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Infection and Immunity, May 1999, p. 2138-2144, Vol. 67, No. 5
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Immunization with Recombinant Transferrin
Binding Protein B Enhances Clearance of Nontypeable
Haemophilus influenzae from the Rat Lung
Dianne C.
Webb,1,2,* and
Allan W.
Cripps1
Gadi Research Centre, Faculty of Applied
Science, University of Canberra,1 and
Membrane Biochemistry Group, Division of Biochemistry and
Molecular Biology, John Curtin School of Medical Research,
Australian National University,2 Canberra
City, ACT 2601, Australia
Received 28 December 1998/Accepted 26 January 1999
 |
ABSTRACT |
Nontypeable Haemophilus influenzae (NTHI) is an
opportunistic pathogen, and heterogeneity in the surface-exposed
immunodominant domains of NTHI proteins is thought to be associated
with the failure of an infection to stimulate an immune response that
is cross-protective against heterologous NTHI strains. The aim of this
study was to assess the vaccine potential of a surface-exposed component of the NTHI human transferrin receptor, TbpB, and to determine if the antibody response elicited was cross-reactive with
heterologous strains of NTHI. The efficacy of immunization with a
recombinant form of TbpB (rTbpB) was determined by assessing the
pulmonary clearance of viable bacteria 4 h after a live challenge with NTHI. There was a significant reduction in the number of viable
bacteria in both the bronchoalveolar lavage fluid (34% for the 20-µg
dose and 58% for the 40-µg dose) and lung homogenates (26% for the
20-µg dose and 60% for the 40-µg dose) of rats immunized with
rTbpB compared to the control animals. While rTbpB-specific antibodies
from immunized rats were nonspecific in the recognition of TbpB from
six heterologous NTHI strains on Western blots, these antibodies
differed in their ability to block transferrin binding to heterologous
strains and to cross-react in bactericidal assays. If bactericidal
antibodies are key indicators of the efficacy of the immune response in
eliminating NTHI, this data suggests that while immunization with rTbpB
stimulates protective responses against the homologous isolate,
variability in the recognition of TbpB from heterologous isolates may
limit the potential of rTbpB as an NTHI vaccine component.
 |
INTRODUCTION |
The unencapsulated or nontypeable
form of Haemophilus influenzae (NTHI) is commonly found as a
minor component of the oropharyngeal microbiota (13).
However, NTHI is also associated with recurrent, opportunistic
infections of mucosal sites, in particular otitis media in children
(12) and exacerbations of chronic bronchitis in adults
(20). Heterogeneity in the surface-exposed immunodominant domains of proteins, especially the outer membrane proteins P2 and P5,
has been proposed as a mechanism of evasion of the host immune response
(4, 8, 28). This heterogeneity is the major difficulty faced
in the development of cross-protective immunity against NTHI, and
considerable efforts have been invested in an attempt to identify
conserved epitopes that could be used as candidates for vaccine
development. These efforts have recently focused on the proteins that
comprise the transferrin binding receptor.
The importance of iron withholding or "nutritional immunity" as an
antibacterial defense mechanism is apparent from the prevalence of
bacterial infections when this mechanism fails. The consequence of
hemochromatosis and hyperferremia is often bacterial sepsis (22,
31). All pathogenic bacteria have a basic physiological requirement for iron; however, host mechanisms maintain free iron to
levels below that required to sustain bacterial growth (21). Nevertheless, iron-starved inhibition of the growth of the majority of
NTHI strains can be overcome by the addition of human transferrin (9, 10), and the observation that this required direct
interaction of transferrin with the bacterial surface suggested the
presence of a bacterial transferrin receptor rather than
siderophore-mediated scavenging of iron from transferrin (19,
32).
The transferrin receptor is composed of two subunits. The interaction
of the receptor with transferrin is probably initiated by transferrin
binding protein B (TbpB), a peripheral lipoprotein that forms a complex
with TbpA, a TonB-dependent integral outer membrane protein that is
thought to form a gated pore to facilitate the transport of
transferrin-derived iron across the outer membrane (7).
Affinity chromatography has identified two transferrin receptor
subunits in H. influenzae type b (Hib) (26), and
recently the genes encoding TbpA and TbpB were cloned and characterized from both Hib and NTHI (7, 17). Although the potential of the NTHI Tbp proteins as vaccine components has not been characterized, passive transfer of hyperimmune anti-TbpB but not anti-TbpA serum protected against bacteremia in a rat pup model of Hib infection (17). In addition, antibodies specific for TbpB but not
those specific for TbpA were found to be bactericidal against
Neisseria meningitidis, and immunization of mice with TbpB
was as protective as immunization with whole killed bacteria against a
challenge with a lethal dose of the homologous meningococcal strain
(16).
