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Infection and Immunity, May 2005, p. 3025-3037, Vol. 73, No. 5
0019-9567/05/$08.00+0 doi:10.1128/IAI.73.5.3025-3037.2005
Laboratory of Human Bacterial Pathogenesis, Rocky Mountain Laboratories, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, Montana,1 Department of Molecular Genetics and Microbiology, University of Massachusetts Medical Center, Worcester, Massachussetts2
Received 18 August 2004/ Returned for modification 4 October 2004/ Accepted 11 December 2004
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A more prevalent tick-borne disorder is Lyme disease, caused by Borrelia burgdorferi in North America and by Borrelia afzelii and Borrelia garinii as well as B. burgdorferi in Eurasia. Although B. burgdorferi and the tick-borne relapsing fever spirochetes are closely related (14) and transmitted by ticks, there are major differences in the pathogenicities of these two types of spirochetes. First, B. hermsii causes recurrent, acute, and temporally restricted symptoms, whereas B. burgdorferi-related symptoms may be chronic and persistent. Relapsing fever spirochetes achieve high cell densities in the blood, while B. burgdorferi concentrations are much lower (not over 104cells/ml) (45). In unfed Ixodes scapularis ticks, B. burgdorferi is usually restricted to the midgut. However, during the several days of tick feeding, B. burgdorferi replicates and disseminates from the midgut to the salivary glands for transmission in the saliva (30, 47). In contrast, relapsing fever spirochetes in unfed Ornithodoros ticks are present in many tissues and persistently infect the salivary glands (34). As a consequence, relapsing fever spirochetes are positioned for efficient transmission to mammalian hosts during the short time these ticks feed. The differences between the two microorganisms indicate that they have evolved with their hosts and with very different vectors to maximize their horizontal transmissions in nature. However, most of the mechanisms controlling vector specificities and differences in pathogenicities remain unknown.
To study the specific behaviors of relapsing fever spirochetes by comparative genomics with the B. burgdorferi DNA sequence (7, 11), genomic sequencing of two relapsing fever spirochetes is in progress in our laboratory. In the present study, we identified three open reading frames (ORFs) containing repeated sequences unique to relapsing fever spirochetes. We studied the polymorphism of these genes among numerous isolates of relapsing fever spirochetes, and we quantified their mRNA in various conditions by quantitative reverse transcription-PCR (qRT-PCR). We also produced specific polyclonal antibodies to assess the expression of these genes in vitro and in vivo and to evaluate the surface exposure of the proteins by protease accessibility experiments. To investigate the antigenic variability of the corresponding proteins, we analyzed B. hermsii isolates by Western blotting. The immunoreactivity of these recombinant proteins was examined with serum samples from human relapsing fever patients.
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TABLE 1. Borrelia species and isolates used in this study
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Production and purification of His-tagged fusion proteins. The BH0209, BH0512, and BH0553 genes of B. hermsii DAH were amplified from genomic DNA by PCR using the respective primer pairs Up-BH209 and Low-BH209, Up exp-BH512 and Low exp-BH512, and Up exp-BH553 and Low exp-BH553 (Table 2). The PCR products were cloned into the pTRC-His TOPO TA vector according to the instructions of the manufacturer (Invitrogen, Carlsbad, Calif.). The resulting plasmids were transformed into Escherichia coli BL21(DE3). Following selection on LB agar medium supplemented with ampicillin (100 µg/ml), recombinant clones were tested for the expression and synthesis of recombinant proteins after induction with 1 mM isopropyl-ß-D-thiogalactopyranoside (IPTG) (Sigma-Aldrich, St. Louis, Mo.). Purifications of His-tagged fusion proteins were achieved under denaturing conditions by use of a nickel Sepharose high performance chromatography column according to the instructions of the manufacturer (Amersham Biosciences, Uppsala, Sweden).
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TABLE 2. Oligonucleotides used for PCR
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Antibodies specific to PBH-553 were also produced in rabbits; however, the immunization protocol included 5 mg of two synthetic peptides, NKINNNKETLKDALHKNTHKLC and KINNNKETLNNNIQRLSDLDDC, representing aa 307 to 327 and 383 to 403, respectively, of PBH-553 coupled to bovine serum albumin with cysteine residues added to their C termini (Eurogentec, San Diego, Calif.). Freund's complete adjuvant (Sigma-Aldrich) was used with the primary injection, and Freund's incomplete adjuvant (Sigma-Aldrich) was used with the boosts.
