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Infection and Immunity, June 2001, p. 3897-3905, Vol. 69, No. 6
0019-9567/01/$04.00+0 DOI: 10.1128/IAI.69.6.3897-3905.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Immunogenicity and Protective Efficacy of a
Plasmodium yoelii Hsp60 DNA Vaccine in BALB/c Mice
Gloria I.
Sanchez,1,2,
Martha
Sedegah,1,3
William O.
Rogers,1
Trevor R.
Jones,1
John
Sacci,1,3
Adam
Witney,1,4
Daniel J.
Carucci,1
Nirbhay
Kumar,2 and
Stephen L.
Hoffman1,*
Malaria Program, Naval Medical Research
Center, Silver Spring, Maryland 20910-75001;
Department of Molecular Microbiology and Immunology, School of
Public Health, The Johns Hopkins University, Baltimore, Maryland
212052; Department of Microbiology and
Immunology, University of Maryland, Baltimore, Maryland
212013; and Henry M. Jackson Foundation
for the Advancement of Military Medicine, Rockville, Maryland
208524
Received 13 December 2000/Returned for modification 29 January
2001/Accepted 19 March 2001
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ABSTRACT |
The gene encoding the 60-kDa heat shock protein of Plasmodium
yoelii (PyHsp60) was cloned into the VR1012 and VR1020 mammalian expression vectors. Groups of 10 BALB/c mice were immunized
intramuscularly at 0, 3, and 9 weeks with 100 µg of PyHsp60 DNA
vaccine alone or in combination with 30 µg of pmurGMCSF. Sera from
immunized mice but not from vector control groups recognized P. yoelii sporozoites, liver stages, and infected erythrocytes in an
indirect fluorescent antibody test. Two weeks after the last
immunization, mice were challenged with 50 P. yoelii
sporozoites. In one experiment the vaccine pPyHsp60-VR1012 used in
combination with pmurGMCSF gave 40% protection (Fisher's exact test;
P = 0.03, vaccinated versus control groups). In a
second experiment this vaccine did not protect any of the immunized
mice but induced a delay in the onset of parasitemia. In neither
experiment was there any evidence of a protective effect against the
asexual erythrocytic stage of the life cycle. In a third experiment
mice were primed with PyHsp60 DNA, were boosted 2 weeks later with
2 × 103 irradiated P. yoelii sporozoites,
and were challenged several weeks later. The presence of PyHsp60 in the
immunization regimen did not lead to reduced blood-stage infection or
development of parasites in hepatocytes. PyHsp60 DNA vaccines were
immunogenic in BALB/c mice but did not consistently, completely protect
against sporozoite challenge. The observation that in some of the
PyHsp60 DNA vaccine-immunized mice there was protection against
infection or a delay in the onset of parasitemia after sporozoite
challenge deserves further evaluation.
 |
INTRODUCTION |
The World Health Organization
estimates that each year there are approximately 300 to 500 million new
cases of malaria and 1.5 to 2.7 million deaths due to this disease.
Most of the deaths occur in African children, but malaria remains a
major health and economic problem in the tropics and subtropics of
almost all underdeveloped countries. In view of the spread of drug
resistance and the resistance of the mosquito vectors to insecticides,
many countries of the world in which malaria is endemic have been
experiencing a deterioration of the malaria situation in the last two
decades (31). The availability of a cost-effective vaccine
would be a valuable asset to any malaria control initiative
(36). To develop a vaccine against malaria, several
problems have to be taken into consideration. The identification of
protective immune mechanisms capable of eliminating the parasite,
identification of antigens and epitopes able to stimulate those immune
mechanisms, and the selection of a vaccine delivery system able to
present the antigen to the immune system in order to generate these
protective immune responses are some of the key issues
(14).
Immunization of mice with radiation-attenuated sporozoites induces
complete protection against sporozoite challenge, and the protective
role of CD8+ T cells and cytokines in this model has been
clearly demonstrated (10, 20). DNA vaccines have provided
an antigen delivery system able to generate the mechanisms of immunity
that confer protection against the challenge of mice with sporozoites.
They also provide a method for developing multivalent, multi-immune
response vaccines (8). A DNA vaccine expressing the
Plasmodium yoelii circumsporozoite protein (PyCSP) protects
BALB/c mice against sporozoite challenge (25). The genetic
restriction of protection elicited by this vaccine can be overcome by
combining it with other antigens (9). The protective
efficacy of the PyCSP DNA vaccine was further improved by
coadministering it with a plasmid encoding the murine
granulocyte-macrophage colony-stimulating factor (pmurGM-CSF)
(35) or by boosting the PyCSP DNA vaccine-generated immune
responses with a recombinant vaccinia virus expressing PyCSP
(26). Combining GM-CSF and a recombinant poxvirus boost
increases immunogenicity and protection more than either intervention
alone (27). Incorporation of more target antigens/epitopes
to protect a genetically heterogeneous population in areas where
malaria is endemic requires the identification and evaluation of the
protective capacity of new antigens.
Heat shock proteins (Hsp) are a highly immunogenic and conserved family
of proteins that have been identified as prominent antigens in the
immune response to a wide variety of infections (38). They
are able to transfer exogenous peptides to major histocompatibility
complex class I molecules and prime cytotoxic T lymphocytes
(29), induce the expression of cytokines and adhesion molecules, induce antigen-specific CD8+ and/or
CD4+ T cells, and mediate antigen-specific protection
against several microorganisms (21). Plasmodium
spp. Hsp60s are expressed in all the parasite development stages that
occur in the vertebrate host (6, 24, 30). 
T cells
obtained from irradiated sporozoite-vaccinated mice that proliferate in
the presence of Mycobacterium tuberculosis Hsp60 have been
shown to protect naive mice against sporozoite challenge
(33), and 
T cells elicited during a P. yoelii infection respond by in vitro proliferation to
Plasmodium falciparum Hsp60 (PfHsp60) and Hsp70
(15).
We recently cloned and sequenced the gene encoding P. yoelii
heat shock protein 60 (PyHsp60) (24). Here we describe the evaluation of the immunogenicity and protective efficacy of a DNA
vaccine that contains the PyHsp60 alone or in combination with a
plasmid expressing murine GM-CSF.
