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Clinical and Vaccine Immunology, March 2008, p. 447-451, Vol. 15, No. 3
1071-412X/08/$08.00+0     doi:10.1128/CVI.00379-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

Production of Recombinant Antigens of Ureaplasma parvum Serotypes 3 and 6 for Development of a Serological Assay

E. Vancutsem,^* F. Echahidi, K. Van Geel, G. Muyldermans, O. Soetens, and A. Naessens

Department of Microbiology, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Jette, Belgium

Received 13 September 2007/ Returned for modification 10 October 2007/ Accepted 5 December 2007

Top ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS DISCUSSION REFERENCES

 
Recombinant antigens of Ureaplasma parvum serotypes 3 and 6 were produced in order to develop a serological assay for Ureaplasma antibody detection. The genes of the multiple banded antigen (MBA) were amplified by PCR and cloned in a pTrcHis TOPO plasmid. Purified recombinant proteins were evaluated in Western blotting and enzyme-linked immunosorbent assay (ELISA) with monoclonal antibodies and human sera. Our approach was successful in the production of the recombinant MBAs (rMBAs) for serotypes 3 and 6. The antigens tested positive with serotype-specific monoclonal antibodies in Western blotting and in ELISA. Prominent reactions were detected with the rMBAs and their homologous monoclonal antibodies. Strong cross-reactions were visible in ELISA between rMBA 3 and the monoclonal antibodies from the other U. parvum serotypes. A weak cross-reaction was seen with rMBA 3 and the monoclonal antibody from serotype 4. rMBA 6 showed cross-reaction only with the monoclonal antibody from U. parvum serotype 1. Fifty-one percent of the sera obtained from culture-positive women reacted with one or both rMBAs. Only three (15%) of the sera from culture-negative women reacted with the rMBA. The positive reactions were observed only with rMBA 6. These preliminary tests showed the potential usefulness of the rMBAs produced for detecting an antibody response against Ureaplasma antigens.

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Ureaplasma spp. are present in 40 to 80% of sexually mature men and women as a commensal in the lower genital tract. In many cases, the microorganism is not pathogenic. However, it has been shown that in some cases Ureaplasma infection can cause adverse pregnancy outcomes (1, 2, 12, 15, 16, 26, 38, 42).

Ureaplasma consists of two species, U. parvum (serotypes 1, 3, 6, and 14) and U. urealyticum (serotypes 2, 4, 5, and 7 to 13) (20, 35).

No conclusive answer has been found to the question of whether pathogenicity is serotype specific (6, 7, 25, 27, 33) or whether other factors are responsible for the development of disease. It is likely that adverse pregnancy outcome is the consequence of an ascending infection originating from the lower genital tract. The reason why in some patients Ureaplasma spp. cause an ascending infection is not yet known, but it is likely that the etiology is multifactorial and the patient's immunity, the type of strain, and antigen variation may play roles in the disease progression.

Study of the antibody responses in different patient populations might be helpful for further research on the pathogenicity of these microorganisms. In this study, we evaluated whether recombinant antigens of Ureaplasma spp. could be suitable for use in a serological assay. For this purpose, the multiple banded antigen (MBA) of Ureaplasma spp. was chosen, since it is present in all serotypes of Ureaplasma (37) and it has an important role in the immune response (40). Moreover, the MBA contains serotype-specific, as well as non-serotype-specific, epitopes, which could be an advantage in the development of a serotype-specific assay (39, 40). U. parvum serotypes 3 and 6 were selected for the production of recombinant MBAs (rMBAs) because they are the most frequently isolated serotypes (2, 11, 18, 21, 25, 41). Since the repeat sequence from the MBA is the most important epitope for antibodies (40), primers flanking the repeat sequence of the MBA were chosen for PCR amplification.

