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Characterisation of New Potential
Vaccine Candidates against Infections
caused by Staphylococcus aureus
Inaugural-Dissertation zur Erlangung des Doktorgrades
der Mathematisch-Naturwissenschaftlichen Fakultät
der Universität zu Köln
vorgelegt von
Bettina Tosetti
aus Neuss
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Sommario

Pagina 1 - Bettina Tosetti

Characterisation of New PotentialVaccine Candidates against Infectionscaused by Staphylococcus aureusInaugural-Dissertation zur Erlangung des Doktorgr

Pagina 2 - Prof. Dr. Jonathan C. Howard

2 Introduction1997; Patel et al., 1987; Peacock et al., 1999).2.2 Antibiotic resistance of S. aureusTo date antibiotics are the only effective therapy

Pagina 3 - Contents

2 Introduction2.3 Vaccination strategies against S. aureus2.3.1 Active immunisationSince first vaccination studies employing active immunisation using

Pagina 4

2 Introductionor SdrE significantly reduced the bacterial load in infected kidneys (Stranger-Jones et al.,2006). Moreover, as observed in the same stud

Pagina 5

2 Introductionpreparation targeting CP5 and CP8 obtained from volunteers immunised with StaphVaxTM(Altastaph; Nabi Biopharmaceuticals) failed to prove

Pagina 6 - 1 Abbreviations

2 Introductiontimicrobial actions mediated by antibodies. It was shown that IgM or IgG specific for Bor-relia burgdorferi surface proteins damage the s

Pagina 7

3 Material and Methods3.1 Material3.1.1 Chemicals and enzymesChemicals were of research grade and purchased from AppliChem, Merck, Sigma-Aldrich,ROTH

Pagina 8 - 2 Introduction

3 Material and MethodsMedia / Antibiotics CompositionLB -Medium 1 % Tryptone; 0.5 % Yeast extract; 0.5 % NaCl; pH 7.0LB-Agar1 % Tryptone; 0.5 % Yeast

Pagina 9

3 Material and MethodsBuffers and Solutions Composition10 % SDS 100 g SDS in 1000 ml A. bidest.Prehybridisation 3.5 x SSC, 0.1 % SDS, 10 mg/ml BSA in

Pagina 10

3 Material and MethodsBuffers and Solutions CompositionCoomassie stainingStaining solution 2.5 % Serva blue R250, 45 % Ethanol, 15 % Acetic acidDe-col

Pagina 11

3 Material and MethodsBuffers and Solutions CompositionElution buffer 0.1 M Glycine-HCl; pH 2.5Neutralisation buffer 1 M Tris-HCl; pH 9.03.1.4 Technic

Pagina 12

Berichterstatter: Prof. Dr. Martin KrönkeProf. Dr. Jonathan C. HowardTag der mündlichen Prüfung: 12.07.20102

Pagina 13

3 Material and MethodsDevice Specification ProviderTank-Blotter Trans-Blot cell (16x20 cm) Bio-RadTest-Tube-Rotator Model 34528 SnjidersThermomixer Com

Pagina 14 - 2.4 Aim of the study

3 Material and MethodsDesignation ManufacturerQIAprep Spin Miniprep QiagenQIAquick PCR Purification QiagenRNeasy Mini Kit QiagenSuperscript®III first st

Pagina 15 - 3 Material and Methods

3 Material and MethodsGene Name Sequence (5’ to 3’)qPCR ferritinferri-f CAG CAC CAA AAA TTG ACT TTT CAA Gferri-r TCT TGA CGA GCG ATT TCA GAT AAG TTA3.

Pagina 16

3 Material and Methods3.2 Methods3.2.1 Depletion of specific IgGs from IVIGS. aureus ATCC 29213 or E coli K12 XL1blue from an overnight (ON) culture wa

Pagina 17

3 Material and Methodsand the pellets washed once with ice-cold TE pH 8.0, and immediately subjected to RNAisolation3.2.3 RNA isolationSubsequent to w

Pagina 18

3 Material and MethodsThe Dye-coupling reaction was stopped by addition of 35 µl 100 mM NaOAc pH 5.2. Sam-ples intended for co-hybridisation were mixe

Pagina 19

3 Material and Methodsvs. PBS). Recommended settings for filtering criteria were applied to exclude signals fromthe dataset, which are not exceeding ba

Pagina 20

3 Material and Methodsurea for 2-D gel electrophoresis (2-DE). Protein concentration was determined using theBio-Rad DC assay in a 1:4 dilution accord

