The JI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


The Journal of Immunology, 2007, 179, 540 -547
Copyright © 2007 by The American Association of Immunologists, Inc.

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Jarva, H.
Right arrow Articles by Blom, A. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Jarva, H.
Right arrow Articles by Blom, A. M.

Molecular Characterization of the Interaction between Porins of Neisseria gonorrhoeae and C4b-Binding Protein1

Hanna Jarva2,*, Jutamas Ngampasutadol{dagger}, Sanjay Ram{dagger}, Peter A. Rice{dagger}, Bruno O. Villoutreix{ddagger} and Anna M. Blom3,*

* Department of Laboratory Medicine, Medical Protein Chemistry, University of Lund, Malmö, Sweden; {dagger} Division of Infectious Diseases and Immunology, Department of Medicine, University of Massachusetts Medical School, Worcester, MA 01655; and {ddagger} University of Paris, Paris, France


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
Neisseria gonorrhoeae, the causative agent of gonorrhea, is a natural infection only in humans. The resistance of N. gonorrhoeae to normal human serum killing correlates with porin (Por)-mediated binding to the complement inhibitor, C4b-binding protein (C4BP). The entire binding site for both porin molecules resides within complement control protein domain 1 (CCP1) of C4BP. Only human and chimpanzee C4BPs bind to Por1B-bearing gonococci, whereas only human C4BP binds to Por1A strains. We have now used these species-specific differences in C4BP binding to gonococci to map the porin binding sites on CCP1 of C4BP. A comparison between human and chimpanzee or rhesus C4BP CCP1 revealed differences at 4 and 12 amino acid positions, respectively. These amino acids were targeted in the construction of 13 recombinant human mutant C4BPs. Overall, amino acids T43, T45, and K24 individually and A12, M14, R22, and L34 together were important for binding to Por1A strains. Altering D15 (found in man) to N15 (found in rhesus) introduced a glycosylation site that blocked binding to Por1A gonococci. C4BP binding to Por1B strains required K24 and was partially shielded by additional glycosylation in the D15N mutant. Only those recombinant mutant C4BPs that bound to bacteria rescued them from 100% killing by rhesus serum, thereby providing a functional correlate for the binding studies and highlighting C4BP function in gonococcal serum resistance.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
Neisseria gonorrhoeae is a Gram-negative diplococcus that causes gonorrhea, a common sexually transmitted disease that each year affects >60 million people worldwide (1). N. gonorrhoeae can also cause pelvic inflammation in women or, less commonly disseminated gonococcal infection (DGI)4 that produces systemic manifestations. Gonococcal strains that cause DGI usually are intrinsically resistant to the bactericidal action of normal human serum (NHS) (2).

The complement system is important in the defense against microbial pathogens. Complement can be activated through three different pathways: the classical, the lectin, and the alternative pathway. Each of these pathways leads to the activation of C3 that results in deposition of the opsonin C3b on microbial surfaces as well as to the assembly of pore-forming membrane attack complexes that, in the example of Gram-negative bacteria, directly kill the organisms. Individuals deficient in alternative or terminal complement pathway components are especially susceptible to neisserial infections (3), underlining the importance of complement in the defense against pathogenic neisseriae. Complement components are present in mucosal secretions (4); therefore, mucosal pathogens such as N. gonorrhoeae come into contact with complement at the site of initial colonization.

We have shown previously that resistance to killing by NHS (termed stable serum resistance) of N. gonorrhoeae correlates with the ability of gonococci to bind the human complement inhibitor, the C4b-binding protein (C4BP) (5). C4BP inhibits both the classical and lectin pathways of complement by acting as a cofactor for factor I-mediated cleavage of C4b and it also accelerates the decay of the classical pathway C3 convertase (C2aC4b) (6). In addition, C4BP, like factor H, contributes as a factor I cofactor to the cleavage of C3b (to iC3b) and may down-regulate the alternative pathway (7). C4BP is a large plasma protein consisting of seven identical {alpha}-chains and a unique beta-chain, which are linked together by short amphipathic helices that are further stabilized by disulfide bridges (8). The {alpha}- and beta-chains contain eight and three complement control protein (CCP) modules, respectively. CCP modules consist of ~60 aa that form a compact hydrophobic core surrounded by five or more beta-strands organized into beta-sheets (9). C4BP appears as a spider-like structure by electron microscopy with tentacles protruding from the central core (10). C4BP deficiency has not been reported in humans.

Porin (Por) is the major outer membrane protein of gonococci. Por is a 34- to 35-kDa selective ion channel protein that consists of eight transmembrane loops and on the gonococcal surface exists as a homotrimer (11). There are two major allelic isoforms of Por in gonococci, Por1A and Por1B; select members of both Por types bind C4BP. For Por1A, the interaction has been shown to be more hydrophobic whereas the C4BP-Por1B bond appears to be ionic in nature (5). Strains of N. gonorrhoeae that express Por1A are more commonly isolated from patients with DGI while Por1B strains cause local infections. Despite the differences in the nature of the interactions, binding sites on C4BP for both Por1A and Por1B lie solely within CCP1 (5).

Natural infection with N. gonorrhoeae is restricted to humans. Several animal species have been tested as models for gonococcal infection with limited success. Prolonging the estrus cycle of mice using 17beta-estradiol facilitates vaginal infection and has produced a useful model (12). Intraurethral inoculation of male chimpanzees with only Por1B- but not Por1A-bearing gonococcal strains enables an experimental infection that simulates human disease (13). We showed recently that the (mammalian) species specificity of gonococcal infection correlates with the ability of gonococci to bind host C4BP (14). Interestingly, chimpanzee C4BP seemingly binds exclusively to Por1B-bearing gonococci and only Por1B strains can cause (experimental) infection in chimpanzees. In further support of the species specificity of gonococcal infection, Rhesus macaque monkey or baboon C4BP binds neither the Por1A strain nor the Por1B strain, and these primates cannot be infected with gonococci.

We exploited the binding of gonococci to select primate C4BP molecules to construct recombinant C4BPs to identify amino acids that are important for interaction with Por1A and Por1B. Mapping the sites of Por binding in C4BP CCP1 provides further insights into gonococcal pathogenesis and a deeper understanding of how this pathogen is uniquely adapted to infect humans exclusively.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
Sequence comparison

The amino acid sequences of human, chimpanzee, and rhesus monkey CCP1 modules were aligned using Insight (Accelrys). Amino acid differences among the sequences were evaluated in the context of the three-dimensional nuclear magnetic resonance structure of human C4BP CCP1 (15) to better plan point mutations and facilitate the subsequent analysis of functional data.

Proteins

Human plasma C4BP (16), C4 (17), and factor I (18) were purified as described. C4b and C3b were purchased from Complement Technology. In some experiments that required large amounts of C3b or C4b, C3b- or C4b-like molecules (C3met or C4met) were used (19). C3met and C4met were prepared by the incubation of purified C3 or C4 with 100 mM methylamine (pH 8.0–8.5) for 4 h at 37°C followed by dialysis against 50 mM Tris-HCl in 150 mM NaCl (pH 7.5). Proteins used in this study were at least 95% pure as judged by Coomassie staining of proteins resolved by SDS-PAGE. All proteins were stored at –80°C. Protein concentrations were determined from absorbance at 280 nm or from amino acid analysis following 24 h of hydrolysis in 6 M HCl. The C4b and C3b used in cofactor analysis experiments (see below) were labeled with 125I using the chloramine T method. The initial specific activity was 0.4–0.5 MBq/µg protein.

Construction and expression of recombinant mutant C4BPs

Full-length cDNA encoding the human C4BP {alpha}-chain that had been cloned into the eukaryotic expression vector pcDNA3 (Invitrogen Life Technologies) was used as template and mutations were introduced using the QuikChange site-directed mutagenesis kit (Stratagene) and primers listed in Table I. All mutations were confirmed by automated DNA sequencing (PerkinElmer). Human embryonic kidney 293 cells (American Type Culture Collection no. 1573-CRL) were transfected with the different C4BP constructs using lipofectin according to the manufacturer’s instructions (Invitrogen Life Technologies). The antibiotic G418, an analog of neomycin, was used to select transfected cells. Colonies of transfected cells that showed the highest expression levels, as judged by immunoblotting, were expanded in DMEM supplemented with 10% FCS, 3.4 mM glutamine, 100 U/ml penicillin, 100 µg/ml streptomycin, and 400 µg/ml G418. The medium was then switched to Opti-MEM Glutamax (Invitrogen Life Technologies), which was replaced every three days; spent medium was stored at –20°C until ~5 liters had been collected. To express C4BP variants lacking N-linked glycosylation, 2.5 µg/ml tunicamycin (Sigma-Aldrich) was added to the cell culture medium. Media were centrifuged for 15 min at 5000 x g to remove cell debris and applied to an affinity column (2.6 x 12 cm; BioRad) with mAb 104 (specific for CCP1 of the C4BP {alpha}-chain) coupled to Affi-Gel 10, equilibrated with TBS. All recombinant mutant proteins bound mAb 104 similarly to wild-type (wt) human C4BP. The column was washed with TBS, 1 M NaCl, and the recombinant proteins eluted with 3 M guanidinium chloride followed by extensive dialysis against TBS. All preparative work was done at 4°C. To analyze purity, 2 µg of each recombinant protein was separated by electrophoresis on 10% SDS-polyacrylamide gels under reducing conditions and stained with Coomassie brilliant blue. For Western blot analysis 100 ng of each protein was similarly separated, the proteins were transferred to a polyvinylidene difluoride (PVDF) membrane (Pall), nonspecific binding sites were blocked with 3% fish gelatin (Nordic) in 50 mM Tris, 150 mM NaCl, and 0.1% Tween 20 (pH 7.5) (blocking buffer), and the membranes were incubated with polyclonal rabbit-anti-human C4BP Ab in the blocking buffer (10 µg/ml). After washing, alkaline phosphatase-conjugated swine anti-rabbit Abs (DakoCytomation) diluted 1/2000 in blocking buffer were added and washed, and nitro blue tetrazolium/5-bromo-4-chloro-3-indolyl phosphate p-toluidine salt was added for detection.


View this table:
[in this window]
[in a new window]

 
Table I. Primers used for mutagenesis

 
Deglycosylation with N-glycosidase F (NGF)

Purified wt C4BP and mutants that contained a potential N-glycosylation site at position 15 (D15N, D15N/K24E, and D15N/K24E/T43D/T45M) were diluted in PBS containing 50 mM EDTA, 1% SDS, and 1% 2-ME (pH 8.0) and incubated for 3 min at 95°C. NGF (1 U; Roche) and 0.5% n-octyl-glucoside were added to 3 µg of each protein and incubated for 24 h at 37°C. The reaction was terminated by the addition of a 20-µl sample buffer (0.5 M Tris-HCl (pH 6.8), 15% glycerol, 0.005% Coomassie G-250, 4% SDS, and 10 mM DTT) and then the samples were heated at 95°C for 3 min and applied on a 7.5% SDS-polyacrylamide gel for electrophoresis. Separated proteins were transferred to a PVDF membrane and visualized by Western blotting.

Circular dichroism spectroscopy

Recombinant wt C4BP and the 12 mutant proteins were dialyzed extensively against 150 mM NaF before analysis. Approximately 60 µg of each protein was analyzed in the far UV region (200–250 nm) using a Jasco J-720 spectropolarimeter. Resolution was 1 nm, sensitivity was 20 millidegrees, and the speed was 20 nm/min. Each protein was analyzed five times, an average was calculated, and buffer background values were subtracted.

Binding characteristics of recombinant mutant C4BPs

Binding to conformational-dependent anti-C4BP {alpha}-chain mAbs (20). Recombinant proteins (10 µg/ml in 75 mM sodium carbonate (pH 9.6)) were coated overnight at 4°C on microtiter plates (Maxisorp; Nunc) and the microtiter wells were washed with 50 mM Tris, 150 mM NaCl, and 0.1% Tween 20 (pH 7.5) (washing buffer). Nonspecific binding sites were blocked with 3% fish gelatin in washing buffer and 100 µl each of the mAbs 67, 70, 92, 96, 102, and 104, which were added at 0.01–10 nM and diluted in washing buffer. After incubation and washing, HRP-conjugated rabbit anti-mouse Ab (DakoCytomation), diluted 1/5000, was added and incubated for 1 h at room temperature. Wells were washed and substrate solution (8-mg o-phenylenediamine tablets (DakoCytomation) in 12 ml of H2O and 5 µl of H2O2) was added. Absorbance (492 nm) was read using a microtiter plate reader.

Binding to C4b. To assess the binding of recombinant C4BP mutant proteins to C4b, C4met (10 µg/ml) was coated onto microtiter plates overnight at 4°C. Plates were washed and 0.1–100 nM each recombinant mutant protein, diluted in TBS with 1% BSA and 0.05% Tween 20, was added and the plates were incubated at 37°C for 1 h. After another wash, mAb 67 (0.3 µg/ml; directed against CCP4) was added and the procedure described above for detecting mAbs was conducted.

Binding to heparin. Binding to heparin was measured using surface plasmon resonance (BIAcore 2000). Heparin was immobilized on an streptavidin chip (GE Healthcare) by the injection of 1.2 µg of biotinylated heparin in running buffer (10 mM HEPES, 75 mM NaCl, 5 mM EDTA and 0.002% Tween 20 (pH 7.4)). Increasing concentrations (2.5–20 nM) of each recombinant mutant protein were injected over an empty control flow cell without coupled heparin and then over the heparin-containing flow cell. In each determination, 40 µl of the protein solution was injected during the association phase at a constant flow rate of 20 µl/min. NaCl (2 M) was used to remove bound ligands between analyte injections.

C4b and C3b degradation assay

To assess the preservation of cofactor activity of mutant C4BPs, we examined for the degradation of C4b to C4c and C4d and that of C3b to iC3b in the presence of factor I and the mutants of C4BP. One-hundred nM each mutant C4BP was mixed with 750 nM C3met (or 250 nM C4met), 60 nM factor I, and trace amounts of 125I-labeled C3b (or 125I-labeled C4b) in 50 µl of 50 mM Tris-HCl in 150 mM NaCl (pH 7.4). Samples were incubated for 1 h at 37°C and reactions were terminated by adding SDS-PAGE sample buffer with a reducing agent (DTT). Samples were then incubated at 95°C for 3 min and applied to 10–15% gradient SDS-polyacrylamide gels for electrophoresis to resolve degradation products of C4b or C3b. Separated proteins were visualized using a PhosphorImager device (Molecular Dynamics/GE Healthcare).

Gonococcal strains

Isogenic mutant strains of N. gonorrhoeae, FA6611 (Por1B strain MS11, where the native Por had been replaced with the FA19 Por1A molecule) and FA6616 (strain MS11, where the native Por1B had been reintroduced), have been described previously (21). For simplicity, we refer to strain FA6611 as the Por1A-bearing strain (or Por1A), and FA6616 as the Por1B-bearing strain (or Por1B). For binding and bactericidal assays, bacteria were grown on chocolate agar plates at 37°C with 5% CO2 and then suspended in HBSS supplemented with 1 mM MgCl2 and 0.15 mM CaCl2 (HBSS2+).

Binding of recombinant mutant C4BPs to whole bacteria

Bacteria were grown on chocolate agar plates overnight, washed with HBSS2+, and suspensions of bacteria were adjusted to concentrations of 1 x 109 cells/ml in HBSS2+. The final reaction mixture contained 108 bacteria and the recombinant proteins (concentration specified for each experiment) were incubated for 30 min at 37°C. After washing, mAb 67 was added at a concentration of 10 µg/ml in 1% BSA/HBSS2+. After incubation for 30 min, bacteria were washed and a FITC-labeled goat anti-mouse IgG Ab (Sigma-Aldrich), diluted 1/100 in 1% BSA/HBSS2+, was added. After 20 min of incubation, bacteria were again washed and bacteria-bound C4BP was detected using flow cytometry (BD LSR II flow cytometer; BD Biosciences). Analysis of binding of recombinant C4BPs was performed using FlowJo FACS data analysis software (Tree Star).

Serum bactericidal assays

Gonococcal strains FA6616 (Por1B) and FA6611 (Por1A), harvested from overnight chocolate agar plates, were reinoculated onto chocolate agar, grown for 6 h, and then recovered and suspended in HBSS2+ at concentrations adjusted to ~5 x 104 cells/ml. Bacteria (25 µl, corresponding to ~1200 CFU) were mixed with HBSS2+ containing 2.5 µg of the recombinant mutant C4BP to be tested and 5 µl of hemolytically active R. macaque serum (Bioreclamation); the final volume of bactericidal reaction mixtures was brought up to 150 µl with HBSS2+. Reaction mixtures were incubated at 37°C with shaking. Duplicate samples of 25 µl were plated on to chocolate agar at 0 and 30 min. Following overnight incubation at 37°C with 5% CO2, colonies were counted and survival was expressed as the percentage of the average of the number of colonies at 30 min divided by the number at 0 min.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
Sequence comparison

We compared the amino acid sequences of CCP1 of C4BP in three primate species: human, chimpanzee (Pan troglotydes), and the R. macaque monkey (Fig. 1). These species were chosen because human C4BP binds both gonococcal Por1A and Por1B, chimpanzee C4BP binds Por1B, and rhesus monkey C4BP binds neither Por1A nor Por1B (14). Furthermore, the binding site of human C4BP for N. gonorrhoeae resides entirely within CCP1 (5). Human and chimpanzee C4BP CCP1 differ by four amino acids only, suggesting that these amino acids are crucial for the binding of Por1A. Chimpanzee and rhesus monkey CCP1 differ by an additional 10 amino acids (an eleventh (aa no. 12) is shared between human and rhesus but not by chimpanzee), which presumably include the binding site for both Por1A and Por1B. In the mutagenesis experiments, we elected to change unique human amino acids to the corresponding chimpanzee or rhesus monkey counterparts (see Fig. 7). In total, 13 recombinant mutants of C4BP were constructed and expressed (Figs. 2 and 3).


Figure 1
View larger version (6K):
[in this window]
[in a new window]

 
FIGURE 1. Alignment of amino acid sequences of C4BP CCP1 from human, chimpanzee, and rhesus monkey. Amino acids that differ between the human sequence and the each of the other two species are marked in boldface and their positions relative to the human C4BP sequence are indicated by underlining.

 

Figure 7
View larger version (76K):
[in this window]
[in a new window]

 
FIGURE 7. C4BP CCP1 model identifying amino acids that bind to porins. Three-dimensional model of human {alpha}-chain C4BP CCP1 (15 ) with mutated amino acids shown in red.

 

Figure 2
View larger version (22K):
[in this window]
[in a new window]

 
FIGURE 2. Analysis of recombinant C4BP variants by SDS/PAGE. Recombinant wt C4BP and the 12 mutants used in the current study (~2 µg/well for Coomassie blue staining and 0.1 µg/well for immunoblotting) were separated under reducing conditions by electrophoresis on a 10% SDS-polyacrylamide gel. Resolved proteins were subjected to Coomassie blue staining (right panel) or transferred to a PVDF membrane (left panel), allowed to react with a polyclonal rabbit Ab against human C4BP, and disclosed with a substrate to alkaline phosphatase-conjugated secondary Ab.

 

Figure 3
View larger version (21K):
[in this window]
[in a new window]

 
FIGURE 3. Mutagenesis of D15 to N15 introduces novel glycosylation site. A, Recombinant wt C4BP (rec wt) and the D15N/K24E/T43D/T45M mutant were expressed in the presence of tunicamycin and visualized by Western blotting as described in Fig. 2. Deglycosylated proteins are marked with an arrow. B, Recombinant wt C4BP (rec wt) and the mutants containing the D15N mutation were deglycosylated by enzymatic digestion with NGF. Proteins were separated by SDS/PAGE and visualized by Western blotting. C, Coomassie Brilliant Blue staining of the recombinant wt protein (rec wt) and D15N as well as D15Q mutants.

 
Assessment of structural integrity of C4BP mutant proteins

Amino acid residues that were targeted for mutagenesis were solvent exposed (as evidenced by the nuclear magnetic resonance three-dimensional structure of the human C4BP {alpha}-chain CCP1 (15)) and not involved in clearly stabilizing interactions with the remaining parts of the molecule (i.e., salt bridges). Therefore these amino acid substitutions were expected to be well tolerated structurally. The wt and mutant C4BP molecules were expressed in eukaryotic cells and purified from cell culture medium using affinity chromatography. We assessed the structural integrity of the mutant proteins by circular dichroism spectroscopy, which yielded similar spectra compared with wt C4BP, confirming that mutagenesis did not alter the three-dimensional structure of the recombinant molecules (not shown). The purified mutant proteins were separated by electrophoresis on 10% SDS-polyacrylamide reducing gels and validated both by staining with Coomassie brilliant blue (Fig. 2, right panel) and by immunoblotting of the similarly migrating proteins using a polyclonal Ab against C4BP (Fig. 2, left panel). Interestingly, the three mutants carrying the D15N substitution migrated as slightly larger proteins when compared with the wt. Because the alteration introduced a potential N-linked glycosylation site composed of asparagine at position 15 followed by isoleucine and threonine, we also expressed these mutants in the presence of tunicamycin to inhibit the N-linked glycosylation of secreted proteins. Indeed, we found that under these expression conditions the migration of D15N and the wt proteins were similar upon SDS/PAGE analysis (Fig. 3A). The experimental conditions used resulted in deglycosylation of ~50% of secreted C4BP (Fig. 3A, lower band marked with an arrow); attempts to use higher concentrations of tunicamycin to fully deglycosylate the proteins resulted in toxicity to the cells. The wt and the mutants containing the D15N mutation were also deglycosylated enzymatically using NGF. Consequently, all four proteins migrated with similar velocities in SDS-PAGE, indicating that the differences in migration detected among native (glycosylated) proteins were likely attributed to the additional glycan at N15 (Fig. 3B). To gain further evidence for additional glycosylation of the D15N mutant and to obtain a mutant that could determine the exact role of D15 in binding to heparin and gonococci, we expressed an additional mutant in which D15 was replaced by Q15 (Fig. 3C). The D15Q mutant showed a migration pattern in SDS-PAGE similar to that of the wt; this supports further the hypothesis that the D15N mutant carries an additional N-linked glycan.

Recombinant mutant C4BP proteins were also screened with a panel of conformation-dependent mAbs against the C4BP {alpha}-chain. The recombinant proteins were coated onto microtiter plates and mAbs were used at different concentrations for detection. The two mutant proteins that contained an Asn residue at position 15 (instead of Asp) showed significantly decreased binding to mAb 102 (Fig. 4A). There were no differences in binding by other mAbs (67, 70, 92, 96 and 104) to the mutant C4BP molecules (not shown), providing further evidence of correct folding and stability. Evidence for the importance of D15 in the binding of mAb 102 was provided by the observation that the D15Q mutation also showed a 40% decrease in binding compared with the wt molecule at a mAb concentration of 10 nM. This was, however, less than the decrease seen with the D15N (glycosylated) mutant, which showed a 70% decrease in binding, suggesting that the glycan possessed by D15N further compromised mAb102 binding, presumably by steric hindrance.


Figure 4
View larger version (17K):
[in this window]
[in a new window]

 
FIGURE 4. Binding of mAb102 and heparin to C4BP variants. A, Binding of mAb102 requires D15; increasing concentrations of mAb102 in fluid phase were incubated with recombinant C4BP or mutant C4BPs immobilized on microtiter plates. Bound mAb 102 was detected with HRP-conjugated anti-mouse IgG. Results of single experiment performed in triplicate are shown for each C4BP variant (mean ± SD). B, Heparin binding to recombinant C4BP molecules. Representative sensorgram traces obtained when each recombinant C4BP mutant protein (20 nM) was injected over an streptavidin chip containing bound heparin.

 
The heparin-binding site on C4BP resides in CCPs 1–3; CCP2 has been shown to be the most important domain for this interaction (22). We examined recombinant mutant protein binding to heparin by using surface plasmon resonance (Fig. 4B). The D15N, K24E, and T43D mutations resulted in decreased binding to heparin compared with wt C4BP. In contrast, both the L34R and the D15Q mutants showed increased binding to heparin.

The binding site of C4BP for C4b is located in CCPs 1–3 (22). A cluster of positively charged amino acids at the CCP1–2 interface are important in the C4BP-C4b interaction (23). We wished to test whether the mutations within CCP1 that we had constructed affected the binding of C4BP to C4b and also whether a corresponding change in function, i.e., cofactor activity of C4BP, might have resulted. Binding to C4b was tested by direct binding assay; no differences between any of the recombinant mutants and wt C4BP were seen (not shown). Cofactor activity that was tested by a C4b and C3b degradation assay that used factor I as the degrading enzyme showed quantitatively similar amounts of C4c, C4d, and iC3b generated by each of the recombinant proteins compared with wt C4BP (not shown).

Binding of recombinant C4BP mutants to gonococci

Each recombinant mutant C4BP was incubated with Por1A- and Por1B-bearing N. gonorrhoeae. After washing, binding was detected by flow cytometry using mAb 67 that is directed against CCP4, followed by FITC-labeled anti-mouse Ab (Fig. 5). Each mutant protein was tested using wt C4BP as a positive control. Neither Por1A- nor Por1B-bearing gonococci bound rhesus C4BP (14). We determined which of the human to rhesus mutations resulted in decreased C4BP binding to Por1A-bearing gonococci (Fig. 5A). The human-to-rhesus recombinant protein mutations D15N, K24E, T43D, or T45M, when altered individually or in combination (D15N/K24E or T43D/T45M), all had a strong negative impact on the binding of the corresponding mutant C4BP to Por1A. The effect of D15N upon the resulting mutant’s binding was due to the presence of the additional glycosylation site in D15N, because the D15Q mutant bound Por1A-bearing gonococci similarly as to the wt. In the case of Por1B-bearing gonococci among the mutant proteins that bore a single amino acid mutation, only the K24E mutation showed diminished binding of the resultant mutant C4BP to Por1B. Although mutating D15N alone had a minimal affect on the mutant’s binding to Por1B, the combined mutant protein that contained D15N/K24E resulted in complete loss of binding. This suggests that additional glycosylation on N15 sterically hinders the Por1B-C4BP interaction, especially when K24 is simultaneously mutated. The D15Q mutant bound Por1B gonococci similarly as to the wt, implying that D15 itself does not contribute to the interaction. As predicted (5), the C4BP mutant protein containing the E53Q/V55T/N57T rhesus substitutions located at the C terminus of CCP1 displayed full binding (Fig. 5).


Figure 5
View larger version (31K):
[in this window]
[in a new window]

 
FIGURE 5. Binding of mutant C4BPs to gonococci. Gonococcal strains carrying Por1A or Por1B were incubated with mutant C4BPs (25 µg/ml) and the amount of bound protein was detected with mAb 67 against the CCP4 of C4BP as determined by flow cytometric analysis. One representative tracing of three reproducible repeat experiments is shown. A, Human-to-rhesus mutations. B, Human-to-chimpanzee mutations. C, Binding of recombinant chimpanzee C4BP at 25 and 125 µg/ml.

 
We next studied the effects of human-to-chimpanzee mutations on the binding of C4BP to intact gonococci. We have shown previously that only Por1B- but not Por1A-bearing strains bind chimpanzee C4BP. Only four amino acid changes (A12V, M14V, R22H, and L34R) differentiate human and chimpanzee CCP1 (Fig. 1), and alterations in one or more would be predicted to decrease the ability of C4BP to bind to the Por1A but not to the Por1B strain. Mutations of A12V and M14V simultaneously or of R22H and L34R individually showed only a slight decrease in binding to Por1A (Fig. 5B). However, binding to the Por1A-bearing strain was almost completely abrogated when these four amino acids were mutated simultaneously (Fig. 5B; rChimp). As expected rChimp bound to Por1B, but it is noteworthy that rChimp C4BP bound slightly better to the Por1B strain than human C4BP. When the concentration of rChimp was increased ~5-fold to 125 µg/ml, some binding to Por1A was also detected, although the fluorescence intensity was still lower than that observed with 25 µg/ml wt C4BP (Fig. 5C). This suggests that while the avidity of rChimp for Por1A is significantly decreased compared with that for Por1B, it is not absent.

Bactericidal assay

Rhesus serum is bactericidal against gonococci that otherwise resist killing by NHS. We have shown previously that adding wt C4BP rescues gonococci from killing by rhesus serum (14). We examined the ability of recombinant mutant C4BPs to rescue Por1A- and Por1B-bearing gonococci from complement-dependent killing by rhesus serum (Fig. 6). Gonococci were mixed with buffer containing the appropriate C4BP mutant or wt C4BP, and rhesus serum was added. Samples were plated at 0 and 30 min and colonies of surviving bacteria were counted. In accordance with the flow cytometry binding assays, Por1A strains were not rescued by the mutants carrying the mutations D15N, K24E, T43D, or T45D alone or in combination (D15N/K24E and T43D/T45M) as shown in Fig. 6A. The D15Q-containing mutant C4BP protein, however, did rescue both Por1A- and Por1B-bearing gonococci in rhesus serum, suggesting that glycosylation at N15 in rhesus may be important in preventing rhesus C4BP from binding to gonococci and functioning as a complement regulator. As expected, the E53Q/V55T/N57T containing mutant protein rescued killing by rhesus serum of both Por1A and Por1B gonococci. rChimp, which does not interact with Por1A, also did not rescue the Por1A-bearing strain from the bactericidal action of rhesus serum when used at 4 µg/ml (Fig. 6, A and B). In agreement with the binding data, when the concentration of rChimp was increased 8-fold in the bactericidal assay, the protein rescued the Por1A strain from killing by rhesus serum (Fig. 6B). As expected, based on either lack of or diminished binding by flow cytometry, neither the K24E or the D15N/K24E mutations in human C4BP permitted rescue of Por1B from killing by rhesus serum (Fig. 6A). Taken together, results of the bactericidal assays provide a functional correlate to the binding data obtained by flow cytometry.


Figure 6
View larger version (27K):
[in this window]
[in a new window]

 
FIGURE 6. Bactericidal activity of rhesus serum supplemented with mutant C4BPs. A, Gonococci were incubated for 30 min at 37°C with 3.3% rhesus serum supplemented with 2.5 µg of each mutant C4BP in a final volume of 150 µl. Bacterial mixtures were plated on chocolate agar at times 0 and 30 min. Results (mean ± SD) are expressed as the number of gonococcal CFU surviving in the presence of sera at 30 min compared with the number at 0 min. B, The bacteria (Por1A and Por1B strains) were each incubated with rhesus serum supplemented with increasing concentration of rChimp C4BP mutant and the results expressed as in A.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
Complement deficiencies in humans predispose to recurrent systemic neisserial infections. Inability to directly kill N. gonorrhoeae in NHS (serum resistance) can result from a complement deficiency in the human host or an increased propensity of the infecting organism to capture a complement inhibitor; either circumstance enhances the ability of N. gonorrhoeae to disseminate and cause systemic infection. We have shown previously that the ability of N. gonorrhoeae to bind the human complement inhibitor C4BP correlates with serum resistance (5). N. gonorrhoeae is naturally pathogenic only in humans, but the (male) chimpanzee, a great ape and man’s closest relative, can be infected experimentally with Por 1B-bearing N. gonorrhoeae (24). The rhesus macaque monkey, however, cannot be infected either with Por1B- or Por1A-bearing gonococci. Human C4BP binds to Por1A and Por1B strains of N. gonorrhoeae while chimpanzee C4BP, at physiologic concentrations, binds only to Por1B-bearing gonococci. C4BP from other primates and mammals do not bind to N. gonorrhoeae at all (14). This suggests that the ability of N. gonorrhoeae to bind C4BP may enable this organism to evade an important component of the innate immune system and may also explain why gonococci can survive and cause disease only in select hosts. C4BP binds to several bacterial species and may enhance their pathogenic potential. For example, the binding of C4BP to the M proteins of Streptococcus pyogenes is responsible for resistance of these bacteria to phagocytosis (25). Other pathogens known to bind C4BP include S. pyogenes (26), Moraxella catarrhalis (27), Bordetella pertussis (28), Escherichia coli strain K1 (29, 30), Borrelia recurrentis (31), Neisseria meningitidis (32), Candida albicans (33), and Haemophilus influenzae (34).

Using recombinant C4BP mutants that lack individual domains, we have shown previously that human C4BP binds to gonococci exclusively via the N-terminal CCP1 of the {alpha}-chain (5). We compared the amino acid sequences of human C4BP {alpha}-chain CCP1 with the CCP1 sequence of chimpanzee and the R. macaque monkey and noted that human and chimpanzee sequences and human and Rhesus sequences varied at four or 12 amino acid positions, respectively. This suggested that the four differing amino acids between human and chimpanzee C4BP CCP1 were crucial for the interaction between Por1A (does not bind chimpanzee C4BP at lower concentrations) and C4BP. Similarly, the 10 amino acids that differentiate chimpanzee from rhesus monkey CCP1 were likely to be important for the binding to Por1B. Based on these differences in CCP1 amino acid sequences among the three species, we constructed and expressed 13 recombinant mutants of C4BP using site-directed mutagenesis. The mutations were all targeted at the CCP1 of the {alpha}-chain, whereas the amino acid sequences of CCPs 2–8 were maintained entirely as found in the human sequence. The resulting recombinant proteins did not differ in structural integrity as evidenced by circular dichroism spectroscopy, which yielded similar spectra as the wt recombinant C4BP. This indicates the presence of similar contents of beta-strands and {alpha}-helices to ensure proper folding and stability, which are independent attributes that would be important in binding. Functional integrity was also preserved as evidenced by the maintenance of serine protease cofactor activity to factor I-mediated cleavage of C4b and C3b. Decreased binding of mAb102 to all recombinant proteins containing the D15N mutation (D15N, D15N/K24E, and D15N/K24E/T43D/T45M) as well as the D15Q mutant suggested that D15 is a critical component of the C4BP epitope that binds this mAb. The remaining mAbs against CCP1 bound equally to all the recombinant mutant proteins, independently confirming that the effect of the D15 mutation on mAb102 binding was specific and not attributable to misfolding.

The binding site for heparin, a negatively charged polymer, is located in CCPs 1–3 of the {alpha}-chain; CCP2 is the most important domain (22). In a previous study, the mutagenesis of R39, R64, or R66 strongly decreased the binding of C4BP to heparin (23). The three amino acids are localized in a positively charged patch on the interface of CCP1 and 2. In the heparin-binding assay that was performed here, mutagenesis of the individual amino acid residues K24 and T43 also resulted in decreased binding to heparin compared with the recombinant wt C4BP. T43 is close to the principal positively charged heparin-binding region located at the CPP1-CCP2 interface (15, 35), while K24 is located more distant. However, it is likely that heparin molecule (the heparin polymer can be 50-Å long compared with the ~40-Å length of a single CCP domain) wraps around the domain and contacts other residues in addition to the key positively charged amino acids that constitute the "hot-spots" for heparin binding. Therefore, the present finding that amino acids away from the key heparin-binding region can contribute directly or indirectly to the binding of this negatively charged polymer is compatible with the known structural data. Interestingly, the change of the hydrophobic leucine residue at position 34 to the positively charged arginine as well as the change of the negatively charged aspartic acid at position 15 to neutral glutamine both resulted in increased binding of heparin, which is consistent with our previous finding because these residues are located near the heparin binding site. This suggests that these newly formed positive charges could facilitate the approach and/or the interaction with a negatively charged polymer. In most instances heparin uses its negatively charged groups to bind via electrostatic forces, although other types of contact are clearly important for high affinity and specificity (36). An increase in positive surface charge of the protein near the site of heparin interaction tends to increase the binding, whereas a loss of positive charge(s) or replacement with negative charge(s) usually lead to decreased avidity and binding. The D15N mutation impaired the binding of C4BP to heparin because of the introduction of the additional glycosylation site, probably due to steric hindrance because the D15Q mutation did not decrease the interaction.

Our current data show that amino acids K24, T43, and T45 are important for the binding of C4BP to Por1A. The recombinant proteins that carried these mutations showed decreased binding to a Por1A-bearing gonococcal strain as measured by flow cytometry. Furthermore, these mutant C4BPs were unable to rescue Por1A gonococci from the bactericidal activity of rhesus serum. The D15N mutant showed similar impairment, but this was likely not due to a direct involvement of D15, but instead to the additional glycosylation site that is present in rhesus C4BP at N15. The replacement of Asn with a conserved (but unglycosylated) Gln residue preserved binding to C4BP and its complement ability to regulate on the Por1A surface. For Por1B, similar results were obtained for K24 because it was involved in binding and its alteration to E24 (rhesus-like) abolished the ability of the mutant protein to confer serum resistance. In contrast to Por1A, the additional glycosylation of the D15N mutant had only a weak negative impact on the interaction of C4BP with Por1B, and the complement-regulating function on the Por1B surface was retained. Interestingly, mutating the four amino acids that differ between human and chimp C4BP either singly (R22H or L34R) or in combination (A12 and M14) did not strongly impact binding to the Por1A strain. However, when the four amino acids (A12, M14, R22, and L34) were altered simultaneously to yield the equivalent of chimpanzee CCP1, the binding to Por1A was abolished at lower concentrations of the mutant protein used in binding assay. In the model of C4BP CCP1 (23), these four amino acids that are important for binding to Por1A are located on the same face of the molecule (Fig. 7).The binding of chimp C4BP to Por1A was partially restored when higher protein concentrations were used. This is consistent with prior observations of weak C4BP binding to and partial survival of certain Por1A strains (14) and our current observations that addition of 8-fold excess rChimp C4BP to rhesus serum could rescue gonococci from complement-mediated killing. To further evaluate the impact of our findings, we tested the binding of C4BP mutants used in this study to two additional Por1A (339063 and 401082) and two Por1B (FA1090 and 1291) strains known to interact with C4BP (5). We found that the effects of mutations on binding to these strains were consistent with those seen with the two strains used throughout this study. This implies that the structural requirements for porin-C4BP interactions are conserved between strains.

We have shown previously that the interaction between porin and C4BP differs in nature depending on the por allele expressed (5). Hydrophobic forces are mainly responsible for the Por1A-C4BP interaction because it is not dissociated at high NaCl concentrations. Neither C4b nor heparin influences the binding of C4BP to Por1A, suggesting that these two binding sites do not overlap. The binding of C4BP to Por1B in contrast was influenced by salt concentration, which points to ionic interactions between the two molecules. Both C4b and heparin can compete out the binding of C4BP to Por1B. In the present study we have identified the following amino acids that are involved to various degrees in binding to Por1A: K24, T43, T45, A12, M14, R22, and L34. Some of these amino acids are fully hydrophobic (A12 and M14) and the side chains of other residues are capable of making hydrophobic contacts (e.g., the methyl group of Thr and the carbon atoms of Lys and Arg) and do not contribute exclusively via hydrogen bonding or ionic interactions. In accordance with the ionic nature of the Por1B-C4BP interaction, the K24 amino acid that is involved in this interaction is charged and acts via the formation of salt bridges and/or hydrogen bonds with Por1B. Furthermore, heparin binding to the K24E mutant was decreased, which correlates with the previous data and points to overlapping binding sites for heparin and Por1B. In contrast, heparin binding was also decreased for the T43D mutant, although the binding of C4BP to Por1A was not affected by heparin. This suggests that a region of the binding site for heparin and por1A also overlaps but to a lesser extent.

The recent finding that only human and chimpanzee C4BPs bind to Por1B gonococci and only human C4BP binds to Por1A gonococci provides an explanation for the species specificity of gonococcal infection. The capacity to bind host C4BP may enable the gonococcus to persist and cause disease. Gonococci are rapidly killed by nonhuman sera such as rat and rhesus sera unless human C4BP is added to the serum, and this suggests that transgenic mice expressing human C4BP could further improve the existing in vivo model (12) for studying N. gonorrhoeae infection. Our observations are also important in the evaluation of vaccines against pathogenic Neisseria and may explain why nonhuman complement sources are more bactericidal than human complement when vaccine-induced human Abs are tested for their complement-dependent killing activity.

In conclusion, we have mapped the binding sites on the CCP1 domain of the C4BP {alpha}-chain for gonococcal Por1A (T43, T45, K24, A12, M14, R22, and L34) and Por1B (K24). We found that an additional glycosylation of D15 as in rhesus C4BP sterically hinders interactions with both porins. Of course, the amino acids identified in the current study are unlikely to be the only amino acids involved in interactions with porins, which may be stabilized further by other neighboring amino acids. In addition, the decreased binding of mutant C4BPs correlated in every instance with the decreased ability of the proteins to rescue gonococci from the bactericidal action of rat serum. This further underlines the importance of C4BP binding in gonococcal pathogenesis.


    Acknowledgments
 
We thank Frida Bergström for expert technical assistance, Prof. Björn Dahlbäck for providing mAbs against C4BP, and Drs. Fred Sparling and Christopher Elkins for providing strains FA6616 and FA6611.


    Disclosures
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
The authors have no financial conflict of interest.


    Footnotes
 
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

1 This study was supported by the Swedish Research Council, the Swedish Foundation for Strategic Research, and the Foundations of Kock, Österlund, King Gustav V’s 80th anniversary, and a research grant from the University Hospital in Malmö (all to A.M.B.); the Finnish Cultural Foundation and the Maud Kuistila Foundation (to H.J.); and the National Institutes of Health/National Institutes of Allergy and Infectious Diseases Grants AI 054544 (to S.R.) and AI 032725 (to P.A.R.). Back

2 Current address: Department of Bacteriology and Immunology, Haartman Institute and Helsinki University Central Hospital, Helsinki, Finland. Back

3 Address correspondence and reprint requests to Dr. Anna Blom, Lund University; Department of Laboratory Medicine, Division of Medical Protein Chemistry, University Hospital Malmö, Entrance 46, The Wallenberg Laboratory, Malmö, Sweden. E-mail address: Anna.Blom{at}med.lu.se Back

4 Abbreviations used in this paper: DGI, disseminated gonococcal infection; C4BP, C4b-binding protein; CCP, complement control protein (domain); NGF, N-glycosidase F; NHS, normal human serum; Por, porin; PVDF, polyvinylidene difluoride; wt, wild type. Back

Received for publication August 30, 2006. Accepted for publication April 20, 2007.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 

  1. Gerbase, A. C., J. T. Rowley, D. H. Heymann, S. F. Berkley, P. Piot. 1998. Global prevalence and incidence estimates of selected curable STDs. Sex. Transm. Infect. 74: (Suppl. 1):S12-S16. [Medline]
  2. O’Brien, J. P., D. L. Goldenberg, P. A. Rice. 1983. Disseminated gonococcal infection: a prospective analysis of 49 patients and a review of pathophysiology and immune mechanisms. Medicine 62: 395-406. [Medline]
  3. Morgan, B. P., M. J. Walport. 1991. Complement deficiency and disease. Immunol. Today 12: 301-306. [Medline]
  4. Price, R. J., B. Boettcher. 1979. The presence of complement in human cervical mucus and its possible relevance to infertility in women with complement-dependent sperm-immobilizing antibodies. Fertil. Steril. 32: 61-66. [Medline]
  5. Ram, S., M. Cullinane, A. M. Blom, S. Gulati, D. P. McQuillen, B. G. Monks, C. O’ Connell, R. Boden, C. Elkins, M. K. Pangburn, et al 2001. Binding of C4b-binding protein to porin: a molecular mechanism of serum resistance of Neisseria gonorrhoeae. J. Exp. Med. 193: 281-296. [Abstract/Free Full Text]
  6. Gigli, I., T. Fujita, V. Nussenzweig. 1979. Modulation of the classical pathway C3 convertase by plasma protein C4b binding and C3b inactivator. Proc. Natl. Acad. Sci. USA 76: 6596-6600. [Abstract/Free Full Text]
  7. Blom, A. M., L. Kask, B. Dahlbäck. 2003. CCP1–4 of the C4b-binding protein a-chain are required for factor I mediated cleavage of C3b. Mol. Immunol. 39: 547-556. [Medline]
  8. Kask, L., A. Hillarp, B. Ramesh, B. Dahlbäck, A. M. Blom. 2002. Structural requirements for the intra-cellular subunit polymerization of the complement inhibitor C4b-binding protein. Biochemistry 41: 9349-9357. [Medline]
  9. Kirkitadze, M. D., P. N. Barlow. 2001. Structure and flexibility of the multiple domain proteins that regulate complement activation. Immunol. Rev. 180: 146-161. [Medline]
  10. Dahlbäck, B., C. A. Smith, H. J. Müller Eberhard. 1983. Visualization of human C4b-binding protein and its complexes with vitamin K-dependent protein S and complement protein C4b. Proc. Natl. Acad. Sci. USA 80: 3461-3465. [Abstract/Free Full Text]
  11. Massari, P., S. Ram, H. Macleod, L. M. Wetzler. 2003. The role of porins in neisserial pathogenesis and immunity. Trends Microbiol. 11: 87-93. [Medline]
  12. Jerse, A. E.. 1999. Experimental gonococcal genital tract infection and opacity protein expression in estradiol-treated mice. Infect. Immun. 67: 5699-5708. [Abstract/Free Full Text]
  13. Arko, R. J.. 1989. Animal models for pathogenic Neisseria species. Clin. Microbiol. Rev. 2: (Suppl.):S56-S59. [Free Full Text]
  14. Ngampasutadol, J., S. Ram, A. M. Blom, H. Jarva, A. E. Jerse, E. Lien, J. Goguen, S. Gulati, P. A. Rice. 2005. Human C4b-binding protein selectively interacts with Neisseria gonorrhoeae and results in species-specific infection. Proc. Natl. Acad. Sci. USA 102: 17142-17147. [Abstract/Free Full Text]
  15. Jenkins, H. T., L. Mark, G. Ball, J. Persson, G. Lindahl, D. Uhrin, A. M. Blom, P. N. Barlow. 2006. Human C4b-binding protein, structural basis for interaction with streptococcal M protein, a major bacterial virulence factor. J. Biol. Chem. 281: 3690-3697. [Abstract/Free Full Text]
  16. Dahlbäck, B.. 1983. Purification of human C4b-binding protein and formation of its complex with vitamin K-dependent protein S. Biochem. J. 209: 847-856. [Medline]
  17. Andersson, M., A. Hanson, G. Englund, B. Dahlbäck. 1991. Inhibition of complement components C3 and C4 by cadralazine and its active metabolite. Eur. J. Clin. Pharmacol. 40: 261-265. [Medline]
  18. Crossley, L., R. Porter. 1980. Purification of the human complement control protein C3b inactivator. Biochem. J. 191: 173-182. [Medline]
  19. Zabern, I., E. Bloom, V. Chu, I. Gigli. 1982. The fourth component of human complement treated with amines or chaotropes or frozen-thawed (C4b-like C4): interaction with C4 binding protein and cleavage by C3b/C4b inactivator. J. Immunol. 128: 1433-1438. [Abstract]
  20. Härdig, Y., A. Hillarp, B. Dahlbäck. 1997. The amino-terminal module of the C4b-binding protein {alpha}-chain is crucial for C4b binding and factor I-cofactor function. Biochem. J. 323: 469-475. [Medline]
  21. Carbonetti, N., V. Simnad, C. Elkins, P. F. Sparling. 1990. Construction of isogenic gonococci with variable porin structure: effects on susceptibility to human serum and antibiotics. Mol. Microbiol. 4: 1009-1018. [Medline]
  22. Blom, A. M., L. Kask, B. Dahlbäck. 2001. Structural requirements for the complement regulatory activities of C4BP. J. Biol. Chem. 276: 27136-27144. [Abstract/Free Full Text]
  23. Blom, A. M., J. Webb, B. O. Villoutreix, B. Dahlbäck. 1999. A cluster of positively charged amino acids in the N-terminal modules of the C4BP a-chain is crucial for C4b binding and factor I cofactor function. J. Biol. Chem. 274: 19237-19245. [Abstract/Free Full Text]
  24. Arko, R. J., S. J. Kraus, W. J. Brown, T. M. Buchanan, U. S. Kuhn. 1974. Neisseria gonorrhoeae: effects of systemic immunization on resistance of chimpanzees to urethral infection. J. Infect. Dis. 130: 160-164. [Medline]
  25. Carlsson, F., K. Berggård, M. Stalhammar-Carlemalm, G. Lindahl. 2003. Evasion of phagocytosis through cooperation between two ligand-binding regions in Streptococcus pyogenes M protein. J. Exp. Med. 198: 1057-1068. [Abstract/Free Full Text]
  26. Blom, A. M., K. Berggård, J. H. Webb, G. Lindahl, B. O. Villoutreix, B. Dahlbäck. 2000. Human C4b-binding protein has overlapping but not identical binding sites for C4b and streptococcal M proteins. J. Immunol. 164: 5328-5336. [Abstract/Free Full Text]
  27. Nordström, T., A. M. Blom, A. Forsgren, K. Riesbeck. 2004. The emerging pathogen Moraxella catarrhalis interacts with complement inhibitor C4b-binding protein through ubiquitous surface proteins A1 and A2. J. Immunol. 173: 4598-4606. [Abstract/Free Full Text]
  28. Berggård, K., G. Lindahl, B. Dahlbäck, A. M. Blom. 2001. Bordetella pertussis binds to human C4b-binding protein (C4BP) at a site similar to that used by the natural ligand C4b. Eur. J. Immunol. 31: 2771-2780. [Medline]
  29. Prasadarao, N. V., A. M. Blom, B. O. Villoutreix, L. C. Linsangan. 2002. A novel interaction of outer membrane protein A with C4b-binding protein mediates serum resistance of Escherichia coli K1. J. Immunol. 169: 6352-6360. [Abstract/Free Full Text]
  30. Wooster, D. G., R. Maruvada, A. M. Blom, N. V. Prasadarao. 2006. Logarithmic phase Escherichia coli K1 efficiently avoids serum killing by promoting C4bp-mediated C3b and C4b degradation. Immunology 117: 482-493. [Medline]
  31. Meri, T., S. J. Cutler, A. M. Blom, S. Meri, T. S. Jokiranta. 2006. Relapsing fever spirochetes Borrelia recurrentis and B. duttonii acquire complement regulators C4b-binding protein and factor H. Infect. Immun. 74: 4157-4163. [Abstract/Free Full Text]
  32. Jarva, H., S. Ram, U. Vogel, A. M. Blom, S. Meri. 2005. Binding of the complement inhibitor C4bp to serogroup B Neisseria meningitidis. J. Immunol. 174: 6299-6307. [Abstract/Free Full Text]
  33. Meri, T., A. M. Blom, A. Hartmann, D. Lenk, S. Meri, P. F. Zipfel. 2004. The yeast and hyphal forms of Candida albicans bind complement regulator C4b-binding protein. Infect. Immun. 11: 6633-6641.
  34. Hallström, T., H. Jarva, K. Riesbeck, A. M. Blom. 2007. Interaction with C4b-binding protein contributes to non-typeable Haemophilus influenzae serum resistance. J. Immunol. 178: 6359-6366. [Abstract/Free Full Text]
  35. Villoutreix, B. O., Y. Härdig, A. Wallqvist, D. G. Covell, P. Garcia de Frutos, B. Dahlbäck. 1998. Structural investigation of C4b-binding protein by molecular modeling: localization of putative binding sites. Proteins 31: 391-405. [Medline]
  36. Fromm, J. R., R. E. Hileman, E. E. Caldwell, J. M. Weiler, R. J. Linhardt. 1997. Pattern and spacing of basic amino acids in heparin binding sites. Arch. Biochem. Biophys. 343: 92-100. [Medline]



This article has been cited by other articles:


Home page
J. Immunol.Home page
A. Dieudonne-Vatran, S. Krentz, A. M. Blom, S. Meri, B. Henriques-Normark, K. Riesbeck, and B. Albiger
Clinical Isolates of Streptococcus pneumoniae Bind the Complement Inhibitor C4b-Binding Protein in a PspC Allele-Dependent Fashion
J. Immunol., June 15, 2009; 182(12): 7865 - 7877.
[Abstract] [Full Text] [PDF]


Home page
Infect. Immun.Home page
J. Shaughnessy, L. A. Lewis, H. Jarva, and S. Ram
Functional Comparison of the Binding of Factor H Short Consensus Repeat 6 (SCR 6) to Factor H Binding Protein from Neisseria meningitidis and the Binding of Factor H SCR 18 to 20 to Neisseria gonorrhoeae Porin
Infect. Immun., May 1, 2009; 77(5): 2094 - 2103.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Jarva, H.
Right arrow Articles by Blom, A. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Jarva, H.
Right arrow Articles by Blom, A. M.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS