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Infection and Immunity, September 1999, p. 4955-4959, Vol. 67, No. 9
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Bactericidal and Cross-Protective Activities of a Monoclonal
Antibody Directed against Neisseria meningitidis NspA
Outer Membrane Protein
Nathalie
Cadieux,
Martin
Plante,
Clément R.
Rioux,
Josée
Hamel,
Bernard R.
Brodeur, and
Denis
Martin*
Unité de Recherche en Vaccinologie,
Centre Hospitalier Universitaire de Québec et
Université Laval, Ste-Foy, Québec, Canada G1V 4G2
Received 5 May 1999/Returned for modification 26 May 1999/Accepted 15 June 1999
 |
ABSTRACT |
The cross-bactericidal and cross-protective activities of a
monoclonal antibody (MAb) named Me-7, which is directed against an
antigenically highly conserved epitope on the meningococcal NspA
protein, were studied. This MAb efficiently killed in vitro, in the
presence of rabbit or human serum, 13 of 14 meningococcal strains
tested, including 9 of 9, 2 of 3, and 2 of 2 strains of serotypes B, A,
and C, respectively. MAb Me-7 also significantly reduced by more than
75% the levels of bacteremia recorded for mice challenged with 10 of
11 meningococcal strains tested. Analysis of the predicted amino acid
sequence of the NspA protein from the meningococcal strain MCH88
(A:4:P1.10), which was not killed by MAb Me-7, indicated the presence
of an additional glutamine residue at position 73, compared to the
three other NspA sequences. The data presented in this study suggest
that antibodies directed against this highly conserved outer membrane
protein could protect against meningococcal infections.
 |
TEXT |
Neisseria meningitidis,
the etiologic agent of meningococcal meningitis and meningococcemia, is
still an important cause of mortality and morbidity throughout the
world (12, 19). However, there is presently no vaccine
available against serogroup B meningococci, which are responsible for
between 30 and 70% of the meningococcal infections in industrialized
countries (4-6). Since this capsular polysaccharide is
poorly immunogenic in humans, the emphasis for the development of a
serogroup B vaccine has therefore been directed toward the
identification of protective surface antigens (5, 6, 20).
Ideally, such an antigen would be a conserved protein, exposed at the
surface of the meningococcus, that would elicit the production of
bactericidal antibodies. Such bactericidal antibodies have been
strongly correlated with human immunity and protection (7-9).
We have recently reported the identification of a surface-exposed
meningococcal outer membrane (OM) protein which was designated NspA for
neisserial surface protein A (15). Immunization of mice with
recombinant NspA protein purified from transformed Escherichia coli protected against lethal meningococcal infections. In the present study, the cross-reactive bactericidal and protective activities of a monoclonal antibody (MAb) directed against the NspA
protein were studied by using a panel of 14 serologically distinct
meningococcal strains, including isolates of serogroups A, B, and C,
which cause most of the diseases. In addition, to evaluate the
molecular conservation of the NspA protein and to possibly localize the
epitope recognized by this cross-reactive MAb, two additional
nspA genes were cloned and sequenced from two serogroup A
strains of N. meningitidis. These new sequences were
compared to the original one and found to be nearly identical. Our
results confirm that the NspA protein is highly conserved and suggest
that antibodies directed against this particular protein could protect
against infection by all strains of meningococci.
Generation of NspA-specific MAb Me-7.
