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The Journal of Immunology, 2002, 169: 1419-1425.
Copyright © 2002 by The American Association of Immunologists

Antibodies Highly Effective in SCID Mice During Infection by the Intracellular Bacterium Ehrlichia chaffeensis Are of Picomolar Affinity and Exhibit Preferential Epitope and Isotype Utilization1

Julia Shu-yi Li*, Frederick Chu{dagger}, Andrew Reilly{dagger} and Gary M. Winslow2,*,{dagger}

* Department of Biomedical Sciences, School of Public Health, State University of New York, Albany, NY 12201; and {dagger} Wadsworth Center, New York State Department of Health, Albany, NY 12208


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Although often considered to be ineffective against intracellular bacteria, Abs, in the absence of lymphocytes, have been shown previously to protect SCID mice from lethal infection by the obligate intracellular bacterium Ehrlichia chaffeensis, even when administered well after infection has been established. To identify characteristics of Abs that are critical for host defense during this intracellular infection, a panel of Ehrlichia-specific mAbs was generated and analyzed. Among 100 Abs recovered, 39 recognized an amino-terminal hypervariable region of an outer membrane protein (OMP), demonstrating that the OMPs are both antigenically variable and immunodominant. A subset of 16 representative OMP-specific Abs was further examined to identify characteristics that were essential for in vivo efficacy. The highly effective Abs recognized a linear epitope within the first hypervariable region of OMP-1g. Only IgG were found to be effective, and among the effective IgG, the following hierarchy was observed: IgG2a > IgG3 = IgG2b. The most striking characteristics of the highly effective Abs were their picomolar binding affinities and long binding t1/2. Thus, although epitope recognition and isotype use may contribute to efficacy, high affinity may be a critical characteristic of Abs that can act effectively during this intracellular bacterial infection.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Human monocytic ehrlichiosis is an acute febrile illness caused by Ehrlichia chaffeensis, an obligate intracellular bacterium that resides in monocytes and macrophages (for review, see Ref. 1). The immune response to E. chaffeensis is incompletely characterized, but T cells most likely play an important role in host defense (2, 3, 4). However, Abs also can contribute to host defense against this intracellular pathogen. Previous studies in the mouse have demonstrated that passive transfer of either immune serum or mAbs, in the absence of lymphocytes, can provide long-term protection to susceptible SCID mice, even when the Abs are administered therapeutically (2, 5). Ab-mediated immunity in this model was associated with partial to apparently complete elimination of the bacteria from liver tissue within as early as 4 days of Ab administration. Abs were also shown to be effective in immunocompetent mice during this intracellular infection (2). The mechanism of humoral immunity is not known, but may involve opsonization of bacteria that are exposed to Abs during intercellular transfer, or perhaps novel mechanisms. Immunity is not achieved by passive neutralization, and most likely involves the interaction of Abs with host cells and host cell receptors.

One approach to identifying the relevant mechanism of humoral immunity is to identify characteristics of Abs that are critical for efficacy in vivo. A previous study identified and characterized effective IgG2a and IgG3 outer membrane protein (OMP)3-specific Abs (5), but it was not clear to what extent properties such as epitope, isotype, and affinity contributed to Ab efficacy. The present study extends previous work by evaluating the in vivo efficacy of a large panel of OMP-specific mAbs. The findings reveal important characteristics of Abs that are most likely critical for effectiveness during this intracellular infection.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mice

C57BL/6 and BALB/c-scid mice were obtained from The Jackson Laboratory (Bar Harbor, ME), or were bred in the Wadsworth Center Animal Care Facility, under institutional guidelines for animal care and use. Six- to 12-wk-old, sex-matched mice were routinely infected via the peritoneum with 1–2 x 106 E. chaffeensis-infected DH82 cells, as described previously (6). Institutional animal care and use guidelines do not permit the use of death as an experimental endpoint in these studies, so body weight measurements were used to monitor animal health and Ab efficacy (see below). The infected animals were sacrificed when moribund, as characterized by a lack of mobility, hunched posture, ruffled fur, and a pronounced loss of body weight (>30% loss of initial weight). Tissue samples were harvested and stored at -80°C before further analysis.

