INTRODUCTION

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Hepatitis C virus (HCV) is the major cause of chronic hepatitis, which can evolve into cirrhosis, liver failure, or hepatocellular carcinoma (2, 4). There is no vaccine for HCV, and the only available treatment, a combination of alpha interferon and ribavirin, is efficacious in only a minority of patients (33). Given that approximately 200 million chronic HCV infections have been estimated worldwide (52), there is a pressing need to develop new therapies and vaccination strategies. The development of such strategies will be aided greatly by a more complete picture of the structure-function features of HCV proteins.

HCV is an enveloped plus-strand RNA virus of the Flaviviridae family (24). Its genome is 9.5 kb in length with one open reading frame that is translated as a single polyprotein, which is processed by host and virus proteases into at least three structural and seven presumptive nonstructural proteins with various enzymatic activities (5, 22, 47). Two glycoproteins, E1 and E2, are probably virion envelope proteins, containing multiple N-linked glycosylation sites, and form heterodimers in vitro (23, 32, 35, 45). The coexpressed E1-E2 complex localizes to the endoplasmic reticulum (ER) and lacks complex N-linked glycans (7, 8, 13, 15, 45, 49).

Neutralizing antibodies often play a pivotal role in defeating viral infections, including prominent human pathogens such as influenza virus and hepatitis B virus (9, 28). The assessment of neutralizing antibody responses to HCV has been difficult because HCV does not grow efficiently in cell cultures. To overcome this obstacle, we developed a surrogate assay which measures the ability of antibodies to inhibit the binding of recombinant E2 to its putative cellular receptor CD81 on human cells (neutralization-of-binding [NOB] assay) (44, 46). CD81 is a membrane-associated protein belonging to the family of tetraspanins (30). Its large extracellular loop (LEL) binds E2 with a K_d of 1.8 nM (42), and this interaction appears necessary and sufficient for binding of bona fide HCV particles (44). Importantly, chimpanzee sera containing antienvelope antibodies, which are capable of preventing HCV infection in vivo, inhibit the binding of HCV to CD81 in vitro, suggesting that this interaction is relevant to infection (44).

Our research has focused primarily on comparing vaccine formulations of HCV E2, which is an obvious candidate for inclusion in a subunit vaccine because of its potential role in HCV attachment. Thus, targeting antibodies to HCV E2 could be a viable strategy for disrupting the HCV-CD81 interaction. Despite the inherent difficulties in studying HCV infection and the lack of a clear correlate of protection, there is evidence that neutralizing antibodies can be protective. Studies performed with human immunoglobulin (Ig) preparations have suggested some degree of efficacy in preventing the transmission of HCV in the transfusion setting, after liver transplants, and in sexual transmission (17, 27, 43). Relevant data on the existence of HCV-specific neutralizing antibodies also come from experimental vaccination studies in chimpanzees, the only species besides humans susceptible to infection. When vaccinated with recombinant envelope proteins (E1-E2 heterodimer), chimpanzees developed high titers of anti-E2 antibodies in serum, as determined by enzyme-linked immunosorbent assay (ELISA) and NOB assay, and were completely protected from subsequent challenge with the homologous virus (6, 46).

As with any chronic viral infection, there is a growing interest in eliciting not only antibody but also cytotoxic T-lymphocyte (CTL) responses to HCV. Therefore, we have begun to investigate DNA vaccination as an alternative or complement to a vaccine based solely on recombinant proteins. DNA vaccines have been reported to prime good antibody responses, but, unlike subunit vaccines, they offer the advantage of maximizing CTL responses (12, 41). Their efficacy has been successfully demonstrated in animal models for a wide variety of viral pathogens including hepatitis B virus, human immunodeficiency virus, and influenza virus (10, 29, 51). However, despite its advantages and success in rodent models, DNA vaccination suffers from several drawbacks in that it is still largely in the realm of basic research and nonsecreted antigens are particularly weak stimulators of antibody responses (3).

Here we compared the quantity and quality of anti-E2 antibody responses elicited by various forms of recombinant HCV E2 proteins or by DNA vaccines. Our findings indicate that an ER-retained form of recombinant HCV E2 protein is the antigen of choice for eliciting the best antibody response in terms of both quality and quantity.

