Attenuated Actinobacillus pleuropneumoniae double-deletion mutant S-8∆clpP/apxIIC confers protection against homologous or heterologous strain challenge

Background Actinobacillus pleuropneumoniae is the etiological agent of porcine pleuropneumonia, which leads to large economic losses to the swine industry worldwide. In this study, S-8△clpP△apxIIC, a double-deletion mutant of A. pleuropneumoniae was constructed, and its safety and protective efficacy were evaluated in pigs. Results The S-8△clpP△apxIIC mutant exhibited attenuated virulence in a murine (BALB/c) model, and caused no detrimental effects on pigs even at a dose of up to 1.0 × 109 CFU. Furthermore, the S-8△clpP△apxIIC mutant was able to induce a strong immune response in pigs, which included high levels of IgG1 and IgG2, stimulated gamma interferon (IFN-γ), interleukin 12 (IL-12), and interleukin 4 (IL-4) production, and conferred effective protection against the lethal challenge with A. pleuropneumoniae serovars 7 or 5a. The pigs in the S-8△clpP△apxIIC immunized groups have no lesions and reduced bacterial loads in the lung tissue after challenge. Conclusions The data obtained in this study suggest that the S-8△clpP△apxIIC mutant can serve as a highly immunogenic and potential live attenuated vaccine candidate against A. pleuropneumoniae infection.


Background
Actinobacillus pleuropneumoniae is a highly adapted pathogen that causes porcine pleuropneumonia, which is an extremely contagious respiratory disease [1]. The disease is often fatal and characterized by fibrinous, hemorrhagic, and necrotic lung lesions, which remains an important global problem in the swine industry [2]. Transmission of the pathogen occurs through an aerosol route during close contact with diseased pigs or asymptomatic carriers, and it can infect pigs of different ages [3]. The clinical features can span from peracute disease with quick death to chronic infection leading to reduced growth rates, and the pigs frequently become asymptomatic carriers. To date, 16 serovars of A. pleuropneumoniae have been identified and all serovars can cause disease [4,5]. Although the incidence of outbreaks has reduced in the developed countries, A. pleuropneumoniae remains one of the main causes of economic loss to the global swine production, especially in developing countries [6].
Antimicrobial therapy has been used to prevent and control porcine pleuropneumonia, but it results in the growing problems of multidrug-resistance and antibiotic residues in pigs [7][8][9]. Concern was raised that multidrug-resistance could be transmitted between different pathogens in pigs followed through the food chain to produce a risk to human health. Thus, vaccination becomes the most effective method of preventing A. pleuropneumoniae infection. It has been found that pigs surviving natural infection were protected against homologous and heterologous serovar infection [10]. It is speculated that live bacteria can induce in vivo expression of protective antigens and confer cross-protection. Thus, the application of an attenuated live vaccine is an ideal approach for vaccination against diversified serovars of A. pleuropneumoniae [11,12].
ClpP protease is a family of ATP-dependent protease, which plays a key role in the degradation of misfolded proteins and the stress tolerance in bacteria [13]. The role of ClpP as an important virulence factor has been demonstrated in several pathogenic bacteria [14,15]. A previous study of Salmonella typhimurium and Salmonella enteritidis also showed that the virulence of clpP deletion mutants were remarkably decreased and that these mutants can serve as live oral vaccine candidates [16]. In our previously study, the clpP-deleted mutant of A. pleuropneumoniae serovar 7, a prevalent serovar in China, was constructed and its physiological features were analyzed. The ClpP protease mediates A. pleuropneumoniae tolerance to multiple environmental stressors, affects the biofilm formation, and may play a critical role in the virulence regulation [17]. The ApxII toxin is the most important virulence factor in A. pleuropneumoniae serovar 7, and is encoded by the apxIICA gene cluster. The apxIIA gene encodes the ApxIIA toxin structural protein, and the apxIIC gene encodes the post-translational activating protein that is essential for the ApxII toxin activation, thus disruption in the apxIIC gene of A. pleuropneumoniae results in secretion of the inactive ApxII toxin but with full antigenicity [18].
In the present study, we constructed the doubledeletion mutant S-8△clpP△apxIIC of A. pleuropneumoniae and evaluated the feasibility of its use as a live attenuated negative marker vaccine based on the virulence, changes in clinical symptoms, immune responses, and protective effects in pigs against challenge with the homologous and heterologous A. pleuropneumoniae strains.