Hybridoma production and Ab purification

Three fusions for hybridoma production were performed independently. C57BL/6 mice were infected via the peritoneum with E. chaffeensis-infected DH82 cells, in the absence of adjuvant. For the first and second fusions, mice were infected two to four times at 2- to 4-wk intervals. For the third fusion, mice were infected once, and the fusion was performed 2 wk later. Splenocytes were harvested from the infected mice and fused to the myeloma cell line SP2/0, using standard protocols. The hybridoma supernatants were screened for reactivity to E. chaffeensis by immunofluorescence assay, as described previously (2), and hybridomas that produced specific Abs were expanded and subcloned by limiting dilution. H and L chain Ab isotypes were determined by ELISA using isotype-specific polyclonal reagents (Southern Biotechnology Associates, Birmingham, AL). Abs were purified from hybridoma culture supernatants by fast performance liquid chromatography, using protein A- or G-Sepharose (for IgGs; Amersham Pharmacia Biotech, Piscataway, NJ) or IgM purification columns (for IgM; Amersham Pharmacia Biotech), following the instructions of the manufacturer. The concentrations of purified Abs were determined by measurement of absorbance at 280 nm using a spectrophotometer (Pharmacia Biotech, Cambridge, U.K.). Unpublished data indicated that a single dose of 50 µg mAb Ec56.5, administered on day 10 postinfection, was sufficient to mediate nearly complete bacterial clearance within 4 days. Abs were administered via the peritoneum in weekly doses of 200 µg to facilitate protection in the long-term studies.

ELISA

Epitope analyses were performed as described previously (5). Purified rOMP-1g and truncated rOMPs were adsorbed overnight to 96-well microtiter plates (Dynex Technologies, Chanitilly, VA) at a concentration of 3 µg/ml in PBS, and peptides were adsorbed overnight in sodium carbonate buffer (pH 9.6) at a concentration of 10 µg/ml. The microtiter plates were blocked with 1% nonfat dry milk in PBS. Bound Abs were detected using alkaline phosphatase-conjugated anti-mouse Ig secondary Abs (Southern Biotechnology Associates), followed by p-nitrophenyl phosphate (Sigma-Aldrich, St. Louis, MO). The absorbance was read at 405 nm with a ThermoMax microplate reader (Molecular Devices, Sunnyvale, CA).

Ab serum t1/2 measurements

For determination of Ab t1/2 in serum, uninfected BALB/c-scid mice were administered a single dose of 200 µg Ab via the peritoneum, and 100 µl blood samples were withdrawn retroorbitally 1, 4, and 7 days after Ab administration. Sera were obtained after centrifugation of blood samples at 4000 rpm for 20 min. The concentrations of mAb in the sera were determined by ELISA, using predetermined concentrations of purified Abs as standards. Abs used as standards for quantitation were identical with those used for in vivo administration.

Affinity measurements

Affinity measurements were performed with the BIAcore 3000 instrument (BIAcore, Uppsala, Sweden). Purified rOMP-1g and purified rabbit anti-mouse Fc{gamma} were covalently bound to the flow cell surfaces of CM5 sensor chips (BIAcore), using an amine coupling kit supplied by the manufacturer. HEPES-buffered saline (10 mM HEPES, 150 mM NaCl, 3.4 mM EDTA, and 0.05% surfactant P20, pH 7.4) was used as the standard running buffer. Serial dilutions of mAb (1000, 500, 250, 125, 62.5 nM) were injected over four flow cell surfaces containing either rOMP-1g, anti-Fc{gamma}, or a blank control treated with coupling reagents, or an unmodified blank control. The injection volume was 30 µl, with flow rate of 15 µl/min. Ab dissociation in running buffer was monitored for 4.7 min, and the flow cells were regenerated after each assay with 100 mM HCl/50 mM glycine, pH 2.4. The responses were measured in resonance units (RU). Association and dissociation rates were calculated from RU data using the BIAevaluation software supplied by the manufacturer.

