Master of Science in Biomedical Sciences / Department of Diagnostic Medicine/Pathobiology / Weiping Zhang / Heat-labile enterotoxin (LT) is one of the most important toxins produced by enterotoxigenic Escherichia coli (ETEC). It consists of one A subunit (LTA) for intracellular enzymatic activity and five B subunits (LTB) forming a pentamer for binding to host cell receptors. In the last few decades, LT has been extensively studied as a strong immune stimulator, as well as an effective adjuvant with multiple immunomodulatory properties. To understand better the features of LT, we mapped B-cell linear epitopes of the enzymatic A subunit and explored the relationship between these epitopes and the toxicity of LT. Eleven B-cell linear (continuous) epitopes were in silico identified based on online software. In part one of the study, all 11 epitopes were fused into a modified ovalbumin carrier protein respectively. Each recombinant fusion protein was expressed and purified, and was characterized in ELISA and Western Blot using the anti-LT serum. Moreover, each fusion protein was used to immunize mice to determine immune response specific to LT in vivo. A total of eleven epitopes were identified from the LTA subunit. Results showed that anti-LT serum recognized all 11 epitopes, while the mouse immunization study indicated that antibodies derived from epitope 7 (₁₀₅SPHPYEQEVSA₁₁₅) had significantly greater anti-LT antibody titers and neutralized LT enterotoxicity more efficiently than the other epitopes. In part two of the study, to test whether individual epitope plays a role in LT toxicity, 10 epitopes in the A1 domain of LTA subunit were replaced by a foreign peptide respectively and the mutant LTs were examined for enterotoxicity. Data indicated that all these LT mutants showed enterotoxicity abolished. However, these LT mutants formed holotoxin structure and bound to GM1 in vitro. Results from this study indicated that replacement of these LT epitopes did not affect the forming of LT holotoxin structure and the binding to host receptors, indicating LT can serve as a safe vaccine platform to carry foreign antigens. With the immunodominant epitope 7 being kept while other LTA epitopes replaced by epitopes from other ETEC virulence factors, this platform can be used to construct broadly protective multivalent mucosal vaccines against ETEC, and perhaps as a universal platform for vaccines against other enteric diseases.

A dengue é uma arbovirose que ameaça mais de metade da população mundial. No momento existem duas vacinas, administradas por vias parenterais, aprovada ou em estudos clínicos, que podem conferir proteção parcial em regiões endêmicas, mas que ainda não estão sendo administradas em larga escala. Por outro lado, a utilização de vias de administração alternativas, como a via transcutânea (TC), pode ter um impacto importante na eficácia vacinal. A entrega de formulações vacinais pela via TC tem como vantagem a administração segura e não invasiva de antígenos vacinais e a composição celular específica da pele, rica em células apresentadoras de antígenos, como as células de Langerhans; O presente estudo demonstra que a via TC pode induzir respostas sorológicas vírus-específicas de forma eficiente quando utilizada para a administração de vacinas contra DENV baseadas em partículas virais. Portanto, novos estudos devem ser feitos considerando a TC como uma via de administração alternativa às vias parenterais para a administração de vacinas contra a dengue. / Dengue is an arbovirosis that threatens more than half the world\'s population. Currently there are two vaccines, both administered via parenteral routes, approved or in clinical trials, which provide partial protection but are not being administered on a large scale. On the other hand, the use of alternative routes of administration, such as the transcutaneous (TC) route, can have a significant impact on vaccine efficacy. Delivery of vaccine formulations via the TC route has the advantage of a safe and non-invasive administration method of vaccine antigens through the skin, that has a cell composition rich in antigen-presenting cells, such as the Langerhans cells. The present study demonstrates that the TC route can efficiently induce virus-specific serological responses when used for administration of DENV vaccines based on viral particles. Further studies should explore different dengue vaccines using the TC route as an alternative to parenteral administration routes.