Prediction of secondary structure. Amino acid sequences of PBH-209, PBH-512, and PBH-553 were analyzed for secondary structure using a combination of three methods provided by Pôle BioInformatique Lyonnais (http://npsa-pbil.ibcp.fr/cgi-bin/npsa_automat.pl?page=/NPSA/npsa_seccons.html): SOPM, DSC, and PHD (13, 16, 31).
Adhesion assay of B. hermsii to red blood cells. To measure the effect of polyclonal antibodies to PBH-512 and PBH-553 on B. hermsii adhesion, each heat-inactivated serum sample was diluted to a ratio of 1/50 in 50 µl of BSK-H medium supplemented with 6% of rabbit serum and incubated with 106 live B. hermsii cells at 34°C for 2 h. An equivalent volume of BSK-H medium mixed with citrated human whole blood containing 105 human red blood cells was then added, and the mixtures were incubated in 96-well plates at 34°C and with 5% CO2 for 1 h. The percentages of live B. hermsii cells bound to red blood cells were recorded from a total of 10 microscopic fields using a phase-contrast microscope and a magnification of x400. A mouse monoclonal antibody to flagellin (H9724) and a normal rabbit serum were used as negative controls.
SDS-PAGE and immunoblotting. SDS-polyacrylamide gel electrophoresis (PAGE) was performed according to the method of Laemmli (20) with a 4% stacking gel and a 4-to-15% separating gel. After electrophoresis, gels were stained with Coomassie brilliant blue R-250 (Invitrogen). Proteins were transferred onto nitrocellulose membranes (Bio-Rad) for immunoblotting as described by Towbin et al. (42). Histidine-tagged proteins were detected using the alkaline phosphatase-conjugated anti-His mouse monoclonal antibody (Invitrogen) according to the instructions of the manufacturer. To detect specific B. hermsii proteins, cell lysates representing 108 cells were used. Human relapsing fever sera used in this study were diluted at a ratio of 1/100 and were as previously described (36). Polyclonal rabbit antibodies produced in this study were used at a dilution ratio of 1/500. Bound antibodies were detected with horseradish peroxidase-conjugated goat anti-rabbit immunoglobulin G (IgG) (Zymed Laboratories, South San Francisco, Calif.) or 125I-labeled protein A (Amersham Biosciences, Piscataway, N.J.).
PK treatment. B. hermsii DAH cultures (108cells/ml) were treated with proteinase K (PK) as described previously (19). Briefly, B. hermsii cells from BSK-H medium with 12% rabbit serum were centrifuged at 4,300 x g for 15 min at 4°C. The resulting pellet was then washed three times in PBS with 5 mM MgCl250 mM sucrose and suspended to a final cell concentration of approximately 108cells/ml. The cell suspension was then split into 1-ml aliquots and mixed with a 1/10 volume of a proteinase K solution to give final concentrations ranging from 50 to 400 mg/ml. An equivalent volume of water was added to an untreated sample as a negative control. After 40 min of incubation at 37°C, phenylmethylsulfonyl fluoride was added to a final concentration of 1 mM to inhibit proteinase K activity, and the cells were washed three times in PBS with 5 mM MgCl2-50 mM sucrose-1 mM phenylmethylsulfonyl fluoride. Lysates were analyzed by SDS-PAGE and immunoblotting with rabbit anti-PBH-512, anti-PBH-553, or anti-GlpQ sera (36) or mouse anti-Vsp33 monoclonal antibody, H4825 (3).
In vivo studies. Two adult female RML mice (Rocky Mountain Laboratories Animal Facility) were inoculated intraperitoneally with approximately 2.5 x 108 B. hermsii DAH cells. Bacteremias were monitored in the mice during the next 3 days by examining the peripheral blood from the tail vein by nonphase, bright-field microscopy. The spirochetemic mice were bled while anesthetized with isoflurane. B. hermsii cells were separated from the red blood cells with a low-speed centrifugation (100 x g, 15 min), followed by a high-speed centrifugation of 16,000 x g for 15 min.
