INTRODUCTION

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In recent years, Moraxella (Branhamella) catarrhalis has gained recognition as a significant human pathogen (for reviews, see references 5, 9, and 24). It has been identified as a cause of bacteremia, epiglottitis, meningitis, otitis media, and pneumonia in children, adults, and the elderly. M. catarrhalis is the third leading cause of otitis media in children, responsible for about 20% of disease, following Streptococcus pneumoniae and nontypeable Haemophilus influenzae. In adults and the elderly, M. catarrhalis is mainly associated with chronic respiratory ailments such as bronchitis or pneumonia, where it exacerbates the disease. Invasive diseases such as bacteremia and meningitis are less common but can be fatal (7, 18, 23).

Approximately 70% of children will experience at least one bout of otitis media by the time they are 3 years old, with many children having multiple episodes (36). The peak incidence of otitis media occurs in children between 1 and 2 years of age, at a time when their language skills are developing. Recurrent or chronic otitis media can lead to deafness, speech impairment, or learning disabilities. Treatments include antibiotics or surgery to remove tonsils and adenoids or the insertion of tympanostomy tubes. The estimated cost of these primary treatments is about $2 billion dollars per year in the United States alone (3), with secondary costs such as speech therapy and special education classes costing billions more per year. In addition, most strains of M. catarrhalis are resistant to -lactam antibiotics such as the penicillins, although treatment with cephalosporin, macrolide, and tetracycline antibiotics has been successful (8, 25). The need for an effective otitis media vaccine is obvious.

Bacteria have evolved several mechanisms to overcome host iron restriction, including the use of siderophores and iron binding proteins such as transferrin, lactoferrin, hemin, and hemoglobin binding proteins. To obtain iron from host iron binding proteins, M. catarrhalis utilizes both transferrin and lactoferrin binding proteins (31). Other characterized bacterial transferrin receptors are composed of two proteins, transferrin binding protein A (TbpA) and transferrin binding protein B (TbpB). In vivo, both TbpA and TbpB bind human transferrin, but only TbpB will still bind transferrin after sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and electroblotting (31). The tbpA and tbpB genes, encoding the TbpA and TbpB proteins, from strains of Actinobacillus pleuropneumoniae, H. influenzae, Neisseria gonorrhoeae, N. meningitidis, and Pasteurella haemolytica have been cloned and sequenced (2, 6, 10, 11, 20, 22, 27). The TbpA proteins are generally highly conserved within a species, while the TbpB proteins tend to be more variable. For N. meningitidis, it was found that the TbpB proteins could be separated into two families based on sequence and antigenicity (28); however, there are common antigenic domains in the TbpB proteins from N. meningitidis, N. gonorrhoeae, H. influenzae, and A. pleuropneumoniae (17, 33). Furthermore, TbpBs from N. meningitidis, H. influenzae, and A. pleuropneumoniae have been demonstrated to be protective antigens in various animal challenge models (1, 21, 22, 29).

In this report, we describe the cloning and sequence analysis of the genes encoding the Tbps from M. catarrhalis. Recombinant Tbps (rTbps) were expressed in Escherichia coli, and the purified proteins were used to immunize animals. It was found that rTbpB elicited bactericidal antibodies and could therefore represent a potential antigen for inclusion in a vaccine against M. catarrhalis.

	MATERIALS AND METHODS

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Recombinant DNA techniques. Restriction endonucleases were purchased from Boehringer Mannheim (Laval, Quebec, Canada), New England Biolabs (Mississauga, Ontario, Canada), Bethesda Research Laboratories, or Pharmacia and were used according to the manufacturers' specifications. Oligonucleotides were synthesized on an ABI model 380B DNA synthesizer and purified by chromatography (Oligonucleotide Purification Cartridge; Perkin-Elmer, Foster City, Calif.). To facilitate the cloning of some of the tbp fragments, additional restriction enzyme sites for ClaI, MstII, SfiI, and AvrII were introduced between the SalI and HindIII sites of pBluescript.SK, generating plasmid pSKMA. Other recombinant DNA methods were performed as specified by Sambrook et al. (30).

