INTRODUCTION

Top Abstract Introduction Materials and Methods Results Discussion References

CD8⁺ cytotoxic T lymphocytes (CTL) are recognized as important mediators of protective immunity against many viruses (22), tumors (25), intracellular bacteria (23), and parasites (24, 29). Vaccination strategies aimed at generating CTL responses in vivo have been investigated for several years, and recombinant viruses (39), bacteria (15, 28, 34), and DNA (7, 42) have proven to be excellent inducers of CTL. However, the inherent safety concerns linked to these strategies of CTL induction may limit their future application in humans. Vaccination with synthetic peptides corresponding to CTL epitopes also appears to lead to a protective CTL-mediated immunity against tumors or viruses (1, 35). Peptide-based vaccines, however, require adjuvants that are often incompatible with human vaccination. Moreover, as shown in the model of the adenovirus type 5 E1A-tumor system, immunization with tumor-specific peptides may lead to a diminished rather than a protective immune response (40).

An attractive approach to the design of CTL-inducing vaccines is the delivery of peptide epitopes by nonreplicative protein vectors, such as bacterial toxins reaching the cytosol of antigen-presenting cells (3, 6, 10, 13). Among these, the adenylate cyclase (AC) toxin of Bordetella pertussis (CyaA or ACT) has been gaining attention over the past few years. CyaA has a unique mechanism of cell entry, which consists of direct translocation of the catalytic domain (AC) of CyaA across the plasma membrane of target cells. We have previously demonstrated that presentation of a recombinant CyaA to CD8⁺ T cells does not require endocytosis of CyaA and is mediated by the classical major histocompatibility complex (MHC) class I pathway (16). It was further shown that recombinant CyaA toxins carrying a single CD8⁺ T-cell epitope, from the nucleoprotein of the lymphocytic choriomeningitis virus (LCMV) or from the V3 region of the human immunodeficiency virus (HIV) glycoprotein, remained cell invasive and were able to prime protective MHC class I-restricted cytotoxic T-cell responses (13, 31). More recently, protective and therapeutic antitumor immunity against melanoma cells expressing chicken ovalbumin have been induced by a detoxified CyaA harboring a CTL epitope derived from chicken ovalbumin (12).

Since different MHC molecules of various haplotypes generally bind different peptides, a vaccine based on a single CTL epitope would be effective for only a small percentage of an outbred population. To prevent mutant escape and to overcome the MHC haplotypic diversity of the human population, a practical vaccine would therefore have to deliver multiple epitopes. In the present study, we investigated the capacity of CyaA to deliver simultaneously three defined immunodominant CTL epitopes from LCMV, HIV type 1 (HIV-1), and chicken ovalbumin. We show that on delivery by a single recombinant CyaA, all three epitopes are efficiently processed, are presented to CD8⁺ T cells, and induce epitope-specific cytotoxic responses in vivo against each epitope. Moreover, the immunity induced by these polyepitope constructs protected against a subsequent lethal challenge by LCMV. This demonstrates that immunodominant epitopes derived from different pathogens or antigens can be delivered by a single CyaA molecule without loss of immunogenicity.

	MATERIALS AND METHODS

Top Abstract Introduction Materials and Methods Results Discussion References

Mice. Female C57BL/6 (H-2^b) and BALB/c (H-2^d) mice were obtained from CER Janvier (Le Gesnet St-Isle, France). They were used at 6 to 12 weeks of age.

Synthetic peptides. All peptides were synthetized by Neosystem (Strasbourg, France). Peptide p118-132 corresponds to the H-2L^d T-cell epitope of LCMV nucleoprotein (1). Peptide p257-264 corresponds to the H-2K^b T-cell epitope encompassing OVA residues 257 to 264 recognized by the B3Z CD8⁺ T-cell hybridoma (5). Peptide p316-327 corresponds to the H-2K^d immunodominant CTL epitope from the V3 region of gp120 of the 18IIIB HIV (Lai) isolate (35).

Cells. Target cells for CTL lysis assays were DBA/2 mouse mastocytoma P815 (H-2^d) and mouse thymoma EL4 cells (American Type Culture Collection, Manassas, Va). B3Z (21), a CD8⁺ T-cell hybridoma specific for the OVA 257-264 peptide (SIINFEKL) in the context of K^b, was a generous gift from N. Shastri (University of California, Berkeley, Calif.). These cells were cultured in complete medium (CM) consisting of RPMI 1640 supplemented with 10% heat-inactivated fetal bovine serum, 2 mM glutamine, 50 µM 2-mercaptoethanol, 100 U of penicillin per ml, and 100 µg of streptomycin per ml. B3Z was maintained in CM containing 1 mg of G418 per ml and 400 µg of hygromycin B per ml.