While sequence analysis of tbpB genes from six NTHI strains
demonstrated regions of homology throughout the genes, the overall homology was as low as 66% in some isolates (17). Despite
the relatively low level of conservation in some strains, studies have
demonstrated that Tbp proteins from H. influenzae,
Actinobacillus pleuropneumoniae, and N. meningitidis are antigenically related (11, 27),
leading to the suggestion that TbpB may be used as a cross-protective
antigen against these bacteria (11). Although the topology
of these shared epitopes is unknown, it is conceivable that amino acid
variation in the surface-exposed domains of TbpB that interact with
human transferrin would be functionally conserved, providing potential
targets for the induction of cross-protective immune responses.
Transferrin selectively accumulates in the lungs and is found primarily
in the alveoli (3, 29), where it appears to act as an
important antioxidant in the protection of cellular membranes against
iron-dependent lipid peroxidation (23). Notably, NTHI stimulates the production of transferrin, which is increased in the
sputum sol phase of patients with chronic bronchitis who are infected
with this bacterium (29). Thus, the ability of NTHI to gain
access to the human iron pool by sequestering iron from transferrin may
provide an important mechanism that enhances bacterial survival within
the respiratory tract. The physiological importance of Tbp proteins is
also reflected by the large number of isolates of NTHI that have the
capacity to bind and derive iron from human transferrin (18,
25). Therefore, stimulation of TbpB-specific antibodies may not
only target protective immune responses but may also provide a
mechanism that results in the attenuation of NTHI growth in the
respiratory tract by limiting the access of this bacterium to a
physiologically important source of iron.
The aim of the investigation described here was to determine the
efficacy of mucosal-directed immunization with recombinant TbpB (rTbpB)
in enhancing the clearance of NTHI from the lungs of rats with acute
infection and to assess the cross-reactivity of the induced
TbpB-specific antibodies.
 |
MATERIALS AND METHODS |
Chemicals.
Reagents were purchased from Sigma (St. Louis,
Mo.) unless otherwise indicated.
NTHI strains.
The NTHI strains used in the cross-reactivity
assays were derived either from middle ear fluid from patients with
otitis media or from sputum from infected patients with chronic
respiratory disease (Table 1). These
strains were generously supplied by L. Tetlow, Medical Microbiologist,
Capital Pathology, Australian Capital Territory, Australia. The strains
were screened for the absence of agglutination with anti-b capsule
antiserum (Murex Diagnostics, Dartford, England) and for the
requirement for growth factors X (hemin) and V (NAD) with Microring XV
impregnated discs (Microdiagnostics, Brisbane, Australia). The strains
were biotyped with the api NH identification system
(bioMérieux, Marcy-l'Etoile, France).
Cloning and purification of recombinant NTHI TbpB.
The NTHI
strain UC19 (289-I) was originally derived from the sputum of a patient
with chronic bronchitis and has been routinely used in this laboratory
as the challenge strain when assessing the efficacy of immunization
with NTHI antigens (14, 15). Chromosomal DNA was prepared
from UC19 that had been cultured overnight at 37°C in 3 ml of brain
heart infusion broth (Oxoid, Basingstoke, United Kingdom) supplemented
with 10 µg (each) of hemin and NAD per ml. The bacteria were pelleted
in a microcentrifuge; washed with phosphate-buffered saline (PBS);
resuspended in 400 µl of buffer containing 50 mM glucose, 10 mM EDTA,
and 25 mM Tris (pH 8.0); and then lysed in 0.1 M NaOH-0.5% sodium
dodecyl sulfate (SDS). The lysate was digested at 37°C with a final
concentration of 1.25 mg of heat-treated RNase per ml for 15 min and
then with 2.5 mg of protease K per ml for 30 min. The digest was phenol extracted and ethanol precipitated, and the dried pellet was
resuspended in 500 µl of H2O.
The gene encoding the mature form of UC19 TbpB was then amplified with
the forward primer, 96-8 (5'-TTTATTAAGTGCTGGATCCGGGGGAGGTGGC-3'), and the reverse primer, 96-9 (5'-GTCATTTTTAGGATCCCATTACTT-3'), which contain BamHI restriction sites (underlined).
