed wi h S.en e ica se o a De by), each used a a 1:200 dilu ion. Blo s we e de eloped using an alkaline phospha ase-conjuga ed goa an i-swine immuno- globulin G (Diano a, Hambu g, Ge many) and BCIP (5-b omo-4-chlo o-3-in- dolylphospha e) and ni oblue e azolium as a ch omogenic subs a e. P o ein spo s eac ing s ongly wi h all h ee se a we e selec ed o iden i ica ion ia Q-TOF MS/MS. Iden i ica ion o immunogenic p o eins. Coomassie blue-s ained spo s co e- sponding o immunogenic p o eins we e cu om a 2D PAGE gel, ypsina ed, and elu ed om he gel by using a me hod sligh ly modi ied om ha desc ibed p e iously by Wilm e al. (50). B ie ly, he gel pieces we e dehyd a ed wi h 100 ␮l ace oni ile, ehyd a ed wi h 30 ␮l ehyd a ion bu e (100 mM NH 4 HCO 3 con aining 10 mM di hio h ei ol), and hen ea ed wi h 100 mM iodoace amide in 30 ␮l 100 mM NH 4 HCO 3 . Dehyd a ion and ehyd a ion we e epea ed, and he dehyd a ed gel pieces we e hen ehyd a ed wi h 3 o 15 ␮l ehyd a ion bu e con aining 20 ng/␮l ypsin (sequencing g ade) o 12 o 16 h a 37°C. Pep ides we e ex ac ed using 50 mM NH 4 HCO 3 ollowed by a solu ion con aining 50% ( ol/ ol) ace oni ile and 5% ( ol/ ol) o mic acid. A e e apo a ion o all liquid in a acuum cen i uge, pep ides we e esuspended in a solu ion con aining 50% ( ol/ ol) ace oni ile and 0.1% ( ol/ ol) o mic acid. Pep ide sequences we e de e mined om MS/MS agmen a ion da a eco ded on an ESI Q-TOF mass spec ome e (Q-To Ul ima; Wa e s, Mil o d, MA). P o eins we e iden i ied by using he p og am P o einLynx Globals Se e ( e sion 2.1; Wa e s) and by sea ching he Na ional Cen e o Bio echnology In o ma ion (NCBI) comple e da abase ( p:// p.ncbi.nlm.nih.go ./BLAST/db/FASTA/). Iden i ica ion and syn hesis o immunogenic epi opes. Epi ope mapping was pe o med by pep ide spo a ay analysis using o e lapping 15-me pep ides ini ia ing a e e y hi d amino acid (12, 13). The pep ide-coa ed memb ane was we ed wi h e hanol o enhance he sol a ion o hyd ophobic pep ide spo s and hen washed h ee imes wi h T is-bu e ed saline (TBS) (10 mM T is [pH 7.0], 154 mM NaCl [pH 7.0]) o 10 min and inally incuba ed o e nigh a 4°C in 10 ml o memb ane blocking solu ion (pH 7.0) (80% [ ol/ ol] TBS–0.05% Tween 20 [T-TBS; pH 8.0], 20% [ ol/ ol] casein-based blocking bu e concen a e [Geno- sys Bio echnology, Camb idge, England], 5% [w / ol] suc ose). A e washing wi h 10 ml T-TBS (pH 7.0), he memb ane was incuba ed wi h po cine se um aised agains he S. en e ica se o a Typhimu ium accine s ain Salmopo c o 2 h (dilu ed 1:200 in memb ane blocking solu ion). The blo was de eloped as desc ibed abo e. The ch omogenic eac ion was s opped by washing blo s wice wi h phospha e-bu e ed saline. The memb ane was s ipped using 20 ml o N,N-dime hyl o mamide wice o 10 min o dissol e he blue colo o spo signals, ollowed by washing h ee imes wi h wa e , s ipping mix A (8 M u ea, 1% sodium dodecyl sul a e, and 0.5% me cap oe hanol in phospha e-bu e ed saline [pH 7.0]), s ipping mix B (10% ace ic acid, 50% e hanol, 40% wa e ), and e hanol, espec i ely. A e wa ds, blo ing was epea ed wi h po cine nega i e se um (a pool o Salmo ype PigSc een ELISA-nega i e se a om pigs om a Salmonella- ee he d) in o de o exclude unspeci ic epi opes. Pu a i e immunogenic epi opes (noname s) we e syn hesized wi h an amino- e minal bio inyla ion linked by a 2-aminohexanoic acid linke and pu i ied by high-pe o mance liquid ch oma og aphy (Pep ide Special y Labo a o ies GmbH, Heidelbe g, Ge many). Lyophilized pep ides we e esuspended in dis- illed wa e o ob ain s ock solu ions o 5 and 10 mg/ml, espec i ely. Pu a i e immunogenic epi