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MATERIALS AND METHODS |
Experiments reported here were conducted according to the
principles set forth in the Guide for the Care and Use of Laboratory Animals, Institute of Laboratory Animal Resources, National Research Council (Department of Health and Human Services, National Institutes of Health, publication no. 86-23).
Mice and parasites.
The mice used in this study were 5- to
6-week-old female BALB/cByJ mice (Jackson Laboratory, Bar Harbor,
Maine). In all the experiments P. yoelii (17X NL nonlethal
strain, clone 1.1) parasites were used (34). For
immunization with irradiated sporozoites, sporozoites were obtained by
the discontinuous gradient technique from infected mosquitoes that had
been irradiated at 10 kilorads (137Ce) 14 days after an
infectious blood meal (23). For challenges, sporozoites
were obtained by hand dissection of infected mosquito glands in M199
medium containing 5% normal mouse serum.
Construction and immunogenicity of DNA plasmids.
In a
previous report (24) we described the cloning and complete
sequence of a PyHsp60 cDNA clone. Based on this sequence, a primer
containing the 5' end of the coding region with a BamHI site
and a primer containing the 3' end and a BglII site were used to amplify the PyHsp60 gene from the cDNA clone, using the Gene
Amp PCR reagent kit (Perkin-Elmer, Norwalk, Conn.). The PCR product was
cloned into the pCR-Script Amp SK (+) cloning vector (Stratagene, La
Jolla, Calif.), was sequenced using the ABI PRISM dye terminator cycle
sequencing Ready Reaction kit (Perkin-Elmer) following the
manufacturer's instructions, and was subcloned into the DNA vaccine
plasmids VR1012 (11) and VR1020 (17) digested with BamHI and BglII. The DNA insert was
sequenced, and expression of proteins encoded by the pPyHsp60-VR1012
and pPyHsp60-VR1020 plasmids was evaluated by in vitro transfection of
human melanoma cells (UM449) as previously described (12).
Immunoblot analysis of transfected cell lysates was done using antisera
obtained from CD-1 mice immunized with pPyHsp60-VR1012
(24) or with recombinant P. falciparum Hsp60
(6). Construction and in vitro expression of plasmids
containing the genes for the P. yoelii circumsporozoite protein (pPyCSP-VR1020) (26), the P. yoelii
17-kDa hepatocyte erythrocyte protein (pPyHep17-VR1012)
(7), and pmurGM-CSF (35) have been described.
Immunization regimen.
Two groups of mice were used as
positive controls in the present study. One group received 5 × 104 irradiated P. yoelii sporozoites by
intravenous (i.v.) injection in the tail vein, followed by two i.v.
doses of 3 × 104 irradiated sporozoites 4 and 9 weeks
after the first immunization. The other group was immunized with a
mixture of three plasmids, pPyCSPVR1020, pPyHep17-VR1012, and
pmurGM-CSF. Negative control mice were immunized with an unmodified
VR1012 or VR1020 DNA plasmid alone or in combination with the
pmurGM-CSF plasmid. Experimental groups included mice immunized with
pPyHsp60-VR1012 or pPyHsp60-VR1020 administered alone or in combination
with the pmurGM-CSF plasmid. All groups of mice immunized with DNA
vaccines received a total of three doses, at 0, 3, and 9 weeks. Each
dose consisted of 100 µg of plasmid DNA dissolved in sterile saline
solution in a final volume of 100 µl. When plasmids were used in
combination with the pmurGM-CSF plasmid, 30 µg of this DNA was
combined in the same final volume. Immunizations were done by
administering 50 µl of the solution into each thigh intramuscularly
(i.m.) with a 30-gauge needle. In a separate experiment, 7- to
8-week-old female BALB/c mice were immunized with pPyHsps60-VR1012 DNA
vaccine followed 2 weeks later by a booster immunization with
either the DNA vaccine or 2 × 103 irradiated sporozoites.
IFAT and ILSDA.
Antibody responses in sera collected prior
to immunization and 2 weeks after the second and third doses were
evaluated by the indirect fluorescent antibody test (IFAT) using
air-dried P. yoelii sporozoites and P. yoelii-infected erythrocytes as described before (3).
The capacity of sera from immunized mice to inhibit sporozoite invasion
into the hepatocytes was assessed by the inhibition of liver-stage
development assay (ILSDA) as previously described (19).
Briefly, mouse hepatocytes were seeded onto eight-well chamber slides
and cultured overnight. The next day, media were aspirated from the
wells and 25 µl of the serum samples, diluted 1:2, was added to
triplicate wells. P. yoelii sporozoites (75,000/well) in a
volume of 25 µl were added to hepatocyte cultures and incubated for
3 h, and cultures were washed extensively to remove unattached sporozoites. The infected hepatocytes were incubated for a further 2 days, fixed with methanol, and immunostained with NYLS3 (a P. yoelii-specific monoclonal antibody) and fluorescein-conjugated goat anti-mouse immunoglobulin G (IgG). The number of schizonts was
counted from the triplicate cultures, and the percent inhibition was
determined as follows: ([mean control
mean test]/mean
control) × 100. Sera from mice immunized with unmodified VR1012
or VR1020 plasmids were used as negative controls.
T-cell depletions.
For depletion of CD8+ T
cells, mice were treated with the anti-CD8 monoclonal antibody (MAb)
2.43. On days
6,
5,
4,
2,
1, 0, and day +2 relative to
sporozoite challenge, mice were injected intraperitoneally with 0.5 mg
of MAb 2.43 in 0.5 ml of phosphate-buffered saline. Undepleted mice
received rat IgG using the same schedule and doses used for depletion
of CD8+ T cells. Cells obtained from mice treated with MAb
2.43 or rat IgG were stained with anti-CD8+ fluorescein
isothyiocyanate (PharMingen, San Diego, Calif.), and the success of
depletion was determined by single-color fluorescence-activated cell
sorting using the FACScan (Fax 400 Royal, Beckton Dickinson Immunocytometry Systems, San Jose, Calif.).
Sporozoite challenge and protection against blood-stage
infection.