The first triplet in the restriction site in 96-8 (bold) encodes a
glycine residue that replaces the lipid-modified cysteine that normally occurs at the N terminus of the mature protein, and the first triplet
in the restriction site in 96-9 (bold) occurs immediately after the
tbpB stop codon. The PCR mixture contained 50 ng of chromosomal DNA, 0.1 mM deoxynucleoside triphosphates (Boehringer, Mannheim, Germany), and 20 pmol of each primer in reaction buffer [10
mM KCl, 6 mM (NH4)2SO4, 20 mM
Tris-HCl (pH 8.0), 4 mM MgCl2, 0.1% Triton X-100, 10 mg of
bovine serum albumin per ml] in a total volume of 50 µl. Native
Pfu DNA polymerase (Stratagene, La Jolla, Calif.), which was
used for high fidelity, was added after 5 min at 94°C. This was
followed by 30 cycles of 94°C for 45 s, 50°C for 1 min, and
72°C for 3 min in a Perkin-Elmer thermal cycler (Roche, Branchburg,
N.J.). Agarose gel analysis of the PCR product demonstrated a ~1.8 kb
fragment, which was purified with Bresaclean resin (Bresatec Ltd.
Adelaide, Australia), digested with BamHI, and cloned into
the BamHI restriction sites in plasmid pGEX2T (Pharmacia
Biotech, Uppsala, Sweden) to produce plasmid pCU17. The orientation of
the insert was determined by digestion with PstI. This
plasmid is engineered to express recombinant TbpB as a glutathione
S-transferase (GST) fusion protein with a thrombin cleavage
recognition site between the two proteins.
To purify rTbpB, cultures of BL21 [F
ompT hsd
SB (r
B
m
B
)
gal dcm] (Novagen, Madison,
Wis.) containing pCU17 were grown in
Luria-Bertani broth supplemented
with 3.6 g of glucose per liter
and 100 µg of ampicillin per ml.
To reduce the degradation of
the GST-rTbpB fusion, the cultures were
grown at 25°C to 130 Klett
units (~8 × 10
8
cells/ml) before undergoing induction for 3 h with 10 µM
isopropyl-

-
D-thiogalactopyranoside
(IPTG). The bacteria
were harvested, washed, resuspended in 10
ml of PBS per g containing
complete protease inhibitors (Boehringer
Mannheim, Germany), and
disrupted in an RF-1 Ribi cell fractionator
(Sorvall, Dupont, Newtown,
Conn.). Octyl-

-
D-glucopyranoside (10
mg/ml; Boehringer)
was added to the smashed cells to enhance the
solubilization of the
fusion protein; the mixture was then stirred
on ice for 20 min and
centrifuged at 12,000 ×
g to remove cellular
debris.
The cleared lysate was incubated at 4°C for 60 min with
1 ml of
glutathione-Sepharose (Pharmacia Biotech) for each 50
ml of lysate. The
Sepharose was then extensively washed with PBS
to remove unbound
proteins, and rTbpB was released from the Sepharose-bound
rTbpB-GST by
incubating the slurry at 4°C overnight with 50 U
of human thrombin in
a total of 5 ml of PBS. Following digestion,
thrombin activity in the
eluant was inhibited with 1 mM AEBSF
[4-(2-aminoethyl)benzenesulfonyl
fluoride; Calbiochem, San Diego,
Calif.]. Recombinant TbpB was further
purified on a UNO S1 cation-exchange
column (Bio-Rad, Hercules, Calif.)
with 10 mM MES [2-(
N-morpholino)ethanesulfonic
acid]
buffer (pH 6.5) with a 0 to 0.5 M NaCl gradient. Fractions
were
screened for human transferrin binding activity by a dot
enzyme assay
essentially as described previously (
25). Positive
fractions, which were analyzed by sodium dodecyl sulfate-polyacrylamide
gel electrophoresis (SDS-PAGE), contained a single protein band
of
~75 kDa that was eluted from the cation-exchange column at
approximately 0.3 M NaCl. Appropriate fractions were pooled, buffer
exchanged on a PD10 column, (Pharmacia Biotech), and lyophilized.
The
protein concentration was estimated by the micro-BCA protein
assay with
a bovine serum albumin standard (Pierce, Rockford,
Ill.). No endotoxin
contamination could be detected in the purified
rTbpB by using the
E-TOXATE
Limulus amebocyte assay
(Sigma).
SDS-PAGE.
Samples for analysis were boiled for 3 min in
sample buffer (62.5 mM Tris-HCl [pH 6.8], 10% [vol/vol] glycerol,
5% [vol/vol]
-mercaptoethanol, 0.001% bromophenol blue) and
electrophoretically separated by denaturing Tris-glycine SDS-PAGE with
prepoured 4 to 20% polyacrylamide gradient gels (Novex, San Diego,
Calif.), with TBE buffer (89 mM Tris base [pH 8.3], 89 mM boric acid,
2 mM EDTA) and a constant voltage of 125 V. Proteins were detected with
colloidal Coomassie G-250 (ICN, Costa Mesa, Calif.), and Mark 12 (Novex) was used as the molecular weight marker.
