Abstract
As Ixodes ticks spread to new regions, the incidence of Lyme disease (LD) in companion animals and humans will increase. Preventive strategies for LD in canines center on vaccination and tick control (acaricides). Both subunit and bacterin based LD veterinary vaccines are available. Outer surface protein C (OspC), a potent immunogen and dominant early antigen, has been demonstrated to elicit protective antibody (Ab) responses. However, a single OspC protein elicits a relatively narrow range of protection. There are conflicting reports as to whether the immunodominant epitopes of OspC reside within variable or conserved domains. A detailed understanding of the antigenic determinants of OspC is essential for understanding immune responses to this essential virulence factor and vaccinogen. Here, we investigate the contribution of the conserved C-terminal C10 motif in OspC triggered Ab responses. Using a panel of diverse recombinant full length OspC proteins and their corresponding C10 deletion variants (OspCΔC10), we demonstrate that the C10 motif does not significantly contribute to immunization or infection induced Ab responses in rabbits, rats, canines, horses and non-human primates. Furthermore, the C10 motif is not required to trigger potent bactericidal Ab responses. This study provides insight into the antigenic structure of OspC. The results enhance our understanding of immune responses that develop during infection or upon vaccination and have implications for interpretation of LD diagnostic assays that employ OspC.
INTRODUCTION:
Lyme disease (LD) is a growing public health threat in N. America, Europe, and Asia. It is caused by spirochetes of the genus Borreliella (formerly classified within the genus Borrelia) [1]. In N. America, LD is caused primarily by B. burgdorferi while B. burgdorferi, B. garinii, and B. afzelli cause disease in Europe [2–4]. The LD spirochetes are transmitted by Ixodes scapularis ticks in the eastern half of N. America and I. pacificus along the west coast. In Europe and Asia, I. ricinus and I. persulcatus serve as vectors for the LD spirochetes. Regions that support Ixodes ticks are expanding [5–7] and additional Ixodes species (I. angustus, I. affinis and I. auritulus) are emerging as possible B. burgdorferi vectors [7–9].
Routine screening for tick-borne diseases in veterinary medicine has proven invaluable in monitoring the spread and risk of LD. The Companion Animal Parasite Council (CAPC) reported 303,000 canine LD positive Ab test results in the US in 2017 (https://www.capcvet.org). Since data are collected for ~30% of the tests that are run, the number of positive Ab tests in 2017 may be closer to 900,000. The incidence of LD in horses is increasing as well [10]. One study reported that 77% of horses tested in Virginia were LD Ab positive [11]. A study from the CDC reported that the number of clinician diagnosed, human LD cases each year in the US is ~329,000 [12].
LD prevention in humans consists of tick avoidance, physical barriers, and the application of various commercially available tick repellents [13]. While human LD vaccines are not available, several bacterin and subunit LD vaccines have been approved by the USDA for use in canines [14]. Current subunit vaccines consist of Outer surface protein (Osp) A or OspA in combination with a modified form of OspC. These proteins are produced during different stages of the enzootic cycle [15]. OspA production is high in unfed ticks (and during cultivation), low in fed ticks, and off in mammals [16]. OspC production is low in unfed ticks (and during cultivation) but high in fed ticks and mammals [16]. Ab to OspA targets spirochetes within ticks, inhibiting transmission. However, Ab to OspA cannot bind to spirochetes in mammals since they are not producing OspA [17,18]. Ab to OspC targets spirochetes during transmission and upon entrance into a host. The production of OspC in mammals suggests that OspC has the potential to trigger anamnestic responses in animals vaccinated with OspC.
