Abstract
A number of important Gram-negative pathogens that reside exclusively in the upper respiratory or genitourinary tract of their mammalian host rely on surface receptors that specifically bind host transferrin and lactoferrin as a source of iron for growth. The transferrin receptors have been targeted for vaccine development due to their critical role in acquiring iron during invasive infection and for survival on the mucosal surface. In this study, we focus on the lactoferrin receptors, determining their prevalence in pathogenic bacteria and comparing their prevalence in commensal Neisseria to other surface antigens targeted for vaccines; addressing the issue of a reservoir for vaccine escape and impact of vaccination on the microbiome. Since the selective release of the surface lipoprotein lactoferrin binding protein B by the NalP protease in Neisseria meningitidis argues against its utility as a vaccine target, we evaluated the release of outer membrane vesicles, and transferrin and lactoferrin binding in N. meningitidis and Moraxella catarrhalis. The results indicate that the presence of NalP reduces the binding of transferrin and lactoferrin by cells and native outer membrane vesicles, suggesting that NalP may impact all lipoprotein targets, thus this should not exclude lactoferrin binding protein B as a target.
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Introduction
A number of Gram-negative bacterial pathogens responsible for important diseases in humans and food production animals reside exclusively in the upper respiratory or genitourinary tract of their vertebrate host and rely on surface receptors capable of specifically binding the host iron-binding glycoproteins transferrin (Tf) or lactoferrin (Lf) to acquire iron for growth (Table 1). The typical bipartite Tf receptor is comprised of a surface anchored lipoprotein, TbpB (transferrin binding protein B), responsible for initial capture of Tf and delivering it to the integral outer membrane protein TbpA (transferrin binding protein A), which extracts iron and transports it across the outer membrane (Morgenthau et al. 2013) (Fig. 1). The energy for the outer membrane transport process is derived from interaction with the TonB protein, a trait it shares with a family of metal iron transport proteins termed TonB-dependent transporters (Tdt) (Cornelissen and Hollander 2011). TonB is part of an inner membrane complex that derives energy from ATP hydrolysis, to support energy requiring outer membrane processes. The ferric ion transported across the outer membrane is transferred to a periplasmic binding protein (ferric binding protein A, FbpA) that delivers the iron atom to an inner membrane transport complex that transports the iron into the cytoplasm (Adhikari et al. 1995).
The Tf and Lf receptors in N. meningitidis and N. gonorrhoeae were shown to be specific for the human proteins when they were initially discovered (Schryvers 1988; Schryvers and Morris 1988a, b), providing an explanation for how the host range of these pathogens was restricted to humans. This observation led to the discovery of receptor systems in other Gram-negative pathogens of humans and animals that had specificities that correlated with the host range of the pathogens (Schryvers and Gonzalez 1990), and the exquisite specificity of Tf receptors from human pathogens was shown to involve binding to a common region of Tf (Gray-Owen and Schryvers 1993). The exquisite host specificity of the Tf receptor proteins on the human pathogens has been shown to be the result of selective pressures to modify the residues on Tf recognized by the receptor proteins (Barber and Elde 2014), which implies that the Tf receptors have been present for a considerable period of evolutionary history (Fig. 2).
A second type of Tf receptor consisting of a single, smaller Tdt has been identified in Pasteurella multocida (Ogunnariwo et al. 1991) and Histophilus somni (Ekins et al. 2004) but whether it is restricted to bacteria that reside in ruminants or is present in bacteria from other vertebrate hosts is uncertain. The closest homologues are Tdts involved in siderophore or heme iron acquisition and cannot readily be distinguished by standard bioinformatics approaches.
The development of integrated binding and affinity isolation methods led to the discovery of bacterial transferrin (Tf) and lactoferrin (Lf) receptors in the Gram-negative human pathogen Neisseria meningitdis nearly 30 years ago (Schryvers and Morris 1988a, b). The presumed importance of the Tf receptors for iron acquisition during invasive infection, supported by the specific requirement for human Tf in a mouse infection model (Schryvers and Gonzalez 1989), and the protection demonstrated in preliminary immunization and challenge experiments in the mouse model (Schryvers 1990), led to focus on the Tf receptors for development of a group B meningococcal vaccine. Subsequent experiments with the receptor complex (Danve et al. 1993) and the individual TbpB (Tbp2) and TbpA (Tbp1) receptor proteins (Lissolo et al. 1995), isolated from N. meningitidis, demonstrated that protection was associated with the TbpB protein, which became the focus of further vaccine development. After a succession of encouraging experiments with recombinant TbpBs in animals (Rokbi et al. 1997), a Phase I clinical trial was performed in humans (Danve et al. 1998), with results that ultimately led to abandoning the commercial development of a TbpB-based vaccine against N. meningitidis.