Quantitative PCR analyses

The Ehrlichiae were quantitated by quantitative real-time PCR using the SYBR Green PCR Reagent kit (PE Applied Biosystems, Foster City, CA), and the following E. chaffeensis-specific 16S rDNA oligonucleotide primers: 5'-AACACATGCAAGTCGAACGG-3' (sense) and 5'-CCCCCGCAGGGATTATACA-3' (antisense) at a concentration of 100 nM. Genomic DNA (5 ng) was amplified for 40 cycles (95°C/15 s; 60°C/60 s) using 0.025 U/µl AmpliTaq Gold DNA polymerase (PE Applied Biosystems), in reaction buffer containing 3 mM MgCl2 and 200 nM dNTPs, in a volume of 25 µl. Reaction products were monitored in real time using the ABI Prism 7700 Sequence Detection System (PE Applied Biosystems). A standard curve was generated using data from analysis of standardized quantities of a gel-purified DNA fragment that contained nt 1–619 of the 16S-rDNA gene of E. chaffeensis. Quantitation of the template standards was performed using a Picogreen DNA quantitation kit (Molecular Probes, Eugene, OR). The data were analyzed using the software supplied by the manufacturer (PE Applied Biosystems).

Evaluation of Ab efficacy in vivo

Ab efficacy was evaluated in long-term studies by measurement of body weight changes. Purified Abs (200 µg) were injected via the peritoneum into BALB/c-scid mice on day 7 postinfection, and at weekly intervals thereafter. The mice were monitored for disease and morbidity throughout the experiments, and the changes in body weight from day 0 were recorded. In each experiment, buffer was administered as a negative control, and the protective Ab Ec56.5 was used as a positive control. In some experiments, uninfected SCID mice were also included in the analyses.

To quantitate Ab efficacy data, and to compare data from multiple experiments, the value of mean integrated weight difference (MIWD) was determined for each Ab-treated group to indicate the in vivo efficacy of each Ab. The body weight changes in groups of Ab-treated vs untreated infected mice were first normalized by integrating the body weight data, over time, up to the point that the untreated mice were deemed moribund. The difference in integrated values between the Ab-treated and untreated control groups was then divided by the number of days to morbidity, to obtain the MIWD values (in grams) for each group of Ab-treated mice. The weight data integration was performed using KaleidaGraph data analysis/graphing application software (Synergy Software, Reading, PA).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Production of E. chaffeensis mAbs

For production of mAbs for study of the humoral immune response, immunocompetent C57BL/6 mice were infected via the peritoneum with E. chaffeensis (the Arkansas isolate), spleen cells were isolated at various times thereafter, hybridomas were generated, and Abs were screened by immunofluorescence assay. A total of 100 E. chaffeensis-specific hybridomas was recovered and characterized. The hybridomas described in this study were recovered from three separate hybridoma fusions. Two fusions were performed following repeated infections (fusions 1 and 2), and a third 14 days after a single infection (fusion 3; Table IGo). Two Abs from the panel have been described previously, Ec56.5 (IgG2a) and Ec18.1 (IgG3). Both Abs were effective in infected SCID mice, mediating significant clearance of the infection from liver tissues within 4 days of administration (5).


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Table I. Characteristics of E. chaffeensis-specific mAbs

 
Mice and humans make immunodominant responses to E. chaffeensis OMPs (2, 7), so the Abs were first analyzed to determine the frequency of OMP-specific Abs. Accordingly, 40% of the Abs recovered from three independent fusions recognized OMP-1g, an Ag known to be expressed by the Arkansas isolate used in these studies (Table IGo). IgM and all subclasses of IgG were recovered, except IgG1, even though OMP-specific IgG1 polyclonal serum responses were identified in C57BL/6 mice (data not shown). The IgGs were predominant among those Abs that were OMP specific (75%), and IgM were predominant among the non-OMP-specific Abs (57%; data not shown).

Highly restricted epitope distribution of OMP-1g Abs

The predominance of OMP Abs in the humoral response, as indicated by the hybridoma analyses, was consistent with that observed in studies of the polyclonal Ab response, which suggested that the specificity of the Ab panel was indeed representative of the overall humoral response during infection of C57BL/6 mice. Further characterization of the OMP-specific Abs was performed, because OMP-specific Abs were shown previously to provide protection from lethal infection in SCID mice (5).

The E. chaffeensis OMPs together form a family of 21 related proteins that differ largely in three short regions, called hypervariable regions (HVRs) (8, 9). To identify the epitopes of the panel of OMP-specific Abs, a series of truncated rOMP-1g Ags, each lacking one or more of the three HVRs (OMP{Delta}3, {Delta}2/3, {Delta}1/2/3, and {Delta}1), were analyzed by ELISA, as described previously (5). All but one of the OMP-specific Abs (39 of 40) recognized rOMP-1g Ags that lacked HVRs 3 and 2 (OMP{Delta}3, {Delta}2/3), but most failed to recognize those lacking HVR1 (OMP{Delta}1/2/3 or {Delta}1; Table IIGo). These observations indicated that most Abs recognized an epitope within the first HVR. Moreover, most Abs also failed to recognize a related OMP, OMP-1d (Table IIGo), indicating that these Abs most likely recognized residues in HVR1 that differed between OMP-1g and OMP-1d. This pattern of epitope specificity was similar to that described previously for the Abs Ec56.5 and Ec18.1, so additional analyses of the remaining OMP Abs were performed using synthetic peptides derived from HVR1. Seventy-two percent (29 of 40) of the OMP-specific Abs recognized the OMP-1g peptide 61–90, and 32% (13 of 40) recognized nested peptide containing residues 65–78 (Table IIGo).


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Table II. Epitope analysis of OMP-specific Abs

 
The observation that among the 39 Abs that recognized OMP-1g HVR1 only 29 recognized peptide 61–90 suggested that two or more distinct epitopes were found in HVR1. Moreover, among the 29 Abs that recognized peptide 61–90, only 13 recognized the nested peptide 65–78. This suggested that additional differences in fine specificity or affinity, or Ag conformation, abrogated recognition of the nested peptide by some Abs. The epitope analyses nevertheless demonstrated that the majority of the Abs, obtained from three independent immunizations, recognized identical or closely related epitopes in HVR1 of OMP-1g, and revealed that the murine humoral immune response to the Arkansas isolate was dominated not only by recognition of OMP-1g, but also by recognition of restricted epitopes within HVR1.

Evaluation of Ab efficacy

To identify Abs that could mediate host defense, 16 of the 40 OMP-specific Abs were chosen for in vivo study, including the two previously described Abs, Ec56.5 and Ec18.1 (5). Abs were chosen for in vivo analyses on the basis of their class (IgM and IgG), subclass (IgG2a, IgG2b, and IgG3), and epitope specificity (Table IIIGo). Abs of common isotype were grouped operationally, based on their ability or inability to recognize HVR1 peptide 61–90. Purified Abs (200 µg) were injected via the peritoneum into susceptible immunodeficient BALB/c-scid mice after infection had been established (7 days postinfection), and at weekly intervals thereafter. The mice were monitored for disease and morbidity throughout the experiments. Effective Abs have been shown previously to mediate partial to apparently complete bacterial clearance from liver tissue within as early as 4 days post-Ab administration, whereas isotype-matched irrelevant control Abs or PBS had no effect (5). Fully quantitative assays had been unavailable, however, so to refine the quantitation of Ab efficacy in the long-term treated BALB/c-scid mice used in this study, a quantitative real-time PCR assay for E. chaffeensis 16S rDNA was developed and used (for details, see Materials and Methods). Weekly treatment of mice with Ec56.5 led to a 3500-fold reduction in bacterial colonization in the liver (Fig. 1Go), supporting our previous study. Bacterial infection was also decreased 100- to 400-fold in the spleen, peritoneal exudate, and peripheral blood (Fig. 1Go). These data indicate that the Abs had profound systemic effects on bacterial colonization in the animals that had undergone periodic Ab treatment.


