Previous Article | Next Article ![]()
Infection and Immunity, March 2001, p. 1409-1419, Vol. 69, No. 3
Department of Medical Microbiology and
Immunology, The Texas A&M University System Health Science Center,
College Station, Texas 77843-1114
Received 19 September 2000/Returned for modification 26 October
2000/Accepted 4 December 2000
We have previously described the expression cloning of nine
Borrelia burgdorferi antigens, using rabbit serum enriched
for antibodies specific for infection-associated antigens, and
determined that seven of these antigens were associated with infectious
B. burgdorferi strain B31. One of these
infection-associated antigens encoded a 451-amino-acid putative
lipoprotein containing 21 consecutive and invariant 9-amino-acid repeat
sequences near the amino terminus that we have designated VraA for
virulent strain-associated repetitive antigen A. The vraA
locus (designated BBI16 by The Institute for Genomic Research) maps to
one of the 28-kb linear plasmids (designated lp28-4) that is not
present in noninfectious strain B31 isolates. Subsequent PCR analysis
of clonal isolates of B. burgdorferi B31 from infected
mouse skin revealed a clone that lacked only lp28-4. Southern blot and
Western blot analyses indicated that the lp28-4 and VraA proteins,
respectively, were missing from this clone. We have also determined
that VraA is a surface-exposed protein based on protease accessibility
assays of intact whole cells. Furthermore, vraA expression
is modestly derepressed when cells are grown at 37°C relative to
cells grown at 32°C, suggesting that VraA is, in part, a
temperature-inducible antigen. Homologues cross-reactive to B. burgdorferi B31 VraA, most with different molecular masses, were
identified in several B. burgdorferi sensu lato isolates,
including B. andersonii, suggesting that the immunogenic epitope(s) present in strain B31 VraA is conserved between
Borrelia spp. In protection studies, only 8.3% of mice (1 of 12) immunized with full-length recombinant VraA fused to glutathione
S-transferase (GST) were susceptible to infectious
challenge with 102 B. burgdorferi strain B31,
whereas naive mice or mice immunized with GST alone were infected 40%
or 63 to 67% (depending on tissues assayed) of the time, respectively.
As such, the partial protection elicited by VraA immunization provides
an additional testable vaccine candidate to help protect against Lyme borreliosis.
Infection by the Borrelia
burgdorferi sensu lato complex is spread via the bite of infected
ticks and manifests initially as a flu-like illness that, if untreated,
can develop into a chronic state consisting of arthritic and
neurological complications (25, 41-43). In the United
States, the prevailing isolate found in areas where the disease is
endemic is B. burgdorferi sensu stricto, although other
sensu lato isolates, such as B. andersonii (7, 26), have recently been identified in Missouri and in several Southern states, along with other Borrelia spp. identified
in Europe, Eurasia, and Japan (9, 30, 46). The worldwide
distribution of the Lyme disease spirochete and its associated
morbidity has provided the impetus to develop a vaccine to combat this
disease. A great amount of work has been devoted toward testing the
efficacy of various B. burgdorferi lipoproteins as
protective immunogens; these proteins include OspA, OspB, OspC, OspD,
OspE, and OspF and, more recently, DbpA and DbpB (2, 11, 12, 15,
18, 19, 29, 47). OspA was initially tested as a vaccine
candidate based on its surface exposure and abundance on in
vitro-cultivated B. burgdorferi sensu stricto (3,
12). In the laboratory, tick-infected animals do not generate a
significant antibody titer against OspA, suggesting that
ospA is not expressed in vivo, thereby implying that OspA
vaccination may not protect against natural B. burgdorferi
infection (11, 27, 34). Consistent with this finding,
humans infected with B. burgdorferi do not exhibit a high
titer antibody response to OspA early in infection (5). More recently, OspA has been purported as an arthropod-specific vaccine
(11); that is, antibody against OspA binds and kills B. burgdorferi within the midgut of the tick during the
blood meal of the immunized host. OspA has been evaluated as a
protective immunogen in human trials, and the results indicate that the
vaccine has marked efficacy (36, 44). However, the vaccine
requires multiple boosts since anti-OspA titers may decrease over time. Because ospA is not expressed in the infected host, B. burgdorferi infection does not function as an immunological boost;
as such, a preexisting high titer to OspA is essential for clearance of the spirochetes from the midgut of the tick. More recently,
cross-reactivity between OspA and human leukocyte function-associated
antigen 1 (hLFA-1) suggests that immunization with OspA may contribute
to an autoimmune disorder (17).
The limitations of the OspA vaccine highlight the need to evaluate
additional protective antigens, particularly those expressed in
mammals, to protect against B. burgdorferi infection. Along these lines, we have identified nine genetic loci of B. burgdorferi that are preferentially recognized by rabbits that
have developed infection-derived immunity to low-passage, virulent
B. burgdorferi B31 (38). It is conceivable that
subsets of these antigens are targets for borreliacidal antibodies and,
as such, may function as protective immunogens against B. burgdorferi. Consistent with this idea, one of the clones
identified encoded dbpA, which has recently been shown to
function as a protective immunogen (18, 19). Yet another
of these clones encodes a 451-amino-acid protein antigen that contains
21 consecutive and invariant 9-amino-acid repeats near its amino
terminus that we have designated VraA for virulent strain-associated
repetitive antigen A (designated BBI16 by The Institute for Genomic
Research [TIGR]; see the TIGR website at
http://www.tigr.org/tdb/CMR/gbb/htmls/SplashPage.html). In this study
we report that VraA is a surface exposed antigen that is slightly
induced in B. burgdorferi B31 at 37°C relative to 32°C.
We also demonstrate that antibodies directed against either full-length
or the amino-terminal half of VraA recognize antigens of various
molecular masses in several B. burgdorferi sensu lato isolates. Furthermore, we demonstrate that VraA functions as a partially protective immunogen in the mouse model of Lyme borreliosis.
Bacteria and plasmids.
B. burgdorferi sensu
stricto strain B31 was used in the majority of studies presented in
this report unless otherwise indicated. All B. burgdorferi
sensu stricto and sensu lato isolates used in this study are listed in
Table 1. Most strains used were passaged no more than three times in vitro and were subsequently isolated from
infected rabbits or mice to determine their infective phenotype unless
otherwise indicated. B. burgdorferi sensu lato strains were
cultured in BSK II media supplemented with 6% normal rabbit serum
(Pel-Freez Biologicals, Rogers, Ark.) at 32°C in a 1%
CO2 atmosphere as previously outlined (38).
Clonal isolates of B. burgdorferi were obtained by plating
diluted cultures into agarose overlays as previously described
(24). Two clones, designated MSK5 and MSK7, were obtained
after intradermal inoculation of mice with 103 B. burgdorferi strain B31 passage 3 and isolation of infected skin at
2 weeks postinfection, followed by plating in BSK II agarose. The
entire plasmid profile of both MSK5 and MSK7 was determined by
designing primer pairs that were specific for each individual plasmid
followed by resolution of the amplimers by agarose gel electrophoresis
(24).