To generate additional
MAbs directed against the NspA protein, a BALB/c mouse (Charles River
Laboratories, Montréal, Québec, Canada) was immunized with
a meningococcal OM fraction enriched in NspA protein. Meningococcal OM
from strain 608B (B:2a:P1.2:L3) was first obtained by lithium chloride
extraction as described previously (11). The membrane
extract was then solubilized for 30 min at room temperature by using a
solution of 10% (wt/vol) Triton X-100 (Sigma Chemical Co., St. Louis,
Mo.) in 50 mM Tris buffer (pH 8.0). After ultracentrifugation at
100,000 × g for 1 h, the supernatant was dialyzed
overnight at 4°C with a solution of 0.1% (wt/vol) Triton X-100 in 50 mM Tris-HCl buffer (pH 8.0). The dialyzed supernatant was filtered and
then applied to a cation-exchanger Macro-Prep High S column (Bio-Rad
Laboratories, Mississauga, Ontario, Canada) and eluted with an
increasing NaCl salt gradient. This procedure generated a meningococcal
membrane fraction enriched in NspA protein. The mouse was injected
subcutaneously three times at 3-week intervals with 50 µg of the
NspA-enriched meningococcal OM proteins mixed with 20 µg of QuilA
adjuvant (Cedarlane Laboratories, Hornby, Ontario, Canada). Three days
before the fusion procedure, this mouse received a final intravenous
injection of 5 µg of NspA-enriched meningococcal OM proteins. After
the fusion procedure (11), one hybridoma was selected and
subcloned twice by limiting dilution and the class, subclass, and
light-chain specificity of the MAb were determined to be immunoglobulin
G2a(
). This MAb, designated Me-7, was shown to react with different
meningococcal OM protein preparations by immunoblot (data not shown).
This MAb reacted with two protein bands of approximately 22 and 18 kDa
which were previously shown to correspond to the NspA protein
(15).
To determine whether the NspA protein was not only present in the
meningococcal OM but also exposed at the surface of the bacteria,
immunogold electron microscopy was used (17). The photograph
presented in Fig. 1B clearly demonstrated
that MAb Me-7 recognized the NspA protein on intact meningococci and
that this protein was evenly distributed at the surface of the cells. Control MAb P2-4 (16), which is directed against
Haemophilus influenzae porin, did not react with the
meningococci (Fig. 2A).

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FIG. 1.
Evaluation of the attachment of the NspA-specific MAb
Me-7 to intact meningococci. Electron microphotograph of whole cells of
meningococcal strain 608B probed with MAb P2-4 (A) or Me-7 (B),
followed by gold-labeled goat anti-mouse immunoglobulin G (bar = 10 nm).
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FIG. 2.
Comparison of the predicted amino acid sequence of the
NspA proteins from the serogroup B strain 608B (B:2a:P1.3:L3) and three
serogroup A strains MCH88 (A:4:P1.10), Z4063 (A:4:P1.7), and Z2491
(A:4,21:P1.7b,13a:L9). The NspA sequence from the strain Z2491 was
produced by the N. meningitidis Sequencing Group at the
Sanger Centre. Differences are indicated by one-letter codes and
identities by a period. A 19-amino-acid-residue leader peptide is
underlined.
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|
Distribution of the nspA gene and corresponding NspA
protein in N. meningitidis.
To determine whether the
nspA gene was present in the genome of meningococcal strains
in general, DNA dot hybridizations were performed by using the
previously cloned nspA gene from serogroup B strain 608B
(15) as a digoxigenin (DIG)-labeled DNA probe. The
nspA probe was labeled by random priming with the DIG DNA Labeling and Detection Kit (Roche Diagnostics, Laval, Québec, Canada) according to the manufacturer's instructions with these oligonucleotide primers: NC-01 (5'-ATG AAA AAA GCA CTT GCC ACA CTG-3') and NC-18 (5'-TCA GAA TTT GAC GCG CAC GCC G-3'). This probe
reacted with all 71 meningococcal isolates tested, even though
these strains belong to many different serogroups. Of these 71 strains,
19 were serogroup A, 23 were serogroup B, 13 were serogroup C, 6 were
serogroup W-135, 2 each were serogroup Y and Z, 1 each was serogroup
29E and X, and four were nontypeable strains. All of these strains were
obtained from the following sources: Caribbean Epidemiology Centre
(Port of Spain, Trinidad and Tobago), Children's Hospital of Eastern
Ontario (Ottawa, Ontario, Canada), Laboratory Centre for Disease
Control (Ottawa, Ontario, Canada), Laboratoire de Santé Publique
du Québec (Montréal, Québec, Canada),
Department of Saskatchewan Health (Regina, Saskatchewan, Canada), Max-Planck-Institut für molekulare Genetik
(Berlin, Germany), Victoria General Hospital (Halifax, Nova Scotia,
Canada), and our own strain collection. Similarly, dot immunoblots with the NspA-specific MAb Me-7 performed on the same 71 meningococcal strains showed reactivity with all of these strains. However, MAb Me-7
barely recognized the meningococcal strain MCH88, a serogroup A strain
(A:4:P1.10). This strain and a serogroup B strain, identified as CHEO22
(B:15:P1.