Production of specific LCMV-CD8⁺ T-cell hybridoma. Female BALB/c mice were injected subcutaneously at the base of the tail with 0.1 ml of incomplete Freund adjuvant emulsion containing 100 µg of LCMV peptide p118-126 (RPQASGVYM). On the two following days, the mice were depleted of CD4⁺ T cells with 300 µg of CD4-specific rat anti-mouse monoclonal antibody (GK 1-5), semipurified from ascitic fluids as previously described (11). One week later, the mice were killed and the inguinal lymph nodes and spleens were removed aseptically. A single-cell suspension was prepared in CM and cultured in the presence of an equal number of irradiated syngeneic splenocytes and 10 µg of immunizing peptide per ml. Four days later, viable lymphocytes were isolated by fractionation with Lympholyte (Cedarlane, Ontario, Canada) and fused with CD8-transfected BW5147 myeloma (kindly provided by Mireille Viguier, Institut Cochin, Paris, France) in a ratio of 1:1 by using 0.5 ml of polyethylene glycol 1500 (50%; Boehringer GmbH, Mannheim, Germany). The cell suspension was brought to a final volume of 40 ml with RPMI 1640 supplemented with 20% fetal calf serum, 50 µM 2-mercaptoethanol, 2 mM glutamine, and antibiotics.

Preparation of recombinant adenylate cyclase toxins carrying the V3-OVA-LCMV polyepitope. Escherichia coli XL1-Blue (Stratagene, La Jolla, Calif.) was used throughout this work for DNA manipulation and for expression of CyaA. Bacteria were grown at 37°C in Luria-Bertani medium supplemented with 150 µg of ampicillin per ml. pT7CACT1 is a construct with enhanced expression of the cyaC and cyaA genes in E. coli under the control of the isopropyl--D-thiogalactopyranoside (IPTG)-inducible lacZ_p promoter, which was derived from pCACT3 (4). The sequence encoding the polyepitope was inserted in frame at three different sites into the gene for CyaA (cyaA), between codons 107 and 108, codons 232 and 233, and codons 335 and 336. For this purpose, three plasmids derived from pT7CACT1 were used, each with a unique BsrGI restriction site engineered at the respective position (27). This allowed a two-step insertion of two pairs of annealed synthetic oligonucleotides, that on assembly yielded the sequence 5'-GTA CGT ATT CAA CGT GGA CCC GGG CGT GCA TTT GTT ACA ATA CGT CCG CAA GCT TCT GGT GTT TAC ATG GGT AAC CTG ACC GCT CAG GCT TCA ATA ATT AAT TTT GAA AAG CTC for the coding strand and 5'-GTA CGA GCT TTT CAA AAT TAA TTA TTG AAG CCT GAG CGG TCA GGT TAC CCA TGT AAA CAC CAG AAG CTT GCG GAC GTA TTG TAA CAA ATG CAC GCC CGG GTC CAC GTT GAA TAC for the noncoding strand. This oligonucleotide was designed (i) to introduce a unique HindIII restriction site for rapid identification of insertion mutants, (ii) to stop CyaA synthesis when inserted in the inverted orientation, and (iii) to destroy the original BsrGI insertion site ligation. The oligonucleotide encoded the following CTL epitopes in the respective order: (i) the RIQRGPGRAFVTI peptide corresponding to an H-2^d T-cell epitope from the V3 loop of gp160 of the 18IIIB HIV-1 (Lai) isolate; (ii) the RPQASGVYMGNLTAQ peptide corresponding to the H-2^d T-cell epitope from the LCMV nucleoprotein, and (iii) the K^b-restricted T, CD8⁺ epitope SIINFEKL corresponding to residues 257 to 264 from OVA. The orientation and exact sequence of all inserted oligonucleotides were verified by DNA sequencing. After characterization of the cell-invasive AC activity of the generated CyaA-polypeptide fusions, the constructs were detoxified by ablating their catalytic activity. For this purpose, the individual plasmids were partially digested by EcoRV, and the linearized molecules were purified and ligated with the BamHI synthetic linker 5'-GGATCC, which introduced a dipeptide GlyPhe insert between residues 188 and 189, thereby disrupting the ATP binding site of CyaA (32). The resulting proteins were free of any detectable AC activity. Details of the construction of the plasmids will be provided on request.