Pagina 21

3 Material and Methodstransformed into E. coli BL 21 for protein expression.Clones with the highest efficiency in the expression of the respective fusi

Pagina 22

3 Material and Methodswas neutralised by addition of a sufficient amount of 1 M Tris-HCl (pH 9.0). IgG-containingfractions were pooled and, after buffe

Pagina 23 - 3.2 Methods

Contents1 Abbreviations 62 Introduction 82.1 Clinical relevance and pathogenicity of Staphylococcus aureus . . . . . . . 82.2 Antibiotic resistance of

Pagina 24

3 Material and Methods3.2.14 In vitro opsonophagocytic killing of S. aureus by human neutrophilsTo assess killing of S. aureus by neutophils, in contr

Pagina 25

3 Material and Methods3.2.17 Statistical analysisGrowth curve results were statistically analysed by one-way ANOVA, followed by Bonfer-roni post analy

Pagina 26 - × LightCycler

4 Results4.1 Characterisation of the bacteriostatic effect mediated by S. aureusspecific IgGs4.1.1 Human serum inhibits in vitro growth of S. aureusIt

Pagina 27

4 Results0 60 120 180103104105106LB25% PBS25% human serum25% HI-serum*********t (min)CFU / ml0 60 120 180103104105106LB*********50% PBS50% HI-serum50%

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4 Results0 60 120 180103104105106LB25 % PBS25 % IVIG****t (min)CFU / ml0 60 120 180103104105106LB50 % PBS50 % IVIG*****t (min)CFU / mlABFigure 4.2:Ef

Pagina 29

4 Results4.1.3 Bacteriostatic effect on S. aureus is mediated by S. aureus specific IgGsTo ensure that the observed inhibitory effect mediated by IVIG

Pagina 30

4 Resultscontrol LB dSaPBS dSaIVIG dEcIVIG IVIG 0255075100125*********120 minCFU / ml(% of control)Figure 4.4:Effect of IVIG on in vitro growth of S.

Pagina 31

4 Results4.1.4 Gene expression profiling of S. aureus over the course of bacteriostasisTo elucidate the mechanism leading to the observed bacteriostati

Pagina 32 - 4 Results

4 Results39Function unknown19Inorganic compound transport & metabolism (15)12Amino acid transport & metabolism (3)11Co-enzyme metabolism (4)8N

Pagina 33 - ∗ ∗ ∗ = p < 0.001)

4 ResultsTable 4.1:Differentially expressed genes related to iron uptake and metabolism in IVIG versus dSaIVIGtreated samples revealed by microarray a

Pagina 34 - ∗ = p < 0.05;

Contents3.2.9 Subtractive proteome analysis (SUPRA) . . . . . . . . . . . . . . . . 273.2.10 Cloning, expression and purification of vaccine candidates

Pagina 35

4 ResultsTo identify differentially expressed genes in IVIG treated samples at each time point (t0,t30 and t60), microarrays were hybridised in parall

Pagina 36

4 Results31 genes9Function unknown6Carbohydrate transport & metabolism3Energy production & conversion3Translation, ribosomal structure & b

Pagina 37 - CFU / ml

4 ResultsAll genes falling into one of these two categories, including potential regulators are listedin Table 4.2 (for all 78 genes see Table 9.3 in

Pagina 38

4 ResultsRogers, 1980; Goel and Kapil, 2001). Thus, quantitative real time PCR (qPCR) for selectediron related genes was applied to validate the micro

Pagina 39

4 Resultsmicroarray qPCRt0 t30 t60-4-2024fold changet0 t30 t60-4-2024fold changeA Bfurcatalaset0 t30 t60-4-2024fold changet0 t30 t60-4-2024fold change

Pagina 40

4 ResultsIVIG vs dSaIVIG dSaIVIG vs. PBSIVIG vs. PBSt0 t30 t60-4-2024fold changet0 t30 t60-4-2024fold changeABfurcatalaset0 t30 t60-4-2024fold changet

Pagina 41

4 Results4.2 Identification and characterisation of potential vaccine candidatesagainst S. aureus4.2.1 Subtractive proteome analysis (SUPRA) of anchorl

Pagina 42

4 Results204320392037/2038222120362042205020532056215521612219222224252406hp2160"2158kDa310pI21304566972037/2038222120422050205320562155216122192

Pagina 43

4 ResultsTable 4.3: Immunogenic anchorless cell wall proteins from S. aureus ATCC 29213 identified by SUPRAGI protein Spot ID Predicted function pIa)MW