Although the original interest in Tf and Lf receptors was focused on their potential utility as vaccine antigens for prevention of invasive infection, these receptors likely evolved to provide a supply of iron for growth on the mucosal surfaces of the upper respiratory or genitourinary tract which is the normal niche for these bacteria. Not surprisingly, these receptors have been found in pathogens from other vertebrate species as well as some related commensal species that reside in the upper respiratory tract. Since the host specificity of these receptors has evolved over long time periods (Barber and Elde 2014; Barber et al. 2016) (Fig. 2), it is likely they will be found in Gram-negative bacteria from a wide variety of vertebrate hosts while retaining common structural and functional features.
The concept that the Tf and Lf receptors are important for survival on the mucosal surface is supported by the observation that the Tf and/or Lf receptors are required for survival of N. gonorrhoeae in a human male infection model (Cornelissen et al. 1998; Anderson et al. 2003). Notably, the levels of Tf actually exceed the level of Lf on the mucosal surface of the male urethra prior to challenge with N. gonorrhoeae (Anderson et al. 2003), raising the question whether this applies to mucosal surfaces of the upper respiratory tract. The observation that mutants in either TbpB or TbpA abrogated infection by Actinobacillus pleuropneumoniae in an aerosol infection model in pigs (Baltes et al. 2002), argues for the presence of Tf on the surface of the porcine upper respiratory tract. It is challenging to directly measure the levels of Tf and Lf on the mucosal surfaces of the upper respiratory tract, thus the strong inferences by studies with mutant bacteria currently provides the best support for this concept. The requirement of Tf and/or Lf receptors for survival on the mucosal surface argues for their continual expression in this iron-restricted environment, making them suitable targets for vaccines that could prevent colonization, a critical feature for generally non-invasive pathogens like N. gonorrhoeae, M. catarrhalis, and non-typeable Haemophilus influenzae.
One advantage of targeting proteins that are common to pathogens from different host species is that they provide the opportunity to address fundamental questions in systems that are more amenable to experimental studies. For instance, it was not possible to directly address the relatively poor performance of the N. meningitidis TbpB vaccine in the Phase I trial in humans after such promising results were obtained in the preceding experiments in animals. In order to address the hypothesis that the poor performance was due to host Tf masking important epitopes after systemic administration of TbpB, a non-binding mutant of the TbpB from porcine pathogen Haemophilus parasuis was tested in a lung infection model in pigs (Frandoloso et al. 2015), with the results strongly supporting this hypothesis. Similarly, the observation that the sequence and structural diversity of the TbpBs from three different porcine pathogens was not primarily associated with the geographical region, time of isolation or even the bacterial species (Curran et al. 2015), argued that the diversity primarily reflects protein evolution which developed over a long time-period, suggesting that the development of broadly cross-protective vaccines may be attainable.
Although the preliminary experiments with the receptor proteins isolated from N. meningitidis led to the conclusion that TbpB was predominantly responsible for the protective immune response induced in animals (Lissolo et al. 1995), subsequent experiments demonstrated that functional TbpA was capable of providing protection against infection at least as well as TbpB and was more effective at inducing a more cross-protective immune response (West et al. 2001). However, functional TbpA has only been obtained by expression in the bacterial outer membrane, providing substantial challenges for production of commercial protein subunit vaccines based on TbpA. This prompted us to develop a strategy of generating hybrid antigens from TbpB and TbpA in which surface epitopes of TbpA are displayed on a scaffold derived from TbpB (Schryvers et al. 2014) which has shown substantial promise in preliminary experiments.
Due to the primary focus on Tf receptors for vaccine development, the Lf receptors have received relatively little attention. The early observation that Lf receptors were often absent from strains of N. gonorrhoeae (Biswas and Sparling 1995) likely contributed to reduced enthusiasm in targeting lactoferrin receptors for vaccines. The observation that LbpB may primarily play a role in protection from cationic peptides (Morgenthau et al. 2014) and that LbpB from N. meningitidis is released from the surface by proteolytic activity of the NalP autotransporter (Roussel-Jazede et al. 2010) raised questions regarding its utility as a vaccine target. In this study, we re-evaluate the utility of Lf receptors as vaccine targets by examining their prevalence in pathogens and commensal bacteria and assessing the extent to which LbpB is selectively released from the bacterial pathogens expressing this protein.
