SummaryPathogenic neisseriae have a repertoire of high-affinity iron uptake systems to facilitate acquisition of this essential element in the human host. They possess surface receptor proteins that directly bind the extracellular host iron-binding proteins transferrin and lactoferrin. Alternatively, they have siderophore receptors capable of scavenging iron when exogenous siderophores are present. Released intracellular haem iron present in the form of haemoglobin, haemoglobinhaptoglobin or free haem can be used directly as a source of iron for growth through direct binding by specific surface receptors. Although these receptors may vary in complexity and composition, the key protein involved in the transport of iron (as iron, haem or iron-siderophore) across the outer membrane is a TonB-dependent receptor with an overall structure presumably similar to that determined recently for Escherichia coli FhuA or FepA. The receptors are potentially ideal vaccine targets in view of their critical role in survival in the host. Preliminary pilot studies indicate that transferrin receptor-based vaccines may be protective in humans.
Availability of iron in the human hostIron is an essential element, as it serves as a cofactor in key metabolic processes, such as nucleotide biosynthesis and energy production. In iron-containing proteins, the iron is bound directly by amino acids or may be incorporated into haem, a complex of iron with porphyrin (Bridges and Seligman, 1995). Excess iron within cells is stored in the protein ferritin and, in spite of the redox status inside cells, the iron is stored as ferric and not ferrous ions. In the human host, iron bound to haemoglobin within erythrocytes plays a critical role in the transport and exchange of oxygen with tissues throughout the body. The tetrameric haemoglobin molecule consists of four homologous 16 kDa subunits that each bind a single haem moiety.Iron is transported throughout the body by the serum glycoprotein transferrin (Tf) (Bridges and Seligman, 1995). Human Tf is an 80 kDa bilobed monomeric glycoprotein with a ferric ion and bicarbonate anion binding site present in each lobe. Iron-loaded Tf is bound by transferrin receptors on the surface of cells requiring iron, and the iron is removed through a cyclical process involving receptormediated endocytosis. Tf is present in substantial levels (25-44 M) in serum, but is only a minor component (0.2-1.3 M) of mucosal secretions. In serum, the iron saturation of Tf is usually 33%, with iron primarily occupying the N-lobe, and the level of iron saturation can be reduced substantially during infection.Lactoferrin (Lf ) is a related iron-binding glycoprotein that is present in mucosal secretions and is released by leucocytes at sites of inflammation. Lf is structurally very similar to Tf but differs in that it is capable of retaining iron under acidic conditions (pH < 6). In contrast to Tf, Lf is involved in a variety of physiological functions other than iron sequestration (Spik et al., 1998). Lf is present at very low level...