Immunization with rTbpB.
Lyophilized rTbpB was resuspended
in PBS and emulsified in an equal volume of incomplete Freund's
adjuvant (IFA) to give a final protein concentration of either 400 or
800 µg/ml. Rats were immunized with rTbpB essentially as described
previously (15, 30). Briefly, Peyer's patches in male,
8-week-old Wistar rats were each injected with 2 to 5 µl of antigen,
with each rat receiving a total of either 20 or 40 µg of rTbpB. A
control group of animals was either sham immunized with PBS-IFA or left
unimmunized. The animals were boosted intratracheally 14 days later
with the same antigen dose as in the primary immunization in 50 µl of PBS.
Bacterial challenge.
The procedure for bacterial challenge
was as described previously (15, 30). Briefly, 7 days after
the booster dose, the rats were lightly sedated with halothane and
5 × 108 CFU of UC19 in 50 µl was instilled into the
lungs via an intratracheal cannula. After 4 h, the animals were
killed and bronchoaveolar lavage (BAL) fluid, serum, and homogenized
lung samples were obtained. The numbers of viable bacteria in BAL fluid
and lung homogenates were estimated by plating serial dilutions onto
chocolate blood agar.
rTbpB-specific ELISAs.
Enzyme-linked immunosorbent assays
(ELISAs) were performed essentially as described by Kyd et al.
(15). Briefly, Polysorb microtiter wells (Nunc, Roskilde,
Denmark) were coated overnight at 4°C with 0.4 µg of purified rTbpB
in 100 µl of coating buffer (15 mM Na2CO3, 35 mM NaHCO3 [pH 9.6]). After the wells had been washed and
blocked, 100 µl of diluted BAL fluid (1/2 to 1/16) or serum (1/200 to
1/500 for nonimmune samples; 1/500 to 1/4,000 for immune samples) in
blocking buffer was added to each well, and the plates were incubated
at room temperature for 90 min. The presence of rTbpB-specific
antibodies was detected by incubation with Fc-specific horseradish
peroxidase (HRP)-conjugated goat anti-rat immunoglobulin A (IgA)
(diluted 1/1,000) or IgG (diluted 1/2,000) (Nordic Immunological
Laboratories, Tilburg, The Netherlands) for 60 min. The plates were
developed with tetramethylbenzidine in phosphate-citrate buffer (pH
5.0) containing 0.05% H2O2. The reaction was
stopped with 0.5 M H2SO4, and absorbances were
read at 450 nm on a 3550 microplate reader (Bio-Rad). The concentration of rTbpB-specific antibodies was calculated from an IgG or IgA standard curve.
Cross-reactivity of rTbpB-specific antiserum.
To assess the
cross-reactivity of the UC19 rTbpB antibody on Western immunoblots, a
panel of NTHI clinical isolates were iron starved as described
previously (25), and a sample (10 µl) was boiled in sample
buffer, electrophoretically separated on SDS-PAGE, and transferred to a
polyvinylidene difluoride membrane by using a Multiphor Novablot
semidry transfer system (Pharmacia) at a constant current of 0.8 mA/cm2 for 60 min. The membrane was blocked in 2% skim
milk powder in TBST (Tris-buffered saline, 0.05% Tween 20) for 60 min,
incubated with either nonimmune control serum or rTbpB-specific
antiserum (diluted 1/200) for 60 min, and washed in TBST. Blots were
then incubated with HRP-conjugated goat anti-rat IgG (Fc specific; diluted 1/1,000) and, after being washed, were developed with HRP-stabilized substrate (Promega Corp., Madison, Wis.).
To determine the ability of UC19 rTbpB-specific antibody to block the
binding of human transferrin to heterologous NTHI strains,
microtiter
plates were coated with iron-starved bacteria as well
as purified rTbpB
as described previously (
1). Essentially,
bacteria and rTbpB
(20 µg/ml) in PBS were allowed to dry onto
the plates overnight at
37°C. The bacterial concentration used
was optimized at the highest
dilution to give saturation binding
(data not shown). The plates were
washed and blocked as for the
ELISAs. After being washed, the wells
were incubated with a 1/10
dilution of heat-inactivated nonimmune or
UC19 rTbpB-immune sera
in blocking buffer for 60 min, washed as above,
and incubated
with 1 µg of HRP-conjugated human transferrin (Pierce)
per ml
for 90 min at room temperature. After being washed, the wells
were developed with tetramethylbenzidine substrate and the absorbances
were read as above. Controls were treated in the same manner and
consisted of bacteria or serum
only.