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Production of the MBA gene. U. parvum serotype 3 and 6 reference strains (strain designations, 27 and Pi, respectively) were supplied by E. A. Freund (Institute of Medical Microbiology, University of Aarhus, Aarhus, Denmark). The strains were stored at –80°C until they were used. After the strains were cultured on differential agar medium A7 (36), one colony was isolated from the agar medium and grown in 10 ml bromothymol blue broth (32). After centrifugation (25,000 x g; 30 min; 4°C), the cell pellet was resuspended in 100 µl sterile phosphate-buffered saline (PBS), pH 7.3.

After DNA extraction, the selected region of the MBA gene from serotype 3 was amplified by PCR using a primer pair flanking the repeat region of the MBA gene (UMSP88/UMA1586) (Table 1). The region of the MBA gene from serotype 6 was amplified by nested PCR using primer pairs flanking the repeat region of the MBA gene (outer primer pair, UMS-125/UMA1586; inner primer pair, UMSP88/UMAUA) (Table 1).

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TABLE 1. Oligonucleotide primers used in this studya

PCRs were all performed in 50-µl reaction mixtures containing 10 mM Tris HCl, pH 8.3, 50 mM KCl, 2.5 mM MgCl₂, 200 µM deoxynucleoside triphosphates, 1 µM primers, 0.025 U/µl Taq polymerase, 5 µl DNA for single and outer PCRs, and 2 µl of the outer reaction mixture for the inner PCR. The PCR cycles were performed in an iCycler thermal cycler (Bio-Rad, Nazareth-Eke, Belgium).

A 10-min denaturation step at 94°C was followed by 35 cycles of 30 seconds at 94°C, 30 seconds at a primer-specific annealing temperature (53°C for primer pairs UMSP88/UMA1586 and UMSP88/UMAUA and 50°C for primer pair UMS-125/UMA1586), and 2 min at 72°C, with a final elongation step at 72°C for 10 min.

The PCR fragments obtained were purified and concentrated using a QIAquick PCR purification kit (Qiagen, Venlo, The Netherlands) according to the manufacturer's instructions. The PCR products obtained were sequenced to check for the presence of the repeats in the DNA fragments. The sequencing reactions were performed by the Flanders Institute for Biotechnology genetic service facility, Antwerp, Belgium. Sequencing data were processed with Kodon total genome and sequence analysis software, version 2.0 (Applied Maths, Sint-Martens-Latem, Belgium). The primers used for sequencing were UMSP88 and UMAUA/UMA1586 (Table 1).

Cloning and expression of the MBA gene. Cloning and expression of the MBA gene were performed using a pTrcHis TOPO TA expression kit (Invitrogen, Life Technologies, Paiseley, United Kingdom) according to the manufacturer's instructions. The pTrc His-TOPO vector with the partial MBA gene was transformed in One Shot TOP10 competent Escherichia coli cells. Ten positive transformants were picked for further testing, allowing us to select transformants with the inserts in the correct orientation of the open reading frame. Therefore, PCR was performed using combinations of pTrcHis Forward primer and pTrcHis Reverse primer, recognizing the sequence surrounding the insertion site of the plasmid, and UMSP88 and UMAUA/UMA1586, recognizing the MBA gene. Primer data are shown in Table 1. PCR mixtures and PCR cycles were performed as described above using an annealing temperature of 53°C. Positive transformants were grown in 2 ml LB medium (3) and stored at –80°C in glycerol.

After isopropyl β-D-thiogalactoside (IPTG)-induced protein expression in LB-medium, the E. coli cells were lysed by adding guanidinium-HCl buffer, pH 7.8, followed by a 10-minute sonification. A six-histidine tag was added to the proteins by the vector for further purification and testing in Western blotting. After centrifugation (3,800 x g; 15 min; room temperature), the supernatant was stored at –20°C until purification.

Sequencing of the positive clones was performed by the Flanders Institute for Biotechnology genetic service facility, Antwerp, Belgium. The sequencing results of the positive clones were aligned with the GenBank sequences of the MBAs from U. parvum serotypes 3 (AF222894) (14) and 6 (AF056984) (22). Sequencing analysis and sequence alignments were processed with Kodon total genome and sequence analysis software, version 2.0 (Applied Maths, Sint-Martens-Latem, Belgium). The primers used for sequencing were pTrcHis Forward and pTrcHis Reverse; primer data are shown in Table 1.