Experimental animals
One hundred and ten 6-week-old female BALB/c mice (Beijing Vital River Laboratory Animal Co., Ltd.) were used in the study, with identical feeding conditions. A total of 45 piglets were obtained for use in this study from a farm that was free from A. pleuropneumoniae and other respiratory pathogens including Streptococcus suis, Haemophilus parasuis, and porcine reproductive and respiratory syndrome virus (PCR-negative for nasal and tonsillar swabs and serological-negative in corresponding ELISA assays). The 45 piglets were randomly divided into nine groups of same number and were separately fed with same feeding conditions. The animal experiment in this study was approved by the Animal Ethics Committee of Harbin Veterinary Research Institute of the Chinese Academy of Agricultural Sciences (CAAS) and carried out in strict accordance with animal ethics guidelines and approved protocols.

Chromosomal inactivation of the apxIIC gene of S-8△clpP
Primers IICLF/IICLR, and IICRF/IICRR (Table 1) were used to amplify the two segments flanking with the apxIIC gene, IIC-L and IIC-R, as the recombination homologous arms. Using single-overlap extension PCR (SOE PCR), the fragment with a 270 bp internal deletion in the apxIIC gene (from nt 18 to 297) was generated, and cloned into the conjugative vector pEMOC2 [19] to construct plasmid pEM△apxIIC. Using E. coli β2155 and a single-step transconjugation system [20,21], plasmid pEM△apxIIC was applied to introduce the apxIIC mutation into the S-8△clpP mutant. After two homologous recombination steps, the A. pleuropneumoniae S-8△clpP△apxIIC mutant strain was verified by PCR and sequencing using IICJDF/IICJDR primers.

Growth experiment and hemolytic assay
A. pleuropneumoniae wild-type strain S-8, the S-8△clpP mutant, and the S-8△clpP△apxIIC mutant were routinely grown in 3 ml of TSB for 16 h, then diluted to OD 600 of 0.1. The fresh cultures were then inoculated in 30 ml of TSB and grown at 37°C. The OD 600 values were recorded at an interval of 1 h using the Eppendorf BioPhotometer (Eppendorf, Germany).
A. pleuropneumoniae wild-type strain S-8, the S-8△clpP mutant, and the S-8△clpP△apxIIC mutant were respectively inoculated onto TSA plates supplemented with 5% defibrinated sheep erythrocytes, and incubated at 37°C for 18 h. The hemolysis activity was assessed by visualizing clear zones around the colony.

Virulence studies in mice
To determine the residual virulence of the S-8△clpP△ap-xIIC mutant, various concentrations of A. pleuropneumoniae strains S-8 and S-8△clpP△apxIIC mutant were injected intraperitoneally into mice. One hundred and ten 6-week-old female BALB/c mice (Beijing Vital River Laboratory Animal Co., Ltd.) were randomly divided into eleven experimental groups (n = 10). Five experimental groups were inoculated with 100 μL of PBS containing the S-8△clpP△apxIIC mutant (1.0 × 10 8 to 1.0 × 10 10 CFU/ mouse, Table 2). As a positive control, five experimental groups were inoculated with the wild-type strain S-8 (1.0 × 10 5 to 1.0 × 10 7 CFU/mouse, Table 2) using the identical method. Non-infected mice in the control group were inoculated with 100 μL of sterile PBS.

Virulence studies in pigs
Twenty-five 8-week-old pigs were randomly assigned into five experimental groups (n = 5). The pigs in group 1 were inoculated with 1 × 10 7 CFU of S-8△clpP△apxIIC via an intranasal (i.n.) route. The pigs in group 2 were injected with 1 × 10 7 CFU of S-8 via the i.n. route. The pigs in group 3 were injected with 1 × 10 9 CFU of S-8△clpP△apxIIC via the i.n. route. The pigs in group 4 were injected with 1 × 10 9 CFU of S-8 via the i.n. route. The pigs in group 5, the control group, were inoculated with an equivalent amount of PBS via the i.n. route. The rectal temperature, appetite, respiratory rate, and lethargywere recorded daily for 14 days after inoculation as described previously [24]. Pigs that showed severe respiratory distress during the observation period were euthanized. All of surviving pigs were euthanized at day 14 post-challenge, and the lung lesions were examined and scored as described previously [25]. Briefly, the lung lesion was determined by divided the complete lung into seven lobes, each lobe was scored 1-5 by assessing the pneumonic area.   [23] c Fold attenuation was normalized to wild-type strain S-8 Table 1 Characteristics of bacterial strains, plasmids, and primers used in this study Strains, plasmids, and primers Characteristics or sequence Source or reference Strains E. coli β2155 thrB1004 pro thi strA hsdS lacZ△M15 (F' lacZ△M15 lacl q traD36 proA + proB + )△dap :: erm (Erm r ))recA :: RPA-2-tet(Tc r )::Mu-km (Km r ) λpir