RNA isolation. Isolations of total RNA from 500-ml B. hermsii DAH cultures (5 x 107 cells/ml) were performed with the RNeasy kit (QIAGEN, Inc., Valencia, Calif.). Contaminating DNA in the RNA preparations was removed using the DNA-free kit (Ambion, Inc., Austin, TX). RNA quality and integrity were assessed with the RNA 6000 Nano LabChip kit with a bioanalyzer (model 2100; Agilent Technologies, Inc., Wilmington, Del.). Concentrations of total RNA were determined with an Ultrospec 3000 UV spectrophotometer (Amersham Biosciences Corp., Piscataway, N.J.).
Quantitative RT-PCR. Oligonucleotides and probes (Table 3) were designed with Primer Express software (version 2.0; Applied Biosystems, Foster City, Calif.) and purchased from Applied Biosystems. The probes consisted of an oligonucleotide labeled at the 5' end with 6-carboxyfluorescein as the reporter and at the 3' end with carboxytetramethylrhodamine as the quencher. qRT-PCR was performed with the TaqMan one-step RT-PCR master mix reagents kit according to the manufacturer's instructions (Applied Biosystems). The RT-PCR mixture (25 µl) contained 6.25 U of multiscribe reverse transcriptase, 10 U of RNase inhibitor, 500 nM each gene-specific primer, 100 nM each probe, and 10 ng of RNA template. Amplification and detection of specific products were performed with the ABI Prism 7700 detection system (Applied Biosystems) with the following conditions: 1 cycle at 48°C for 30 min, 1 cycle at 95°C for 10 min, 40 cycles at 95°C for 15 s and at 60°C for 1 min. The amount of RNA for each gene was normalized to the quantity of flaB RNA in each sample and was calculated with the annealing efficiency of each probe.
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TABLE 3. Oligonucleotides and fluorescent probes used for real-time RT-PCR
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FIG. 1. Illustration of the three chromosomal genes, BH0209 (A), BH0512 (B), and BH0553 (C), and respective hydropathy profiles of their deduced amino acid sequences using the Kyte and Doolittle algorithm (18). In the large arrows at the top, the locations of DNA coding the unique repeat domains and putative signal sequences are represented by gray and black boxes, respectively. Putative signal sequences, deduced amino acid sequences, and the respective number of repeats are shown below the large arrows. Broken lines represent regions omitted from the diagram of BH0512 (7,185 bp) to shorten its schematic length. Hydropathy profiles were determined using a window size of nine amino acids. The vertical axis displays relative hydrophobicity with negative scores indicating relative hydrophilicity. The horizontal axis indicates amino acid numbers. Thin single-headed arrows indicate hydrophobic N termini (N-ter); thin double-headed arrows indicate the repeat regions of the proteins.
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TABLE 4. Chromosomal ORFs in B. hermsii and B. turicatae that contain direct, internal repeated sequences
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TABLE 5. Secondary structure prediction analysis of PBH-209, PBH-512, and PBH-553 and their respective repeated domainsa
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-helix structures, which accounted for 78.1 and 55.7%, respectively, of their compositions (Table 5).
From aa 260 to 301, the predicted amino acid sequence of the BH0553 protein, PBH-553, contained two identical copies of the peptide LNELNDKINNNKDALNNNIHR. From aa 308 to 382, there was a second motif, KINNNKETLKDALHKNTHKLSELDX, repeated three times. This 25-aa motif was conserved among the three repeats, except that the C-terminal asparagine residue in the first two copies was replaced by an aspartic acid in the third repeat. From aa 383 to 529, an identical 21-aa sequence, KINNNKETLNNNIQRLSDLDD, was repeated seven times (Fig. 1C). Hydropathy analysis showed that the repeat region was very hydrophilic (Fig. 1C) while the N terminus was hydrophobic, and there was a putative signal sequence (Fig. 1C). Alignment of PBH-553 revealed only 22.5% identity with the B. burgdorferi BB0553 protein, while the identity increased to 55.9% after exclusion of the repeated domain. BLAST searches did not reveal any other proteins in the databases with significant sequence similarities. Submission of the complete PBH-553 and its repeated domain (aa 260 to 529) to DSC, PHD, and SOPM programs suggested that the entire protein and the repeated domain were composed mainly of
-helix structures (Table 5).