Bacterial strains and media. M. catarrhalis 3 and 4223 were clinical isolates provided by T. Murphy (State University of New York, Buffalo); strains Q8 and R1 were gifts from M. Bergeron (University of Laval, Montreal, Quebec, Canada); strain LES-1 was obtained from L. Stenfors (University of Tromso, Tromso, Finland); strain VH-9 was obtained from V. Howie (University of Texas, Galveston); strains H-04 and M35 were obtained from G. D. Campbell (Louisiana State University, Shreveport); and strain ATCC 25240 was purchased from the American Type Culture Collection (Rockville, Md.). M. catarrhalis strains were maintained on Mueller-Hinton agar (Becton Dickinson, Cockeysville, Md.) or grown in brain heart infusion medium (BHI; Difco, Detroit, Mich.), with or without the addition of ethylenediamine-di(O-hydroxyphenylacetic acid) (EDDA; Sigma, St. Louis, Mo.) as described previously (15). E. coli strains were grown in YT (Difco) or NZCYM (Becton Dickinson) medium supplemented with 100 µg of ampicillin per ml as required.

Purification of native TbpA and TbpB and generation of antisera. Native TbpA and TbpB were individually purified from M. catarrhalis 4223 by affinity chromatography using human transferrin immobilized on Sepharose as described previously (41). Guinea pigs (Hartley outbred; Charles River, Quebec, Quebec, Canada) were immunized intramuscularly on day 1 with 5 µg of purified protein emulsified in complete Freund's adjuvant (Difco) and were boosted on days 14 and 29 with the same dose of protein emulsified in incomplete Freund's adjuvant (Difco). Blood was collected on day 42.

Cloning the M. catarrhalis tbp genes. Chromosomal DNA and EMBL3 libraries were prepared as described previously (22). Briefly, chromosomal DNA from M. catarrhalis 4223, Q8, and M35 was partially digested with Sau3AI and size fractionated. Fragments of 15 to 23 kb were ligated with BamHI-digested EMBL3 arms (Promega, Madison, Wis.) and packaged according to the manufacturer's instructions. The 4223 library, grown in the presence of 200 µM EDDA, was screened with anti-TbpA and anti-TbpB antibodies, and three putative clones that reacted with both antisera were identified. The production of the appropriate protein bands was confirmed by reactivity of the antisera with electroblotted protein obtained from trichloroacetic acid-precipitated culture lysates.

View larger version (13K): [in this window] [in a new window]   FIG. 1.   M. catarrhalis tbp locus and subclones of the 4223 (A) and Q8 (B) genomic clones. Restriction enzymes: Av, AvaII; Ar, AvrI; B, BglI; C; ClaI; H, HindIII; N, NheI; S, SalI.

PCR amplification of M. catarrhalis tbpB genes from additional strains. The tbpB gene was PCR amplified from three additional M. catarrhalis strains (3, LES-1, and R1), using oligonucleotide primers based on the sequences 5'-GATGGGATAAGCACGCCCTACTT-3' (sense) and 5'-CCCATCAGCCAAACAAACATTGTGT-3' (antisense), which are found in the intergenic regions surrounding 4223 tbpB.

Sequencing of the M. catarrhalis tbp genes. Plasmid DNA for sequencing was prepared by using a Qiagen (Chatsworth, Calif.) Plasmid Midi kit. To ensure a complete sequence, phage DNA was used to sequence across the joins of subclones. DNA samples were sequenced with an ABI model 373A DNA sequencer, using dye terminator chemistry. Oligonucleotide primers 17 to 25 bases in length were used to sequence both strands of the genes.