Two weeks after the last immunization, mice were
challenged by injection of 50 sporozoites of the nonlethal strain of
P. yoelii (17XNL clone 1.1). Sporozoites were injected i.v.
by tail vein in a volume of 200 µl. Blood smears were obtained every
day from day 4 until day 14 after challenge and were examined for the
presence of parasites (Giemsa stain). Complete protection was defined
as the absence of P. yoelii parasites in the blood on all
days including day 14. In order to determine whether immunization of
mice with the PyHsp60 DNA vaccine had any effect on the course of
blood-stage infection, percent parasitemias of mice were obtained by
counting the number of infected red blood cells among 5,000 erythrocytes in Giemsa-stained blood smears.
Sporozoite challenge and protection against liver-stage
infection.
To assess protection against liver-stage infection, the
parasite burden in the liver was measured using the Taqman (Applied Biosystems, Foster City, Calif.) automated real-time PCR system using
the P. yoelii-specific 18S rRNA and the mouse
glyceraldehyde-3-phosphate dehydrogenase (GAPDH) as target sequences
(37). Briefly, 2 weeks after the last immunization mice
were challenged with 5 × 104 sporozoites purified by the
discontinuous gradient technique from mosquitoes 14 days after an
infectious blood meal. Forty-two hours after challenge, livers were
recovered from each mouse, were stored in RNAlater solution (Ambion
Inc., Austin, Tex.), and were kept at 4°C for a maximum of 1 week.
Livers were disrupted with a polytron homogenizer (Omni International),
and total RNA was purified using Trizol LS reagent (Life Technologies,
Gaithersburg, Md.). Purified RNA was reverse transcribed, and target
sequences of the P. yoelii 18S rRNA and mouse GAPDH were
amplified simultaneously using specific primers and
fluorescence-labeled probes. The threshold cycle, defined as the cycle
at which the fluorescence exceeds 10 standard deviations above the
starting fluorescence in the system, was converted to DNA equivalents
by the amplification of the respective target sequences cloned into
plasmids DNA and standard curves generated by 10-fold serial dilutions
of these plasmids. The parasite burden was determined by calculating
the ratio of the equivalence measures of the cloned target sequences obtained for the P. yoelii rRNA over the measures obtained
for the GAPDH.
Statistical analysis.
The
2 test or
two-tailed Fisher's exact test was used to evaluate if there was any
significant protection in the immunized animals compared with control
groups. (Epi Info, version 6.04b, Centers for Disease Control and
Prevention, Atlanta, Ga.). Mean parasitemias in groups of mice over
several days of follow-up were compared using repeated-measure analysis
of variance with the Scheffe test for multiple post hoc comparisons
(SPSS for Windows, version 8.0; SPSS Inc., Chicago, Ill.).
 |
RESULTS |
Characterization of PyHsp60 constructs.
The full-length
sequences of the PyHsp60 insert and the cloning junctions were
verified. The PCR-amplified product in the PCR-Script vector as well as
the junctions at the cloning site of the mammalian expression vector
showed the expected sequences. Characterization of antisera obtained
from CD-1 mice immunized with the pPyhsp60-VR1012 construct has been
described (24). In Western blot analyses of lysates of
untransfected as well as pPyHsp60-VR1012-transfected UM449 cells, these
anti-PyHsp-60 antisera reacted with a band of approximately 60 kDa
(data not shown). The minimum identity of the sequences observed
between any two proteins of the Hsp60 family is about 40%. It is
likely that cross-reaction of the anti-PyHsp60 polyclonal antibodies
with human Hsp60 accounts for the reaction with the untransfected
cells. Sera from mice vaccinated with unmodified VR1012 vector as well
as sera from mice obtained previous to the immunizations were negative
by IFAT and Western blot (data not shown). These results and the
observation that mice immunized with the pPyHsp60 DNA construct
produced antibodies that recognized Hsp60 from several sources
(24) led us to conclude that the vaccine plasmids were
expressing the PyHsp60 gene.
Antibody titers (IFAT) and ILSDA.
In order to determine the
immunogenicity of the pPyHsp60-VR1012 and pPyHsp60-VR1020 DNA vaccines
in BALB/c mice, sera from immunized mice were evaluated by IFAT against
P. yoelii sporozoite and blood-stage parasites. Sera
obtained from mice before the injection of DNA vaccines (data not
shown) or from mice immunized with the DNA plasmid control (groups 1.H
and 1.I, Table 1) did not show any
significant reaction by IFAT against P. yoelii sporozoite or
blood-stage parasites at serum dilutions of 1:20. Immunization of mice
with the plasmids pPyHsp60-VR1012 and pPyHsp60-VR1020 induced the
production of antibodies that reacted by IFAT with sporozoites and
blood-stage parasites after the second and third immunizations (groups
1.A, 1.B, 1.C, 1.D, and 1.E, Table 1). The magnitude of this immune
response against sporozoites was less than that induced by immunization
with the positive control vaccine (PyCSP and PyHep17 plasmid mixture)
(group 1.G, Table 1). The PyHsp60 vaccine-elicited antibodies also
showed strong reactivity against P. yoelii-infected red
blood cells. The addition of GM-CSF plasmid to the PyHsp60 DNA vaccines
induced only a modest increase in the antibody titers as observed by
IFAT (groups 1.B, 1.C, and 1.D) after the third immunization. By
Western blot, the antiserum produced by immunization with
pPyHsp60-VR1012 in combination with pmurGM-CSF recognized mycobacterial
Hsp60, recombinant PfHsp60, and a band of around 60 kDa in sporozoites
and blood-stage parasites (data not shown). To determine whether the
antibodies induced in mice immunized with the PyHsp60 DNA vaccine in
combination with pmurGM-CSF plasmid were able to inhibit the invasion
of sporozoites into the hepatocytes, sera from mice immunized with
pPyHsp60 alone or in combination with pmurGM-CSF were tested by ILSDA.
In this assay the MAb NYS1 that recognizes the PyCSP on the surface of sporozoites (3, 4) and the MAb NYSL3 (5) that
reacts with PyHep17, which is located on the parasitophorous vacuole membrane of the liver and blood stages of the parasite life cycle, consistently inhibit invasion or development of the parasite in hepatocytes by greater than 90%. Indeed, in the experiment conducted in the present study, NYS1 showed a 93% inhibition of sporozoite invasion. In contrast, none of the sera obtained from mice immunized with the PyHsp60-based DNA vaccines alone or in combination with pmurGM-CSF were able to inhibit invasion of sporozoites into the hepatocyte at the dilutions tested (Fig.
