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CLINICAL AND VACCINE IMMUNOLOGY, June 2010, p. 1027–1033 Vol. 17, No. 6 1556-6811/10/$12.00 doi:10.1128/CVI.00468-09 Copyright © 2010, American Society for Microbiology. All Rights Reserved. Construction and Immunological Evaluation of Multivalent Hepatitis B Virus (HBV) Core Virus-Like Particles Carrying HBV and HCV Epitopes Irina Sominskaya,* Dace Skrastina, Andris Dislers, Denis Vasiljev, Marija Mihailova, Velta Ose, Dzidra Dreilina, and Paul Pumpens Latvian Biomedical Research and Study Centre, Ratsupites Street 1, LV-1067 Riga, Latvia Received 13 November 2009/Returned for modification 6 February 2010/Accepted 9 April 2010 A multivalent vaccine candidate against hepatitis B virus (HBV) and hepatitis C virus (HCV) infections was constructed on the basis of HBV core (HBc) virus-like particles (VLPs) as carriers. Chimeric VLPs that carried a virus-neutralizing HBV pre-S1 epitope corresponding to amino acids (aa) 20 to 47 in the major immuno- dominant region (MIR) and a highly conserved N-terminal HCV core epitope corresponding to aa 1 to 60 at the C terminus of the truncated HBc protein (N-terminal aa 1 to 144 of full-length HBc) were produced in Escherichia coli cells and examined for their antigenicity and immunogenicity. The presence of two different foreign epitopes within the HBc molecule did not interfere with its VLP-forming ability, with the HBV pre-S1 epitope exposed on the surface and the HCV core epitope buried within the VLPs. After immunization of BALB/c mice, specific T-cell activation by both foreign epitopes and a high-titer antibody response against the pre-S1 epitope were found, whereas an antibody response against the HBc carrier was notably suppressed. Both inserted epitopes also induced a specific cytotoxic-T-lymphocyte (CTL) response, as shown by the gamma interferon (IFN-) production profile. Genetically engineered virus-like particle (VLP)-based vac- cines are one of the most promising tools in modern vaccinol- ogy. VLPs from almost all classes of viruses are being evalu- ated now or have just been adopted to use as carriers for presentation of foreign immunological epitopes (for a review, see references 29 and 31). VLP technologies possess obvious advantages for the generation of safe and efficacious vaccines. First, the repetitive antigenic structure of VLPs makes them highly immunogenic. Second, VLPs lack viral genomes or genes and are noninfectious, although they mimic infectious viruses in their structural and immunological features. Third, VLPs are generated by highly efficient heterologous expression of the cloned viral structural genes with subsequent quantita- tive in vivo or in vitro self-assembly of their products. Fourth, VLPs can be obtained by simple and efficient purification pro- cedures. VLPs can be used for a broad range of applications, but the generation of vaccines against hepatitis B virus (HBV) and hepatitis C virus (HCV) infections is of special interest. The HBV core (HBc) protein was first reported as a prom- ising VLP carrier in 1986 and was published in 1987 (6, 10, 24). In many ways, HBc occupies a unique position among the VLP carriers because of its high-level synthesis and efficient self- assembly in virtually all known homologous and heterologous expression systems, including bacteria (for a review, see refer- ences 29 to 31). The major HBc B-cell epitopes (c and e1) are localized within the major immunodominant region (MIR), whereas the next important epitope, e2, is localized around amino acid position 130, close to the C-terminal histone-like region (for a review, see reference 30). The high-resolution spatial structure of HBc icosahedrons (11, 43) shows that the MIR is located on the tip of the spike, around the most protruding region between amino acids (aa) 78 and 82. For this reason, the MIR is generally accepted as the target site of choice for insertion of foreign epitopes (30). The other widely accepted site for insertions is C-terminal position 144, a short stretch after the e2 epitope. For C-termi- nal insertions, so-called HBc vectors lacking a 39-aa-long positively charged C-terminal histone-like fragment are pre- ferred for their high insertion capacities (up to 741 amino acid residues) (30). Here, we present the construction and preliminary immuno- logical characterization of a first multivalent HBV and HCV vaccine candidate. As an HBV epitope, we chose the pre-S1 sequence aa 20 to 47, which alone is able to elicit HBV- neutralizing and protective antibodies (23), for insertion into the HBc MIR. Concurrently, we inserted at the C terminus of the HBc vector the N-terminal 60-aa fragment of the HCV core, which is highly conserved among various HCV genotypes with amino acid homology exceeding 95% (12, 14) and there- fore is an attractive target for the generation of an HCV vaccine (19, 41). Such a combination of foreign epitopes did not prevent correct self-assembly of chimeric HBc-based par- ticles and provided them with specific HBV and HCV antige- nicity and immunogenicity in mice. MATERIALS AND METHODS Construction of recombinant plasmids. Escherichia coli strains RR1 [F r B m B leuB6 proA2 thi-1 araC14 lacY1 galK2 xyl-5 mtl-1 rpsL20 (Str r ) glnV44 (mcrC-mrr)] and DH5 [ 80dlacZM15 (lacZYA-argF)U169 recA1 endA1 hsdR17(r K m K ) supE44 thi-1 gyrA relA1] were used for cloning and selection of recombinant plasmids; K802 (F r K m K e14 McrA metB1 lacY1 [or lacI-Y6] * Corresponding author. Mailing address: Latvian Biomedical Re- search and Study Centre, Ratsupites Street 1, LV-1067 Riga, Latvia. Phone: 371-67808200. Fax: 371-67442407. E-mail: [email protected]. Published ahead of print on 21 April 2010. 1027 on April 27, 2020 by guest http://cvi.asm.org/ Downloaded from

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Page 1: Construction and Immunological Evaluation of Multivalent ... immunodiffusion using polyclonal rabbit anti-HBc antibodies. The stability of VLPs was determined by evaluation of fluorescence-based

CLINICAL AND VACCINE IMMUNOLOGY, June 2010, p. 1027–1033 Vol. 17, No. 61556-6811/10/$12.00 doi:10.1128/CVI.00468-09Copyright © 2010, American Society for Microbiology. All Rights Reserved.