Construction of clones expressing rTbpA or rTbpB. Plasmids pLEM3 and pLEM25 contain the strain 4223 tbpA gene (Fig. 1A). pLEM 3 was digested with BglI and HindIII to generate a 1.8-kb fragment comprising most of tbpA but without the extreme 5' sequence. Oligonucleotides were synthesized to re-create the first 61 bases of the tbpA gene to the BglI site, and an NdeI site was added at the 5' end for cloning purposes. The NdeI-BglI oligonucleotides were ligated with the BglI-HindIII fragment and cloned into plasmid pT7-7 (35) that had been digested with NdeI and HindIII, generating plasmid pLEM27. pLEM25 was digested with HindIII to excise the 1.6-kb 3' fragment of tbpA, which was inserted into pLEM27 that had been digested with HindIII and dephosphorylated. DNA from the resulting plasmid, pLEM29, was used to transform E. coli BL21(DE3) cells. Since the 4223 and Q8 tbpA genes were so similar, only the 4223 rTbpA protein was expressed.

Expression and purification of recombinant proteins. Plasmid DNA was purified by using a Qiagen Plasmid Midi kit and was used to transform E. coli BL21(DE3) cells (Novagen, Madison, Wis.) by electroporation. Overnight cultures were grown in YT broth containing ampicillin, and a 1:50 inoculum was grown to an optical density at 578 nm (OD₅₇₈) of 0.3 before induction with 400 µM isopropyl--D-thiogalactopyranoside for 3 h. rTbpA, rTbpB, and rORF3 were produced as inclusion bodies in E. coli and were purified by the same process. To purify rTbpA, cells from 500-ml culture were resuspended in 50 ml of 50 mM Tris-HCl (pH 8.0) containing 0.1 M NaCl and 5 mM 4-(2-aminoethyl)-benzenesulfonylfluoride protease inhibitor (Calbiochem, La Jolla, Calif.) and disrupted by sonication (three 10-min pulses, 70% duty circle). The suspension was centrifuged at 20,000 × g for 30 min, and the pellet was extracted with 50 ml of 50 mM Tris-HCl (pH 8.0) containing 0.5% Triton X-100 and 10 mM EDTA. The sample was centrifuged as described above, and the resultant pellet was further extracted with 50 ml of 50 mM Tris-HCl (pH 8.0) containing 2 M urea and 5 mM dithiothreitol (DTT). Centrifuged as above, the resultant pellet contained inclusion bodies of rTbpA. The protein was solubilized in 50 mM Tris-HCl (pH 8.0) containing 6 M guanidine hydrochloride and 5 mM DTT. The sample was centrifuged for clarification, and the supernatant was purified on a Superdex 200 gel filtration column equilibrated in 50 mM Tris-HCl (pH 8.0) containing 2 M guanidine hydrochloride and 5 mM DTT. The fractions were analyzed by SDS-PAGE; those containing rTbpA were pooled, and Triton X-100 was added to a final concentration of 0.1%. The sample was dialyzed overnight at 4°C against 50 mM Tris-HCl (pH 8.0) and clarified by centrifugation for 30 min, and the supernatant was stored at 20°C.

Transferrin binding assay. The transferrin binding activity of rTbpA, rTbpB, and rORF3 was assessed by the method of Schryvers and Lee (31), with modifications. Briefly, purified recombinant protein was subjected to discontinuous electrophoresis through SDS-12.5% polyacrylamide gels. The proteins were electrophoretically transferred to a polyvinylidene difluoride (PVDF) membrane (Millipore, Bedford, Mass.) and incubated with horseradish peroxidase (HRP)-conjugated human transferrin (1:50 dilution; Jackson ImmunoResearch Labs Inc., Mississauga, Ontario, Canada) at 4°C overnight. LumiGLO substrate (Kirkegaard & Perry Laboratories, Inc., Gaithersburg, Md.) was used for chemiluminescent detection of HRP activity according to the manufacturer's instructions.

Immunization of animals and immunoassays. Groups of five BALB/c mice (Charles River) were injected three times subcutaneously on days 1, 29, and 43 with purified rTbpB (0.3 to 10 µg) in the presence or absence of AIPO₄ (1.5 mg per dose). Blood samples were taken on days 14, 28, 42, and 56 for analyzing the anti-rTbpB antibody titers by enzyme-linked immunosorbent assay (ELISA).

