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Clinical and Diagnostic Laboratory Immunology, January 2004, p. 216-218, Vol. 11, No. 1
1071-412X/04/$08.00+0 DOI: 10.1128/CDLI.11.1.216-218.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Bacterial Expression of a Human Monoclonal Antibody-Alkaline Phosphatase Conjugate Specific for Entamoeba histolytica
Hiroshi Tachibana,1* Masataka Takekoshi,2 Xun-Jia Cheng,1 Yuta Nakata,1 Tsutomu Takeuchi,3 and Seiji Ihara2
Departments of Infectious Diseases,1
Molecular Life Sciences, Tokai University School of Medicine, Isehara, Kanagawa 259-1193,2
Department of Tropical Medicine and Parasitology, School of Medicine, Keio University, Shinjuku-ku, Tokyo 160-8582, Japan3
Received 1 August 2003/
Returned for modification 14 September 2003/
Accepted 2 October 2003

ABSTRACT
We previously produced human monoclonal antibody Fab fragments
specific to
Entamoeba histolytica in
Escherichia coli. In order
to use these Fab fragments for diagnostic purposes, an expression
vector to produce a fusion protein of Fab and alkaline phosphatase
(PhoA) in
E. coli was designed and constructed. The
E. coli PhoA gene was fused to the 3' terminus of the gene encoding
the heavy-chain Fd region. The kappa and Fd genes from a previously
prepared antibody clone, CP33, which is specific for the 260-kDa
lectin of
E. histolytica, were used as human antibody genes.
When the fusion protein of CP33 and PhoA was incubated with
paraformaldehyde-fixed trophozoites of
E. histolytica and developed
with a substrate, the trophozoites appeared to be stained. These
results demonstrate the feasibility of bacterial expression
of a human monoclonal antibody-PhoA conjugate specific for
E. histolytica and that the antibody can be used to detect
E. histolytica antigen without the use of chemically conjugated secondary antibodies.