Materials and methods
Bacterial strains and growth in iron restriction
M. catarrhalis and N. meningitidis strains listed in Table 2 were streaked on chocolate agar plates and were grown overnight at 37 °C with 5% CO2. Colonies from the overnight growth were resuspended in tryptic soy broth (TSB, Becton–Dickinson). Optical densities of the resuspended cells were measured and standardized to an OD600 nm of 0.1 to inoculate 30 mL of TSB with 30 µg/mL of deferoxamine mesylate (Sigma Aldrich). The cultures were grown shaking at 220 RPM for 5 h at 37 °C and the cultures were normalized to an OD600 of 0.75.
Isolation of whole cells, outer membrane vesicles, and supernatant
Cell cultures were centrifuged at 3059×g for 10 min and the whole cells were re-suspended in 30 mL of low stringency buffer (50 mM Tris pH 6.0, 0.1 M NaCl). The spent media were decanted and filtered using 0.2 μm Acrodisc® Syringe Filters with Supor® Membrane (Pall) in order to remove any residual cells. The filtered media were then concentrated 30-folds using 10-kDa cutoff Amicon® Ultra-0.5 mL Centrifugal Filter (Millipore); cOmplete™ Mini Protease Inhibitor Cocktail tablets (Sigma Aldrich) were added to concentrated media to prevent proteolysis. The concentrated media were centrifuged (150,000×g, 1 h) to pellet outer membrane vesicles. The supernatants were concentrated 10-fold using a 10-kDa cutoff Nanosep® centrifugal device (Pall) and the pellets were re-suspended in low stringency buffer, LSB (Bonnah and Schryvers 1998).
Solid-phase binding assay
Samples from the resuspended cells, resuspended ultracentrifuge pellet, and concentrated supernatant were dotted on nitrocellulose membrane (Pall) and was dried at room temperature. The membranes were blocked with 1% skim milk in LSB for 30 min at room temperature. The membrane was incubated overnight at 4 °C with HRP-conjugated hLf/hTf in blocking buffer. The membrane was washed with LSB and then developed in HRP Color Development Reagent (BioRad).
Sample collection and cultivation
Swab samples were obtained from children having their tonsils and adenoids surgically removed at the Alberta Children’s Hospital (ACH, Calgary, AB, Canada). Microbiome samples were also obtained directly from the tissue, these samples were diluted and plated on a series of different media incubated under aerobic and anaerobic conditions as described previously (Stearns et al. 2015). Plate pools and individual isolates were collected and stored at − 80 °C with 20% skim milk.
16S rRNA sequencing and genus/species identification
Individual isolates were used as a template for amplification of a partial 16S rRNA product (900 bp) using primers 8F (AGAGTTTGATCCTGGCTCAG) (Turner et al. 1999) and 926R (CCGTCAATTYYTTTRAGTTT) (Wilmotte et al. 1993). The PCR products were sequenced at Macrogen Inc. (USA). Full 16S rRNA genes from sequenced genomes were located in the contigs and genus/species identification was carried out using Greengenes (http://greengenes.lbl.gov/cgi-bin/nph-index.cgi) and HOMD (http://www.homd.org). A > 98% sequence identity threshold was used for 16S rRNA sequences. The species that could not be discriminated to the species level were identified to the group level.
Illumina MiSeq sequencing
Genomic DNA of selected strains was isolated with a phenol extraction method. The Nextera XT Sample Preparation kit (Illumina) was used to generate libraries and sequenced using the 500 cycle kit on the MiSeq Sequencer (Illumina) running MiSeq Control Software Version 2.4.1.3. Libraries were normalized to 2 nM each and pooled by combining equal volumes of normalized libraries together; the libraries were sequenced on the MiSeq sequencer. The MiSeq analysis folder for the run was input into CASAVA 1.8.2 to determine quality metrics and SPAdes 3.5.0 was used for assembly (Bankevich et al. 2012).
Bioinformatics analysis
NCBI BLASTN and BLASTP were used for identification of homologues of the protein targets in available commensal Neisseria genomes from NCBI (28 genomes), PubMLST database (http://pubmlst.org/neisseria/) (33 genomes) and 9 from our strain collection. To improve quality of analysis and avoid false negatives we only included draft genomes with less than 289 contigs. A threshold of 40% identity in alignments was used to report the presence or absence of the proteins in Table 3, with the exception of identification of Tbp and Lbp for which higher and true identity was reported in the table.