opes and su ace-exposed domains we e p edic ed using he algo i hms “An igenic” and “B2TMR-HMM” (18, 20, 23, 29), espec i ely. Cons uc ion o an isogenic S. en e ica se o a Typhimu ium Salmopo c⌬ompD s ain. A unca ed ompD gene wi h an in- ame dele ion was cons uc ed using a class IIs es ic ion endonuclease app oach (38). Two PCR p oduc s o 983 bp and 792 bp we e gene a ed using p ime s oDWST5_ou a/oOMPDKO1 and oOMPDKO2/oDWST5_ou b, espec i ely (Table 1). Bo h agmen s we e e- s ic ed wi h BsmBI, liga ed, eampli ied, and cloned in o pTOPO2.1 (In i o- gen, Heidelbe g, Ge many). The inse was con i med by nucleo ide sequence analysis, emo ed by SacI es ic ion, and liga ed in o he mu agenesis ec o pROKB2 es ic ed wi h SacI, esul ing in plasmid pSOM14666. The plasmid was ans o med in o he dono s ain Esche ichia coli ␤2155 and mobilized in o S. en e ica se o a Typhimu ium Salmopo c by il e ma ing. The dono was g own on LB aga pla es supplemen ed wi h kanamycin (50 ␮g/ml) and diaminopimelic acid (10 mM) a 37°C o 16 h, and he ecipien was g own on Columbia sheep VOL. 75, 2007 S. ENTERICA SEROVAR TYPHIMURIUM DIVA VACCINE 2477 on Janua y 20, 2017 by GESELLSCHAFT FUR BIOTECHNO-h p://iai.asm.o g/Downloaded om blood aga (Oxoid GmbH, Wesel, Ge many) a 37°C o 44 h. Bac e ia we e ha es ed wi h s e ile co on swabs and esuspended in TNM bu e (1 mM T is-HCl [pH 7.2], 100 mM NaCl, 10 mM MgSO 4 ) oanOD 600 o 1. Fil e ma ing was pe o med as desc ibed p e iously (28); he conjuga ion mix u e was pla ed on o LB aga pla es supplemen ed wi h kanamycin (40 ␮g/ml) and incu- ba ed a 37°C o e nigh . Colonies we e subcul u ed and sc eened ia PCR wi h ompD-speci ic p ime s oOMPD1 and oOMPD2. Colonies con aining bo h he wild ype and he unca ed gene we e conside ed o be po en ial genomic coin eg a es and we e used o coun e selec ion. Coun e selec ion. A single colony o S. en e ica se o a Typhimu ium Salmo- po c coin eg a e was inocula ed o e nigh in LB b o h. Sal - ee LB b o h (2.5 ml) con aining 10% suc ose was inocula ed wi h 2.5 ␮l o he cul u e g own o e nigh and kep a 37°C in a shaking incuba o (200 pm) o 4 h. In o de o imp o e coun e selec ion e icacy, he cul u e was subsequen ly s o ed a 4°C o 72 h, and 50-␮l aliquo s we e pla ed on o LB aga . Single colonies we e eplica pla ed on o LB aga wi h (40 ␮g/ml) and wi hou kanamycin. The geno ype o kanamycin-sensi i e colonies was de e mined by PCR wi h p ime s oOMPD1 and oOMPD2 and e i ied by Sou he n blo analysis, nucleo ide sequencing analysis, and pulsed- ield gel elec opho esis. Vi ulence s udy in BALB/c mice. Vi ulence o S. en e ica se o a Typhimu ium Salmopo c⌬ompD was assessed in an in ec ion model by de e mining he 50% le hal dose (LD 50 ) in BALB/c mice in compa ison o he pa en s ain Salmo- po c. The animals, 32 emale 17- o 20-g BALB/c mice, we e in ec ed pai wise wi h 1 ⫻10 2 o1⫻10 8 CFU o ei he he pa en o he mu an s ain and TABLE 1. Bac e ial s ains, plasmids, and p ime s used in his s udy S ain, plasmid, o p ime Cha ac e is ic(s) Sou ce o e e ence S ains E. coli ␤2155 h B1004 p o hi s A hsdS lacZ⌬M15 (F⬘lacZ⌬M15 laqI q aD36 p oA ⫹ p oB ⫹ )⌬dapA::e m (E m ) ecA::RPA-2- e (Tc )::Mu-Km (Km )␭pi 8 E. coli TOP10 F ⫺ mc A ⌬(m -hsdRMS-mc BC)␾80lacZ⌬M15 ⌬lacX74 ec A1 deoR a aD139 ⌬(a a leu)7697 galU galK psL (S )endA1 nupG TOPO TA cloning; In i ogen S. en e ica se o a Typhimu ium 421/125 S. en e ica subsp. en e ica se o a Typhimu ium li e accine s ain p esen in he licensed accine Salmopo c IDT, Dessau-To nau, Ge many S. en e ica se o a Typhimu ium 421/125⌬ompD Unma ked ompD-nega i e knockou mu an o S. en e ica se o a Typhimu