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Table III. Properties of effective and ineffective OMP HVR1-specific Abs

 


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FIGURE 1. Reduction of bacterial load in long-term Ab-treated infected BALB/c-scid mice. BALB/c-scid mice were infected via the peritoneum with 2 x 106 E. chaffeensis-infected DH82 cells on day 0. The mice were administered PBS (•) or mAb Ec56.5 ({circ}), beginning day 7 postinfection, and at weekly intervals thereafter. The mice were sacrificed on day 28 postinfection, at which time the PBS-injected mice were judged to be moribund. Samples of liver, spleen, and peritoneal exudate from single mice, and pooled peripheral blood from each group of mice were analyzed using a real-time quantitative PCR assay for E. chaffeensis 16S rDNA. The copy number of E. chaffeensis 16S rDNA was enumerated in 5 ng total DNA extracted from each sample. These correspond to the following bacterial loads in each tissue from PBS-treated mice, 2.1 x 109 (liver), 1.5 x 109 (spleen), 2.6 x 107 (peritoneal exudate), and 8.3 x 107 (blood/ml); and Ec56.5-treated mice, 6.0 x 105 (liver), 8.7 x 106 (spleen), 6.9 x 104 (peritoneal exudate), and 1.1 x 106 (blood/ml). No PCR amplification product was detected in the control reactions containing either no template or equivalent amounts of genomic DNA obtained from uninfected animals. It was previously demonstrated that isotype-matched irrelevant control Abs had no effect on bacterial load (5 ).

 
As an alternative to the PCR analyses, Ab efficacy was also evaluated in long-term studies by measurement of body weight changes. Previous studies demonstrated significant weight loss (>30% loss of initial weight) preceded the onset of morbidity in infected, untreated SCID mice, and Ab treatment delayed or reversed the weight loss and accompanying disease (5). Weight loss was generally observed beginning 7–10 days postinfection, probably due to the time required to establish infection. Measurements of body weight changes were performed in the present studies to evaluate Ab efficacy because this method provided a noninvasive and readily obtainable assay of Ab efficacy. Body weight changes observed in four independent and representative experiments are shown in Fig. 2Go. In each experiment, buffer was administered as a negative control because previous studies demonstrated that irrelevant isotype-matched Abs were ineffective. Ec56.5, which was previously shown to be effective, was used as a positive control. The data in Fig. 2Go are expressed as the relative change in body weight from day 0, to control for differences in starting body weight among the mice. In some experiments, uninfected SCID mice were also included in the analyses.



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FIGURE 2. In vivo efficacy of OMP-1g HVR1-specific mAbs. Infected BALB/c-scid mice were administered PBS, or the indicated mAbs, beginning 7 days postinfection, and at weekly intervals thereafter. The body weights of the mice were monitored, and the relative changes in body weight from day 0 are shown. In one experiment, uninfected mice were also included as controls. Each group contained three mice, and the average body weight change is shown. Each panel represents a separate experiment. Error bars indicate positive and negative standard deviation. {dagger}, Morbidity was observed, as characterized by lack of mobility, hunched posture, and a pronounced loss of body weight (>30% loss of initial weight).