Modelling of LbpBs
Three-dimensional models of LbpB were generated by submitting the primary sequence of each LbpB (obtained from NCBI) to the SWISS-Model server. The server was allowed to automatically search for templates, and in each case, the server selected 3VE1. For each submission, the most complete model of the three server outputs was downloaded and loaded into PyMOL. All models were aligned using the PyMOL align algorithm and lobes/domains were colored accordingly.
Machine learning classifier for LbpB identification
We began classifier training by extracting a large training dataset from NCBI of TbpBs and LbpBs (from all available species) as a way to test how well each of our features contributed to clustering. Only a few features were required to separate the two lipoproteins from each other in feature-space. The features were engineered primarily around a moving-window approach that determined charge clustering of amino acids K, R, H, D, and E in the same way EMBOSS charge calculates a charge value (Rice et al. 2000). A window size of 40 amino acids was chosen after testing a range of window sizes from 5 to 80 as it negated the noise of a small window yet did not dampen the signal of a large window (Fig. 3a). The EMBOSS charge method of calculating charge clustering turned out to be more informative than isoelectric-point calculations, as the pI of a negatively charged amino acid cluster will saturate at values close to the pKa of the amino acids in question, whereas EMBOSS calculates a value that allows for an additive effect of charged amino acids located closely together (Fig. 3b). Using the EMBOSS charge method, we plotted the charge values of 40-amino acid segments for TbpBs and LbpBs, and then determined the maximum charge deviation—our first feature—which is the difference between global minimum of the plot and the average total EMBOSS charge of the protein (Fig. 3b, right plot, red line). The relative position in primary sequence (N-terminus = 0, C-terminus = 100) at which this global minimum occurred was our second feature—global minimum position as LbpBs typically have C-terminal charges. The final two features which proved to be informative as well were simply total isoelectric point and average EMBOSS charge. A scatter-matrix of each of these features plotted against one another can be seen in Fig. 3c. We trained the K-nearest neighbours classifier algorithm (KNN) in the Scikit Learn python machine learning library using a labelled, non-redundant dataset of 123 TbpBs and 59 LbpBs obtained from NCBI—reduced from ~ 750 each using the CD-HIT webserver (Huang et al. 2010) which extracts representative sequences from datasets using a 90% sequence identity threshold. The algorithm is able to distinguish between the two SLPs using primary sequence alone with a 97% success rate and is freely available upon request.
Results
Structural features and prevalence of Lf receptor proteins
Relative to the transferrin receptors, there is limited structural information available for the Lf receptors. However, reasonable structural models can be obtained by capitalizing on common features between the two types of receptors (Fig. 1). The considerable sequence homology between TbpA and LbpA, including the highly conserved NEVTGLGCK and GAINEIEYE regions in the plug domain, provides a reasonable model of LbpA based on the structure of the TbpA-hTf complex (Noinaj et al. 2012). It is likely that the external surface loops of the free TbpA and LbpA proteins are in a substantially different (closed) conformation that are altered upon binding of Tf or Lf, as the binding interaction is proposed to induce separation of the C1 and C2 domains of the C-lobe to facilitate iron release. The similarities between TbpA and LbpA make it difficult to definitely distinguish between homologues of the proteins by standard bioinformatics approaches unless there is high sequence identity to a functionally characterized protein. Due to the more extensive prevalence of the Tf receptors, presumably due to the relative importance of Tf as an iron source on the mucosal surface, Lf receptors are usually recognized as a second homologue in species that possess Tf receptors.
To date protein crystallography has yielded structures of the N-terminal domain of LbpB from Moraxella bovis and N. meningitidis (Arutyunova et al. 2012; Brooks et al. 2014) but no structures of the C-lobe or intact protein have been obtained. Cross-linking coupled to mass spectrometry analyses (XL-MS) supports the orthogonal orientation of the N-lobe and C-lobe of the N. meningitidis LbpB (Ostan et al. 2017), and it is likely this orientation is preserved in other LbpBs. LbpB&A can be functionally identified using binding assays, growth assays, and assays measuring the protective effects against cationic peptides associated with the LbpB protein (Yu and Schryvers 2002) (Bonnah et al. 1995, 1999; Morgenthau et al. 2012)., with the only distinctive feature of LbpBs being a negatively charged region that is involved in protection against cationic peptides. However, at this juncture it is uncertain whether these regions are invariably present in LbpBs and the lack of sequence identity among these regions, can complicate identification of LbpBs. For instance, the identification a lactoferrin receptor in Taylorella equigenitalis was initially due to detecting two TbpA/LbpA homologues in the species by BLAST searches and then comparing the sequences of the two lipoproteins (Morgenthau et al. 2012). Careful inspection revealed a cluster enriched in acidic amino acids that presumptively identified it as a LbpB.
