Abstract
Short, synthetic peptides that are displayed by the major histocompatibility complex I (MHC I) can stimulate CD8 T cells in vivo to destroy virus-infected or cancer cells. The development of such peptides as vaccines that provide protective immunity, however, is limited by rapid proteolytic degradation. Introduction of unnatural amino acid residues can suppress MHC I antigen proteolysis, but the modified peptides typically display lower affinity for the MHC I and/or diminished ability to activate CD8 T cells relative to native antigen. Here, we report a new strategy for modifying MHC I antigens to enhance resistance to proteolysis while preserving MHC I affinity and T cell activation properties. This approach, replacing backbone amide groups with thioamides, was evaluated in two well-characterized antigens presented by HLA-A2, a common human MHC I. For each antigen, singly-modified thioamide analogues retained affinity for HLA-A2 and activated T cells specific for the native antigen, as measured via IFN-γ secretion. In each system, we identified a highly potent triply-substituted thioamide antigen (“thio-antigen”) that displayed substantial resistance to proteolytic cleavage. Collectively, our results suggest that thio-antigens may represent a general and readily accessible source of potent vaccine candidates that resist degradation.
Introduction
CD8 T cell receptors (TCRs) recognize short peptide antigens, typically 8–10 residues, presented by a major histocompatibility complex I (MHC I) on the surface of an antigen-presenting cell.1,2 Interaction between the TCR and the peptide+MHC I complex (pMHC I) activates the T cell and triggers a cascade of responses that can lead to elimination of abnormal and infected cells.3–5 Synthetic peptides that correspond to MHC I epitopes are competent to induce antigen-specific CD8 T cell responses;6,7 such peptides have long been of interest as a basis for vaccine development.8–10 Extensive prior study has revealed a variety of factors, including the stability of pMHC I, that influence the potency of natural and modified antigen peptides in stimulating CD8 T cell activation.3,5,7,11–22 However, this approach to vaccine development has been hampered by the fact that short peptides comprised of proteinogenic L-α-amino acid residues are highly susceptible to cleavage by proteases.
Multiple strategies have been explored to suppress proteolytic susceptibility of MHC I peptides in vivo, such as replacement of one native L-α residue with a D-α- or β-amino acid residue,23–29 with a peptoid (N-alkyl-glycine) subunit,30 or multiple such replacements.23,24,30 Although these approaches can be very effective for inhibiting protease action,31,32 both antigen-MHC I affinity and TCR recognition of the pMHC I are very sensitive to structural alterations within the antigen. No general strategy has been identified for modifying peptide antigens in a manner that retains the necessary MHC I and TCR recognition properties while diminishing cleavage by proteases.
Here, we evaluate a type of modification that has not previously been explored in the context of MHC antigen peptides, to our knowledge: replacement of a backbone amide group with a thioamide. This alteration is relatively subtle in terms of molecular structure, but thioamide linkages between amino acid residues are less susceptible to protease action relative to the natural amide linkages.33–41 Key physical differences are: (1) a secondary thioamide is a stronger H-bond donor than the analogous amide;42 (2) the sulfur atom is a weaker H-bond acceptor than the oxygen atom;43 and (3) the C=S bond is longer than the corresponding C=O bond.44 Because of these physical differences, amide-to-thioamide modification can influence the folding propensities of polypeptides.45–49
It is not possible to predict a priori whether or how swapping backbone amide groups with thioamide groups might affect MHC I antigen properties. To address this uncertainty, we have evaluated the effects of single thioamide replacements in the context of two well-studied antigens, one viral and the other cancer-associated. Both antigens are restricted by the human leukocyte antigen-A2 (HLA-A2), an MHC I allele widely distributed in the human population.50,51 Most of these “thio-antigens” containing a single thioamide unit displayed strong HLA-A2 binding and evoked potent T cell responses, as measured by stimulation of secretion of interferon-γ (IFN-γ), a proinflammatory cytokine. Guided by the data for these single-replacement thio-antigens, we designed analogues containing two or three dispersed thioamide units. These analogues were comparable to the natural antigen or more potent in terms of IFN-γ secretion. In addition, some thio-antigens with multiple substitutions displayed substantial resistance to proteolytic cleavage. Our findings suggest that thioamide derivatives of MHC I antigens may represent a general basis for peptide vaccine development.
Results and Discussion
Experimental design.
We selected two well-known HLA-A2-restricted antigens, GILGFVFTL (GIL) and ELAGIGILTV (ELA), for evaluation of the thio-antigen approach. HLA-A2 is found in ~50% of the human population.50,51 Both GIL and ELA have been evaluated in vitro or in clinical trials as potential peptide vaccines.24,52–56 Antigens containing 9 or 10 residues appear to be optimal for HLA-A2 presentation,57,58 and we wished to evaluate one antigen of each length. Crystallographic evidence shows that ELA and GIL differ considerably in presentation of the HLA-A2-bound peptide to cognate TCRs (Figure S1). HLA-A2-bound ELA adopts a conformation common among MHC I antigens,59 with a central bulge that protrudes away from the binding groove on HLA-A2 (Figure S1A).60 This bulged segment makes contacts with the TCR. In contrast, GIL in complex with HLA-A2 lacks a central bulge, and the central residues of GIL are oriented toward HLA-A2 rather than the TCR (Figure S1B).61–64 Because of these structural differences, we reasoned that results obtained for thioamides derived from both antigens would collectively test the generality of the thio-antigen design hypothesis. Beyond these two examples of HLA-A2-bound peptide conformations, additional examples of uncommon peptide conformations when bound to the MHC I have been reported (summarized by Hopkins et al.65).
Thiobenzotriazolide derivatives of L-α-amino acids, with Fmoc protection of the backbone amine, were used for incorporation of thioamide units via solid-phase synthesis.66–69 Initially, a single thioamide group was introduced at most sites within GIL or ELA. In each case, we did not examine thioamides at primary anchor residues, i.e., Ile2 or Leu9 for GIL, or Leu2 or Val10 for ELA, because we wished to preserve strong affinity between these peptides and the MHC I. Side chains of anchor residues project into pockets at the bottom of the antigen-recognition groove of the MHC I.70 Engagement of these pockets is critical for the stability of the pMHC I complex.71 In addition to the anchor residue side chains, the backbone nitrogen and oxygen atoms of the anchor residues form many intimate interactions with MHC I residues (Figure S2, S3 and Table S2, S3). Future studies may reveal that amide-to-thioamide replacements are tolerated at anchor positions.
Three assays were used to assess the performance of the thio-antigens. The first measured the ability of thio-antigens to stabilize HLA-A2 on the surface of T2 cells. Peptides that bind with higher affinity to HLA-A2 will generate greater levels of pHLA-A2 complexes on the surface of these cells.11,72 The amount of pHLA-A2 on the cell surface can be quantified by flow cytometry using a fluorescently labeled anti-HLA-A2 antibody. The data generated by varying the thio-antigen concentration enabled determination of EC50 (i.e., the thio-antigen concentration required to produce half-maximal response) and % Max (i.e., the maximum amount of HLA-A2 stabilized by a peptide). The natural antigens, GIL and ELA, were used to define 100% response for each comparative dataset.
To complement the cell-based HLA-A2 stabilization measurements, we evaluated binding of the thio-antigens using purified HLA-A2 complexes. These experiments measured the ability of each thio-antigen to compete with a radiolabeled peptide known to bind strongly to HLA-A2 (the Phe6→Tyr analogue of HBV core 18–27, FLPSDYFPSV, for which KD = 2.5 nM).73 These measurements provided IC50 values (i.e., the thio-antigen concentration required to produce half-maximal inhibition of radiolabeled tracer binding).
T cell activation assays were carried out using T2 cells as the antigen-presenting cells and antigen-specific CD8 T cells, which can recognize the pHLA-A2 complex displayed by the T2 cells. The CD8 T cells displayed specificity for either the GIL or ELA antigen; therefore, our assays determined how well thio-antigens derived from GIL or ELA mimic the parent antigen in terms of recognition by a cognate TCR in the context of the pHLA-A2 complex. We quantified T cell response by measuring levels of secreted IFN-γ using ELISA. The data generated by varying the thio-antigen concentration enabled determination of EC50 and % Max values; the maximal responses with GIL or ELA were defined as 100%.
Antigen-specific CD8 T cells used in this study were isolated from human HLA-A2+ donors, which means that they carried the MHC I necessary for presenting the GIL or ELA antigen to their own T cells. These T cells (97–98% CD8+; Table S4) are presumed to have been polyclonal, which means that more than one TCR was represented within the sample. We reasoned that a polyclonal antigen-specific T cell population would provide the most useful insight on T cell activation by the thio-antigens in vivo because each person is likely to carry more than one TCR within the T cell population that recognizes a specific pMHC I. Among the GIL-specific cell sample, 46% of the CD8 T cells stained positively with the GIL antigen tetramer, while among the ELA-specific cells, 95% of the CD8 T cells stained positively with the ELA antigen tetramer (Table S4).
Thio-antigen analogues of GIL.