ium 421/125 This wo k S. en e ica se o a Typhimu ium DT104 27/96 S.en e ica se o a Typhimu ium ield isola e ca ying phage ype DT104 wi h Amp Clin E y Pen Te 44 Plasmids pROCKB2 8.9-kb ansconjuga ion ec o based on pROKB1 wi h o iR6K and mobRP4,Ap Km , polycloning si e, sacB This wo k pSOM14666 T ansconjuga ion ec o pROCKB2 ca ying a unca ed e sion o ompD wi h o iR6K,mobRP4,Ap Km , polycloning si e, sacB This wo k pTOPO 2.1 Topoisome ase I-“enhanced” E. coli cloning ec o ca ying ampicillin and kanamycin esis ance de e minan s as well as a lacZ gene o blue-whi e selec ion TOPO TA cloning; In i ogen pSOM810 Vec o pTOPO 2.1 ca ying PCR p oduc o p ime s pOMPDKOMP1 and pOMPDKOMP2, s a ing 516 bp ups eam o he ompD s a codon and ending 31 bp downs eam o he s op codon, o complemen a ion o S. en e ica se o a Typhimu ium ⌬ompD This wo k P ime s oDWST5ou a 5⬘-TGC TCTAGA CCC GGA GAA ATT ATC AGC AA-3⬘( o wa d p ime con aining an XbaI es ic ion si e on he 5⬘end si ua ed 974 bp ups eam o he ompD s a codon) This wo k oDWST5ou b 5⬘-GCC GAGCTC AGA GAT TGC CAG AGC GTC AT-3⬘( e e se p ime con aining a SacI es ic ion si e on he 5⬘end si ua ed 753 bp downs eam o he ompD open eading ame) This wo k oOMPDKO1 5⬘-CGTCTCGAAGTTTCATTTTAATAATCCTTAT-3⬘( e e se p ime wi h BsmBI es ic ion ecogni ion si e on 5⬘end si ua ed 9 bp down- s eam o he ompD s a codon; e e se p ime o oDWST5_ou a o ampli ica ion o he ups eam DNA agmen used o cons uc a un- ca ed ompD) This wo k oOMPDKO2 5⬘-CGTCTCGACTTCTGAACTACCAGTTCTAATT-3⬘( o wa d p ime wi h BsmBI es ic ion ecogni ion si e on 5⬘end si ua ed 2 bp down- s eam o he ompD s op codon; o wa d p ime o oDWST5_ou b o ampli ica ion o he downs eam DNA- agmen used o cons uc a unca ed ompD) This wo k oOMPD1 5⬘-CCATACCAGGATTGCGCTG-3⬘( o wa d p ime si ua ed 393 bp ups eam o he ompD s a codon) This wo k oOMPD2 5⬘-CGGTAAGCCGAAACCACAG-3⬘( e e se p ime si ua ed 317 bp downs eam o he ompD open eading ame) This wo k oOMPDKOMP1 5⬘-GGCGGGCCGATATTGATATT-3⬘( o wa d p ime o complemen a- ion o S. en e ica se o a Typhimu ium ⌬ompD si ua ed 516 bp up- s eam o he ompD s a codon; he 516-bp nucleo ide sequence was also analyzed o p omo e s using he Web-based p og am BPROM [www.so be y.com] o ensu e ha he p omo e o he ompD gene was included) This wo k oOMPDKOMP2 5⬘-GGACTGGCTTTGTATTCAGAC-3⬘( e e se p ime o complemen- a ion o S. en e ica se o a Typhimu ium ⌬ompD si ua ed 31 bp down- s eam o he ompD s op codon) This wo k 2478 SELKE ET AL. INFECT.IMMUN. on Janua y 20, 2017 by GESELLSCHAFT FUR BIOTECHNO-h p://iai.asm.o g/Downloaded om obse ed o 19 days pos in ec ion. Spleens and li e s o animals dying du ing he ime o obse a ion we e cul u ed o possible eisola ion o he espec i e s ain; isola ed Salmonella colonies we e iden i ied using he IDT Salmonella diagnos ic ki and a PCR wi h ompD-speci ic p ime s, acili a ing he di e en ia ion o Salmopo c⌬ompD and Salmopo c. The LD 50 was calcula ed using P obi analysis so wa e (SPSS Inc., Chicago, IL). Vaccina ion ial in pigs. The Salmopo c⌬ompD s ain cons uc ed in his s udy was used as an o al accine in a accina ion s udy in pigs (Ge man Land- ace) and compa ed o he pa en s ain (Salmopo c) and a placebo g oup. The ial was pe o med essen ially as desc ibed p e iously (41); an S.en e ica se o a Typhimu ium DT104 clinical isola e (s ain 27/96) was used as a challenge s ain. The animal expe imen included h ee g oups o six pigs each, 4 weeks o age, accina ed o ally wi h placebo, S.en e ica se o a Typhimu ium Salmopo c⌬ompD (6 ⫻10 8 CFU/ml pe accina ion), o S.en e ica se o a Typhimu ium Salmo- po c (acco ding o manu ac u e ’s ins uc