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Clinical and Vaccine Immunology, January 2007, p. 106-109, Vol. 14, No. 1
1071-412X/07/$08.00+0 doi:10.1128/CVI.00216-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
Specificity of the Immune Response to a Modified Group B Meningococcal Polysaccharide Conjugate Vaccine
Samuel Moore,*
Esmé K. Farley,
Peter C. Fusco, and
Francis Michon
BioVeris Corporation, Gaithersburg, Maryland 20877
Received 8 June 2006/
Returned for modification 7 July 2006/
Accepted 22 October 2006

ABSTRACT
Antibodies to a modified group B meningococcal polysaccharide
vaccine were examined for antigenic and functional specificities.
Bactericidal determinants were investigated by using immunoaffinity
columns and competitive inhibition of bactericidal activity
in an in vitro killing assay. We conclude that nearly all of
the vaccine-induced bactericidal activity is specific for the
native polysaccharide.

TEXT
Neisseria meningitidis has emerged as an important cause of
meningitis and septicemia throughout the world (
8,
23,
24).
The capsular polysaccharide of group B
N. meningitidis, a homopolymer
of

(2

8)-linked sialic acid, is chemically and physically identical
to the long-chain polysialic acid (PSA) expressed abundantly
in the brain, heart, and kidneys during fetal development (
4,
21). Likely because of this identity with PSA, group B meningococcal
polysaccharide (GBMP) is poorly immunogenic (
25) even when complexed
with (
26) or conjugated to (
11) protein. Serum antibodies to
GBMP elicited by vaccination or invasive meningococcal disease
are reported to be predominantly immunoglobulin M (IgM) (
1,
15,
16,
26) and of low avidity (
16).
To make the GBMP more immunogenic, the PSA has been chemically modified by replacing the N-acetyl group of the polysaccharide with an N-propionyl (NPr) group at the C-5 position (9, 22). This chemical modification has been shown to make the conjugate more immunogenic (2, 3, 5, 6, 7, 12, 14), but the epitope(s) on the bacterial surface recognized by the protective anti-NPrGBMP antibodies is not known (19, 20).
We examined the nature of the immune responses of mice and baboons to NPrGBMP-rPorB conjugate vaccine. Antisera produced from these animal models were subject to various affinity purification protocols and further examined by enzyme-linked immunosorbent assay (ELISA) and serum bactericidal assay (SBA). Reactivity of the antisera to NPrGBMP and GBMP, as well as cross-reactivity to group C meningococcal polysaccharide (GCMP), was examined.
(Portions of this work were presented at the 37th Interscience Conference on Antimicrobial Agents and Chemotherapy, Toronto, Ontario, Canada, 28 September to 1 October, 1997, abstr. G-2, p. 192.)
Immunoaffinity purification of mouse anti-NPrGBMP-rPorB antisera.
Mouse anti-NPrGBMP-rPorB antisera, raised as previously described (6), were pooled and subjected to affinity purification as characterized in Fig. 1a. Pooled antisera were diluted with an equal volume of phosphate-buffered saline (pH = 7.4) and applied to either GCMP-human serum albumin (HSA), GBMP-HSA, or NPrGBMP-HSA immunoaffinity resin constructed on an Affi-Gel 15 support according to the manufacturer's (Bio-Rad, Hercules, CA) instructions. The HSA conjugates used for ELISA and affinity chromatography were as previously described (6, 10, 17). Following the collection of the unbound effluent from each of the columns, bound antibodies were eluted with 3.0 M KSCN. Fractions collected from the columns were analyzed by ELISA (18). Representative ELISAs of column profiles eluted with 3.0 M KSCN following loading are shown in Fig. 1. Column fractions were analyzed on microtiter plates coated with native GBMP-HSA conjugate (Fig 1b). Both the GBMP-HSA and NPrGBMP-HSA columns retained all of the GBMP-specific Ig from the mouse antisera, while the GCMP-HSA column did not adsorb much GBMP-specific Ig. The same column fractions were also analyzed on microtiter plates coated with NPrGBMP-HSA (Fig 1c). The NPrGBMP-HSA column captured nearly all of the NPrGBMP-specific Ig; most of the NPrGBMP-specific Ig was not retained by either the native GBMP-HSA or the GCMP-HSA support.
The affinity purification results indicated that immunization
of mice with NPrGBMP-rPorB induced a major antibody response
specific for NPrGBMP but not highly cross-reactive with either
native GBMP or GCMP. These results also demonstrated the effectiveness
of the GBMP-HSA and NPrGBMP-HSA columns at capturing most of
the specifically reactive antibody.
SBA of immunoaffinity column pools.
Mouse antisera were immunopurified as already described (Fig 1a), and unbound and 3.0 M KSCN pools from each column were normalized according to the initial volume of antisera applied and then used in an SBA (6). These results were compared to the original mouse antiserum pool (Table 1). Both the native GBMP-HSA and modified NPrGBMP-HSA columns retained virtually all of the serum bactericidal activity from the original mouse antisera while the GCMP-HSA column adsorbed no serum bactericidal activity. A portion of the serum bactericidal activity was recovered in the 3.0 M KSCN eluates of both the GBMP-HSA and NPrGBMP-HSA columns, whereas no bactericidal activity was recovered from the 3.0 M KSCN pool from the GCMP-HSA affinity resin. The lack of complete recovery of serum bactericidal activity from the columns is likely due to antibody denaturation.
Baboons were previously used as a nonhuman primate model to
measure the response to NPrGBMP-rPorB conjugate vaccine (
6).
The baboon antisera were purified over the three immunoaffinity
resins as described for the murine antisera. The results of
these experiments (Table
2) were similar to those described
for mice. The GBMP and NPrGBMP affinity columns retained most
of the antibody responsible for serum bactericidal activity,
while the GCMP column did not.
It is notable that the native GBMP column captured less of the