The identification of a second Tf/Lf receptor operon in strains of Actinobacillus pleuropneumoniae (Curran et al. 2015), albeit with a non-functional TbpA/LbpA, is presumed to be Tf receptor with alternate host specificity due to the absence of a region rich in acidic amino acids. However, without performing functional studies with various Tfs and Lfs, the true identity of this receptor is uncertain. Thus, although it may be relatively straightforward identifying homologues of LbpB and LbpA in closely related species, the discovery of new receptors in unrelated species is not straightforward.
When considering target antigens for vaccines against pathogens, it is important to not only evaluate their prevalence in clinical isolates, but to consider their presence in related commensal species that could serve as a reservoir for vaccine escape. Since this also raises questions regarding the consequence of vaccination on the microbiome, it is important to consider whether the different species are potentially dependent upon the target antigen for their survival. Due to extensive study of pathogenic Neisseria species, they provide the best opportunity to address these questions. Thus, we obtained genomic sequences from commensal Neisseria isolates from directed swabs of children undergoing tonsillectomy or adenoidectomy and from our existing strain collection together with sequences available in public databases. We probed the genomes for the presence of TbpB&A, LbpB&A and a number of TonB-dependent transporters involved in the acquisition of iron and zinc that have been suggested as potential vaccine targets. These include the hemoglobin/haptoglobin receptor (HpuB/A) (Lewis et al. 1998), the hemoglobin receptor (HmbR) (Stojiljkovic et al. 1996), the ferric enterobactin receptor (FetA) (Carson et al. 2000), the zinc/calprotectin receptor (TdtH) (Jean et al. 2016), and the zinc receptor (ZnuD) (Calmettes et al. 2015). The analysis was extended to include the antigens present in the current Bexsero and Trumemba vaccines so that the issues regarding impact of vaccination on the microbiome and reservoirs for vaccine escape could be compared to existing vaccine products. As illustrated in Table 3, the LbpB/A receptors were less prevalent than the TbpB/A receptors in the commensal Neisseria species and infrequently found in N. flavescens, N. subflava, N. sicca and N. mucosa.
Analysis of the N. flavescens, N. subflava, N. sicca and N. mucosa genomes reveal that the majority of the TonB dependent transporters are putative siderophore receptors, suggesting that they predominantly rely on pirating siderophores produced by other bacteria, which may be a common feature of microbial communities in diverse ecological niches (D’Onofrio et al. 2010). The limited presence of Lf receptors in these species, and variable presence of Tf receptors, HpuBA and HmbR suggest that they are more likely to encounter Tf and heme as iron sources than Lf, and might also suggest that they are less likely to encounter host antimicrobial peptides than the other commensal species.
Features of the negatively charged regions in LbpBs
The negatively charged regions of LbpBs were initially identified by manual inspection. To illustrate their presence, we selected six representative bacterial strains and plotted 30-amino acid segments of the primary sequence as a function of charge, using the European Molecular Biology Open Source Suite (EMBOSS) (Rice et al. 2000) (Fig. 4). The three Neisseria species have relatively large segments of net negative charge reflecting the long stretches that are highly enriched in aspartates and glutamates. The modeled structures preserve the core handle-barrel domains of the N-terminal and C-terminal lobes that are orthogonally positioned, this localizes the clusters of negatively charged domains to a loop in the handle domain of the C-lobe. Notably, in the Neisseria species, there is a second smaller segment of negative charge present in the near the C-terminal end of LbpB for N. meningitidis and N. gonorrhoeae but not in N. lactamica, which likely reflects the stretch of 20 amino acids enriched in aspartic acid residues that is positioned in one of the two last loops of the barrel domain. In Moraxella catarrhalis, which has a larger LbpB (900 vs. 700 amino acids in Neisseria spp.), the pattern is similar to that observed in the commensal Neisseria species, but as the structural model illustrates it is likely localized to the first exposed loop of the barrel domain of the C-terminal lobe.