GIL is a highly conserved immunodominant epitope derived from the influenza A virus M1 protein.74,75 Unlike most antigens presented by HLA-A2, which form a central bulge that contacts the TCR,59 GIL is presented with side chains from the central region inaccessible to the TCR. Only the side chain of Thr8, near the C-terminus of this antigen, is exposed to solvent (Figure S1B).61–64 This manner of antigen presentation is evident in multiple pMHC I+TCR structures involving the JM22,63 F50,62 F664 or F864 TCR, all of which have evolved to recognize HLA-A2-bound GIL largely via the peptide backbone.
Analysis of a crystal structure of a ternary complex containing the GIL antigen, the HLA-A2 MHC I and the JM22 TCR revealed a large network of contacts between backbone amide units of the antigen and the MHC I or the TCR (Figure S3 and Table S3).63 (We selected JM22 for this analysis because this TCR has been studied to a greater extent than the F50, F6 or F8 TCRs.) The two exceptions were backbone amide oxygen and nitrogen of Phe5 and Phe7 in GIL; however, the side chains of Phe5 and Phe7 make contacts with MHC I residues.70 Backbone amide groups in the Gly1-Leu3 and Thr8-Leu9 segments of GIL make extensive contacts with MHC I residues, while central residues of GIL, Gly4 and Val6, make contacts with five residues of JM22 TCR (Table S3). The backbone oxygen atom of Gly4, alone, contacts four TCR residues. Beyond these direct interactions, there are nine H-bond contacts via bridging water molecules between the TCR and pMHC I.63
Nearly all of the singly-substituted GIL derivatives (GIL-1 to GIL-8; Figure 1A) were comparable in potency to GIL itself in terms of stabilizing HLA-A2 on the T2 cell surface, as indicated by EC50 values (Figure 1B, Figure S4, Table 1). The lone exception to this trend was GIL-7, which contained an O→S replacement at Phe7, a known HLA-A2 secondary anchor position;71 the HLA-A2 stabilization assay suggested that the pMHC I complex formed with GIL-7 is relatively weak (Figure 1B, Figure S4, Table 1). The other singly-substituted thio-antigens achieved maximum HLA-A2 levels on the cell surface comparable to or higher than that achieved by the native antigen. Those analogues that exceeded the maximum achieved with GIL may form a more stable complex with HLA-A2 relative to the native antigen as a result of amide-to-thioamide substitution.
Figure 1.

Structures and activities of thioamide-containing derivatives of the GIL antigen. (A) Sequences of GIL and analogues; sites of amide-to-thioamide replacement are indicated by blue ovals. (B) HLA-A2 stabilization on the surface of T2 antigen presenting cells by GIL and thioamide variants. Data points represent the average of ≥2 independent experiments. (C) Activation of GIL-specific CD8 T cells by GIL and thioamide variants, as measured by levels of secreted IFN-γ. Data points were generated from ≥2 independent experiments. All error bar uncertainties are expressed as S.E.M.
Table 1.
HLA-A2 stabilization and in vitro HLA-A2 affinity responses for GIL and thio-antigens.
| HLA-A2 Stabilization | In vitro Competition HLA-A2 Affinity | ||||||
|---|---|---|---|---|---|---|---|
|
| |||||||
| Peptide | pEC50 | EC50 (μM) | EC50 relative | % Max | pIC50 | IC50 (nM) | IC50 relative |
|
| |||||||
| GIL | 5.8 ± 0.07 | 1.5 | 1 | 100 ± 4 | 7.8 ± 0.11 | 16 | 1 |
| GIL-1 | 6.1 ± 0.05 | 0.84 | 0.6 | 112 ± 3 | ND | <0.25 | <0.016 |
| GIL-3 | 5.8 ± 0.06 | 1.7 | 1 | 144 ± 5 | 7.5 ± 0.04 | 34 | 2 |
| GIL-4 | 5.3 ± 0.07 | 5.6 | 4 | 194* | ND | <0.25 | <0.016 |
| GIL-5 | 5.4 ± 0.05 | 4.1 | 3 | 141 ± 4 | 7.1 ± 0.26 | 71 | 4 |
| GIL-6 | 5.3 ± 0.05 | 5.2 | 4 | 176* | 7.0 ± 0.15 | 112 | 7 |
| GIL-7 | 4.3 ± 0.16 | 49 | 30 | 93* | 5.6 ± 0.04 | 2600 | 160 |
| GIL-8 | 5.5 ± 0.07 | 3.5 | 2 | 126 ± 5 | 6.8 ± 0.20 | 150 | 9 |
| GIL-1,8 | 5.9 ± 0.05 | 1.2 | 0.8 | 100 ± 2 | 7.0 ± 0.04 | 99 | 6 |
| GIL-1,4,8 | 6.2 ± 0.06 | 0.67 | 0.4 | 177 ± 5 | 7.1 ± 0.08 | 88 | 6 |
| GIL-1,5,8 | 5.9 ± 0.06 | 1.2 | 0.8 | 183 ± 5 | 7.0 ± 0.08 | 94 | 6 |
Left: HLA-A2 stabilization pEC50, EC50 and % Max values are obtained from ≥2 independent experiments. pEC50 indicates the negative logarithm of the half-maximal effective concentration (EC50). EC50 relative implies the HLA-A2 stabilization potency normalized to GIL: (thioamide analogue/GIL). pEC50 and % Max uncertainties are expressed as S.E.M.
Value shown indicates % Max at the highest peptide concentration (50 μM); the fitted curve did not reach a saturation point. Right: In vitro HLA-A2 affinity data are represented by pIC50 and IC50 values obtained from ≥6 independent experiments. pIC50 indicates the negative logarithm of the half-maximal inhibitory concentration (IC50). pIC50 uncertainties are expressed as S.E.M. ND = Not Determined. IC50 relative indicates the HLA-A2 affinity normalized to GIL by the quotient (thioamide analogue/GIL). GIL-1 and GIL-3 bound HLA-A2 with an affinity below the threshold of the assay, as indicated by approximated values: <0.25 and <0.016 IC50 and IC50 relative, respectively.
The in vitro HLA-A2 affinity assay is considerably more sensitive than the HLA-A2 stabilization assay involving T2 cells.25 The range of IC50 values observed among the seven GIL analogues containing a single thioamide was larger than the range of EC50 values from the T2 assay (Table 1). These two assay formats were consistent in identifying GIL-7 as having substantially lower affinity relative to all other members of this thio-antigen series. The in vitro assay suggested that GIL-1 and GIL-4 bind to HLA-A2 with significantly higher affinity than does the native GIL antigen; however, this feature was not evident in the T2 assay (Table 1). These observations raise the possibility that some thioamide locations can increase affinity of a peptide for the MHC I relative to the native antigen.
In the reported crystal structure of the complex formed by the antigen GIL, the MHC I HLA-A2 and the TCR JM22, there are contacts (≤4 Å) that seem to represent H-bonds between the MHC I and backbone oxygen and/or nitrogen atoms of the antigen that could be affected by the amide-to-thioamide replacements in GIL-1 and GIL-8 (Figure S3 and Table S3).63 Nevertheless, both GIL-1 and GIL-8 display substantial affinity for the MHC I, as do the thio-antigens that contain two or three substitutions, GIL-1,8, GIL-1,4,8 and GIL-1,5,8 (Table 1). In the less sensitive HLA-A2 stabilization assay, all five of these thio-antigens display EC50 values that are very similar to the EC50 for GIL itself (Figure 1B, Figure S4 and Table 1). In the more sensitive in vitro assay, there is a larger variation (Table 1). GIL-8, GIL-1,8, GIL-1,4,8 and GIL-1,5,8 seem to bind to HLA-A2 moderately less strongly than does GIL, but the IC50 values for these thio-antigens are within ~10-fold of the GIL IC50. The IC50 value for GIL-1 indicates significantly stronger binding relative to GIL. Overall, considering the MHC I binding data in Table 1 in the context of the ternary complex crystal structure suggests that antigen-MHC I affinity is not substantially diminished and may even be enhanced by amide-to-thioamide replacement at backbone positions in the antigen that form H-bonds with the MHC I. The crystal structure does not suggest an explanation for the loss of affinity observed for GIL-7.
Each of the singly-substituted GIL analogues stimulated IFN-γ secretion from CD8 T cells, but none matched the potency of the native antigen in T cell activation, as manifested by EC50 values (Figure 1C, Figure S5, Table 2). The most potent among these analogues was GIL-1, which was the only GIL analogue containing a single thioamide to achieve a maximum in IFN-γ secretion that was comparable to the maximum observed with the native antigen. Among GIL-3 to GIL-8, EC50 values were ~20- to 300-fold higher than that of the native antigen, and these thio-antigens achieved maxima 50% to 74% of the native antigen’s maximum (Table 2).
Table 2.