	MATERIALS AND METHODS

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Cloning, expression, and purification of E2 protein. E2_384-661 and E2_384-715 were expressed from recombinant CHO cells as described previously (46, 49). For purification of secreted E2 (S-E2), CHO cell conditioned medium was concentrated 23-fold by ultrafiltration and subjected to flowthrough chromatography on a type I ceramic hydroxyapatite (HAP) (Bio-Rad) column equilibrated in 100 mM NaCl-10 mM phosphate (pH 6.3). E2-containing flowthrough fractions, as assessed by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and Western blotting, were pooled and concentrated on a 30-kDa-cutoff tangential flow filter (Omega membrane; Pall Corp., Torrance, Calif.). Internal E2 (I-E2) was solubilized from CHO cells with lysis buffer (4% Triton X-100, 100 mM Tris-HCl [pH 8.0], 1 mM EDTA, protease inhibitors). The solution was loaded on a Galanthus nivalis lectin (Vector Laboratories, Burlingame, Calif.) affinity column equilibrated in 1 M NaCl-2% Triton X-100-50mM Tris-HCl (pH 8.0). The column was washed with 1 M NaCl-0.1% Triton X-100-20 mM phosphate (pH 6.0) and eluted with 1 M methyl--D-mannopyranoside. The eluate was diluted, loaded onto a HAP column, and subjected to a concentration step as indicated above. The HAP concentrate was processed over an S-Fractogel column (EM Separations) equilibrated and washed with 25 mM NaCl-10mM phosphate (pH 6.2). I-E2 was eluted with 150 mM NaCl-10 mM phosphate (pH 6.2). To purify the different molecular weight forms of E2, the S-E2₇₁₅ concentrate and the I-E2₇₁₅ eluate were adjusted to 30 mM phosphate (pH 7.0), and fractionated on a Superdex 200 (Pharmacia) gel filtration column equilibrated with phosphate-buffered saline (PBS) (pH 7.0)-1 mM EDTA. Aliquots of collected fractions were trichloracetate precipitated for analysis. Fractions containing monomers, dimers, and trimers of S-E2₇₁₅ and I-E2₇₁₅ were pooled and concentrated as indicated above.

Deglycosylation of internal E2₇₁₅ and carbohydrate analysis. I-E2₇₁₅ was digested with -mannosidase or endo--N-acetylglucosaminidase H (endo H) (Boehringer Mannheim). The exoglycosidase -mannosidase efficiently removes free mannose (Man) residues that are 16 Man or 12 Man linked and less efficiently removes 13 Man-linked residues. Endo H cleaves between the two N-acetylglucosamine (GlcNAc) residues of N-linked core units, leaving one GlcNAc residue linked to asparagine. Samples were incubated with or without enzyme overnight at 37°C in 50 mM citrate (pH 5.0). -Mannosidase digestion was monitored by SDS-PAGE, and then 100 mM borate (pH 9.5) was added to stop the reaction. The samples were then dialyzed against 10 mM phosphate (pH 8.0) to remove digested monosaccharides. Endo H-digested carbohydrates were removed by S-Fractogel chromatography as indicated above. For monosaccharide content analyses, digested E2 was treated with 3 M trifluoroacetic acid for 6 h at 100°C to release the monosaccharides. Following lyophilization, samples were derivatized at pH 8.0 with 50 mM phenylmethylpyralozone and extracted into tert-butylether. The extract was then analyzed by reverse-phase high-pressure liquid chromatography, and the monosaccharide content was determined by using an external calibration profile and an internal talose standard.