Construction and Immunological Evaluation of MultivalentHepatitis B Virus (HBV) Core Virus-Like Particles

Carrying HBV and HCV Epitopes�

Irina Sominskaya,* Dace Skrastina, Andris Dislers, Denis Vasiljev, Marija Mihailova,Velta Ose, Dzidra Dreilina, and Paul Pumpens

Latvian Biomedical Research and Study Centre, Ratsupites Street 1, LV-1067 Riga, Latvia

Received 13 November 2009/Returned for modification 6 February 2010/Accepted 9 April 2010

A multivalent vaccine candidate against hepatitis B virus (HBV) and hepatitis C virus (HCV) infections wasconstructed on the basis of HBV core (HBc) virus-like particles (VLPs) as carriers. Chimeric VLPs that carrieda virus-neutralizing HBV pre-S1 epitope corresponding to amino acids (aa) 20 to 47 in the major immuno-dominant region (MIR) and a highly conserved N-terminal HCV core epitope corresponding to aa 1 to 60 atthe C terminus of the truncated HBc� protein (N-terminal aa 1 to 144 of full-length HBc) were produced inEscherichia coli cells and examined for their antigenicity and immunogenicity. The presence of two differentforeign epitopes within the HBc molecule did not interfere with its VLP-forming ability, with the HBV pre-S1epitope exposed on the surface and the HCV core epitope buried within the VLPs. After immunization ofBALB/c mice, specific T-cell activation by both foreign epitopes and a high-titer antibody response against thepre-S1 epitope were found, whereas an antibody response against the HBc carrier was notably suppressed.Both inserted epitopes also induced a specific cytotoxic-T-lymphocyte (CTL) response, as shown by the gammainterferon (IFN-�) production profile.

Genetically engineered virus-like particle (VLP)-based vac-cines are one of the most promising tools in modern vaccinol-ogy. VLPs from almost all classes of viruses are being evalu-ated now or have just been adopted to use as carriers forpresentation of foreign immunological epitopes (for a review,see references 29 and 31). VLP technologies possess obviousadvantages for the generation of safe and efficacious vaccines.First, the repetitive antigenic structure of VLPs makes themhighly immunogenic. Second, VLPs lack viral genomes orgenes and are noninfectious, although they mimic infectiousviruses in their structural and immunological features. Third,VLPs are generated by highly efficient heterologous expressionof the cloned viral structural genes with subsequent quantita-tive in vivo or in vitro self-assembly of their products. Fourth,VLPs can be obtained by simple and efficient purification pro-cedures. VLPs can be used for a broad range of applications,but the generation of vaccines against hepatitis B virus (HBV)and hepatitis C virus (HCV) infections is of special interest.

The HBV core (HBc) protein was first reported as a prom-ising VLP carrier in 1986 and was published in 1987 (6, 10, 24).In many ways, HBc occupies a unique position among the VLPcarriers because of its high-level synthesis and efficient self-assembly in virtually all known homologous and heterologousexpression systems, including bacteria (for a review, see refer-ences 29 to 31). The major HBc B-cell epitopes (c and e1) arelocalized within the major immunodominant region (MIR),whereas the next important epitope, e2, is localized around

amino acid position 130, close to the C-terminal histone-likeregion (for a review, see reference 30).

The high-resolution spatial structure of HBc icosahedrons(11, 43) shows that the MIR is located on the tip of the spike,around the most protruding region between amino acids (aa)78 and 82. For this reason, the MIR is generally accepted asthe target site of choice for insertion of foreign epitopes (30).The other widely accepted site for insertions is C-terminalposition 144, a short stretch after the e2 epitope. For C-termi-nal insertions, so-called HBc� vectors lacking a 39-aa-longpositively charged C-terminal histone-like fragment are pre-ferred for their high insertion capacities (up to 741 amino acidresidues) (30).

Here, we present the construction and preliminary immuno-logical characterization of a first multivalent HBV and HCVvaccine candidate. As an HBV epitope, we chose the pre-S1sequence aa 20 to 47, which alone is able to elicit HBV-neutralizing and protective antibodies (23), for insertion intothe HBc MIR. Concurrently, we inserted at the C terminus ofthe HBc� vector the N-terminal 60-aa fragment of the HCVcore, which is highly conserved among various HCV genotypeswith amino acid homology exceeding 95% (12, 14) and there-fore is an attractive target for the generation of an HCVvaccine (19, 41). Such a combination of foreign epitopes didnot prevent correct self-assembly of chimeric HBc-based par-ticles and provided them with specific HBV and HCV antige-nicity and immunogenicity in mice.

MATERIALS AND METHODS

Construction of recombinant plasmids. Escherichia coli strains RR1 [F� rB�

mB� leuB6 proA2 thi-1 araC14 lacY1 galK2 xyl-5 mtl-1 rpsL20 (Strr) glnV44

�(mcrC-mrr)] and DH5� [�� �80dlacZ�M15 �(lacZYA-argF)U169 recA1 endA1hsdR17(rK

� mK�) supE44 thi-1 gyrA relA1] were used for cloning and selection

of recombinant plasmids; K802 (F� rK� mK

�e14 McrA metB1 lacY1 [or lacI-Y6]

* Corresponding author. Mailing address: Latvian Biomedical Re-search and Study Centre, Ratsupites Street 1, LV-1067 Riga, Latvia.Phone: 371-67808200. Fax: 371-67442407. E-mail: [email protected].

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galK2 galT22 glnV44 mcrB) and BL21 [F� ompT hsdSB(rB� mB

�) gal dcm] wereused for expression of recombinant HBc-derived genes.