ions), espec i ely. Th ee addi ional pigs we e accina ed wi h S.en e ica se o a Typhimu ium Salmopo c⌬ompD o in es iga e he de elopmen o an ibody i e s un il 3 weeks a e in ec ion. Two ounds o accina ion we e pe o med 3 weeks apa . Blood samples we e aken p io o he i s (day 0) and second (day 21) immuniza ions, 1 week be o e challenge, and a nec opsy. Fo he h ee pigs kep un il 3 weeks a e in ec ion, addi ional blood samples we e aken 1, 2, and 3 weeks pos challenge (see Table S4 in he supplemen al ma e ial). Animals we e ca ed o in acco dance wi h he p inciples ou lined in he Eu opean Con en ion o he P o ec ion o Ve eb a e Animals Used o Expe imen al and O he Scien i ic Pu poses (Eu opean T ea y Se ies no. 123 [h p://con en ions.coe.in / ea y/EN/Menup incipal.h m]; pe mi no. 06/1066). In ec ion o pigs. Fo o al in ec ion on day 43, a 50-ml cul u e (LB medium) was inocula ed wi h 5 ml o a liquid cul u e o S.en e ica se o a Typhimu ium DT104 s ain 27/96 (LB medium) g own o e nigh and was g own wi h shaking a 37°C o an OD 600 o 0.9. The cul u e was placed on ice o 10 min and kep on ice un il use o a maximum o 2 h. Pigle s we e in ec ed wice wi hin 2 hou s, and inoculum doses we e de e mined immedia ely a e in ec ion ia se ial di- lu ion and subsequen pla ing on o Rambach aga pla es supplemen ed wi h ampicillin (100 ␮g/ml). In ec ions we e ca ied ou using a ben -knob cannula and sy inge o adminis e he app op ia e dose o S.en e ica se o a Typhi- mu ium DT 104 s ain 27/96 o he pigle s 3 weeks a e he second immuniza ion ia he o al ou e (5 ⫻10 8 CFU/ml pe ound, esul ing in a o al dose o 1 ⫻10 9 CFU/ml). Su eillance o animals. Body empe a u e, eeding beha io , and clinical symp oms we e eco ded a leas daily o each indi idual pig o as needed. A clinical sco ing sys em was employed o assess he clinical condi ion o each indi idual animal as ollows. A sco e o 1 each was gi en o he occu ence o e e ( ec al empe a u e ⬎40°C), lack o appe i e, and dia hea/ omi us/le h- a gy, esul ing in a minimum clinical sco e o 0 and a maximum sco e o 4 pe day; he added daily clinical sco es o days 1 o 7 we e designa ed he o al clinical sco e. S a is ical analysis o he o al clinical sco e was pe o med using he Wilcoxon es . Animals we e bled on days 0, 36, 50, 57, and 65 du ing he cou se o he expe imen . Bac e iological examina ion o o gan samples. In o de o de e mine he p o ec i e e icacy o he accine wi h espec o coloniza ion, o gan samples (ileocecal lymph nodes, ileum [app oxima ely 10 cm c anial o he ileocecal al e], and cecum [apex]) we e aken a pos mo em examina ion. In es inal o gan samples we e washed, and 0.1 g o mucosa was emo ed by sc aping wi h a scalpel, aken up o 1 ml wi h saline, and homogenized using a bead bea e (speed o 5.0, 40 s/ ound; The moSa an ) wi h h ee glass beads (diame e , 3 mm). Ten old se ial dilu ions we e pla ed on o Rambach aga con aining 100 ␮g/ml o ampicillin in o de o supp ess he g ow h o o he En e obac e iaceae and incuba ed o e nigh a 37°C. he Salmonella colonies g own we e coun ed, he numbe o CFU/ml was calcula ed, and indi idual colonies we e con i med o be exempla y by an ibio ic esis ance yping and S.en e ica se o a Typhimu ium DT104-speci ic mul iplex PCR (32). ELISAs. Fo he OmpD-speci ic pep ide-based ELISA, Nunc Immobilize S ep a idin F96 mic o i e pla es we e incuba ed o 1 h wi h 100 ␮l o OmpD- de i ed syn he ic, bio inyla ed pep ide (posi ions F 100 o Y 108 o he OmpD p o ein; 25 ␮g/ml) as a solid-phase an igen. Po cine se a we e p eabso bed wi h a whole-cell lysa e o S.en e ica se o a Typhimu ium Salmopo c⌬ompD o 1h in o de o emo e