0019-9567/01/$04.00+0 DOI: 10.1128/IAI.69.3.1409-1419.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
VraA (BBI16) Protein of Borrelia burgdorferi Is a
Surface-Exposed Antigen with a Repetitive Motif That Confers Partial
Protection against Experimental Lyme Borreliosis
![]()
ABSTRACT
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
![]()
INTRODUCTION
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
![]()
MATERIALS AND METHODS
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
TABLE 1.
Borrelial strains used in this study
(Gibco-BRL, Bethesda, Md.), TOP10F' (Invitrogen Corp., Carlsbad,
Calif.), and BL21(DE3)pLysE (Novagen Corp., Madison, Wis.). All
E. coli strains were grown in Luria-Bertani (LB) broth at
37°C with aeration or on LB agar at 37°C. E. coli was
grown with appropriate antibiotics at the following concentrations:
ampicillin at 100 µg/ml, kanamycin at 50 µg/ml, and chloramphenicol
at 50 µg/ml. All plasmids used and constructed in this report are
listed in Table 2.
|
PCR. PCR was conducted essentially as described elsewhere (24), and the oligonucleotide primers used are listed in Table 2. Briefly, the template was prepared by pelleting infectious B. burgdorferi B31 (fewer than four in vitro passages) at 5,800 × g for 10 min and washing it in an equal volume of phosphate-buffered saline (PBS), followed by centrifugation and resuspension in sterile water to yield a final concentration of 5 × 106 B. burgdorferi per µl. The sample was then boiled for 5 min, the insoluble material was pelleted by centrifugation (16,000 × g) for 2 min, and the supernatant was placed in a new tube. A 1-µl volume (or a 5 × 106 cell equivalence) was then added to the PCR. In some instances individual colonies of infectious B. burgdorferi were instead added to the PCR. Each appropriate primer set, in a 1 µl volume and at a final concentration of 0.2 µM per primer, was incubated with 1 µl of the appropriate B. burgdorferi template and brought to a final volume of 20 µl by adding 2 µl of sterile water and 16 µl of Gibco-BRL SuperMix (Gaithersburg, Md.) which contains buffer, all deoxynucleotides, and Taq polymerase. Samples were then denatured at 94°C for 1 min, followed by 35 cycles of the following: 94°C for 1 min, 50°C for 1 min, and 72°C for 2 min. Incubation at 72°C for 6 min served as the final extension step in the reaction. Products were resolved on 0.8 to 1% agarose gels buffered in Tris-acetate-EDTA containing 0.5 µg of ethidium bromide per ml.
Construction of the GST-vraA fusion proteins.
Three separate
glutathione S-transferase (GST)-VraA fusion proteins were
constructed by using the oligonucleotide primers listed in Table
3. A plasmid encoding a fusion of GST to
full-length, mature VraA that lacked the VraA leader peptide and the
initial cysteine residue was constructed by PCR amplification using the primers Sal/GST-FL and Not/GST-FL in conjunction with B. burgdorferi template DNA as indicated above (Sal and Not refer to
SalI and NotI restriction enzyme sites engineered
at the 5' ends of the oligonucleotides; see Table 3). The Sal/GST-FL
and Not/GST-FL primers amplified a 1,302-bp vraA fragment,
encoding the mature VraA protein (i.e., minus the leader peptide), and
this fragment was subsequently cloned into the pCR2.1-TOPO vector
(Invitrogen) and designated pCRL3-FL. The ligated product was
transformed into TOP10F' cells (Invitrogen), and transformants were
selected for on LB agar containing kanamycin and X-Gal
(5-bromo-4-chloro-3-indolyl-
-D-galactopyranoside) according to the manufacturer's instructions. White colonies (putative positives) were grown in LB broth, and DNA was purified from these cells by alkaline lysis to screen for those containing the desired insert.
|
(Gibco-BRL) using standard methodologies. Transformants were screened
for inserts by subjecting clones to alkaline lysis followed by
digestion with appropriate restriction enzymes.
Purification of GST-VraA fusion proteins. A representative clone of the three GST-VraA fusions, i.e., full-length VraA (residues 18 to 451 of VraA fused to GST), the amino-terminal half (residues 18 to 260 of VraA fused to GST), and the carboxy-terminal half (residues 253 to 451 of VraA fused to GST) were transformed into BL21(DE3)pLysE (Novagen), and 2 liters of cells (with appropriate antibiotic selection) was grown to early log phase (optical density at 600 nm of 0.3 to 0.4). The same methodology was applied to each recombinant GST-VraA fusion protein separately as outlined below. The appropriate GST-VraA fusion protein was induced by the addition of 1 mM IPTG and subsequent incubation for 2 h at 37°C. The resulting cells were pelleted by centrifugation at 6,000 × g, resuspended in 40 ml of PBS (pH 7.4), and subjected to one cycle of freezing and thawing to convert the cells to spheroplasts. The cells were then subjected to two passages through the French pressure cell at 16,000 lb/in2. The clarified supernatant was centrifuged at 3,000 × g for 10 min to pellet the unlysed E. coli, and the resulting supernatant was recentrifuged at 40,000 × g for 20 min to pellet the total membrane component of E. coli. After we determined that all three forms of the GST-VraA fusion proteins were soluble upon induction, the supernatants (i.e., soluble protein) were then separately added to glutathione-Sepharose 4B beads and rocked gently overnight at 4°C to promote binding of the GST-VraA fusion proteins to immobilized glutathione. After the overnight incubation, the beads were pelleted at 500 × g, the supernatant was removed, and the beads were washed with 25 ml of PBS (pH 7.4). The wash step was repeated and, following resuspension with PBS, the resulting suspension was poured into a column and the column was washed with 25 ml of PBS. Following the wash step, 5 mM reduced glutathione in PBS was added, and 1-ml column fractions were collected. Fractions containing the various GST-VraA proteins were identified by subjecting 2.5 µl of each fraction to sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), followed by staining with Coomassie blue and destaining. Fractions containing the different recombinant GST-VraA samples were further purified from low-molecular-weight contaminants by preparative SDS-PAGE. Briefly, 1 mg of the given GST-VraA fusion protein was resolved on a 16-cm-by-20-cm SDS-polyacrylamide gel (Bio-Rad, Richmond, Calif.) with a 13-cm wide preparative gel comb, and the gel was stained with Coomassie blue in double-distilled, sterile water. The band corresponding to the appropriate GST-VraA molecule was excised from the gel and electroeluted using the S&S Elutrap Electro-separation System from Schleicher & Schuell, Inc. (Keene, N.H.) as outlined by the manufacturer.