Antigen presentation assay. The stimulation of the LC3A10 and B3Z T-cell hybridomas (10⁵ cells/well) was monitored by measuring the release of IL-2 into the supernatants of 24-h cultures in 96-well plates in the presence of antigens and of either BALB/c or C57BL/6 splenocytes (3 × 10⁵ cells/well), respectively. The antigen concentrations used in each experiment are indicated in the figure legends. After 24 h, the supernatants were harvested and frozen for at least 2 h at 70°C. Then 10⁴ cells of the CTLL cell line, which proliferates specifically in response to IL-2, were cultured per well with 100 µl of supernatant in a total volume of 0.2 ml. At 2 days later, [³H]thymidine (NEN Life Sciences Products, Boston, Mass.) was added, and after a further 18 h of growth, the cells were harvested with an automated cell harvester (Skatron, Lier, Norway). Incorporated [³H]thymidine was detected by scintillation counting. In all experiments, each point was measured at least in duplicate. Results are expressed as cpm (cpm in the presence of CyaA  cpm in the absence of CyaA).

Cytotoxicity assay. BALB/c (H-2^d) and C57BL/6 (H-2^b) mice were immunized intraperitoneally (i.p.) on days 0 and 14 with 50 µg of purified AC toxoids in phosphate-buffered saline or mixed with 1 mg of aluminum hydroxide. After 7 to 10 days, the spleens were removed and 2.5 × 10⁷ cells were cultured in CM in the presence of 1 µg of the relevant peptide per ml and 2.5 × 10⁷ irradiated (3,000 rads) syngeneic naive spleen cells. After 5 days, the effector cells were harvested and cultured in duplicate with 10⁴ target cells at the indicated effector-to-target ratio in a final volume of 200 µl per well. Target cells, P815 and EL4 (4 × 10⁶), were sensitized during ⁵¹Cr labeling with a 50 µM concentration of the appropriate peptide for 1 h at 37°C and were washed prior to use. In each assay, target cells incubated in the absence of peptide were used as a control for nonspecific lysis. After 4 h at 37°C, 50 µl of cell-free supernatant was collected from each well and counted in a MicroBeta Trilux Liquid Scintillation Counter (Wallac, Turku, Finland).

Limiting-dilution analysis. The frequencies of LCMV-specific effector CTL cells present in culture after in vitro stimulation were determined by limiting-dilution analysis (LDA), as previously described (19). Briefly, between 40,000 and 60,000 cells from a 5-day in vitro stimulation culture were assayed for cytotoxicity on ⁵¹Cr-labeled P815 target cells (10⁴) pulsed with 50 µM p118-132 peptide. Each dilution was tested in 24 replicate wells, and supernatants were counted for radioactivity after 5 h of incubation. A well was considered positive if the amount of released ⁵¹Cr exceeded by 3 standard deviations the mean of ⁵¹Cr release in wells containing target cells alone. Effector cell frequencies were calculated as previously described (36).

Single IFN--producing cell enzyme-linked-immunospot assay for secreting cells. Multiscreen filtration plates (96 wells; Millipore, Molshein, France) were coated with 4 µg of rat anti-mouse gamma interferon (IFN-) antibody (clone R4-6A2; PharMingen, San Diego, Calif.) per ml overnight at room temperature. Then the plates were washed and blocked with RPMI supplemented with 10% fetal calf serum. Serial twofold dilutions of spleen cells from immunized mice were added to the wells along with 5 × 10⁵ -irradiated (3,000 rads) syngeneic feeder cells and 10 U of recombinant murine IL-2 (PharMingen) per ml. The cells were incubated for 36 h with or without p118-132 peptide at 1 µg/ml. After extensive washes, the plates were revealed by incubation with 4 µg of biotinylated rat anti-mouse IFN- antibody (clone XMG 1.2; PharMingen) per ml followed by incubation with streptavidin-alkaline phosphatase (PharMingen). Finally, spots were revealed using 5-bromo-4-chloro-3-indolylphosphate/nitroblue tetrazolium (Sigma, St. Louis, Mo.) as the substrate. The number of IFN--producing cells was determined by counting the number of spot-forming cells (SFC) in each well, and the results were expressed as the total number of SFC per spleen (26).