The pattern observed for the Moraxella bovis LbpB is not as obvious as that with the first four LbpBs, reflecting more subtle enrichment of acidic amino acids. This likely is the reason why the negative charge cluster on the M. bovis LbpB initially escaped identification via manual examination of the primary protein sequence/isoelectric point calculations in a moving window approach. Using more advanced bioinformatic methods to model this LbpB, we found the acidic region to be present within amino acid stretches extending from one of the C-lobe handle strands. Negatively charged amino acids in this protein are distributed more sparsely and likely to localize within 3-dimensional space. The pattern observed for Taylorella equigenitalis LbpB is also subtler than that observed for the first four LbpBs (attributable to its smaller size), and was originally noticed by comparisons between the two lipoproteins associated with the putative Tf and Lf TonB-dependent transporter genes. It has a smaller cluster of acidic amino acids comparable to those present in the in the Neisseria species and this cluster appears to be localized to the handle domain of the C-lobe.
Although identifying putative LbpBs using manual sequence curation has been successful in the past, some important features of these lipoproteins have been overlooked in cases where the charge clustering is less obvious than in LbpBs from Neisseria spp. Additionally, with increasing amounts of genomic data being deposited in public databases such as NCBI, manually identifying LbpBs from libraries of strains for purposes such as vaccine antigen selection is a time-consuming and inefficient approach. We thus sought to train a machine-learning classifier using features from existing LbpBs that could extract these proteins from a genomic annotation with a high degree of accuracy and the exclusion of human bias. The classifier takes advantage of the fact that LbpBs have C-terminal negative charge clusters. After training the classifier, we tested its ability to identify more difficult LbpBs, and found it was able to identify the Taylorella equigenitalis LbpB, just as was done previously by manual inspection. The classifier is also able to differentiate a TbpB from an LbpB with a 97% success rate in a variety of other species. Figure 3b and c illustrate the main features which were engineered to distinguish a TbpB from an LbpB, and their clustering in feature-space (more detailed explanation available in methods section). To examine if our classifier was able to identify new LbpBs, we retrieved genomic contigs from Moraxella lacunata from NCBI and annotated the genomic assembly using RAST (Aziz et al. 2008). The classifier successfully identified one previously undocumented LbpB which we confirmed using manual sequence inspection. The classifier, which utilizes Scikit-learn/Biopython libraries as well as custom scripts is available upon request for personal use.
Release of LbpB
The reported selective release of the Neisseria meningitidis LbpB from the cell surface by the proteolytic activity of the autotransporter NalP, with a concomitant decrease in killing in a bactericidal assay (Roussel-Jazede et al. 2010), has important implications regarding its suitability as a vaccine target. This prompted us to evaluate whether this phenomenon was also observed with LbpBs from different species. Initially we performed an experiment to compare a strain of M. catarrhalis (Q8) to a wild-type strain of N. meningitidis (MC58) and a NalP deficient derivative (Fig. 5A). We assessed the Lf binding activity of intact cells, native outer membrane vesicle preparations and supernatants from these three strains, and also evaluated the Tf binding activity as a control. As shown in panel A of Fig. 5, the nalP::ery mutant strain surprisingly had enhanced binding activity in the solid binding assay both with labeled Lf and Tf on intact cells and the outer membrane vesicle fraction. A logical inference is that the proteolytic activity of NalP may be associated with the release of both LbpB and TbpB from the cell surface, suggesting that the release of lipoproteins by NalP may not be specific.
The lack of detectable Lf binding activity in the supernatant fraction from the wild-type meningococcal cells at 300 times the concentration of the cell suspension was unexpected based on the results from previous studies (Roussel-Jazede et al. 2010). Our inability to detect Lf binding activity in dot assays or to affinity capture LbpB from the supernatants (data not shown) could be due to loss of protein during manipulations in spite of inclusion of protease inhibitors. Nevertheless, the reduced binding observed in the nalP::ery mutant strain is consistent with previous studies and questions regarding the release of TbpB or other lipoproteins requires further investigation.
The relatively prolific production of nOMVs by M. catarrhalis strain Q8 and Lf binding activity in the supernatant fraction prompted us to examine a set of M. catarrhalis strains from different geographical regions to see whether these phenomena were present in other M. catarrhalis strains (Fig. 5B). Notably there was substantial release of nOMVs by 3 of the 6 selected strains (Q8, VH-9 and LES1) whereas release of nOMVs by the other three strains was not detected or was at least 10-fold less. However, strain Q8 was to only strain with detectable binding of Lf by the supernatant fraction, and it will require more direct experimental evidence to suggest it is due to released LbpB.
