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Infect. Immun., 04 1997, 1158-1164, Vol 65, No. 4
H Zhang, Z Zhong and LA Pirofski
Cryptococcus neoformans causes meningitis in 6 to 8% of individuals with
AIDS. Recently, immunotherapeutic modalities including antibody therapy
have been proposed for the treatment of cryptococcal meningitis in AIDS
patients. This is a rational approach because existing antifungal agents
fail to eradicate the infection in the setting of profound
immunosuppression. Both murine and human antibodies elicited by the
investigational cryptococcal capsular polysaccharide vaccine
glucuronoxylomannan-tetanus toxoid (GXM-TT) have been shown to be
biologically functional in different model systems. The human
immunoglobulin M (lambda) GXM monoclonal antibody (MAb) 2E9 expresses
idiotypes that are also found in naturally occurring anti-GXM antibodies
and opsonic GXM-TT sera. However, the specificity of human anti-GXM
antibodies and their possible role in protection against cryptococcosis are
not known. In an effort to discover epitopes that are recognized by human
anti-GXM antibodies, we screened a random decapeptide phage display library
with the human anti-GXM MAb 2E9. An enzyme-linked immunosorbent assay
(ELISA)-based screening method led to the selection of phages with peptide
inserts that bound 2E9 and inhibited 2E9-GXM binding. Analysis of the amino
acid sequences of these phages revealed an increased frequency of
combinations of QTGLD residues. Inhibition ELISAs demonstrated that phages
with QTG/TL/D motifs inhibited 2E9-GXM binding better than phages with
different motifs. A peptide synthesized from one of the inhibitory phages,
peptide 13 (GMDGT QLDRW), inhibited GXM binding to solid-phase 2E9 and 2E9
binding to solid-phase GXM. Peptide 13 also inhibited the GXM binding of
GXM-TT immune sera and naturally occurring serum antibodies from human
immunodeficiency virus (HIV)-negative, but not HIV-positive, individuals.
Taken together, our data indicate that the peptide epitopes selected by 2E9
mimic GXM epitopes and that peptide 13 may be a mimotope of a GXM epitope
that is recognized by human anti-GXM antibodies.
Copyright © 1997, American Society for Microbiology
Peptide epitopes recognized by a human anti-cryptococcal glucuronoxylomannan antibody
Department of Medicine, Albert Einstein College of Medicine, Bronx, New York 10461, USA.
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