DNA constructs. The vector pAC-FN used for DNA vaccination will be described in detail elsewhere (J. M. Heile, S. Abrignani, and G. Grandi, unpublished data). Briefly, expression of the gene of interest is driven by the human cytomegalovirus immediate-early promoter and enhancer and RNA stability is ensured by a simian virus 40 splice site and poly(A) signal. E2 DNA vaccines are derived from a previously described construct, which directs truncated E2_384-715 of HCV genotype 1a into the ER by a 25-amino-acid (aa) tissue plasminogen activator (TPA)-derived signal sequence (46). The tpa-E2₇₁₅ insert was transferred into the SmaI and NotI sites of the pAC-FN polylinker by standard molecular cloning techniques, resulting in pAC-E2₇₁₅. For the construction of DNA vaccines encoding ER-retained E2, the following strategy has been used. pAC-E2₇₁₅ was modified by replacing the C-terminal part of E2 with PCR fragments amplified from pMCMV-HC5p, which encodes HCV aa 1 to 917 (49). The fragments were cloned into the unique ApaI site at E2 aa 470 and into the NotI site. The sense primer used for all constructs (E2Apa-209; 5'-CCTCCTCGCACCAGGCGCCAAGC-3') anneals 209 bp upstream of ApaI. All antisense primers are composed of the sequence 5'-ATCGTAGCGGCCGCTTA-3', comprising a NotI site and the ochre stop codon, followed by the sequence 5'-CGCCTCCGCTTGGGATATG-3' (E2746), 5'-CGCGTACGCCCGCTGGGGC-3' (E2809), 5'-AGGCATTTTCTTTTCATCAATAAAACTGCGTCTGCTGCGCGCGTCTGCAAGCAGAAGG-3' (E2730KK), or 5'-GAGCTCGTCCTTAATGGCCCAGGACGCG-3' (E2715DEL). The resulting constructs are referred to as pAC-E2₇₄₆, pAC-E2₈₀₉, pAC-E2_730KK, and pAC-E2_715DEL. All PCR-derived modifications were verified using an ABI sequencer (Amersham Pharmacia Biotech).

In vitro analysis of constructs. CHO cells were stably transfected with the E2-DNA vaccines for analysis. Selection was achieved through bicistronic expression of E2 together with a neomycin resistance gene (neo), coupled downstream of the E2 sequence via an internal ribosomal entry site. neo was amplified by PCR from pcDNAINeo (Invitrogen) and cloned into BamHI and blunt-ended NcoI sites of pCITE-2a(+) (Novagen), with NcoI providing the ATG start codon. The resulting IRES-neo fragment was excised with ApaI and XbaI and blunt ended for insertion into the NotI site of the pAC-E2 constructs. CHO DG44 cells were grown in Ham's F12 medium supplemented with 10% fetal calf serum, 2 mM L-glutamine, and 0.02% L-proline. Subconfluent monolayers grown in 100-mm-diameter dishes were transfected with 20 µg of plasmid DNA by calcium phosphate coprecipitation. Precipitates were incubated with cells for 6 h at 37°C and then given a 3-min shock with 15% glycerol in PBS. Cells were grown for 48 h without selection, divided among 15 plates, and grown for 2 weeks in medium containing 1 mg of Geneticin G418 sulfate (Gibco BRL) per ml. E2 protein was purified from pooled transfectants without further cloning. Cells were resuspended in lysis buffer (20 mM Tris-HCl [pH 7.5], 100 mM NaCl, 1 mM EDTA, 0.5% NP-40, 0.5% deoxycholate) containing protease inhibitors. E2 was immunoprecipitated with serum of chimpanzee L559, which was immunized with E1-E2 heterodimer and protected against challenge with homologous HCV (6). Using protein A-Sepharose CL-4B (Pharmacia), the lysate was precleared with L559 preimmune serum and E2 was precipitated with immune serum. The pellet was directly resuspended in 100 mM acetate (pH 5.0)-0.03% SDS and boiled for 2 min. Equal parts were incubated with or without endo H for 20 h at 37°C in the presence of protease inhibitors and then trichloroacetate precipitated. After SDS-PAGE under reducing conditions, the E2 antigen was detected by Western blotting with a monoclonal antibody (MAb) raised against E2₇₁₅ expressed in insect cells (MAb 3E51), which recognizes nonconformational E2 (S. Abrignani, D. Rosa, and M. Houghton, unpublished data), followed by horseradish peroxidase-conjugated anti-mouse Ig antiserum (Amersham).

Animals and immunizations. Hartley female guinea pigs were purchased from Elmhill, Chumford, Mass. Five animals per group were immunized intraperitoneally (i.p.) with 8 µg of S-E2₇₁₅ or I-E2₇₁₅ in MF59-0 adjuvant on days 0, 30, and 90, and bled on day 110. Groups of eight 6- to 8-week-old female C57BL/6 mice (Charles River, Calco, Como, Italy) were injected intramuscularly (i.m.) in both hindlegs with either DNA in PBS or protein in MF59-0 adjuvant on days 0 and 35 and bled on day 49. Plasmid DNA was prepared using endotoxin-free purification columns (Qiagen, Hilden, Germany). Per mouse and injection, a total of 100 µl of 1-µg/µl E2-DNA (100 µg) or 50-ng/µl I-E2₇₁₅ protein (5 µg) was administered.