Protection studies in pigs
Twenty 4-week-old pigs were randomly assigned into four experimental groups (n = 5). The pigs in group 1 and group 3 were immunized via an intramuscular (i.m.) route with 1 × 10 7 CFU of S-8△clpP△apxIIC in 1 mL of PBS. The pigs in group 2 and group 4 were inoculated with 1 mL of PBS. The booster immunization was performed 21 days after the primary vaccination. On day 14 following the booster immunization, the pigs in groups 1 and group 2 were challenged with 5.0 × 10 9 CFU of A. pleuropneumoniae homologous serovar 7 (S-8) via the i.n. route. The pigs in groups 3 and group 4 were challenged with 5.0 × 10 8 CFU of A. pleuropneumoniae heterologous serovar 5a (K17) via the i.n. route. After challenge, the pigs from each group were observed daily for clinical symptoms for 14-day period after challenge as previously described [24]. Pigs that showed severe respiratory distress during the observation period were euthanized. At day 14 post-challenge, all surviving pigs were euthanized and lung lesions were examined and scored as mentioned above [25].

Antibody measurements
Serum samples were collected from pigs in different groups before the first immunization (day 0), before the booster immunization (day 21) and before homologous or heterologous challenge (day 35). Antibodies against ApxII were examined using indirect ELISA as previously described [26]. 96-well plates were coated with 5 μg/mL of ApxII in 50 mM sodium carbonate buffer (pH 9.6) at 4°C overnight. The wells were washed three times with PBST buffer (PBS supplemented with 0.05% Tween-20) and then blocked with PBS containing 5% bovine serum albumin at 37°C for 1 h. Serum samples diluted in PBS were then added to the wells and incubated for 1 h at 37°C. After the plates were washed, horseradish peroxidase (HRP)-conjugated goat anti-porcine IgG was diluted and added to the plates and incubated for 1 h at 37°C. For determining the IgG isotypes, the sera were added to the S-8△clpP△apxIIC-coated plates and incubated with mouse anti-pig IgG1 Monoclonal Antibody (Clone K139 3C8, Thermo, United Kingdom) or mouse anti-pig IgG2 Monoclonal Antibody (Clone K68 Ig2, Thermo, United Kingdom), followed by HRP-conjugated goat anti-mouse IgG (Abcam, United Kingdom). After three washes, the substrate solution tetramethylbenzidine (TMB) and H 2 O 2 were added to the wells and incubated for 15 min, and the reaction was stopped by the addition of 2 M sulfuric acid. The absorbance was measured at 450 nm using an ELISA reader. Each sample was tested in triplicate.

Determination of cytokines by ELISA
Serum samples at day 0, day 21, and day 35 were analyzed for swine gamma interferon (IFN-γ), interleukin 12 (IL-12) (R&D Systems, USA), and interleukin 4 (IL-4) (Invitrogen, USA) using ELISA kits performed according to the manufacturer's instructions. Concentrations of swine IFN-γ, IL-12, and IL-4 in tested sera samples were determined by extrapolation to the linear portion of the standard curve, which was generated with supplied reference standards.

Bacterial loads analysis
Pigs from each group were necropsied immediately after euthanasia and lung tissues were aseptically collected. Samples were weighed, suspended in 1 mL PBS, and homogenized using a tissue homogenizer. The tissue homogenates were serially diluted with sterile PBS. Viable counts in serial dilutions of homogenates were determined following culture on TSA plates for 18 h at 37°C. Identification of A. pleuropneumoniae was conducted by colony PCR assay and expressed as log 10 CFU/g.

Statistical analysis
All statistical analyses were conducted using GraphPad Prism version 5.01 (GraphPad Software Inc., USA). Student's t-test was used to evaluate the significance of the differences between multiple experimental groups. The data were expressed as the mean +/-standard deviation and values of P < 0.05 were considered to be significant.