Purification of the rMBAs. Purification of the rMBAs was performed using ion metal affinity chromatography. Purification was performed with Ni Sepharose 6 Fast Flow (GE Healthcare, Brussels, Belgium). Briefly, a sample was added to the column and incubated for at least 30 min; after centrifugation (1,600 x g; 5 min; room temperature), the supernatant was removed. After three wash steps with phosphate buffer containing 20 mM imidazole, pH 7.4, for 5 minutes each time, the proteins were eluted using phosphate buffer containing 500 mM imidazole, pH 7.2. The purified rMBAs were evaluated in Western blotting with an anti-histidine antibody conjugated with horseradish peroxidase (Sigma, Belgium). Sodium dodecyl sulfate-polyacrylamide gel electrophoresis and Western blotting were performed as previously described (5).

Evaluation of the rMBA with MAbs. The purified rMBAs were evaluated in Western blotting and enzyme-linked immunosorbent assay (ELISA) with a complete set of serotype-specific monoclonal antibodies (MAbs) available in the laboratory (9, 10, 24). Sodium dodecyl sulfate-polyacrylamide gel electrophoresis and Western blotting were performed as previously described (5).

ELISA was performed by coating a Nunc-Immuno Polysorp Plate with 100 µl rMBA using Na₂CO₃/NaHCO₃ as a coating buffer. Optimal rMBA concentrations were determined by checkerboard titration (2.5 µg/ml and 1.25 µg/ml for serotypes 3 and 6, respectively). After 2 h of incubation at 37°C, the wells were washed twice with 0.1% PBS-Tween 20 (PBST) and blocked with bovine serum albumin-PBS (3% bovine serum albumin) at 37°C for 1 h. After another two wash steps, 100 µl of diluted MAb was added to the wells and incubated for 1 hour at 37°C. Optimal MAb dilutions were determined by checkerboard titration (1/800 for MAb-3 and 1/3,200 for MAb-6). Three wash steps followed the incubation, and 100 µl horseradish peroxidase-labeled anti-mouse antibody (1/1,000 in 0.05% PBST) was incubated in the wells for 1 h at 37°C. The wells were washed four times before substrate was added (orthophenylenediamine-2HCl), and the mixture was incubated for 30 min at room temperature. The reaction was stopped with 50 µl 2 M H₂SO₄, and the optical density (OD) was read at 492 nm.

Evaluation of the rMBAs with human sera. In order to evaluate the potential usefulness of the rMBAs in the detection of Ureaplasma antibodies, a preliminary ELISA was elaborated and tested with 20 sera obtained from women in whom the cervical culture was negative for Ureaplasma spp. and with 51 sera from women with a positive cervical culture. The genital tract specimens were obtained from healthy pregnant women at the first prenatal consultation in the Universitair Ziekenhuis Brussels, and none of the women had signs or symptoms of genital tract infection. Cervical swabs were transported in Amies transport medium supplemented with charcoal (International Medical, Brussels, Belgium). The cultures were performed as previously described (26) and were inoculated on differential agar medium A7 and in bromothymol blue broth.

After all runs were performed, the initial cutoff value for positivity was calculated as the mean OD plus 2 standard deviations (SD) obtained in the sera from culture-negative women. If this initial value gave rise to a positive result in one of the sera from a culture-negative woman, the initial cutoff value was recalculated after excluding the value of this serum for cutoff calculation, and a new "adjusted" cutoff value was calculated. The ELISA was performed as described above using rMBA dilutions of 1/1,600 for rMBA 3 and 1/800 for rMBA 6. Human sera and anti-human immunoglobulin G-peroxidase conjugate were diluted 1/1,000 in 0.05% PBST.

Nucleotide sequence accession number. The obtained consensus sequence of the clone 6G1 was submitted to the GenBank database (http://www.ncbi.nlm.nih.gov) under accession number EU095525. With these sequences, we could partially supply the lacking sequence of the 3' end of the MBA gene serotype 6.