1).

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FIG. 1.
ILSDA. Sera with the highest titer of antibody from mice
immunized with pPyHsp60-VR1012 DNA vaccine alone or in combination with
pmurGM-CSF were pooled and tested in the assay. The percent inhibition
was calculated using the mean of the schizonts counted on triplicate
cultures and determined as follows: (mean of control mean of
test)/mean control × 100.
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Protection after sporozoite challenge.
We first evaluated
protective efficacy in mice immunized with the pPyHsp60-VR1012 and
pPyHsp60-VR1020 DNA vaccines alone or in combination with pmurGM-CSF
DNA. Mice were considered protected if parasites were not observed in
the blood on day 14 as evaluated by Giemsa-stained blood films. In this
experiment, 100% of the mice that were immunized with irradiated
sporozoites (group 1.G, Table 1) and 90% of the mice immunized with
the combination pPyCSPVR1020, pPyHep-17-VR1012, and pmurGM-CSF (group
1.F, Table 1) did not develop parasitemia during the 14 days of
follow-up and were considered protected. Ninety percent of mice in the
negative control group 1.H that were immunized with unmodified pVR1020
DNA alone (Table 1) and all the mice in the negative control group 1.I
immunized with VR1020 in combination with pmurGM-CSF developed
parasitemia by day 14 postchallenge. Because there did not appear to be
a significant difference in the behavior of the two negative control groups, in subsequent analysis we pooled them. In contrast, 40% of
mice immunized with the combination of pPyHsp60-VR1012 and pmurGM-CSF
did not develop parasitemia during the 14 days postchallenge (group
1.B, Table 1). Only this group had statistically significant protection
on day 14 as compared with the pooled controls (two-tailed Fisher's
exact test: P = 0.031, group 1.B versus group 1.H + group 1.I [Table 1]). Only 10% of mice in groups 1.A, 1.C, and 1.D that were immunized with the other PyHsp60-based DNA vaccine alone or
in combination with pmurGM-CSF plasmid did not develop parasitemia. Only 10% of mice that were depleted of CD8+ T cells did
not develop parasitemia. However, this difference was not statistically
significant when compared with immunized undepleted mice (Fisher's
exact test: P > 0.05, group 1.B versus group 1.C
[Table 1]).
To determine whether immunization with PyHsp60-based DNA vaccines had
any effect on the course of erythrocytic stage infection in BALB/c
mice, geometric mean parasitemias were obtained daily from day 4 until
day 14 after challenge. Figure 2 shows
geometric mean parasitemias calculated only in mice with positive
Giemsa-stained films in all groups of the experiment described in Table
1. At day 5 postchallenge mice immunized with pPyHsp60-VR1012 plasmid in combination with pmurGM-CSF showed a lower level of parasitemia than
the negative control groups (Fig. 2). By day 7, parasitemias were
similar in all groups immunized with the PyHsp60 vaccines but were
lower in the one mouse that received the PyCSP plus PyHEP17 vaccine.
Mean parasitemias in groups of mice on each day were compared using
repeated-measure analysis of variance. The subsequent post hoc analysis
Scheffe test showed that differences in the mean parasitemias on the
days 5, 7, 9, 11, and 13 among any of the groups immunized with the
PyHsp60 DNA vaccines and negative control groups were not significant
(P > 0.05, mean parasitemias of groups 1.A, 1.B, 1.C,
1.D, and 1.E versus mean parasitemias of groups 1.H and 1.I). A second
set of experiments was undertaken in order to confirm the putative
protective efficacy of the pPyHsp60-VR1012DNA vaccine in combination
with the pmurGM-CSF plasmid. In this experiment all BALB/c mice
received equal amounts of DNA. In mice immunized with pPyHsp60-VR1012,
a single dose consisted of 100 µg of this DNA and 30 µg of
unmodified VR1012 DNA. In mice immunized with the combination
pPyHsp60-VR1012 and pmurGM-CSF, a single dose consisted of 100 µg of
the Hsp60-based DNA plasmid and 30 µg of pmurGM-CSF DNA. The
immunization schedule and conditions of the experiment were exactly as
in the first experiment. Giemsa-stained blood smears were taken daily
from day 4 until day 21 postchallenge. Table
2 shows the results of protective
efficacy on days 4 and 14. Blood parasites were not observed at day 4 postchallenge in 40 to 50% of the mice vaccinated with pPyHsp60-VR1012
alone or with the same plasmid in combination with pmurGM-CSF. As there appeared to be no significant difference between groups immunized with
or without pmurGM-CSF (e.g., 2.A and 2.C, 2.F and 2.G), these groups
were pooled for subsequent analysis. Although the number of mice that
did not have parasitemia was greater in the groups vaccinated with the
PyHsp60-VR1012-based vaccine, the difference between the two groups
immunized with this vaccine with and without GM-CSF plasmid and their
controls did not quite reach the level of statistical significance
(two-tailed
2 test: P = 0.0634, 2.A + 2.C versus 2.F + 2.G [Table 2]). One hundred percent of mice
immunized with the combination pPyCSP-VR1020, pPyHep17-VR1012, and
pmurGM-CSF did not have parasites on their blood smear on day 4. At day
14, however, all mice vaccinated with the experimental PyHsp60 vaccines
had become parasitemic, while 40% of the mice in the positive control
group (group 2.E, Table 2) remained protected. We calculated the
geometric mean parasitemias of those positive mice from day 4 until day
21 after challenge. Figure 3 shows the
geometric mean parasitemias in this experiment. Parasites were first
detected in mice vaccinated with the combination pPyCSP-VR1012,
pPyHep17-VR1012, and pmurGM-CSF on day 5 postchallenge with
sporozoites. In mice vaccinated with the pPyHsp60-VR1012 plasmid,
parasites were detected earlier (at day 4). Repeated-measure analysis
of variance and the subsequent post hoc analysis Scheffe test showed
that the differences between the mean parasitemias in the experimental
versus the control groups of mice of this experiment were not
statistically significant.

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FIG. 2.