Pagina 44

4 ResultsFurthermore, the two most obvious candidates S. aureus protein A (Spa, several spotsbetween 45 and 66 kDa) and immunodominant antigen A (IsaA

Pagina 45

Contents7 Zusammenfassung 668 Bibliography 689 Supplement 7810 Danksagung 8611 Erklärung 8712 Lebenslauf 885

Pagina 46

4 ResultsAE. coliLysBL21-BT1 Lyspur. BT1170130100705540352515BT1anti-BT1170130100705540352515E. coliLysBL21-BT2 Lyspur. BT2BT2anti-BT21701301007055403

Pagina 47

4 Results10010110210310480706050403020100Serum75.4 %10010110210310480706050403020100HI-Serum77.2 %10010110210310480706050403020100anti-BT147.4 %100101

Pagina 48

4 Results0 10 20 30 40 50 60 70 80 90 10020406080100120dSaIVIGIVIG anti-BT32.5% HI-serumno ABanti-BT1anti-BT2*******************t (min)Bacterial surv

Pagina 49

4 Resultschallenged intravenously with 3 x 107CFU of S. aureus strain ATCC 29213 one week afterthe second booster immunisation. For two weeks infected

Pagina 50

4 Results0 5 10 15020406080100BT1BSAP= 0,0488t (days)Percent survival0 5 10 15020406080100BT2BSAP= 0,6821t (days)Percent survival0 5 10 15020406080100

Pagina 51

4 Results0 5 10 15020406080100BT1BSAp = 0.0168t (days)Percent survival0 5 10 15020406080100BT3BSAp = 0.2787t (days)Percent survival0 5 10 150204060801

Pagina 52 - Bacterial survival (%)

5 DiscussionS. aureus causes apart from minor skin infections severe life-threatening invasive diseaseslike pneumonia, endocarditis and sepsis in heal

Pagina 53

5 Discussioncould be depleted by over night co-incubation of IVIG with S. aureus (dSaIVIG), thus provingthat S. aureus specific IgGs mediate the inhibi

Pagina 54

5 Discussionthat the expression of iron related genes was altered due to dSaIVIG treatment, hence notrepresenting the mechanism underlying bacteriosta

Pagina 55 - Percent survival

5 Discussion5.2 Identification and characterisation of potential vaccine candidatesagainst Staphylococcus aureusThe steadily growing interest in a prot

Pagina 56 - 5 Discussion

1 Abbreviationsaa-dUTP 5-(3-Aminoallyl)-2’-deoxyuridine 5’-triphosphateACW-proteins Anchorless cell wall proteinsANOVA Analysis of varianceAPS Ammoniu

Pagina 57

5 Discussionremains the identification of eligible candidate proteins (Projan et al., 2006). The major pre-requisite for a target protein is the expres

Pagina 58

5 DiscussionSince ACW proteins are not traceable by bioinformatic genome screenings, we applied aproteomic approach on an ACW-protein preparation from

Pagina 59

5 Discussionreach statistical significance.Since the previously obtained results concerning eno, oxo and hp2160 demonstrated thatthese in vitro assays

Pagina 60

5 DiscussionBT3.Remarkably SUPRA led to the identification of 39 immunogenic proteins within the ACW-proteins of S. aureus. The results obtained to dat

Pagina 61

6 AbstractDue to the rapid emergence of S. aureus strains resistant to multiple antibiotics and thetherewith increased mortality rates, the developmen

Pagina 62

6 Abstractextent using dSaIVIG were identified by MALDI-TOF analysis. SUPRA led to the identifica-tion of 37 new potential vaccine candidates among ACW

Pagina 63

7 ZusammenfassungBedingt durch die rasante Entstehung multiresistenter S. aureus (MRSA) Stämmen undder damit einhergehenden gestiegenen Mortalität, is

Pagina 64 - 6 Abstract

7 Zusammenfassungpolyvalenten Vakzine gegen S. aureus erweitern. Zu diesem Zweck wurde eine neue sub-traktive Proteom Analyse (SUPRA) von Zellwand-ass

Pagina 65

8 BibliographyANTELMANN, H., H. YAMAMOTO, J. SEKIGUCHI, and M. HECKER, 2002. Stabilization of cellwall proteins in Bacillus subtilis: a proteomic appr

Pagina 66 - 7 Zusammenfassung

8 BibliographyBERNARDO, K., N. PAKULAT, S. FLEER, A. SCHNAITH, O. UTERMÖHLEN, O. KRUT,S. MÜLLER, and M. KRÖNKE, 2004. Subinhibitory concentrations of

Pagina 67

1 Abbreviationshp2160 hypothetical protein similar to esterase (spot ID 2160)IEF Isoelectric focussingIgG Immunoglobulin GIgM Immunoglobulin MIPG Immo

Pagina 68 - 8 Bibliography

8 BibliographyCONNOLLY, S. E., D. G. THANASSI, and J. L. BENACH, 2004. Generation of a Complement-Independent Bactericidal IgM against a Relapsing Fev

Pagina 69

8 Bibliographycomposed of Staphylococcus aureus type 5 and type 8 capsular polysaccharides conju-gated to Pseudomonas aeruginosa exotoxin A. Infect Im

Pagina 70

8 BibliographyGOEL, V. and A. KAPIL, 2001. Monoclonal antibodies against the iron regulated outermembrane Proteins of Acinetobacter baumannii are bact

Pagina 71

8 Bibliographycus aureus USA 300 clone as the predominant cause of skin and soft-tissue infections.Ann Intern Med, 144(5) 309–17KLEVENS, R. M., M. A.

Pagina 72

8 BibliographyMAIRA-LITRAN, T., A. KROPEC, D. GOLDMANN, and G. B. PIER, 2004. Biologic propertiesand vaccine potential of the staphylococcal poly-N-ac

Pagina 73

8 BibliographyPATEL, A. H., P. NOWLAN, E. D. WEAVERS, and T. FOSTER, 1987. Virulence of proteinA-deficient and alpha-toxin-deficient mutants of Staphylo

Pagina 74

8 BibliographyRUPP, M. E., J. HOLLEY, H. P., J. LUTZ, P. V. DICPINIGAITIS, C. W. WOODS, D. P. LEVINE,N. VENEY, and J. FOWLER, V. G., 2007. Phase II, r

Pagina 75

8 BibliographyVERNACHIO, J. H., A. S. BAYER, B. AMES, D. BRYANT, B. D. PRATER, P. J. SYRIBEYS,E. L. GOROVITS, and J. M. PATTI, 2006. Human immunoglobu

Pagina 76

9 SupplementTable 9.1: Differentially expressed genes in IVIG versus dSaIVIG and IVIG versus PBSCommona)Predicted function GI proteint0 t30 t60FC 1b)F

Pagina 77

9 SupplementList of the 236 differentially expressed genes in IVIG compared to dSaIVIG treated samples (con-tinued)Commona)Predicted function GI prote

Pagina 78 - 9 Supplement

2 Introduction2.1 Clinical relevance and pathogenicity of Staphylococcus aureusStaphlococcus aureus is a facultatively anaerobic gram-positive coccus,

Pagina 79

9 SupplementList of the 236 differentially expressed genes in IVIG compared to dSaIVIG treated samples (con-tinued)Commona)Predicted function GI prote

Pagina 80

9 SupplementList of the 236 differentially expressed genes in IVIG compared to dSaIVIG treated samples (con-tinued)Commona)Predicted function GI prote

Pagina 81

9 SupplementList of the 236 differentially expressed genes in IVIG compared to dSaIVIG treated samples (con-tinued)Commona)Predicted function GI prote

Pagina 82

9 SupplementList of the 236 differentially expressed genes in IVIG compared to dSaIVIG treated samples (con-tinued)Commona)Predicted function GI prote

Pagina 83

9 SupplementTable 9.3: List of the 78 differentially expressed genes in IVIG compared to PBS treated samplesCommona)Predicted function GI proteint0t30

Pagina 84

9 SupplementList of the 78 differentially expressed genes in IVIG compared to PBS treated samples (continued)Common Predicted function GI proteint0t30

Pagina 85

10 DanksagungFür die wertvollen Diskussionen und Ideen sowie die engagierte Leitung während der ge-samten Arbeit möchte ich mich bei Herrn Prof. Dr. M

Pagina 86 - 10 Danksagung

11 ErklärungIch versichere, dass ich die von mir vorgelegte Dissertation selbständig angefertigt,die benutzten Quellen und Hilfsmittel vollständig ang

Pagina 87 - 11 Erklärung

12 LebenslaufAngaben zur PersonName Bettina TosettiGeburtsdatum und -ort 21.02.1978, NeussFamilienstand ledigStaatsangehörigkeit deutschHochschulausbi

Pagina 88 - 12 Lebenslauf

2 IntroductionBesides covalently linked protein adhesins, also anchorless cell wall proteins (ACW pro-teins) mediating adhesion to extracellular matri

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