possible c oss- eac i e an ibodies di ec ed agains simila epi opes o o he po ins. Se ial wo old dilu ions o he p eabso bed se a (s a - ing wi h a dilu ion o 1:10) we e added and incuba ed o 1ha oom empe - a u e. The ELISA was de eloped using goa an i-pig pe oxidase conjuga e (Diano a) and 2,2-azino-di-[3-e hylbenzi hiazoline sul ona e] (ABTS; Roche Di- agnos ics, Mannheim, Ge many) as a subs a e. To de e mine he i e o an i- Salmonella LPS an ibodies, he comme cial Salmo ype PigSc een ELISA (Labo Diagnos ik GmbH, Leipzig, Ge many) was ca ied ou acco ding o he manu- ac u e ’s ins uc ions. Nucleo ide sequence accession numbe . The nucleo ide sequence o plasmid pRouB2 has been submi ed o GenBank unde accession numbe AM180348. RESULTS Iden i ica ion o a sui able ma ke p o ein. To iden i y su - ace-exposed, immunogenic p o eins o he licensed li e ac- cine Salmopo c, exponen ially g owing bac e ia we e ha es ed and ea ed wi h sodium deoxychola e o en ich ou e mem- b ane p o eins in he supe na an ia de e gen wash. By sep- a a ing he en iched ou e memb ane p o eins by 2D-PAGE and sc eening hei immunogenici y by Wes e n blo analyses (see Fig. S1 in he supplemen al ma e ial), we iden i ied i e highly immunogenic p o eins (see Table S1 in he supplemen- al ma e ial). They eac ed s ongly wi h a pool o se a om animals accina ed h ee imes wi h Salmopo c as well as wi h pools o se a om animals in ec ed wi h S.en e ica se o a Typhimu ium o S.en e ica se o a De by, espec i ely. The p o eins co esponding o he immuno eac i e spo s we e cu om a Coomassie blue-s ained 2D-PAGE gel and iden i ied a e ypsin diges ion using Q-TOF MS/MS. Fou p o eins could be iden i ied unambiguously as he majo po ins OmpC and OmpD, a homolog o an ou e memb ane p o ein o Acine obac e spp., and elonga ion ac o Tu. Cha ac e iza ion o OmpD as a pu a i e nega i e ma ke . In silico analyses o he candida e p o eins esul ed in he selec- ion o ou e memb ane po in D (OmpD) as a pu a i e nega- i e ma ke . By pe o ming a mapping o con inuous an igenic epi opes o he OmpD p o ein by pep ide spo a ay analysis (see Fig. S2 in he supplemen al ma e ial) wi h o e lapping 15-me s, we iden i ied ou highly immunogenic epi opes h oughou he p o ein. These ma ched only pa ially wi h pu- a i e immunogenic epi opes and su ace-exposed domains p edic ed using he algo i hms “An igenic” (see Table S2 in he supplemen al ma e ial) and “B2TMR-HMM” (see Table S3 in he supplemen al ma e ial), espec i ely. All ou epi opes we e syn hesized as bio inyla ed pep ides and es ed as solid-phase an igens o hei applicabili y in an OmpD- speci ic ELISA, wi h pep ide 2 acili a ing he bes disc imina- ion be ween OmpD an ibody-posi i e and -nega i e se a (Fig. 1). Gene a ion o an ompD-de icien mu an s ain. An isogenic S.en e ica se o a Typhimu ium Salmopo c⌬ompD mu an was cons uc ed by allelic exchange using he suicide plasmid pSOM14666 (con aining an in- ame dele ion o ompD) (see Fig. S3 in he supplemen al ma e ial) upon conjuga ion wi h E. coli ␤2155 as he dono s ain. Plasmid coin eg a es we e se- lec ed on kanamycin, con i med by PCR, and esol ed by su- c ose coun e selec ion. Suc ose- esis an and kanamycin-sen- si i e colonies we e con i med by PCR, nucleo ide sequencing, and Sou he n blo analysis as well as pulsed- ield gel elec o- pho esis (see Fig. S4 in he supplemen al ma e ial). The phe- no ype was con i med by one-dimensional PAGE (Fig. 2) and subsequen Q-TOF MS/MS. The mu an gene a ed is ee o o eign DNA and was designa ed S.en e ica se o a Typhi- mu ium Salmopo c⌬ompD. Vi ulence in BALB/c mice. In o de o ensu e an unchanged