Geometric mean parasitemias of BALB/c mice immunized
with the PyHsp60 DNA vaccines (experiment no. 1). As described in Table
1, mice were challenged with 50 P. yoelii 17X (NL)
sporozoites. Percent parasitemia was calculated by counting the number
of infected red blood cells among 5,000 erythrocytes on Giemsa-stained
blood smears from each mouse. Only mice which developed parasitemia
were included in the analysis.
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FIG. 3.
Geometric mean parasitemias of BALB/c mice immunized
with the PyHsp60 DNA vaccines (experiment no. 2). As described in Table
2, mice were challenged with 50 P. yoelii 17X (NL)
sporozoites. Percent parasitemia was calculated by counting the number
of infected red blood cells among 5,000 erythrocytes on Giemsa-stained
blood smears from each mouse. Only mice which developed parasitemia
were included in the analysis.
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Boosting of pPyHsp60-VR1012 DNA with irradiated sporozoites and
protection against liver-stage infection.
We observed in the first
of the two experiments described above that immunization with the
pPyHsp60-VR1012 DNA vaccine used in combination with the plasmid
pmurGM-CSF resulted in 40% protection. On the other hand, in the
second experiment there was no protection on day 14 although there was
a delay in the onset of parasitemia in the groups that had received the
PyHsp60 plasmid DNA. It seemed from the first two experiments that a
PyHsp60 vaccine administered as a DNA plasmid may have induced immune
responses with protective activity against the preerythrocytic stages
of P. yoelii but that this immunity was not as protective as
that elicited by immunization with the combination of PyCSP and PyHEP17
DNA vaccines with the plasmid expressing murine GM-CSF. Since mice
immunized with PyHsp60 DNA vaccine produced antibodies against
sporozoites, we speculated that the PyHsp60 DNA vaccine might prime for
boosting with irradiated sporozoites. Furthermore, since protection
against blood-stage parasitemia is an all or none phenomenon that does
not allow us to detect 90% of protective activity against infected
hepatocytes, we utilized a Taqman assay developed to detect liver-stage
P. yoelii ribosomal RNA as our endpoint measure
(37). Table 3 shows the
experimental design of this experiment. In Fig.
4 we report the mean ratios of the
measures of amplified P. yoelii 18S rRNA over amplified
mouse GADPH obtained from the livers of all immunized mice. Parasite
rRNA was not detected in mice that received a first dose of the
combination of pPyCSP-VR1020, pPyHep17-VR1012, and GM-CSF and were
boosted with irradiated sporozoites. The maximum measurement of rRNA
was obtained in the group of mice that received two doses of unmodified
VR1012 control plasmid or in those that received two doses of
pPyHsp60-VR1012 plasmid. A 75% reduction of parasite burden was
observed in the mice that received either PyHsp60-VR1012 or VR1012
negative control plasmid as a first dose and irradiated sporozoites as
the second dose. The results show that in contrast to immunization with
the combination pPyCSP-VR1020, pPyHep17-VR1012, and pmurGM-CSF,
immunization with pPyHsp60-VR1012 DNA vaccine neither diminished the
parasite burden in the liver on its own nor primed immunized mice for a
greater protective response to a single dose of irradiated sporozoites.

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FIG. 4.
Liver-stage infection burden. Mean ratios of DNA
equivalent measures for the P. yoelii 18S rRNA over the DNA
equivalent for murine GAPDH are shown. Groups of mice were immunized
with DNA vaccines and were boosted with irradiated sporozoites (as
described in Table 3), and 2 weeks after the last immunization mice
were challenged by intravenous injection of 5 × 104
sporozoites. Forty-two hours later livers were recovered and RNA was
extracted. The analysis included triplicate Taqman measures from livers
recovered from three mice per group.
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 |
DISCUSSION |
In the present study we evaluated the immunogenicity and
protective efficacy of pPyHsp60-VR1012 and pPyHsp60-VR1020 DNA vaccines alone or in combination with pmurGMCSF plasmid and compared them with the protection against sporozoite challenge afforded by
immunization with the combination pPyCSP-VR1020, pPyHep17-VR1012, and
pmurGM-CSF. As a negative control in all experiments, we used mice
injected with the unmodified DNA vaccine vector alone or in combination with the pmurGM-CSF plasmid. Both pPyHsp60-VR1012 and pPyHsp60-VR1020 DNA vaccines were immunogenic in BALB/c mice, inducing antibodies that
recognized P. yoelii parasites by IFAT. The levels of
antibodies induced against blood-stage parasites were higher than those
induced against sporozoites. It has been shown that expression of
PfHsp70 is not observed (16) or is observed at a very low
level in P. falciparum sporozoites (32). The
low antisporozoite antibody titer observed in mice immunized with the
PyHsp60 DNA vaccines may reflect a lower level of expression of this
protein in this stage of the parasite compared with the blood stage. An
intriguing result from the present study is the suggestion that
immunization with PyHsp60 may be capable of inducing a degree of
protection against sporozoite challenge, although the findings are
inconsistent between different challenge experiments. Immunization of
mice with the plasmid pPyHsp60-VR1012 in combination with pmurGM-CSF revealed a statistically significant 40% protection of BALB/c mice in
one of the experiments (two-tailed Fisher's exact test: P = 0.031, group 1.B versus groups 1.H + 1.I [Table 1]) and
only a delay in the onset of blood-stage parasites in 40 to 50% of the
mice immunized with the PyHsp60-VR1012 DNA vaccine in the second
experiment (two-tailed
2 test: P = 0.0634, groups 2.A + 2.C versus 2.F + 2.G, day 4 [Table 2]). Some of the best protection obtained against challenge with P. yoelii sporozoites in BALB/c mice is conferred by
immunization with PyCSP in combination with pmurGM-CSF for the first
dose and boosting 3 weeks later with recombinant vaccinia virus
expressing PyCSP (27). Under these conditions
approximately 80% of the mice are protected. On the other hand,
protection of BALB/c mice against sporozoite challenge ranging from 25 to 75% has been consistently obtained by immunizing with the PyCSP DNA
vaccine alone (9, 26, 35). An attractive explanation for
the variability in the level of protection from experiment to
experiment may be the variability in sporozoite viability and/or
infectivity between sporozoites isolated from different batches of
infected mosquitoes. As demonstrated by McKenna et al.