Construction of the S-8△clpP△apxIIC mutant strain
To construct the double-deletion mutant S-8△clpP△ap-xIIC, we deleted the apxIIC gene of A. pleuropneumoniae S-8△clpP mutant via the allelic exchange of the wild-type apxIIC gene with an unmarked, in-frame deletion lacking 270 bp of the apxIIC ORF ( Fig. 1a and Fig. 1b). To test the stability of the in-frame deleted apxIIC gene in the genome of the A. pleuropneumoniae S-8△clpP△apxIIC mutant, a PCR assay was performed on the genomes of the mutant from 10 passages to detect a 294-bp DNA fragment characteristic of the inframe deleted apxIIC. This fragment was observed in all 10 consecutive passages (Fig. 1c), suggesting a stable inframe deletion in the S-8△clpP△apxIIC genome.
The growth curves of the S-8△clpP mutant, the S-8△clpP△apxIIC mutant, and the wild-type strain S-8 were similar at 37°C (Fig. 2a). The hemolytic assay was examined in the wild-type strain S-8, the S-8△clpP mutant, and the S-8△clpP△apxIIC mutant. S-8 and the S-8△clpP mutant with the integrated apxII operon had hemolytic activity, as shown by clear zones around the colonies (Fig. 2b). However, the clear zones were absent in the S-8△clpP△apxIIC mutant, the result of deletion of the apxIIC gene rendered it unable to activate ApxII toxin, and thus lacking hemolytic activity.

Virulence of the S-8△clpP and S-8△clpP△apxIIC mutants in mice
The attenuation of virulence was investigated by determining the LD 50 values of the S-8△clpP△apxIIC mutant, and the wild-type strain S-8 in BALB/c mice. The data showed LD 50 values of 5.62 × 10 5 CFU per mouse for the wild-type strain S-8, and 1.12 × 10 9 CFU per mouse for the S-8△clpP△apxIIC mutant. Compared to the wild-type strain S-8, the S-8△clpP△apxIIC mutant was attenuated by approximately 1195-fold in mice. LD 50 values showed that the S-8△clpP△apxIIC mutant was highly attenuated.

Virulence of the S-8△clpP△apxIIC mutant in pigs
The results of the safety study on the S-8△clpP△apxIIC mutant in pigs are listed in Table 3. Two of five pigs However, all of these pigs recovered quickly in 24 h and were in good health afterward. All of the five pigs inoculated with 1.0 × 10 7 CFU of the S-8△clpP△apxIIC via the i.n. route exhibited no clinical signs of porcine pleuropneumonia. Compared to the groups inoculated with the S-8△clpP△apxIIC mutant, the groups inoculated with the S-8 strain exhibited more severe clinical symptoms of porcine pleuropneumonia. Three of five pigs which were inoculated with 1.0 × 10 9 CFU of S-8 were euthanized because of severe clinical symptoms. The lesions in their lungs were severe with massive hemorrhages and fibrinous inflammation was observed. Compared to serious lung lesions of pigs in the S-8-inoculated groups, there are no or few lung lesions in the pigs of the S-8△clpP△ap-xIIC-inoculated groups (Fig. 3). The average lung lesion scores were 16.2 for 1.0 × 10 7 CFU and 21.8 for 1.0 × 10 9 CFU of S-8 challenge. However, the groups inoculated with S-8△clpP△apxIIC showed significantly lower lung lesion scores, with 1.8 and 3.0 following challenge with 1.0 × 10 7 CFU or 1.0 × 10 9 CFU, respectively ( Table 3).

Immune response of pigs to the S-8△clpP△apxIIC mutant
Serum samples from pigs of each group were obtained from blood via anterior vena cava venipuncture. Figure 4a showed a significant increase in antibody titers in pigs immunized with S-8△clpP△apxIIC on days 21 and 35, however, no antibody was detected in the PBS control groups. The IgG isotype was determined to check the specific antibody types against S-8△clpP△ap-xIIC. The levels of isotypes IgG1 and IgG2 in the immunized groups were significantly higher (P < 0.01) than that of PBS control groups (Fig. 4b, c).
Levels of IFN-γ in sera from S-8△clpP△apxIIC immunization groups were significantly higher than those of PBS control groups on days 21 and 35 (P < 0.01) (Fig. 5a). Levels of IL-12 in the S-8△clpP△apxIIC immunization groups were also significantly higher than those of control groups during the observation period (P < 0.01) (Fig. 5b). Both the IFN-γ and IL-12 concentrations in sera from S-8△clpP△apxIIC immunized animals increased substantially on day 21 and exhibited a smaller increase on day 35. While the IL-4 concentrations in sera from S-8△clpP△apxIIC immunized groups exhibited an approximately equal increase on day 21 and day 35, higher than in sera from the PBS control groups (P < 0.01) (Fig. 5c).