Understanding the antigenic structure of OspC and its inherent diversity is essential for interpreting Ab responses induced by vaccination or during infection. While the structure of OspC is well conserved [19,20], OspC proteins vary considerably in amino acid sequence [21]. OspC variants or “OspC types”of OspC are differentiated by letter designations [21,22]. While OspC is a protective antigen [23,24], due to its variation, protection is generally strain specific [25,26]. The narrow protection provided by any one given OspC type protein suggests that the protective epitopes of OspC reside within variable regions of the protein [27,28]. Two linear epitopes, referred to as L5 and H5, have been localized within residues 136 to 150 and 168 to 203, respectively, and demonstrated to elicit OspC type-specific bactericidal Ab responses [21,29,30]. In a separate study, H5 residues 179–188 were concluded to be the epitope responsible for OspC type-specific Ab responses [28]. To develop a broadly protective OspC based subunit vaccine antigen, Earnhart and Marconi developed unique recombinant proteins, referred to as chimeritopes (chimeric epitope based proteins), that consist of diverse L5 and H5 epitopes. OspC chimeritopes were demonstrated to elicit bactericidal and protective Ab responses [27,29–31]. VANGUARD®crLyme (Zoetis), the most recent LD vaccine to receive USDA approval, consists of OspA and a multivalent OspC chimeritope [32].
To add to our understanding of antigenic structure of OspC, we investigated the potential contribution of the conserved C10 [33] motif (also referred to as the C7 motif [34]) in OspC directed Ab responses during natural infection and upon immunization. It has been suggested that the C10 domain is immunodominant [34] and is the primary protective epitope of OspC [35–38]. The C10 motif (PVVAESPKNP; B. burgdorferi B31), which consists of the C-terminal 10 amino acids of OspC, is well conserved among LD isolates. In spite of its conservation, it is of unknown functional or structural significance. We conclude that the C10 motif is not an immunodominant epitope and does not contribute significantly to bactericidal Ab responses. The data suggest that a single OspC protein delivered in the context of either a bacterin or subunit vaccine is insufficient to convey protection against diverse strains. To generate an OspC based antigen that elicits broad protection, the diversity and antigenic structure of OspC must be considered.
Materials and methods.
Cultivation of the LD spirochetes.
B. burgdorferi strains (LD spirochetes) used in this study are described in supplementary Table 1. Spirochetes were cultivated in BSK-H media supplemented with 6% rabbit serum at 34°C with 5% CO2. Growth was monitored using wet mounts and dark-field microscopy. Cells were harvested from cultures by centrifugation.
Generation of recombinant proteins.
ospC genes from strains producing different OspC types (as indicated in supplementary Table 1) were PCR amplified from genomic DNA with or without the C10 encoding segment of each gene. PCR primers were designed with ligase independent cloning (LIC) tails to allow for annealing into linearized pET46-Ek/LIC vector as described by the supplier (Novagen). All methods pertaining to cloning, protein production and purification were exactly as decribed in an earlier study [39].
SDS-PAGE and immunoblot analyses.
Recombinant proteins (500 ng) or cell lysates of LD spirochete strains were subjected to SDS-PAGE using precast AnykD Criterion Gels (Biorad) and transferred to PVDF membranes using a Trans-blot Turbo Transfer system as detailed by the supplier (Biorad). Immunoblot analyses were conducted as previously described [40]. Antiserum dilutions are indicated below for each experiment. Detection of Ab binding was accomplished using Clarity Max Western ECL substrate and chemiluminescence (Biorad). Images were captured using a Biorad ChemiDoc imaging System (Biorad). Note that in some cases, images were cropped to remove blank spaces. Equal loading of proteins was verified by immunoblot with anti-His-tag antisera (Novagen). Equivalent loading of cell lysates was demonstrated by staining gels with Coomassie Brilliant Blue. Screening with preimmune serum served as the negative control.
Generation of antiserum and description of serum samples.