T cell activation responses for GIL and thio-antigens derived from dose-responses in Fig.1C.
| T Cell Activation | ||||
|---|---|---|---|---|
|
| ||||
| Peptide | pEC50 | EC50 (pM) | EC50 relative | % Max |
|
| ||||
| GIL | 10.8 ± 0.2 | 17 | 1 | 95 ± 4 |
| GIL-1 | 10.0 ± 0.2 | 97 | 5.7 | 100 ± 5 |
| GIL-3 | 8.9 ± 0.2 | 1300 | 76 | 74 ± 5 |
| GIL-4 | 9.3 ± 0.4 | 540 | 32 | 63 ± 7 |
| GIL-5 | 9.4 ± 0.6 | 370 | 22 | 50 ± 9 |
| GIL-6 | 8.6 ± 0.4 | 2600 | 150 | 68 ± 8 |
| GIL-7 | 8.3 ± 0.3 | 5300 | 310 | 71 ± 7 |
| GIL-8 | 9.1 ± 0.3 | 850 | 50 | 61 ± 6 |
| GIL-1,8 | 11.9 ± 0.3 | 1.4 | 0.082 | 78 ± 6 |
| GIL-1,4,8 | 12.3 ± 0.2 | 0.49 | 0.029 | 72 ± 4 |
| GIL-1,5,8 | 12.2 ± 0.2 | 0.69 | 0.041 | 70 ± 4 |
T cell activation pEC50, EC50 and % Max values are derived from ≥2 independent experiments. pEC50 implies the negative logarithm of the half-maximal effective concentration (EC50). EC50 relative implies the T cell activation potency normalized to GIL: (thioamide analogue/GIL). pEC50 and % Max uncertainties are expressed as S.E.M.
We examined GIL derivatives containing multiple amide-to-thioamide replacements because our long-term goal is to generate functional antigens that are less susceptible to proteolysis relative to antigens constructed entirely of α-amino acid residues. A single thioamide is unlikely to offer protection from proteolysis across the entire length of a 9-mer peptide. The sites of substitution were selected based on the T cell activation results obtained for the single substitution series (Figure 1C, Figure S5, Table 2) and a desire to distribute thioamide groups along the backbone. GIL-1,8 contains one thioamide near each end. GIL-1,4,8 and GIL-1,5,8 share these two terminal substitutions and contain a third substitution near the center. All three were comparable to the native antigen in the HLA-A2 stabilization assay with T2 cells, and all three displayed moderately lower affinity (approximately six-fold higher IC50) relative to the native antigen in the in vitro HLA-A2 binding assay (Figure 1B, Figure S4, Table 1). We were surprised to observe that GIL-1,8, GIL-1,4,8 and GIL-1,5,8 were significantly more potent than the native antigen in the T cell activation assay, although in each case the maximum IFN-γ secretion was modestly lower than for the native antigen (Figure 1C, Figure S5, Table 2). The consistently low EC50 values observed for the thio-antigens containing multiple substitutions raise the possibility of favorable cooperativity among the thioamide units in terms of T cell activation.
In the reported crystal structure of the complex formed by the antigen GIL, the MHC I HLA-A2 and the TCR JM22, there are contacts (≤4 Å) that seem to represent H-bonds between the TCR and backbone oxygen and/or nitrogen atoms in the antigen that would be affected by the amide-to-thioamide replacements in GIL-4, GIL-5 and GIL-6 (Figure S3 and Table S3).63 Each of these thio-antigens was less potent than the native antigen in terms of stimulating IFN-γ secretion (higher EC50; Figure 1C, Figure S5, Table 2), and each caused a lower level of maximum IFN-γ secretion relative to the native antigen, but these behaviors were seen also for GIL-3, GIL-7 and GIL-8. Therefore, it is possible that altering antigen-TCR contacts via amide-to-thioamide replacement can cause a decline in T cell activation potency, but similar or larger declines can result from replacements that do not involve direct TCR contacts. The potent T cell stimulation observed with GIL-1,4,8 and GIL-1,5,8 suggests that the impact of backbone replacements at TCR contact sites, such as Gly4 or Phe5 of the GIL antigen, depends on context.
We examined the susceptibility of GIL-1,4,8 and GIL-1,5,8 to proteolysis with proteinase K, an aggressive protease with low substrate specificity.76 MHC I antigens would not naturally be exposed to proteinase K, a fungal serine protease; however, this protease provides a stringent test for the ability of amide-to-thioamide replacements to protect short peptides from enzymatic cleavage. The native antigen was used as a point of comparison. The PeptideCutter tool in Expasy predicted six cleavage sites for GIL (after Ile2, Leu3, Phe5, Val6, Phe7 and Thr8; Figure 2A). Under our assay conditions, GIL displayed a half-life of 1.3 min (Figure 2B, Figure S6). GIL-1,4,8, with thioamides at Gly1, Gly4 and Thr8, was not significantly protected from cleavage by proteinase K relative to GIL (half-life of 2.1 min; Figure 2B, Figure S6). This outcome may reflect the fact that two of the O→S modifications in GIL-1,4,8, at Gly1 and Gly4, occur at positions that are not predicted to be cleavage sites for proteinase K (Figure 2A). Shifting the central thioamide by one position, to generate GIL-1,5,8, led to a significant increase in half-life (60.4 min; Figure 2B, Figure S6), suggesting that locations of amide-to-thioamide replacements are critical for achieving global proteolytic protection, at least with proteinase K. Future studies will reveal whether comparable positional sensitivities are observed in other proteolytic environments (e.g., serum).
Figure 2.

(A) Predicted cleavage sites of GILGFVFTL antigen for proteinase K; prediction was performed by the PeptideCutter tool in the Expasy resource. Numbers indicate positions of predicted cleavage sites. (B) Proteolysis by proteinase K for GIL, GIL-1,4,8 and GIL-1,5,8 peptides evaluated in DPBS, pH 7.4. Peptide sequences are shown in Fig. 1A. Numbers above bars indicate peptide half-life (min).
Thio-antigen analogues of ELA.
ELA is an anchor-modified heteroclitic variant of two natural epitopes derived from the melanoma antigen A protein, AAGIGILTV (AAG) and EAAGIGILTV (EAA).56 Replacement of Ala with Leu (underlined) causes ELAGIGILTV to bind HLA-A2 with increased affinity relative to either of the natural antigens.56,72,77 Enhanced HLA-A2 binding may explain why ELA is more immunogenic than natural antigen, i.e., why ELA induces far greater frequencies of antigen-specific CD8 T cells both in vitro and in vivo compared to AAG or EAA.56,78,79 CD8 T cells elicited by vaccination with ELA induce lysis of cells that display the natural EAA antigen in pMHC I complexes.80 HLA-A2-bound ELA adopts a bulged conformation in complex with the MEL5 TCR (Figure S1A); this TCR was isolated from the CD8 T cell clone generated by stimulating peripheral blood mononuclear cells of a healthy HLA-A2+ donor with the ELA peptide.60 The TCR is centered on the bulged region, residues 4–7 of ELA, and these residues make the majority of peptide-TCR contacts.60 The architecture of the ELA pMHC I+TCR complex differs from the architecture observed in multiple GIL pMHC I+TCR complexes, as noted above.61–64
Analysis of a crystal structure of a ternary complex containing the ELA antigen, the HLA-A2 MHC I and the MEL5 TCR revealed that 9 out of 10 ELA residues make contacts between backbone amide atoms (nitrogen or oxygen) and the MHC I and/or the TCR (Figure S2 and Table S2).60 (We chose MEL5 TCR for this analysis because it is the only TCR for which there is a reported structure when bound to the ELA-HLA-A2 complex.) Only Leu8 of ELA lacks direct contacts involving backbone atoms. Similar to the GIL antigen, the first three N-terminal and the last two C-terminal residues of ELA interact with the MHC I, while the central segment, Gly4-Ile7, mainly interacts with TCR residues. Gly6 is an exception to these trends, with a very close contact involving Gln155 of HLA-A2. Unlike the GIL antigen, which forms backbone interactions with five different TCR residues (Figure S3 and Table S3), two MEL5 TCR residues (Gln31 and Leu98) are responsible for contacts with the ELA antigen backbone (Figure S2 and Table S2).
Nearly all of the singly-substituted thio-antigens (ELA-1 to ELA-9, Figure 3A) were comparable in potency to ELA itself in stabilizing HLA-A2 on the surface of T2 cells, as revealed by the EC50 values in Table 3. This trend parallels our observations for the GIL series (Table 1). The one exception to this trend, ELA-8, which was generated by placing the thioamide at the third position from the C-terminus (Figure 3B, Table 3), as was previously observed with GIL-7 (Table 1). We interpret this observation to indicate relatively weak affinity of ELA-8 for HLA-A2. Together, the data for GIL-7 and ELA-8 indicate that an O→S replacement at p7 of a 9-mer or p8 of a 10-mer peptide is likely to diminish the peptide’s ability to form stable pMHC I complexes. Maximum HLA-A2 stabilization was very similar among all singly-substituted thio-antigens except ELA-8 (Figure 3B, Figure S7, Table 3).
Figure 3.

Structures and activities of thioamide-containing derivatives of the ELA antigen. (A) Sequences of ELA and derivatives; orange ovals indicates sites of thioamide replacement. (B) Stabilization of HLA-A2 on the surface of T2 cells by ELA and thioamide variants. Data points represent the average of ≥2 independent experiments. (C) Activation of ELA-specific CD8 T cells, as detected via IFN-γ production, by ELA and analogues. Data points were generated from ≥3 independent experiments. All error bar uncertainties are expressed as S.E.M.
Table 3.