Antibody titers. Anti-E2 antibody titers were measured by ELISA. For guinea pig sera, Nunc maxisorb microtiter plates were coated with HeLa E1-E2 antigen (0.3 µg/ml) purified as previously described (6). The sera were analyzed with horseradish peroxidase-conjugated anti-guinea pig IgG antiserum (Sigma). Mouse sera were analyzed with Nunc CovaLink microtiter plates coated with CHO I-E2₇₁₅ protein at 0.5 µg/ml, using alkaline phosphatase-conjugated anti-mouse IgG (Sigma). Antibody titers were calculated as the dilution which gave an optical density (OD) that equaled the cutoff. The cutoff was established as the mean OD + 3 standard deviations for eight preimmune sera.

E2 binding assay. Binding of E2 to target cells was measured as described previously (46). Briefly, MOLT-4 cells were incubated with different concentrations of E2 protein. Cell-bound E2 was detected with anti-E1-E2 antiserum from chimpanzee L559 followed by phycoerythrin-labeled anti-human Ig, F(ab')₂ fragment specific (Southern Biotechnology Associates, Birmingham, Ala.), or with antiserum from guinea pigs immunized with I-E2₇₁₅ or S-E2₇₁₅ followed by fluorescein isothiocyanate-labeled anti-guinea pig IgG, F(ab')₂ fragment specific (Jackson ImmunoResearch, West Grove, Pa.). Cell-bound fluorescence was analyzed with a FACScan flow cytometer (Beckton Dickinson). The net mean fluorescence intensity (MFI) was calculated by subtracting the value obtained in parallel with chimpanzee L559 or guinea pig preimmune serum. The specificity of E2 binding to CD81 on human cells was confirmed as described previously (44) by competing E2 binding to human cells with soluble human CD81 LEL, which was purified as described previously (42) and incubated at a concentration of 50 µg/ml with E2 prior to incubation with MOLT-4 cells.

NOB assay. Mouse and guinea pig sera were tested for their ability to inhibit the binding of E2 protein to human target cells as previously described (25, 46). Briefly, NOB titers were determined by incubation of MOLT-4 cells with a nonsaturating concentration of biotinylated I-E2₇₁₅ protein (1.5 µg/ml), which was previously incubated with a test serum at different dilutions. Following incubation of the cells with a streptavidin-phycoerythrin conjugate (Southern Biotechnology Associates) at 2.5 µg/ml, E2 binding was measured with a FACScan. NOB titers correspond to the reciprocal values of serum dilutions which inhibit 50% of binding.

	RESULTS

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I-E2 but not S-E2 binds human target cells and elicits NOB antibodies following immunization. The E2 protein is processed from the HCV polyprotein, leading to a polypeptide backbone of 363 residues, spanning residues 384 to 746 (31). aa 716 to 746 serve as a membrane anchor, and their deletion can lead to secretion of the E2 protein when expressed in mammalian cells (34, 48). We previously described stably transfected CHO cell lines expressing E2, targeted to the ER via a TPA-derived leader sequence fused to its N terminus and carboxy-terminally truncated at residues 661 (E2₆₆₁) or 715 (E2₇₁₅). Both lines secrete a fraction of the E2 protein and retain part of it in the ER (49). Although E2₆₆₁ is secreted from CHO transfectants with more efficiency than are longer truncated versions, we first aimed to purify and analyze the largest secreted E2 protein possible, and we previously reported the purification and binding to human target cells of E2₇₁₅ (46). This E2 protein had been affinity purified from culture supernatants with MAb 5E5/H7 raised against the HeLa intracellular E1-E2 heterodimer, and we obtained E2 only in extremely small quantities. The low yield achieved with a conformational MAb used for purification led us to suspect that we had actually captured either a minor well-folded fraction or an intracellular fraction that had been released into the supernatant by occasional cell lysis. We then purified both the supernatant fraction (S-E2₇₁₅) and the intracellular fraction (I-E2₇₁₅) from the same line without the use of E2-specific antibodies. In Western blots, S-E2₇₁₅ appeared as a broad band of about 74 kDa whereas I-E2₇₁₅ appeared as a sharper band of about 60 kDa (Fig. 1A), indicating extensive usage of the 11 N-linked glycosylation sites within E2.