To determine the bactericidal cross-reactivity of UC19 rTbpB-specific
antibody, iron-starved isolates of NTHI were diluted
in Hanks balanced
salt solution (1.4 mM CaCl
2, 0.8 mM MgSO
4, 5
mM
KCl, 0.4 mM KH
2PO
4, 140 mM NaCl, 0.3 mM
Na
2PO
4, 4 mM NaHCO
3,
0.1%
[wt/vol] glucose) to 5 × 10
6 CFU/ml. A source of
complement was prepared from fresh rat serum
that had been absorbed
twice for 60 min with 10
11 CFU of NTHI per ml of serum and
then filtered. The NTHI strain
used for absorbtion was the same strain
used as the target strain
in the bactericidal assay. Reaction mixtures,
which were assembled
in Nunclon microtiter plates (Nunc), were composed
of 20 µl of
serially diluted heat-inactivated UC19 rTbpB-specific
serum, 20
µl of complement, 20 µl containing 10
5 CFU of
NTHI, and 40 µl of Hanks balanced salt solution. The reaction
mixtures were incubated at 37°C for 2 h and then serially
diluted
onto chocolate agar plates. The bactericidal titer was
calculated
as the dilution that reduced the viability of NTHI by more
than
50% compared to the same dilution of nonimmune serum. Serum from
animals immunized as above with formalin-killed UC19 (generously
supplied by J. Kyd) was used a positive
control.
Statistical analysis.
Data were expressed as the mean ± standard error of the mean. Analysis for statistical significance
between immune and nonimmune groups was performed by an unpaired
Student t test, and P < 0.05 was considered
statistically significant. All calculations were performed with the
Macintosh Instat program.
 |
RESULTS |
Cloning and purification of rTbpB.
Several unsuccessful
attempts were made to purify TbpB from NTHI UC19 by standard
transferrin affinity chromatography methods that had been used by other
investigators to purify TbpB from Hib and Neisseria spp.
(5, 26, 27). Attempts to purify rTbpB with an intact leader
sequence and a C-terminal polyhistidine tail were also unsuccessful due
to the toxicity of the recombinant protein. The plasmid encoding this
protein was constructed from a PCR product that had been generated with
primers based on the TbpB sequence from a Hib strain (7).
Since the N terminus of the mature form of TbpB was found to be
heterologous (reference 17, this study and data not
shown), DNA sequence information was obtained from this plasmid to
design PCR primers that enabled the mature form of UC19 TbpB to be
cloned into the vector pGEX2T to produce plasmid pCU17 (Fig.
1). This plasmid encodes rTbpB with an
N-terminal GST extension and a thrombin cleavage recognition site
between rTbpB and GST. Although expression of the GST-rTbpB fusion was
not toxic, most of the recombinant fusion protein was degraded when
recombinant cultures were grown at 37°C and induced with 0.1 mM IPTG
(data not shown). This degradation could be considerably reduced by
using the OmpT-deficient strain BL21 as the host, growing the cultures
at 25°C, inducing with a lower concentration of IPTG (10 µM), and
using protease inhibitors during the initial stages of purification.
The GST-rTbpB fusion protein from the soluble fraction of disrupted
cells was immobilized on glutathione-Sepharose, and rTbpB was cleaved
from the fusion with human thrombin. Recombinant TbpB was further
purified by cation-exchange chromatography and was shown to be folded
into a native conformation as assessed by transferrin binding activity.
SDS-PAGE of samples from various stages of the purification and a dot
enzyme assay of the corresponding transferrin binding activity are
shown in Fig. 2. The yield of purified
protein varied from 50 to 60 µg/liter of culture.

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FIG. 1.
Plasmid construct of pCU17, which expresses a rTbpB as a
GST (sj26) fusion protein. Details of the rTbpB N terminus
are depicted below the construct and show that after thrombin cleavage
of the fusion, the N-terminal lipid-modified cysteine (*) in the native
protein (ii) is replaced by glycine in rTbpB (i).
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FIG. 2.
SDS-PAGE of samples from the purification of rTbpB and
the corresponding transferrin dot enzyme assay. The GST-rTbpB fusion
protein is present in the cell lysate of the IPTG-induced culture of
BL21/pCU17 (arrow) in lane 2 compared to the uninduced lysate in lane
1. The fusion protein binds to glutathione-Sepharose (lane 3), although
some free GST (~26 kDa), probably resulting from endogenous
Escherichia coli protease activity, is also bound. rTbpB
(starred arrow) is released from the Sepharose after thrombin cleavage
(lane 4) and further purified by cation-exchange high-pressure liquid
chromatography (lane 5). The lower panel demonstrates that samples in
lanes 2 to 5 have transferrin binding activity, although the activity
in the induced E. coli cell lysate (lane 2) was weak.