1

Whole-cell ELISAs. M. catarrhalis 4223 was grown in the presence of EDDA as described above. Cell pellets were collected by centrifugation, washed with phosphate-buffered saline (PBS), and resuspended in 50 mM carbonate-bicarbonate buffer (pH 9.6). The OD₄₉₀ of the suspension was adjusted to 0.5, and 200 µl of a 1:100 dilution of whole bacteria was used to coat microtiter wells. The plates were air dried at 37°C overnight and then blocked with PBS-0.1% bovine serum albumin at 37°C for 1 h (250 µl per well). After three washes with PBS-0.1% Tween 20, 200 µl of antiserum at an appropriate dilution (in PBS-0.1% gelatin) was added to the wells and further incubated at 37°C for 2 h. Affinity-purified F(ab')₂ fragment of donkey anti-guinea pig immunoglobulin G (heavy plus light chain) antibodies conjugated to HRP (Jackson ImmunoResearch Laboratories) was used as the reporter. The reactions were developed by using tetramethylbenzidine-H₂O₂ (ADI), and absorbancies were measured at 450 nm (using 540 nm as a reference wavelength) in a Flow Multiskan MCC microplate reader (ICN Biomedicals).

Antigenic conservation of Tbps in M. catarrhalis. M. catarrhalis strains were grown in BHI medium with or without 25 µM EDDA. Sample concentrations were standardized, and whole-cell lysates were separated by SDS-PAGE and electrophoretically transferred to PVDF membranes. Guinea pig anti-4223 rTbpA or anti-4223 rTbpB antibody was used as primary antibody, and HRP-conjugated goat anti-guinea pig immunoglobulin G antibody was used as secondary antibody. Approximately 90 M. catarrhalis strains, obtained from North America or Finland, were tested for their antigenic reactivities.

Bactericidal antibody activity. The bactericidal antibody assay was performed as previously described (39). Briefly, the M. catarrhalis strains were grown to an OD₅₇₈ of 0.5 in BHI medium containing 25 µM EDDA. The bacteria were diluted so that approximately 150 to 450 CFU was added to each reaction. Guinea pig anti-rTbpA or anti-rTbpB antiserum and prebleed serum controls were heated to 56°C for 30 min to inactivate endogenous complement and were diluted 1:64 with Veronal buffer containing 0.1% bovine serum albumin (VBS) (39). Guinea pig complement (Biowhittaker, Walkersville, Md.) was diluted 1:10 in VBS. Aliquots of 25 µl each of diluted antiserum, bacteria, and complement were added to duplicate wells of a 96-well microtiter plate (Nunc). The plates were incubated at 37°C for 60 min, with gentle shaking at 70 rpm on a rotary platform; 50 µl of each reaction mixture was plated onto Mueller-Hinton agar plates (Becton Dickinson), which were incubated at 37°C for 24 h and then at room temperature for 24 h before the bacteria were counted. Antisera were determined to be bactericidal if 50% of bacteria were killed compared with preimmune serum controls. Each assay was repeated at least twice in duplicate. Anti-4223 rTbpB antisera from two guinea pigs gave identical results at 1:64 dilution; however, only one of two anti-Q8 rTbpB antisera exhibited bactericidal activity at 1:64 dilution. Statistical analysis was performed by the Mann-Whitney rank sum test.

Nucleotide sequence accession numbers. The nucleotide sequences of the genes in the tbp loci from M. catarrhalis 4223 and Q8 have been deposited at GenBank and assigned accession no. AF039312 and AF039315, respectively. The accession numbers for the nucleotide sequences of the tbpB genes from M. catarrhalis 3, LES-1, M35, and R1 are AF039311, AF039313, AF039314, and AF039316, respectively.

	RESULTS

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Cloning of the M. catarrhalis tbp genes. The genomic tbp genes were cloned from a phage expression library of M. catarrhalis 4223, using monospecific anti-TbpA and anti-TbpB antisera. The genomic tbp genes were cloned from additional phage libraries of M. catarrhalis Q8 and M35, using DNA probes. The phage clones contained approximately 13-kb inserts which had very similar restriction enzyme maps. The entire insert could not be cloned into plasmids, and so multiple subclones of the 4223 and Q8 tbp genes encompassing the whole sequence were generated (Fig. 1). The M35 tbpB gene was subcloned and the tbpB genes from three additional M. catarrhalis strains (3, LES-1, and R1) were amplified by PCR using primers derived from the flanking regions of 4223 tbpB.

