Identification of broadly conserved cross-species protective Leishmania antigen and its responding CD4+ T cells

There is currently no clinically effective vaccine against leishmaniasis because of poor understanding of the antigens that elicit dominant T cell immunity. Using proteomics and cellular immunology, we identified a dominant naturally processed peptide (PEPCK 335–351 ) derived from Leishmania glycosomal phosphoenolpyruvate carboxykinase (PEPCK). PEPCK was conserved in all pathogenic Leishmania , expressed in glycosomes of promastigotes and amastigotes, and elicited strong CD4 + T cell responses in infected mice and humans. I-A b –PEPCK 335–351 tetramer identified protective Leishmania -specific CD4 + T cells at a clonal level, which comprised ~20% of all Leishmania -reactive CD4 + T cells at the peak of infection. PEPCK 335–351 –specific CD4 + T cells were oligoclonal in their T cell receptor usage, produced polyfunctional cytokines (interleukin-2, interferon-γ, and tumor necrosis factor), and underwent expansion, effector activities, contraction, and stable maintenance after lesion resolution. Vaccination with PEPCK peptide, DNA expressing full-length PEPCK, or rPEPCK induced strong durable cross-species protection in both resistant and susceptible mice. The effectiveness and durability of protection in vaccinated mice support the development of a broadly cross-species protective vaccine against different forms of leishmaniasis by targeting PEPCK.