PCR analysis of BH0209, BH0512, and BH0553. To determine if BH0209, BH0512, and BH0553 were polymorphic genes, we designed specific sets of primers that flanked their respective repeated domains (Table 2) and performed PCR analysis with 28 isolates of B. hermsii (Table 1). The amplicons were electrophoresed and their sizes were estimated with Quantity One analysis software. The numbers of repeats were then calculated based on the sizes of the amplicons minus the numbers of nucleotides outside the repeated domains. PCR amplification of the repeated domain of BH0209 gave single amplicons ranging in size from 990 to 2,430 bp (Fig. 2A). The estimated number of repeats for each isolate was between 9 and 35.7, based also on the assumption that the repeated motif sequences were fully conserved. To further assess the conservation of BH0209 repeats, a PstI restriction analysis was performed on the PCR fragments (data not shown). These results showed a common restriction pattern composed of three fragments of 156, 140, and 54 bp in all the isolates, which also supports the notion that the sequence of repeated motifs was identical for each isolate.
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FIG. 2. Polymorphism analyses of BH0209 (A), BH0512 (B), and BH0553 (C) in 28 isolates of B. hermsii (as labeled with their codes above each gel). After PCR amplification, the products were electrophoresed in a 1% agarose gel and visualized after ethidium bromide staining. The lengths of the amplification products were estimated using Quantity One software. The positions of the molecular size markers (M) are indicated on both sides of the gels in bp.
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FIG. 3. Alignments of repeated domains encoded by BH0512 from the B. hermsii isolates DAH, SIL, COM, and CMC. Black boxes with white type represent amino acid residues conserved in the four isolates, and white boxes with boldface type represent amino acid residues present in at least 50% of the sequences.
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TABLE 6. Repeated motifs encoded by BH0553 from four B. hermsii isolatesa
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Analysis of the BT0209-encoded protein, PBT-209, with the signalP program predicted a signal sequence with a cleavage site after aa 26. From aa 220 to 507, there were eight repeats, which were XXNTQEHMXKKDXXNTQENMSKKDNXXTQEHMXKKD. PBT-209 and PBH-209 were 49.3% identical, and the identity increased to 84.7% when the repeats were excluded from the alignment. PCR analysis of the BT0209 repeat region in eight isolates of B. turicatae produced single amplicons ranging in size from 1,623 to 1,849 bp, corresponding to 8.5 to 10.6 copies of the 36-aa repeated motif.
PBT-512, the protein encoded by BT0512, contained a predicted signal sequence with a cleavage site after aa 30. The repeated domain contained five copies of the 33-aa motif KYDEKHLLVEKKINXKTNSVEELIAXKYAEXXX present from aa 1,326 to 1,490. PBT-512 and PBH-512 were 83.1% identical, and the identity increased to 87.8% when the repeats were excluded from the alignment. PCR analysis of BT0512 produced a single amplicon of 678 bp, which suggested that all of the isolates contained 5.7 copies of the 33-aa repeat (Fig. 4B).
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FIG. 4. Polymorphism analyses of BT0209 (A), BT0512 (B), and BT0553 (C) in eight isolates of B. turicatae (as labeled above each gel). After PCR amplification, the products were electrophoresed in a 1% agarose gel and visualized after ethidium bromide staining. The lengths of the amplification products were estimated using Quantity One software. The positions of the molecular size markers (M) are indicated on both sides of the gels in bp.
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Quantitative RT-PCR analysis of BH0209, BH0512, and BH0553 transcripts. Transcription levels of BH0209, BH0512, and BH0553 in B. hermsii DAH grown in vitro were determined by qRT-PCR. Experiments were performed in triplicate with RNA samples isolated from three independent exponential-phase cultures (5 x 107 cells/ml) grown at 34°C and 24°C (Table 7). Standard curves were generated for each gene with genomic DNA isolated from B. hermsii DAH to determine the relative quantities of specific transcripts. The quantity of RNA for each gene was normalized to the quantity of flaB RNA present in each preparation. vsp33 was used as a positive control because this gene is up-regulated at the lower temperature (33). Specific RNAs were detected for all three genes, although no significant differences in the amounts of transcripts at the two temperatures were observed. None of the transcripts were as abundant as the transcript for flaB, and vsp33 transcripts were 3.60-fold less abundant at 34°C than at 24°C.
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TABLE 7. Relative amounts of mRNA of flaB, vsp33, BH0209, BH0512, and BH0553 genes in B. hermsii DAH grown at 34°C or 24°C as determined by qRT-PCR analysis
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FIG. 5. Immunoblot analyses of B. hermsii DAH, B. turicatae 91E135, and B. burgdorferi B31 probed with PBH-512 antibodies (A) and PBH-553 antibodies (B). Comparative immunoblot analyses of B. hermsii DAH lysates produced in vitro and in vivo using PBH-512 antibodies (C) and PBH-553 antibodies (D). Primary bound antibodies were detected with horseradish peroxidase-linked goat anti-rabbit IgG. The positions of the molecular mass markers are indicated on the left of each immunoblot in kDa.
