1. Introduction
Pseudomonas aeruginosa (
P. aeruginosa) is a Gram-negative opportunistic pathogen and a major cause of healthcare-associated infections, as it disproportionately endangers clinically vulnerable groups. It is a frequent cause of ventilator-associated pneumonia and bloodstream infection in the ICU, particularly in mechanically ventilated or catheterized patients [
1,
2,
3]. It drives life-threatening burn wound sepsis in severely burned patients [
4], establishes chronic airway colonization and progressive lung damage in people with cystic fibrosis [
5], and causes invasive infection in neutropenic and otherwise immunocompromised hosts, including oncology and transplant patients [
6]. These presentations are commonly multidrug-resistant and associated with prolonged hospitalization and high mortality [
7]. Its clinical impact is amplified by multidrug resistance—carbapenem resistance >30% in several regions—driven by intrinsic defences, horizontal gene acquisition, and biofilm formation, which shields cells from host immunity and antibiotics [
8,
9,
10]. Despite decades of effort, no licenced vaccine exists, in part because many surface-exposed antigens such as OprF and flagellin are antigenically variable and under strong immune selection [
11,
12]. This has motivated a shift toward essential, conserved, non-classical antigens [
13,
14,
15]. The Lol (lipoprotein outer-membrane localization) pathway is critical for outer-membrane biogenesis. Within this system, LolB is an indispensable outer-membrane lipoprotein that receives cargo from LolA and catalyzes insertion into the bilayer [
16,
17,
18]. LolB satisfies key criteria for a rational vaccine target—essentiality (loss impairs viability), high sequence conservation across clinical isolates, and lack of significant human homologues—reducing the likelihood of escape via target loss and minimizing off-target risk [
17,
19,
20,
21,
22]. Although LolB is primarily periplasmic-facing, we note that OMVs from Gram-negative bacteria can carry periplasmic and outer-membrane lipoproteins, and bacteriolysis or membrane stress can externalize normally periplasmic components. On that basis, we hypothesize that antibodies raised against LolB-derived epitopes could opsonize LolB-containing OMVs or membrane fragments [
20]. This remains a prediction; direct experimental verification of LolB packaging into
P. aeruginosa OMVs was not performed here. This study applied an integrative immunoinformatics pipeline—multi-strain conservation profiling, B- and T-cell epitope prediction, structural modelling/validation, and immune-receptor docking—to evaluate LolB as a vaccine candidate and design a de novo LolB-derived antigen. The construct prioritizes broad strain coverage and essentiality-anchored efficacy, providing a translational foundation for countermeasures against multidrug-resistant
P. aeruginosa. Given that severe
P. aeruginosa disease clusters in clearly identifiable high-risk groups (critically ill ICU patients, extensively burned patients, individuals with cystic fibrosis, and the severely immunocompromised), our working model is not broad population immunization. Instead, we envision targeted immunization or adjunct immunoprophylaxis in these vulnerable cohorts in high-risk hospital settings, analogous to how meningococcal and pneumococcal vaccines are prioritized for defined risk groups rather than the entire adult population.
4. Discussion
This study uses a fully in silico pipeline—conservation analysis, epitope prediction, structural modelling/refinement, molecular dynamics, and receptor docking—to nominate LolB, an essential outer-membrane lipoprotein, as a rational vaccine target in
P. aeruginosa. We computationally designed and prioritized a 119-aa multi-epitope construct but did not perform expression, binding, or functional immunology assays [
1,
19].