(18), the liver parasite burden in groups of mice infected
with P. yoelii sporozoites purified from different batches
of infected mosquitoes varies dramatically. One approach to asking
whether there has been experiment-to-experiment variation in the
infectivity of sporozoites is to consider the level of protection
achieved with the positive control immunization regimen of PyCSP,
PyHEP17, and pmurGM-CSF. Indeed, in the first experiment this regimen
provided 100% protection, while in the second experiment it provided
only 40% protection, suggesting that the challenge sporozoites in the
second experiment were more infective.
In the third challenge study, immunizations with either the
experimental vaccine or the protective DNA vaccine mix were boosted with irradiated sporozoites and the liver parasite burden was used as a
read-out for the effect of the regimen on the intrahepatocytic growth
of the parasites. Priming immunization with the PyHsp60 followed by
boosting with irradiated sporozoites, however, did not have any effect
on the liver parasite burden that was evaluated 42 h after the
injection of 5 × 104 sporozoites. In contrast,
immunization with the protective combination in the first dose and
boosting with irradiated sporozoites completely abolished the infection
of parasites in the infected hepatocyte. In this case it seems likely
that whatever potential protective effect of immunization with PyHsp60
was present was overwhelmed by the large challenge dose.
Since PyHsp60 is a protein expressed in all the parasite stages found
in the vertebrate host, we assessed whether immune responses elicited
by immunization with PyHsp60 DNA had antiparasite effects at different
stages of the life cycle. Data from the ILSDA indicated that the
antibodies induced did not prevent sporozoite invasion of hepatocytes
or inhibit the growth of parasites developing within hepatocytes.
Assessment of the course of parasitemias in immunized mice provided no
evidence for an anti-infected erythrocyte effect. However, the
protection in the first experiment, the delay in onset of parasitemia
in the second experiment, and the slightly lower parasitemias early in
infection (Fig. 3 and 4) suggested a pre-erythrocytic stage effect.
Since antibodies apparently had no effect, this suggests that T-cell
responses against the infected hepatocyte may have been responsible for
this effect. The suggestion in experiment no. 1 that CD8+
T-cell depletion reduced the limited protection observed, although not
statistically significant, is consistent with a role for T-cell responses in protection.
In summary, we have suggestive evidence that immunization with PyHsp60
can induce a partially protective immune response against challenge
with P. yoelii sporozoites. The magnitude of the response is
small and it is easily overwhelmed by large doses of sporozoites and
even by variation in the infectivity of different sporozoite preparations. Nonetheless, the findings suggest that PyHsp60 may still
have relevance as a vaccine target. It is certainly possible that, as
in the case of the PyCSP DNA vaccine, optimal protective efficacy will
be obtained only by boosting the DNA vaccine immunization with
recombinant poxvirus encoding PyHsp60. In order to fully evaluate the
potential of PyHsp60 as a vaccine antigen it will be important to
construct and characterize recombinant poxvirus expressing this protein
and to evaluate it in prime-boost experiments.
In other animal models, it has been shown that Hsp60 is a prominent
immunogen able to induce a variety of immune responses or act as a
carrier when administered with other antigens (2, 22, 28).
In the P. yoelii-mouse model, 
T cells elicited by
immunization with irradiated sporozoites or elicited by blood-stage infection proliferate in the presence of Hsp60 (15, 33).
Furthermore, Hsp60-specific 
+ T cells elicited by
immunization with irradiated sporozoites seem to contribute to the
decrease of liver parasite burden in this model (33). In
the present preliminary study we have produced DNA vaccines based on
PyHsp60 that were immunogenic in BALB/c mice. We also demonstrated that
this vaccine did seem to have an effect on the parasites in mice
challenged with 50 sporozoites. Given the preexisting literature on the
potential of Hsp60 as a vaccine target and our results suggesting a
modest protective effect in the P. yoelii model, we conclude
that PyHsp60 is an interesting candidate vaccine antigen and that
further experiments using more immunogenic vaccination regimens, such
as DNA-virus prime-boost approaches, should be carried out to further
evaluate the usefulness of PyHsp60 as a vaccine candidate.
Additionally, it has been demonstrated that immunization of mice with a
recombinant Hsp60 in fusion with an influenza virus protein efficiently
primes CD8+ cytotoxic T lymphocytes against this viral
antigen (1). Our long-term goal in the design of a DNA
vaccine against malaria is to induce different mechanisms of immunity
in the heterogeneous population able to recognize and eliminate the
different stages of the parasite life cycle (13). The
potential of PyHsp60 DNA vaccines as an adjuvant for use in combination
with other malaria antigens should also be explored.
 |
ACKNOWLEDGMENTS |
We thank Yupin Charoenvit (Naval Medical Research Center) for
NYSL3 and NYS1 MAbs. We are also grateful to A. Belmonte and R. Wallace
for technical assistance with P. yoelii sporozoites and
Robert Anthony for technical assistance with sequencing and liver RNA processing.
G.I.S. was a recipient of a UNDP/World Bank/WHO/TDR research training
grant and received financial aid from the U.S. Navy and the Department
of Molecular Microbiology and Immunology, School of Public Health, The
Johns Hopkins University. This work was supported by Military
Infectious Diseases Research Program Project F0014-99-NM.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Celera Genomics,
45 West Gude Dr., Rockville, MD 20850. Phone: (240) 453-3580. Fax: (240) 452-4580. E-mail: stephen.hoffman{at}celera.com.
Present address: BIOGENESIS
Immunovirología, Facultad de
Medicina, Universidad de Antioquia, A.A. 1226, Medellín, Colombia.
Editor:
W. A. Petri Jr.
 |
REFERENCES |
| 1.
|
Anthony, L. S.,
H. Wu,
H. Sweet,
C. Turnnir,
L. J. Boux, and L. A. Mizzen.
1999.
Priming of CD8+ CTL effector cells in mice by immunization with a stress protein-influenza virus nucleoprotein fusion molecule.
Vaccine
17:373-383[CrossRef][Medline].
|
| 2.
|
Bonato, V. L.,
V. M. Lima,
R. E. Tascon,
D. B. Lowry, and C. L. Silva.
1998.
Identification and characterization of protective T cells in hsp65 DNA-vaccinated and Mycobacterium tuberculosis-infected mice.
Infect. Immun.