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|
Clearance of NTHI after immunization with rTbpB.
A
mucosa-directed regimen was used to immunize rats with rTbpB. The
animals were challenged with a bolus inoculum of UC19, and the rates of
clearance of NTHI at 4 h from both BAL fluid and lung homogenates
of rTbpB-immune animals were compared with those for the nonimmune
animals (Fig. 3). Immunization with 20 µg of rTbpB per rat resulted in a significantly enhanced clearance of
UC19 from both the BAL fluid (34%, P < 0.05) and lung
homogenates (26%, P < 0.05), while immunization with
the higher dose (40 µg of rTbpB per rat) increased the clearance in
both BAL fluid (58%, P < 0.005) and lung homogenates
(60%, P < 0.005).

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FIG. 3.
Clearance of NTHI UC19 from BAL fluid (A) and
homogenized lung (B) following challenge of rats immunized with either
20 or 40 µg of rTbpB compared to nonimmune animals. The percent
clearance in the rTbpB-immunized groups (five rats per group) was
calculated as 100 minus the percent ratio of the mean CFU recovered
from the immunized group divided by the mean of the nonimmune group.
The mean of the CFU recovered from nonimmune animals (10 rats) was
given the value of 0% clearance. The error bar represents the standard
error of the mean expressed as a percentage. The clearance of immune
compared to nonimmune groups was dose dependent, and immunization with
both doses of rTbpB resulted in significantly enhanced clearance at
4 h ( , P < 0.05; , P < 0.005).
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|
rTbpB-specific antibodies in BAL fluid and serum.
Antibody
responses in both BAL fluid (IgA and IgG) and serum (IgG) were measured
by ELISA (Table 2). Significant increases in rTbpB-specific IgG levels in serum for animals immunized with both
the 20-µg dose (P < 0.005) and the 40-µg dose
(P < 0.005) were observed. There were also significant
increases in TbpB-specific IgG levels in BAL fluid (20-µg dose,
P < 0.05; 40-µg dose, P < 0.005);
however, while there was a trend toward increased levels of
rTbpB-specific IgA in BAL fluid, only levels induced in response to the
higher rTbpB dose were significantly different from those for nonimmune
animals (P < 0.05).
Cross-reactivity of rTbpB antibody.
The cross-reactivity of
UC19 rTbpB-specific antibodies for TbpB expressed by other NTHI
clinical isolates was assessed. A panel of NTHI clinical isolates
(Table 1) was iron starved, and the cross-reactivity of the rTbpB
antiserum for the TbpB expressed by these strains (including the parent
strain, UC19) was determined by Western immunoblot analysis (Fig.
4). While some nonspecific bands were
detected with both rTbpB-immune and nonimmune serum, only the immune
serum detected a band in all strains that corresponded to a band with a
similar molecular weight to that for the purified rTbpB (Fig. 2). There
was relatively no difference in the specificity of the immune serum for
these strains.

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FIG. 4.
Western immunoblot analysis of the specificity of
rTbpB-specific immune serum (A) and nonimmune serum (B) for
heterologous strains of NTHI. Whole-cell lysates of the parent strain,
UC19 (lane 1), and the heterologous strains, UC27 (lane 2), UC28 (lane
3), UC77 (lane 4), UC84 (lane 5), and UC103 (lane 6), were probed with
either immune or nonimmune sera. The position of TbpB is indicated by
an arrow and the molecular mass markers are indicated on the right in
kilodaltons.
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Since Western immunoblotting is unable to discriminate between
surface-exposed or membrane-buried domains of proteins, an
assay was
developed to determine the cross-reactivity of rTbpB-specific
antibodies for surface-exposed domains of the transferrin receptor
and
the ability of these antibodies to block transferrin binding
to NTHI
clinical isolates as well as to purified rTbpB. While
UC19
rTbpB-specific immune sera blocked 89 and 80% of transferrin
binding
to purified rTbpB and the parent strain UC19, respectively,
the
inhibition of transferrin binding to other strains was less
efficient,
ranging from 2% for UC77 to 50% for UC103 (Fig.
5).
There was no correlation in the
percentage of inhibition with
either the site of isolation of the NTHI
strain, the size of the
corresponding TbpB as seen on the immunoblot,
or the transferrin
binding efficiency of individual strains.

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FIG. 5.