INTRODUCTION
Amebiasis caused by infection with
Entamoeba histolytica is
one of the most important parasitic diseases not only in developing
countries but also in developed countries. It has been estimated
that 50 million people develop amebic colitis and extraintestinal
abscesses, resulting in 40,000 to 100,000 deaths annually (
3).
Laboratory diagnosis of intestinal amebiasis is usually based
on the microscopic detection of the organism in stool samples.
However, nonpathogenic commensal
Entamoeba dispar, which is
morphologically identical with but genetically distinct from
E. histolytica, has been identified recently as a separate species
(
9). Since treatment of
E. dispar infection is not required,
accurate diagnostic tools to discriminate between the two species
are needed (
3).
The application of monoclonal antibodies (MAbs) is one of several strategies for specific and sensitive diagnoses of infectious diseases. A number of MAbs which react specifically with E. histolytica or E. dispar have been produced by hybridoma technology (14, 16, 19-21). It has been reported that some MAbs were useful for detecting E. histolytica antigen in fecal and serum samples by sandwich enzyme-linked immunosorbent assay (1, 2, 11, 12). Recently, a new technology to produce a Fab fragment or single-chain Fv fragment in Escherichia coli has been established (4, 6, 15). The construction of vectors for the production of Fab in E. coli has also been reported (22, 24). When mouse immunoglobulin genes derived from a hybridoma producing E. histolytica-specific MAbs were expressed in this system, the specificity of the recombinant mouse Fab was comparable to that of the parent antibody (22). More recently, recombinant human MAb Fab fragments specific for E. histolytica have also been prepared from peripheral lymphocytes of a patient with an amebic liver abscess and of an asymptomatic cyst carrier (8, 18, 23). In order to use these human Fabs for diagnostic purposes, we report here the bacterial expression of a human Fab-alkaline phosphatase (PhoA) conjugate specific for E. histolytica.
The phagemid vector pRPLS/Fab1 (24) was digested with restriction enzymes NotI and EcoRI. A synthetic DNA linker consisting of two oligonucleotides (5'-GGCCGCAGGTGGCGGAGGTTCTGGTGGCGGAGGTTCTGGTGGCGGAGGTTCTAGACTCGAGTAAG-3' and 5'-AATTCTTACTCGAGTCTAGAACCTCCGCCACCAGAACCTCCGCCACCAGAACCTCCGCCACCTGC-3') was inserted into the NotI/EcoRI site of pRPLS/Fab1, thus creating a 15-mer Gly4Ser linker and recognition site for XbaI and XhoI. The resulting phagemid, pFab1-L, was digested with restriction enzymes XbaI and XhoI. To clone the E. coli PhoA gene, E. coli XL1-Blue was alkali lysed, neutralized, and subjected to PCR amplification. Two synthetic primers (5'-CCTCTAGAGGTACCCCAGAAATGCCTGTTCTAGAAA-3' and 5'-GGCTCGAGTTTAAGCCCCAGAGCGGC-3') were used to amplify 1.45 kb of the PhoA gene (17). The amplified gene was digested with XbaI and XhoI and subcloned into the XbaI/XhoI site of pFab1-L, resulting in phagemid pFab1-PhoA. This phagemid, pFab1-PhoA, was digested with XhoI and EcoRI. A synthetic DNA linker consisting of two oligonucleotides (5'-TCGAGGGTGGCGGAGGTTCTCATCACCATCACCATCACTAAG-3' and 5'-AATTCATGGTGATGGTGATGGTGATGAGAACCTCCGCCACCC-3') was inserted into the XhoI/EcoRI site of pFab1-PhoA, thus creating a 15-mer Gly4Ser linker and a His6 tag. The resulting plasmid was named pFab1-PhoA-H (Fig. 1).
As the source of human immunoglobulin genes, the kappa and Fd
genes from a previously prepared antibody clone, CP33 (
23),
which is specific for the 260-kDa lectin of
E. histolytica,
were used for production of the fusion protein. The DNA fragment
containing light- and heavy-chain genes was obtained by
NheI/
NotI
digestion of pFab1-His2. The fragment was ligated with pFab1-PhoA-H
and then introduced into competent
E. coli JM109. The bacteria
were spread on Luria-Bertani plates containing 50 µg of
ampicillin per ml, and the vector with the inserts was selected.
The positive clone was cultured in 1 liter of super broth (30
g of tryptone, 20 g of yeast extract, 10 g of MOPS [morpholinepropanesulfonic
acid] per liter [pH 7]) containing ampicillin at 37°C until
an optical density at 600 nm of 0.5 was achieved. Isopropyl-ß-
D-thiogalactopyranoside
was added to the cultures to a final concentration of 100 µM,
and the cultures were then incubated at 30°C for 12 h to
achieve optimal expression. The bacteria were pelleted by centrifugation
at 6,000
x g for 20 min, suspended in 20 ml of phosphate-buffered
saline (PBS) containing 1 mM phenylmethylsulfonyl fluoride,
and then sonicated. The lysates were centrifuged at 12,000
x g for 30 min, and the supernatant was filtered through 0.2-µm-pore-size
syringe filters (Iwaki, Tokyo, Japan). Purification of the fusion
