ConspectusBrucellosis is a serious zoonotic bacterial disease that is ranked
by the World Health Organization among the top seven “neglected
zoonoses” that threaten human health and cause poverty. It
is a costly, highly contagious disease that affects ruminants, cattle,
sheep, goats, and other productive animals such as pigs. Symptoms
include abortions, infertility, decreased milk production, weight
loss, and lameness. Brucellosis is also the most common bacterial
disease that is transmitted from animals to humans, with approximately
500 000 new human cases each year. Detection and slaughter
of infected animals is required to eradicate the disease, as vaccination
alone is currently insufficient. However, as the most protective vaccines
compromise serodiagnosis, this creates policy dilemmas, and these
often result in the failure of eradication and control programs. Detection
of antibodies to the Brucella bacterial
cell wall O-polysaccharide (OPS) component of smooth lipopolysaccharide
is used in diagnosis of this disease, and the same molecule contributes
important protective efficacy to currently deployed veterinary whole-cell
vaccines. This has set up a long-standing paradox that while Brucella OPS confers protective efficacy to vaccines,
its presence results in similar antibody profiles in infected and
vaccinated animals. Consequently, differentiation of infected from
vaccinated animals (DIVA) is not possible, and this limits efforts
to combat the disease. Recent clarification of the chemical structure
of Brucella OPS as a block copolymer
of two oligosaccharide sequences has provided an opportunity to utilize
unique oligosaccharides only available via chemical synthesis in serodiagnostic
tests for the disease. These oligosaccharides show excellent sensitivity
and specificity compared with the native polymer used in current commercial
tests and have the added advantage of assisting discrimination between
brucellosis and infections caused by several bacteria with OPS that
share some structural features with those of Brucella. During synthesis and immunochemical evaluation of these synthetic
antigens, it became apparent that an opportunity existed to create
a polysaccharide–protein conjugate vaccine that would not create
antibodies that give false positive results in diagnostic tests for
infection. This objective was reduced to practice, and immunization
of mice showed that antibodies to the Brucella A antigen could be developed without reacting in a diagnostic test
based on the M antigen. A conjugate vaccine of this type could readily
be developed for use in humans and animals. However, as chemical methods
advance and modern methods of bacterial engineering mature, it is
expected that the principles elucidated by these studies could be
applied to the development of an inexpensive and cost-effective vaccine
to combat endemic brucellosis in animals.