Virus protection experiment. BALB/c mice were immunized on days 0 and 21 by the i.p. route either with 50 µg of wild-type CyaA mixed with 1 mg of alum, with the LCMV strain Arm/53b (10⁵ foci), with 50 µg of CyaA224LCMV-E5, or with 50 µg of the recombinant CyaA carrying multiple epitopes mixed with 1 mg of alum. One week later, the mice were challenged intracerebrally with 10^1.7 foci of LCMV and their survival was monitored for 21 days.

	RESULTS

Top Abstract Introduction Materials and Methods Results Discussion References

Insertion of several foreign CTL epitopes at three different positions of the AC domain does not affect the cell-invasive activity of CyaA. It was important to determine whether the AC vector can simultaneously deliver several CTL epitopes into the MHC class I pathway. Therefore, three CyaA toxins were constructed, carrying at different permissive sites of the catalytic AC domain (27) a 36-residue polyepitope made of three CTL epitopes from LCMV, HIV-1 (Lai), or chicken OVA. Compared to intact CyaA in Table 1, the capacity of the CyaA constructs to invade target cells was not affected by insertion of the polyepitope at positions 108 (CyaA108MEP) and 233 (CyaA233MEP) of the catalytic domain. The third protein (CyaA336MEP) lost the marker AC enzyme activity on insertion of the peptide at position 336, and its cell-invasive capacity could not be measured. However, the results presented below strongly suggest that it was also fully cell invasive. CyaA can therefore accommodate rather long foreign peptides at all three insertion sites without losing the capacity to penetrate cells.

CyaA toxoids can simultaneously deliver three CD8⁺ T-cell epitopes to the MHC class I pathway and elicit MHC-restricted and antigen-specific stimulation of T-cell hybridomas. We next analyzed the efficiency of the polyepitope CyaA delivering the different CTL epitopes to the MHC class I pathway of APCs. To allow cellular in vitro assays, the CyaA constructs were genetically detoxified by ablation of the cytotoxic AC enzyme activity (27) and the resulting CyaA toxoids (labeled by an "-E5") were purified close to homogeneity (Fig. 1). The capacity of these toxoids to deliver CTL epitopes to the MHC class I pathway was determined by measuring their presentation to a specific MHC class I-restricted T-cell hybridoma. BALB/c (H-2^d) or C57BL/6 (H-2^b) splenocytes were incubated with various concentrations of the toxoids and hybridomas specific for the LCMV (hybridoma LC3A10) or OVA (hybridoma B3Z) CD8⁺ T-cell epitopes. T-cell hybridoma stimulation was assessed by measuring the amount of IL-2 secreted into culture supernatants. As shown in Fig. 2, both the LCMV and OVA-specific T-cell hybridomas responded to the peptides processed from all three CyaA toxoids in a concentration-dependent and epitope-specific manner. This demonstrates that the polyepitopes inserted at three different permissive sites of CyaA were appropriately delivered into APC, processed into individual epitopes, and presented on the cell surface by the respective H-2^d and H-2^b class I molecules in a form recognized by the specific T-cell hybridoma. It should be noted that the three epitopes inserted at all three sites of CyaA were processed and presented with essentially the same efficiency. Moreover, all three CyaAs bearing the polyepitope exhibited the same efficiency in delivering the individual CTL epitopes as did the CyaA224OVA-E5 and CyaA224LCMV-E5 toxoids carrying each a single epitope. Therefore, it could be concluded that the processing and presentation of the three different epitopes was not affected by their combination into a single polyepitope or by the insertion site and that the toxoids with the polyepitope at different sites were all efficiently reaching the MHC class I pathway.

View larger version (59K): [in this window] [in a new window]   FIG. 1.   Sodium dodecyl sulfate-polyacrylamide gel electrophoresis of the purified CyaA constructs carrying multiple epitopes. The individual constructs were expressed in E. coli XL-1, extracted with 8 M urea, and purified close to homogeneity by a combination of DEAE-Sepharose and phenyl-Sepharose chromatography, as described in Materials and Methods. Two micrograms of each purified protein was analyzed by sodium dodecyl sulfate-polyacrylamide gel electrophoresis using a 7.5% acrylamide gel and visualized by Coomassie blue staining.

