# Targeted Prevention of Human Ehrlichiosis

> **NIH NIH R01** · OHIO STATE UNIVERSITY · 2022 · $393,750

## Abstract

The incidence of tick-borne diseases has risen dramatically in the past two decades, and continues to rise.
Human monocytic ehrlichiosis caused by Ehrlichia chaffeensis (Ech) is one of the most prevalent, life-
threatening, emerging tick-borne zoonoses in the US. Ech is an obligatory intracellular bacterium of the order
Rickettsiales. Therapy of choice is the broad-spectrum antibiotic doxycycline, which is effective only if initiated
early. Currently there is no FDA-approved vaccine for Ech. Our long-term goal is to develop an evidence-
based vaccine approach to effectively protect humans by targeting multiple critical steps of the rickettsial
infection cycle. Toward this goal, we identified four Ech surface-exposed proteins that have known functions
required for Ech survival, and that also lack homology to human proteins, OMP-1/P28, Entry triggering protein
of Ehrlichia (EtpE), and VirB2. OMP-1/P28s are immunodominant surface-exposed outer membrane proteins
that have porin activity essential for bacterial nutrient acquisition. P28 and OMP-1B are predominantly
expressed in mammals and ticks, respectively. EtpE is an invasin that uses its C-terminus (EtpE-C) to bind the
host cell receptor to trigger Ech entry. We have shown that the type IV secretion system (T4SS) is essential for
Ech survival within the host cell. VirB2 is a T4SS pilus protein that is part of the T4SS machinery. Immunization
of mice with recombinant P28, EtpE, or VirB2 proteins generated Ech-specific antibody responses that
prevented Ech infection. These data support our premise that these proteins serve as rational vaccine
candidates for targeting non-overlapping processes in Ech infection of mammalian host cells. DNA vaccines
offer a number of potential advantages over traditional vaccines, including the stimulation of both humoral and
T-cell-mediated responses, improved vaccine stability, the absence of any infectious agent, and the relative
ease of packaging multi-components and large-scale manufacture. We showed the feasibility of an Ech DNA
vaccine in dogs by safely immunizing dogs with the DNA vaccines by percutaneous needle-free jet injection
and demonstrating humoral and cell-mediated immune responses to the DNA vaccines. Our hypothesis is
immunization with plasmid DNA vaccine encoding P28, OMP-1B, EtpE and VirB2 singly or in combination
prevents Ech transmission from ticks to mammals. To test this hypothesis, our Specific Aims are: 1. To
construct DNA vaccines encoding P28, OMP-1B, EtpE-C, and VirB2, determine the development of humoral
and cell-mediated immune responses in immunized mice, and evaluate protection of immunized mice from
infection with Ech cultured in tick cells. 2. To test if immunization of dogs with P28, OMP-1B, EtpE-C and VirB2
can prevent Ech transmission from infected ticks. The immediate outcomes of the proposed studies will be to
provide proof-of-principle for a DNA vaccine approach to the Ech vaccine candidates for blocking of Ech
transmission fr...

## Key facts

- **NIH application ID:** 10470709
- **Project number:** 5R01AI152223-02
- **Recipient organization:** OHIO STATE UNIVERSITY
- **Principal Investigator:** YASUKO RIKIHISA
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $393,750
- **Award type:** 5
- **Project period:** 2021-08-17 → 2026-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10470709

## Citation

> US National Institutes of Health, RePORTER application 10470709, Targeted Prevention of Human Ehrlichiosis (5R01AI152223-02). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10470709. Licensed CC0.

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