 
Some Abs, such as Ec56.5 and Ec54.1 (both IgG2a), were highly effective in vivo, blocking or even reversing the weight loss and morbidity observed in untreated SCID mice (Fig. 2Go, a and b). Other Abs were ineffective (e.g., Ec12.7, Ec13.1; Fig. 2Go, a and d), or only partially effective (e.g., Ec18.1, Ec104.2; Fig. 2Go, a and c). Mice treated with the highly effective Abs remained healthy. Partially effective Abs delayed, but did not prevent, the onset of morbidity (Fig. 2Go, Table IIIGo).

To quantitate Ab efficacy data, and to compare data from multiple experiments, body weight changes in groups of Ab-treated vs untreated infected mice were normalized. This was performed by integrating the body weight data, over time, up to the point that the untreated mice were deemed moribund. The difference in integrated values between the Ab-treated and untreated control groups was then divided by the number of days to morbidity, to obtain the MIWD (in grams) for each group of Ab-treated mice (Table IIIGo). Highly effective Abs, initially identified by their ability to prevent morbidity in SCID mice, exhibited MIWD values greater than 1.5 g. Partially effective Abs, which delayed morbidity and prolonged survival, exhibited MIWD values between 0.5 and 1.5 g. Abs that exhibited MIWD values less than 0.5 g were considered ineffective.

The data also revealed that among IgG Abs of identical subclass, higher efficacy was correlated with recognition of the OMP HVR1 peptide 61–90. Within this group, the IgG2a were highly effective, followed by the partially effective IgG3 and IgG2b. None of the IgM was effective. Differences in Ab efficacy among Abs of different isotypes were not due to significant differences in serum t1/2, as measurements revealed similar t1/2 of 1.2–3 days for IgG2a, IgG2b, and IgG3 in SCID mice (Table IIIGo). The serum t1/2 of the Abs measured in this study in SCID mice were much shorter than those measured in normal mice (4–8 days for IgG2a, IgG2b, and IgG3) (10). It is known that the rate of IgG metabolism is inversely correlated to the serum concentration of IgG (11), so the shorter serum t1/2 of IgG subclasses in SCID mice may be due to faster catabolism of Abs in mice lacking endogenous Ig. Despite the shorter t1/2 in vivo, serum Ab concentrations in SCID mice ranged, for Ec56.5 (IgG2a), from 33 µg/ml (212 nM) on day 1 to 9 µg/ml (57.7 nM) on day 7 post-Ab administration, so reasonably high concentrations of the administered Abs were most likely available during the weekly interval between Ab administrations (data not shown).

Effective Abs were of extraordinarily high affinity

Although the above data suggested that both isotype and epitope were important correlates for Ab efficacy, it was also possible that affinity differences were critical. To evaluate the contribution of Ab affinity, equilibrium-binding constants and binding t1/2 were determined by surface plasmon resonance, using highly purified rOMP-1g (Fig. 3Go). The results revealed striking affinity differences among the Ab panel. The most highly effective Abs, all IgG2a, exhibited picomolar affinity constants and binding t1/2 of 3–28 days (Table IIIGo). In contrast, Abs of lower or no efficacy exhibited affinities in the micromolar to nanomolar range, and binding t1/2 that ranged from minutes to hours. Therefore, high affinity was a critical characteristic of the highly effective Abs.



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FIGURE 3. Surface plasmon resonance measurements. A sensogram demonstrating the binding of a representative Ab (Ec56.5) to immobilized rOMP-1g is shown in a. Ab binding, in RU, is shown for a range of Ab concentrations (62.5–1000 nM). The start of injection (I) and disassociation (D) phases is indicated. A plot of equilibrium binding vs Ab concentration is shown for four representative Abs in b.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effective Abs recognized OMP HVR1

This study demonstrates that mice make dominant Ab responses to E. chaffeensis OMPs, as suggested from previous studies of the polyclonal Ab responses in both mice and humans (2, 7). Forty percent of the Abs recovered from three independent hybridoma fusions recognized OMPs. Abs that recognized proteins other than OMPs were also recovered, but for the most part were low affinity IgM of undetermined specificity, and in preliminary experiments were not effective in vivo. Therefore, OMP recognition plays a major role in Ab-mediated host defense during this intracellular bacterial infection.