HLA-A2 stabilization and in vitro HLA-A2 affinity responses for ELA and thio-antigens.
| HLA-A2 Stabilization | In vitro Competition HLA-A2 Affinity | ||||||
|---|---|---|---|---|---|---|---|
|
| |||||||
| Peptide | pEC50 | EC50 (μM) | EC50 relative | % Max | pIC50 | IC50 (nM) | IC50 relative |
|
| |||||||
| ELA | 6.0 ± 0.05 | 1.0 | 1 | 100 ± 2 | 7.4 ± 0.04 | 42 | 1 |
| ELA-1 | 5.8 ± 0.08 | 1.5 | 2 | 97 ± 4 | 6.7 ± 0.08 | 200 | 5 |
| ELA-3 | 6.1 ± 0.09 | 0.71 | 0.7 | 100 ± 4 | 7.0 ± 0.08 | 95 | 2 |
| ELA-4 | 5.5 ± 0.13 | 2.9 | 3 | 98 ± 7 | 6.9 ± 0.08 | 130 | 3 |
| ELA-5 | 5.9 ± 0.15 | 1.2 | 1 | 111 ± 8 | 8.2 ± 0.08 | 6.9 | 0.2 |
| ELA-6 | 5.5 ± 0.11 | 3.4 | 3 | 111 ± 7 | 7.0 ± 0.04 | 100 | 2 |
| ELA-7 | 5.3 ± 0.09 | 4.7 | 5 | 87 ± 5 | 6.2 ± 0.08 | 580 | 14 |
| ELA-8 | 4.6 ± 0.04 | 24 | 20 | 77* | 5.8 ± 0.08 | 1500 | 36 |
| ELA-9 | 5.7 ± 0.09 | 1.9 | 2 | 104 ± 5 | 7.5 ± 0.11 | 33 | 0.8 |
| ELA-1,9 | 5.8 ± 0.04 | 1.7 | 2 | 95 ± 2 | 6.3 ± 0.18 | 530 | 13 |
| ELA-1,6,9 | 5.6 ± 0.06 | 2.3 | 2 | 86 ± 3 | 6.1 ± 0.15 | 790 | 19 |
Left: HLA-A2 stabilization pEC50, EC50 and % Max values are derived from ≥2 independent experiments. pEC50 indicates the negative logarithm of the half-maximal effective concentration (EC50). EC50 relative implies the HLA-A2 stabilization potency normalized to ELA by the quotient (thioamide analogue/ELA). pEC50 and % Max uncertainties are expressed as S.E.M.
Value shown describes % Max at the highest peptide concentration (50 μM); the fitted curve did not reach a saturation point. Right: In vitro HLA-A2 affinity data are represented by mean pIC50 and IC50 values obtained from 6 independent experiments. pIC50 indicates the negative logarithm of the half-maximal inhibitory concentration (IC50). pIC50 uncertainties are expressed as S.E.M. IC50 relative indicates the HLA-A2 affinity normalized to ELA by the quotient (thioamide analogue/ELA).
The in vitro binding assay revealed a slightly larger spread of IC50 values among ELA-1 to ELA-9, ~40-fold, when compared to the ~20-fold spread among the HLA-A2 stabilization EC50 values (Table 3). This trend displays the greater sensitivity of the in vitro assay relative to the T2 cell assay, which was manifested also in the GIL series (Table 1). The two assays that probe the stability of the pHLA-A2 complex were consistent in identifying ELA-8 as the weakest binder among the singly-substituted ELA thio-antigens. ELA-5 appeared to bind more tightly than ELA itself in the in vitro assay (Table 3).
In the reported crystal structure of the complex formed by the antigen ELA, the MHC I HLA-A2 and the TCR MEL5, there are contacts (≤ 4 Å) that seem to represent H-bonds between the MHC I and the backbone oxygen or nitrogen atoms of the antigen that could be affected by the amide-to-thioamide replacements in ELA-1, ELA-3 and ELA-9 (Figure S2 and Table S2).60 All three of these thio-antigens display affinities for the MHC I that are very similar to the native antigen’s affinity (Table 3). Thus, as was concluded from the GIL series, it appears that MHC I affinity is not necessarily affected by amide-to-thioamide replacements at antigen sites that form H-bonds to the MHC I. The crystal structure does not suggest an explanation for the loss of affinity observed for ELA-8 (Figure S2 and Table S2).
The trend in T cell activation, as indicated by IFN-γ secretion, among singly-substituted ELA thio-antigens differed from the trend observed among singly-substituted GIL thio-antigens. Five among ELA-1 to ELA-9 were comparable to ELA itself in terms of potency, as indicated by EC50 values (Figure 3C, Figure S8, Table 4). Among these potent thio-antigens, ELA-1, ELA-3 and ELA-6 matched the maximum achieved by ELA itself; ELA-7 and ELA-9 had moderately lower maxima. The least potent thio-antigens were ELA-4 and ELA-5 (Figure 3C, Figure S8, Table 4); backbone atoms at p4 and p5 of ELA are critical for the recognition by the TCR (Figure S2 and Table S2). It is possible that O→S modifications at these sites diminished the peptide’s ability to be recognized by ELA-specific T cells.
Table 4.
T cell activation responses for ELA and thio-antigens derived from dose-responses in Fig.3C.
| T Cell Activation | ||||
|---|---|---|---|---|
|
| ||||
| Peptide | pEC50 | EC50 (nM) | EC50 relative | % Max |
|
| ||||
| ELA | 9.9 ± 0.1 | 0.14 | 1 | 98 ± 4 |
| ELA-1 | 10.0 ± 0.1 | 0.098 | 0.7 | 93 ± 4 |
| ELA-3 | 10.2 ± 0.2 | 0.064 | 0.5 | 100 ± 5 |
| ELA-4 | 7.5 ± 0.1 | 29 | 200 | 54 ± 2 |
| ELA-5 | 8.1 ± 0.1 | 8.9 | 60 | 55 ± 3 |
| ELA-6 | 9.9 ± 0.1 | 0.13 | 0.9 | 101 ± 4 |
| ELA-7 | 9.9 ± 0.1 | 0.14 | 1 | 85 ± 3 |
| ELA-8 | 7.4 ± 0.1 | 37 | 300 | 60 ± 4 |
| ELA-9 | 9.8 ± 0.2 | 0.16 | 1 | 73 ± 4 |
| ELA-1,9 | 10.4 ± 0.2 | 0.037 | 0.3 | 68 ± 3 |
| ELA-1,6,9 | 10.1 ± 0.1 | 0.081 | 0.6 | 83 ± 4 |
T cell activation pEC50, EC50 and % Max values are derived from ≥3 independent experiments. pEC50 implies the negative logarithm of the half-maximal effective concentration (EC50). EC50 relative implies the T cell activation potency normalized to ELA by the quotient (thioamide analogue/ELA). pEC50 and % Max uncertainties are expressed as S.E.M.
We examined two ELA analogues containing multiple thioamides, ELA-1,9, with two substitutions, one near each terminus, and ELA-1,6,9 with a third substitution toward the middle (Figure 3A). Both were comparable to ELA in the HLA-A2 stabilization assay, but the in vitro binding assay indicated that both of these thio-antigens bound less tightly to HLA-A2 relative to ELA (Figure 3B, Figure S7, Table 3). The backbone amide atoms of these sites, Glu1, Gly6 and Thr9, appear important because each one of them makes at least one measurable contact with the MHC I residue (Table S2). Despite what appeared to be significantly diminished MHC I affinity for ELA-1,9 and ELA-1,6,9 relative to ELA, both of these thio-antigens were comparable to the parent antigen in potency for T cell activation, although the maximum level of activation was somewhat lower for both thio-antigens relative to ELA (Figure 3C, Figure S8, Table 4).
In the reported crystal structure of the complex formed by the antigen ELA, the MHC I HLA-A2 and the TCR MEL5, there are contacts (≤ 4 Å) that seem to represent H-bonds between the TCR and the backbone oxygen or nitrogen atoms of the antigen that could be affected by the amide-to-thioamide replacements in ELA-3, ELA-4 and ELA-7 (Figure S2 and Table S2).60 ELA-3 and ELA-7 were comparable to the native ELA antigen in potency for stimulating IFN-γ secretion, but ELA-4 was less potent (Table 4). Thus, amide-to-thioamide replacement at a TCR contact site does not necessarily cause a decline in T cell activation potency in this system.
ELA-1,9 and ELA-1,6,9 were evaluated as substrates for proteinase K. The PeptideCutter tool in Expasy predicted seven cleavage sites for ELA (after Glu1, Leu2, Ala3, Ile5, Ile7, Leu8 and Thr9; Figure 4A). Under our assay conditions, the half-life of ELA when treated with proteinase K was 0.4 min (Figure 4B, Figure S9). ELA-1,9 displayed a modest level of resistance, with a half-life of 1.2 min (Figure 4B, Figure S9). Addition of a thioamide near the center of the antigen, to generate ELA-1,6,9, increased the half-life to 12.2 min (~30-fold increase relative to ELA). Thus, as observed in the GIL series, incorporation of three thioamide units dispersed across the antigen can lead to significant protection from proteolysis.
Figure 4.