Analysis of the nucleotide sequence of the tbp genes. The 4223- and Q8-derived tbp genes were sequenced in their entirety and were found to include three complete genes and two partial genes, found at each end of the 13-kb inserts. The arrangement of the M. catarrhalis tbp genes was unique compared with that of other known bacterial tbp operons, in that the tbpA gene preceded the tbpB gene, with an intergenic distance of approximately 2.8 kb. A third open reading frame, designated orf3, was found to be located between tbpA and tbpB. The tbpA, tbpB, and orf3 genes are approximately 3.2, 2.1, and 1.5 kb, respectively, in length. The distance between tbpA and orf3 is about 1 kb, and that between orf3 and tbpB is approximately 273 bp. Putative promoter elements could be identified upstream of all three genes (Fig. 2A). We did not find a complete Fur (ferric uptake regulator)-binding sequence overlapping the 10 region of the promoter, such as identified in other bacterial tbpB promoters (Fig. 2B).

View larger version (12K): [in this window] [in a new window]   FIG. 2.   Nucleotide sequences of the promoter regions of M. catarrhalis 4223 tbpA, orf3, and tbpB genes. (A) Putative promoter elements for tbpA, orf3, and tbpB. RBS, ribosome-binding site. (B) Comparison of Fur-binding sites from E. coli (13), N. meningitidis tbpB (20), H. influenzae tbpB (11), and M. catarrhalis 4223 tbpB. Dots indicate residues identical to the E. coli consensus sequence, and underlining indicates dyad symmetry.

Analysis of the deduced amino acid sequences of the Tbps. The deduced strain 4223 and strain Q8 TbpA proteins are 1,074 and 1,070 residues, respectively, in length and are 98% identical (Fig. 3). The encoded 4223 and Q8 TbpA proteins have molecular masses of 119.4 and 118.9 kDa, respectively. The M. catarrhalis TbpA protein sequences are somewhat larger than sequences of other known TbpA proteins, but there is still about 40% identity and 52 to 53% similarity with the H. influenzae, N. gonorrhoeae, and N. meningitidis TbpA proteins, as illustrated in Fig. 3 (6, 20, 22). The main difference between the M. catarrhalis TbpA and other TbpA proteins appears to be an approximately 112-residue insert in the M. catarrhalis proteins between residues 572 and 684. There is another, smaller insert of 19 residues located between residues 800 and 819. 

View larger version (85K): [in this window] [in a new window]   FIG. 3.   Alignment of the deduced TbpA protein sequences for M. catarrhalis 4223 and Q8, N. meningitidis B16B6 and M982 (20), N. gonorrhoeae FA19 (6), and H. influenzae type b Eagan (22). Dots indicate identical residues, and dashes have been inserted to maximize sequence alignment.

View larger version (65K): [in this window] [in a new window]   FIG. 4.   Alignment of the deduced TbpB sequences from M. catarrhalis 4223, Q8, 3, LES-1, M35, and R1. Dots indicate identical residues, and dashes have been inserted for maximum alignment of the sequences. Residues conserved among TbpB proteins from A. pleuropneumoniae, H. influenzae, M. catarrhalis, N. gonorrhoeae, N. meningitidis, and P. haemolytica are underlined.

Expression, purification, and characterization of recombinant proteins. The 4223 rTbpA, 4223 rTbpB, Q8 rTbpB, and 4223 rORF3 proteins were produced as inclusion bodies in E. coli, using the inducible T7 promoter system. The rTbpA and rORF3 proteins were produced at ~10% of total protein, while the rTbpB protein (with lipoprotein leader) was produced at about 20% of total protein. The proteins have been purified by similar methods which involve enrichment for the inclusion bodies after sonic disruption of the cells, solubilization of the inclusion bodies, and then by Superdex 200 chromatography (Fig. 5A). The recombinant proteins were further characterized for their ability to bind to human transferrin after transfer to a PVDF membrane as described for the N. meningitidis and H. influenzae rTbpB proteins (22, 37). Both the 4223 and Q8 rTbpB proteins bound human transferrin (Fig. 5B), but under the same conditions, rTbpA and rORF3 did not bind (data not shown).