Fine specificity analyses indicated that nearly all of the OMP Abs studied recognized an identical or closely related epitope at the amino terminus of OMP-1g HVR1. Ab recognition of the HVR1, a region that is highly polymorphic among E. chaffeensis OMPs, supports the notion that OMP genetic diversity and antigenic recognition are correlated (12). Our previous study demonstrated that the highly effective Ab Ec56.5 required for recognition a glutamine at position 70 (5), which is substituted by a lysine residue in 10 of 21 putative OMPs of the Arkansas isolate (9). Ec56.5 did not recognize a peptide containing a glutamine to lysine substitution at position 70 (J. S. Li and G. M. Winslow, unpublished data), indicating that some of the E. chaffeensis OMPs would not be predicted to be bound by this effective Ab. Genetic variation in OMPs is therefore a potential means to generate antigenic diversity, and may allow the bacteria to evade the humoral immune response in the natural host. The data presented in this study suggest that OMP antigenic variation and subsequent immune evasion did not occur in the mouse, however, because immunity was maintained in the long-term Ab-treated animals.

Given that the OMP HVRs are highly polymorphic and that HVR1 is antigenic, it was therefore surprising that none of the OMP Abs under study in this investigation recognized HVR2, and at most one Ab recognized HVR3. This result was unlikely to be due to insufficient sampling, because 40 OMP Abs, obtained from three independent fusions, were characterized. It is also unlikely that the hybridoma-screening technique selectively identified HVR1-specific Abs. Thus, although HVR1 is highly antigenic, and is therefore likely to be exposed on the bacterial surface, polymorphic HVR2 and HVR3 may not be targets for recognition by Abs. Thus, some genetic diversity might be required for functions unrelated to immune evasion (13).

Characteristics of highly effective Abs

Three parameters were evaluated to identify properties of the Abs that were highly effective in vivo: affinity, epitope, and isotype. Although it is not known whether high affinity is essential, it was the most important correlate of efficacy. The three highly effective Abs exhibited picomolar affinities and binding t1/2 on the order of days. Abs of no or low efficacy exhibited micromolar to nanomolar affinities, and typically much shorter binding t1/2. Nevertheless, epitope recognition also appeared to influence Ab efficacy. Among Abs of identical isotype, higher efficacy was correlated with recognition of the OMP peptide 61–90. Abs that did not bind peptide 61–90 presumably recognized a conformational determinant within HVR1. It is unclear why epitope recognition may influence Ab efficacy in this model, but a possible explanation is that high affinity Abs were only generated against the linear determinant. Alternatively, fine specificity differences might modulate Ab activities mediated by other host serum components, such as complement (14).

Although the highly effective Abs were IgG2a, the requirement for isotype remains unresolved, because Abs of picomolar affinity were not recovered among other subclasses. The requirement for isotype can be best addressed using a family of IgG subclasses sharing identical V regions, but a complete family of isotype-switched variants was not recovered. However, an IgG2b isotype switch variant of a partially effective IgG3 (Ec18.1) did not exhibit increased efficacy (J. S. Li and G. M. Winslow, unpublished data), supporting the data indicating that Abs of these isotypes are equally effective. The observation that highly effective Abs were recovered as IgG2a suggests a relationship between affinity maturation and isotype switching, although additional studies would be required to resolve this possibility. The recovery of partially effective IgG3 contrasts with data from studies of Ab efficacy during intracellular infection by Cryptococcus neoformans, in which IgG3 were found to be ineffective (15). Thus, fundamentally different mechanisms of humoral immunity may be involved in the two intracellular infections.

The requirement that effective Abs exhibit high affinities might also offer one possible explanation for the apparent lack of a role for humoral immunity in many studies of host defense during other intracellular bacterial infections (16). Perhaps Abs used in adoptive transfer experiments failed to provide protection against other intracellular pathogens because Abs of appropriately high affinity were not generated, or were present in insufficient quantities. Thus, a possible involvement of Abs during other intracellular bacterial infections may require further evaluation.