(A) Prediction of cleavage sites for ELAGIGILTV antigen when treated with proteinase K, as calculated by the PeptideCutter tool in the Expasy resource. Numbers indicate positions of cleavage sites. (B) Proteolytic resistance against proteinase K for ELA, ELA-1,9 and ELA-1,6,9 peptides evaluated in DPBS, pH 7.4; peptide sequences are shown in Fig. 3A. Numbers above bars indicate peptide half-life (min).
Conclusions
We have explored a new strategy for modifying short peptides that serve as MHC I-displayed antigens with the goal of enhancing immunological function. Specifically, we sought to diminish susceptibility to proteolysis while maintaining recognition of the antigen by HLA-A2 and recognition of the peptide+HLA-A2 complex by cognate T cell receptors. Previous studies have shown that these two recognition events are very sensitive to unnatural modifications of peptide antigens.23–30 We explored amide-to-thioamide replacement, which represents a modest change from the structural perspective but has been shown in other contexts to hinder proteolysis.33–41 Parallel studies with two well-known HLA-A2-restricted antigens, GILGFVFTL and ELAGIGILTV, revealed that single thioamide substitutions were tolerated at most positions with only moderate loss in HLA-A2 affinity, as indicated by two complementary assays (Table 1, Table 3). In some cases, however, a single thioamide substitution could substantially enhance or substantially diminish HLA-A2 affinity. A larger range of effects was observed for the single thioamide substitutions in terms of T cell activation, which was monitored via IFNγ secretion (Table 2, Table 4).
Based on the T cell activation results of single amide-to-thioamide substitutions, we designed GIL- or ELA-based thio-antigens that contained two or three substitutions. These thio-antigens displayed modestly diminished HLA-A2 affinity relative to the native antigen, but they were quite potent in activating cognate T cells (Figure 1, Figure 3, Tables 1–4). Both of the GIL thio-antigens with three substitutions (GIL-1,4,8 and GIL-1,5,8) were significantly more potent than the native antigen in terms of stimulating IFN-γ secretion from T cells (lower EC50 values), and the ELA thio-antigen with three substitutions (ELA-1,6,9) was slightly more potent in stimulating IFN-γ secretion relative to the native antigen (Table 2, Table 4). In both systems, the maximum level of IFN-γ secretion was moderately lower for the thio-antigens relative to the parent antigen. The T cell activation potency of the triply-substituted analogues was not obviously predictable based on the behavior of the corresponding singly-substituted analogues, which raises the possibility of synergistic effects from multiple amide-to-thioamide replacements.
This study suggests a general experimental approach to discovering analogues derived from other MHC I antigens that can activate cognate T cells and resist proteolytic degradation. A priori prediction of optimal amide-to-thioamide replacement sites does not seem to be possible at this point, but preparation and evaluation of a small set of derivatives of a given antigen, comprising 10–15 analogues, should allow the identification of thio-antigens with promising properties. Synthesis of such thioamide-substituted peptides is straightforward.39,41,48,67–69,81–85
Substantial protection from degradation by proteinase K, a broad-spectrum serine protease, was observed for one of the triply-substituted GIL thio-antigens and for the lone triply-substituted ELA thio-antigen we investigated. The combination of resistance to proteolysis and potent T cell activation observed for two different HLA-A2 antigens suggests that the thio-antigen design strategy may be broadly applicable for generating CD8 T cell-directed vaccines. However, future studies directed toward specific applications of MHC I thio-antigens will require degradation studies conducted in relevant proteolytic environments. Depending on the application, such studies might involve serum (for administration via injection) or simulated gastric fluid and simulated intestinal fluid (for oral administration). Efforts to predict the proteolytic susceptibilities of thioamide-substituted peptides have been reported;86 this insightful work suggests that empirical evaluations in complex environments will be important for future thio-antigen studies directed toward specific potential uses.
Supplementary Material
Acknowledgements
This work was supported in part by the National Institutes of Health grant (R01 GM056414) awarded to S.H.G. R.K.M. was supported in part by a graduate fellowship from the National Science Foundation (DGE-2137424). We are grateful for partial support from the Vilas Trust and from the University of Wisconsin - Madison Office of the Vice Chancellor for Research and Graduate Education with funding from the Wisconsin Alumni Research Foundation. We thank Ruiwen Xu for help with proteolysis studies.
Footnotes
Competing Interests
R.G., R.K.M, J.N. and S.H.G. are co-inventors on a patent application related to the work reported here.
Supporting Information
Table of reagents and resources, experimental procedures for synthesis of L-α-amino acid thiobenzotriazolide derivatives, peptide synthesis, cell culture, HLA-A2 stabilization assay, in vitro HLA-A2 affinity assay, T cell activation assay, proteolysis assay, structures of HLA-A2-bound GIL and ELA antigens, source and donor information for T cells, individual dose-responses for HLA-A2 stabilization and T cell activation assays, proteolysis time course curves, characterization of peptides.
References
- (1).Rudolph MG; Stanfield RL; Wilson IA How TCRs Bind MHCs, Peptides, and Coreceptors. Annu Rev Immunol 2006, 24, 419–466. 10.1146/ANNUREV.IMMUNOL.23.021704.115658. [DOI] [PubMed] [Google Scholar]
- (2).Davis MM; Jay Boniface J; Reich Z; Lyons D; Hampl J; Arden B; Chien YH Ligand Recognition by Alpha Beta T Cell Receptors. Annu Rev Immunol 1998, 16, 523–544. 10.1146/ANNUREV.IMMUNOL.16.1.523. [DOI] [PubMed] [Google Scholar]
- (3).Aleksic M; Liddy N; Molloy PE; Pumphrey N; Vuidepot A; Chang KM; Jakobsen BK Different Affinity Windows for Virus and Cancer-Specific T-Cell Receptors: Implications for Therapeutic Strategies. Eur J Immunol 2012, 42 (12), 3174–3179. 10.1002/EJI.201242606. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (4).Hwang JR; Byeon Y; Kim D; Park SG Recent Insights of T Cell Receptor-Mediated Signaling Pathways for T Cell Activation and Development. Experimental & Molecular Medicine 2020, 52 (5), 750–761. 10.1038/s12276-020-0435-8. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (5).Corse E; Gottschalk RA; Allison JP Strength of TCR–Peptide/MHC Interactions and In Vivo T Cell Responses. The Journal of Immunology 2011, 186 (9), 5039–5045. 10.4049/JIMMUNOL.1003650. [DOI] [PubMed] [Google Scholar]
- (6).Wooldridge L; Ekeruche-Makinde J; Van Den Berg HA; Skowera A; Miles JJ; Tan MP; Dolton G; Clement M; Llewellyn-Lacey S; Price DA; Peakman M; Sewell AK A Single Autoimmune T Cell Receptor Recognizes More Than a Million Different Peptides. J Biol Chem 2012, 287 (2), 1168–1177. 10.1074/JBC.M111.289488. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (7).Ekeruche-Makinde J; Clement M; Cole DK; Edwards ESJ; Ladell K; Miles JJ; Matthews KK; Fuller A; Lloyd KA; Madura F; Dolton GM; Pentier J; Lissina A; Gostick E; Baxter TK; Baker BM; Rizkallah PJ; Price DA; Wooldridge L; Sewell AK T-Cell Receptor-Optimized Peptide Skewing of the T-Cell Repertoire Can Enhance Antigen Targeting. J Biol Chem 2012, 287 (44), 37269–37281. 10.1074/JBC.M112.386409. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (8).Comber JD; Philip R MHC Class I Antigen Presentation and Implications for Developing a New Generation of Therapeutic Vaccines. Ther Adv Vaccines 2014, 2 (3), 77–89. 10.1177/2051013614525375. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (9).Purcell AW; McCluskey J; Rossjohn J More than One Reason to Rethink the Use of Peptides in Vaccine Design. Nature Reviews Drug Discovery 2007, 6 (5), 404–414. 10.1038/nrd2224. [DOI] [PubMed] [Google Scholar]