View larger version (41K): [in this window] [in a new window]   FIG. 5.   Purification of the recombinant TbpA and TbpB proteins (A) and transferrin binding of rTbpB proteins (B). Lane 1, E. coli cells expressing 4223 rTbpA; lane 2, purified rTbpA; lane 3, E. coli cells expressing 4223 rTbpB; lane 4, purified 4223 rTbpB; E. coli cells expressing Q8 rTbpB; lane 5, purified Q8 rTbpB. Proteins were transferred to a PVDF membrane and incubated with human transferrin conjugated to HRP.

Antigenic conservation and bactericidal antibody activities. Hyperimmune sera directed against the purified rTbpA or rTbpB proteins were raised in guinea pigs. As shown in Table 1, the recombinant TbpA and TbpB proteins generated high-titer antibodies. On immunoblot analysis, the anti-rTbpA antiserum recognized specific proteins in all of the 32 M. catarrhalis strains tested, and both the anti-4223 rTbpB and anti-Q8 rTbpB antisera recognized specific proteins in all of approximately 90 M. catarrhalis strains tested. Representative immunoblot data for samples grown under iron-replete or iron-deficient conditions and probed with anti-rTbpA or anti-rTbpB antiserum are presented in Fig. 6.

View larger version (34K): [in this window] [in a new window]   FIG. 6.   Antigenic conservation of TbpA and TbpB in M. catarrhalis strains. Bacteria were grown in BHI medium with (+) or without () EDDA, and whole-cell lysates were probed with anti-4223 rTbpA or anti-4223 rTbpB antibody. (A) Immunoblot with anti-4223 rTbpA; (B) immunoblot with anti-4223 rTbpB. Lanes represent the following strains: 1, 4223; 2, VH-9; 3, M35; 4, H-04; 5, ATCC 25240; 6, R1; 7, Q8; 8, LES-1; and 9, 3.

	DISCUSSION

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The bacterial tbp loci from A. pleuropneumoniae, H. influenzae, N. gonorrhoeae, N. meningitidis, and P. haemolytica have been cloned and sequenced, and the gene arrangement has always been found to be tbpB followed by tbpA (2, 10, 11, 20, 22, 27). The distance between the two genes has ranged from as little as 13 bp for H. influenzae to 87 bp for N. meningitidis (20, 22). A single promoter sequence has been identified upstream of the tbpB gene, suggesting that the genes form an operon. In addition, the polar effects of transcriptional terminators in the N. gonorrhoeae and N. meningitidis tbpB genes provide direct evidence for an operonic arrangement (2, 19). In M. catarrhalis, there is a unique gene arrangement of tbpA-orf3-tbpB, and there are three potential promoter sequences suggesting possible independent transcription of the genes. This unexpected gene arrangement has been confirmed in three independent clinical isolates of M. catarrhalis, strains 4223, Q8, and M35, indicating that it was not an artifact of cloning. Recently, Ogunnariwo et al. (26) found that the degenerate primers designed to PCR amplify the junctional region between tbpB and tbpA worked in all species tested except M. catarrhalis, M. bovis, and M. lacunata. The lack of a typical tbpB-tbpA gene arrangement in M. catarrhalis demonstrated in this study provides a logical explanation for these findings and also suggests that this situation may apply for the other Moraxella species.

In many bacterial species, the product of the fur gene represses the transcription of iron-regulated genes. A consensus sequence for Fur binding has been determined for several E. coli promoters (13), and Fur-binding sequences overlapping the 10 regions of the N. meningitidis and H. influenzae tbpB promoters have been identified (11, 20). However, only a short homologous sequence can be identified in the 10 region of the M. catarrhalis tbpB promoter, and there is very limited dyad symmetry (Fig. 2). These data suggest that expression of the M. catarrhalis Tbps may be regulated by a novel mechanism.