Antibody production. Three separate rabbits were prebled and subsequently immunized with each of the three affinity-purified GST-VraA fusion proteins obtained. In all cases, 100 µg of the GST-VraA protein, in complete Freund adjuvant, was injected subcutaneously (four sites, 25 µg per site). After 6 weeks, the rabbits were boosted with 100 µg of the same GST-VraA protein in incomplete Freund's adjuvant. Two weeks later the rabbits were bled to obtain serum specific for either full-length VraA fused to GST, the amino-terminal half of VraA fused to GST, or the carboxy-terminal half of VraA fused to GST. Each serum was tested qualitatively by Western blotting to determine the specificity of the antiserum for both homologous and heterologous forms of recombinant GST-VraA, as well as native VraA (see below).
Protease accessibility. Protease accessibility studies were conducted as previously described (4) with the following modifications. B. burgdorferi B31 passage 7 cells (approximately 2 × 108) were centrifuged at 4,300 × g for 15 min at 4°C, the supernatant was removed, and the pellet was resuspended in an equal volume of PBS (pH 7.4)-5 mM MgCl2-50 mM sucrose. The wash was repeated again, and the samples were split into equal volumes. Either 50 µl of sterile water or proteinase K (to a final concentration of 200 µg/ml) was added to each sample, and both were incubated at 20°C for 40 min. After 40 min, phenylmethylsulfonyl fluoride (PMSF) was added to a final concentration of 1 mM, and the samples were examined by dark-field microscopy to assess their motility (i.e., as an indirect test of viability). The samples were then centrifuged and washed again as described above except that the solution also contained 1 mM PMSF. The final pellets were resuspended in Laemmli sample buffer, and the proteins were separated by SDS-PAGE and analyzed by immunoblotting as described below.
Growth phase induction of vraA. B. burgdorferi B31 MSK5 (passage 2) was inoculated at an initial cell density of 5 × 105 per ml in BSK II media and was grown in separate cultures at 32 and 37°C. Aliquots at different time points were removed at the following cell densities in a volume equal to a final count of 108 B. burgdorferi cells (the numbers listed are approximate per-milliliter values): 5 × 106, 1 × 107, 2.5 × 107, 5 × 107, 1 × 108, 2 × 108, or 3 × 108 organisms. Each sample was pelleted at 5,800 × g for 20 min, washed in PBS (pH 7.4), and resuspended in Laemmli sample buffer. Equivalent amounts of B. burgdorferi whole-cell lysates per time point were resolved by SDS-PAGE, immunoblotted, and probed with anti-VraA serum as described below.
pH induction of vraA. Experiments to determine whether vraA was pH inducible were conducted as described by Carroll et al. (8).
SDS-PAGE and Western blotting. SDS-PAGE and Western blotting with the different anti-GST-VraA sera was done essentially as described previously (38, 40). The dilution of anti-VraA serum used was 1:5,000 regardless of the GST-VraA immunogen used to immunize rabbits. Rabbit anti-p66 serum was generously provided by Sven Bergström, Umeå University, and was diluted 1:5,000. Mouse monoclonal antibody directed against B. burgdorferi endoflagella was kindly provided by Alan Barbour, University of California at Irvine, and was used at a 1:50 dilution. Protein A, conjugated to horseradish peroxidase, and diluted 1:1,000, was used to detect all immobilized immune complexes. Blots were developed using Amersham's enhanced chemiluminescence (ECL) system (Amersham Pharmacia Biotech, Piscataway, N.J.).
Mouse immunization with VraA. Two groups of 24 8-week-old female C3H/HeN mice (Charles River Laboratories, Inc., Wilmington, Mass.) were each immunized with 25 µg of either GST or full-length VraA fused to GST (GST-VraA FL). In addition, 24 naive mice served as controls for B. burgdorferi infection. After 10 weeks, the mice were immunized with the same amount of protein (with the exception of the untreated controls). Representative mice (four were randomly chosen per group) were bled on day 15 postboost, and individual sera were used in a Western blot assay to determine qualitatively whether the animals had a humoral response to recombinant VraA. Since all sera from immunized mice showed the appropriate reactivity to either GST or GST-VraA at day 17 postimmunization, 12 mice per group were challenged with either 102 or 104 infectious B. burgdorferi B31 isolate MSK5 which contains all of the known borrelial plasmids (as determined by PCR amplification [24]). At 2 weeks after challenge, the mice were sacrificed and their abdomen skins, spleens, and bladders were aseptically removed and cultured at 32°C in 10 ml of BSK II medium supplemented with 6% normal rabbit serum. After 4 days, 0.5 ml of the culture was passaged blindly into 10 ml of BSK II medium, and the samples incubated at 32°C. Protection was assessed by the absence of cultured B. burgdorferi from each tissue sample (both the initial culture and the blindly passaged sample) out to a 6-week period.
Statistical analysis.
A 3×2 contingency table and
2 test of independence were used to test the null
hypothesis, "Protection against B. burgdorferi challenge
is independent of the vaccinogen used." The null hypothesis was
rejected when P values of <0.05 were obtained, indicating statistical significance.
| |
RESULTS |
|---|
|
|
|---|
Sequence analysis of vraA.
Previously we had
identified nine distinct proteins that were antigenic in
infection-immune rabbits (38). One of these antigens showed extensive redundancy at the nucleotide level. The complete nucleotide sequence indicated that this locus contained a hydrophobic core sequence at the amino terminus connected to the putative leader
peptidase II cleavage sequence FLAC, suggesting that this gene encoded
a lipoprotein antigen. Further assessment of this gene indicated that
the mature domain contained a 27-bp invariant, repetitive sequence, as
shown in the Pustell DNA matrix plot in Fig.
1A, that encodes the following primary
sequence: Glu-Glu-Glu-Leu-Lys-Lys-Lys-Gln-Gln. Elucidation
of the entire B. burgdorferi genome sequence by TIGR corroborated our nucleotide sequence and indicated that this genetic locus, named BBI16 by TIGR (see TIGR website and also reference 14), was located on linear plasmid 28-4 (lp28-4). Because
of these repetitive domains, we have designated this gene
vraA for virulent strain-associated repetitive antigen A. Although the predicted molecular mass of mature VraA (i.e., minus the
putative amino-terminal leader peptide) is 52,375 Da, VraA migrates at an apparent molecular mass of approximately 70 kDa, presumably due to
the conformation of the repetitive domain. This type of anomalous
migration has been observed previously in other repetitive proteins
(33, 48). The vraA locus (BBI16) is a member of
a B. burgdorferi paralogous family containing 17 genes
(family 60; see TIGR website); however, the homology between the
paralogues resides predominantly within the predicted carboxy-terminal
domain (i.e., no other paralogue contains a repetitive domain like that observed in vraA). One of the paralogues, encoded by BBI28,
contains one imperfect copy of the repetitive domain observed in
vraA with 88% identity at the nucleotide level, resulting
in a single amino acid substitution relative to the repetitive domain
in VraA (Fig. 1B). With the noted exception of the single small domain
in BBI28, no homology is observed at the nucleotide or amino acid level within the repetitive domains of vraA with any other
sequence in the database.
|
Production of antiserum specific for VraA.