P. aeruginosa pathogenesis is multifactorial and includes quorum sensing-regulated virulence programmes, type III secretion system (T3SS) effectors such as ExoU and ExoS, biofilm-associated tolerance, and multidrug efflux [
36]. Those systems are attractive anti-virulence targets but are often strain-variable, are subject to horizontal gene transfer, or can be downregulated adaptively [
37]. In contrast, LolB is essential for outer-membrane lipoprotein trafficking and is maintained under strong purifying selection (dN/dS = 0.15; 95–100% identity across 20 clinical isolates in this study). The rationale here is not that LolB directly neutralizes T3SS or quorum sensing, but that targeting a viability-linked, highly conserved membrane biogenesis node could make immune clearance harder for the pathogen to escape than targeting accessory virulence factors [
38,
39]. The pipeline—conservation analysis, epitope discovery, deep-learning/templated structure modelling, molecular dynamics, and immune-receptor docking—converges on a multi-epitope construct that emphasizes essentiality, cross-strain coverage, physicochemical manufacturability, and innate-immune engagement [
40]. Several features merit emphasis, (i) strong purifying selection on lolB and preservation of functional motifs, (ii) the identification of a conformational B-cell focus centred on Q72 within a flexible loop, (iii) two high-confidence HLA-DRB1*01:01 class II epitopes (LAAQNSPLT, FLGSAAAVS) with favourable safety and global population coverage, (iv) a construct that remains compact and stable under MD at elevated temperature, and (v) docking-derived evidence for productive TLR4/MD-2 engagement, consistent with adjuvant-like signalling. Below we contextualize these findings, delineate mechanisms of protection compatible with LolB biology, and outline a disciplined validation path [
41]. LolB is indispensable for outer-membrane biogenesis as the terminal acceptor/inserter of lipoproteins delivered by LolA. While LolB is anchored in the outer membrane, its exposed face is periplasmic, not extracellular. This geometry shapes realistic protection mechanisms. Direct antibody access to intact bacteria is likely limited; however, antibodies can still be relevant through (i) binding to LolB packaged in outer-membrane vesicles (OMVs), (ii) recognition of LolB transiently exposed during membrane stress or bacteriolysis, or (iii) facilitation of opsonophagocytic clearance of debris/OMVs in vivo. More prominently, the construct is designed to elicit CD4
+ T-cell responses (Th1/Th17), which are mechanistically compatible with intracellular/periplasmic targets via potential macrophage activation and enhanced bacterial killing. The choice to prioritize MHC-II epitopes and a cationic, β-defensin-derived adjuvant therefore aligns with the expected biology [
42]. The conformational B-cell hotspot centred at Q72 localizes to a loop (67–81) that is solvent-accessible yet flexible, as reflected by lower local model confidence and elevated mobility indices. This is a double-edged sword of flexibility can improve antibody engagement by presenting diverse paratopes, but it also risks conformational heterogeneity that reduces affinity maturation [
43,
44]. This multi-pronged approach—prioritizing the Q72 neighbourhood by DiscoTope while preserving GPGPG spacers—aimed to maintain epitope independence and presentability. For translation, two practical refinements were advisable, (i) conformational stabilization of the Q72-centred loop, for example, by cyclizing the loop or grafting it onto a rigid scaffold, in order to lock the epitope into a defined, antibody-accessible conformation that can drive focused affinity maturation, and (ii) deep mutational scanning of the loop to map energetic tolerance and identify stabilizing substitutions that retain antigenicity [
45].
On the T-cell side, LAAQNSPLT and FLGSAAAVS emerge as robust anchors (predicted IC
50 < 10 nM, broad coverage, non-toxic, non-allergenic). Their placement within relatively ordered contexts, plus the modest construct size, should favour processing and MHC-II loading. Notably, the lack of correlation between local model confidence and predicted MHC-II affinity is expected; class II presentation is sequence-driven and relatively agnostic to tertiary detail at the time of proteolysis [
6]. AlphaFold2 (via ColabFold) provides a high-confidence core with lower confidence at termini/linkers; template-based attempts (I-TASSER) predictably underperform in loop-rich, low-homology regions but are still useful after GalaxyRefine polishing (MolProbity and Ramachandran improvements). The MD ensemble—RMSF < 1.5 Å across linkers, and a stable 18.2 ± 2.8 Å adjuvant–epitope separation—supports a physically plausible fold that is neither over-collapsed nor excessively extended. The 350 K runs do not substitute for experimental melting analysis, but they argue against gross instability and help rank designs before wet-lab expression. Two next steps will harden these inferences, differential scanning fluorimetry (DSF) for apparent T
m and CD spectroscopy to verify secondary structure content and reversibility. The strongest predicted MHC-II epitope (FLGSAAAVS) maps to the N-terminal signal peptide of pre-pro-LolB. Although this region is cleaved upon lipoprotein maturation, leader-derived peptides can enter the MHC-II pathway during bacterial lysis or incomplete processing of precursor forms. Thus, its inclusion reflects a potential
processing-stage epitope rather than one presented by mature LolB; this hypothesis warrants experimental confirmation.