View larger version (40K): [in this window] [in a new window]   FIG. 1.   I-E2 induces higher anti-E2 NOB titers than S-E2 does. (A) E2715 protein was expressed in CHO cells and purified from the supernatant (S-E2) and from lysed cells (I-E2). The two fractions were analyzed by SDS-PAGE (10% acrylamide) under reducing conditions and Western blotting with chimpanzee anti-E1/E2 antiserum. The sizes (in kilodaltons) of protein molecular mass markers are indicated on the left. (B and C) Hartley female guinea pigs were immunized i.p. with 8 µg of S-E2 or I-E2 in MF59-0 adjuvant on days 0, 30, and 90. Sera taken on day 110 were analyzed by ELISA (B) and the NOB assay (C). Anti-E2 ELISA titers (total IgG) are expressed as the highest serum dilution resulting in an OD450 that equaled the cutoff (mean OD + 3 standard deviations for eight preimmune sera). Anti-E2 NOB titers are expressed as reciprocal values of serum dilutions which inhibit 50% of E2 binding to CD81 on MOLT-4 cells. The results are given as the mean values for five individual animals.

View larger version (16K): [in this window] [in a new window]   FIG. 2.   Binding of various truncated E2 proteins to human cells. S-E2 (circles) and I-E2 (squares) truncated at position 661 (open symbols) or at position 715 (solid symbols) and expressed in CHO cells, were tested for their capacity to bind MOLT-4 cells. Cell-bound E2 is indicated as net MFI as detected by flow cytometry using chimpanzee anti-E1-E2 antiserum (A) or using antiserum raised in guinea pigs against I-E2715 (B) or S-E2715 (C). The star represents the effect of 50 µg soluble human CD81 LEL per ml on the binding of I-E2661.

Internal E2 monomers but not dimers or trimers bind efficiently to human cells. The recombinant E2 protein expressed in mammalian cells tends to aggregate, and these aggregates are stabilized by disulfide bonds. Such multimers of the HCV envelope are thought to be dead-end products (11, 34). We investigated whether the presence of oligomerized E2 protein in our preparations influences their ability to bind CD81. We separated forms of I-E2₇₁₅ and S-E2₇₁₅ with different molecular weights by gel filtration, through which we were able to purify monomers, dimers, and trimers of each. Both E2 forms display very similar gel filtration profiles, indicating that in both cases about 60% of the unfractionated material is monomeric (Fig. 3A). Only the monomeric fraction of I-E2₇₁₅ bound efficiently to cellular targets, while the dimeric and trimeric fractions bound poorly. By contrast, neither monomers, dimers, nor trimers of S-E2₇₁₅ bound CD81 efficiently. CD81 LEL blocks the binding of monomeric I-E2₇₁₅ and S-E2₇₁₅ completely, demonstrating the specificity of the interaction (Fig. 3B). Thus, aggregated recombinant I-E2₇₁₅ fractions have an impaired capacity to present the conformational binding epitopes.

View larger version (22K): [in this window] [in a new window]   FIG. 3.   Monomers of I-E2715 bind human cells better than do dimers and trimers. Purified I-E2715 and S-E2715 were fractionated further by size exclusion chromatography into different molecular weight forms. (A) The elution profiles of I-E2715 and S-E2715 are shown. Individual fractions were monitored by SDS-PAGE under nonreducing conditions (data not shown). The monomeric, dimeric, and trimeric forms of E2 are indicated. The triangles indicate the elution time of size exclusion molecular weight standards. (B) Monomers (squares), dimers (circles), and trimers (diamonds) of I-E2715 (solid symbols) and S-E2715 (open symbols) were compared by their capacity to bind MOLT-4 cells. Cell-bound E2 was measured by flow cytometry using chimpanzee anti-E1-E2 antiserum and is indicated as net MFI. The ability of the chimpanzee serum to recognize monomers, dimers, and trimers of I-E2715 and S-E2715 was confirmed by staining Western blots of E2 SDS-PAGE gels under nonreducing conditions (data not shown). The effect of 50 µg of soluble human CD81 LEL per ml on the binding of monomeric I-E2715 (asterisk) and monomeric S-E2715 (star) is represented.