In order to obtain
sufficient amounts of recombinant VraA for immunization purposes, we
constructed a translational fusion of the gene encoding GST to
vraA using the pGEX-4T-1 vector as described in the
Materials and Methods section. After induction of the fusion protein,
the soluble component, containing the GST fused to full-length VraA
recombinant protein [GST-VraA (FL)], was affinity purified using a
glutathione-Sepharose column (Fig. 2).
The fusion protein shown in Fig. 2 represents a carboxy-terminal fusion
to GST of residues 18 to 451 of VraA. Panel A shows the overproduction
of VraA (lane 2) relative to the induction of GST in the vector only
control (lane 1). We then assessed the solubility of recombinant VraA
and found that it was associated essentially with the soluble component
(Fig. 2B, lane S) relative to the membrane fraction (Fig. 2, lane M)
when produced in E. coli. Affinity purification resulted in
a single pure fraction containing recombinant VraA that we used for
subsequent immunization and vaccination studies (see below). We also
made similar separate constructs that joined residues 18 to 260 of VraA
and residues 253 to 451 of VraA to GST, designated amino-terminal VraA
and carboxy-terminal VraA, respectively, and purified these fusion
proteins to homogeneity (data not shown). Purified full-length,
amino-terminal, and carboxy-terminal VraA (all fused to GST) were used
to immunize rabbits separately, and the polyclonal antiserum obtained
was tested to confirm that these antibody reagents were specific for
VraA. Clonal isolates of B. burgdorferi B31, derived from
infected C3H/HeN mouse skin, designated MSK5 and MSK7, were analyzed by
SDS-PAGE and Western blot with all three sera obtained. We have
previously determined that MSK5 contains all known plasmids, whereas
MSK7 is lacking lp28-4, the linear plasmid that encodes vraA
(24). As predicted, the MSK7 sample showed no
immunoreactivity to the 70-kDa full-length VraA species when probed
either with serum against full-length VraA (Fig.
3B, lane 2) or with serum directed
against the amino- or carboxy-terminal constructs (data not shown). In
contrast, a 70-kDa antigen and a probable 50-kDa degradation product
was observed in MSK5 when probed with antiserum generated against rabbits immunized with either full-length (Fig. 3B, lane 1) or amino-terminal (data not shown) VraA. However, no reactivity was observed when serum from rabbits immunized with the carboxy-terminal half of VraA was used as the primary antibody (data not shown). In all
instances, sera directed against the three different GST-VraA proteins
contained antibodies reactive with each homologous recombinant protein
(data not shown). This indicated that the rabbits immunized with GST
fused to either full-length, amino-terminal, or carboxy-terminal VraA
generated a humoral response specific for the appropriate VraA
construct. Since serum directed against the carboxy-terminal half of
VraA did not react with native VraA from B. burgdorferi B31
and only weakly reacted with full-length and amino-terminal recombinant
VraA fused to GST, it is most likely that the immunoreactivity observed
is restricted to the GST moiety (data not shown). As controls, we also
determined that neither rabbit preimmune serum nor antiserum to GST
recognized any B. burgdorferi proteins, indicating that the
immunoreactivity observed was restricted to VraA (data not shown).
Furthermore, infection derived rabbit serum recognized full-length and
amino-terminal recombinant VraA fused to GST, but not carboxy-terminal
VraA fused to GST (data not shown). These results, taken together,
suggest that the repetitive domain is the predominant immunogenic
component of VraA.
|
|
Surface localization of VraA.
To determine whether VraA was a
surface exposed antigen in B. burgdorferi B31, we made
changes to the protease accessibility methodology previously published
(4) inasmuch as B. burgdorferi began to clump
and were nonmotile after incubation in PBS (pH 7.4)-5 mM
MgCl2. Based on our previous experience with outer membrane protein localization and outer membrane purification studies (37, 39, 40), we hypothesized that the loss of motility was due to
the loss of the structural integrity of the B. burgdorferi outer membrane. B. burgdorferi cells were therefore
incubated in several different buffers, and their viability was
assessed as a function of motility. We found that B. burgdorferi resuspended in PBS (pH 7.4)-5 mM MgCl2
containing 50 mM sucrose was active and motile for periods of time
exceeding 1 h with or without added proteinase K. Under these
conditions, addition of proteinase K resulted in a near-complete
reduction of VraA (Fig. 4A), modified the
surface exposed protein P66 (Oms66) (39) (Fig. 4B), but did not alter the levels of endoflagella (Fig. 4C), a known subsurface marker of spirochetal bacteria (4). This result implies
that VraA is a surface-exposed protein and that the B. burgdorferi cells were structurally intact, respectively.
|
Temperature- and growth-phase-dependent induction of
vraA.
We initially evaluated whether vraA
was induced at 23, 32, and 37°C and found that VraA was overproduced
at 37°C (data not shown). However, subsequent studies to repeat this
observation yielded variable results. This led us to surmise that
vraA may be subjected to growth phase regulation, pH
regulation, or both. To assess this, cultures of infectious B. burgdorferi were inoculated at a density of 5 × 105 per ml, and samples were taken at various time points
commensurate with early-, mid-, late-, and stationary-phase growth at
both 32 and 37°C using a previously published methodology (21,
31). Identical amounts of protein for each time point were
resolved by SDS-PAGE and either stained with Coomassie blue (data not
shown) or immunoblotted to ensure that equivalent levels of B. burgdorferi protein were present and to assess levels of VraA
synthesized at each time point, respectively. Our results, after four
independent experiments, indicate that VraA is only slightly
overproduced when cells are grown at 37°C and that vraA
expression is not affected by the growth phase of the culture (Fig.
5). Additionally, VraA appears to be
proteolytically degraded more efficiently at 37°C as seen by the
increase in the approximate 50-kDa degradation product, perhaps due to
the induction of a temperature-dependent protease (Fig. 5).
Alternatively, it is possible that the 50-kDa degradation product
accumulates at 37°C due to decreased proteolysis of this
lower-molecular-weight species independent of full-length VraA. Only
three samples, at various growth phases, ranging from approximately
1 × 107 (Fig. 5, lanes 1 and 2) to 3 × 108 cells (Fig. 5, lanes 5 and 6), are shown in Fig. 5;
however, other intermediate samples at different growth phases were
also evaluated and yielded identical immunoblot profiles at 32 and 37°C relative to the samples shown in Fig. 5 (data not shown). These
results, taken together, indicate that vraA expression is not regulated by growth phase.
|
VraA confers partial protection in mice.