Protective efficacy in pigs
The protective efficacy of the S-8△clpP△apxIIC mutant against lethal challenge with A. pleuropneumoniae serovar 7 S-8 or serovar 5a K17 in pigs was evaluated in terms of body temperature, clinical signs, lung lesions, and survival rate. The results are summarized in Fig. 6 and Table 4. Pigs in the S-8△clpP△apxIIC-immunized groups showed slight or no lethargy, anorexia or dyspnea after challenge with A. pleuropneumoniae serovar 5a or serovar 7. Four immunized pigs had a transient increased body temperature (<40.3°C) on day 0 upon challenge with A. pleuropneumoniae S-8 or K17 but recovered afterward. During the 14-day observation period, all immunized pigs survived with clinical symptoms ranging from none to only mild. All of the pigs in the PBS control groups developed anorexia, increased respiratory rate, and depression after challenge with A. pleuropneumoniae S-8 or K17. The average body temperature increased (41.2°C) for at least 3 days. Four of ten pigs showed severe respiratory distress within a Groups of five pigs were given intranasal inoculations with 1 mL of bacterial suspension containing various quantities of A. pleuropneumoniae strains. Survival was recorded for 14 days after infection b The average temperature value for each piglet during the observation period was calculated and the mean temperature value for each group was determined c Clinical signs were scored as described by Jolie et al [24]. Appetite was scored as follows: 0, did eat; and 1, did not eat. The total score equaled the number of 12-h periods of not eating over the 36-h observation period. Lethargy was scored as follows: 0, normal; 1, slight inactivity; 2, moderate; and 3, severe. Dyspnea was scored as follows: 0, normal; 1, slight; 2, moderate; and 3, severe. The final scores were obtained from the average of all of the data within the observation time and are expressed as arithmetic means ± SD; *, significance at a P value of <0.05; **, significance at a P value of <0.01 d The lung lesion score was determined as described by Hannan et al [25] 48 h and were euthanized. Three pigs subsequently exhibited severe respiratory distress during the next four days and were euthanized. Only two pigs challenged with S-8 and one pig challenged with K17 in the control groups survived over the 14-day observation period. At necropsy, the pigs in the PBS control groups showed severe lung lesions and pleuritis. Hemorrhage and fibrinous exudation on the lung and pleura were found in these pigs. The average lung lesion scores were 20.2 and 22.8 for challenge with A. pleuropneumoniae S-8 or K17, respectively. However, in comparison to the PBS control groups, the S-8△clpP△apxIIC-immunized groups showed significantly lower lung lesion scores of 1.4 and 1.8 for challenge with A. pleuropneumoniae S-8 or K17, respectively.

Bacteriological analysis of tissue homogenates
Bacterial loads in lung homogenates were counted after challenge with A. pleuropneumoniae S-8 or K17 (Fig. 7). The numbers of CFUs recovered from the homogenized lung tissues in S-8△clpP△apxIIC immunized groups were significantly lower (P < 0.01) than those of PBS control groups.