Anti-OspC type A (derived from B. burgdorferi B31) and anti-OspCΔC10 (type A) antisera were generated in Sprague-Dawley rats as previously described [41]. In brief, recombinant proteins were delivered (50 μg; Freunds Complete Adjuvant; Sigma) with a boost 14 days later (25 μg; Freunds Incomplete Adjuvant; Sigma). On day 21, the rats were euthanized, bled by cardiac puncture and sera harvested using Z Serum Sep Clot Activator columns as instructed by the supplier (Vacuette). Titers were determined by standard end-point dilution as previously described [40]. The rat-anti-OspC and rat-anti-OspCΔC10 antisera were used at dilutions of 1:1000. Serum from rabbits immunized with OspC proteins of different OspC types [39] were used at a dilution of 1:30000. Serum from infected dogs were obtained from North Carolina State University. The canine serum samples were determined to be LD Ab positive (C6) using the SNAP4Dx test (IDEXX) and the results confirmed through immunoblotting (primary serum dilution of 1:1000) using B. burgdorferi B31 cell lysate as the immobilized antigen and by the Global Lyme Disease ELISA test (https://glymedx.com). Serum samples from horses that were LD Ab positive were used at dilutions ranging from 1:250 to 1:1000. Serum samples from Rhesus macaques were derived from an earlier study in which the monkeys were infected by tick bite. The ticks were laboratory raised and infected with B. burgdorferi B31[by the capillary tube feeding approach [42]. Non-human primate sera were used at 1:1000 dilution. Each animal was confirmed to be LD negative by screening for antibody reactivity to B. burgdorferi 5 antigen serological assay [43]. Practices in the housing and care of animals conformed to the regulations and standards of the PHS Policy on Humane Care and Use of Laboratory Animals, and the Guide for the Care and Use of Laboratory Animals. The Tulane National Primate Research Center is fully accredited by the Association for the Assessment and Accreditation of Laboratory Animal Care-International. The Institutional Animal Care and Use Committee of the Tulane National Primate Research Center approved all animal-related protocols, including the infection, treatment, and sample collection from nonhuman primates.
ELISA.
ELISA wells (96 well plates) were coated with 500 ng of recombinant protein in bicarbonate buffer as previously described [44]. Primary and secondary Ab dilutions were 1:100 and 1:15000, respectively. ABTS substrate was added, the plates were incubated for 20 min and absorbance read at 405nm. The factor H binding protein (FhbB) of the periodontal disease pathogen, Treponema denticola, served as a negative control antigen [45]. Statistical significance, was assessed using an unpaired, two-tailed student’s t-test (95% CI, p < 0.05). All calculations were performed on GraphPad Prism 5 (GraphPad). All assays were performed in triplicate at least twice.
Bactericidal Ab assays.
Bactericidal Ab assays were performed as previously described [44]. Anti-OspA antiserum incubated with B. burgdorferi B31 served as a positive control for complement dependent Ab mediated killing [44]. Negative controls consisted of cells incubated in media alone, cells incubated in media with 20% complement certified guinea pig serum (GPS; Complement Technologies, Inc.) and cells incubated with the corresponding heat inactivated (HI) hyperimmune serum (anti-OspA, anti-OspC type A or anti-OspCΔ10; 20%) with 20% HI-GPS. Heat inactivation of serum was accomplished by incubation at 56°C (30 min). Statistical significance was assessed using an unpaired, two-tailed student’s t-test (95% CI, p < 0.05). All calculations were performed on GraphPad Prism 5 (GraphPad). All assays were performed in triplicate at least twice and the percent killing was determined by counting the number of dead cells versus the total number of cells in 5 fields of view using dark-field microscopy.
RESULTS
Analysis of Ab responses elicited by immunization with OspC types A, B and K in rabbits.
To gain further insight into the antigenic determinants of OspC and its potential to induce broadly protective Ab responses, 13 different OspC types, with or without the C10 motif, were screened with hyperimmune sera raised in rabbits against OspC types A, B and K. Each individual antiserum reacted strongly with the OspC protein that was used to generate the serum but not with heterologous OspC types demonstrating that IgG responses to recombinant OspC are type-specific (Figure 1). Detection specificity was not affected by the presence or absence of the C10 motif and no apparent differences in the level of IgG binding was evident as assessed by immunoblotting. It is clear from these analyses that conserved domains such as the C10 motif are not immunodominant and that a single OspC type protein when delivered as a vaccinogen will not convey broad protection.