To test whether VraA
could function as a protective immunogen, we immunized 24 C3H/HeN mice
with recombinant full-length VraA fused to GST, i.e., GST-VraA(FL) (FL
represents full length) as described in Materials and Methods. The
controls used included 24 mice immunized with GST alone and 24 naive
mice. Prior to the challenge, we collected serum from several randomly
chosen mice to qualitatively test whether a humoral response had been
generated against the appropriate immunogen [GST or GST-VraA(FL)]. In
all cases, mice immunized with GST or GST-VraA(FL) generated antibodies to the appropriate antigen, respectively (data not shown). Twelve mice
from each set were needle challenged with either 102 or
104 of a clonal isolate of B. burgdorferi B31
MSK5 passage 3 that contains all known B. burgdorferi
plasmids (24). The results indicated that nearly all of
the mice challenged with 104 infectious B. burgdorferi were susceptible regardless of the immunogen given
(Table 4). In contrast, only 8.3% (1 of
12) of the mice immunized with GST-VraA(FL) were infected when
challenged with 102 B. burgdorferi (Table 4),
whereas the naive and GST-immunized controls were infected 40% and 63 to 67% of the time (depending on the infected tissue assessed),
respectively (Table 4). To assess statistical significance, a 3×2
contingency table was used to test the null hypothesis "Protection
against B. burgdorferi challenge is independent of the
vaccinogen used." Values corresponding to skin samples obtained using
a 102 challenge inoculum were used in this analysis. The
calculated
2 of 8.67 exceeded that of
20.025,2 of 7.378, so the null hypothesis
was rejected (0.01 < P < 0.025; see Table 4),
indicating that the protection observed in the VraA immunized mice was
statistically significant. Similar results were obtained with bladder
tissue and, to a lesser extent, spleen tissue (see Table 4).
|
Cross-reactivity of VraA antiserum against B. burgdorferi sensu lato isolates.
To determine whether other
Borrelia spp. encoded a homologue of VraA, we tested protein
lysates for reactivity to antiserum directed against full-length strain
B31 VraA in a Western blot assay. All B. burgdorferi sensu
stricto isolates encoded a cross-reactive VraA-like antigen; however,
only strain ECM-NY-86 encoded an antigen of the same molecular mass as
that of strain B31 VraA (Fig. 6; note a
similar immunoreactive band in both lanes 1 and 5). In contrast,
strains 297, JD-1, and NT-1 (Fig. 6, lanes 3, 6, and 7, respectively)
encoded antigens that were weakly reactive (only visible after long
exposures; not seen in Fig. 6) and larger in molecular mass relative to
strain B31 VraA, whereas strains CA-2-87 and 2872-2 (Fig. 6, lanes 4 and 12, respectively) produced strongly reactive homologues that were
smaller in molecular mass. Some B. burgdorferi sensu lato
isolates such as B. garinii strain Ip90, did not encode a
VraA-like molecule, whereas others (Fig. 6, lane 11), including
B. afzelii ACA1 (data not shown) and B. andersonii strain MOD-3, MOD-5, and MOD-6, did synthesize reactive
homologues (Fig. 6, lanes 8 to 10, respectively). Interestingly,
B. andersonii encoded multiple, highly reactive antigens.
These strains were obtained from infected rabbit skin samples and
represent a polyclonal population. Therefore, the profile observed for
these samples may reflect multiple genetic loci that encode VraA-like
molecules that are either present in each individual bacterium or a
subset of individual clones within the polyclonal pool tested. The
reactivity observed for antiserum against full-length VraA was
identical to that seen for reactivity against the amino-terminal half
of VraA, which is composed mostly of the repetitive domain. In
contrast, little or no reactivity was seen for the antiserum generated
against the carboxy-terminal half of VraA, implying that the
cross-reactivity between the VraA homologues is mediated via the
antigenicity of the repetitive motifs (data not shown).
|
| |
DISCUSSION |
|---|
|
|
|---|
In this report we describe the characterization of a
surface-exposed repetitive motif containing antigen, designated VraA, that we originally identified as an infection associated antigen in
infection immune rabbits from B. burgdorferi sensu stricto strain B31 (13, 38). The most striking feature of the
vraA locus was the number of completely conserved 27-bp
repeats encoding an invariant 9-amino-acid repetitive motif (see Fig.
1). Unlike other antigens, such as the Bdr proteins of
Borrelia spp. (32, 51), the Vlp repetitive
antigens of Mycoplasma spp. (10, 33), and
various proteins from Plasmodium spp. (16, 22,
23), that contain repetitive domains, the repetition in
vraA is absolute at the nucleotide level, suggesting that
this conservation is important in maintaining some as-yet-unknown
function essential for maximal infectivity. Alternatively, the repeat
units may represent a site for recombination resulting in antigenic
variation or slipped strand mispairing resulting in either antigenic or
phase variants. By analogy to other prokaryotic systems, notably the
Vlp proteins of Mycoplasma spp. (33, 48) and
the Opa antigens of Neisseria spp. (6, 28),
VraA may change its antigenicity by varying its length via
slipped-strand mispairing. This change in length has been shown
previously to change the antigenicity of Mycoplasma Vlp
antigens (33, 48) and cell-wall-associated proteins from gram-positive bacteria (20). This antigenic variation
could aid in immune evasion resulting in persistent B. burgdorferi infection. Specifically, the repeat region of
vraA contains a stretch of six consecutive adenine
nucleotides (within a region containing adenines at 15 of 18 locations). A single mismatch within this mononucleotide repetitive
domain would yield an antigen with either a modified repetitive primary
sequence that would be truncated soon after the repeats or a variant
that was abbreviated almost immediately (i.e., a stop codon introduced
within a repeat unit). In either case, the resulting modified forms
might exhibit reduced or nullified antigenicity. The location of this
change, i.e., which repeat unit is modified, would dictate whether any
of the repeats in native VraA would be synthesized and to what degree the truncated variants might cross-react with antibodies directed against full-length VraA. This could, in part, explain the resistance to infectious challenge with 100 low-passage B. burgdorferi
observed in 1 of the 12 mice immunized with recombinant VraA (Table 4). That is, if a subpopulation of our inoculum changed such that VraA was
either antigenically modified by the increased or decreased length in
the number of repeats or by frameshift mutations within the repeat
units that resulted in truncated antigenic variants, then B. burgdorferi encoding these proteins may not be killed by antibody
directed against "full-length" recombinant VraA. To date, no
evidence of such changes in native VraA have been observed in B. burgdorferi B31 inasmuch as the frequency of these changes may be
similar to that seen in other systems (approximately 10
3
to 10
4 [6, 28]). However, we have recently
determined that variants of vraA are present in in
vitro-cultivated B. burgdorferi B31 that have additional
repetitive domains (i.e., greater than 21 in number; K. L. Swingle
and J. T. Skare, unpublished data), suggesting that VraA may be an
antigenically variable protein. Additionally, as seen in Fig. 6, other
sensu stricto isolates synthesize putative homologues relative to
strain B31 that may represent putative variants of B. burgdorferi sensu stricto VraA. The changes predicted for these
variants may occur more frequently in vivo (i.e., within an infected
animal) not unlike what has been shown for both the vlsE
(49, 50) and ospEF-related (erp)
loci (45), whose changes occur exclusively during
infection. A more detailed analysis of the strain B31 vraA
variants and its requisite homologues should indicate whether this
hypothesis is valid.