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Localization of PBH-512 and PBH-553. Computer analysis predicted that PBH-512 and PBH-553 contained signal sequences; therefore we sought evidence for their possible locations on the outer surfaces of the spirochetes by performing protease accessibility experiments. Freshly harvested, intact B. hermsii was treated with PK, fractionated by SDS-PAGE, blotted, and probed with PBH-512- or PBH-553-specific antisera (Fig. 6). We included samples for detecting Vsp33 and GlpQ, because previous work demonstrated that the former protein is on the spirochete's outer surface (32) while the latter is periplasmic (36). The amounts of PBH-512 and PBH-553 detected were reduced after PK digestion, as was that of Vsp33, while that of GlpQ was not (Fig. 6). These results demonstrated that PBH-512 and PBH-553 were on the cell's outer surface.
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FIG. 6. Localization of B. hermsii PBH-512 and PBH-553. Immunoblot analyses of B. hermsii cells treated or not treated with proteinase K (Prot. K) by use of specific antibodies to detect removal of PBH-512 (A) and PBH-553 (B). Control proteins GlpQ (periplasmic) (C) and Vsp33 (surface exposed) (D) were respectively used for accessibility to proteinase K degradation. After proteinase K treatment, the amounts of PBH-512 and PBH-553 were significantly reduced. Bound antibodies were detected with horseradish peroxidase-linked goat anti-rabbit IgG.
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FIG. 7. Immunoblot analyses of 28 isolates of B. hermsii using antisera specific for PBH-512 (A) and PBH-553 (B). The codes for the isolates are indicated at the tops of the immunoblots. Brackets indicate the isolates from Genomic Groups I and II based on 16S rRNA, flaB, gyrB, and glpQ sequence analysis (26). The positions of the molecular mass markers are indicated on the left in kDa. Bound antibodies were detected with 125I-labeled protein A.
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FIG. 8. Immunoblot analyses of purified recombinant PBH-512 and PBH-553 using 12 human relapsing fever sera and 3 naïve human sera (labeled A through O above immunoblots). Seven of the human relapsing fever sera (58%) reacted with recombinant PBH-512, and eight (67%) reacted with recombinant PBH-553. All human relapsing fever sera were positive, with anti-glpQ antibodies determined by enzyme-linked immunosorbent assay (ELISA) and with rGlpQ indicated at the bottom. As negative controls, experiments were also performed with three normal human sera, none of which immunoreacted significantly with recombinant GlpQ, PBH-512, or PBH-553. Bound antibodies were detected with 125I-labeled protein A. OD, optical density.
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FIG. 9. Antibody-mediated inhibition of B. hermsii DAH adhesion to red blood cells. (A) Microphotograph of B. hermsii DAH bound to red blood cells. (B) Percentages of B. hermsii DAH bound to red blood cells after incubation with antibodies against PBH-553 or PBH-0512, control antibody (anti-flagellin), or normal serum. The percentages of bound B. hermsii cells were 46.3 and 39.1% for anti-PBH-512 serum and anti-PBH-553 serum, respectively. Error bars indicate standard deviations of the results from three separate experiments.*, Student's t test P value = 0.01 versus experiment with normal rabbit serum; **, Student's t test P value = 0.004 versus experiment with normal rabbit serum.
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B. hermsii BH0209 contained repeated sequences that comprised more than 50% of the entire gene and encoded a very hydrophilic region of the protein. These repeated sequences were identical at the nucleotide level, suggesting that this region is either of recent origin or essential for the function of the encoded protein. Sequence similarities were found between PBH-209 and the MBA of U. parvum and U. urealyticum, which contain a variable number of repeated motifs that exhibit phase variation (22). PCR analyses of the repeat region of BH0209 and BT0209 revealed extensive genetic polymorphism in 36 isolates of two species of relapsing fever spirochete. Although BH0209 was transcribed in vitro, antiserum to recombinant PBH-209 failed to detect any proteins in B. hermsii lysates. Also, human relapsing fever sera were nonreactive with recombinant PBH-209, despite the protein's predicted antigenicity. Consequently, PBH-209 appears to be produced neither in infected humans nor when grown in vitro. Therefore, this protein may be regulated at the translational level and produced in ticks only; however, further experiments are needed to address this possibility.
The second relapsing fever gene encoding unique, tandem repeats was BH0512. This ORF is homologous to BB0512, which encodes the largest protein in B. burgdorferi but which lacks the internal repeats (11). PCR analyses of the BH0512 and BT0512 repeat regions demonstrated significant polymorphism among 28 isolates of B. hermsii but none among 8 isolates of B. turicatae, which, for the latter species, may be due to the smaller number of isolates examined from a more restricted geographic area. PBH-512 demonstrated significant antigenic polymorphism among 28 B. hermsii isolates and was localized to the spirochete's outer surface. PBH-512 was compared with the 235-kDa protein of P. yoelii yoelii, a protein that binds to red blood cells and contains tandemly repeated sequences involved with clonal phenotypic variation (28, 29). Based on several properties similar to those of the plasmodial 235-kDa protein (predicted signal sequence, low but dispersed amino acid identity, presence of repeated domains, very large size), we speculate that PBH-512 may play a role in the adherence of B. hermsii to red blood cells. Cook first described this interaction in 1904 when he confirmed the presence of spirochetes in the blood of tick fever patients in Uganda (8).
BLAST searches with BH0553 did not reveal significant identity with any reported sequence except BB0553 of B. burgdorferi, which lacks the repeated domains. PCR analyses demonstrated that the repeat domains of BH0553 and BT0553 were present in all relapsing fever isolates examined. These tandemly repeated sequences were polymorphic, and antiserum reacted with three proteins of different apparent molecular masses (86, 60, and 57 kDa). This result suggests that the 60- and 57-kDa proteins could be either isoforms or degradation products of the 86-kDa protein. PBH-553 antiserum revealed polymorphism in this protein but a lack of immunoreactivity with Genomic Group II isolates (26). This result agrees with the finding that the sequences of repeated domains from the two genomic groups were different. This result also demonstrates that in addition to having a variation due to the number of repeated sequences, PBH-553 is also polymorphic at the amino acid level.
The most often-reported function of tandem repeats is binding to proteins during processes such as protein transport, complex assembly, and regulation (1). When surface exposed, these proteins can play a role in host cell adhesion. For example, proteins referred to as MSCRAMMs (microbial surface components recognizing adhesive matrix molecules) in gram-positive bacteria contain internal, tandemly repeated domains that promote bacterial binding to the extracellular matrices of host tissues (24, 25). An increase in the number of repeats via intragenic duplication can enlarge the protein's surface and thereby enhance its binding properties. Repeated sequences are also generally thought to confer advantages to microorganisms and to be a part of adaptive evolution (1). Recently, a comparative genomics study of eukaryotes and prokaryotes suggested that repeated sequences are recent evolutionary events (21). Some prokaryotes are also believed to vary their number of repeated sequences to generate novel surface antigens and thereby adapt to changing environments (41).
One host cell that relapsing fever spirochetes adhere to is the circulating red blood cells. Cook noted the following: "The organisms have a curious adhesiveness to the corpuscles, and one can often see them break off by apparently a great effort and locomote through the plasma, till sooner or later they bump against another corpuscle and adhere to it." (8). The adherence to red blood cells is especially dramatic with Borrelia crocidurae, which causes a striking rosette formation with these cells in infected mice (6, 38). Our work with B. hermsii in mice over many years has routinely demonstrated that this spirochete also adheres to red blood cells as observed with microscopy with freshly collected blood from spirochetemic animals. Therefore, the binding properties of PBH-512 and PBH-553 were partially investigated by measuring the adherence of B. hermsii to red blood cells in the presence of PBH-512 and PBH-553 antibodies. Preliminary experiments suggested that PBH-512 and PBH-553 could have binding properties. Nevertheless, to fully address such questions, alternative strategies using gene inactivation are currently in progress in our laboratory. Also, PBH-512 and PBH-553 may contribute to antigenic diversity in B. hermsii since they are antigenic, immunogenic, surface exposed, and polymorphic. Many but not all human relapsing fever sera reacted with recombinant PBH-512 and PBH-553. Thus, these two proteins appear to elicit varying immune responses in infected humans, which is in accordance with the hypothesis that their antigenic polymorphism may be a mechanism for spirochetes to evade preexisting immunity from prior or persistent infections.
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