Ab responses to OspC in infected dogs, horses, and non-human primates are restricted and OspC type-specific.
To assess IgG responses to OspC that develop during natural infection immunoblots of the OspC and OspCΔC10 protein panel were screened with serum from infected canines and horses (Figure 2). OspC type-restricted Ab responses were observed in all animals tested. For example, IgG from dog BK1993 bound to OspC types A and K but not to the remaining OspC types (Figure 2). Similarly, serum from dog CS0574 reacted specifically with OspC type T. Dog JF2296 reacted exclusively with OspC types H and J. Serum from horse 1136 reacted with a single OspC protein while horse 1040 reacted with OspC types A and K. It is likely that individual animals that developed Ab to multiple OspC types were infected with a heterogenous population of LD spirochetes. This could result from being fed upon by a single tick carrying multiple LD spirochete strains or from exposure to multiple ticks carrying individual strains. It has been demonstrated that ticks typically carry a genetically heterogenous population of LD spirochetes [46,47]. In addition, laboratory studies have demonstrated that canines infected by infestation with field collected ticks can be simultaneously infected with a diverse array of strains producing several different OspC type proteins [48]. In view of the exposure probability of canines to ticks in Lyme endemic areas, and the potential for individual ticks to harbor a genetically heterogenous population of LD spirochetes, either possibility is equally plausible. All immunoblot results are summarized in Table 1.
Table 1.
Animal/serum ID | Dominant immunoreactive OspC typea |
---|---|
Canine AH2630 | K |
Canine CS0574 | T |
Canine TF1286 T | |
Canine BK1993A, K | |
Canine JF2296 | H, J |
Horse 1077 | I |
Horse 1030 | A, C |
Horse 1031 | A |
Horse 1026 | F, I |
Horse 1040 | A, K |
Horse 1136 | K |
Monkey IN05 | A |
Monkey IL75 | A, B |
Monkey IL09 | A, B |
Note that the table lists those OspC types that reacted the strongest using an immunoblot format with the serum samples indicated.
IgG responses to OspC in experimentally infected rhesus macaques were type-restricted but not completely type specific. The serum assessed in this study was from macaques that were infected under controlled laboratory conditions with I. scapularis ticks carrying B. burgdorferi B31 [42]. Strain B31 produces OspC type A and consistent with this, IgG from animal IN05 bound exclusively to OspC type A. However, serum from two infected macaques (IL75 and IL09) reacted with OspC type A and B. The basis for these cross-reactive Ab responses is unclear.
ELISA analyses of OspC Ab responses.
Epitope presentation can differ in denatured versus non-denatured proteins. To assess possible differential display of epitopes, the OspC and OspΔC10 proteins that bound Ab in the immunoblot assays were screened with the same serum using an ELISA format. Representative data are presented in Figure 3. Ab binding to some OspCΔ10 proteins was slightly lower than that observed with the corresponding full-length protein. The minor differences could indicate that the C10 motif is either weakly immunogenic or that it may contribute directly or indirectly to the presentation of a conformationally defined epitope. Several studies have provided evidence for the existence of conformational epitopes in OspC [23,26,49].
The C10 motif is not required to elicit OspC mediated bactericidal Ab responses.