Consistent with other bacterial Tbps, the M. catarrhalis TbpA proteins from strains 4223 and Q8 are highly conserved, while the corresponding TbpB proteins are more variable. While the M. catarrhalis TbpA proteins are very similar to each other, they are longer than TbpA proteins from other species, the main differences being two inserts of about 112 and 19 residues in the central region of each of the proteins (Fig. 3). Compared to a proposed TbpA/LbpA topology model (12), the inserts are found in the seventh and ninth extracellular loops, respectively. The 112-residue insert contains an extra two cysteine residues and two potential transmembrane sequences located at 587 to 596 and 608 to 617, which could result in extra periplasmic and extracellular loops. When the sequences of the TbpB proteins from six M. catarrhalis strains were compared, they appeared to separate into two groups, one more closely related to strain 4223, which included strains R1 and M35, with the other family comprised of strains Q8 and 3. The TbpB protein from strain LES-1 was equally similar to both families. The six strains from which the tbpB genes were cloned were chosen for their geographic diversity and anatomic source (Table 2). Strains 4223 and 3 are from Buffalo, N.Y.; strains M35, Q8, and R1 are from Montreal, Quebec, Canada; and strain LES-1 is from Finland. Strains 4223, LES-1, and M35 were all derived from patients with otitis media, while strains 3, R1, and Q8 were from sputum or bronchial secretions. There appears to be no correlation between the geographic or anatomic source of the organism and the TbpB sequence. Compared to the TbpB proteins from other organisms, there is limited homology found scattered throughout the sequence in short motifs (27). The conservation of these sequences among the TbpB proteins from several species suggests that they serve a functional or structural role. It is interesting that only the M. catarrhalis 3 TbpB protein contains the VCCSNLEHLKFG motif (conserved residues underlined) found in all other TbpB proteins.

The recombinant TbpA and TbpB proteins were expressed in good yield from E. coli, with the rTbpB proteins expressed at approximately 20% of total protein. Although the M. catarrhalis TbpB protein was designed to be expressed as the mature lipoprotein, it was found that the recombinant protein was expressed as inclusion bodies and was not associated with the membrane. There are two possible explanations for this: first, the M. catarrhalis signal sequence does not function in E. coli; and second, the high expression level of the recombinant protein dictates that the host produces it in inclusion bodies. In this respect, the observation that A. pleuropneumoniae rTbpB was found in both an outer membrane and an inclusion body fraction during high-level expression (10) may indicate that the latter explanation is a greater contributing factor.

Since no other bacterial transferrin receptors had been shown to include a third protein, we wished to determine whether the ORF3 protein was part of the transferrin binding complex for M. catarrhalis. Although the M. catarrhalis rTbpB proteins retained the ability to bind human transferrin after electroblotting, as has been demonstrated for the N. meningitidis and H. influenzae rTbpB proteins (22, 37), neither rTbpA nor rORF3 did. To determine whether the orf3 gene was iron repressible, we had planned to generate specific anti-rORF3 antisera and perform immunoblot analyses of strains grown with and without EDDA. However, although we were able to express rORF3 protein in good yield from E. coli, we were unable to generate antibodies in guinea pigs after five immunizations, and the protein was not studied further (data not shown).

The rTbpA and rTbpB proteins were both found to be highly immunogenic, and polyclonal antibodies were used to assess antigenic conservation and bactericidal antibody activity. By immunoblot analysis, specific ~115-kDa TbpA and ~80-kDa TbpB proteins were identified in all strains examined. Both TbpA and TbpB were found to be produced constitutively when grown in BHI medium under iron-sufficient conditions (Fig. 6). However, in some strains it appeared that the expression of TbpA (samples 1, 7, and 9) and/or TbpB (samples 1 to 3 and 6 to 8) could be increased under iron-limiting conditions, i.e., the addition of the iron chelator EDDA. This effect could be reversed upon addition of exogenous iron (data not shown). The immunoblot results are consistent with the earlier finding of Schryvers and Lee (31), who used dot bots to show that M. catarrhalis expressed low levels of transferrin and lactoferrin binding proteins under iron-sufficient conditions. Holland et al. (16) have demonstrated that fresh clinical isolates of H. influenzae type b expressed Tbps constitutively, although passaged laboratory strains expressed iron-regulated Tbps. Hardie et al. (14) have also demonstrated constitutive expression of Tbp in most invasive H. influenzae type b and approximately 40% of commensal Haemophilus species that bound transferrin.