Figure 1 summarizes the construction of all plasmids used in this work. TheHBc�–pre-S1 plasmid contains a DNA fragment, which encodes pre-S1 aa res-idues 20 to 47 within the MIR and was constructed by amplification of a pre-S1(20-47) fragment from the pHB320 plasmid (28), using as primers oligonucle-otides 5�-AATCCTCTGGGATTCTTTCC-3� and 5�-GGGATTGAAGTCCCAATCTGG-3�; the fragment obtained was ligated into the Eco72I- and Eco105I-cleaved p2-19 vector (5). The HBc�-HCV core was obtained analogously asHBc�-HCVcore (aa 1-98 [referred to hereafter as 1-98]) described previously(21). Plasmids HBc�–pre-S1 and HBc�-HCVcore were cleaved with XbaI andKpn21I (Fermentas, Lithuania), and after ligation, transformation, analyticalrestriction, and sequencing, plasmid HBc�–pre-S1–HCVcore was obtained. AllHBc�-derived genes were expressed under the control of the E. coli Trp pro-moter, which allowed a high expression level without induction. The constructionof recombinant HCV core antigen (His-tagged protein 1-98) and its purificationusing Ni-nitrilotriacetic acid (NTA) resin was described previously (22). Thepurity of the HCV core (1-98) protein according to Coomassie blue staining ofthe SDS-PAGE gel was 95%.

Monoclonal and polyclonal antibodies. The monoclonal mouse antibodiesanti–pre-S1 MA18/7 (37), anti-HBc 13C9 and C1-5 (3), and anti-HCV coreHCM-071-5 (Austral Biologicals, San Ramon, CA), as well as the rabbit poly-clonal anti-HCV core 34-7 antibody (1), were used in this work.

Cultivation and purification of HBc�, HBc�–pre-S1, HBc�-HCV core, andHBc�-preS1-HCV core VLPs. Cultivation of bacteria and purification of HBc�-derived proteins were based generally on the previously described method (11).

Transformed E. coli K802 cells were grown overnight on a shaker at 37°C in750-ml flasks containing 300 ml of M9 minimal medium supplemented with 1%Casamino Acids (Difco) and 0.2% glucose with a final optical density at 540 nm(OD540) of 2 to 5. The cells were pelleted and lysed by 30 min of incubation onice in lysis buffer containing 50 mM Tris-HCl (pH 8.0), 5 mM EDTA, 50 �g/mlphenylmethylsulfonyl fluoride (PMSF), and 0.5 M urea and then ultrasonicated5 times for 15 s each time at 22 kHz. After clarification, the proteins wereprecipitated with ammonium sulfate at 33% saturation overnight at 4°C. Thepellets were resuspended in a phosphate-buffered saline (PBS) buffer containing0.1% Triton X-100, PMSF, and 0.9 M urea, and 5 ml of the solution was loadedon a Sepharose CL-4B column (2.5 by 85 cm) and eluted with PBS buffer withoutTriton X-100. The presence of HBc-containing material in fractions was tested bySDS-PAGE. Positive fractions were pooled and concentrated by ammoniumsulfate precipitation at 33% saturation for 20 h at 4°C. The pellets were resus-pended in 0.9 M urea in PBS to a final concentration of about 5 to 20 mg/ml,dialyzed overnight against 2,000 volumes of the same buffer, and stored at �70°Cor at �20°C in 50% glycerol.

The purified proteins were analyzed by Western blotting with mouse mono-clonal anti-HBc 13C9 antibodies, mouse monoclonal anti-pre-S1 MA18/7 anti-bodies, and polyclonal rabbit anti-HCV core 34-7 antibodies, as well as by doubleradial immunodiffusion using polyclonal rabbit anti-HBc antibodies.

The stability of VLPs was determined by evaluation of fluorescence-basedthermal shift in accordance with the previously described methodology (20). Themelting points of VLPs in starting buffer and in the presence of 0.5 M NaCl and20 mM dithiothreitol (DTT) were compared.

Electron microscopy. VLPs in suspension were adsorbed to carbon-Formvar-coated copper grids and negatively stained with 1% uranyl acetate aqueoussolution. The grids were examined with a JEM-1230 electron microscope (Jeol

Ltd., Tokyo, Japan) at 100 kV. The ratio of T3 and T4 particles was calcu-lated on different independent electron microscopy images on the basis of di-ameter measurement.

Mice and immunization schemes. Female BALB/c (H-2d) mice, 6 to 8 weeksof age and weighing 18 to 20 g, were obtained from the Animal Breeding Centreof the Institute of Virology, Riga, Latvia, and held at the Latvian BiomedicalResearch and Study Centre. Five mice in each group were immunized subcuta-neously with 25 �g of the appropriate protein, HBc�, HBc�–pre-S1, HBc�-HCV core, or HBc�–pre-S1–HCV core, in 200 �l of sterile PBS. No adjuvantswere used for immunizations. On day 14 after the first immunization, the second25-�g boost was performed. For monitoring of the humoral response, immuneserum was collected 14 days after the first and second immunizations. For T-cellproliferation tests, mice were sacrificed and spleens were obtained at day 28 afterthe first immunization. The ethics of the mouse immunization experiments forthe Latvian Biomedical Research and Study Centre (registration number025413) were approved in compliance with the Latvian Animal Protection Law(certificate no. 4 from the Food and Veterinary Service, 8 January 2009) on thebasis of the decision of the Council for Ethical Treatment of Animals in Latvia.

ELISAs. Direct and competitive enzyme-linked immunosorbent assays (ELISAs)were performed, in general, as described in reference 36. Recombinant HBc,HCV core (1-98), and pre-S1 peptide aa 20 to 47 were adsorbed overnight at 4°Cto 96-well plates (Nunc) at 10 �g/ml in 50 mM sodium carbonate buffer, pH 9.6.After being blocked with PBS containing 1% bovine serum albumin (BSA) for1 h at 37°C, serial dilutions of mouse sera were added to the plates and incubatedfor an additional 1 h at 37°C. After being washed 3 times with PBS containing0.05% Tween 20, an anti-mouse IgG horseradish peroxidase-conjugated anti-body (Sigma) was applied at a 1:1,000 dilution. Following 1 h of incubation at37°C, the plates were washed, and substrate OPD (Sigma) was added for colordevelopment. The results were checked in an automatic reader (Multiscan,Sweden) at 492 nm. The endpoint titers were defined as the highest serumdilution that resulted in an absorbance value three times greater than that ofnegative-control sera derived from nonimmunized mice.

Detection of IgG isotypes. Detection of total IgG1 and IgG2a from sera ofimmunized mice was performed using a murine-antibody-isotyping ELISA kit(Sigma).