i ulence o he mu an s ain, we challenged 16 g oups o wo BALB/c mice each wi h eigh di e en doses o Salmopo c and VOL. 75, 2007 S. ENTERICA SEROVAR TYPHIMURIUM DIVA VACCINE 2479 on Janua y 20, 2017 by GESELLSCHAFT FUR BIOTECHNO-h p://iai.asm.o g/Downloaded om Salmopo c⌬ompD and de e mined he LD 50 o be app oxi- ma ely 1.3 ⫻10 8 CFU o bo h s ains (see Table S4 in he supplemen al ma e ial). These esul s demons a ed ha he lack o ompD does no addi ionally a enua e S.en e ica se o- a Typhimu ium Salmopo c o BALB/c mice. P o ec i e e icacy in pigs. Fou clinical symp oms ( e e [ⱖ40.0°C], le ha gy, educed ood up ake, and en e i is [ om- i us/dia hea]) we e added o esul in a clinical sco e wi h a maximum o 4 pe animal and day. A signi ican di e ence (P⫽ 0.046; Wilcoxon es ) be ween ei he o he accina ed g oups and he placebo g oup was obse ed (Fig. 3). All animals in he placebo g oup de eloped e e 2 days pos in ec ion and showed educed eed up ake, whe eas none o he accina ed animals de eloped e e , and only wo accina ed animals showed hesi an eed up ake. No signi ican di e ence be ween he g oups accina ed wi h S.en e ica se o a Typhimu ium Salmopo c and S.en e ica se o a Typhimu ium Salmopo c- ⌬ompD was obse ed. One week pos in ec ion, animals we e nec opsied. All pigs showed eac i e hype emia in he ileum and cecum, wi h some o he placebo- accina ed animals showing highly eac i e hy- pe emia in he cecal mucosa. Salmonella coloniza ion was de- e mined o h ee de ined loca ions (ileal and cecal mucosa and ileocecal lymph node). Fo he cecum (P⫽0.042; F ied- mann es ) and ileocecal lymph nodes (P⫽0.007; F iedmann es ), accina ion wi h ei he accine signi ican ly educed col- oniza ion (Table 2). Howe e , he educ ion o coloniza ion was abou 10- old lowe upon accina ion wi h S.en e ica se - o a Typhimu ium Salmopo c⌬ompD han upon accina ion wi h he S.en e ica se o a Typhimu ium Salmopo c pa en s ain (Table 2). Ma ke p ope ies o he OmpD p o ein. In addi ion o he p o ec i e e icacy, he unc ionali y o he nega i e ma ke OmpD was in es iga ed in he accina ion s udy. In o de o unc ion as a se ologically de ec able ma ke , an ibodies di- FIG. 1. Disc imina o y e icacy o OmpD-de i ed immunogenic epi opes. Bio inyla ed epi opes 1 o 4 we e used as solid-phase an i- gens on s ep a idin-coa ed ELISA pla es and incuba ed wi h in e nal posi i e and nega i e con ol se a, espec i ely, ob ained om animals in he accina ion ial. The ba s show he means and s anda d de i- a ions o h ee independen ELISA expe imen s. OD%, ela i e op i- cal densi y o he nega i e con ol se um compa ed o ha o he posi i e con ol se um (de ined as 100 OD%) o each coa ing pep ide. FIG. 2. Cha ac e iza ion o S.en e ica se o a Typhimu ium Salmopo c⌬ompD. Pheno ypes we e cha ac e ized using memb ane p epa a ions o Salmopo c (lane 1), Salmopo c⌬ompD (lane 2), and Salmopo c⌬ompD complemen ed in ans wi h plasmid pSOM810 (lane 3). P o ein bands A o C we e sequenced using Q-TOF MS/MS and iden i ied as being OmpC (A), OmpD (B), and OmpF (C), e- spec i ely. LMW, low molecula weigh ma ke (Ame sham Pha mcia Bio ech AB, Uppsala, Sweden). FIG. 3. Clinical sco es o pigs in he accina ion and challenge ial. The o al sco es o indi idual animals o days 1 o 7 pos in ec ion and he a i hme ic means (ho izon al ba s) calcula ed o g oups 1 o 3 (six animals each) a e gi en. The as e isks indica e s a is ical signi icance (Wilcoxon es ), and he P alues a e gi en. TABLE 2. Reisola ion o he challenge s ain om ileocecal lymph nodes, cecum, and ileum Tissue Reisola ion o challenge s ain (CFU/g issue) a Non accina ed Salmopo c⌬ompD