An approximately 80-kDa M. catarrhalis outer membrane protein, designated OMP B1, has been identified in patient sera from adults with bronchiectasis or children with otitis media (4, 32). This protein was shown to bind transferrin and, judging from its molecular weight, would therefore appear to be TbpB. More extensive studies on the human immune response to the transferrin receptor proteins indicate that there is a strong reactivity against TbpB but little or no reactivity against TbpA (30a).

There is currently no animal model of otitis media caused by M. catarrhalis, and so bactericidal antibody activity was used as a surrogate assay to assess candidate vaccine antigens, on the assumption that bactericidal antibody activity may correlate with clearance or protection. M. catarrhalis strains have a tendency to aggregate or clump, and using the naturally nonclumping strain Q8 or a spontaneous nonclumping mutant of strain 4223, termed RH408, we had previously developed a bactericidal antibody assay for M. catarrhalis (39). By expanding the assay to include aggregating strains, we have been able to use it to screen candidate vaccine antigens. The anti-rTbpA antibody did not kill its homologous strain and was not pursued further. TbpA is a transmembrane protein, and it was possible that we had not re-formed the native conformation after purification from inclusion bodies and the antibody was unable to recognize the native TbpA protein in intact bacteria. However, we have demonstrated that both anti-rTbpA and anti-rTbpB antibodies recognize intact bacteria in a whole-cell ELISA with antibody titers of 400 to 1,600, suggesting that this is not the reason for the lack of bactericidal antibody activity observed with anti-rTbpA (data not shown). The anti-4223 rTbpB antibody was bactericidal against the homologous strain and, with an arbitrary cutoff of 50% killing, was also bactericidal for five of eight heterologous strains. From our sequence data, strains 4223, M35, and R1 appeared to be closely related, and the bactericidal antibody data showed that anti-4223 rTbpB killed strains 4223, M35, and R1. It also killed strains VH-9, H-04 and ATCC 25240, suggesting that these latter strains might have TbpB proteins with sequences similar to that of 4223 TbpB. The anti-Q8 rTbpB antibody was considerably poorer at killing heterologous strains, killing only strains H-04 and LES-1. When the bactericidal antibody activities were quantitated by increasing antibody dilutions, it was found that anti-Q8 rTbpB antibody was much less bactericidal against strain Q8 than anti-4223 rTbpB antibody was against strain 4223. Anti-4223 rTbpB antibody was still capable of killing 50% of 4223 cells at an antibody dilution of about 1:12,000, whereas anti-Q8 rTbpB antibody killed 50% of Q8 cells at a maximum dilution of about 1:100. It is not clear why the anti-Q8 rTbpB antibody has such relatively low bactericidal antibody activity, but it is interesting that anti-Q8 rTbpB antibody killed LES-1 and the more potent anti-4223 rTbpB antibody did not. The identification of two putative families of M. catarrhalis TbpB proteins based on genetic and antigenic properties is reminiscent of the N. meningitidis TbpB proteins, for which two families have been identified (28). Strain H-04 is unique in that it was killed by both anti-rTbpB antisera. It would be interesting to determine the tbpB gene sequence from this strain and to investigate whether anti-H-04 rTbpB antiserum can kill M. catarrhalis strains from both putative families.

In summary, we have cloned and sequenced the transferrin receptor locus from M. catarrhalis and demonstrated that it has a unique organization that includes a third gene. Our data indicate that there are at least two possible families of M. catarrhalis TbpB proteins that can be identified on the basis of their sequences. Using a bactericidal antibody assay to screen, our data demonstrate that antibody raised to a rTbpB protein from one family was able to kill other members of the family but was unable to kill members of the second family. If protection against M. catarrhalis can be afforded by the generation of bactericidal antibodies in the host, then the TbpB proteins represent good candidate vaccine antigens.