An important consideration related to protective immunity in B. burgdorferi is the form in which the challenge inoculum is delivered. Recently, it has become apparent that host-adapted B. burgdorferi repress or derepress several genes, notably, ospA or ospC, respectively (34), in the disparate environments that B. burgdorferi occupies (i.e., ticks versus mammals), as well as under experimental ex vivo conditions (27). B. burgdorferi is present at very low levels during mammalian infection; therefore the ability to evaluate gene expression in vivo has required the implementation of indirect methodologies (38). To circumvent this dilemma, Akins et al. have demonstrated recently that B. burgdorferi synthesizes a subset of proteins and/or antigens in dialysis membrane chambers that are implanted within the peritoneal cavity of rats (1). Although temperature certainly upregulates some B. burgdorferi genes, clearly other host signals were required for expression of some of the gene products observed in this model system (1). Our results indicate that a temperature shift in vitro results in the modest induction of VraA (Fig. 5). Previous studies indicated that the growth phase is also an important consideration for assessing gene regulation in B. burgdorferi. Specifically, OspC and BmpD are regulated in the transition from logarithmic-phase growth to stationary-phase growth (21, 31). However, in contrast, our data indicate that VraA is not subject to growth phase regulation (Fig. 5 and data not shown). It is conceivable that vraA may be expressed at high levels in vivo (i.e., within the arthropod vector or mammalian hosts) where nutrients and other important cofactors may be limiting. Whether vraA is subject to such regulation remains to be determined.
Shang et al. recently demonstrated that rabbits immunized with outer membrane vesicles containing surface proteins were protected only when challenged with in vitro cultivated B. burgdorferi; rabbits challenged with skin biopsies containing host-adapted B. burgdorferi were infected in a manner indistinguishable from naive controls (35). One explanation could be alternative gene expression; that is, the expression of new antigens within the infected mammal that are not expressed during in vitro cultivation. Another viable possibility is that B. burgdorferi changes antigens expressed during in vitro cultivation (i.e., antigenic variation) or uses other mechanisms, including phase variation, to alter their antigenic profile. Once inside the host, this effect could manifest in a polyclonal manner such that each B. burgdorferi cell may express a different form of a given antigen, such as VlsE (49, 50) or OspEF (45) or different antigens in various combinations. This hypothesis may, in part, explain the presence of numerous paralogous gene families. Such genetic paralogues may therefore be involved in immune evasion independent of function. The vraA locus belongs to one such paralogous family (family 60; see TIGR website). However, in contrast to the other family members, vraA is the only family member that contains the aforementioned repeat units with the notable exception of the protein encoded by BBI28, which contains a similar but nonidentical single repeat unit relative to VraA (see Fig. 1).
The absolute nature of the repetitive domains at both the nucleotide and the amino acid level suggests an important role for this motif. One possible explanation could be related to an increased avidity of VraA for a target ligand. In this regard, we have no indication that VraA functions as an adhesin in either arthropod or mammalian structures. Alternatively, these repeats may serve as an immunological "smokescreen," as has been proposed for several Plasmodium antigens (22). If so, then the epitope(s) defined by these repeat units would theoretically mediate a robust yet nonprotective response. Our immunization results, indicating partial protection to needle challenge, argue against this; however, the possibility that the repeats of strain B31 VraA change in length in a manner analogous to that observed in other B. burgdorferi sensu lato isolates (see Fig. 6), resulting in antigenic variation, suggest that a strong immune response to a single form of VraA may not protect in all cases. Heterologous challenge against animals immunized with B. burgdorferi B31 VraA could decipher this; these studies and others to determine whether VraA is subject to phase and/or antigenic variation are in progress.
| |
ACKNOWLEDGMENTS |
|---|
M.L.-R. and E.A.B. contributed equally to this report.
We thank Kristen L. Swingle and J. Seshu for critical evaluation of the manuscript and Deanna C. Moore for excellent technical assistance.
This work was supported by a Scientist Development Grant from the American Heart Association and United States Public Health Service grant R01-AI42345 from the National Institute of Allergy and Infectious Diseases (both to J.T.S.).
| |
FOOTNOTES |
|---|
* Corresponding author. Mailing address: 407 Reynolds Medical Bldg., Department of Medical Microbiology and Immunology, The Texas A&M University System Health Science Center, College Station, TX 77843-1114. Phone: (979) 845-1376. Fax: (979) 845-3479. E-mail: jskare{at}tamu.edu.
Editor: D. L. Burns
| |
REFERENCES |
|---|
|
|
|---|
| 1. | Akins, D. R., K. W. Bourell, M. J. Caimano, M. V. Norgard, and J. D. Radolf. 1998. A new animal model for studying Lyme disease spirochetes in a mammalian host-adapted state. J. Clin. Investing. 101:2240-2250[Medline]. |
| 2. | Barbour, A. G. 1989. The molecular biology of Borrelia. Rev. Infect. Dis. 11(Suppl. 6):S1470-S1474. |
| 3. | Barbour, A. G., R. A. Heiland, and T. R. Howe. 1985. Heterogeneity of major proteins in Lyme disease borreliae: a molecular analysis of North American and European isolates. J. Infect. Dis. 152:478-484[Medline]. |
| 4. |
Barbour, A. G.,
S. L. Tessier, and S. F. Hayes.
1984.
Variation in a major surface protein of Lyme disease spirochetes.
Infect. Immun.
45:94-100 |
| 5. | Barthold, S. W., E. Fikrig, L. K. Bockenstedt, and D. H. Persing. 1995. Circumvention of outer surface protein A immunity by host-adapted Borrelia burgdorferi. Infect. Immun. 63:2255-2261[Abstract]. |
| 6. | Belland, R. J., S. G. Morrison, P. van der Ley, and J. Swanson. 1989. Expression and phase variation of gonococcal P.II genes in Escherichia coli involves ribosomal frameshifting and slipped-strand mispairing. Mol. Microbiol. 3:777-786[CrossRef][Medline]. |
| 7. | Campbell, G. L., W. S. Paul, M. E. Schriefer, R. B. Craven, K. E. Robbins, and D. T. Dennis. 1995. Epidemiologic and diagnostic studies of patients with suspected early Lyme disease, Missouri, 1990-1993. J. Infect. Dis. 172:470-480[Medline]. |
| 8. |
Carroll, J. A.,
C. F. Garon, and T. G. Schwan.
1999.
Effects of environmental pH on membrane proteins in Borrelia burgdorferi.
Infect. Immun.