Sugar moieties are not necessary for E2 binding to human cells. Because the E2 protein elicited NOB antibodies upon immunization and bound CD81 only when core glycosylated but not when complex glycosylated, we tested whether core glycosylation was required for these activities. To this end, we performed binding studies using deglycosylated E2. We digested I-E2₇₁₅ with -mannosidase or with endo H and analyzed the products for the presence of monosaccharides and for their binding activity. -Mannosidase-digested E2 retains all GlcNAc residues compared to the undigested control, as well as, most probably, the 14 GlcNAc-linked and some 13 mannose-linked mannose residues, which are not efficiently cleaved by the enzyme (Table 1). Endo H digestion was complete, with approximately half of the GlcNAc residues cleaved off and only trace amounts of uncleaved mannose left. Importantly, the deglycosylated forms and the undigested controls were identical in their capacity to bind CD81 (Fig. 4). The enzymes alone have no binding activity (data not shown). Thus, core glycosylation is not necessary for E2 binding to CD81 and complex glycosylation is likely to mask the E2 binding epitope for its cellular receptor. This also may explain the inability of complex glycosylated S-E2₇₁₅ to raise NOB antibodies after immunization. By treating S-E2 with peptide-N-glycosidase F (PNGase F), which removes complex sugars completely, we attempted to restore its binding activity. However, PNGase F-digested S-E2 formed high-molecular-weight aggregates, with the majority of the protein precipitating out of solution. The aggregates that remained in solution did not migrate into an SDS gel. This is presumably due to hydrophobic interactions following removal of all hydrophilic carbohydrates or due to conformational changes through the conversion of asparagine at the N-glycosylation site to aspartate. Therefore, it was not possible to compare completely deglycosylated S-E2 with untreated or endo H-treated I-E2 (data not shown).

View larger version (24K): [in this window] [in a new window]   FIG. 4.   Deglycosylation of I-E2 does not influence its binding activity. I-E2715 was digested with -mannosidase or with endo H. MOLT-4 binding activity of -mannosidase-treated (solid circles) and endo H-treated (solid squares) E2 was compared to that of mock-treated E2 (open symbols). Cell-bound E2 was measured by flow cytometry using chimpanzee anti-E1-E2 antiserum and is indicated as net MFI.

Construction and in vitro analysis of ER-retained E2 DNA vaccines. Given the potential benefits of DNA vaccines over recombinant proteins (12), we assessed the ability of different E2 forms to stimulate humoral immunity if delivered in the form of a DNA vaccine. Using the DNA vaccination vector pAC, we constructed five E2-encoding plasmids (Fig. 5). (i) pAC-E2₇₁₅ corresponds to the construct used for E2₇₁₅ expression in CHO cells in that it encodes the same C-terminally truncated E2, directed into the ER by a TPA-leader sequence fused to its N terminus (aa 384), and driven by the human cytomegalovirus promoter. It was the basis for the other constructs, which all have the same N terminus and were made by modifying the C terminus of E2₇₁₅. (ii and iii) pAC-E2₇₄₆ (ii) and pAC-E2₈₀₉ (iii) encode two naturally occurring membrane-anchored E2 species differing in their C termini (aa 746 and 809, respectively). The larger product contains a small highly hydrophobic region from aa 747 to 809, known as p7. Both forms are retained in the ER (31, 36, 48). Because the cellular localization of purified E2 antigen is critical, we assumed that ER retention of E2 protein expressed by DNA vaccines would favor the induction of NOB antibodies. (iv and v) Based on the same rationale, we additionally constructed pAC-E2_715DEL (iv) by adding to the C-terminal lysine (aa 715) the three amino acids DEL to obtain the canonical signal for ER retention of luminal proteins, the amino acid motif KDEL (38), and pAC-E2_730KK (v) by fusing to the C terminus of the first transmembrane-spanning domain of E2 (aa 730) the cytoplasmic tail of the adenovirus E3/19K protein, which confers ER retention and retrieval to transmembrane proteins (40, 50). The latter was constructed because despite the convincing in vitro data indicating its retention in the ER, full-length E2 has been reported to be present on the plasma membrane of hepatocytes in transgenic mice (26).

View larger version (17K): [in this window] [in a new window]   FIG. 5.   Diagram of the E2 constructs used for DNA immunization. The relevant HCV proteins are shown at the top. The black box corresponds to the signal peptide at the C terminus of E1 directing E2 into the ER, and terminal amino acid positions in the constructs are indicated. HCV sequences present in each construct are indicated by black lines which are drawn to scale and oriented with respect to the HCV proteins shown at the top. Grey boxes represent an N-terminal 25-aa TPA-derived signal peptide directing E2 into the ER, the white box indicates three additional C-terminal amino acids leading to the motif KDEL, and the hatched box indicates the C-terminal cytoplasmic tail of the adenovirus E3/19K protein (SRRSFIDEKKMP).

