We tested the ability of the recombinant outer membrane proteins of Ps
eudomonas aeruginosa to serve as a protective vaccine against this Gra
m-negative pathogen in the presence of two main pathophysiological eve
nts leading to P. aeruginosa sepsis: (i) systemic infection during imm
unosuppression; and (ii) bacterial translocation. A hybrid vaccine was
cloned which combined the protective epitopes of outer membrane prote
in F (OprF) and outer membrane protein I (OprI). This vaccine proved t
o be highly protective against an intraperitoneal challenge with P. ae
ruginosa in immunosuppressed mice. Oral immunization of mice with reco
mbinant OprI expressing Salmonella dublin, induced s-IgA antibodies in
the gut mucosa against OprI. These provided protection against transl
ocation of P. aeruginosa in an immunosuppressed mouse model. To test w
hether OprI is effective in man, recombinant OprI was purified and use
d for the immunization of human volunteers. Immunization was tolerated
well, and no side effects were observed. Antibody titers against OprI
were measured in 90% of the volunteers after immunization.