), were not recognized by the previously described NspA-specific MAb Me-1 (15). Immunoblotting experiments
indicated that MAb Me-7 reacted strongly with the NspA protein produced by the meningococcal strain CHEO22 but failed to react with strain MCH88.
Evaluation of the biological activity of MAb Me-7.
The
biological activity of MAb Me-7 was evaluated by three different
methods, an in vitro bactericidal assay and two in vivo murine models
of infection: the bacteremia and the mortality models. The
bactericidal activity of MAb Me-7 was tested in vitro as described previously (15) with the following modifications.
Fifty microliters of selected dilutions in Hanks balanced salt solution
(Gibco BRL, Gaithersburg, Md.) containing 0.15 mM CaCl2,
0.5 mM MgCl2, and 1% (wt/vol) casein hydrolysate plus
either purified MAbs, heat-inactivated ascitic fluids containing MAb
Me-7, or a negative control MAb P2-4 which is specific for H. influenzae porin (16) was added into appropriate wells
of a sterile flat-bottom 96-well plate (Gibco BRL). Then, 30 µl of an
overnight meningococcal culture adjusted to 8 × 103
CFU/ml was added to each well, and the plate was shaken at 200 rpm for
15 min at 37°C under an 8% CO2 atmosphere. As the source of complement for this assay, 20 µl of freshly thawed baby rabbit (Pel-Freez, Brown Deer, Wis.) or human serum was dispensed into appropriate wells. The human serum was collected from a healthy adult
volunteer with a low reactivity against meningococcal strains. Duplicate bacterium-antibody mixtures were also incubated with heat-inactivated serum. The plate was shaken at 200 rpm for 1 h at
37°C with 8% CO2. The content of each well was mixed
before 10 µl was plated onto chocolate agar. The chocolate agar
plates were incubated overnight at 37°C with 8% CO2, and
the numbers of CFU were quantified. The bactericidal titer of MAb Me-7
was determined to be the last dilution of antibodies which still
reduced the numbers of CFU by at least 50% compared to the numbers of CFU in control wells containing an unrelated MAb and the appropriate amount of complement. The Mann-Whitney U test for nonparametric analysis was used to compare the numbers of CFU recorded in control mice to the values obtained for mice injected with MAb Me-7.
The mouse bacteremia model was described previously with the following
modifications (2). Groups of four or five female CFW mice (8 to 10 weeks old; Charles River) were injected intraperitoneally 18 h before bacterial challenge with 400 µl of ascitic fluid or 50 µg
of purified MAb Me-7 or MAb P2-4. To increase their virulence, each
N. meningitidis strain was passaged twice in mice before the
bacterial challenge. After the second passage, the meningococci were
incubated on the chocolate agar plates for 15 to 18 h at 37°C
with 5% CO2, and the bacteria were suspended and adjusted to 1,000 to 5,000 CFU/ml in heart infusion broth (Difco Laboratories, Detroit, Mich.) supplemented with 2 mg of iron dextran (Sigma) per
ml. The appropriate bacterial quantities were determined
from preliminary challenge experiments for each meningococcal
strain. Mice were injected intraperitoneally with 1 ml of the adjusted meningococcal suspension. After 5 h, a blood sample was harvested by cardiac puncture from each mouse, and 10 µl of undiluted and diluted blood was plated onto chocolate agar plates. The plates were
incubated overnight at 37°C with 5% CO2 and the numbers
of CFU were counted. The percentage of bacteremia was calculated relative to the control mice that received MAb P2-4 as follows: [(mean
CFU for control mice
mean CFU for Me-7-injected mice)/mean CFU
for control mice] × 100.