Mechanisms of humoral immunity during intracellular infections

It is not yet understood how Abs mediate bacterial clearance during E. chaffeensis infection. Several studies of other intracellular pathogens have provided evidence that Abs can protect against many important intracellular bacteria, fungi, and protozoa (reviewed in Ref. 17), including Mycobacterium tuberculosis (18), Listeria monocytogenes (19, 20), Salmonella typhimurium (21, 22), Brucella abortus (23), Legionella pneumophila (24), Cryptococcus neoformans (25, 26), and Toxoplasma gondii (27). The mechanisms of humoral immunity during intracellular infection, where they are known, are highly pathogen dependent. Abs might affect the growth of some intracellular pathogens within the host cell, as has been observed during L. monocytogenes infection, in which Abs can act within infected macrophages to neutralize listeriolysin O (20). Studies of Bartonella grahamii suggest that Abs may prevent the intercellular transfer and/or subsequent invasion of intracellular bacteria (28). Alternatively, uptake of Ab-opsonized pathogens might induce an oxidative burst in phagocytes (29), or promote phagosome-lysosome fusion (30). Immune complexes of Abs and microbes or microbial products may also activate macrophages, via Fc receptors, and this may result in the elimination of intracellular pathogens, such as C. neoformans (31, 32), L. monocytogenes (33), and Leishmania major (34), through the production of reactive oxygen or nitrogen intermediates. It is not known which, if any, of these mechanisms are relevant during ehrlichial infection.

It is also not clear why picomolar affinity was an apparently critical characteristic of highly effective Abs during E. chaffeensis infection. High affinity IgG2a have been shown to be highly neutralizing during influenza infection (35), so it is possible that Abs act to opsonize Ehrlichiae released from infected cells. Perhaps the very long binding t1/2 that are correlated with high affinity are critical for efficient opsonization and/or immune complex formation. The data might also be comparable with studies of murine Ab responses against several viruses, such as influenza (36) and Ebola (37). In addition to being highly neutralizing for viral particles, IgG2a is the most efficient isotype at fixing complement (38) and for binding to Fc receptors on macrophages (39) and NK cells (40). The similar effectiveness of humoral immunity in ehrlichial and viral infections suggests that similar mechanisms may be involved.

The data presented in this study provide further support for our observations that Abs, in the absence of lymphocytes, can be highly effective during this intracellular bacterial infection. Elicitation of effective Ab responses might therefore be an important goal of prophylactic or therapeutic vaccine development for human monocytic ehrlichiosis, and perhaps related rickettsial diseases.


    Acknowledgments
 
We thank Dr. David Woodland (Trudeau Institute, Saranac Lake, NY) for critical reading of the manuscript, Pamela Scott Adams (Trudeau Institute) for assistance with the real-time PCR analyses, Ulrich Rudofsky (Wadsworth Center) and Lorin Young (State University of New York) for assistance with BIAcore analysis, and Melissa Reilly for excellent technical assistance. We also thank the Wadsworth Center Immunology Core Facility, Animal Care Facility, and the Computational Molecular Biology and Statistics Core Facility.


    Footnotes
 
1 This work was supported in part by U.S. Public Health Service Grant 5R29CA69710-02. Back

2 Address correspondence and reprint requests to Dr. Gary Winslow, Wadsworth Center, 120 New Scotland Avenue, Albany, NY 12208. E-mail address: gary.winslow{at}wadsworth.org Back

3 Abbreviations used in this paper: OMP, outer membrane protein; HVR, hypervariable region; MIWD, mean integrated weight difference; RU, resonance unit. Back

Received for publication January 29, 2002. Accepted for publication May 29, 2002.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Dumler, J. S., D. H. Walker. 2001. Tick-borne ehrlichioses. Lancet Infect. Dis. 1:21.[Medline]
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