66:169-175[Abstract/Free Full Text].
|
| 3.
|
Charoenvit, Y.,
M. L. Leef,
L. F. Yuan,
M. Sedegah, and R. L. Beaudoin.
1987.
Characterization of Plasmodium yoelii monoclonal antibodies directed against stage-specific sporozoite antigens.
Infect. Immun.
55:604-608[Abstract/Free Full Text].
|
| 4.
|
Charoenvit, Y.,
S. Mellouk,
C. Cole,
R. Bechara,
M. F. Leef,
M. Sedegah,
L. F. Yuan,
F. A. Robey,
R. L. Beaudoin, and S. L. Hoffman.
1991.
Monoclonal, but not polyclonal antibodies protect against Plasmodium yoelii sporozoites.
J. Immunol.
146:1020-1025[Abstract].
|
| 5.
|
Charoenvit, Y.,
S. Mellouk,
M. Sedegah,
T. Toyoshima,
M. F. Leef,
P. De la Vega,
R. L. Beaudoin,
M. Aikawa,
V. Fallarme, and S. L. Hoffman.
1995.
Plasmodium yoelii: 17-kDa hepatic and erythrocytic stage protein is the target of an inhibitory monoclonal antibody.
Exp. Parasitol.
80:419-429[CrossRef][Medline].
|
| 6.
|
Das, A.,
C. Syin,
H. Fujioka,
H. Zheng,
N. Goldman,
M. Aikawa, and N. Kumar.
1997.
Molecular characterization and ultrastructural localization of Plasmodium falciparum Hsp 60.
Mol. Biochem. Parasitol.
88:95-104[CrossRef][Medline].
|
| 7.
|
Doolan, D. L.,
R. C. Hedstrom,
W. O. Rogers,
Y. Charoenvit,
M. Rogers,
P. De la Vega, and S. L. Hoffman.
1996.
Identification and characterization of the protective hepatocyte erythrocyte protein 17 kDa gene of Plasmodium yoelii, homolog of Plasmodium falciparum exported protein 1.
J. Biol. Chem.
271:17861-17868[Abstract/Free Full Text].
|
| 8.
|
Doolan, D. L.,
M. Sedegah,
R. C. Hedstrom,
J. C. Aguiar, and S. L. Hoffman.
1996.
DNA vaccination against malaria.
Adv. Drug Deliv. Rev.
21:49-61[CrossRef].
|
| 9.
|
Doolan, D. L.,
M. Sedegah,
R. C. Hedstrom,
P. Hobart,
Y. Charoenvit, and S. L. Hoffman.
1996.
Circumventing genetic restriction of protection against malaria with multi-gene DNA immunization: CD8+ T cell, interferon-gamma, and nitric oxide dependent immunity.
J. Exp. Med.
183:1739-1746[Abstract/Free Full Text].
|
| 10.
|
Druilhe, P. L.,
L. Rénia, and D. A. Fidock.
1998.
Immunity to liver stages, p. 513-543.
In
I. W. Sherman (ed.), Malaria: parasite biology, pathogenesis, and protection. American Society for Microbiology, Washington, D.C.
|
| 11.
|
Hartikka, J.,
M. Sawdey,
F. Cornefert Jensen,
M. Margalith,
K. Barnhart,
M. Nolasco,
H. L. Vahlsing,
J. Meek,
M. Marquet,
P. Hobart,
J. Norman, and M. Manthorpe.
1996.
An improved plasmid DNA expression vector for direct injection into skeletal muscle.
Hum. Gene Ther.
7:1205-1217[Medline].
|
| 12.
|
Hedstrom, R. C.,
D. L. Doolan,
R. Wang,
A. Kumar,
J. B. Sacci, Jr.,
M. J. Gardner,
J. C. Aguiar,
Y. Charoenvit,
M. Sedegah,
J. A. Tine,
M. Margalith,
P. Hobart, and S. L. Hoffman.
1998.
In vitro expression and in vivo immunogenicity of Plasmodium falciparum pre-erythrocytic stage DNA vaccines.
Int. J. Mol. Med.
2:29-38[Medline].
|
| 13.
|
Hoffman, S. L.,
D. J. Carucci, and W. O. Rogers.
1998.
Using DNA-based vaccine technology and the Malaria Genome Project to overcome obstacles to malaria vaccine development, p. 545-556.
In
I. W. Sherman (ed.), Malaria: parasite biology, pathogenesis, and protection. American Society for Microbiology, Washington, D.C.
|
| 14.
|
Hoffman, S. L., and L. H. Miller.
1996.
Perspectives on malaria vaccine development, p. 1-13.
In
S. L. Hoffman (ed.), Malaria vaccine development: a multi-immune response approach. American Society for Microbiology, Washington, D.C.
|
| 15.
|
Kopacz, J., and N. Kumar.
1999.
Murine gamma delta T lymphocytes elicited during Plasmodium yoelii infection respond to Plasmodium heat shock proteins.
Infect. Immun.
67:57-63[Abstract/Free Full Text].
|
| 16.
|
Kumar, N.,
H. Nagasawa,
J. B. Sacci, Jr.,
B. J. Sina,
M. Aikawa,
C. Atkinson,
P. Uparanukraw,
L. B. Kubiak,
A. F. Azad, and M. R. Hollingdale.
1993.
Expression of members of the heat-shock protein 70 family in the exoerythrocytic stages of Plasmodium berghei and Plasmodium falciparum.
Parasitol. Res.
79:109-113[CrossRef][Medline].
|
| 17.
|
Luke, C. J.,
K. Carner,
X. Liang, and A. G. Barbour.
1997.
An OspA-based DNA vaccine protects mice against infection with Borrelia burgdorferi.
J. Infect. Dis.
175:91-97[Medline].
|
| 18.
|
McKenna, K. C.,
M. Tsuji,
M. Sarzotti,
J. B. Sacci,
A. Witney, and A. F. Azad.
2000.
 T cells are a component of early immunity against preerythrocytic malaria parasites.
Infect. Immun.
68:2224-2230[Abstract/Free Full Text].
|
| 19.
|
Mellouk, S.,
N. Berbiguier,
P. Druilhe,
M. Sedegah,
B. Galey,
L. Yuan,
M. Leef,
Y. Charoenvit,
C. Paul,
S. L. Hoffman, and R. Beaudoin.
1990.