Inhibition of the binding of human transferrin to NTHI
isolates by rTbpB-specific immune serum. The NTHI parent strain, UC19,
and heterologous NTHI isolates were iron starved and coated onto
microtiter plates together with purified UC19 rTbpB. The ability of
rTbpB-specific immune serum to block the binding of HRP-conjugated
human transferrin to NTHI was assayed and compared to transferrin
binding in the presence of nonimmune serum. The samples were assayed
twice independently. The percent inhibition was calculated as 100 minus
the percent ratio of the absorbance of the HRP end product (indicating
the amount of HRP-transferrin bound) after incubation of NTHI with
immune serum divided by the absorbance after incubation with nonimmune
serum. The average percent inhibition of immune serum relative to the
binding in the presence of nonimmune serum for each individual strain
was as follows: purified rTbpB, 89%; UC19, 80%; UC27, 15%; UC28,
44%; UC77, 2%; UC84, 9%; and UC103, 50%.
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|
In addition to the Western blot and the binding assays, bactericidal
assays were performed to assess the cross-reactivity
of UC19
rTbpB-specific antibodies. Serum from animals immunized
with
formalin-killed UC19 and a pool of UC19 rTbpB-specific immune
serum
both demonstrated bactericidal activity against UC19 (Table
3). However, the bactericidal titer of
the rTbpB-specific immune
serum ranged from only 4 to 8, in contrast to
a titer of 32 to
64 for serum from UC19-immunized rats. Recombinant
TbpB immune
serum was cross-reactive with UC28 (titer of 2 to 4);
however,
no bactericidal activity could be detected against the
isolates,
UC27, UC77, UC84, or UC103.
View this table:
[in this window]
[in a new window]
|
TABLE 3.
Bactericidal activity of whole-killed UC19-specific and
UC19 rTbpB-specific immune serum against heterologous isolates of NTHI
|
|
 |
DISCUSSION |
There is currently considerable interest in TbpB as a vaccine
candidate against a number of pathogenic bacteria including A. pleuropneumoniae, N. meningitidis, and Hib (2, 17,
24). Some reports have proposed that H. influenzae
TbpB is "a likely candidate for a universal vaccine"
(17) and that "shared epitopes...clearly strengthen the
case for using Tbps as protective antigens" (11). However,
these studies have relied strongly on data from Western immunoblots to
determine the cross-reactivity of H. influenzae Tbp-specific
antibodies, and no studies have reported the protection afforded by
immunization with TbpB against a challenge with NTHI. In this study,
two key issues were addressed: first, whether immunization with a
recombinant form of TbpB enhanced the clearance of an NTHI challenge to
the rat lung, and second, the degree of cross-reactivity of
TbpB-specific antibodies to surface-exposed conformational epitopes.
A method was developed for purification of rTbpB from NTHI, and rats
immunized with this protein demonstrated significantly enhanced
clearance of NTHI, in a dose-dependent manner, compared to the
nonimmune animals. This data supports previous observations that a
TbpB-specific immune response is highly efficacious at reducing
bacterial survival in vivo (16, 17). However, while significantly enhanced clearance was seen following rTbpB immunization, it was somewhat lower than that seen after immunization with the NTHI
P6 outer membrane protein or the OMP26 protein (14, 15). However, the P6 and OMP26 studies, which were performed with different strains of rat from that used in the present study, may not be directly comparable.
Immunization with rTbpB elicited specific antibodies in a
dose-dependent manner in both serum and BAL fluid, but these levels were also lower than those seen after immunization with either P6 or
OMP26 (14, 15). Notably, previous studies have shown that
removal of the N-terminal palmitoyl moiety from P6 decreased its
immunogenicity, although its protective efficacy in the rat pup model
of bacteremia was only slightly reduced (33). While the
absence of an N-terminal lipid moiety in the rTbpB used in the present
study may also result in a molecule that is less immunostimulatory than
lipidated native TbpB, it is unknown what effect lipidation would have
on protective efficacy.
A significant difficulty associated with the development of an
effective vaccine against NTHI is that the potential vaccine candidate
must elicit protective immune responses not only against the homologous
strain but also against heterologous strains. Antigenic cross-reactivity has been demonstrated by Western blot analysis of
transferrin binding proteins of H. influenzae, A. pleuropneumoniae, and N. meningitidis (11).
In addition, since TbpB variants commonly interact with human
transferrin, it would seem that certain TbpB surface-exposed domains
would have to remain conserved for this interaction to be maintained.
To determine if the antibody elicited by immunization with UC19 rTbpB
recognized epitopes on TbpB from heterologous NTHI strains, Western
immunoblot analysis was performed. A protein of variable
electrophoretic mobility, although corresponding to a similar size to
rTbpB from UC19, was detected with approximately the same specificity
in the whole-cell lysates of the six NTHI isolates tested.