- (10).Malonis RJ; Lai JR; Vergnolle O Peptide-Based Vaccines: Current Progress and Future Challenges. Chem Rev 2020, 120 (6), 3210–3229. 10.1021/ACS.CHEMREV.9B00472. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (11).Ekeruche-Makinde J; Miles JJ; Van Den Berg HA; Skowera A; Cole DK; Dolton G; Schauenburg AJA; Tan MP; Pentier JM; Llewellyn-Lacey S; Miles KM; Bulek AM; Clement M; Williams T; Trimby A; Bailey M; Rizkallah P; Rossjohn J; Peakman M; Price DA; Burrows SR; Sewell AK; Wooldridge L Peptide Length Determines the Outcome of TCR/Peptide-MHCI Engagement. Blood 2013, 121 (7), 1112–1123. 10.1182/BLOOD-2012-06-437202. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (12).McMahan RH; McWilliams JA; Jordan KR; Dow SW; Wilson DB; Slansky JE Relating TCR-Peptide-MHC Affinity to Immunogenicity for the Design of Tumor Vaccines. J Clin Invest 2006, 116 (9), 2543–2551. 10.1172/JCI26936. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (13).van der Burg SH; Visseren MJ; Brandt RM; Kast WM; Melief CJ Immunogenicity of Peptides Bound to MHC Class I Molecules Depends on the MHC-Peptide Complex Stability. The Journal of Immunology 1996, 156 (9), 3308–3314. 10.4049/JIMMUNOL.156.9.3308. [DOI] [PubMed] [Google Scholar]
- (14).Kaseke C; Park RJ; Singh NK; Koundakjian D; Bashirova A; Garcia Beltran WF; Takou Mbah OC; Ma J; Senjobe F; Urbach JM; Nathan A; Rossin EJ; Tano-Menka R; Khatri A; Piechocka-Trocha A; Waring MT; Birnbaum ME; Baker BM; Carrington M; Walker BD; Gaiha GD HLA Class-I-Peptide Stability Mediates CD8+ T Cell Immunodominance Hierarchies and Facilitates HLA-Associated Immune Control of HIV. Cell Rep 2021, 36 (2), 109378. 10.1016/J.CELREP.2021.109378. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (15).Harndahl M; Rasmussen M; Roder G; Dalgaard Pedersen I; Sørensen M; Nielsen M; Buus S Peptide-MHC Class I Stability Is a Better Predictor than Peptide Affinity of CTL Immunogenicity. Eur J Immunol 2012, 42 (6), 1405–1416. 10.1002/EJI.201141774. [DOI] [PubMed] [Google Scholar]
- (16).Pettmann J; Huhn A; Shah EA; Kutuzov MA; Wilson DB; Dustin ML; Davis SJ; van der Merwe PA; Dushek O The Discriminatory Power of the T Cell Receptor. Elife 2021, 10 (e67092). 10.7554/ELIFE.67092. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (17).Slansky JE; Rattis FM; Boyd LF; Fahmy T; Jaffee EM; Schneck JP; Margulies DH; Pardoll DM Enhanced Antigen-Specific Antitumor Immunity with Altered Peptide Ligands That Stabilize the MHC-Peptide-TCR Complex. Immunity 2000, 13 (4), 529–538. 10.1016/S1074-7613(00)00052-2. [DOI] [PubMed] [Google Scholar]
- (18).Hernández J; Schoeder K; Blondelle SE; Pons FG; Lone YC; Simora A; Langlade-Demoyen P; Wilson DB; Zanetti M Antigenicity and Immunogenicity of Peptide Analogues of a Low Affinity Peptide of the Human Telomerase Reverse Transcriptase Tumor Antigen. Eur J Immunol 2004, 34 (8), 2331–2341. 10.1002/EJI.200425134. [DOI] [PubMed] [Google Scholar]
- (19).Parkhurst MR; Salgaller ML; Southwood S; Robbins PF; Sette A; Rosenberg SA; Kawakami Y Improved Induction of Melanoma-Reactive CTL with Peptides from the Melanoma Antigen Gp100 Modified at HLA-A*0201-Binding Residues. The Journal of Immunology 1996, 157 (6), 2539–2548. 10.4049/jimmunol.157.6.2539. [DOI] [PubMed] [Google Scholar]
- (20).Tangri S; Ishioka GY; Huang X; Sidney J; Southwood S; Fikes J; Sette A Structural Features of Peptide Analogs of Human Histocompatibility Leukocyte Antigen Class I Epitopes That Are More Potent and Immunogenic than Wild-Type Peptide. Journal of Experimental Medicine 2001, 194 (6), 833–846. 10.1084/JEM.194.6.833. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (21).Zahm CD; Colluru VT; McNeel DG Vaccination with High-Affinity Epitopes Impairs Antitumor Efficacy by Increasing PD-1 Expression on CD8+ T Cells. Cancer Immunol Res 2017, 5 (8), 630–641. 10.1158/2326-6066.CIR-16-0374. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (22).Smith HA; Rekoske BT; McNeel DG DNA Vaccines Encoding Altered Peptide Ligands for SSX2 Enhance Epitope-Specific CD8+ T-Cell Immune Responses. Vaccine 2014, 32 (15), 1707–1715. 10.1016/J.VACCINE.2014.01.048. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (23).Cheloha RW; Sullivan JA; Wang T; Sand JM; Sidney J; Sette A; Cook ME; Suresh M; Gellman SH Consequences of Periodic α-to-Β3 Residue Replacement for Immunological Recognition of Peptide Epitopes. ACS Chem Biol 2015, 10 (3), 844–854. 10.1021/CB500888Q. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (24).Miles JJ; Tan MP; Dolton G; Edwards ESJ; Galloway SAE; Laugel B; Clement M; Makinde J; Ladell K; Matthews KK; Watkins TS; Tungatt K; Wong Y; Lee HS; Clark RJ; Pentier JM; Attaf M; Lissina A; Ager A; Gallimore A; Rizkallah PJ; Gras S; Rossjohn J; Burrows SR; Cole DK; Price DA; Sewell AK Peptide Mimic for Influenza Vaccination Using Nonnatural Combinatorial Chemistry. J Clin Invest 2018, 128 (4), 1569–1580. 10.1172/JCI91512. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (25).Gibadullin R; Randall CJ; Sidney J; Sette A; Gellman SH Backbone Modifications of HLA-A2-Restricted Antigens Induce Diverse Binding and T Cell Activation Outcomes. J Am Chem Soc 2021, 143 (17), 6470–6481. 10.1021/JACS.1C00016. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (26).Webb AI; Dunstone MA; Williamson NA; Price JD; de Kauwe A; Chen W; Oakley A; Perlmutter P; McCluskey J; Aguilar M-I; Rossjohn J; Purcell AW T Cell Determinants Incorporating β-Amino Acid Residues Are Protease Resistant and Remain Immunogenic In Vivo. The Journal of Immunology 2005, 175 (6), 3810–3818. 10.4049/JIMMUNOL.175.6.3810. [DOI] [PubMed] [Google Scholar]
- (27).Reinelt S; Marti M; Dédier S; Reitinger T; Folkers G; López De Castro JA; Rognan D β-Amino Acid Scan of a Class I Major Histocompatibility Complex-Restricted Alloreactive T-Cell Epitope. Journal of Biological Chemistry 2001, 276 (27), 24525–24530. 10.1074/JBC.M102772200. [DOI] [PubMed] [Google Scholar]
- (28).Guichard G; Zerbib A; Le Gal FA; Hoebeke J; Connan F; Choppin J; Briand JP; Guillet JG Melanoma Peptide MART-1(27–35) Analogues with Enhanced Binding Capacity to the Human Class I Histocompatibility Molecule HLA-A2 by Introduction of a β-Amino Acid Residue: Implications for Recognition by Tumor-Infiltrating Lymphocytes. J Med Chem 2000, 43 (20), 3803–3808. 10.1021/JM000909S. [DOI] [PubMed] [Google Scholar]
- (29).Ballabio F; Broggini L; Paissoni C; Han X; Peqini K; Sala BM; Sun R; Sandalova T; Barbiroli A; Achour A; Pellegrino S; Ricagno S; Camilloni C L- to d-Amino Acid Substitution in the Immunodominant LCMV-Derived Epitope Gp33 Highlights the Sensitivity of the TCR Recognition Mechanism for the MHC/Peptide Structure and Dynamics. ACS Omega 2022, 7 (11), 9622–9635. 10.1021/ACSOMEGA.1C06964. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (30).Blanchet J-S; Valmori D; Dufau I; Ayyoub M; Nguyen C; Guillaume P; Monsarrat B; Cerottini J-C; Romero P; Gairin JE A New Generation of Melan-A/MART-1 Peptides That Fulfill Both Increased Immunogenicity and High Resistance to Biodegradation: Implication for Molecular Anti-Melanoma Immunotherapy. The Journal of Immunology 2001, 167 (10), 5852–5861. 10.4049/JIMMUNOL.167.10.5852. [DOI] [PubMed] [Google Scholar]