View larger version (69K): [in this window] [in a new window]   FIG. 6.   E2 stably expressed from the different DNA immunization constructs in CHO cells is endo H sensitive. E2 was immunoprecipitated from cell lysates with chimpanzee anti-E1-E2 antiserum and treated with endo H (+) or left untreated (). The samples were analyzed by SDS-PAGE (10% acrylamide) under reducing conditions and Western blotting. Arrows indicate the presence of two closely migrating bands. Sizes (in kilodaltons) of the molecular mass markers are indicated on the left.

Comparison of DNA and protein immunization in mice. We analyzed the anti-E2 antibody response elicited in C57BL/6 mice after i.m. priming and boosting. As seen before (Fig. 1B), immunization with recombinant I-E2₇₁₅ elicits high anti-E2 IgG titers and good NOB titers in mice (Table 2). By contrast, the antibody response generated by DNA immunization, using either of our constructs, is both quantitatively and qualitatively less efficacious. The two truncated E2 forms, E2₇₁₅ and E2_715DEL, elicit comparable antibody titers as measured by ELISA, but no NOB antibody titers were detected. The two membrane-anchored forms, E2₇₄₆ and E2₈₀₉, elicit even lower anti-E2 IgG titers. However, these two constructs did elicit low but detectable NOB titers in three out of eight mice. The anti-E2 IgG ELISA titers in individual mice in a group were all very similar (data not shown), suggesting that NOB titers do not directly correlate with total anti-E2 IgG. Intriguingly, pAC-E2_730KK raises measurable anti-E2 antibody titers, although we were not able to detect the protein in transfected CHO cells.

	DISCUSSION

Top Abstract Introduction Materials and Methods Results Discussion References

The experiments presented here were performed to determine the optimal form of the HCV E2 antigen to include in a vaccine from the perspective of the generation of antibodies. The quality of recombinant E2 protein was assessed by two means: (i) the capacity to bind its putative receptor CD81 on human target cells and (ii) the capacity to elicit antibodies, in particular those that inhibit receptor binding (NOB antibodies). We show that CHO cell-expressed truncated E2 protein, when derived from the core glycosylated intracellular fraction (I-E2) but not from the complex glycosylated secreted fraction (S-E2), binds with high efficiency to human cells and elicits NOB antibodies in guinea pigs. We also show that carbohydrate moieties are not necessary for I-E2 binding to cellular targets and that only the monomeric fraction binds efficiently compared to multimers. Moreover, comparing recombinant I-E2 protein to several E2-encoding DNA vaccines in mice, we found that for both quantity and quality of the antibody response, protein immunization is superior to DNA. Based on these results, we propose that, for the induction of antibody responses, the E2 antigen needed in a future HCV vaccine is a recombinant, monomeric protein purified from the intracellular fraction.

In chimpanzees vaccinated with the E1-E2 heterodimer, high NOB antibody titers correlate with protection from infection with an homologous HCV isolate (46). However, when vaccinated chimpanzees were challenged with a heterologous virus, infection occurred in all animals but 9 of the 10 vaccinees did not develop chronic infection (M. Houghton and S. Abrignani, unpublished data). Antisera from animals immunized with recombinant E1-E2 derived from the HCV-1 strain contained high titers of anti-E2 antibodies that were able to block CD81 binding of recombinant E2 derived not only from HCV subtype 1a but also from subtype 1b. By contrast, anti-E1 antibodies did not block the binding of E1-E2 to human cells. Together, immunization experiments in chimpanzees indicate that a vaccine based on HCV envelope proteins is able to prevent at least chronic HCV infection and that in the E1-E2 heterodimer, it is E2 that can generate antibodies capable of blocking virus binding to target cells. Thus, although sterilizing immunity was not achieved following challenge with heterologous virus, the prevention of chronic infection still holds promise, given that acute HCV infections are often asymptomatic and clinically inconsequential.