T-cell proliferation assay. Murine splenocytes were harvested using red bloodcell lysing buffer (Sigma). Single-cell suspensions were prepared (5 106 cells/ml) and cocultured in RPMI 1640 (Gibco, Germany) with the appropriate re-combinant protein or pre-S1(20-47) peptide with three consecutive 10 dilutionsof carrier VLPs or peptide starting from 10 �g/ml. Concanavalin A was used asa positive control at 4 �g/ml. The plates were then incubated for 72 h before theaddition of 1 �Ci of [3H]thymidine per well (TdR; Amersham). The cells wereharvested after 18 h onto cellulose filters, and the radioactivity was measured ona beta counter (Beckman). The results were presented as stimulation indexes(SI), which were calculated as a ratio of the mean cpm values obtained in thepresence and absence of a stimulator.

Cytokine test. For detection of interleukin 2 (IL-2), gamma interferon(IFN-�), and IL-10 cytokines in cell cultures, the supernatants from the wellswere removed at 24 h and at 48 h for IL-2, IL-10, and IFN-� measurements afterthe T-cell proliferation tests were started. Analysis for the presence of cytokinesin cell supernatants was performed using the commercial tests OptEIA MouseIFN-�, IL-2, and IL-10 ELISA Sets from BD Bioscience Pharmingen, accordingto the manufacturers’ instructions.

RESULTS

Structure and self-assembly of VLPs carrying the pre-S1(20-47) and HCV core (1-60) epitopes. The HBc�–pre-S1 fusionprotein was constructed by insertion of the pre-S1(20-47) frag-ment between positions 78 and 79 of the HBc� protein withthe intention of exposing the pre-S1 fragment on the surfaceof the HBc particle. The HBc�-HCV core fusion proteinwas constructed by the addition of HCV core fragment(1-60) downstream of amino acid residue 144 to displace thearginine-rich histone-like C terminus of the HBc molecule.The HBc�–pre-S1–HCV core fusion protein is HBc� withboth pre-S1(20-47) and core (1-60) fragments inserted as de-scribed above in HBc�–pre-S1 and HBc�-HCV core con-structs, respectively (Fig. 1).

FIG. 1. Schematic representation of chimeric HBc�-derived pro-tein-encoding genes constructed in the current work.

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Chimeric HBc�–pre-S1, HBc�-HCV core, and HBc�–pre-S1–HCV core proteins were purified and evaluated by Westernblot analysis with mouse monoclonal anti-HBc and anti-pre-S1antibodies and polyclonal anti-HCV core antibodies (Fig. 2),as well as by electron microscopy with negative staining (Fig.3). The expression level of chimeric proteins was around 5% ofthe total intracellular protein. The presence of VLP-like struc-tures was detected by double radial immunodiffusion usingpolyclonal rabbit anti-HBc antibodies. Chimeric proteins wereprecipitated by anti-HBc antibodies with the same efficiencyas nonchimeric HBc� VLPs, suggesting efficient formationof correctly folded VLPs (data not shown). The morphologyof particles in the chimeric VLP preparations did not differsignificantly from that of the particles in the nonchimericHBc� VLP preparation (Fig. 3). The HBc�, HBc�-HCV core,and HBc�–pre-S1–HCV core preparations demonstrated sim-ilar levels of the T3 particles: 23, 20, and 16%, respectively.It is surprising that HBc�–pre-S1 showed a much higher con-tent of T3 particles (35%).

The stability of VLPs was determined by comparing themelting points of VLPs in starting buffer and in the presenceof 0.5 M NaCl and 20 mM DTT (not shown). WhereasHBc�, HBc�–pre-S1, and HBc�-HCV core demonstratedsimilar melting points (77 to 80°C), double-inserted HBc�–pre-S1–HCV core VLPs were a bit less stable, with a meltingpoint of 67 to 69°C. For all VLP variants, the melting points didnot depend on the presence of 0.5 M NaCl and 20 mM DTT.

Surface exposure of foreign sequences on VLPs was checkedby competitive ELISA (Fig. 4), which showed that the pre-S1(20-47) epitope was well exposed but the HCV core (1-60)epitope was buried within the particles.

The presence of nucleic acids within chimeric VLPs wasdetermined by native agarose gel electrophoresis of VLPs (Fig.5). Nucleic acids were present in the HBc�-HCV core andHBc�–pre-S1–HCV core preparations, but not in the HBc�–pre-S1 and nonchimeric HBc� preparations.

Humoral response in mice. Animals were bled on days 14and 28 after immunization. The boost on day 14 led to a

significant increase of specific antibody response (compare Fig.6A and B). Control groups were immunized with the initialHBc� without any insertions, which induced anti-HBc anti-body response at a titer of 1:15,000.

Insertion of the pre-S1 epitope into the MIR led to a sub-stantial decrease of anti-HBc response (HBc�–pre-S1 andHBc�–pre-S1–HCV core), whereas C-terminal addition of the

FIG. 2. SDS-PAGE analysis of purified HBc�-derived proteins.(A) Coomassie blue-stained gel. (B to D) Western blotting with mousemonoclonal anti-HBc (a-HBc) antibody (B), mouse monoclonal anti-pre-S1 antibody (C), and rabbit polyclonal anti-HCV core antibody(D). Lanes: 1, HBc�; 2, HBc�–pre-S1; 3, HBc�-HCV core; 4, HBc�–pre-S1–HCV core. Lanes M, Page Ruler Plus Prestained Protein Lad-der and Prestained Protein Molecular Mass Marker (both from Fer-mentas, Lithuania) were used as molecular mass markers on thestained gel and on Western blots, respectively.

FIG. 3. Electron microscopy of purified HBc�-derived VLPs. (A)HBc� without insertions. (B) HBc�–pre-S1. (C) HBc�-HCV core.(D) HBc�–pre-S1–HCV core. Typical examples of T3 and T4particles are indicated by arrows. Scale bar, 50 nm.