Docking against TLR4/MD-2 consistently produced electrostatics-dominated clusters with favourable energies and a plausible interface (~1420 Å
2; ΔG = −10.2 kcal·mol
−1; Kd = 28 nM). Contacts (R42–D299, K63–E92) map to the cationic adjuvant region and proximal epitope block, consistent with the hypothesis that the β-defensin-like surface can act as an innate agonist. While this is desirable for Th1 bias, it raises two practical notes. First, TLR2 contributes to lipoprotein sensing, hence dual TLR2/TLR4 reporter assays are recommended to delineate pathway usage. Second, to mitigate over-inflammation, the results propose R42A/K—a rational tweak designed to ease IFN-γ skew while preserving IL-12/NF-κB potential activation. These are testable in HEK-Blue or THP-1 reporter systems with strict endotoxin controls (LAL assay, polymyxin B insensitivity checks). In silico antigenicity (VaxiJen/ANTIGENpro), allergenicity (AllergenFP/AlgPred), and toxicity (ToxinPred) support a benign profile for the final epitopes and the pooled construct. The compact size (12.7 kDa), slightly positive pI, and near-neutral GRAVY suggest good aqueous behaviour. Disulfide-bond predictions within the adjuvant zone imply attention to oxidative folding during manufacturing; high-yield options include periplasmic expression or oxidizing cytoplasmic strains with endotoxin-minimized purification. From a formulation standpoint, pairing with alum or squalene emulsions may temper reactogenicity while sustaining Th1/Th17 skew if combined with TLR agonists at controlled dose. Given the periplasmic orientation of native LolB, OMV co-formulation is an attractive route to broaden potential innate activation and antigen spread. Strong purifying selection (low ω) and high identity across 20 clinical strains argue for escape resistance via target loss—typical for essential functions. The identification of rare outliers such as truncations or atypical signal peptides highlights biological edge cases rather than a dominant escape route; nevertheless, they motivate redundancy in design. In practice, breadth can be fortified by maintaining two T-cell epitopes from distinct structural zones and incorporating an optional third epitope targeting a different Lol pathway node (LolA interface) if population coverage drops in specific geographies. Unlike polysaccharide- or surface-exposed protein vaccines against encapsulated bacteria such as
Neisseria meningitidis [
46] or
Streptococcus pneumoniae [
47], where bactericidal antibodies can drive complement-mediated lysis, our LolB-derived construct is not expected to rely primarily on direct lysis of intact
P. aeruginosa. LolB is predominantly periplasmic-facing during steady-state growth, which limits continuous surface accessibility. Instead, we anticipate two complementary mechanisms, CD4
+ T cell–driven activation of macrophages and neutrophils, enhancing intracellular killing and clearance of damaged bacteria, and antibody-mediated recognition and uptake of LolB-containing OMVs or membrane fragments released during stress, antibiotic exposure, or partial lysis. In this model, the vaccine acts to reduce bacterial burden, persistence, and dissemination rather than to induce immediate complement-driven killing at the mucosal surface. This is conceptually closer to ‘disease attenuation and clearance support’ than to ‘sterilizing bactericidal immunity’.
4.1. Limitations
This is an in silico-led study. AlphaFold confidence dips in flexible loops, docking is rigid-body and sensitive to charge weighting, and MD at high temperature is an indirect stability probe. The TLR4/MD-2 model used for docking is homology-derived rather than experimental for the precise sequence, and binding energies from PRODIGY are estimates. Epitope immunogenicity and safety predictions, while encouraging, are not substitutes for human cell assays or in vivo readouts. Finally, protection against P. aeruginosa is multifactorial, efficacy will depend on mucosal delivery, local cytokine milieu, and co-morbidities.
All MHC-II affinity, antigenicity, allergenicity, toxicity, and TLR4/MD-2 docking values are single-model predictions. We did not generate confidence intervals, run alternative docking force fields for consensus scoring beyond the two ClusPro parameterizations reported, or perform peptide–MHC binding assays. Thus, numerical cutoffs (IC50 < 10 nM, ΔG = −10.2 kcal·mol−1) should be understood as computational ranking metrics, not as experimentally confirmed magnitudes.
4.2. Future Directions
Future work should evaluate these predictions experimentally. Key priorities include recombinant production of the 119-aa construct under endotoxin-controlled conditions, assessment of solubility and folding, peptide–HLA class II binding assays for LAAQNSPLT and FLGSAAAVS, and determination of whether the construct can trigger TLR4/MD-2 or TLR2 signalling in human myeloid reporter systems. Additional studies should test opsonophagocytic activity, macrophage activation, and efficacy in relevant in vivo challenge models such as high-risk or HLA-transgenic mice. Such studies will be essential to convert this in silico construct into a preclinical vaccine lead.
With respect to delivery, the initial indication we envision is high-risk hospitalized or pre-hospitalization patients (extensive burns, ventilated ICU patients, individuals with cystic fibrosis awaiting or undergoing intensive care, profoundly immunocompromised hosts). These populations are already candidates for parenteral prophylaxis. Accordingly, we anticipate an injectable formulation rather than an oral or intranasal product in early development. A parenteral route is consistent with our design goal of eliciting systemic CD4+ T cell responses and opsonophagocytic antibodies that support bacterial clearance during severe invasive disease. Mucosal booster strategies could theoretically be explored later for airway-colonization scenarios in cystic fibrosis, but that is beyond the current in silico construct.