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Cloning and expression of the MBA gene. DNA extraction of U. parvum serotypes 3 and 6 was performed and used for PCR as described in Materials and Methods. After nested PCR, a DNA fragment from the MBA of ca. 400 bp was obtained for serotype 6. For serotype 3, a PCR product of 1,500 bp was obtained. Sequencing of the PCR products showed the presence of 15 repeat fragments from U. parvum serotype 6 and 36 for U. parvum serotype 3. The PCR products from serotypes 3 and 6 were cloned successfully. Two positive transformants were obtained for U. parvum serotype 3 (3C4 and 3C9) and three for serotype 6 (6G1, 6G2, and 6G3).

Sequence alignment between sequencing results from the clones and sequences published in GenBank for U. parvum serotypes 3 and 6 showed 100% identity. In Western blotting, rMBAs 3 and 6 showed a positive reaction with the anti-histidine antibody at the expected molecular mass according to the PCR product length (60 and 35 kDa, respectively).

Evaluation of the rMBAs with MAbs. In Western blotting, rMBAs 3 and 6 showed reactivity with their homologous MAbs. In addition, rMBA 3 showed reactivity with the MAb directed to serotype 14 (Fig. 1 and 2).

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FIG. 1. Western blot showing the reaction patterns of rMBA 3 with all the serotype-specific MAbs. MM, molecular mass ladder (97.4, 66.2, 45, 31, 21.5, and 14.4 kDa). Lanes 1 to 14 contain rMBA 3 reactions with all 14 serotype-specific MAbs of Ureaplasma spp.

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FIG. 2. Western blot showing the reaction patterns of rMBA 6 with all the serotype-specific MAbs. MM, molecular mass ladder (97.4, 66.2, 45, 31, 21.5, and 14.4 kDa). Lanes 1 to 14 contain rMBA 6 reactions with all 14 serotype-specific MAbs of Ureaplasma spp.

In ELISA, rMBA 3 reacted strongly with its serotype-specific MAb. In addition to this reaction, relatively strong reactions were also observed with MAbs directed against the other U. parvum serotypes, 1, 6, and 14. A weaker reaction was seen with the MAb directed against serotype 4 (data not shown). rMBA 6 reacted strongly with its homologous MAb and with the MAb against U. parvum serotype 1.

Evaluation of the rMBAs with human sera. The mean OD after background subtraction obtained in serum samples from culture-negative women was 0.138 (range, –0.007 to 0.355; SD, 0.111) for rMBA 3 and 0.297 (range, 0.034 to 0.943; SD, 0.221) for rMBA 6. Cutoff values were calculated at 0.360 for rMBA 3 and 0.739 for rMBA 6. None of the 20 serum samples from culture-negative women showed a positive reaction in ELISA with rMBA 3. However, two of these serum samples showed OD values above the initial cutoff value in ELISA with rMBA 6. After elimination of these values in the cutoff calculation, the adjusted cutoff value for rMBA 6 was set at 0.480. This adjusted cutoff gave rise to three positive serum samples (15%) among the culture-negative women with rMBA 6. From the 51 serum samples obtained from culture-positive patients, 26 (51%) were positive with at least one of the two rMBAs (3 or 6): 19 in ELISA using rMBA 3 and 19 using rMBA 6 as the antigen. Twelve sera reacted with both antigens (Table 2).

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TABLE 2. Summary of ELISA results for serum samples from culture-positive and culture-negative women

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The high colonization rate of Ureaplasma has elicited a long discussion about the pathogenicity of the organism in reproduction pathology. However, well-defined case reports and studies have shown that Ureaplasma can interfere with fetal development. A variety of serological techniques have been used to detect the antibody response against Ureaplasma spp. (8, 13, 17, 28-31, 31, 34). However, these tests have a number of disadvantages. Immunoblotting cannot quantify results, the metabolic inhibition test is complex and requires large quantities of serum samples, and the reading of immunofluorescence assays may be subject to interpretation problems.