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HCV core in the HBc�-HCV core construct did not affect theanti-HBc response. Surprisingly, the multivalent HBc�–pre-S1–HCV core VLPs induced a higher anti-pre-S1 antibodyresponse than HBc�–pre-S1 with a single epitope insertion.The humoral anti-HCV core response remained low in bothHBc�-HCV core and HBc�–pre-S1–HCV core VLP immuni-zations (Fig. 6).

Isotyping of IgG antibodies. We analyzed specific isotypeprofiles of observed antibodies of vaccinated mice. ChimericVLPs containing HCV core induced a predominantly IgG2aantibody response against the HBc carrier, whereas HBc� andHBc�–pre-S1 induced a predominantly IgG1 antibody re-

sponse (Fig. 7). In contrast, the antibody response againstpre-S1 remained predominantly IgG1. Levels of anti-HCV an-tibodies were too low to confirm the apparent predominanceof IgG2a. These observations were further confirmed by theresults of the T-cell proliferation assay, in which all immunizedgroups of animals showed high T-cell proliferation.

T-cell proliferative responses and cytokine profile. Lympho-cytes of mice immunized with all studied VLPs demonstrateddetectable proliferation in vitro by HBc carriers, with the high-

FIG. 4. Exposition of inserted epitopes on the surfaces of chimericHBc�-derived VLPs detected by competitive ELISA. Molar amountsof HBc�, HBc�–pre-S1, HBc�-HCV core, and HBc�–pre-S1–HCVcore proteins, which are necessary and sufficient for 50% inhibition(I50) of anti-HBc, anti-pre-S1, and anti-HCV core antibody binding tosolid phase coated with the appropriate substrates. The error barsindicate standard deviations.

FIG. 5. Abilities of chimeric HBc�-derived VLPs to package nu-cleic acids. Native 1% agarose electrophoresis gels in Tris-acetate-EDTA (TAE) buffer (A and B) and Ouchterlony’s double radial im-munodiffusion (C and D) of purified HBc�-derived VLPs stained byethidium bromide (EtBr) (A and C) and Coomassie blue (B and D).Lanes and spots: 1, HBc�; 2, HBc�–pre-S1; 3, HBc�-HCV core; 4,HBc�–pre-S1–HCV core; M, 1-kb ladder (Fermentas, Lithuania).

FIG. 6. Induction of antibodies (Ab) in mice by chimeric HBc�-derived VLPs. Shown are antibody titers in pools of sera from fiveanimals at day 14 (A) and at day 28 (B) after the first immunization.Titers in specimens were determined on plates coated with HBc,pre-S1 peptide (20-47), and HCV core protein (1-98) as shown bydifferent colors.

FIG. 7. IgG isotype distribution in serum pools after immunizationof mice by chimeric HBc�-derived VLPs. The red line depicts theequivalent distribution of IgG2a and IgG1 isotypes.

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est level for HBc�–pre-S1–HCV core induced by recombinantHBc at day 28 after the first immunization (Fig. 8). Prolifera-tion in vitro with the pre-S1 peptide (20-47) resulted in SI levelssimilar to the appropriate SI levels for proliferation with HBc.Proliferation in vitro with HCV core protein (1-98) demon-strated the highest SI levels in the case of the HBc�-HCV core.

Figure 9 shows direct measurements of the Th1 cell-derivedcytokines IL-2, IFN-�, and IL-10 after appropriate stimulation.In general, these data follow the proliferation response data.The highest production of IFN-� was detected for all VLPvariants after stimulation with HBc. Lower but highly specificstimulation of IFN-� production was achieved after stimula-tion with the pre-S1 peptide (20-47) or HCV core protein(1-98).

Production of IL-2 was very low, whereas production ofIL-10 was detectable in all cases. We also performed directmeasurement of the Th2 cell-derived cytokine IL-4. Due to thelow sensitivity level of the test, not all VLP variants demon-strated IL-4 production (data not shown).

DISCUSSION

VLPs carrying foreign epitopes gave one of the first impulsesto the idea of universal, self-assembling, and noninfectiouscarriers for foreign epitopes, which are now widely used inVLP technology (29, 31). HBc VLPs have been used as thecarrier of choice for the construction of many successful vac-cine candidates against foot and mouth disease, malaria, hu-man papilloma, hantavirus infection, and influenza, but first ofall against HBV and HCV infections (for references, see ref-erence 31).

The target of the present work was to combine HBV andHCV epitopes within the same VLP for the first time with theaim of developing a novel multivalent vaccine. HBc� (1-144)vector carrying all HBc T-helper cell and cytotoxic-T-lympho-cyte (CTL) epitopes but lacking the C-terminal arginine-richregion was chosen for epitope insertions as an efficient vaccinescaffold. The HBc MIR region and C terminus of such short-

ened HBcs were selected as the best places for insertions ofHBV and HCV epitopes, respectively (30).

The selection of the pre-S1 (20-47) fragment, a virus-neu-tralizing target of the HBV large envelope protein (LHBsAg)for insertion into the MIR of HBc�, was based on extensiveprevious experience. The pre-S1 (20-47) fragment, which isinvolved directly in virus attachment to hepatocytes (23, 26,27), shows efficient immunogenicity at the B-cell level. A dom-inant T-cell recognition site was identified within residues 21 to28 (serotype adw) of the pre-S1 sequence (13, 15), and in vitrobinding studies have defined pre-S1 (25–33) as a promisinghelper T-cell epitope (17). Recently, it was demonstrated thata mutant LHBsAg bearing a deletion in the 26- to 30-amino-acid sequence of the pre-S1 receptor binding site was nonin-fectious and hence deficient in viral entry (4), further support-ing the importance of this domain as an infectivity determinantin hepatitis B virus.

The HBc MIR had already been used as a target for inser-tion of numerous pre-S1 variants containing elements of the20-to-47 region: aa 27 to 53 (34), aa 31 to 35 (18), and aa 31 to

FIG. 8. T-cell proliferation after immunization of mice by chimericHBc�-derived VLPs. SI were measured in response to stimulation ofT cells with HBc, pre-S1 peptide (20-47), and HCV core protein(1-98). The red line depicts the basal level of negative stimulation. Theerror bars indicate standard deviations.