Several studies have demonstrated that OspC or OspC chimeritopes can elicit bactericidal or protective Ab responses [23,24,29,31]. To determine if the C10 motif contributes to bactericidal Ab responses elicited by immunization with recombinant OspC, hyperimmune antisera were generated to OspC type A and OspCΔC10. The OspC specific IgG log titers elicited by each protein were similar (4.8 and 4.4 for OspC and OspCΔC10, respectively) and anti-OspC and anti-OspCΔC10 displayed equal reactivity with both proteins as assessed by immunoblotting (Figure 4). Since OspC is produced at low and variable levels during cultivation [39,50], to measure bactericidal Ab activity, a strain (B31-HE-OspC) that constitutively produces OspC [51] was used as the assay strain. Controls included B. burgdorferi B31(wild type strain; low level OspC production) and B. burgdorferi B31ΔospC (negative control; no OspC production) [40]. The OspC production levels of all strains were confirmed by SDS-PAGE and by immunoblot using antisera against type A OspC (Figure 4). The anti-OspC and anti-OspCΔ10 antiserum displayed equivalent levels of Ab mediated-complement dependent killing of strain B31-HE. This observation indicates that the C10 domain is not required to elicit bactericidal Ab. These results are consistent with an earlier study that demonstrated that preabsorption of serum from LD infected humans with a peptide corresponding to the C10 peptide did not decrease the level of bactericidal activity [35]. It can be concluded that the potent bactericidal Ab responses induced by OspC are not dependent on the presence of the C10 motif.
CONCLUSIONS:
The type-specificity of the Ab response to OspC indicates that the immunodominant epitopes reside within segments of OspC that differ among OspC types. We did not find evidence to support the conclusions reached in earlier studies that the C10 motif is antigenic and elicits protective IgG responses [34,35]. The consensus sequence for C10 is P201VVAESPKNP210 (B. burgdorferi B31 OspC numbering). Polymorphisms in C10 tend to occur at either the V202 or N209 position. As examples, when compared with B31 type A OspC, OspC types N, I, C, B, and D share the same C10 sequence whereas OspC types K and E harbor a V202I substitution. Hence, the inability of Ab to detect the C10 motif in different OspC types is clearly not due to sequence divergence. Furthermore, since deletion of the C10 motif resulted in only a minor decrease in overall bactericidal activity it is evident that the C10 motif does not directly or indirectly influence the development of bactericidal Ab.
It is possible that the lack of a robust Ab response to C10 motif may be attributed to its spatial location on the OspC protein. OspC structural analyses place the C10 motif at the OspC-bacterial membrane interface [19,20,52]. An earlier study using immunogold labeling and transmission electron microscopy suggested that C10 is surface exposed and accessible to Ab [53]. However, no controls were included in that study to determine if preparation for microscopy resulted in disruption of the cell membrane which would potentially expose the normally buried C10 motif [53]. In summary, the data presented indicate that a single OspC protein, whether in the context of a bacterin or subunit vaccine formulation, is likely insufficient for eliciting broadly protective Ab responses directed at OspC. The inherent obstacles that OspC diversity has posed in term of vaccine and diagnostic antigen development have been recently overcome using laboratory designed OspC based chimeritopes [29,31,54]. Chimeritopes are recombinant proteins that consist of a series of linear epitopes derived from multiple OspC types. Proof of principle for the chimeritope approach was first established in mice [29,31]. Immunization with tetravalent or octavalent OspC chimeritope antigens triggered Ab responses against each component epitope that were bactericidal [29,31]. The biological role that the C10 motif plays, if any, in OspC function remains unclear. We previously demonstrated that LD spirochetes that were genetically manipulated to produce OspCΔC10 in place of full length OspC retained the ability to infect mice and disseminate [33]. Hence, the biological rationale for the relatively high conservation of this domain remains to be delineated. In closing, this study further enhances our understanding of the antigenic structure of OspC.
Supplementary Material
Highlights:
OspC of the Lyme disease spirochetes triggers highly specific IgG responses in a diverse mammals
IgG responses to OspC are not elicited by conserved regions of the protein
The C7/C10 motif does not play a central role in triggering IgG responses
The C7/C10 motif is not required for induction of bactericidal antibody
Footnotes
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