As toxinas termo-lábeis (LT) produzidas por linhagens de Escherichia coli enterotoxigênica (ETEC) são adjuvantes com um importante foco em pesquisas acadêmicas e aplicadas, entretanto pouco é conhecido sobre a capacidade desses adjuvantes em induzir diferentes padrões de glicosilação em anticorpos IgG. Desta forma, o objetivo do presente trabalho foi analisar a capacidade dos adjuvantes LT1 e seus derivados atóxicos (LT1-K63 e LT1-B) influenciarem na qualidade da resposta imunológica humoral, particularmente quanto aos perfis de glicosilação dos anticorpos IgG EIII-específicos. A administração das LTs proporcionaram a potencialização da resposta de anticorpos antígeno-específicos, modularam o perfil de subclasses de IgG, melhoraram a capacidade de neutralização viral e induziram diferentes perfis de glicosilação presentes na estrutura dos anticorpos induzidos. Os resultados obtidos demonstram a importância dos adjuvantes no perfil de glicosilação de anticorpos antígeno-específicos e sugerem a influência da glicosilação na funcionalidade desses anticorpos. / The heat-labile toxin (LT) produced by enterotoxigenic Escherichia coli (ETEC) are an important adjuvants to focus on academic and applied research, however little is known about the ability of these adjuvants to induce different patterns of glycosylation in IgG antibodies. Thus, the aim of this study was to analyze the ability of the adjuvants LT1 and its nontoxic derivative (LT1-K63 and LT1-B) influence on the quality of the humoral immune response, particularly regarding the glycosylation profiles of the EIII-specific IgG antibodies. The management of transmission lines provided potentiation response of antigen-specific antibodies modulate the profile of IgG subclasses, improved ability to induce virus neutralizing and different glycosylation profiles of in the antibodies purified IgG. The results demonstrate the importance of adjuvants in glycosylation of antigen-specific antibody profile and suggest the influence of glycosylation on the functionality of these antibodies.

As toxinas LT são expressas por linhagens de Escherichia coli enterotoxigênicas e possuem marcantes efeitos adjuvantes. No entanto, não se conhece se a exposição prévia à toxina afeta sua atividade adjuvante durante imunizações subsequentes. Assim, o presente estudo avaliou o impacto da imunidade pré-existente nas propriedades inflamatórias e adjuvantes da LT quando inoculada pela via subcutânea. Como antígeno modelo, empregou-se a proteína NS1 do vírus dengue e duas abordagens experimentais distintas: (i) incubação in vitro de LT com anticorpos anti-LT e com o receptor gangliosídio (GM1) antes da administração em camundongos não imunizados em conjunto com a proteína NS1 do vírus dengue; (ii) imunização com NS1 coadministrada à LT em camundongos previamente expostos à LT. Foram avaliados os efeitos inflamatórios locais e os efeitos adjuvantes por meio da resposta imunológica humoral anti-NS1. Nossos resultados indicam que a imunidade prévia contra a LT não afeta seu potencial inflamatório e atividade adjuvante. Além disto, a exposição ao receptor GM1 reduziu as reações inflamatórias locais sem, no entanto, reduzir os efeitos adjuvantes de LT. / LT toxins are expressed by enterotoxigenic Escherichia coli strains and display strong adjuvant effects. Nonetheless, the impact of preexisting immunity on the on LT adjuvant activities is still unknown. Thus, the present study evaluated the impact of pre-existing immunity in the inflammatory and adjuvant properties of LT after subcutaneous administration. the NS1 of dengue virus was employed as a model antigen and two experimental approaches were evaluated: (i) in vitro incubation of LT with LT-specific antibodies and the ganglyoside receptor (GM1) before administration to naïve mice in combination with NS1; (ii) immunization with NS1 co-administered with LT in mice previously exposed to LT. The local inflammatory effects induced by LT were evaluated as wel as the adjuvant effects by means of NS1-specific humoral response. Our results indicate that the LT pre-existing immunity does not affect the inflammatory and adjuvant activities of the toxin. In addition, exposure to GM1 reduced the local inflammatory reactions without affecting the toxin adjuvant effects.