View larger version (13K): [in this window] [in a new window]   FIG. 2.   Presentation of detoxified CyaAs carrying multiple epitopes to anti-LCMV LC3A10 and anti-OVA B3Z class I-restricted T-cell hybridomas. APCs (splenocytes from BALB/c [A] or C57BL/6 mice [B]) were incubated in the presence of various concentrations of the CyaA toxoids, harboring either OVA () or LCMV () epitope at site 224 or the three epitopes (MEP) at different sites (108 [], 233 [], or 336 []) and were cocultured, respectively, with the anti-LCMV CD8+ hybridoma LC3A10 (A) or the anti-OVA CD8+ hybridoma B3Z (B). IL-2 secretion by the stimulated hybridoma was determined by the CTL proliferation assay. Results are expressed in cpm of incorporated [3H]thymidine (cpm in the presence of CyaA  cpm in the absence of CyaA). Data represent the mean values of duplicate samples (standard error of the mean, <10%) and are representative of two (A) and three (B) experiments.

Immunization with CyaA toxoids bearing multiple epitopes induces polyspecific CTL responses. To test whether CTL responses could be induced against all three CD8⁺ T-cell epitopes delivered by a single CyaA, BALB/c and C57BL/6 mice were immunized with the polyepitope CyaA toxoids with or without alum. Splenocytes were harvested and stimulated in vitro with the indicated peptide. Five days later, a ⁵¹Cr release assay was performed to determine their ability to lyse target cells sensitized with the corresponding peptides. As shown in Fig. 3, immunization of BALB/c mice with all three polyepitope CyaAs mixed with alum induced strong and specific CTL responses to both LCMV p118-132 and HIV V3 p316-327 epitopes. The CTL activities induced by all three constructs were quite similar and high (i.e., 60 to 70% specific lysis at an effector-to-target ratio of 10:1). Moreover, the polyepitope CyaA toxoids exhibited the same efficiency in inducing LCMV-specific CTL response in mice as did the CyaA carrying a single LCMV epitope. Immunization with the polyepitope toxoids also induced CTLs specific to OVA (p257-264) in C57BL/6 mice (Fig. 3C). As expected, in vitro-stimulated control splenocytes from mice injected with the control CyaA yielded no specific target cell lysis (Fig. 3). Taken together, these results demonstrate that immunization with the polyepitope CyaA toxoids induced specific and MHC-restricted CTL responses to each of the three CD8⁺ T-cell epitopes.

View larger version (17K): [in this window] [in a new window]   FIG. 3.   CTL induction by the detoxified CyaAs bearing multiple epitopes. BALB/c (A and B) and C57BL/6 (C) mice (n = 3 for each group) were immunized i.p. on days 0 and 14 with 50 µg of CyaA toxoids carrying the polyepitope at different sites (108 [], 233 [], or 336 []) or with either the LCMV () or OVA () epitope at site 224 or with control detoxified CyaA (CyaA w.t.-E5) () mixed with alum. Seven days later, the animals were sacrificed, the splenocytes were restimulated in vitro for 5 days with 1 µg of the LCMV (A), V3 (B), or OVA (C) peptide per ml in the presence of irradiated syngeneic splenocytes, and used as effectors against unsensitized target cells (P815 for panels A and B and EL4 for panel C) or against target cells sensitized with the same peptide as used for in vitro stimulation. Target lysis was evaluated by 51Cr release. Lysis of unsensitized target cells was less than 10% and is not shown. (A and B) LCMV (p118-132)-specific CTL (A) and V3 (p316-327)-specific CTL (B) responses in the same BALB/c mice injected with the detoxified recombinant CyaAs. (C) OVA (p257-264)-specific CTL response in C57BL/6 mice injected with the detoxified recombinant CyaAs. CTL responses of control mice injected with the wild-type CyaA-E5 are shown to illustrate the specificity of the responses. The data represent the mean percentage of the specific lysis values from duplicate samples and standard error of the mean and are representative of four experiments. E:T ratio, effector-to-target-cell ratio.