In order to make a more general comparison between strains of M. catarrhalis and N. meningitidis, we also selected a panel of six meningococcal strains with coverage from serogroups A, B, Y, and Z (Fig. 5c). In contrast to M. catarrhalis, the meningococcal strains all produced substantial quantities of nOMVs based on Tf binding. Notably, the pattern of Lf binding by strain M986 resembled that of the nalP::ery mutant, suggesting that this strain or isolate may be NalP deficient.
Discussion
Although there are a variety of approaches for selecting appropriate target antigens for vaccines, perhaps the most compelling is selection of an antigen that is essential for survival and disease causation as it provides the potential for eliminating the disease and excludes the potential for vaccine escape by loss of the target antigen. Using this rationale for the diseases listed in Table 1, the target antigen that best meets these criteria is the transferrin receptor proteins present in the pathogens from the family Pasteurellaceae, in which both TbpB and TbpA have been shown to be essential for survival and disease causation by the porcine pathogen Actinobacillus pleuropneumoniae (Baltes et al. 2002). A structure-based design approach was used to develop a binding deficient derivative of TbpB that was shown to be very effective at prevention of Glasser’s disease by the porcine pathogen Haemophilus parasuis (Frandoloso et al. 2015). The Tf receptor proteins are common to the three porcine pathogens listed in Table 1, and analysis of the sequence and structural diversity of these proteins indicated that it was not restricted to species, geographical region or time of isolation, indicating that the phylogenetic clustering is a reflection of protein evolution (Curran et al. 2015), and suggests that a Tbp-based vaccine could be developed to target all three porcine pathogens. It is important to recognize that in bacterial species with highly efficient natural transformation systems such as those integral to members of the Pasteurellacea (Redfield et al. 2006), antigenic variation mechanisms primarily rely on efficient uptake of variant genes rather than new variants arising by mutation.
In spite of considerable sequence diversity in the TbpBs, the prospects of developing an effective and broadly cross-protective vaccine derived from TbpBs are good, and since TbpB was shown to be essential for survival and disease causation (Baltes et al. 2002), the prospect for vaccine escape by loss of TbpB seems unlikely. Since the upper respiratory or genitourinary tract of the vertebrate host is the only ecological niche for these Gram-negative bacteria, development of an effective immune response that would reduce or prevent colonization could potentially eliminate these pathogens from their vertebrate host. Although the bipartite TbpB-TbpA receptor has been preserved in bacteria present in vertebrate hosts ranging from poultry to humans (Fig. 2), the single protein TbpA2 receptor present in the bovine pathogens Pasteurella multocida and Histophilus somni demonstrate that an accessory lipoprotein is not always essential for iron acquisition from host transferrin. The prevalence of TbpA2 among vertebrates is uncertain since the closest homologues are TonB-dependent transporters involved in heme and siderophore uptake and TbpA2 s would only be recognized by functional assays. Since the TbpA and TbpA2 proteins are responsible for the actual transport of iron across the outer membrane and have substantially less sequence variation, they are potentially more ideal vaccine targets. However, it would be challenging to develop protein subunit vaccines with the TbpA and TbpA2 integral outer membrane proteins since production of functional protein requires insertion and assembly in the outer membrane and extraction with detergents.
The demonstration that either the lactoferrin receptor or the transferrin receptor could support the growth and survival of N. gonorrhoeae in the human male genitourinary tract (Anderson et al. 2003), and its invariant presence in the pathogens that primarily reside in the upper respiratory tract (Table 1), suggest that it is also a good target antigen for vaccines against these pathogens. As with TbpA, LbpA is an attractive target but challenges in its commercial production would need to be addressed. The identification of regions enriched in negatively charged amino acids in LbpB and the subsequent demonstration that they are involved in protection against cationic antimicrobial peptides (Morgenthau et al. 2012, 2014), suggest that its primarily role may no longer be related to iron acquisition. However, recent studies suggest that LbpB is capable of binding Lf in both its N-terminal and C-terminal lobes (Ostan et al. 2017), thus LbpB may be capable of fulfilling both roles, depending upon conditions such as iron status and concentration of Lf. It is interesting to note that, in contrast to Tf where positive selection is driving changes in the TbpA binding residues of Tf (Barber and Elde 2014), positive selection is primarily driving changes in the positively charged N-terminal region of lactoferrin (Barber et al. 2016) (Liang and Jiang 2010).