As toxinas LT são expressas por linhagens de Escherichia coli enterotoxigênicas e possuem marcantes efeitos adjuvantes. No entanto, não se conhece se a exposição prévia à toxina afeta sua atividade adjuvante durante imunizações subsequentes. Assim, o presente estudo avaliou o impacto da imunidade pré-existente nas propriedades inflamatórias e adjuvantes da LT quando inoculada pela via subcutânea. Como antígeno modelo, empregou-se a proteína NS1 do vírus dengue e duas abordagens experimentais distintas: (i) incubação in vitro de LT com anticorpos anti-LT e com o receptor gangliosídio (GM1) antes da administração em camundongos não imunizados em conjunto com a proteína NS1 do vírus dengue; (ii) imunização com NS1 coadministrada à LT em camundongos previamente expostos à LT. Foram avaliados os efeitos inflamatórios locais e os efeitos adjuvantes por meio da resposta imunológica humoral anti-NS1. Nossos resultados indicam que a imunidade prévia contra a LT não afeta seu potencial inflamatório e atividade adjuvante. Além disto, a exposição ao receptor GM1 reduziu as reações inflamatórias locais sem, no entanto, reduzir os efeitos adjuvantes de LT. / LT toxins are expressed by enterotoxigenic Escherichia coli strains and display strong adjuvant effects. Nonetheless, the impact of preexisting immunity on the on LT adjuvant activities is still unknown. Thus, the present study evaluated the impact of pre-existing immunity in the inflammatory and adjuvant properties of LT after subcutaneous administration. the NS1 of dengue virus was employed as a model antigen and two experimental approaches were evaluated: (i) in vitro incubation of LT with LT-specific antibodies and the ganglyoside receptor (GM1) before administration to naïve mice in combination with NS1; (ii) immunization with NS1 co-administered with LT in mice previously exposed to LT. The local inflammatory effects induced by LT were evaluated as wel as the adjuvant effects by means of NS1-specific humoral response. Our results indicate that the LT pre-existing immunity does not affect the inflammatory and adjuvant activities of the toxin. In addition, exposure to GM1 reduced the local inflammatory reactions without affecting the toxin adjuvant effects.

Master of Science / Department of Diagnostic Medicine/Pathobiology / Weiping Zhang / Enterotoxigenic Escherichia coli (ETEC) strains are the most common bacterial cause of diarrhea. ETEC bacterial adherence to the small intestinal epithelial cells and delivery of enterotoxins cause diarrhea in children living in developing countries and international travelers. Currently, there are no vaccines licensed for ETEC associated children’s diarrhea and travelers’ diarrhea. Recently, toxoid fusion 3xSTa[subscript N12S]-mnLT[subscript R192G/L211A] (toxoid fusion), adhesin MEFA (multiepitope fusion antigen) CFA/I/II/IV (CFA MEFA), and toxoid-adhesin MEFA CFA/I/II/IV-3xSTa[subscript N12S]-mnLT[subscript R192G/L211A] (CFA-toxoid MEFA) are demonstrated to induce neutralizing antitoxin and/or anti-adhesin antibodies in intraperitoneal (IP) or subcutaneous (SC) immunized mice, suggesting these antigens are potential candidates for ETEC subunit vaccines. However, these antigens have not been examined for immunogenicity using intradermal (ID) or intramuscular (IM) routes, the routes perhaps are more suitable for human vaccine administration. In this study, toxoid fusion 3xST[subscript aN12S]-mnLT[subscript R192G/L211A], CFA/I/II/IV MEFA, alone or combined, or toxoid-adhesin MEFA CFA-3xSTa[subscript N12S]-mnLT[subscript R192G/L211A] were ID or IM immunized to mice (8 mice per group) induced antigen-specific antibodies were titrated, and antibody neutralization activities were assessed in vitro. Data showed that mice ID or IM immunized with the toxoid fusion 3xSTa[subscript N12S]-mnLT[subscript R192G/L211A] antigen developed anti-LT and anti-STa antibodies and mice immunized with the CFA/I/II/IV MEFA developed antibody responses to all seven adhesins (CFA/I, CS1-CS6). In addition, mice co-administered ID or IM with toxoid fusion 3xSTa[subscript N12S]-mnLT[subscript R192G/L211A] and CFA/I/II/IV MEFA, or with toxoid-adhesin MEFA CFA-3xSTa[subscript N12S]-mnLT[subscript R192G/L211A] developed antibodies to both toxins and all seven adhesins. Antibody neutralization studies of the serum samples of the immunized mice showed that the induced antibodies neutralized enterotoxicity of LT and STa and/or inhibited adherence of ETEC or E. coli bacteria producing any of these seven adhesins. These data confirmed immunogenicity of these ETEC subunit vaccine target antigens and provide useful information for vaccine development against ETEC diarrhea.