- (31).Kremsmayr T; Aljnabi A; Blanco-Canosa JB; Tran HNT; Emidio NB; Muttenthaler M On the Utility of Chemical Strategies to Improve Peptide Gut Stability. J Med Chem 2022, 65 (8), 6191–6206. 10.1021/ACS.JMEDCHEM.2C00094. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (32).Werner HM; Cabalteja CC; Horne WS Peptide Backbone Composition and Protease Susceptibility: Impact of Modification Type, Position, and Tandem Substitution. ChemBioChem 2016, 17 (8), 712–718. 10.1002/CBIC.201500312. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (33).Liu C; Barrett TM; Chen X; Ferrie JJ; Petersson EJ Fluorescent Probes for Studying Thioamide Positional Effects on Proteolysis Reveal Insight into Resistance to Cysteine Proteases. ChemBioChem 2019, 20 (16), 2059–2062. 10.1002/CBIC.201900115. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (34).Asbóth B; Polgár L Transition-State Stabilization at the Oxyanion Binding Sites of Serine and Thiol Proteinases: Hydrolyses of Thiono and Oxygen Esters. Biochemistry 1983, 22 (1), 117–122. 10.1021/BI00270A017. [DOI] [PubMed] [Google Scholar]
- (35).Yao S; Zutshi R; Chmielewski J Endothiopeptide Inhibitors of HIV-1 Protease. Bioorg Med Chem Lett 1998, 8 (6), 699–704. 10.1016/S0960-894X(98)00100-0. [DOI] [PubMed] [Google Scholar]
- (36).Bartlett PA; Spear KL; Jacobsen NE A Thioamide Substrate of Carboxypeptidase A. Biochemistry 1982, 21 (7), 1608–1611. 10.1021/BI00536A022. [DOI] [PubMed] [Google Scholar]
- (37).Foje KL; Hanzlik RP Peptidyl Thioamides as Substrates and Inhibitors of Papain, and as Probes of the Kinetic Significance of the Oxyanion Hole. Biochimica Biophysica Acta 1994, 1201 (3), 447–453. 10.1016/0304-4165(94)90075-2. [DOI] [PubMed] [Google Scholar]
- (38).Verma H; Khatri B; Chakraborti S; Chatterjee J Increasing the Bioactive Space of Peptide Macrocycles by Thioamide Substitution. Chem Sci 2018, 9 (9), 2443–2451. 10.1039/C7SC04671E. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (39).Phan HAT; Giannakoulias SG; Barrett TM; Liu C; Petersson EJ Rational Design of Thioamide Peptides as Selective Inhibitors of Cysteine Protease Cathepsin L. Chem Sci 2021, 12 (32), 10825–10835. 10.1039/D1SC00785H. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (40).Barrett TM; Chen XS; Liu C; Giannakoulias S; Phan HAT; Wang J; Keenan EK; Karpowicz RJ; Petersson EJ Studies of Thioamide Effects on Serine Protease Activity Enable Two-Site Stabilization of Cancer Imaging Peptides. ACS Chem Biol 2020, 15 (3), 774–779. 10.1021/ACSCHEMBIO.9B01036. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (41).Chen X; Mietlicki-Baase EG; Barrett TM; McGrath LE; Koch-Laskowski K; Ferrie JJ; Hayes MR; Petersson EJ Thioamide Substitution Selectively Modulates Proteolysis and Receptor Activity of Therapeutic Peptide Hormones. J Am Chem Soc 2017, 139 (46), 16688–16695. 10.1021/JACS.7B08417. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (42).Dudek EP; Dudek G The Proton Magnetic Resonance Spectra of Thiocarboxamides. Journal of Organic Chemistry 1967, 32 (3), 823–824. 10.1021/JO01278A074. [DOI] [Google Scholar]
- (43).Hollósi M; Zewdu M; Kollát E; Majer Z; Kajtár M; Batta G; Kövér K; Sándor P Intramolecular H-Bonds and Thioamide Rotational Isomerism in Thiopeptides. Int J Pept Protein Res 1990, 36 (2), 173–181. 10.1111/J.1399-3011.1990.TB00963.X. [DOI] [PubMed] [Google Scholar]
- (44).Truter MR 207. An Accurate Determination of the Crystal Structure of Thioacetamide. Journal of the Chemical Society (Resumed) 1960, 4 (0), 997–1007. 10.1039/JR9600000997. [DOI] [Google Scholar]
- (45).Bachmann A; Wildemann D; Praetorius F; Fischer G; Kiefhaber T Mapping Backbone and Side-Chain Interactions in the Transition State of a Coupled Protein Folding and Binding Reaction. Proc Natl Acad Sci U S A 2011, 108 (10), 3952–3957. 10.1073/PNAS.1012668108. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (46).Culik RM; Jo H; Degrado WF; Gai F Using Thioamides to Site-Specifically Interrogate the Dynamics of Hydrogen Bond Formation in β-Sheet Folding. J Am Chem Soc 2012, 134 (19), 8026–8029. 10.1021/JA301681V. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (47).Newberry RW; VanVeller B; Guzei IA; Raines RTN →π* Interactions of Amides and Thioamides: Implications for Protein Stability. J Am Chem Soc 2013, 135 (21), 7843–7846. 10.1021/JA4033583. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (48).Walters CR; Szantai-Kis DM; Zhang Y; Reinert ZE; Horne WS; Chenoweth DM; Petersson EJ The Effects of Thioamide Backbone Substitution on Protein Stability: A Study in α-Helical, β-Sheet, and Polyproline II Helical Contexts. Chem Sci 2017, 8 (4), 2868–2877. 10.1039/C6SC05580J. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (49).Lampkin BJ; VanVeller B Hydrogen Bond and Geometry Effects of Thioamide Backbone Modifications. Journal of Organic Chemistry 2021, 86 (24), 18287–18291. 10.1021/ACS.JOC.1C02373. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (50).Imanishi T; Akaza T; Kimura A; Tokunaga K; Gojobori T Allele and Haplotype Frequencies for HLA and Complement Loci in Various Ethnic Groups. In HLA 1991: Proceedings of the Eleventh International Histocompatibility Workshop and Conference; 1992; pp 1065–1220. [Google Scholar]
- (51).Krausa P; III MB; Savage D; Hui KM; Bunce M; Ngai JLF; Teo DLT; Ong YW; Barouch D; Allsop CEM; Hill AVS; McMichael AJ; Bodmer JG; Browning MJ Genetic Polymorphism within HLA-A*02: Significant Allelic Variation Revealed in Different Populations. Tissue Antigens 1995, 45 (4), 223–231. 10.1111/J.1399-0039.1995.TB02444.X. [DOI] [PubMed] [Google Scholar]
- (52).Huber SKR; Luimstra JJ; Van Beek J; Hoppes R; Jacobi RHJ; Hendriks M; Kapteijn K; Ouwerkerk C; Rodenko B; Ovaa H; De Jonge J Chemical Modification of Influenza CD8+ T-Cell Epitopes Enhances Their Immunogenicity Regardless of Immunodominance. PLoS One 2016, 11 (6), e0156462. 10.1371/JOURNAL.PONE.0156462. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (53).Soema PC; Huber SKR; Willems GJ; Jacobi R; Hendriks M; Soethout E; Jiskoot W; de Jonge J; van Beek J; Kersten GFA; Amorij JP Whole-Inactivated Influenza Virus Is a Potent Adjuvant for Influenza Peptides Containing CD8+ T Cell Epitopes. Front Immunol 2018, 9 (MAR), 525. 10.3389/FIMMU.2018.00525/TEXT. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (54).Jäger E; Höhn H; Necker A; Förster R; Karbach J; Freitag K; Neukirch C; Castelli C; Salter RD; Knuth A; Maeurer MJ Peptide-Specific CD8+ T-Cell Evolution in Vivo: Response to Peptide Vaccination with Melan-A/MART-1. Int J Cancer 2002, 98 (3), 376–388. 10.1002/IJC.10165. [DOI] [PubMed] [Google Scholar]
- (55).Bins A; Mallo H; Sein J; Van Den Bogaard C; Nooijen W; Vyth-Dreese F; Nuijen B; De Gast GC; Haanen JBAG Phase I Clinical Study with Multiple Peptide Vaccines in Combination with Tetanus Toxoid and GM-CSF in Advanced-Stage HLA-A*0201-Positive Melanoma Patients. Journal of Immunotherapy 2007, 30 (2), 234–239. 10.1097/01.CJI.0000211333.06762.47. [DOI] [PubMed] [Google Scholar]
- (56).Valmori D; Fonteneau J-F; Lizana CM; Gervois N; Liénard D.; Rimoldi D.; Jongeneel V.; Jotereau F.; Cerottini J-C.; Romero P. Enhanced Generation of Specific Tumor-Reactive CTL In Vitro by Selected Melan-A/MART-1 Immunodominant Peptide Analogues. The Journal of Immunology 1998, 160 (4), 1750–1758. 10.4049/JIMMUNOL.160.4.1750. [DOI] [PubMed] [Google Scholar]
- (57).Rammensee HG; Friede T; Stevanoviíc S MHC Ligands and Peptide Motifs: First Listing. Immunogenetics 1995, 41 (4), 178–228. 10.1007/BF00172063. [DOI] [PubMed] [Google Scholar]
- (58).Falk K; Rötzschke O; Stevanovié S; Jung G; Rammensee HG Allele-Specific Motifs Revealed by Sequencing of Self-Peptides Eluted from MHC Molecules. Nature 1991 351:6324 1991, 351, 290–296. 10.1038/351290a0. [DOI] [PubMed] [Google Scholar]