Evaluation of an in vitro assay aimed at measuring protective antibodies against sporozoites.
Bull. W. H. O.
68(Suppl):52-59.
|
| 20.
|
Nardin, E. H., and F. Zavala.
1998.
Acquired immunity to sporozoites, p. 495-511.
In
I. W. Sherman (ed.), Malaria: parasite biology, pathogenesis, and protection. American Society of Microbiology, Washington, D.C.
|
| 21.
|
Noll, A.,
N. Bucheler,
E. Bohn, and I. B. Autenrieth.
1997.
Microbial heat shock proteins as vaccine.
Behring Inst. Mitt.
Feb. 1997:87-98.
|
| 22.
|
Noll, A.,
N. Bucheler,
E. Bohn,
R. Schirmbeck,
J. Reimann, and I. B. Autenrieth.
1999.
DNA immunization confers systemic, but not mucosal, protection against enteroinvasive bacteria.
Eur. J. Immunol.
29:986-996[CrossRef][Medline].
|
| 23.
|
Pacheco, N. D.,
C. P. A. Strome,
F. Mitchell,
M. P. Bawden, and R. L. Beaudoin.
1979.
Rapid large-scale isolation of Plasmodium berghei sporozoites from infected mosquitoes.
J. Parasitol.
65:414-417[CrossRef][Medline].
|
| 24.
|
Sanchez, G. I.,
D. J. Carucci,
J. Sacci,
J. H. Resau,
W. O. Rogers,
N. Kumar, and S. L. Hoffman.
1999.
Plasmodium yoelii: cloning and characterization of the gene encoding for the mitochondrial heat shock protein 60.
Exp. Parasitol.
93:181-190[CrossRef][Medline].
|
| 25.
|
Sedegah, M.,
R. Hedstrom,
P. Hobart, and S. L. Hoffman.
1994.
Protection against malaria by immunization with plasmid DNA encoding circumsporozoite protein.
Proc. Natl. Acad. Sci. USA
91:9866-9870[Abstract/Free Full Text].
|
| 26.
|
Sedegah, M.,
T. R. Jones,
M. Kaur,
R. C. Hedstrom,
P. Hobart,
J. A. Tine, and S. L. Hoffman.
1998.
Boosting with recombinant vaccinia increases immunogenicity and protective efficacy of malaria DNA vaccine.
Proc. Natl. Acad. Sci. USA
95:7648-7653[Abstract/Free Full Text].
|
| 27.
|
Sedegah, M.,
W. Weiss,
J. B. Sacci, Jr.,
Y. Charoenvit,
R. Hedstrom,
K. Gowda,
V. F. Majam,
J. Tine,
S. Kumar,
P. Hobart, and S. L. Hoffman.
2000.
Improving protective immunity induced by DNA-based immunization: priming with antigen and GM-CSF encoding plasmid DNA and boosting with antigen expressing recombinant poxvirus.
J. Immunol.
164:5905-5912[Abstract/Free Full Text].
|
| 28.
|
Silva, C. L.,
M. F. Silva,
R. C. L. R. Pietro, and D. B. Lowrie.
1996.
Characterization of T cells that confer a high degree of protective immunity against tuberculosis in mice after vaccination with tumor cells expressing mycobacterial hsp65.
Infect. Immun.
64:2400-2407[Abstract].
|
| 29.
|
Srivastava, P. K.,
H. Udono,
N. E. Blachere, and Z. Li.
1994.
Heat shock proteins transfer peptides during antigen processing and CTL printing.
Immunogenetics
39:93-98[Medline].
|
| 30.
|
Syin, C., and N. D. Goldman.
1996.
Cloning of a Plasmodium falciparum gene related to the human 60-kDa heat shock protein.
Mol. Biochem. Parasitol.
79:13-19[CrossRef][Medline].
|
| 31.
|
Trigg, P. I., and A. V. Kondrachine.
1998.
The current global malaria situation, p. 11-22.
In
I. W. Sherman (ed.), Malaria: parasite biology, pathogenesis, and protection. American Society for Microbiology, Washington, D.C.
|
| 32.
|
Tsuji, M.,
D. Mattei,
R. S. Nussenzweig,
D. Eichinger, and F. Zavala.
1994.
Demonstration of heat-shock protein 70 in the sporozoite stage of maaria parasites.
Parasitol. Res.
80:16-21[CrossRef][Medline].
|
| 33.
|
Tsuji, M.,
P. Mombaerts,
L. Lefrancois,
R. S. Nussenzweig,
F. Zavala, and S. Tonegawa.
1994.
Gamma delta T cells contribute to immunity against the liver stages of malaria in alpha beta T-cell-deficient mice.
Proc. Natl. Acad. Sci. USA
91:345-349[Abstract/Free Full Text].
|
| 34.
|
Weiss, W. R.,
M. F. Good,
M. R. Hollingdale,
L. H. Miller, and J. A. Berzofsky.
1989.
Genetic control of immunity to Plasmodium yoelii sporozoites.
J. Immunol.
143:4263-4266[Abstract].
|
| 35.
|
Weiss, W. R.,
K. J. Ishii,
R. C. Hedstrom,
M. Sedegah,
M. Ichino,
K. Barnhart,
D. M. Klinman, and S. L. Hoffman.
1998.
A plasmid encoding murin granulocyte-macrophage colony-stimulating factor increases protection conferred by a malaria DNA vaccine.
J. Immunol.
161:2325-2332[Abstract/Free Full Text].
|
| 36.
|
World Health Organization.
1999.
Rolling back malaria.
World Health Organization, Geneva, Switzerland.
|
| 37.
|
Witney, A., and D. Carucci.
2000.
Automated quantification of liver-stages.
In
D. L. Doolan (ed.), Methods in molecular medicine: malaria methods and protocols. Humana Press, Totowa, N.J.
|
| 38.
|
Zugel, U., and S. H. Kaufmann.
1999.
Role of heat shock proteins in protection from and pathogenesis of infectious diseases.
Clin. Microbiol. Rev.
12:19-39[Abstract/Free Full Text].
|
Infection and Immunity, June 2001, p. 3897-3905, Vol. 69, No. 6
0019-9567/01/$04.00+0 DOI: 10.1128/IAI.69.6.3897-3905.2001
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