Linhagens de Escherichia coli enterotoxigênica (ETEC) são consideradas como importante agente de diarréia, principalmente entre crianças e turistas em países em desenvolvimento. Entre os fatores de virulência expressos por ETEC, as enterotoxinas termo-lábil (LT) e termo-estável (ST) representam os mais relevantes fenótipos. Evidências preliminares sugerem que a severidade da diarréia associada a linhagens de ETEC deve refletir a diversidade natural de linhagens selvagens quanto à produção de enterotoxinas e/ou à ocorrência de variantes naturais com efeitos tóxicos reduzidos. No presente trabalho, investigamos diversidade genética do óperon etx, que codifica para a toxina LT, e da capacidade de produção e secreção de LT por linhagens de ETEC isoladas de humanos ou suínos em diferentes regiões geográficas. Os resultados mostraram considerável variabilidade na produção de LT com valores variando de 2 a 2.525 ng de toxina por mL de cultura. Secreção de LT foi também variável com valores variando de menos que 0,04% a 49,5% do total de LT produzida pelas diferentes linhagens de ETEC. Adicionalmente, experimentos de alça ligada em coelho mostraram uma boa correlação entre a quantidade de LT secretada sob condições in vitro e a capacidade de causar acúmulo de fluidos in vivo. Nós determinamos ainda diversidade de ETEC pela obtenção das seqüências dos óperons etxAB de 50 linhagens (LT+ or LT+/ST+) pertencentes a diferentes sorotipos com ênfase para as linhagens produtoras apenas de LT e isoladas de crianças assintomáticas. As seqüências de nucleotídeo completas dos genes etxAB revelaram 23 alterações de aminoácidos nas subunidades A (18) e B (5), as quais geraram 16 variantes de LT. Entre estes variantes de LT, um mostrou efeito tóxico reduzido em comparação à toxina de referência LT1. A forma de LT atenuada (LT4) tem atividade enzimática reduzida devido à troca de aminoácido. / Enterotoxigenic Escherichia coli (ETEC) strains represent an important etiological agent of diarrheal disease, particularly among children and travelers in developing countries. Among the virulence factors expressed by ETEC strains the heat-labile (LT) and heat-stable (ST) enterotoxins represent the most revelevant phenotypes. Indirect evidences suggest that the severity of diarrhea associated to ETEC strains might reflect the natural diversity of wild strains to produce enterotoxins and/or the occurrence of variants endowed with reduced toxic effects. In the present study, we investigated both the genetic diversity of the etx operon, encoding the heat-labile toxin, and the capability to produce/secrete LT by ETEC strains isolated from humans or porcine in different geoghrafic areas. The results showed a remarkable variability on the production of LT with values ranging from 2 to 2,525 ng of toxin per ml of culture. LT secretion was also variable with values ranging from less than 0.04% to 49.5% of total LT produced by the different ETEC strains. Additionally, rabbit ileal loop experiments showed a good correlation between the amounts of secreted LT under in vitro conditions and fluid accumulation in vivo. We determined also the diversity of the etxAB operon of 50 ETEC strains (LT+ or LT+/ST+) belonging to different serotypes with emphasis to LT+-only producing strains isolated from asymptomatic children. The complete nucleotide sequences of the etxAB genes revealed 23 amino acid changes at the A (18) or B (5) subunits, which generated 16 variant forms of LT. Among these LT variants, one of them showed reduced toxic effects in comparison to the reference toxin LT1. The attenuated LT form (LT4) had decreased enzymatic activity due to an amino acid replacement (K4R) at the A1 subunit. LT4 retains its immunogenic and adjuvant properties following nasal immunization. Additionaly, the LT4 variant showed altered immune modulatory features and promoted a more biased Th1 response, which favor activation of effector CD8+ T lymphocytes, to co-administred antigen with regard to LT1. Taken together, our results demonstrate that ETEC strains isolated from human subjects express natural genetic variability leading to a remarkable polymorphism of the etx operon as well as production and secretion of LT. Such natural genetic diversity observed in ETEC strains may affect the host-pathogen relationships and, consequently, contribute to the severity of the disease among infected subjects.

Linhagens de Escherichia coli enterotoxigênica (ETEC) são consideradas como importante agente de diarréia, principalmente entre crianças e turistas em países em desenvolvimento. Entre os fatores de virulência expressos por ETEC, as enterotoxinas termo-lábil (LT) e termo-estável (ST) representam os mais relevantes fenótipos. Evidências preliminares sugerem que a severidade da diarréia associada a linhagens de ETEC deve refletir a diversidade natural de linhagens selvagens quanto à produção de enterotoxinas e/ou à ocorrência de variantes naturais com efeitos tóxicos reduzidos. No presente trabalho, investigamos diversidade genética do óperon etx, que codifica para a toxina LT, e da capacidade de produção e secreção de LT por linhagens de ETEC isoladas de humanos ou suínos em diferentes regiões geográficas. Os resultados mostraram considerável variabilidade na produção de LT com valores variando de 2 a 2.525 ng de toxina por mL de cultura. Secreção de LT foi também variável com valores variando de menos que 0,04% a 49,5% do total de LT produzida pelas diferentes linhagens de ETEC. Adicionalmente, experimentos de alça ligada em coelho mostraram uma boa correlação entre a quantidade de LT secretada sob condições in vitro e a capacidade de causar acúmulo de fluidos in vivo. Nós determinamos ainda diversidade de ETEC pela obtenção das seqüências dos óperons etxAB de 50 linhagens (LT+ or LT+/ST+) pertencentes a diferentes sorotipos com ênfase para as linhagens produtoras apenas de LT e isoladas de crianças assintomáticas. As seqüências de nucleotídeo completas dos genes etxAB revelaram 23 alterações de aminoácidos nas subunidades A (18) e B (5), as quais geraram 16 variantes de LT. Entre estes variantes de LT, um mostrou efeito tóxico reduzido em comparação à toxina de referência LT1. A forma de LT atenuada (LT4) tem atividade enzimática reduzida devido à troca de aminoácido. / Enterotoxigenic Escherichia coli (ETEC) strains represent an important etiological agent of diarrheal disease, particularly among children and travelers in developing countries. Among the virulence factors expressed by ETEC strains the heat-labile (LT) and heat-stable (ST) enterotoxins represent the most revelevant phenotypes. Indirect evidences suggest that the severity of diarrhea associated to ETEC strains might reflect the natural diversity of wild strains to produce enterotoxins and/or the occurrence of variants endowed with reduced toxic effects. In the present study, we investigated both the genetic diversity of the etx operon, encoding the heat-labile toxin, and the capability to produce/secrete LT by ETEC strains isolated from humans or porcine in different geoghrafic areas. The results showed a remarkable variability on the production of LT with values ranging from 2 to 2,525 ng of toxin per ml of culture. LT secretion was also variable with values ranging from less than 0.04% to 49.5% of total LT produced by the different ETEC strains. Additionally, rabbit ileal loop experiments showed a good correlation between the amounts of secreted LT under in vitro conditions and fluid accumulation in vivo. We determined also the diversity of the etxAB operon of 50 ETEC strains (LT+ or LT+/ST+) belonging to different serotypes with emphasis to LT+-only producing strains isolated from asymptomatic children. The complete nucleotide sequences of the etxAB genes revealed 23 amino acid changes at the A (18) or B (5) subunits, which generated 16 variant forms of LT. Among these LT variants, one of them showed reduced toxic effects in comparison to the reference toxin LT1. The attenuated LT form (LT4) had decreased enzymatic activity due to an amino acid replacement (K4R) at the A1 subunit. LT4 retains its immunogenic and adjuvant properties following nasal immunization. Additionaly, the LT4 variant showed altered immune modulatory features and promoted a more biased Th1 response, which favor activation of effector CD8+ T lymphocytes, to co-administred antigen with regard to LT1. Taken together, our results demonstrate that ETEC strains isolated from human subjects express natural genetic variability leading to a remarkable polymorphism of the etx operon as well as production and secretion of LT. Such natural genetic diversity observed in ETEC strains may affect the host-pathogen relationships and, consequently, contribute to the severity of the disease among infected subjects.