Salmopo c Ileocecal lymph nodes 1.21 ⫾10 4 *5.13 ⫾10 2 *6.67 ⫾10 1 * Cecum 6.79 ⫾10 4 *2.67 ⫾10 2 *1.67 ⫾10 1 * Ileum 7.30 ⫾10 4 1.67 ⫾10 3 6.67 ⫾10 2 a An ⴱindica es ha he alues we e signi ican ly lowe (P⬍0.05; F iedmann es ) han hose in he non accina ed con ol g oup. 2480 SELKE ET AL. INFECT.IMMUN. on Janua y 20, 2017 by GESELLSCHAFT FUR BIOTECHNO-h p://iai.asm.o g/Downloaded om ec ed agains he OmpD p o ein ha e o be de eloped by he hos upon in ec ion wi h S.en e ica se o a Typhimu ium o accina ion wi h a comme cial S.en e ica se o a Typhi- mu ium accine bu no upon accina ion wi h he ma ke accine s ain S.en e ica se o a Typhimu ium Salmopo c- ⌬ompD. Thus, a se ological di e en ia ion o in ec ed and ac- cina ed pigs is made possible (DIVA p inciple). Salmonella an ibody i e s as assessed in he Salmo ype Pig- Sc een ELISA s eadily ose du ing he s udy in bo h accina ed g oups, whe eas i e s in he placebo g oup s ayed nega i e (see Fig. S5 in he supplemen al ma e ial). An ibody i e s in he OmpD-speci ic pep ide-based ELISA de eloped in he S. en e ica se o a Typhimu ium Salmopo c- accina ed g oup bu emained nega i e be o e challenge in he S.en e ica se o a Typhimu ium Salmopo c⌬ompD- and placebo- accina ed g oups (Fig. 4) (day 0 and day 36). Sho ly a e challenge, OmpD-speci ic se ocon e sion was obse ed in he S.en e ica se o a Typhimu ium Salmopo c⌬ompD- and placebo- acci- na ed g oups (Fig. 4) (day 50). Th ee animals accina ed wi h S.en e ica se o a Typhimu ium Salmopo c ⌬ompD be o e in ec ion we e moni o ed se ologically up o 3 weeks pos chal- lenge. OmpD-speci ic an ibody i e s emained posi i e un il he end o he expe imen (Fig. 4) (days 57 and 65). DISCUSSION In his epo , we desc ibe he iden i ica ion o a DIVA ma ke , i s in oduc ion in o he con en ionally a enua ed li e accine s ain Salmopo c, and he de elopmen o a disc imi- na o y ELISA sys em. Salmopo c was chosen o his wo k because i has been shown o educe bo h shedding and colo- niza ion o he po cine in es inal ac (41). The app oach de eloped is s aigh o wa d and migh be gene ally applicable o he cons uc ion o li e bac e ial DIVA accines. The adap a ion o a widely used allelic exchange s a egy wi h sacB as he coun e selec able ma ke allowed he con- s uc ion o a Salmonella accine s ain ca ying an in- ame dele ion o he ompD gene no con aining o eign DNA. Al- hough his me hod is mo e labo ious han he commonly used PCR-based allelic exchange desc ibed p e iously by Da senko and Wanne (6), his app oach migh be ad an ageous o accine de elopmen and subsequen licensing. Thus, he e- sul ing s ain is indis inguishable om a spon aneously occu - ing dele ion mu an and he e o e is no conside ed a gene ically modi ied o ganism acco ding o Eu opean egula ions on gene ic enginee ing (di ec i e [EC] 2001/18; h p://eu opa.eu/eu -lex/p i /en/oj/da /2001/l_106/l_10620010417en00010038.pd ). The p o ein OmpD, chosen as selec able ma ke , is one o he mos abundan p o eins in he ou e memb ane o Salmo- nella, ep esen ing abou hal o he 1 ⫻10 5 o2⫻10 5 po in molecules pe cell unde a o able g ow h condi ions (27, 36). I is p esen in all S.en e ica se o a s wi h he excep ion o S. en e ica se o a Typhi (35, 37). In con as o he majo po in OmpC, howe e , OmpD is no ound in o he g am-nega i e bac e ia (40). The p esence o OmpD and o he po ins in he de e gen wash ac ion is likely due o he p esence o mem- b ane esicles (blebs) commonly o med by g am-nega i e bac- e ia (31, 52). On he one hand, i s high abundance makes OmpD a highly a ac i e choice as a nega i e ma ke . Thus, se ocon e sion is likely o occu upon in ec ion o