FIG. 9. Cytokines produced by T cells after immunization of micewith chimeric HBc�-derived VLPs. Cell supernatants were removedand analyzed at 24 h and 48 h for IFN-�, IL-2, and IL-10 productionafter stimulation with HBc, pre-S1 peptide (20-47), and HCV coreprotein (1-98).

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36 (5). Numerous variants of the pre-S1 (21-47) insertions intothe MIR with and without internal MIR deletions in HBc andHBc� were studied (25, 38). Further, three tandem copies ofpre-S1 (21-47) were inserted at the MIR (44). Moreover, prac-tically full-length pre-S1, with deletion of the inner hydropho-bic membrane-targeting fragment, was exposed on the surfacesof the HBc and HBc� VLPs (35). In addition, numerous vari-ants of mosaic HBc particles carrying the complete pre-S se-quence at the MIR have been constructed with and withoutMIR deletions (16).

In regard to the immunogenicity of the pre-S1 epitope in ourpresent study, the surprising thing is that the bivalent chimeraHBc�–pre-S1–HCV core induces stronger anti-pre-S1 antibodyresponse than the monovalent HBc�–pre-S1. At the same time,the anti-pre-S1 antibody responses gained here are definitelynot lower than those in the long list of previous studies, espe-cially taking into account differences in the lengths and com-positions of pre-S1 fragments, immunization schemes anddoses, adjuvants, and methodologies of titer calculations.

A strong therapeutic potential was shown with the HBc� (aa1-to-155) variant bearing the C-terminally fused pre-S1 (aa3-to-55) peptide, which was found to be surface accessible (9),although C-terminally added epitopes are mostly buried withinHBc VLPs (for a review, see references 29 and 31). It encour-aged us to try C-terminal addition of the HCV epitope withinthe planned multivalent vaccine candidate.

The N-terminal part of the HCV core was chosen, since itwas found to contain three distinct antibody binding sites,including the previously reported site at residues 7 to 18 (7).The other two are located at residues 19 to 26 and residues 29to 34 (33). A highly conservative T-cell epitope (HLA-A2 type)of the HCV core region is located within aa 35 to 44 (2).Attempts to insert the epitope into the HBc MIR and to use itas a DNA vaccine were made earlier (8).

Nevertheless, in our multivalent vaccine candidate, C-termi-nally added HCV core epitope (1-60) was neither exposed onthe VLP surface nor able to induce remarkable antibody re-sponse, in contrast to the pre-S1 epitope (20-47). The lattershowed good accessibility on the VLP surface and high-titerinduction of specific antibodies. HCV core is known to be arelatively weak inducer of antibody response after insertioninto chimeric VLPs (for a review, see reference 31). Re-markably, in this study, the immunogenicity of the HCVcore epitope within the bivalent chimera HBc�–pre-S1–HCVcore was not lower than that within the monovalent HBc�-HCV core. Moreover, HCV epitope (1-60) showed sufficientT-cell immunogenicity, which supports the idea of further elu-cidation of the multivalent construction.

Elimination of the C terminus of the HBc in the HBc�particles drastically reduced the Th1-biased immunogenicity ofthe HBc (32). This finding can be explained by the presence ofCpG-like sequences in the bacterial RNA, which is packagedwithin the full-length HBc-derived particles. Synthetic oli-godeoxynucleotides containing CpG motifs (CpG ODNs)are known as strong Th1 cell and CTL activity inducerswhen administered together with HBs (42) and HBc (39, 40)VLPs. According to our data, HBc� VLPs carrying HCVcore epitope (1-60) restored the ability to package nucleicacids and switched the Th2 type of anti-HBc immune responseto the Th1 type. In earlier work, we showed that HCV core

(1-98) His-tagged protein was able to induce Th1-mediatedresponse (1).

Therefore, bivalent VLPs carrying various foreign epitopesat different places are able to induce an immunological re-sponse to inserted epitopes that is higher, or at least not lower,than the response against individual epitopes within the cor-responding monovalent VLP chimeras. One of the furtheractivities in the application of the multivalent VLP construc-tions could be connected to a combination of DNA prime andprotein boost vaccination schemes.

ACKNOWLEDGMENTS

We thank Juris Ozols, Larisa Kovalevskaya, Lilija Auzina, InaraAkopjana, and Irina Stahovskaya for excellent technical assistance andAndris Zeltins, who suggested the method for stability measurements.

This work was supported by grants from the Latvian Council ofScience 05.1626, ERAF VPD1/ERAF/CFLA/05/APK/2.5.1./000021/010, and EU 05-1000004-7748; ESF grant 1DP/1.1.1.2.0/09/APIA/VIAA/150; and the New Visby program of the Swedish Institute.

REFERENCES

1. Alekseeva, E., I. Sominskaya, D. Skrastina, I. Egorova, E. Starodubova, E.Kushners, M. Mihailova, N. Petrakova, R. Bruvere, T. Kozlovskaya, M.Isaguliants, and P. Pumpens. 2009. Enhancement of the expression of HCVcore gene does not enhance core-specific immune response in DNA immu-nization: advantages of the heterologous DNA prime, protein boost immu-nization regimen. Genet. Vaccines Ther. 7:7.

2. Battegay, M., J. Fikes, A. M. Di Bisceglie, P. A. Wentworth, A. Sette, E. Celis,W. M. Ching, A. Grakoui, C. M. Rice, K. Kurokohchi, J. A. Berzofsky, J. H.Hoofnagle, S. M. Feinstone, and T. Akatsuka. 1995. Patients with chronichepatitis C have circulating cytotoxic T cells which recognize hepatitis Cvirus-encoded peptides binding to HLA-A2.1 molecules. J. Virol. 69:2462–2470.

3. Bichko, V., F. Schodel, M. Nassal, E. Gren, I. Berzinsh, G. Borisova, S.Miska, D. L. Peterson, E. Gren, P. Pushko, and H. Will. 1993. Epitopesrecognized by antibodies to denatured core protein of hepatitis B virus. Mol.Immunol. 30:221–231.

4. Blanchet, M., and C. Sureau. 2007. Infectivity determinants of the hepatitisB virus pre-S domain are confined to the N-terminal 75 amino acid residues.J. Virol. 81:5841–5849.