67:3181-3187 |
| 9. | Casjens, S., N. Palmer, R. van Vugt, W. M. Huang, B. Stevenson, P. Rosa, R. Lathigra, G. Sutton, J. Peterson, R. J. Dodson, D. Haft, E. Hickey, M. Gwinn, O. White, and C. M. Fraser. 2000. A bacterial genome in flux: the twelve linear and nine circular extrachromosomal DNAs in an infectious isolate of the Lyme disease spirochete Borrelia burgdorferi. Mol. Microbiol. 35:490-516[CrossRef][Medline]. |
| 10. |
Citti, C.,
R. Watson-McKown,
M. Droesse, and K. S. Wise.
2000.
Gene families encoding phase- and size-variable surface lipoproteins of Mycoplasma hyorhinis.
J. Bacteriol.
182:1356-1363 |
| 11. |
de Silva, A. M.,
S. R. r. Telford,
L. R. Brunet,
S. W. Barthold, and E. Fikrig.
1996.
Borrelia burgdorferi OspA is an arthropod-specific transmission-blocking Lyme disease vaccine.
J. Exp. Med.
183:271-275 |
| 12. |
Fikrig, E.,
S. W. Barthold,
F. S. Kantor, and R. A. Flavell.
1990.
Protection of mice against the Lyme disease agent by immunizing with recombinant OspA.
Science
250:553-556 |
| 13. | Foley, D. M., R. J. Gayek, J. T. Skare, E. A. Wagar, C. I. Champion, D. R. Blanco, M. A. Lovett, and J. N. Miller. 1995. Rabbit model of Lyme borreliosis: erythema migrans, infection-derived immunity, and identification of Borrelia burgdorferi proteins associated with virulence and protective immunity. J. Clin. Investing. 96:965-975. |
| 14. | Fraser, C. M., S. Casjens, W. M. Huang, G. G. Sutton, R. Clayton, R. Lathigra, O. White, K. A. Ketchum, R. Dodson, E. K. Hickey, M. Gwinn, B. Dougherty, J. F. Tomb, R. D. Fleischmann, D. Richardson, J. Peterson, A. R. Kerlavage, J. Quackenbush, S. Salzberg, M. Hanson, R. van Vugt, N. Palmer, M. D. Adams, J. Gocayne, and J. C. Venter. 1997. Genomic sequence of a Lyme disease spirochaete, Borrelia burgdorferi. Nature 390:580-586[CrossRef][Medline]. |
| 15. | Gilmore, R. D., Jr., K. J. Kappel, M. C. Dolan, T. R. Burkot, and B. J. Johnson. 1996. Outer surface protein C (OspC), but not P39, is a protective immunogen against a tick-transmitted Borrelia burgdorferi challenge: evidence for a conformational protective epitope in OspC. Infect. Immun. 64:2234-2239[Abstract]. |
| 16. | Godson, G. N., J. Ellis, P. Svec, D. H. Schlesinger, and V. Nussenzweig. 1983. Identification and chemical synthesis of a tandemly repeated immunogenic region of Plasmodium knowlesi circumsporozoite protein. Nature 305:29-33[CrossRef][Medline]. |
| 17. |
Gross, D. M.,
T. Forsthuber,
M. Tary-Lehmann,
C. Etling,
K. Ito,
Z. A. Nagy,
J. A. Field,
A. C. Steere, and B. T. Huber.
1998.
Identification of LFA-1 as a candidate autoantigen in treatment-resistant Lyme arthritis.
Science
281:703-706 |
| 18. |
Hagman, K. E.,
P. Lahdenne,
T. G. Popova,
S. F. Porcella,
D. R. Akins,
J. D. Radolf, and M. V. Norgard.
1998.
Decorin-binding protein of Borrelia burgdorferi is encoded within a two-gene operon and is protective in the murine model of Lyme borreliosis.
Infect. Immun.
66:2674-2683 |
| 19. |
Hanson, M. S.,
D. R. Cassatt,
B. P. Guo,
N. K. Patel,
M. P. McCarthy,
D. W. Dorward, and M. Höök.
1998.
Active and passive immunity against Borrelia burgdorferi decorin binding protein A (DbpA) protects against infection.
Infect. Immun.
66:2143-2153 |
| 20. | Hartford, O., P. Francois, P. Vaudaux, and T. J. Foster. 1997. The dipeptide repeat region of the fibrinogen-binding protein (clumping factor) is required for functional expression of the fibrinogen-binding domain on the Staphylococcus aureus cell surface. Mol. Microbiol. 25:1065-1076[CrossRef][Medline]. |
| 21. | Indest, K. J., R. Ramamoorthy, M. Sole, R. D. Gilmore, B. J. Johnson, and M. T. Philipp. 1997. Cell-density-dependent expression of Borrelia burgdorferi lipoproteins in vitro. Infect. Immun. 65:1165-1171[Abstract]. |
| 22. | Kemp, D. J., R. L. Coppel, and R. F. Anders. 1987. Repetitive proteins and genes of malaria. Annu. Rev. Microbiol. 41:181-208[CrossRef][Medline]. |
| 23. | Koenen, M., A. Scherf, O. Mercereau, G. Langsley, L. Sibilli, P. Dubois, L. Pereira da Silva, and B. Muller-Hill. 1984. Human antisera detect a Plasmodium falciparum genomic clone encoding a nonapeptide repeat. Nature 311:382-385[CrossRef][Medline]. |
| 24. |
Labandeira-Rey, M., and J. T. Skare.
2001.
Decreased infectivity in Borrelia burgdorferi strain B31 is associated with loss of linear plasmid 25 or 28-1.
Infect. Immun.
69:446-455 |
| 25. | Logigian, E. L., R. F. Kaplan, and A. C. Steere. 1990. Chronic neurologic manifestations of Lyme disease. N. Engl. J. Med. 323:1438-1444[Abstract]. |
| 26. | Masters, E. J., and H. D. Donnell. 1995. Lyme and/or Lyme-like disease in Missouri. Missouri Med. 92:346-353. |
| 27. |
Montgomery, R. R.,
S. E. Malawista,
K. J. Feen, and L. K. Bockenstedt.
1996.
Direct demonstration of antigenic substitution of Borrelia burgdorferi ex vivo: exploration of the paradox of the early immune response to outer surface proteins A and C in Lyme disease.
J. Exp. Med.
183:261-269 |
| 28. | Murphy, G. L., T. D. Connell, D. S. Barritt, M. Koomey, and J. G. Cannon. 1989. Phase variation of gonococcal protein II: regulation of gene expression by slipped-strand mispairing of a repetitive DNA sequence. Cell 56:539-547[CrossRef][Medline]. |
| 29. |
Nguyen, T. P.,
T. T. Lam,
S. W. Barthold,
S. R. r. Telford,
R. A. Flavell, and E. Fikrig.
1994.
Partial destruction of Borrelia burgdorferi within ticks that engorged on OspE- or OspF-immunized mice.
