To date, limited studies have investigated how vaccine administration may alter the resident microbial communities. The present study showed, in mice, an increase in anti-inflammatory bacteria within the Clostridiales groups following HIV T-cell immunization, which in turn significantly associate with proinflammatory cytokines.
As expected from previous studies in humans 21 and animal models 22, the prime-boost regimen used in this study, combining the HTI in different vaccine vectors, induced high HTI-specific responses, in terms of magnitude and breadth.
Increased abundance of Clostridiales genera such as Eubacterium xylanophilum group, Roseburia and Ruminococcus was found in the HTI- compared to PBS-vaccinated mice. Except for Eubacterium xylanophilum group, Clostridiales genera found in feces from cages were different from those found in the three gut sections in the Immunized group. Such differences may be related to the presence of distinct bacteria in the intestinal epithelia compared to the lumen 23 and the presence of a 50–60% spore forming bacteria in the gut, such as Ruminococcaceae and Lachnospiraceae, more likely to be present in feces 24.
Supporting our data, a recent study in rhesus macaques showed that vaccination with three HIV-1 Env expressing DNA plasmid vaccines followed by a gp140 protein booster induced changes in the rectal microbiota, resulting in increased Firmicutes/Bacteroidetes ratio as well as associations of rectal anti-HIV-1 IgG vaccine responses with increased Clostridium IV and reduced Prevotella17. Enrichment in Ruminococcus in the intestinal microbiota of piglets was also reported after immunization with Lawsonia intracellularis vaccine 25 as well as a change in nasal microbiota after sow vaccination against virulent strains of Glaesserella parasuis26. In parallel, increased Bacteroides abundance along with alterations in the microbial community structure were found following Mtb vaccine (with ESAT6 adjuvanted with TLR8 agonists) administration in mice 27. Similarly, an enrichment in Bacteroides caccae and reduction in clostridial species, such as Coprococcus comes, Dorea longicatena and Ruminococcus obeum were reported in Covid-19 vaccinees 18. Such apparently conflictive trends indicate that a more thorough understanding is needed to decipher specific microbial shifts induced by distinct immunization strategies.
Our data also indicated that the abundance of bacteria enriched in HTI-vaccinated mice (Eubacterium xylanophilum group, Roseburia and Ruminococcus), assessed in the three gut sections, positively correlated with vaccine-induced responses as well as with the production of IL-6, GM-CSF, IFNγ, IL-17A, IL-27 and IL-13 after vaccination. In particular, significant correlations between Clostridiales genera described as butyrate producing 28 and T cell vaccine response were observed in small intestine (Eubacterium xylanophilum group) as well as caecum and large intestine (Roseburia). Associations between enriched bacteria and serum cytokines varied across the three intestinal sections. Remarkably, the abundance of the Eubacterium xylanophilum group, Ruminococcus and, especially Roseburia in the large intestine positively correlated with IL-6 pro-inflammatory cytokine levels. This bacterial genus also showed strong correlations with pro-inflammatory type 1 (Th1/Tc1) polarization cytokine IFNγ in the small intestine and IL-27 in the caecum and the large intestine. Of note, IL-27, mainly produced by dendritic cells and macrophages, promotes T cell differentiation to pro-inflammatory Th1 profile while inhibiting anti-inflammatory Th2 polarization, thus regulating the delicate Th1/Th2 balance 29.
Positive correlations between anti-inflammatory bacteria 30 (Roseburia, Ruminococcus and Eubacterium) and pro-inflammatory cytokines (IL-6, IL-27 and IFNγ) might indicate that the gut microbiota tend to adapt to increased systemic inflammation following vaccination. Specifically, increased inflammation may generate a favorable environment for these bacteria to colonize the immune gut milieu, thrive in it, and in turn modulate and quench the inflammatory processes. Also, our results reflect a different crosstalk between gut bacteria and mucosal immune cells in each gut section 31, with the most prominent distinction occurring between the small intestine compared to the caecum and large intestine, as previously reported32.
While the exact mechanism by which HTI-immunization would induce changes in the intestinal milieu and promote an increase of specific bacteria remains unclear, cytokine signaling after innate immunity activation is one of the most plausible hypotheses. Specific components of the gut microbiota have been implicated in the production of pleiotropic cytokines by innate immune cells, such as IL-6, and the subsequent expansion of Th17 cells 33, which might be critical for
vaccine-induced memory immune responses against infectious diseases 34. In addition, flagellin and peptidoglycan produced by certain intestinal bacteria, such as Ruminococcus spp.35, can be sensed by pattern recognition receptors (PRRs) expressed by T cells and B cells and act as natural adjuvants to vaccines 7. Consistently, higher abundances of bacteria with flagella and fimbriae, including butyrate-producing such as Roseburia and Eubacterium, may play a beneficial role in vaccine immunogenicity serving as adjuvants through immunomodulatory TLR agonists 36. Notably, members of these bacterial groups, such as Roseburia intestinalis and Eubacterium hallii have been listed as probiotic candidates by the International Scientific Association for Probiotics and Prebiotics 37. Indeed, some Clostridia genera, including those identified in this study, have been shown to modulate the colonic luminal metabolome, regulate T-cell responses and enhance regulatory T-cell functions38 by producing short-chain fatty acids (SCFAs), such as butyrate 24,39. Furthermore, the prime-boost regimen combining viral vaccine vectors rich in Pathogen Associated Molecular Patterns (PAMP), can activate innate and adaptive immunity, leading to a new equilibrium in the gut mucosal immune system 40. Collectively, these data suggest potential mechanisms by which the HTI immunogen may interact with resident bacteria in the intestinal environment. However, further work is needed to identify specific pathways underlying these associations and elucidate the potential gut-associated immunomodulatory role of certain Clostridiales groups.
While the reported observations are novel, this study had several limitations. The small sample size has made it difficult to find further correlations between the microbiota and immune markers. Another intrinsic limitation is the inability of the 16S rRNA gene sequencing to distinguish live organisms from transient microorganism colonization 41. Also, the lack of longitudinal cytokine measurement did not allow us to identify temporal variations of immune correlates with specific bacterial signatures and link these to the different stage of the vaccine regimen. Future pre-clinical studies, including nonhuman primates, can be expected to validate our results in similar study designs including a modified vaccine regimen. Furthermore, additional multi-omics and in-vitro analyses can help to define the exact role of the reported bacteria enrichment upon vaccination and, then establish whether such findings can be extrapolated to humans.
In summary, our data suggest that gut bacteria can adapt to vaccine-induced inflammation. Also, they establish a framework for future studies to fully capture the dynamics of microbial shifts to T-cell vaccination and, ultimately provide new potential targets for optimizing vaccine efficacy.