Discussion
With the growing emergence of drug resistance and the problem of antibiotic residues, vaccination becomes the most effective method of preventing A. pleuropneumoniae infection [7,11]. Previous studies found that pigs surviving natural infection of A. pleuropneumoniae could be fully protected against homologous strain and partially against heterologous serovars, suggesting that live bacteria likely induced in vivo expression of protective antigens and conferred cross-protection [11]. Thus, an attenuated live vaccine is widely acknowledged as an ideal approach for vaccination against porcine pleuropneumonia.
The ideal live vaccine of porcine pleuropneumonia should be low virulent and cause minimum lung lesions [11]. Our previous study constructed S-8△clpP, an A. pleuropneumoniae clpP gene deletion mutant, and illustrated the important function of the ClpP protease in the stress response and biofilm formation of A. pleuropneumoniae, suggesting a putative role for ClpP protease in the virulence regulation [17]. Afterwards, the virulence of S-8△clpP was determined using the BALB/c mouse infection model. The finding that the S-8△clpP moderately attenuated by approximately 71-fold (data not shown) was unexpected as a previous study had found that clpP deletion strains of S. typhimurium and S. enteritidis were attenuated by approximately 10,000-fold [16]. Thus, in this study, we further deleted the apxIIC gene that encodes the ApxII activating protein, and rendered the double-deletion mutant S-8△clpP△apxIIC secreting unactivated ApxII toxins but with complete antigenicity [18]. Compared to the wild-type strain, S-8△clpP△apxIIC was greatly attenuated by approximately 1195-fold. We next evaluated the virulence of S-8△clpP△apxIIC in pigs via intranasal inoculation, with the results showing that pigs inoculated with 1.0 × 10 7 CFU of the S-8△clpP mutant displayed no clinical signs of porcine pleuropneumonia but exhibited only transient depression when inoculated with 1.0 × 10 9 CFU. Moreover, there are no or little lung lesions in the pigs of the S-8△clpP△apxIIC-inoculated group, which showed that the S-8△clpP△apxIIC mutant was adequately attenuated and has almost no detrimental effects on pigs that remained healthy throughout the experiment.
An essential characteristic for an effective attenuated live vaccine is that the strain should remain highly immunogenic [11]. Pigs vaccinated with the A. pleuropneumoniae S-8△clpP△apxIIC mutant exhibited a significantly increased ApxII-specific IgG Ab response compared to pigs injected with PBS. Interestingly, both A. pleuropneumoniae-specific IgG1 and IgG2 titers increased following the first immunization and booster immunization. The production of IgG isotypes in pig is elicited by type 1 (IFN-γ, IL-12) and type 2 (IL-4) cytokines, which lead the responses to a cell-mediated or antibody-mediated immune response [27]. In pigs, IgG2 is linked to the production of IFN-γ and IL-12 and correlates with the Th1 response [27,28]. Conversely, the production of the specific IgG1 antibody partially relies on the presence of the Th2 cytokine IL-4 [29]. In this study, we also found that on day 35, the levels of IFN-γ, IL-12, and IL-4 were significantly higher in sera from S-8△clpP△apxIIC immunized pigs than those in sera from PBS control groups, but IL-4 concentrations were lower than IFN-γ and IL-12 concentrations in sera from the immunization groups. These data suggested that immunization with A. pleuropneumoniae S-8△clpP△ap-xIIC generated a slight bias towards the Th1-type immune response. However, the IgG1 titers and IL-4 concentrations in the S-8△clpP△apxIIC immunized pigs were still much higher than those in the PBS control groups. These data showed that the Th2-type immune response also plays a partial role in immunization with live A. pleuropneumoniae S-8△clpP△apxIIC. Unlike the other A. pleuropneumoniae live attenuated mutant that is significantly biased toward a Th1-type immune response [30], S-8△clpP△apxIIC generated a more balanced and broader immune response.
Cross-protection is a crucial characteristic that is important to achieve widespread use of a vaccine. Our findings demonstrated that immunization with the S-8△clpP△apxIIC mutant could induce acquired immunity and confer a marked resistance against the lethal challenge with A. pleuropneumoniae virulent homologous strain S-8 and heterologous serovar 5a. Although S-8△clpP△apxIIC exhibited good immune protection as a live vaccine, a few pigs after challenge still had few pathological lesions. As it is unlikely that the multiplegene deleted mutant can revert back to the wild-type genotype, we will further delete other important virulence genes of A. pleuropneumoniae in our future studies and construct a multiple-gene deleted mutant as a safe, attenuated live vaccine to prevent and control A. pleuropneumoniae infection.

Conclusion
In conclusion, data presented in this study indicated that the immunizations with the candidate vaccine S-8△clpP△apxIIC were safe in pigs; and conferred efficient protection against the homologous or heterologous serovar infection. Overall, the S-8△clpP△apxIIC mutant of A. pleuropneumoniae has the potential as a novel live attenuated vaccine against porcine pleuropneumonia, although further trials are needed. a The average temperature value for each piglet during the observation period after challenge was calculated and the mean temperature value for each group was determined b Clinical signs were scored as described by Jolie et al [24]. Appetite was scored as follows: 0, did eat; and 1, did not eat. The total score equaled the number of 12-h periods of not eating over the 36-h observation period. Lethargy was scored as follows: 0, normal; 1, slight inactivity; 2, moderate; and 3, severe. Dyspnea was scored as follows: 0, normal; 1, slight; 2, moderate; and 3, severe. The final scores were obtained from the average of all of the data within the observation time and are expressed as arithmetic means ± SD; *, significance at a P value of <0.05; **, significance at a P value of <0.01 c The lung lesion score was determined as described by Hannan et al [25] Fig. 7 Bacterial loads in lung homogenates after challenge with A. pleuropneumoniae strains S-8 or K17. The logarithm value (Log 10 ) of the CFU in each gram of tissue sample was recorded. The immunized groups were vaccinated with S-8△clp△apxIIC and the PBS control groups were injected with PBS. The results are expressed as the means ± SD