Previously described ELISAs with nonpurified antigens showed promising results for Ureaplasma antibody detection with human sera. However, the use of nonpurified antigens could hamper the detection of serotype-specific antibody responses (4, 23). The use of highly purified serotype-specific antigens offers the advantage of working according to standardized methods. Pure recombinant antigens are stable and can be produced in large quantities. Whole-cell antigenic preparations are often contaminated with medium components and show wide variation in antigenic content.

For amplification of the MBA gene for serotypes 3 and 6, forward primer UMSP88 was designed in the laboratory. Due to the unknown 3' sequence of the MBA gene from U. parvum serotype 6, primer design in this region was not possible. The reverse primer UMA1586, also used for serotype 3 MBA amplification, was used for serotype 6 in the outer PCR. The reverse primer UMAUA, previously described for U. parvum serotype 3, was used for the inner PCR for serotype 6 MBA amplification. The primers used for U. parvum serotypes 3 and 6 yielded satisfactory results.

We were successful in the production of rMBAs for serotypes 3 and 6. Evaluation of these rMBAs in ELISA and in Western blotting showed reactivity with their homologous antibodies and with some heterologous MAbs. All but one of the cross-reactions were observed with MAbs of the U. parvum species. For some MAbs, different cross-reactivity patterns were observed according to the technique used. Cross-reactivity was more frequent when the rMBAs were tested in ELISA than when they were tested in Western blotting. Such differences in cross-reactivity between different techniques have been described (9, 24). This is probably due to differences in the native forms of the proteins used in ELISA, whereas in Western blotting, the denatured structures of the proteins are used, resulting in a lower accessibility for the antibodies.

These rMBAs were further tested with human sera obtained from culture-negative and culture-positive women. Presuming that culture-negative women were not infected and would show no seroreactivity, the initial cutoff value was calculated at the mean OD (plus 2 SD) values obtained in culture-negative women. However, since the antibody response might still be detected after elimination of the microorganism and since culture might have failed to detect low numbers of microorganisms in some women, we adjusted the cutoff after excluding the OD values of initially reactive samples obtained in culture-negative women. This adjustment of the cutoff value was necessary only for rMBA 6.

After defining the cutoff value for positivity, we found that 51% of the sera obtained from culture-positive women reacted with one or both of the rMBAs. Considering that the serological test was performed with antigens specific for serotypes 3 and 6 and that women colonized with other serotypes might not be reactive, the positivity rate obtained in culture-positive women is promising. Positive reactions in sera from culture-negative women were observed only when using rMBA 6: 15% of the sera reacted positively with rMBA 6. These positive reactions may be the consequence of a persistent antibody response in a previously colonized patient, a cross-reaction with some epitopes present in the rMBA, or a false-negative culture result.

Further research, however, is necessary before the serological test will be clinically useful. Since it is not yet known whether serotype-specific antibody responses or global antibody responses will be clinically relevant, more rMBAs of other serotypes will be produced and their usefulness as single antigenic preparations or in combination with other antigens will be evaluated in a large clinical setting. In addition, the kinetics of the antibody response should be evaluated, and their possible use in distinguishing between colonization and infection must be investigated.

In conclusion, recombinant antigens of the MBAs of Ureaplasma spp. were successfully produced. Preliminary tests have indicated their potential usefulness as antigenic preparations in ELISA.

 
This work was supported by a grant of the Steunfonds Marguerite-Marie Delacroix.

 
* Corresponding author. Mailing address: Department of Microbiology, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Jette, Belgium. Phone: 32(0)24775003. Fax: 32(0)24775015. E-mail: Ellen.Vancutsem{at}uzbrussel.be

Published ahead of print on 19 December 2007.

Present address: Virco BVBA, Generaal De Wittelaan L11 B4, 2800 Mechelen, Belgium.

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Clinical and Vaccine Immunology, March 2008, p. 447-451, Vol. 15, No. 3
1071-412X/08/$08.00+0     doi:10.1128/CVI.00379-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

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