Nevertheless, despite the presence of shared TbpB epitopes, the
important issue is whether these conserved epitopes are surface exposed
when TbpB is assembled as a constituent of the transferrin receptor in
the bacterial outer membrane and thus are accessible by bactericidal or
opsonophagocytic antibodies. To begin to address this issue, the
ability of rTbpB-specific antibodies to inhibit transferrin binding to
heterologous strains was assessed. Binding to the purified rTbpB was
inhibited and most of the binding to the parent strain, UC19, was also
inhibited by UC19 rTbpB-specific antibody. These results suggested that
rTbpB-specific antibodies recognized surface-exposed domains of TbpB
when assembled in the outer membrane as a constituent of the
transferrin receptor. While individual strains varied in the efficiency
with which they bound transferrin, in contrast to the cross-reactivity
of rTbpB-specific antibody detected by Western immunoblots, the
inhibition binding assay gave variable cross-reactivity with
heterologous strains. Since rTbpB-specific antibodies inhibit the
interaction of transferrin with the parent strain, UC19, some of the
epitopes recognized by these antibodies must be at or close to the
transferrin binding domain. Alternatively, they may interact with TbpB
to alter the conformation of the protein so that it no longer interacts
with transferrin. However, regardless of the mechanism whereby
rTbpB-specific antibodies inhibit the binding of transferrin, the
corresponding epitopes in heterologous strains were variably recognized
by these antibodies. These inhibition studies suggested that
rTbpB-specific "blocking" antibodies may vary in their capacity to
interact with heterologous isolates.
Bactericidal antibodies have been proposed in many studies as important
effectors in the elimination of bacteria. Recombinant TbpB-specific
antibodies were found to be bactericidal against the homologous strain,
UC19, as well as the heterologous strain, UC28. However, this
bactericidal titer was much lower than that observed with the serum
from animals immunized with formalin-killed UC19. No cross-reactive
rTbpB-specific bactericidal activity could be demonstrated against the
heterologous strains, UC27, UC77, UC84, and UC103. Notably, the
bactericidal cross-reactivity of UC19 rTbpB serum with UC28 is of
interest, considering that good cross-reactivity was also observed in
the transferrin binding inhibition assay. A recent study of the
bactericidal antibodies elicited in response to immunization with
meningococcal Tbps demonstrated that the choice of adjuvant played a
significant role in both the bactericidal titer and cross-reactivity
(6). It is therefore difficult to draw conclusions about the
cross-reactivity of NTHI rTbpB-specific bactericidal antibodies that
would be elicited in response to vaccination regimens with adjuvants
other than IFA, which was used in the present study. However, based
solely on the data reported here, the cross-reactivity of both blocking and bactericidal antibodies elicited in response to mucosa-directed immunization with UC19 rTbpB emulsified in IFA seems to be limited.
In conclusion, immunization with rTbpB significantly enhanced the
clearance of NTHI from the rat lung during acute pulmonary infection
compared to the control group of animals. However, despite cross-reactivity on Western immunoblots, rTbpB antibodies were variable
in their ability to block the binding of transferrin to heterologous
isolates as well as in their cross-reactive bactericidal activity. It
is possible that the human immune responses to TbpB epitopes are
different from those in the rat and that different adjuvants or
immunization regimens will elicit a different profile of cross-reactive
antibodies. However, if bactericidal antibodies to surface-exposed
epitopes are key mediators in the elimination of NTHI, the data
presented here suggest that the value of TbpB as a vaccine component
may be limited due to variable cognate recognition of both blocking and
bactericidal antibodies to surface-exposed TbpB epitopes in
heterologous strains of NTHI.
 |
ACKNOWLEDGMENTS |
We are extremely grateful to Paul Foster for critical reading of
the manuscript, to Graeme Cox for generous provision of experimental resources, and to Russell Taylor for large-scale bacterial culture.
D.W. was supported by a University of Canberra Postgraduate Research
Award and a Collaborative Research Scholarship provided by The John
Curtin School of Medical Research, ANU.
 |
FOOTNOTES |
*
Corresponding author. Present address: Leukocyte
Signalling and Regulation Laboratory, John Curtin School of Medical
Research, Australian National University, P.O. Box 334, Canberra City,
ACT 2601, Australia. Phone: (61) 6 2492267. Fax: (61) 6 2490415. E-mail: Dianne.Webb{at}anu.edu.au.
Editor:
D. L. Burns
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Infection and Immunity, May 1999, p. 2138-2144, Vol. 67, No. 5
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Copyright © 1999, American Society for Microbiology. All rights reserved.
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