5. Borisova, G., O. Borschukova, D. Skrastina, A. Dislers, V. Ose, P. Pumpens,and E. Grens. 1999. Behavior of a short preS1 epitope on the surface ofhepatitis B core particles. Biol. Chem. 380:315–324.

6. Borisova, G., M. Bundule, E. Grinstein, D. Dreilina, A. Dreimane, J. Kalis,T. Kozlovskaya, V. Loseva, V. Ose, P. Pumpen, P. Pushko, D. Snikere, E.Stankevica, V. Tsibinogin, and E. I. Gren. 1987. Recombinant capsid struc-tures for exposure of protein antigenic epitopes. Mol. Gen. (Life Sci. Adv.)6:169–174.

7. Carlos, M. P., Y. Yamamura, Q. Vu, K. Conzen, D. E. Anderson, and J. V.Torres. 2004. Humoral immunity to immunodominant epitopes of hepatitisC virus in individuals infected with genotypes 1a or 1b. Clin. Immunol.111:22–27.

8. Chen, J. Y., and F. Li. 2006. Development of hepatitis C virus vaccine usinghepatitis B core antigen as immuno-carrier. World J. Gastroenterol. 12:7774–7778.

9. Chen, X., M. Li, X. Le, W. Ma, and B. Zhou. 2004. Recombinant hepatitis Bcore antigen carrying preS1 epitopes induce immune response againstchronic HBV infection. Vaccine 22:439–446.

10. Clarke, B. E., S. E. Newton, A. R. Carroll, M. J. Francis, G. Appleyard, A. D.Syred, P. E. Highfield, D. J. Rowlands, and F. Brown. 1987. Improvedimmunogenicity of a peptide epitope after fusion to hepatitis B core protein.Nature 330:381–384.

11. Crowther, R. A., N. A. Kiselev, B. Bottcher, J. A. Berriman, G. P. Borisova,V. Ose, and P. Pumpens. 1994. Three-dimensional structure of hepatitis Bvirus core particles determined by electron cryomicroscopy. Cell 77:943–950.

12. Davis, G. L. 1999. Hepatitis C virus genotypes and quasispecies. Am. J. Med.107:21S–26S.

13. Ferrari, C., A. Penna, A. Bertoletti, A. Cavalli, A. Valli, C. Schianchi, and F.Fiaccadori. 1989. The preS1 antigen of hepatitis B virus is highly immuno-genic at the T cell level in man. J. Clin. Invest. 84:1314–1319.

14. Houghton, M., M. Selby, A. Weiner, and Q. L. Choo. 1994. Hepatitis C virus:structure, protein products and processing of the polyprotein precursor.Curr. Stud. Hematol. Blood Transfus. 61:1–11.

15. Jin, Y., W. K. Shih, and I. Berkower. 1988. Human T cell response to thesurface antigen of hepatitis B virus (HBsAg). Endosomal and nonendosomalprocessing pathways are accessible to both endogenous and exogenous an-tigen. J. Exp. Med. 168:293–306.

1032 SOMINSKAYA ET AL. CLIN. VACCINE IMMUNOL.

on April 27, 2020 by guest

http://cvi.asm.org/

Dow

nloaded from

Page 7: Construction and Immunological Evaluation of Multivalent ... immunodiffusion using polyclonal rabbit anti-HBc antibodies. The stability of VLPs was determined by evaluation of fluorescence-based

16. Kazaks, A., G. Borisova, S. Cvetkova, L. Kovalevska, V. Ose, I. Sominskaya,P. Pumpens, D. Skrastina, and A. Dislers. 2004. Mosaic hepatitis B viruscore particles presenting the complete preS sequence of the viral envelopeon their surface. J. Gen. Virol. 85:2665–2670.

17. Kim, J. H., J. H. Park, Y. J. Lee, E. W. Cho, Y. S. Bae, and K. L. Kim. 2000.In vitro binding analysis of hepatitis B virus preS-derived putative helperT-cell epitopes to MHC class II molecules using stable HLA-DRB1*0405/DRA*0101 transfected cells. IUBMB Life 50:379–384.

18. Lachmann, S., H. Meisel, C. Muselmann, D. Koletzki, H. R. Gelderblom, G.Borisova, D. H. Kruger, P. Pumpens, and R. Ulrich. 1999. Characterizationof potential insertion sites in the core antigen of hepatitis B virus by the useof a short-sized model epitope. Intervirology 42:51–56.

19. Lagging, L. M., K. Meyer, D. Hoft, M. Houghton, R. B. Belshe, and R. Ray.1995. Immune responses to plasmid DNA encoding the hepatitis C virus coreprotein. J. Virol. 69:5859–5863.

20. Lo, M. C., A. Aulabaugh, G. Jin, R. Cowling, J. Bard, M. Malamas, and G.Ellestad. 2004. Evaluation of fluorescence-based thermal shift assays for hitidentification in drug discovery. Anal. Biochem. 332:153–159.

21. Mihailova, M., M. Boos, I. Petrovskis, V. Ose, D. Skrastina, M. Fiedler, I.Sominskaya, S. Ross, P. Pumpens, M. Roggendorf, and S. Viazov. 2006.Recombinant virus-like particles as a carrier of B- and T-cell epitopes ofhepatitis C virus (HCV). Vaccine 24:4369–4377.

22. Mihailova, M., M. Fiedler, M. Boos, I. Petrovskis, I. Sominskaya, M.Roggendorf, S. Viazov, and P. Pumpens. 2006. Preparation of hepatitis Cvirus structural and non-structural protein fragments and studies of theirimmunogenicity. Protein Expr. Purif. 50:43–48.

23. Neurath, A. R., S. B. Kent, K. Parker, A. M. Prince, N. Strick, B. Brotman,and P. Sproul. 1986. Antibodies to a synthetic peptide from the preS 120–145region of the hepatitis B virus envelope are virus neutralizing. Vaccine4:35–37.