View larger version (17K): [in this window] [in a new window]   FIG. 4.   Immunization of mice with detoxified CyaA toxoids bearing multiple epitopes in the absence of adjuvant induces high specific CTL responses. BALB/c (A and B) and C57BL/6 (C) mice (n = 3 for each group) were immunized i.p. on days 0 and 14 with 50 µg of CyaA toxoids carrying the polyepitope at different sites (108 [], 233, [], or 336) [] or with either the LCMV () or OVA () epitope at site 224 or with control detoxified CyaA (CyaA wt-E5) () in PBS. Seven days later, animals were sacrificed, the splenocytes were restimulated in vitro for 5 days with 1 µg of the LCMV (A), V3 (B), or OVA (C) peptide per ml in the presence of irradiated syngeneic splenocytes and used as effectors against unsensitized target cells (P815 for panels A and B and EL4 for panel C) or against target cells sensitized with the same peptide as used for in vitro stimulation. Target lysis was evaluated by 51Cr release. Lysis of unsensitized target cells was less than 10% and is not shown. (A and B) LCMV (p118-132)-specific CTL (A) and V3 (p316-327)-specific CTL (B) responses in the same BALB/c mice injected with the detoxified recombinant CyaA toxoids. (C) OVA (p257-264)-specific CTL response in C57BL/6 mice injected with the detoxified recombinant CyaAs. CTL responses of control mice injected with the wild-type CyaA-E5 are shown to illustrate the specificity of the responses. The data represent the mean percentage of the specific lysis values from duplicate samples and standard error of the mean and are representative of two experiments. E:T ratio, effector-to-target-cell ratio.

View larger version (28K): [in this window] [in a new window]   FIG. 5.   Detection of LCMV-specific IFN-producing cells after immunization with the CyaA toxoids carrying multiple epitopes. BALB/c mice (n = 6 for each group) were immunized i.p. on days 0 and 14 with 50 µg of detoxified CyaAs carrying either the polyepitope at different positions (108, 233, or 336), the LCMV epitope alone at position 224, or control CyaA toxoid, mixed with alum. On day 21, spleen cells isolated from immunized mice were cultured in vitro for 36 h without stimulation (i.e., no peptide) or with 1 µg of the LCMV peptide per ml in the presence of syngeneic irradiated splenocytes and 10 U of recombinant IL-2 per ml. The data are expressed as the number of SFC per spleen and represent the mean and standard error of the mean obtained with six mice in three independent experiments.

Immunization with CyaA toxoids carrying multiple epitopes protects mice against a lethal LCMV challenge. It was then important to examine the capacity of CTL generated by polyepitope CyaA toxoids to protect mice against a viral challenge. As expected, control mice immunized with mock CyaA or PBS developed a fatal choriomeningitis within 8 days after intracerebral inoculation of the virus (Fig. 6). In contrast, high protection rates against a lethal intracerebral LCMV challenge (90, 78, and 90% survival) were observed after immunization with the CyaA108MEP-E5, CyaA233MEP-E5, or CyaA336MEP-E5 protein. Morever, the induced protection was fully comparable to the response induced by the CyaA224LCMV-E5 toxoid carrying the LCMV epitope alone (78% survival) and was quite close to the full protection induced by a transient LCMV infection after i.p. administration of the virus. It should be noticed that all surviving mice completely cleared LCMV (data not shown). Therefore, these results demonstrate that immunization with polyepitope CyaA toxoids induces biologically significant CTL responses capable of protecting mice against LCMV.

View larger version (38K): [in this window] [in a new window]   FIG. 6.   Immunization with the detoxified CyaA toxoids carrying multiple epitopes induces full protection against a lethal LCMV challenge. On days 0 and 14, BALB/c mice were immunized with 50 µg of wild-type CyaA E5 (mock control, CyaA wt-E5) or the recombinant CyaA carrying the LCMV epitope alone (CyaA224LCMV-E5) or the polyepitope at different positions (CyaA108MEP-E5, CyaA233MEP-E5, or CyaA336MEP-E5), mixed with 1 mg of alum. Control groups received either PBS or 105 foci of LCMV i.p. On day 21, the mice were challenged intracerebrally with 101.7 foci of LCMV. Mortality was monitored for 21 days. The percentage of mice that survived and the number of surviving mice out of the total number of challenged mice are shown for each group. The data represent the cumulative results of two experiments.

Priming of mice with the mock CyaA vector or a detoxified recombinant CyaA does not interfere with the subsequent induction of epitope-specific CTL responses by CyaA carrying a heterologous epitope. The antigen delivery capacity of a practical vector should not be inhibited by priming with the vector molecule itself, such as priming against CyaA on a natural Bordetella infection, or after repeated administration of the CyaA-derived toxoids. Therefore, we first examined whether priming of mice with the mock CyaA vector has an effect on the subsequent response to recombinant CyaA carrying an LCMV epitope. Mice received two i.p. injections of a dose as high as 50 µg of wild-type CyaA prior to i.p. immunizations with CyaA224LCMV. From previous experiments, it is known that such immunization protocols typically induce very high levels of CyaA-specific antibodies with titers above 1:125,000 (unpublished results). Nevertheless, as shown in Fig. 7, mice which received wild-type CyaA, 15 days, 1 month, or 3 months before immunization with the recombinant CyaA224LCMV still developed strong CTL responses to the LCMV epitope. These responses were, indeed, fully comparable to the responses of unprimed mice. In addition, comparable responses were obtained in mice which were injected with CyaA wt-E5 or CyaA224OVA-E5 15 days prior immunization with CyaA224LCMV-E5 (Fig. 8). Therefore, priming with the wild-type CyaA, the CyaA toxoid, or a recombinant detoxified CyaA has no inhibitory effect on the subsequent CTL response induced by a recombinant CyaA carrying another CTL epitope.

View larger version (15K): [in this window] [in a new window]   FIG. 7.   Effect of prior priming with the mock CyaA vector on the induction of CTL responses by a recombinant CyaA carrying a CD8+ T-cell epitope. BALB/c mice were primed with PBS (, ) or 50 µg of wild-type CyaA (, , , ) mixed with 1 mg of alum by i.p. injection on days 0 and 14. After 15 days, 1 month, or 3 months, all mice were immunized twice i.p. with 50 µg of CyaA224LCMV (, , , ) or wild-type CyaA (, ), mixed with 1 mg of alum, at a 3-week interval. At 7 days after the last injection, spleen cells were stimulated in vitro with the p118-132 peptide in the presence of syngeneic spleen cells. The cytotoxic activity of these effector cells was measured on 51Cr-labeled P815 target cells pulsed with the same peptide (solid symbols) or incubated with medium alone (open symbols). The data represent the mean percentage of the specific lysis values from duplicate samples and standard error of the mean and are representative of three experiments. E:T ratio, effector-to-target-cell ratio.

View larger version (20K): [in this window] [in a new window]   FIG. 8.   Effect of prior priming with a detoxified recombinant CyaA on the induction of CTL responses by a recombinant CyaA toxoid carrying another CTL epitope. BALB/c mice were primed with either PBS (, ), 50 µg of detoxified wild-type CyaA (CyaA wt-E5) (, , , ), or 50 µg of detoxified CyaA224OVA-E5 mixed with 1 mg of alum (, ) by i.p. injection on days 0 and 14. After 15 days, all mice were immunized twice i.p. with 50 µg of CyaA224LCMV-E5 (, , , , , ) or CyaA wt-E5 (, ), mixed with 1 mg of alum, at a 3-week interval. Seven days after the last injection, spleen cells were stimulated in vitro with the p118-132 peptide in the presence of syngeneic spleen cells. The cytotoxic activity of these effector cells was measured on 51Cr-labeled P815 target cells pulsed with the same peptide (solid symbols) or incubated with medium alone (open symbols). The data represent the mean percentage of the specific lysis values from duplicate samples and standard error of the mean and are representative of three experiments. E:T ratio, effector-to-target-cell ratio.

	DISCUSSION

Top Abstract Introduction Materials and Methods Results Discussion References

Induction of CTL responses directed against multiple epitopes appears to be crucial for the development of efficient recombinant vaccines against many important diseases. Several approaches have been tested recently, involving the use of polyepitope constructs and different vaccine vehicles, such as viral vectors or naked DNA (2, 14, 37-39, 41). Mouse and macaque immunization studies using polyepitope immunogens established the validity of this approach, and an HIV vaccine based on such a strategy entered a phase I clinical trial in 2000 (17). Our previous results demonstrated that detoxified CyaA is a promising nonreplicative vector for efficient activation of CTL responses (12, 13). The objective of this study was therefore to evaluate the feasibility of delivering multiple CTL epitopes by the detoxified CyaA vectors. The data reported here clearly show that AC toxoids, carrying three different model epitopes, were clearly capable of reaching the MHC class I pathway and inducing in vivo MHC-restricted CTL responses specific for each of the three inserted epitopes. In addition, strong and protective anti-LCMV responses were obtained in mice immunized with these polyepitope CyaA constructs, illustrating that the induced CTL responses were fully functional in vivo.