By using the in vitro bactericidal assay and the mouse bacteremia
model, the biological activity of MAb Me-7 was tested against 14 serologically different strains of N. meningitidis,
including nine serogroup B, three serogroup A, and two serogroup C
strains (Table 1). During preliminary
assays, it was shown that after 1 h of incubation at 37°C, the
loss in viability for most of the meningococcal strains was less than
20% when human serum was used as a complement source at a final
concentration of 25%. For that reason, the bactericidal activity of
MAb Me-7 was always evaluated by using control wells containing both an
unrelated MAb and the appropriate amount of complement. Of this panel
of meningococcal strains, strains MCH88 and CHEO22 were shown to be
highly sensitive to both sources of complement. For that reason, the
concentration of sera used in the in vitro bactericidal assay had to be
reduced to 10% in order to determine the bactericidal titer of Me-7
against these two meningococcal strains. A higher sensitivity to serum for certain meningococcal strains was reported previously
(1).
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TABLE 1.
Evaluation of the bactericidal titer and passive
protection conferred by MAb Me-7 against serologically distinct
meningococcal strains
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As shown in Table 1, the source of complement used did influence the
outcome of the in vitro bactericidal assay. Higher bactericidal titers
(between 300 and 10,000) were obtained when baby rabbit serum was used
compared to the results recorded with human serum (between 40 and
3,000). Such differences when rabbit serum was replaced with nonimmune
human serum were previously reported (10, 13, 23). In all
cases, heat inactivation for 30 min at 56°C of either source of
complement abolished the bactericidal activity of MAb Me-7. The
NspA-specific MAb Me-7 efficiently killed 13 of 14 meningococcal
strains, including nine serogroup B, two serogroup A, and two serogroup
C strains (Table 1). This result clearly demonstrated that the
bactericidal activity of MAb Me-7 was not restricted to serogroup B
strains but was also directed at serologically and genetically distant
meningococcal strains. No bactericidal activity of MAb Me-7 was
recorded against the serogroup A strain MCH88 (A:4:P1.10). However,
with 10% rabbit or human serum as complement in the in vitro
bactericidal assay, this strain was efficiently killed by a mouse
hyperimmune serum obtained after immunization with meningococcal OM
preparation (data not shown).
Also presented in Table 1 are the passive protection data recorded for
MAb Me-7 by using the bacteremia model. A good correlation was obtained
between the in vitro bactericidal assay and the mouse bacteremia model.
Indeed, with the exception of strain MCH88, MAb Me-7 significantly
reduced by more than 75% the levels of bacteremia (P < 0.05) recorded for mice challenged with all of the meningococcal
strains tested compared to the levels obtained in the corresponding
control groups that received MAb P2-4. These results indicated that,
upon passive immunization of mice, the cross-reactive bactericidal MAb
Me-7 considerably reduced the levels of bacteremia induced by
serologically distinct meningococcal strains.
A mouse mortality model which was described previously (3,
15) was also used to evaluate the ability of MAb Me-7 to
passively protect mice against meningococcal lethal challenge. In this
model, the meningococci were suspended in heart infusion broth
containing 4% mucin (Sigma) and 1.6% hemoglobin (Oxoid, Ltd., Nepean,
Ontario, Canada), two substances that were previously shown to enhance the infectivity of different microorganisms (3). It was
observed that, compared to the previous model, the levels of bacteremia increased over time until death occurred. It was also observed that
only a limited number of meningococcal strains could repeatedly induce
a lethal infection in mice when that particular model was used. In this
assay, 400 µl of ascitic fluid containing the MAb or 400 to 600 µg
of purified MAb was injected intraperitoneally 18 h before the
mice were challenged with approximately 1,000 CFU of N. meningitidis 608B. MAb Me-7 increased the survival rate of the
mice from 25% observed for the control group to at least 70% (Table
2). Lower amounts of MAb Me-7 were not
tested. Also shown in Table 2 is the protection conferred by MAb Me-7
against the heterologous meningococcal strain 164B (B:15:P1.7,1.6). In this case, the administration of MAb Me-7 18 h prior to the
challenge protected 100% of the mice (12 of 12).
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TABLE 2.
Passive protection of BALB/c mice conferred by MAb Me-7
against infection with N. meningitidis 608B
or 164Ba
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Molecular conservation of the nspA gene and
corresponding NspA protein in N. meningitidis.