- (59).Wieczorek M; Abualrous ET; Sticht J; Álvaro-Benito M; Stolzenberg S; Noé F; Freund C Major Histocompatibility Complex (MHC) Class I and MHC Class II Proteins: Conformational Plasticity in Antigen Presentation. Front Immunol 2017, 8, 292. 10.3389/FIMMU.2017.00292. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (60).Cole DK; Yuan F; Rizkallah PJ; Miles JJ; Gostick E; Price DA; Gao GF; Jakobsen BK; Sewell AK Germ Line-Governed Recognition of a Cancer Epitope by an Immunodominant Human T-Cell Receptor. J Biol Chem 2009, 284 (40), 27281–27289. 10.1074/JBC.M109.022509. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (61).Valkenburg SA; Josephs TM; Clemens EB; Grant EJ; Nguyen THO; Wang GC; Price DA; Miller A; Tong SYC; Thomas PG; Doherty PC; Rossjohn J; Gras S; Kedzierska K Molecular Basis for Universal HLA-A∗0201-Restricted CD8+ T-Cell Immunity against Influenza Viruses. Proc Natl Acad Sci U S A 2016, 113 (16), 4440–4445. 10.1073/PNAS.1603106113. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (62).Yang X; Chen G; Weng N ping; Mariuzza, R. A. Structural Basis for Clonal Diversity of the Human T-Cell Response to a Dominant Influenza Virus Epitope. J Biol Chem 2017, 292 (45), 18618–18627. 10.1074/JBC.M117.810382. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (63).Stewart-Jones GBE; McMichael AJ; Bell JI; Stuart DI; Jones EY A Structural Basis for Immunodominant Human T Cell Receptor Recognition. Nature Immunology 2003, 4 (7), 657–663. 10.1038/ni942. [DOI] [PubMed] [Google Scholar]
- (64).Chen G; Yang X; Ko A; Sun X; Gao M; Zhang Y; Shi A; Mariuzza RA; Weng N ping. Sequence and Structural Analyses Reveal Distinct and Highly Diverse Human CD8+ TCR Repertoires to Immunodominant Viral Antigens. Cell Rep 2017, 19 (3), 569–583. 10.1016/J.CELREP.2017.03.072. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (65).Hopkins JR; MacLachlan BJ; Harper S; Sewell AK; Cole DK Unconventional Modes of Peptide–HLA-I Presentation Change the Rules of TCR Engagement. Discovery Immunology 2022, 1 (1), 1–11. 10.1093/DISCIM/KYAC001. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (66).Ashraf Shalaby M; Grote CW; Rapoport H Thiopeptide Synthesis. α-Amino Thionoacid Derivatives of Nitrobenzotriazole as Thioacylating Agents. Journal of Organic Chemistry 1996, 61 (25), 9045–9048. 10.1021/JO961245Q. [DOI] [PubMed] [Google Scholar]
- (67).Mukherjee S; Verma H; Chatterjee J Efficient Site-Specific Incorporation of Thioamides into Peptides on a Solid Support. Org Lett 2015, 17 (12), 3150–3153. 10.1021/ACS.ORGLETT.5B01484. [DOI] [PubMed] [Google Scholar]
- (68).Khatri B; Bhat P; Chatterjee J Convenient Synthesis of Thioamidated Peptides and Proteins. Journal of Peptide Science 2020, 26 (4–5), e3248. 10.1002/PSC.3248. [DOI] [PubMed] [Google Scholar]
- (69).Goldberg JM; Batjargal S; Petersson EJ Thioamides as Fluorescence Quenching Probes: Minimalist Chromophores to Monitor Protein Dynamics. J Am Chem Soc 2010, 132 (42), 14718–14720. 10.1021/JA1044924. [DOI] [PubMed] [Google Scholar]
- (70).Madden DR; Garboczi DN; Wiley DC The Antigenic Identity of Peptide-MHC Complexes: A Comparison of the Conformations of Five Viral Peptides Presented by HLA-A2. Cell 1993, 75 (4), 693–708. 10.1016/0092-8674(93)90490-H. [DOI] [PubMed] [Google Scholar]
- (71).Parker KC; Bednarek MA; Hull LK; Utz U; Cunningham B; Zweerink HJ; Biddison WE; Coligan JE Sequence Motifs Important for Peptide Binding to the Human MHC Class I Molecule, HLA-A2. The Journal of Immunology 1992, 149 (11), 3580–3587. 10.4049/JIMMUNOL.149.11.3580. [DOI] [PubMed] [Google Scholar]
- (72).Miles KM; Miles JJ; Madura F; Sewell AK; Cole DK Real Time Detection of Peptide–MHC Dissociation Reveals That Improvement of Primary MHC-Binding Residues Can Have a Minimal, or No, Effect on Stability. Mol Immunol 2011, 48 (4), 728–732. 10.1016/J.MOLIMM.2010.11.004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (73).Sidney J; Southwood S; Moore C; Oseroff C; Pinilla C; Grey HM; Sette A Measurement of MHC/Peptide Interactions by Gel Filtration or Monoclonal Antibody Capture. Curr Protoc Immunol 2013, 100 (1), 18.3.1–18.3.36. 10.1002/0471142735.IM1803S100. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (74).Gotch F; Rothbard J; Howland K; Townsend A; Mcmichael A Cytotoxic T Lymphocytes Recognize a Fragment of Influenza Virus Matrix Protein in Association with HLA-A2. Nature 1987, 326 (6116), 881–882. 10.1038/326881a0. [DOI] [PubMed] [Google Scholar]
- (75).Morrison J; Elvin J; Latron F; Gotch F; Moots R; Strominger JL; McMichael A Identification of the Nonamer Peptide from Influenza A Matrix Protein and the Role of Pockets of HLA-A2 in Its Recognition by Cytotoxic T Lymphocytes. Eur J Immunol 1992, 22 (4), 903–907. 10.1002/EJI.1830220404. [DOI] [PubMed] [Google Scholar]
- (76).Ebeling W; Hennrich N; Klockow M; Metz H; Orth HD; Lang H Proteinase K from Tritirachium Album Limber. Eur J Biochem 1974, 47 (1), 91–97. 10.1111/J.1432-1033.1974.TB03671.X. [DOI] [PubMed] [Google Scholar]
- (77).Cole DK; Edwards ESJ; Wynn KK; Clement M; Miles JJ; Ladell K; Ekeruche J; Gostick E; Adams KJ; Skowera A; Peakman M; Wooldridge L; Price DA; Sewell AK Modification of MHC Anchor Residues Generates Heteroclitic Peptides That Alter TCR Binding and T Cell Recognition. The Journal of Immunology 2010, 185 (4), 2600–2610. 10.4049/JIMMUNOL.1000629. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (78).Men Y; Miconnet I; Valmori D; Rimoldi D; Cerottini J-C; Romero P Assessment of Immunogenicity of Human Melan-A Peptide Analogues in HLA-A*0201/Kb Transgenic Mice. The Journal of Immunology 1999, 162 (6), 3566–3573. 10.4049/JIMMUNOL.162.6.3566. [DOI] [PubMed] [Google Scholar]
- (79).Romero P; Valmori D; Pittet MJ; Zippelius A; Rimoldi D; Lévy F; Dutoit V; Ayyoub M; Rubio-Godoy V; Michielin O; Guillaume P; Batard P; Luescher IF; Lejeune F; Liénard D; Rufer N; Dietrich PY; Speiser DE; Cerottini JC Antigenicity and Immunogenicity of Melan-A/MART-1 Derived Peptides as Targets for Tumor Reactive CTL in Human Melanoma. Immunol Rev 2002, 188 (1), 81–96. 10.1034/J.1600-065X.2002.18808.X. [DOI] [PubMed] [Google Scholar]
- (80).Speiser DE; Baumgaertner P; Voelter V; Devevre E; Barbey C; Rufer N; Romero P Unmodified Self Antigen Triggers Human CD8 T Cells with Stronger Tumor Reactivity than Altered Antigen. Proc Natl Acad Sci U S A 2008, 105 (10), 3849–3854. 10.1073/PNAS.0800080105. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (81).Newberry RW; VanVeller B; Raines RT Thioamides in the Collagen Triple Helix. Chemical Communications 2015, 51 (47), 9624–9627. 10.1039/C5CC02685G. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (82).Camacho LA; Nguyen YH; Turner J; Vanveller B Deprotection Strategies for Thioimidates during Fmoc Solid-Phase Peptide Synthesis: A Safe Route to Thioamides. Journal of Organic Chemistry 2019, 84 (23), 15309–15314. 10.1021/ACS.JOC.9B02317. [DOI] [PubMed] [Google Scholar]
- (83).Camacho LA; Lampkin BJ; Vanveller B A Bottom-up Approach to Preserve Thioamide Residue Stereochemistry during FMOC Solid-Phase Peptide Synthesis. Org Lett 2019, 21 (17), 7015–7018. 10.1021/ACS.ORGLETT.9B02598. [DOI] [PubMed] [Google Scholar]
- (84).Mahanta N; Szantai-Kis DM; Petersson EJ; Mitchell DA Biosynthesis and Chemical Applications of Thioamides. ACS Chem Biol 2019, 14 (2), 142–163. 10.1021/ACSCHEMBIO.8B01022. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (85).Fiore KE; Patist MJ; Giannakoulias S; Huang CH; Verma H; Khatri B; Cheng RP; Chatterjee J; Petersson EJ Structural Impact of Thioamide Incorporation into a β-Hairpin. RSC Chem Biol 2022, 3 (5), 582–591. 10.1039/D1CB00229E. [DOI] [PMC free article] [PubMed] [Google Scholar]
- (86).Giannakoulias S; Shringari SR; Liu C; Phan HAT; Barrett TM; Ferrie JJ; Petersson EJ Rosetta Machine Learning Models Accurately Classify Positional Effects of Thioamides on Proteolysis. Journal of Physical Chemistry B 2020, 124 (37), 8032–8041. 10.1021/ACS.JPCB.0C05981. [DOI] [PMC free article] [PubMed] [Google Scholar]
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