In an effort to produce recombinant HCV E2 in CHO cells, we originally focused on S-E2₇₁₅, whose purification is easier to scale up than is that of the intracellular fraction. Although we found that a supernatant fraction of E2 obtained by affinity chromatography binds human cells (46), we realized that our culture supernatant contained only a minor fraction of biologically active (in our binding assay) E2 protein. In an attempt to define the optimal forms of E2 for binding CD81, we assessed intracellular or secreted fractions of different truncated E2 proteins expressed in CHO cells. We found that both I-E2₆₆₁ and I-E2₇₁₅ bind substantially better to CD81 than do S-E2₆₆₁ and S-E2₇₁₅. It was found previously that S-E2₆₆₁ binds well to CD81 (18). However, the same authors recently reviewed this finding and reported that I-E2₆₆₁ binds CD81 with higher efficiency than does S-E2₆₆₁ (19). Our results not only confirm this finding but also give a functional correlate to the superior binding of I-E2 to CD81. We demonstrate, using S-E2₇₁₅ or I-E2₇₁₅ in immunization studies, that both fractions elicit high anti-E2 antibody titers as assessed by ELISA whereas only the I-E2 fraction raises NOB antibody titers. The finding that deglycosylated I-E2₇₁₅ binds CD81 on human cells as well as untreated I-E2₇₁₅ suggests that carbohydrates are not directly involved in the recognition of CD81. They could, however, play a role in the correct folding of E2 in the ER.

Given that robust virus cell entry assays and infection assays are not available, we do not know whether CD81 mediates HCV entry into cells. However, we have evidence that (i) CD81 is very inefficient in mediating internalization of bound ligands (42) and (ii) some hepatoma cell lines can bind recombinant envelope proteins in the absence of CD81 (data not shown), suggesting that human cells contain other molecules which interact with HCV and may mediate entry. Recently, the low-density lipoprotein receptor has been proposed as a possible HCV receptor (37) or, more generally, as a molecule exploited by members of the family Flaviviridae to enter human cells (1). However, until reliable infection assays are available, it will always be difficult to sort out the relative importance of candidate HCV receptors.

Little is known about the assembly and maturation of HCV. However, studies with recombinant proteins indicate that noncovalent heterodimers of E1 and E2 reside in the ER and are core glycosylated. They have been proposed as the prebudding form of the HCV envelope glycoprotein complex (11, 14). When truncated forms of E2 pass through the Golgi and are secreted, they become complex glycosylated. Our results indicate that these modifications almost completely abolish the ability of E2 to bind to CD81 on human cells and to elicit NOB antibodies. Our view is that these complex sugars mask the binding site, most probably through steric or charge interference. Based on the results reported here, I-E2 probably mimics the native envelope form present in the virus, and thus the viral envelope should not be complex glycosylated. Consistent with this view, HCV could assemble at the ER membrane, bud into the ER, and be released into the extracellular environment by host cell lysis, similar to rotaviruses (16). By this mechanism, complex carbohydrate modifications are prevented because viral particles do not pass through the Golgi. Alternatively, it may be that HCV exits through the Golgi in a form which protects at least the carbohydrates in and around the CD81 binding site from further modifications.

For the development of a vaccine against intracellular pathogens (e.g., viruses), it is advantageous to optimize antibody, T-helper cell, and CTL responses, all of which have been achieved by DNA vaccination of experimental animals (12). However, here we show that DNA vaccination elicits low ELISA titers of anti-E2 antibodies and low NOB titers compared to immunization with E2 protein. These data parallel results obtained by others with mice or small primates by using truncated E2 constructs for DNA immunization (20, 21, 39). Although NOB titers do not necessarily correlate with total anti-E2 antibody titers in our experience with human sera (46), we cannot rule out that the low efficiency of NOB antibody production following DNA immunization is a direct consequence of the inability of the same DNA constructs to induce high anti-E2 antibody titers in general. DNA vaccines encoding intracellular proteins elicit poor antibody responses in comparison to secreted proteins (3). E2-encoding DNA vaccines therefore might be limited by their inherent inaccessibility to antibodies. Another possible explanation of the lack of NOB antibody responses is that the uptake of DNA and the expression of E2 in vivo alter the glycosylation pattern, localization, and/or conformation of the E2 protein.

In conclusion, to elicit antibodies aimed at blocking HCV binding to CD81 on human cells, protein immunization is superior to DNA immunization. Cellular responses could potentially be achieved by administering DNA in combination with recombinant protein, and investigating the influence of one to another will be an important step in defining optimal vaccination strategies for HCV.