Infect. Immun.
62:2079-2084 |
| 30. |
Postic, D.,
N. M. Ras,
R. S. Lane,
M. Hendson, and G. Baranton.
1998.
Expanded diversity among Californian borrelia isolates and description of Borrelia bissettii sp. nov. (formerly Borrelia group DN127).
J. Clin. Microbiol.
36:3497-3504 |
| 31. |
Ramamoorthy, R., and M. T. Philipp.
1998.
Differential expression of Borrelia burgdorferi proteins during growth in vitro.
Infect. Immun.
66:5119-5124 |
| 32. | Roberts, D. M., J. A. Carlyon, M. Theisen, and R. T. Marconi. 2000. The bdr gene families of the Lyme disease and relapsing fever spirochetes: potential influence on biology, pathogenesis, and evolution. Emerg. Infect. Dis. 6:110-122[Medline]. |
| 33. |
Rosengarten, R., and K. S. Wise.
1990.
Phenotypic switching in mycoplasmas: phase variation of diverse surface lipoproteins.
Science
247:315-318 |
| 34. |
Schwan, T. G.,
J. Piesman,
W. T. Golde,
M. C. Dolan, and P. A. Rosa.
1995.
Induction of an outer surface protein on Borrelia burgdorferi during tick feeding.
Proc. Natl. Acad. Sci. USA
92:2909-2193 |
| 35. |
Shang, E. S.,
C. I. Champion,
X. Y. Wu,
J. T. Skare,
D. R. Blanco,
J. N. Miller, and M. A. Lovett.
2000.
Comparison of protection in rabbits against host-adapted and cultivated Borrelia burgdorferi following infection-derived immunity or immunization with outer membrane vesicles or outer surface protein A.
Infect. Immun.
68:4189-4199 |
| 36. |
Sigal, L. H.,
J. M. Zahradnik,
P. Lavin,
S. J. Patella,
G. Bryant,
R. Haselby,
E. Hilton,
M. Kunkel,
D. Adler-Klein,
T. Doherty,
J. Evans,
P. J. Molloy,
A. L. Seidner,
J. R. Sabetta,
H. J. Simon,
M. S. Klempner,
J. Mays,
D. Marks, and S. E. Malawista.
1998.
A vaccine consisting of recombinant Borrelia burgdorferi outer-surface protein A to prevent Lyme disease. Recombinant Outer-Surface Protein A Lyme Disease Vaccine Study Consortium.
N. Engl. J. Med.
339:216-222 |
| 37. |
Skare, J. T.,
C. I. Champion,
T. A. Mirzabekov,
E. S. Shang,
D. R. Blanco,
H. Erdjument-Bromage,
P. Tempst,
B. L. Kagan,
J. N. Miller, and M. A. Lovett.
1996.
Porin activity of the native and recombinant outer membrane protein Oms28 of Borrelia burgdorferi.
J. Bacteriol.
178:4909-4918 |
| 38. |
Skare, J. T.,
D. M. Foley,
S. R. Hernandez,
D. C. Moore,
D. R. Blanco,
J. N. Miller, and M. A. Lovett.
1999.
Cloning and molecular characterization of plasmid-encoded antigens of Borrelia burgdorferi.
Infect. Immun.
67:4407-4417 |
| 39. | Skare, J. T., T. A. Mirzabekov, E. S. Shang, D. R. Blanco, H. Erdjument-Bromage, J. Bunikis, S. Bergstrom, P. Tempst, B. L. Kagan, J. N. Miller, and M. A. Lovett. 1997. The Oms66 (p66) protein is a Borrelia burgdorferi porin. Infect. Immun. 65:3654-3661[Abstract]. |
| 40. | Skare, J. T., E. S. Shang, D. M. Foley, D. R. Blanco, C. I. Champion, T. Mirzabekov, Y. Sokolov, B. L. Kagan, J. N. Miller, and M. A. Lovett. 1995. Virulent strain associated outer membrane proteins of Borrelia burgdorferi. J. Clin. Investig. 96:2380-2392. |
| 41. | Steere, A. C. 1989. Lyme disease. N. Eng. J. Med. 321:586-596[Abstract]. |
| 42. | Steere, A. C. 1995. Musculoskeletal manifestations of Lyme disease. Am. J. Med. 98:44S-51S[CrossRef][Medline]. |
| 43. | Steere, A. C., A. Gibofsky, M. E. Patarroyo, R. J. Winchester, J. A. Hardin, and S. E. Malawista. 1979. Chronic Lyme arthritis. Clinical and immunogenetic differentiation from rheumatoid arthritis. Ann. Intern. Med. 90:896-901. |
| 44. |
Steere, A. C.,
V. K. Sikand,
F. Meurice,
D. L. Parenti,
E. Fikrig,
R. T. Schoen,
J. Nowakowski,
C. H. Schmid,
S. Laukamp,
C. Buscarino, and D. S. Krause.
1998.
Vaccination against Lyme disease with recombinant Borrelia burgdorferi outer-surface lipoprotein A with adjuvant. Lyme Disease Vaccine Study Group.
N. Engl. J. Med.
339:209-215 |
| 45. |
Sung, S. Y.,
J. V. McDowell,
J. A. Carlyon, and R. T. Marconi.
2000.
Mutation and recombination in the upstream homology box-flanked ospE-related genes of the Lyme disease spirochetes result in the development of new antigenic variants during infection.
Infect. Immun.
68:1319-1327 |
| 46. |
Wang, G.,
A. P. van Dam,
I. Schwartz, and J. Dankert.
1999.
Molecular typing of Borrelia burgdorferi sensu lato: taxonomic, epidemiological, and clinical implications.
Clin. Microbiol. Rev.
12:633-653 |
| 47. | Wormser, G. P. 1996. Lyme disease vaccine. Infection 24:203-207[CrossRef][Medline]. |
| 48. | Yogev, D., R. Rosengarten, R. Watson-McKown, and K. S. Wise. 1991. Molecular basis of Mycoplasma surface antigenic variation: a novel set of divergent genes undergo spontaneous mutation of periodic coding regions and 5' regulatory sequences. EMBO J. 10:4069-4079[Medline]. |
| 49. | Zhang, J. R., J. M. Hardham, A. G. Barbour, and S. J. Norris. 1997. Antigenic variation in Lyme disease borreliae by promiscuous recombination of VMP-like sequence cassettes. Cell 89:275-285[CrossRef][Medline]. |
| 50. |
Zhang, J. R., and S. J. Norris.
1998.
Kinetics and in vivo induction of genetic variation of vlsE in Borrelia burgdorferi.
Infect. Immun.
66:3689-3697 |
| 51. |
Zückert, W. R.,
J. Meyer, and A. G. Barbour.
1999.
Comparative analysis and immunological characterization of the Borrelia Bdr protein family.
Infect. Immun.
67:3257-3266 |
This article has been cited by other articles: