Plant-derived recombinant immune complexes as self-adjuvanting TB immunogens for mucosal boosting of BCG.

Progress with protein-based tuberculosis (TB) vaccines has been limited by poor availability of adjuvants suitable for human application. Here, we developed and tested a novel approach to molecular engineering of adjuvanticity that circumvents the need for exogenous adjuvants. Thus, we generated and expressed in transgenic tobacco plants the recombinant immune complexes (RICs) incorporating the early secreted Ag85B and the latency-associated Acr antigen of Mycobacterium tuberculosis, genetically fused as a single polypeptide to the heavy chain of a monoclonal antibody to Acr. The RICs were formed by virtue of the antibody binding to Acr from adjacent molecules, thus allowing self-polymerization of the complexes. TB-RICs were purified from the plant extracts and shown to be biologically active by demonstrating that they could bind to C1q component of the complement and also to the surface of antigen-presenting cells. Mice immunized with BCG and then boosted with two intranasal immunizations with TB-RICs developed antigen-specific serum IgG antibody responses with mean end-point titres of 1 : 8100 (Acr) and 1 : 24 300 (Ag85B) and their splenocytes responded to in vitro stimulation by producing interferon gamma. 25% of CD4+ proliferating cells simultaneously produced IFN-γ, IL-2 and TNF-α, a phenotype that has been linked with protective immune responses in TB. Importantly, mucosal boosting of BCG-immunized mice with TB-RICs led to a reduced M. tuberculosis infection in their lungs from log10 mean = 5.69 ± 0.1 to 5.04 ± 0.2, which was statistically significant. We therefore propose that the plant-expressed TB-RICs represent a novel molecular platform for developing self-adjuvanting mucosal vaccines.

[1]  H. Weiner,et al.  Peripheral deletion of antigen-reactive T cells in oral tolerance , 1995, Nature.

[2]  G. Dougan,et al.  Transmission of IgA and IgG Monoclonal Antibodies to Mucosal Fluids following Intranasal or Parenteral Delivery , 2000, International Archives of Allergy and Immunology.

[3]  Mahavir Singh,et al.  Passive protection with immunoglobulin A antibodies against tuberculous early infection of the lungs , 2004, Immunology.

[4]  R. Reljic,et al.  Mucosal immunotherapy of tuberculosis: is there a value in passive IgA? , 2006, Tuberculosis.

[5]  Andersen,et al.  Comparison of Antigen‐Specific T‐Cell Responses of Tuberculosis Patients using Complex or Single Antigens of Mycobacterium tuberculosis , 1998, Scandinavian journal of immunology.

[6]  P. Andersen,et al.  Human T-cell responses to secreted antigen fractions of Mycobacterium tuberculosis , 1995, Infection and immunity.

[7]  J. Dye,et al.  A nonreplicating subunit vaccine protects mice against lethal Ebola virus challenge , 2011, Proceedings of the National Academy of Sciences.

[8]  R. Reljic,et al.  Intranasal IFNγ extends passive IgA antibody protection of mice against Mycobacterium tuberculosis lung infection , 2006, Clinical and experimental immunology.

[9]  M. Paul,et al.  Immune-Complex Mimics as a Molecular Platform for Adjuvant-Free Vaccine Delivery , 2013, PloS one.

[10]  S. Kaufmann Tuberculosis vaccine development: strength lies in tenacity. , 2012, Trends in immunology.

[11]  J. Atabekov,et al.  Superexpression of tuberculosis antigens in plant leaves. , 2007, Tuberculosis.

[12]  A. Thomas,et al.  Protection of macaques against Mycobacterium tuberculosis infection by a subunit vaccine based on a fusion protein of antigen 85B and ESAT-6. , 2005, Vaccine.

[13]  N. Fairweather,et al.  Highly Immunogenic and Protective Recombinant Vaccine Candidate Expressed in Transgenic Plants , 2005, Infection and Immunity.

[14]  C. Watts,et al.  Antibody modulation of antigen presentation: positive and negative effects on presentation of the tetanus toxin antigen via the murine B cell isoform of FcγRII , 2002, European journal of immunology.

[15]  J. Ma,et al.  Expression of an immunogenic Ebola immune complex in Nicotiana benthamiana. , 2011, Plant biotechnology journal.

[16]  F. Quiocho,et al.  Mycobacterium tuberculosis 16-kDa Antigen (Hsp16.3) Functions as an Oligomeric Structure in Vitro to Suppress Thermal Aggregation (*) , 1996, The Journal of Biological Chemistry.

[17]  R. M. Simpson,et al.  The 16-kDa alpha-crystallin (Acr) protein of Mycobacterium tuberculosis is required for growth in macrophages. , 1998, Proceedings of the National Academy of Sciences of the United States of America.

[18]  C. Navarre,et al.  Production of antibodies in plants: status after twenty years. , 2010, Plant biotechnology journal.

[19]  K. Pavelić,et al.  Cellular immune response to the antigen administered as an immune complex. , 1991, Immunology.

[20]  G. Klaus The generation of memory cells. II. Generation of B memory cells with preformed antigen-antibody complexes. , 1978, Immunology.

[21]  M. Brennan,et al.  Preclinical evidence for implementing a prime-boost vaccine strategy for tuberculosis. , 2012, Vaccine.

[22]  M. Pezzotti,et al.  Pharmaceutical Proteins in Plants , 2008, Annals of the New York Academy of Sciences.

[23]  M. Horwitz,et al.  A New Vaccine against Tuberculosis Affords Greater Survival after Challenge than the Current Vaccine in the Guinea Pig Model of Pulmonary Tuberculosis , 2003, Infection and Immunity.

[24]  T. Ottenhoff,et al.  Immunogenicity of Eight Dormancy Regulon-Encoded Proteins of Mycobacterium tuberculosis in DNA-Vaccinated and Tuberculosis-Infected Mice , 2006, Infection and Immunity.

[25]  Joe D. Cohen,et al.  The candidate tuberculosis vaccine Mtb72F/AS02A: Tolerability and immunogenicity in humans , 2009, Human vaccines.

[26]  F. Studier Use of bacteriophage T7 lysozyme to improve an inducible T7 expression system. , 1991, Journal of molecular biology.

[27]  B. Heyman The immune complex: possible ways of regulating the antibody response. , 1990, Immunology today.

[28]  B. Heyman,et al.  Dual Immunoregulatory Effects of Monoclonal IgG‐Antibodies: Suppression and Enhancement of the Antibody Response , 1989, Scandinavian journal of immunology.

[29]  S. Kaufmann,et al.  Recombinant BCG ΔureC hly+ Induces Superior Protection Over Parental BCG by Stimulating a Balanced Combination of Type 1 and Type 17 Cytokine Responses , 2011, The Journal of infectious diseases.

[30]  S. Streatfield,et al.  Clinical development of plant-produced recombinant pharmaceuticals: Vaccines, antibodies and beyond , 2011, Human vaccines.

[31]  Yu-Jin Jung,et al.  Expression levels of Mycobacterium tuberculosis antigen‐encoding genes versus production levels of antigen‐specific T cells during stationary level lung infection in mice , 2006, Immunology.

[32]  Martin Tompa,et al.  Rv3133c/dosR is a transcription factor that mediates the hypoxic response of Mycobacterium tuberculosis , 2003, Molecular microbiology.

[33]  P. Andersen,et al.  Cationic Liposomes Formulated with Synthetic Mycobacterial Cordfactor (CAF01): A Versatile Adjuvant for Vaccines with Different Immunological Requirements , 2008, PloS one.

[34]  A. L. Sørensen,et al.  Recall of long-lived immunity to Mycobacterium tuberculosis infection in mice. , 1995, Journal of immunology.

[35]  Z. Xing,et al.  Intranasal Boosting with an Adenovirus-Vectored Vaccine Markedly Enhances Protection by Parenteral Mycobacterium bovis BCG Immunization against Pulmonary Tuberculosis , 2006, Infection and Immunity.

[36]  E. Agger,et al.  Protective immunity to tuberculosis with Ag85B-ESAT-6 in a synthetic cationic adjuvant system IC31. , 2006, Vaccine.

[37]  J. Ma,et al.  Characterization of VRC01, a potent and broadly neutralizing anti‐HIV mAb, produced in transiently and stably transformed tobacco , 2013, Plant biotechnology journal.

[38]  H. McShane,et al.  Recombinant modified vaccinia virus Ankara expressing antigen 85A boosts BCG-primed and naturally acquired antimycobacterial immunity in humans , 2004, Nature Medicine.

[39]  P. Andersen,et al.  Tuberculosis Subunit Vaccination Provides Long-Term Protective Immunity Characterized by Multifunctional CD4 Memory T Cells1 , 2009, The Journal of Immunology.

[40]  S. Lockhart,et al.  Safety and efficacy of MVA85A, a new tuberculosis vaccine, in infants previously vaccinated with BCG: a randomised, placebo-controlled phase 2b trial , 2013, The Lancet.

[41]  B. Berkhout,et al.  Adenovirus types 5 and 35 seroprevalence in AIDS risk groups supports type 35 as a vaccine vector , 2004, AIDS.

[42]  A. Cataldi,et al.  Expression of tuberculosis antigen ESAT-6 in Nicotiana tabacum using a potato virus X-based vector. , 2006, Tuberculosis.

[43]  G. Khuller,et al.  Enhanced immunoprotective potential of Mycobacterium tuberculosis Ag85 complex protein based vaccine against airway Mycobacterium tuberculosis challenge following intranasal administration. , 2006, FEMS immunology and medical microbiology.

[44]  Ann Williams,et al.  Protective Effect of a Tuberculosis Subunit Vaccine Based on a Fusion of Antigen 85B and ESAT-6 in the Aerosol Guinea Pig Model , 2004, Infection and Immunity.

[45]  F. Hudecz,et al.  Characterization of HLA‐DR‐ and TCR‐binding residues of an immunodominant and genetically permissive peptide of the 16‐kDa protein of Mycobacterium tuberculosis , 2004, European journal of immunology.

[46]  Mario Roederer,et al.  Multifunctional TH1 cells define a correlate of vaccine-mediated protection against Leishmania major , 2007, Nature Medicine.

[47]  Singh,et al.  Human T‐ and B‐Cell Reactivity to the 16 kDa α‐Crystallin Protein of Mycobacterium tuberculosis , 1998, Scandinavian journal of immunology.

[48]  D. Crane,et al.  Stationary phase-associated protein expression in Mycobacterium tuberculosis: function of the mycobacterial alpha-crystallin homolog , 1996, Journal of bacteriology.

[49]  A. Lanzavecchia,et al.  Modulation of antigen processing by bound antibodies can boost or suppress class II major histocompatibility complex presentation of different T cell determinants , 1995, The Journal of experimental medicine.

[50]  H. Wiker,et al.  The antigen 85 complex: a major secretion product of Mycobacterium tuberculosis. , 1992, Microbiological reviews.

[51]  A. Lanzavecchia,et al.  Efficient and selective presentation of antigen-antibody complexes by rheumatoid factor B cells , 1991, The Journal of experimental medicine.

[52]  S. Kaufmann,et al.  Novel recombinant BCG expressing perfringolysin O and the over-expression of key immunodominant antigens; pre-clinical characterization, safety and protection against challenge with Mycobacterium tuberculosis. , 2009, Vaccine.