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* Division of Developmental and Clinical Immunology,
Department of Microbiology, University of Alabama, Birmingham, AL 35294
| Abstract |
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| Introduction |
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Although many microorganisms form spores, B. anthracis is of particular interest because the vegetative form of this organism has the ability to cause the fatal disease anthrax if the spores are acquired by the host through breaks in the skin, by inhalation; or by ingestion. Recent studies have shown that B. anthracis is genetically similar to other spore-forming organisms including B. thuringiensis and B. cereus. These studies include conventional bacteriological assays and more recently RFLP and other molecular fingerprinting methods (6, 7, 8). Identification and classification of spore species by metabolic studies and gene polymorphisms by genome analyses have focused on the vegetative form of these organisms. The nature of spores and their ability to survive harsh extraction procedures have, until recently, circumvented all but rudimentary studies on the biochemical nature and, in particular, the molecular structure of Bacillus spores.
We have concentrated our studies on the structure of the B. anthracis exosporium, the outermost surface of the spore. Spores of all pathogenic Bacillus species, which includes B. anthracis, B. cereus (capable of causing human food poisoning), and B. thuringiensis (an insect pathogen), are enclosed by a prominent exosporium. The formation of the exosporium during sporulation is a complex and energy-consuming process. As such, it is unlikely that this structure would be maintained by the bacterium unless it was important for survival. The pressure to maintain the exosporium is probably related to some aspect of infection because most nonpathogenic Bacillus spores do not possess a (well-developed) exosporium. It is through the exosporium that the initial interactions with a human or animal host occur, potentially leading to an anthrax infection.
We describe the preparation and characterization of mAbs for B. anthracis that are specific for the spore stage of its life cycle, do not react with vegetative contaminants in spore preparations, and distinguish B. anthracis spores from other Bacillus species.
| Materials and Methods |
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Female 8- to 12-wk-old BALB/cJ mice were purchased from The Jackson Laboratory. Mice were housed under specific pathogen-free conditions and used according to the protocols approved by the University of Alabama at Birmingham (Birmingham, AL).
Spores, exosporium preparations, and recombinant proteins
Spores, exosporium preparations, and recombinant BclA, BxpA, and BxpB were prepared as previously described (9, 10). Mutant B. anthracis spores used in this study had either a deletion of the Bacillus collagen-like protein of anthracis gene (
bclA), a gene deletion resulting in a strain unable to synthesize L-rhamnose (
rmlD), or a gene deletion resulting in a strain unable to produce the exosporium basal layer protein BxpB (
bxpB) (9, 10, 11). Isolates shown to be close relatives of B. anthracis were obtained from K. Hill and P. Jackson (Bioscience Division, Los Alamos National Laboratory, Los Alamos, NM).
Production, labeling, and sequencing of mAbs
BALB/cJ mice were immunized s.c. in each calf region with a mix of 107 40,000 rad-irradiated B. anthracis Sterne and Ames spores, first in CFA and then at 4-day intervals with spores and saline. Spores were irradiated with 40,000 rads at the U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID) which inactivated 100% of the spores as determined by J. Ezzell (Diagnostic Systems Division, U.S. Army Medical Research Institute of Infectious Diseases, Fort Detrick, MD) and J. Jackman (Johns Hopkins University Applied Physics Laboratory, Laurel, MD). One day after the last injection the draining popliteal, inguinal, and para-aortic lymph node cells were fused and mAbs were prepared as previously described (12). In the case of purified exosporium, a similar protocol was used with equivalent doses of purified exosporium from the Sterne strain instead of spores. For immunization with recombinant exosporium proteins, a dose of 50 µg of Ag per mouse was used and injections were performed as described above. mAbs were produced by culturing hybridoma cells in RPMI 1640 1x medium (Mediatech) with bovine IgG-depleted FCS from HyClone. Ab was purified from the supernatant by absorption to protein G-Sepharose affinity columns from Amersham Biosciences and labeled with Alexa Fluorochromes according to instructions (Molecular Probes/Invitrogen Life Technologies). Sequencing of the Ig genes was done as previously described (13).
Hybridoma screening
Wild-type or mutant B. anthracis spores (107) were incubated with hybridoma culture supernatants or a purified isotype control Ab on ice for 20 min. Spores were washed twice with 1% BSA in PBS and an Alexa Fluor 488-labeled goat anti-mouse IgG (H + L) Ab from Molecular Probes/Invitrogen Life Technologies was used as the secondary Ab at a concentration of 25 µg/ml. Spores were washed again and resuspended in 1% BSA in PBS for FACS. Flow cytometry was done using a FACSCalibur from BD Biosciences, and data were analyzed using FlowJo from Tree Star.
FACS
B. anthracis (wild-type,
bclA,
bxpB and
rmlD), B. thuringiensis, B. cereus or B. subtilis spores (107) were incubated with Alexa Fluor 488-labeled anti-BclA, BxpA, and BxpB Abs or an isotype control in 1% BSA in PBS at 10 µg/ml for 20 min on ice. Spores were washed twice with 1% BSA in PBS and analyzed with a FACSCalibur. Histograms were generated using FlowJo software. Staining for protective Ag (PA) was done using the Ab 8C2.18 (provided by P. Boyaka, Department of Microbiology, University of Alabama at Birmingham, Birmingham, AL) labeled with Alexa Fluor 488. Spores and/or vegetative cells were also stained with spore-specific Abs, SA26 (Novus Biologicals) and SA27 (HyTest) at 12 µg/ml for 20 min on ice followed by staining with Alexa Fluor 488-labeled goat anti-mouse IgG (H + L) Ab at 25 µg/ml for 20 min on ice.
Microscopic analysis
Glass microscope slides or coverslips were coated for 30 min with a solution containing 50 µg/ml poly-L-lysine in distilled water. Slides were washed with distilled water, and 10 µl of well-washed spores at 2 x 106/ml in distilled water were allowed to air-dry overnight onto the poly-L-lysine-coated slides. Mixtures of vegetative cells and spores were dried onto microscope slides in the same way and fixed in ethanol at 4°C before staining. For fluorescence microscopy, the adherent spores and/or bacteria were stained with Alexa Fluorochrome-labeled Abs at 110 µg/ml. The purified SA27 Ab was used at 1 µg/ml, and the secondary Ab used was goat anti-mouse IgG2a-RITC at 5 µg/ml (Southern Biotechnology Associates). The high-affinity anti-PA single-chain Ab 14B7 was provided by G. Georgiou (Department of Chemical Engineering, University of Texas, Austin, TX) and labeled with Alexa Fluor 555.
Intravenous spore immunizations and sera collection
To study the Ab response to intact, viable spores, two groups of five BALB/cJ mice were injected i.v. with either 106 or 107 wild-type B. anthracis Sterne spores in 200 µl of PBS. A control group of three mice was injected with PBS. On day 28, both spore-immunized groups were given 1.5 x 108 spores in 200 µl of PBS i.v., and the control mice received PBS again. Mice were bled approximately every 7 days by retro-orbital bleeding and blood samples were stored overnight at 4°C. The following day, tubes were centrifuged at maximum speed (14,000 rpm) in a Spectrafuge for 30 s, and sera were collected and stored at 20°C until use.
Tissue sectioning and staining
BALB/cJ mice were injected i.v. with either unlabeled wild-type B. anthracis Sterne spores or a mixture of unlabeled spores that contained B. anthracis Sterne, B. thuringiensis Kurstaki, and B. subtilis 1A700. Mice injected with B. anthracis spores alone were sacrificed 6 days after injection, and those injected with spore mixtures were sacrificed 1 h after administration. Spleens were removed and blocked with OCT Compound (Tissue-Tek), and frozen sections were prepared with a cryostat (IEC Minotome; International Equipment) and kept at 70°C until staining. Slides were blocked for 20 min at room temperature with PBS plus 10% horse serum then stained for 20 min at room temperature with fluorescent-labeled mAbs specific for B. anthracis (BF1-AMCA or BF1-Alexa 488), B. thuringiensis (BT6-PE), and B. subtilis (D4-Alexa 488). Abs were diluted in PBS plus 10% horse serum, and slides were mounted with Fluoromount-G from Southern Biotechnology Associates. Mac-1-PE was purchased from BD Biosciences.
Quantitative ELISA
High binding 96-well EIA/RIA plates (Costar) were coated overnight with recombinant BclA, BxpA, or BxpB at 1 µg/ml in 0.1 M borate saline at 4°C. Plates were washed four times with PBS using an automatic plate washer. Wells were blocked for 30 min at room temperature with 1% BSA in PBS and then washed four times. Then 100 µl/well of diluted mouse sera (1 µl sera/ml) or purified anti-BclA Ab standards (IgM, IgG1, IgG2a, IgG2b, and IgG3) were added to the first row of 96-well plates. Samples and standards were then serially diluted 1/4. Plates were incubated at 37°C for 2 h and then washed four times. Dilutions of 1/500 of goat anti-mouse IgM, IgG1, IgG2a, IgG2b, IgG3, and IgG (H + L) coupled with alkaline phosphatase (AP)3 from Southern Biotechnology Associates were added to the plates (50 µl/well). Plates were incubated for 2 h at 37°C and then washed 4 times. AP-substrate (Sigma-Aldrich) was dissolved in AP-substrate buffer (1 mg/ml) and added to wells (50 µl/well) for 510 min at room temperature. Reactions were stopped by adding 25 µl/well of 5 N NaOH. Optical density was read at 405 nm with a Titertek Multiskan Plus ELISA reader (Flow Laboratories), and concentrations of serum Ig specific for BclA, BxpA, and BxpB were determined by Delta Soft ELISA analysis software (Bio-Tek). Sera, purified Abs, and secondary Abs were diluted in 1% BSA in PBS.
Monitoring germination and outgrowth of spores by FACS
Wild-type and/or mutant B. anthracis Sterne spores at 1 x 107/ml were incubated in brain-heart infusion medium (BHI; Difco), 20 g/L, at 37°C plus 10% CO2 for 3 h. Samples of 100 µl were removed at various time points and kept on ice. Time zero samples were kept on ice in PBS for 3 h. Samples were washed and stained with an anti-BclA mAb (JC8-5-PE) and/or an anti-vegetative cell Ab (EAII-FITC or EAII-Alexa 488) diluted at 510 µg/ml for 20 min on ice. Samples were washed and analyzed by FACS. Dot plots and histograms showing spore and vegetative populations were generated with WinMDI software (J. Trotter; available at
http://pingu.salk.edu/software.html
) and FlowJo.
Time lapse microscopy
Spores were coated onto coverslips or slides as described above and incubated in RPMI 1640 with L-glutamine and BHI (20 g/L BHI diluted 1/10 in RPMI) in a Bioptechs Focht Chamber System (FCS2) at 37°C and observed by phase contrast microscopy for 2 h using a Leica DM IRBE microscope with a Hamamatsu ORCA-ER digital camera. The chamber temperature was maintained by a Bioptechs FCS2 and objective temperature controller. Images were acquired at 1-s intervals, and Openlab imaging software (Improvision) was used to measure morphological changes with time.
| Results |
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Previous attempts to make spore-specific Abs used formalin-fixed spores as Ags, presumably to prevent germination and/or loss of spore-specific Ags in the immunized animals (14). In pilot studies to determine the optimal method for making spore-specific Abs, two separate immunizations were made with B. subtilis, one with formaldehyde-fixed spores and the other with native (unfixed) spores using the protocol of s.c. immunizations followed by fusion of B cells from the local draining lymph nodes (12). Initially, the Abs were screened by ELISA, but most later primary screenings were done on spore suspensions using multicolor flow cytometry. Only 3 of 192 (1.6%) hybridomas from fixed spore-injected mice made mAbs reactive with spores, whereas immunization with unfixed spores gave 95/384 (25%) mAbs that reacted strongly with B. subtilis spores, another 89 (23%) were weakly reactive. These 384 clones were also tested against other spore components, and of these a total of 184 clones were reactive with spores or purified/recombinant spore components. When unfixed, untreated spores were used to immunize mice, we could isolate Abs highly specific to B. subtilis. In subsequent experiments, we used live spores of B. subtilis, B. thuringiensis, and B. cereus and 40,000 rad-irradiated B. anthracis, purified B. anthracis exosporium or recombinant B. anthracis exosporium proteins made in Escherichia coli as immunogens.
mAbs to B. anthracis spores
We next immunized BALB/cJ mice with a mixture of heavily irradiated B. anthracis spores of the Ames and Sterne strains, generated hybridomas, and screened for anti-spore Ab production by flow cytometry. Some mAbs bound only B. anthracis spores, whereas others were cross-reactive with B. cereus or B. thuringiensis. Percentages of B. anthracis anti-spore Abs that bound to B. subtilis and B. thuringiensis were 0 and 42%, respectively. For subsequent analysis, we concentrated on those that bound preferentially to B. anthracis.
B. anthracis, B. thuringiensis, and B. cereus spores differ from B. subtilis in that their spores are encapsulated in loosely fitting exosporiums. Because morphological studies show the exosporium is a prominent feature of B. anthracis spores, we made a final panel of mAbs against purified exosporium isolated from the B. anthracis Sterne strain to ensure that the heavy
-irradiation did not alter proteins on the spore surface resulting in spurious anti-spore activity. The staining profiles of these exosporium-derived mAbs suggested that they bound to a highly homogeneous structure on the spore surface as typified by patterns of binding shown by EA4, EA2, and EG4 (Fig. 1A). The lower three rows show negative staining of B. thuringiensis (Bt Kurstaki), B. cereus (Bc T), and B. subtilis (Bs 1A700). To further test Ab specificity, mixtures of B. anthracis Sterne, B. thuringiensis Kurstaki, and B. subtilis 1A700 spores were used in three-color flow cytometric analysis with our spore-specific Abs, and high discrimination was achieved, with the three spore types readily detected as separate populations (data not shown). Similar discrimination was obtained by microscopic analysis of spore mixtures on slides and on frozen sections of mouse spleen tissue 1 h after i.v. injection (Fig. 1, B and C). Because spores have the potential to linger in the host for many days after entrance into the body (15), we next wanted to determine whether our Abs were capable of detecting spores in mice 6 days after i.v. injection of spores (Fig. 1, D and E). B. anthracis Sterne spores could be observed in the red pulp of the spleen as detected with the mAb BF1-Alexa 488.
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We also isolated and characterized hybridomas from mice immunized with recombinant BxpA, BxpB, and several other components from the exosporium (9, 10). Most of the mAbs to these components did not bind to wild-type B. anthracis (Sterne and
Ames) but did bind to
bclA and
rmlD spores, indicating that the target epitopes on BxpA and BxpB for these Abs were masked or hidden by the BclA component of the exosporium (Ref. 10 and Fig. 2A). We were also unable to show binding of PA-specific Abs to wild-type or mutant ungerminated, Renograffin-purified spores. However, we could detect binding of anti-BxpB and anti-PA mAbs to exosporium remnants after the vegetative cells had ruptured and burst out of the exosporium (Fig. 2B).
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Table II shows that the majority of the Abs made against intact spores and also the exosporium preparations react with the recombinant expressed protein BclA. Many of these Abs recognize epitopes in the C-terminal domain of BclA which is 134 aa long and composes the distal end of each filament of the hair-like nap (19). BclA has been characterized molecularly and has been shown to contain multiple tandem repeats of amino acid sequence motifs. Molecules such as these and complex carbohydrates often elicit polyclonal Ab responses of limited heterogeneity (20) or conversely can elicit diverse polyclonal responses (21). To investigate these alternatives, we sequenced 20 Ig H and 16 L chain V region genes from our panel of Ab-producing hybridomas made against irradiated spores to determine their clonal heterogeneity. Results showed that there was no pattern of prominent individual VH or VL gene expression, with most of the major VH gene families and an assortment of VL genes being represented (Table III). Examination of CDR3 regions showed no examples of possible clonal identity with the exception of DE3 and AF10, the L chains of which were identical, suggesting that these hybridomas resulted from the fusion of two members of the same clone. Ig gene sequencing of a panel of Abs made against purified exosporium also displayed a similarly high degree of heterogeneity (data not shown). Thus, the Ab response to BclA showed no evidence of oligoclonality.
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Because hybridomas were made by immunization with spores or purified exosporium in adjuvant, we also determined serum Ab responses to recombinant BclA as well as two other exosporium components, BxpA and BxpB (9, 10), after i.v. immunization with intact B. anthracis spores.
BALB/cJ mice were injected i.v. with intact, unmodified B. anthracis Sterne spores or with PBS and boosted with spores or PBS on day 28. Mice were bled weekly, and anti-BclA Ab concentrations were determined by quantitative ELISA. In the primary response, anti-BclA Abs of each isotype (IgM, IgG1, IgG2a, IgG2b, and IgG3) were detected in the sera of immunized mice. Large amounts of the same isotypes, particularly IgG3 and IgG2b, were produced after an i.v. boost and were detected in sera over a prolonged period (Fig. 4). The same groups of mice were also tested for their response to the exosporium proteins, BxpA and BxpB, detection of which by microscopy and flow cytometry on wild-type spores appears to be occluded by the major exosporium protein BclA. This was done to determine whether these components were immunogenic after possible spore exosporium modification in vivo. Sera from mice taken 2 wk after boost was tested for total anti-BclA, -BxpA, and -BxpB Ig. Anti-BclA Ab could be detected at sera dilutions >1/512,000, whereas Abs to BxpA and BxpB were hardly detectable at sera dilutions of 1/2000 (data not shown). This experiment, combined with the results obtained from our hybridoma panel, indicates that BclA is not only the major exosporium protein as shown by Western blot analysis (9, 22) but also the immunodominant spore surface Ag after both methods of immunization.
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We next compared the binding patterns of our spore-specific mAbs with an anti-vegetative cell Ab on spores during germination and outgrowth. In the top panels of Fig. 5A, the forward scatter and side scatter of spores incubated in PBS on ice or in BHI at 37°C as detected by FACS are displayed on the x- and y-axes. Ungerminated spores in each panel are defined by the blue gate R1. Germinated spores are defined by the red gate R2 after 1 and 3 h of incubation in BHI. Vegetative cells are defined by the green gate R3 after 3 h of incubation. In the middle panels, the same populations are defined by staining with the anti-BclA Ab JC85-PE (y-axis) and the vegetative cell-specific Ab EAII-FITC (x-axis) which appears to be specific for galactose-N-acetylglucosamine polysaccharide expressed by the vegetative cell (23). In gate R1, containing spores, only the anti-BclA Ab is bound. After 1 and 3 h, new populations of vegetative cells are stained with EAII. Cells expressing both markers, in gate R2 circled in purple, are emergent vegetative cells still attached to the spore exosporium. The population of JC85-bright, EAII-dim particles (gray circle) in gate R3 is likely to be another population of cell/exosporium remnants. The correlates of these populations as determined by microscopy are displayed on the phase contrast photomicrograph (Fig. 5B). It was recently revealed by time-lapse microscopy that deleting the exosporium protein BxpB resulted in faster germination (transition of phase bright to dark) and outgrowth times compared to wild-type spores (10). Fig. 5C also shows that the vegetative form outgrows faster from
bxpB spores than wild-type,
bclA, and
rmlD spores by staining with the vegetative cell-specific Ab EAII.
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Time-lapse microscopy is a powerful tool for monitoring spore germination and outgrowth as demonstrated by Steichen et al. (10). There is a definite polarity in the germination process, and under the conditions we have used to germinate spores, the spores do not split along the central axis but appear to rupture at one end releasing the vegetative cell from the exosporium (Fig. 6). In the top three panels of Fig. 6A, germination occurs asynchronously in all spores by
7 min. The black arrows are to assist the reader to follow the fate of two representative spores in the field of view. In the middle three panels, the explosive emergence of the vegetative cells from the ruptured exosporium takes place over a period of 3 s, leaving the newly emergent vegetative cell still attached to the phase-brighter exosporium remnant (white arrows). In the lower three panels, the continued growth of the vegetative cells occurs, with one of the pair still retaining the exosporium remnant. These stages can also be visualized by microscopy using spore- and vegetative cell-specific Abs (Fig. 6B). Thus, flow cytometry and microscopy can be used in concert to accurately quantitate at a single-cell level the stages of spore germination and outgrowth in vitro for wild-type and mutant spores.
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| Discussion |
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It has been shown that BclA has multiple tandem repeats, a feature common with some of the other exosporium proteins (9, 22). The strong and prolonged Ab response after immunization with intact spores or exosporium produced a pattern similar to that of T-independent Ab responses with IgM, IgG3 (26, 27, 28), and IgG2b (29) Abs predominating. Tandem repeats tend to be within exposed loops of proteins and have the potential of eliciting strong immune responses due to their amino acid composition and their interactions with B cell receptors (30). They also have been implicated in immune evasion by replicating eukaryotic parasites (31, 32). In the latter case, these molecules may be involved in diversion of the immune response resulting in competitive use of cytokines and other resources.
A speculative hypothesis is that a potent polyclonal Ab response to exosporium proteins such as BclA may protect the spore or germinating spore by subverting the immune system from making potential sporicidal or germination-inhibiting Abs to hidden Ags on the germinating wild-type spores. The fact that B. subtilis spores are cleared very rapidly from mice (33) suggests that highly conserved Abs (possibly existing as natural Abs) to B. subtilis spore components may be responsible for this rapid clearance. These same determinants, if found on B. anthracis, would normally be covered and may therefore prevent the functional inactivation of the B. anthracis spores until they are safely inside their cellular targets. In addition, there may be tradeoffs between exosporium properties necessary to protect the nascent vegetative cell from host innate and adaptive immune systems within or outside host cells and those that facilitate spore uptake by host phagocytic cells, proposed by some as an obligatory step in infection (34, 35, 36, 37).
As shown by conventional bacteriological assays and more recently by RFLP and other molecular fingerprinting methods, B. anthracis is genetically similar to other spore-forming organisms including B. thuringiensis and B. cereus. Despite these similarities, it is clear that the B. anthracis strains form a monomorphic group that exhibit a distinct pattern separate from those of other species (6, 7, 8, 38). However, strains of B. cereus and B. thuringiensis have been defined that map within or close to the B. anthracis group (7, 8). We found in a sample panel of these close relatives that some reacted with the anti-BclA Abs. These strains have proved difficult to distinguish from B. anthracis by conventional diagnostic means. It is of interest that these reactive strains were isolated from infected individuals and may be more pathogenic than their normal counterparts (8, 39).
Germination of Bacillus spores is usually detected in vitro by changes in spore refractility, heat resistance, and stainability, all of which are done in bulk culture (40). By using flow cytometry and stage-specific Abs, spore germination and vegetative cell outgrowth can be easily and accurately quantitated at the single-cell level. Single-cell interrogation in cytometric assays and the ability to gate out debris and other contaminants help avoid some of the pitfalls of using bulk populations of organisms at various stages of the life cycle. This was exemplified by the failure to detect protective Ag and S-layer proteins on highly purified spore preparations of B. anthracis. In addition to these uses, anti-spore Abs can be used in a variety of platforms for the rapid detection of B. anthracis spores in environmental and clinical samples without the need for bacterial growth and/or the extraction of spore components for diagnostic analyses.
Previous vaccination and passive immunization studies suggest that spore-specific Abs might possess protective potential. A single vaccination with the nontoxigenic strain
14185 provided limited protection to guinea pigs following challenge with the fully virulent Vollum strain (41). Brossier et al. (42) demonstrated that immunization with formaldehyde-inactivated spores imparted partial protection to guinea pigs and mice following challenge with the virulent 9602 strain. It was also shown that vaccination with formaldehyde-inactivated spores provided total protection to guinea pigs and partial protection to mice challenged with the attenuated 9602P strain. The nature and identity of these potentially protective Abs and their targets have yet to be determined. In passive immunization studies, guinea pigs that received antiserum produced against the Sterne vaccine strain before challenge with fully virulent Ames spores exhibited a delayed time to death (43). In contrast, it was recorded that guinea pigs receiving anti-Sterne Abs before challenge with the Vollum strain had a statistically significant number of survivors compared with controls (44). Such discrepancies are likely the result of differences in protocols, given that the researchers were using different challenge strains, challenge doses, and routes of administration. Although it is reasonable to assume that our anti-spore mAbs might alter spore uptake by phagocytic cells after engaging Fc receptors, the significant differences in protocols in previous passive immunization studies make it difficult to speculate about the therapeutic potential of spore-specific Abs following passive immunization. Experiments to determine the potential uses of our Abs beyond spore identification are now in progress.
| Acknowledgments |
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| Disclosures |
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| Footnotes |
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1 This work was supported in part by Army Research Office/Defense Advanced Research Planning Agency Contract DAAD19-00-1-0032 and National Institutes of Health Grants AI50566, AI057699, CA13148, and 5T32AI55438. ![]()
2 Address correspondence and reprint requests to Dr. John F. Kearney, Division of Developmental and Clinical Immunology, Department of Microbiology, WTI 378, 1530 Third Avenue South, University of Alabama at Birmingham, Birmingham, AL 35294-3300. E-mail address: jfk{at}uab.edu. ![]()
3 Abbreviations used in this paper: AP, alkaline phosphatase; BHI, brain-heart infusion medium; PA, protective Ag. ![]()
Received for publication December 5, 2005. Accepted for publication February 21, 2006.
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