This study thus established that insertion of a foreign 35-amino-acid polypeptide into three different sites of the catalytic domain of CyaA did not affect its capacity to target and penetrate APCs. Indeed, we have previously demonstrated that the permissive site at residue 224 of the catalytic domain of CyaA can accommodate up to four copies of the CD8⁺ T-cell LCMV epitope, corresponding to a 76-residue heterologous polypeptide insert (8, 33). In that case, however, both the specific AC activity and the cell invasiveness of the toxin progressively decreased with increasing numbers of inserted copies of the LCMV epitope. The construct carrying four copies of this epitope exhibited about 50% of the activities of wild-type CyaA (8, 33). In the present study, no decrease of cell invasiveness was observed for the two CyaA constructs with polyepitope inserts at positions 108 and 233, which exhibited AC activity and could be characterized. Given the identical efficiency of epitope delivery for presentation, which depends strictly on cell invasiveness, it could be concluded that the third toxoid (CyaA336MEP) was most probably also fully cell invasive. This difference in specific cell invasiveness of toxoids presented here and of the previous constructs with inserts at position 224 could be due to the characteristics of the inserted polypeptide, to the sites used for polypeptide insertion, or to a combination of the two. Indeed, the local electrostatic charge of the insert was shown to be crucial when located at site 224 (20). Introduction of a net negative charge higher than 1 at this position completely blocked translocation of the AC domain of CyaA across target membranes. However, this does not seem to be the case for introduction of negative charges at positions 108, 233, and 336 of the AC domain (P. Sebo, unpublished data). Therefore, it appears that the difficulty of delivery by CyaA of negatively charged but immunologically relevant epitopes could be overcome by inserting these peptides into the permissive sites newly characterized here.

We recently analyzed in vitro the presentation of the OVA CD8⁺ T-cell epitope inserted at 10 different permissive sites of CyaA along the toxin molecule (27). While all six constructs bearing the OVA epitope within the noninvasive part of the molecule failed to deliver the epitope to the MHC class I molecules, all four toxoids with inserts in different sites of the AC domain (including positions 108, 233, and 336) efficiently delivered the epitope into the cytosolic pathway. However, these results were based on in vitro stimulation of a specific CD8⁺ T-cell hybridoma; the capacity of the hybrid toxins to stimulate CTL responses was not evaluated in vivo. The present study provides clear evidence that these three sites are also fully permissive for the insertion of multiple heterologous peptides and can be used for constructing CyaA toxoids directing in vivo CTL activation. It also shows that the position of the polyepitope within the N-terminal domain of the CyaA does not affect the induction of specific CTLs, as demonstrated here by the similar frequency and magnitude of the LCMV-specific CTL responses induced after immunization with the three polyepitope toxoids.

Flanking sequences are also important for the efficient processing of CD8⁺ T-cell epitopes (9), but there are now many examples of presentation of epitopes regardless of their context (38). The finding reported here, i.e., that individual CTL epitopes can be processed from the polyepitope when linked together without intervening sequences, shows that the environment of the CTL epitopes did not interfere with the processing events. Hence, the present study opens the way toward rational design of a new generation of polyvalent hybrid toxoids carrying strings of epitopes inserted into different sites along the catalytic domain of CyaA and with specifically designed properties and increased versatility.

The development of CyaA carrying protective antigens therefore represents a promising option in the development of efficient vaccines against various pathogens. However, immune reponses induced by vaccination against pertussis or natural infections by Bordetella, which appear to be much more common in vaccinated populations than was previously appreciated (18), might interfere with the immunogenicity of future CyaA vaccines. Therefore, the effect of sequential immunizations by this delivery system was analyzed. Our results demonstrate that previous immunization with the CyaA toxin or the CyaA toxoid carrying a CTL epitope does not prevent secondary immunization directed toward another CTL epitope carried by CyaA. This suggests that preexisting immunity against the CyaA toxin does not prevent its presentation by MHC class I molecules. Thus, the immunity against the carrier toxin does not limit the use of this delivery system as a potential vaccine, in comparison with recombinant life vectors (30).

Besides these attractive properties, the adenylate cyclase of B. pertussis appears to exhibit several additional advantages for vaccine use. Indeed, we have recently established that the recombinant CyaA carrying the OVA epitope can specifically target myeloid dendritic cells by means of its specific interaction with the CD11b integrin at the cell surface and can deliver the OVA epitope to the cytosolic antigen-processing pathway for efficient MHC class I presentation in vivo (P. Guermonprez et al., submitted for publication). As a result, efficient and specific CTL responses can be induced in vivo independently on CD4⁺ helper T cells (notably via CD40) (11; Guermonprez et al., submitted). All these observations indicate that CyaA has a strong potential for use in preventive or therapeutic treatments of cancers as well as infectious diseases.