pigs wi h any Salmonella se o a (excep S.en e ica se o a Typhi), he eby ac i a ing he DIVA unc ion. This b oad-spec um DIVA unc ion is manda o y o a po cine Salmonella accine, as legisla ion is no limi ed o ce ain se o a s. The e o e, con- en ional ma ke s ains, such as ough mu an s (39, 49), can- no be used. On he o he hand, OmpD is homologous o o he po ins common among En e obac e iaceae. The e o e, in o de o ob ain a su icien ly disc imina o y ELISA e icacy, no he en i e OmpD p o ein bu an OmpD-speci ic pep ide selec ed by pep ide spo a ay analyses had o be used as a solid-phase an igen. In addi ion o he mo e di icul se up o a disc imina o y se ological es , he use o a majo immunogenic p o ein as a DIVA an igen has wo o he possible d awbacks. Thus, he dele ion migh (i) cause an addi ional a enua ion o he mu- an s ain and (ii) diminish p o ec i e e icacy. Fo he dele- ion o OmpD om S.en e ica se o a Typhimu ium, epo s wi h espec o a enua ion a e con o e sial (10, 25). Bo h s udies, howe e , ha e been ca ied ou using an ompD mu an ob ained by Tn10-based mu agenesis (10, 25). In o de o en- su e unchanged i ulence o he S.en e ica se o a Typhi- mu ium Salmopo c⌬ompD s ain, we ca ied ou an LD 50 de- e mina ion in BALB/c mice. This expe imen unambiguously showed equal i ulence o bo h s ains. The accina ion s udy pe o med demons a ed ha pigs accina ed wi h ei he accine we e p o ec ed equally well om clinical symp oms, he eby con i ming he esul s om he mouse expe imen . On he o he hand, he DIVA accine showed a educed e icacy in compa ison o he Salmopo c pa en s ain wi h espec o educing o gan coloniza ion. Thus, he numbe o S.en e ica se o a Typhimu ium DT104 cells o be isola ed om ileocecal lymph node, cecum, and FIG. 4. Se ological esponses o pigs in a disc imina o y ELISA upon immuniza ion and challenge. Animals we e immunized on days 1 and 21 and challenged on day 43. Blood was aken on days 0, 36, and 50 (six animals pe g oup) and on days 57 and 65 ( h ee animals). An i-OmpD an ibody i e s we e de e mined using an ELISA wi h OmpD-de i ed pep ide 2 as a solid-phase an igen. The ho izon al line ma ked wi h “⫹” (OD% ⫽100) indica es he posi ion o he in e nal posi i e con ol consis ing o he pooled se a om day 50. OD%, ela i e op ical densi y o he ex se a compa ed o ha o he in e nal posi i e con ol se um (de ined as 100 OD%). VOL. 75, 2007 S. ENTERICA SEROVAR TYPHIMURIUM DIVA VACCINE 2481 on Janua y 20, 2017 by GESELLSCHAFT FUR BIOTECHNO-h p://iai.asm.o g/Downloaded om ileum was 10- old highe in pigs immunized wi h Salmopo c- ⌬ompD han in hose immunized wi h he Salmopo c pa en s ain. These esul s imply ha a dele ion o he OmpD p o- ein, al hough o no consequence wi h espec o causing sep- icemia in mice upon in ape i oneal applica ion, migh educe coloniza ion and su i al upon o al applica ion in he po cine gas oin es inal ac . Howe e , he DIVA accine s ain s ill educes S.en e ica se o a Typhimu ium eisola ion a es sig- ni ican ly (10- o 100- old). As an in ec ion occu ing a e accina ion is no masked, he S.en e ica se o a Typhimu ium Salmopo c⌬ompD ac- cine s ain, despi e i s educed e icacy in educing coloniza- ion, migh be a aluable ool in se osu eillance-based Salmo- nella con ol p og ams aimed a educing he isk o human in ec ion. The ac ha S.en e ica se o a Typhimu ium Salmopo c⌬ompD does no con ain o eign DNA and ha i s pa en s ain, S.en e ica se o a Typhimu ium Salmopo c, has been used ex ensi ely in he ield should acili a e he ealiza- ion o u u e ield s udies and subsequen licensing p oce- du es. 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