The
nspA gene from strain MCH88 (A:4:P1.10), which was isolated
in Montreal in 1984, was cloned and sequenced in order to better
understand the observed lack of protection of MAb Me-7 against that
particular serogroup A meningococcal strain. The DNA sequence of the
nspA of another serogroup A strain, designated Z4063
(A:4:P1.7), which was isolated during an epidemic in China in 1979 and
was generously provided by M. Atchman (Max-Planck-Institut für
molekulare Genetik), was also determined. Meningococcal genomic DNA was
isolated as previously described by Marmur (14). In each
case, a 2.75-kb ClaI fragment, which was shown by Southern blotting (21) to contain the nspA gene, was
cloned in the ClaI site of the low-copy-number plasmid
pWKS30 (22) and sequenced as previously described
(15). The sequences were analyzed and compared by
using the program GeneWorks (Intelligenetics, Inc., Mountain View, Calif.). The nspA sequence from strain
Z2491 was produced by the N. meningitidis Sequencing Group
at the Sanger Centre and can be obtained from their website
(16a).
The nucleotide and deduced amino acid sequences were found to be highly
conserved (Fig. 2). Indeed, at the nucleotide level these four
nspA genes show differences in only 17 of 525 bp, which makes them 97% identical (data not shown). Similarly, at the amino acid level these proteins differ at only 8 of 174 residues, making them
95% identical (Fig. 2). An insertion at position 73 of a glutamine
residue was identified for the predicted polypeptide from strain MCH88
which was not present in the other three predicted polypeptides. The
insertion of a glutamine at position 73 is not an isolated case, since
we also identified such an insertion in one of the two N. gonorrhoeae nspA genes that were recently described (18). NH2-terminal amino acid analysis of
the 22-kDa protein band present in the OM preparation of strain
608B indicated the presence of a 19-amino-acid-residue leader
peptide which is cleaved in the mature meningococcal protein
(15). This leader peptide is highly conserved among the four
NspA predicted polypeptides (Fig. 2).
From the sequence comparison presented in Fig. 2, it is possible to
speculate as to the probable location of the epitope(s) recognized
by the two NspA-specific MAbs Me-1 (15) and Me-7. Indeed,
these epitopes must be located in an area of the NspA protein where the
meningococcal strains 608B, Z2491, and Z4063 are similar but where
strain MCH88 differs from them. There are only three such areas
throughout the entire NspA protein sequence. The first one can
immediately be dismissed since it is at position 7 of the protein which
is located in the signal sequence region (15) and is not
present in the mature protein. The two other regions are located at
positions 73 to 74 and 115 to 116 of the NspA protein (Fig. 2). Indeed,
the epitopes recognized by MAb Me-1 and Me-7 might be located in either
portion of the protein. Alternatively, the differences in amino acid
residues in either of these areas might have an impact on the tertiary
structure of the protein and thus restrict the efficient binding of the MAbs. Interestingly, these regions were determined to be hydrophilic and could possibly constitute exposed loops at the surface of intact
meningococcal protein (15). Although this analysis is mainly
speculative, it does give indications as to which important areas of
the NspA protein should be investigated further.
In conclusion, we believe that the present report confirms the
importance of the NspA protein as a potential vaccine candidate. Indeed, this protein is present in all strains tested, and it is highly
conserved at the molecular level, is exposed at the surface of the
bacterium, and induces the production of cross-reactive bactericidal
and cross-protective antibodies.
Nucleotide sequence accession number.
The N. meningitidis nspA genes from strains 608B, MCH88, and Z4063 have
been submitted to the GenBank database under accession no. U52066,
U52067, and U52068.
 |
ACKNOWLEDGMENTS |
We thank Edith Gagnon and Michèle Lussier for their excellent
technical assistance and for their contributions to the in vitro
bactericidal assay and animal models of infection. We also gratefully
acknowledge Mario Jacques for performing the electron microscopy.
This research was financially supported by a grant from Biochem Pharma, Inc.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Unité de
Recherche en Vaccinologie, Centre Hospitalier Universitaire de
Québec, Pavillon CHUL, Édifice T-367, 2705 Blvd. Laurier,
Ste-Foy, Québec, Canada G1V 4G2. Phone: (418) 656-4141, ext.
6206. Fax: (418) 654-2280. E-mail:
Denis.Martin{at}crchul.ulaval.ca.
Editor:
E. I. Tuomanen
 |
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