The report of release of the N. meningitidis LbpB from the cell surface by proteolytic activity of the NalP autotransporter protein raised additional concerns regarding its potential as a target for vaccination (Roussel-Jazede et al. 2010), with both the released LbpB potentially competing for antibody and the reduced target on the cell surface affecting antibody-mediated killing. Our results (Fig. 5, top panel) suggest that TbpB is also being released from the cell surface by NalP, which raises the question whether it can mediate the release of other lipoproteins such as fHbp. Additionally, it is uncertain what the expression levels of NalP will be under different conditions in vivo, and how that might influence the immune effector mechanisms. Thus, on the normal mucosal surface where there may be a substantial proportion of iron-loaded Lf, the release of LbpB would not be advantageous and expression of NalP may not be favored, while under inflammatory conditions where Lf is predominantly in the apo form, accompanied by the cationic peptides from the neutrophil and release from Lf, release of LbpB by NalP activity could be favored (Ostan et al. 2017). Challenges in detecting released LbpB by our solid-phase binding assay prevented us from determining how widespread this phenomenon is, and although preliminary evidence might suggest that it also occurs in M. catarrhalis (Fig. 5, top row), further experiments would be required to confirm this.
In this study, we also evaluated the binding activity associated with native outer membrane vesicles (nOMVs) which provided an indication of the relative amount of released membrane to intact cells (Fig. 5). The results indicate that there is considerable strain to strain variation in M. catarrhalis in regards to the release of nOMVs, with some strains not producing detectable nOMVs under laboratory conditions. In most instances, the binding activity associated with nOMVs is between 1/10th and 1/30th of the level present in intact cells, which suggest that simple immune evasion by competing for antibody binding with intact cells would not be very effective at the levels of membrane blebbing occurring at levels observed under in vitro conditions. The observation that nOMVs from Opa-expressing N. meningitidis bound CEACAM1(carcinoembryonic antigen-related cellular adhesion molecules) and suppressed activation of CD4+T-lymphocytes provides one example of more complex activities the nOMVs could mediate by diffusion into tissues surrounding the bacteria (Lee et al. 2007). The nOMVs from M. catarrhalis have been proposed to facilitate degradation of beta-lactam antibiotics (Schaar et al. 2011) and reducing complement-mediated killing, but how effective these mechanisms would occur in vivo depend on the levels of production.
The prevalence of target antigens in related commensal bacteria have two important ramifications (i) the potential to serve as a reservoir for vaccine escape if they represent variants not covered by the vaccine, and (ii) the potential of the vaccine to impact the commensal flora if the vaccine can impact mucosal colonization as has been observed with the conjugate capsular vaccines (Maiden et al. 2008; Kellner et al. 2008). Based on the inherent charge characteristics of the LbpB receptor (Fig. 3), we have developed a machine learning classifier that will identify and differentiate putative Lf and Tf receptors (Fig. 4). This classifier algorithm can be applied to genomic data of related commensal bacteria and identify receptor variants that need to be considered for potential vaccine escape. In regards to the impact on commensal flora one should consider how important the target antigen is for survival, as commensal flora could escape the impact of vaccination by loss of the target since the receptor may not be critical for survival. Thus, in various commensal Neisseria species the Tf and Lf receptors range from being invariably present to only occasionally being present (Table 3). Thus, in contrast to pathogenic Neisseria species that rely on Tf and Lf receptors for survival (Anderson et al. 2003), some commensal species primarily rely on other iron acquisition mechanisms, such as scavenging iron with siderophores produced by other microbes, thus would be minimally impacted by vaccination (Table 3). It is uncertain what the impact would be on commensal species that normally possess Tf and Lf receptors, but they generally seem to have a larger repertoire of siderophore receptors than the pathogenic species and are less likely to be dependent on the Tf and Lf receptors for survival. Lf receptors appear to be less prevalent than Tf receptors among the commensal species, thus targeting the Lf receptors might have less impact on the commensal flora and might be less susceptible to vaccine escape by the reservoir in commensals. In balance, Lf receptors are viable vaccine targets and are worth exploring as such.
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Acknowledgements
This work was supported by funding from the Canadian Institutes of Health Research (Grant MOP138273), and the National Sciences and Engineering Council (RGPIN-2016-04555) for ABS.
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This study was supported by the Canadian Institutes of Health Research (Grant Number MOP138273) and the National Sciences and Engineering Council of Canada (Discovery Grant 298351-2010).
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Chan, C., Andisi, V.F., Ng, D. et al. Are lactoferrin receptors in Gram-negative bacteria viable vaccine targets?. Biometals 31, 381–398 (2018). https://doi.org/10.1007/s10534-018-0105-7
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DOI: https://doi.org/10.1007/s10534-018-0105-7