serum bactericidal activity-relevant antibody population than
did the NPrGBMP column. Several explanations for this are possible.
It may be that both of these columns were somewhat overloaded,
that the baboon SBA was highly sensitive and therefore better
at capturing minute active Ig populations, or that these unbound
antibodies were representative of other bactericidal antibody
populations not bound by either immunoaffinity resin. A fourth
possibility has been described previously (
6), where it was
proposed that the increased efficiency of bactericidal inhibition
by different forms of GBMP, whether conjugated or propionylated,
might be due to a higher density of reactive epitopes, possibly
related to some structural stabilization from the chemical process.
It should also be noted that repeated immunization with NPrGBMP-protein
conjugate vaccine has been observed to shift the immune response
more to the chemically modified form of the polysaccharide and
away from the native GBMP structure (
6,
20). In fact, there
may be a nonautoreactive epitope present in the native GBMP
that is further expressed or exposed in the NPrGBMP (
20). The
higher density of reactive epitopes in NPrGBMP, coupled with
the nonnative antibody population, might therefore account for
the NPrGBMP-HSA affinity resin capturing more bactericidal activity
than the native GBMP-HSA column (Table
2).
Inhibition of mouse anti-NPrGBMP-rPorB serum bactericidal activity.
The specificity of mouse anti-NPrGBMP was further examined in an assay wherein the serum bactericidal activity of the antisera was inhibited with antigens related to those chosen to construct the immunoaffinity resins (Fig 2). Inhibition assays with the mouse antisera and the inhibitors were carried out overnight at 4°C to maximize antigen-antibody interactions (16). The most efficient inhibitor of serum bactericidal activity was the NPrGBMP-HSA conjugate, which was approximately 5-fold more efficient than unconjugated NPrGBMP and 8- and 15-fold more efficient than native GBMP and GBMP-HSA conjugate, respectively. Notably, both GBMP-HSA and unconjugated GBMP were effective inhibitors in this assay; GCMP-HSA conjugate, by contrast, was not at all effective.
These results argue against the existence of a unique bactericidal
epitope contained in the NPrGBMP-rPorB conjugate as previously
described (
9,
10). It was previously noted that larger-molecular-size
GBMP was able to precipitate more antibody from a group B horse
antiserum than a smaller counterpart (
13). The GBMP used to
construct our affinity matrix was approximately 55 to 60 monosaccharide
repeats, compared with the 20 repeats described previously (
10),
and this may account for the improved capture of bactericidal
antibody on our resin compared to the results described in the
past. In addition, we used an HSA protein spacer between the
resin and the polysaccharide, thereby possibly enabling greater
access to the polysaccharide for antibody populations that might
otherwise be sterically hindered.
ELISA of immunoaffinity column pools.
Pooled fractions from GBMP-HSA and NPrGBMP-HSA immunoaffinity column purifications of mouse antisera sequentially eluted with 1.0 M NaCl, followed by 3.0 M KSCN, were dialyzed against phosphate-buffered saline, normalized according to the original volume of antisera applied to the columns, and analyzed by ELISA (Fig. 3). The intent of the sequential elution protocol was to remove first weakly binding antibody from the columns with 1.0 M NaCl and then higher-affinity antibody with 3.0 M KSCN.
Pools recovered from the NPrGBMP-HSA column were examined on
a microtiter plate coated with NPrGBMP-HSA (Fig.
3a). Unbound
fractions displayed no anti-NPrGBMP activity. Bound Ig eluted
from the NPrGBMP-HSA column with 3.0 M KSCN had higher specific
activity to NPrGBMP than did Ig eluted from the same column
with 1.0 M NaCl. This could be indicative of either a greater
number of Ig molecules in the 3.0 M KSCN pool or an antibody
population displaying greater avidity for the solid phase.
Pooled column fractions recovered from the GBMP-HSA column were similarly analyzed (Fig. 3b). Most of the NPrGBMP-specific Ig passed through the native PS column, while most of the Ig that bound to the resin was eluted with 1.0 M NaCl, indicating an antibody population of low avidity to native GBMP. The higher-avidity antibody population, eluted with 3.0 M KSCN, was a very minor component of the antibody population bound to the native GBMP column. The antibody populations from the GBMP column were in stark contrast to those eluted from the NPrGBMP affinity column. Most of the anti-NPrGBMP activity of the antiserum was not retained by the GBMP affinity matrix, and most of the antibody bound was gently eluted with 1.0 M NaCl. There was an antibody population that bound with higher apparent avidity to GBMP that was eluted with 3.0 M KSCN, but that was a small fraction of the initial antibody population specific for native GBMP and an even smaller fraction of the total antibody specific for NPrGBMP.
A valid area of concern that needs to be addressed is that chemical modification of the polysaccharide may result in high levels of antibodies that are not necessarily bactericidal or otherwise functional. Nonetheless, the modification appears to enhance the presence of the bactericidal epitopes which are identical to those contained within the native structure.

FOOTNOTES
* Corresponding author. Mailing address: Department of Vaccine Research, BioVeris Corporation, 16020 Industrial Drive, Gaithersburg, MD 20877. Phone: (301) 869-9800. Fax: (301) 947-5312. E-mail:
smoore{at}bioveris.com.

Published ahead of print on 1 November 2006. 

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Clinical and Vaccine Immunology, January 2007, p. 106-109, Vol. 14, No. 1
1071-412X/07/$08.00+0 doi:10.1128/CVI.00216-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.