protein from the supernatant was performed by affinity chromatography
with HisBind resin (Novagen, Madison, Wis.) in accordance
with the manufacturer's instructions. Purified fusion protein
was subjected to sodium dodecyl sulfate-polyacrylamide gel electrophoresis
(SDS-PAGE) as previously described (
22). Western immunoblot
analysis was also performed as previously described (
22). The
horseradish peroxidase (HRP)-conjugated goat immunoglobulin
G (IgG) fraction specific to the human kappa chain (Organon
Teknica, Durham, N.C.) and HRP-conjugated rabbit IgG fraction
specific to alkaline phosphatase (Rockland, Gilbertsville, Pa.)
were used for detection.
Approximately 2 x 105 trophozoites of E. histolytica HM-1:IMSS cultured axenically in BI-S-33 medium (10) were incubated on acetone-washed coverslips at 37°C for 30 min. The trophozoites were fixed with 4% paraformaldehyde in PBS for 30 min and then washed three times with PBS. After blocking with 5% bovine serum albumin was conducted for 15 min, the cells were incubated with the recombinant protein (50 µg/ml) for 30 min. After the cells were washed with PBS, development was conducted with a Vector red alkaline phosphatase substrate kit I (Vector Laboratories, Burlingame, Calif.) for 30 min in accordance with the manufacturer's instructions. Microscopic observation of the cells was performed under bright-field and fluorescent conditions by using a Nikon (Tokyo, Japan) XF-EFD2 fluorescence microscope.
SDS-PAGE analysis of the purified fusion protein of CP33 and PhoA revealed the expected sizes of two bands with apparent molecular masses of 25 and 75 kDa, although minor bands with apparent molecular masses of 50 kDa were also present (Fig. 2A). With Western immunoblot analysis, the 25-kDa band was recognized by an anti-human kappa chain goat antibody (Fig. 2B, lane 1). On the other hand, the 75-kDa band was detected by an anti-PhoA rabbit antibody, indicating that the molecule was a fusion protein of the Fd fragment and PhoA (Fig. 2B, lane 2). When the fusion protein of Fab-PhoA was incubated with paraformaldehyde-fixed trophozoites of E. histolytica and developed with the substrate, the surfaces of the trophozoites were stained clearly under both bright-field and fluorescent conditions (Fig. 3).
Recombinant human antibodies have been developed recently for
application in immunoprophylaxis, or the treatment of infectious
diseases. Although such human antibodies would also be useful
for diagnostic purposes, one of the disadvantages of the use
of human antibodies for the detection of pathogens in human
samples might be reactivity of endogenous immunoglobulins with
the secondary anti-human antibodies used in indirect methods.
Therefore, direct labeling of the human antibody with enzymes
is needed to reduce nonspecific binding of the second antibody.
It was reported recently that immunoglobulin genes derived from
murine hybridoma cells could be expressed in
E. coli as fusion
protein Fab-PhoA (
7,
25) or scFv-PhoA (
5,
7,
13,
17). The present
study demonstrates that the bacterial expression of a human
MAb-PhoA conjugate specific for
E. histolytica is also possible.
In addition to the advantage of using the antibody to detect
the
E. histolytica antigen without the need for chemically conjugated
secondary antibodies, there is no requirement for experimental
animals or reagents and equipment for the culture and cryopreservation
of hybridoma cells. Accordingly, the use of this human recombinant
antibody also provides an economic benefit.
The antigen recognized with CP33 was the heavy subunit of the galactose- and N-acetyl-D-galactosamine-inhibitable lectin of E. histolytica (23). It is well known that this lectin molecule is suitable as a target antigen for the detection of E. histolytica in fecal and serum samples (1, 2, 11, 12). In conclusion, we propose here that the human Fab-PhoA fusion protein can be used in the diagnosis of amebiasis.

ACKNOWLEDGMENTS
This work was supported by a grant-in-aid for scientific research
from the Japanese Society for the Promotion of Science and grants
from the Ministry of Health, Labor, and Welfare of Japan.

FOOTNOTES
* Corresponding author. Mailing address: Department of Infectious Diseases, Tokai University School of Medicine, Bohseidai, Isehara, Kanagawa 259-1193, Japan. Phone: 81 (463) 93-1121. Fax: 81 (463) 95-5450. E-mail:
htachiba{at}is.icc.u-tokai.ac.jp.


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Clinical and Diagnostic Laboratory Immunology, January 2004, p. 216-218, Vol. 11, No. 1
1071-412X/04/$08.00+0 DOI: 10.1128/CDLI.11.1.216-218.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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