24. Newton, S. E., B. E. Clarke, G. Appleyard, M. J. Francis, A. R. Carroll, D. J.Rowlands, J. Skehel, and F. Brown. 1987. New approaches to FMDV antigenpresentation using vaccinia virus, p. 12–21. In R. M. Chanock, R. A. Lerner,F. Brown, and H. Ginsberg (ed.), Modern approaches to new vaccines:prevention of AIDS and other viral, bacterial and parasitic diseases. ColdSpring Harbor Laboratory, Cold Spring Harbor, NY.

25. Page, M., J.-L. Li, P. Pumpens, and G. Borisova. 15 March 2006. Modifica-tion of hepatitis B core antigen. European patent EP1294893.

26. Petit, M. A., S. Dubanchet, F. Capel, P. Voet, C. Dauguet, and P. Hauser.1991. HepG2 cell binding activities of different hepatitis B virus isolates:inhibitory effect of anti-HBs and anti-preS1(21-47). Virology 180:483–491.

27. Pontisso, P., M. A. Petit, M. J. Bankowski, and M. E. Peeples. 1989. Humanliver plasma membranes contain receptors for the hepatitis B virus pre-S1region and, via polymerized human serum albumin, for the pre-S2 region.J. Virol. 63:1981–1988.

28. Pumpen, P. P., A. V. Dishler, T. M. Kozlovskaia, V. V. Bychko, and E. I.Gren. 1981. Cloning of hepatitis B virus DNA in Escherichia coli. Dokl.Akad. Nauk SSSR. 260:1022–1024. (In Russian.)

29. Pumpens, P., and E. Grens. 2002. Artificial genes for chimeric virus-likeparticles, p. 249–327. In I. Khudiakov and H. A. Fields (ed.), Artificial DNA:methods and applications. CRC Press, Boca Raton, FL.

30. Pumpens, P., and E. Grens. 2001. HBV core particles as a carrier for B cell/Tcell epitopes. Intervirology 44:98–114.

31. Pumpens, P., R. Ulrich, K. Sasnauskas, A. Kazaks, V. Ose, and E. Grens.2008. Construction of novel vaccines on the basis of the virus-like particles:hepatitis B virus proteins as vaccine carriers, p. 205–248. In Y. E. Khudyakov(ed.), Medicinal protein engineering. CRC Press Taylor & Francis Group,Boca Raton, FL.

32. Riedl, P., D. Stober, C. Oehninger, K. Melber, J. Reimann, and R. Schirm-beck. 2002. Priming Th1 immunity to viral core particles is facilitated by traceamounts of RNA bound to its arginine-rich domain. J. Immunol. 168:4951–4959.

33. Sallberg, M., P. Pumpen, Z. X. Zhang, P. Lundholm, I. Gusars, U. Ruden,B. Wahren, and L. O. Magnius. 1994. Locations of antibody binding siteswithin conserved regions of the hepatitis C virus core protein. J. Med. Virol.43:62–68.

34. Schodel, F., A. M. Moriarty, D. L. Peterson, J. A. Zheng, J. L. Hughes, H.Will, D. J. Leturcq, J. S. McGee, and D. R. Milich. 1992. The position ofheterologous epitopes inserted in hepatitis B virus core particles determinestheir immunogenicity. J. Virol. 66:106–114.

35. Skrastina, D., A. Bulavaite, I. Sominskaya, L. Kovalevska, V. Ose, D. Priede,P. Pumpens, and K. Sasnauskas. 2008. High immunogenicity of a hydro-philic component of the hepatitis B virus preS1 sequence exposed on thesurface of three virus-like particle carriers. Vaccine 26:1972–1981.

36. Sominskaya, I., W. Paulij, J. Jansons, D. Sobotta, D. Dreilina, C. Sunnen, H.Meisel, W. H. Gerlich, and P. Pumpens. 2002. Fine-mapping of the B-cellepitope domain at the N-terminus of the preS2 region of the hepatitis Bsurface antigen. J. Immunol. Methods 260:251–261.

37. Sominskaya, I., P. Pushko, D. Dreilina, T. Kozlovskaya, and P. Pumpen.1992. Determination of the minimal length of preS1 epitope recognized by amonoclonal antibody which inhibits attachment of hepatitis B virus to hepa-tocytes. Med. Microbiol. Immunol. 181:215–226.

38. Sominskaya, I., D. Skrastina, E. Alekseeva, J. Jansons, and P. Pumpens.2003. HBc-preS1 VLPs as potential vaccine candidates, abstr. 9-3–0007, p.190. In A. McLachlan (ed.), Int. meeting of the molecular biology of hepatitisB viruses, 7 to 10 September 2003, Bergamo, Italy. [Abstract.]

39. Storni, T., F. Lechner, I. Erdmann, T. Bachi, A. Jegerlehner, T. Dumrese,T. M. Kundig, C. Ruedl, and M. F. Bachmann. 2002. Critical role foractivation of antigen-presenting cells in priming of cytotoxic T cell responsesafter vaccination with virus-like particles. J. Immunol. 168:2880–2886.

40. Storni, T., C. Ruedl, K. Schwarz, R. A. Schwendener, W. A. Renner, andM. F. Bachmann. 2004. Nonmethylated CG motifs packaged into virus-likeparticles induce protective cytotoxic T cell responses in the absence ofsystemic side effects. J. Immunol. 172:1777–1785.

41. Tokushige, K., T. Wakita, C. Pachuk, D. Moradpour, D. B. Weiner, V. R.Zurawski, Jr., and J. R. Wands. 1996. Expression and immune response tohepatitis C virus core DNA-based vaccine constructs. Hepatology 24:14–20.

42. Weeratna, R. D., M. J. McCluskie, L. Comanita, T. Wu, and H. L. Davis.2000. Optimization strategies for DNA vaccines. Intervirology 43:218–226.

43. Wynne, S. A., R. A. Crowther, and A. G. Leslie. 1999. The crystal structure ofthe human hepatitis B virus capsid. Mol. Cell 3:771–780.

44. Yang, H. J., M. Chen, T. Cheng, S. Z. He, S. W. Li, B. Q. Guan, Z. H. Zhu,Y. Gu, J. Zhang, and N. S. Xia. 2005. Expression and immunoactivity ofchimeric particulate antigens of receptor binding site-core antigen of hepa-titis B virus. World J. Gastroenterol. 11:492–497.

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