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Journal of Virology, November 2006, p. 10692-10699, Vol. 80, No. 21
0022-538X/06/$08.00+0 doi:10.1128/JVI.00927-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
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R & D Laboratory of the Division of Immunology and Allergy, DMI-CHUV, Rue du Bugnon, 1011 Lausanne, Switzerland,1 Virologie et Immunologie Moléculaires UR892 INRA, Domaine de Vilvert, 78352 Jouy-en-Josas Cedex, France,2 Service des Urgences Médicales Pédiatriques, Hôpital Armand Trousseau AP-HP, Paris, France,3 Laboratoire de Virologie, EA 3500, UFR Saint Antoine, UMPC, Paris, France,4 Departments of Medicine and Microbiology and Immunology, Stanford University School of Medicine, Stanford, California 94305,5 Palo Alto V.A. Health Care System, Palo Alto, California 943056
Received 5 May 2006/ Accepted 18 August 2006
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Neutralizing antibodies against RV that block viral replication in cell culture are felt to play a major role in defense. A variety of passive antibody transfer studies in animals (28), as well as immunization studies using selected rotavirus reassortants in humans (7), have demonstrated a clear role for VP4 and VP7 in protective immunity. Neutralizing antibodies are directed against the outer shell VP4 and VP7 proteins, whose variable antigenic specificities define multiple serotypes, assigned as P and G serotypes, respectively (41). Worldwide, the G1-to-G4 serotypes associated with P4 and P8 and the more recently described G9/P6 or P8 serotypes are globally important rotavirus G/P combinations in humans (47). This diversity suggests that VP4- and VP7-encoding segments from many strains might have to be included in vaccines to provide broad immunity to reinfection with multiple serotypes. However, a body of evidence from animal studies indicates that either humoral or cell-mediated immunity directed at the intermediate capsid VP6 protein can also mediate protection, at least in some animal models (3, 5, 15, 32, 48). Of note, one of the two recently introduced human rotavirus vaccine only contains a single VP4 and VP7 serotype specificity but is clearly able to induce heterotypic protective immunity (45). Interestingly VP6, which represents 51% of the virion by mass, is antigenically conserved among most circulating group A RV strains and could, therefore, provide heterotypic protection (40).
In mucosae, polymeric immunoglobulin A (pIgA), comprising four heavy and light chains and the associated J chain, binds to the polymeric Ig receptor (pIgR) at the basolateral pole of epithelial cells. Following vectorial transport to the apical surface, it is released in the lumen attached to a proteolytic product of the pIgR called secretory component (SC), giving rise to secretory IgA (sIgA) (8). It is generally accepted that sIgA prevents microbial infections by forming immune complexes responsible for "immune exclusion" (i.e., the prevention of pathogen interaction with the target mucosal cell). The possible mechanisms involved in immune exclusion include competition for adhesion sites on target cells, blockade of motility of bacterial pathogens, and trapping in the mucus layer for which sIgA-immune complexes display strong affinity (43). In a previous study, we showed that the polymeric Ig secretory pathway plays a key role in the protection induced by intranasal immunization with virus-like particles (VLP) made exclusively of VP2 and VP6 proteins (VLP2/6) (48). Two plausible mechanisms could explain these findings: (i) the anti-VP6 pIgA could interfere with the viral life cycle during its intracellular transcytosis along the pIgR vesicular pathway, or (ii) the anti-VP6 sIgA could react with triple-shelled particles in the gut lumen through holes in the capsid or via areas of partial decapsidation (49) and thus exclude the antibody-particle complexes in the intestinal mucus layer and prevent infection.
Several anti-VP6 IgA monoclonal antibodies (MAbs), including the IgA7D9 MAb, when used in hybridomas in backpack experiments, were found protective in mice and could clear chronic infection in SCID mice (3). However, the same IgA MAb lacking SC was not protective when fed orally and was not neutralizing in classical in vitro assays using nonpolarized cells (3, 15). At the molecular level, anti-VP6 IgA7D9 MAb blocked viral transcription in vitro by introducing a conformational change in the VP6 trimer (15). Furthermore, IgA7D9 MAb competed with VP7 in binding to VP6, thus potentially perturbing VP7 assembly onto VP6 (20). Although suggesting intracellular neutralization, these in vivo and in vitro experiments provided only indirect information as to the possible mechanism of IgA7D9 MAb-mediated protection in the physiological context.
In order to directly determine at which biological step anti-VP6 IgA MAb interferes with rotavirus production, we tested the antiviral function of purified pIgA7D9 MAb and SIgA7D9 MAb in two complementary experimental settings: (i) SIgA7D9 MAb, assembled by association of purified SC and pIgA7D9 MAb, was delivered orally to mice, and its capacity to inhibit virus replication in the intestine was examined; (ii) the intracellular neutralizing potential of pIgA7D9 MAb was evaluated during transport from the basolateral compartment of a polarized epithelial cell monolayer mimicking the intestinal barrier.
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Reconstitution of sIgA was performed by combining, in 5 ml of PBS, 4 mg of purified pIgA with 1.2 mg of purified SC (13). The excess SC was separated by fast protein liquid chromatography using a Superdex 200 column (1 m by 1.6 cm; Amersham Biosciences). The association between SC and pIgA was confirmed by subjecting the protein to SDS-PAGE under nonreducing conditions that allowed the detection of covalent and noncovalent sIgA complexes following immunoblotting with rabbit anti-SC antiserum (26).
Viruses. For the in vivo study, a crude stock of wild-type murine RV which causes epizootic diarrhea of infant mice (Cambridge ECw, P[16], G3) was prepared as intestinal homogenates from 4-day-old BALB/c neonates. The titer of ECw in 6-week-old adult mice was determined as previously described (14) and was found to correspond to 1 x 108 shedding doses 50 (SD50) per ml. For the in vitro study, RRV stock was generated in MA104 cells after a 24-h preincubation of the cells in a serum-free culture medium. Viruses were treated with 0.5 µg of trypsin per ml for 30 min, and MA104 cell monolayers were infected at a multiplicity of infection (MOI) of 1. After 1 h of adsorption at ambient temperature with gentle shaking, the inoculum was removed, and infected cells were incubated in fresh medium containing 0.5 µg of trypsin per ml. After complete cytopathic effect was obtained (usually within 5 days), the cultures were submitted to three freeze-thaw cycles, and cell debris was cleared by centrifugation at 2,200 x g. Virus titer in the supernatant was determined by plaque assay on MA104 cells as previously described (6).
Immunoprecipitation of RV by different molecular forms of IgA7D9 MAb. Purified rotavirus triple-layer particles (TLP) (50 µg) (25) were incubated for 2 h at ambient temperature with 50 and 500 µg of pIgA7D9 MAb or 62.5 and 625 µg of SIgA7D9 MAb, respectively, in a final volume of 800 µl of PBS. Goat anti-mouse IgA (Sigma, St. Louis, MO) diluted 1:500 was added, and the mixture was left with gentle shaking for 1 h prior to addition of 50 µl of protein G-Sepharose (settled beads) equilibrated in PBS. After 1 h at ambient temperature, the beads were washed three times with TENT (50 mM Tris-HCl [pH 7.5], 5 mM EDTA, 150 mM NaCl, 0.05% Triton X-100). Bound proteins were eluted by boiling in SDS-PAGE loading buffer (50 mM Tris-HCl [pH 6.8], 100 mM dithiothreitol, 10% glycerol, 2% SDS, 0.1% bromophenol blue) and loaded onto a 12% polyacrylamide gel in 0.1% SDS. Following transfer onto a polyvinylidene fluoride membrane, nonspecific binding sites were blocked by incubation in 5% nonfat dry milk in PBS-0.05% Tween 20 (Bio-Rad, Hercules, CA), and the membrane was probed for 2 h using the 5.73 MAb to VP4/VP8* (33) diluted 1:500 in 0.5% nonfat dry milk in PBS-0.05% Tween 20. Bound MAb was detected using horseradish peroxidase-conjugated goat anti-mouse IgG (1:3,000; Sigma) followed by treatment with chemiluminescence reagents (Amersham Biosciences) and exposure to autoradiography films.
In vivo immune exclusion assay. BALB/c mice (6 weeks old; Charles River Laboratories) were shown to be free of RV-specific antibodies prior to vaccination by an enzyme-linked immunosorbent assay (ELISA) on serum samples. They were housed in an A3 animal facility (Unité d'Expérimentation Animale Rongeurs, Jouy-en-Josas, France) under the 78-20 license delivered by the "Direction des Services Vétérinaires de Versailles" (France). Each mouse was individually marked. The assay was performed early in the morning in order to take advantage of the relatively higher stomach pH at that time of the day.
In order to examine the in vivo protective efficacy of purified pIgA7D9 MAb via the secretory pathway, a group of three mice was inoculated i.p. twice (1 mg, then 400 µg) with pIgA7D9 MAb in PBS 16 and 2.5 h before viral challenge, respectively. Groups of six mice were used for testing the luminal neutralization of RV. Two hours before challenge and right after oral administration of 1.3% buffering bicarbonate, preparations of SIgA7D9 MAb (500 µg), pIgA7D9 MAb (400 µg), SC alone (200 µg), or PBS were given orally by esophageal gavage in a final volume of 400 µl. Five minutes before challenge, the gavages were repeated with doses representing one third of the initial dose. The mice were infected with 1 x 102 SD50 of ECw murine virus after administration of 100 µl 1.3% buffering bicarbonate (48). Feces were then collected for each mouse in order to monitor SIgA7D9 MAb transit. From challenge to day 7 (time point at which no virus could be detected in the control PBS group), stools were harvested on absorbent paper from individual mice placed in independent cages on a daily basis. The feces were kept at 20°C until processed for analysis of the quantity of RV. The experiment was done three times.
Detection of SIgA7D9 MAb in feces. Two fecal specimens were suspended in 500 µl of a mixture of 10 mM Tris (pH 7.4), 140 mM NaCl, 10 mM CaCl2, 25 mM EDTA, 0.05% Tween 20, and 1% protease inhibitor cocktail (Complete Mini; Roche, Basel, Switzerland). After a 45-min incubation on ice, the fecal suspensions were frozen at 80°C, thawed, and spun down at 13,000 x g, and the crude supernatants were tested for the presence of anti-VP6 activity by ELISA (48). Serial dilutions of reconstituted complexes of SIgA7D9 MAb were used to establish a standard curve. The sensitivity of the assay was 1 ng/ml. Feces were considered positive when the optical density (OD) value reached 0.2 or above. The results were expressed as nanograms of SIgA7D9 MAb (inferred from the standard curve) per ml of stool specimen.
Detection of RV antigens in feces. Detection of group A RV antigens in mouse feces was performed using a commercial ELISA (IDEIA RV; Dako, Ely, Cambridgeshire, United Kingdom) according to the manufacturer's recommendations. Stools from noninfected mice were included as control samples and gave a mean OD450 value of 0.02. The total fecal virus shedding for each mouse was calculated by integrating the area under the shedding curve defined by the OD450 of each feces sample (y axis) over the 7-day period of feces collection (x axis), using Microcal Origin 5.0 software (37). Protection was determined by reduction of viral shedding relative to that of the PBS-treated group.
Cells and culture conditions.
Human colonic adenocarcinoma Caco-2 cells were grown in Dulbecco's modified Eagle's medium (4.5% glucose; Sigma) supplemented with 10% FBS (Sigma), 10 mM HEPES (pH 7.0), 1% nonessential amino acids, 1% sodium pyruvate, 2 mM glutamine, 0.1% transferrin, 100 U/ml penicillin, and 100 µg/ml streptomycin. For establishment of polarized monolayers, Caco-2 cells cultivated to 80% confluency were seeded on Snapwell filters (diameter, 12 mm; pore size, 0.4 µm; Corning Costar Corporation, Cambridge, MA) at a density of 2 x 105 cells/cm2. The formation of a polarized Caco-2 cell monolayer at week 3 was established by morphology and monitoring of the transepithelial electrical resistance (TER) using a Millicell-ERS apparatus (Millipore, Bedford, MA) (10). The TER values ranged between 350 and 400
x cm2. Embryonic rhesus monkey kidney MA104 cells were grown in Earle's minimal essential medium (Invitrogen, Carlsbad, CA) supplemented with 10% FBS, 20 mM HEPES (pH 7.0), 2 mM glutamine, 100 U/ml penicillin, and 100 µg/ml streptomycin. All cell lines were maintained at 37°C in a 5% humidified CO2 incubator.
Virus infection of, and intracellular neutralization in, polarized Caco-2 cells. An RRV virus inoculum was activated for 30 min by treatment with 0.5 µg of trypsin per ml. Caco-2 cells grown on Transwell filters were cultured without FBS in the apical compartment for 24 h and were then infected apically with the trypsin-treated inoculum at an MOI of 2 or 10 for 1 h at ambient temperature. The inoculum was then removed, and FBS-free fresh medium containing 0.5 µg of trypsin per ml was added. Infected cells were incubated at 37°C for the indicated experimental time and processed postinfection to measure stability of TER (20 h). Equimolar amounts of pIgA (5 µg/ml) or monomeric IgA (mIgA; 2.5 µg/ml) antibody were added 4 h prior to infection in the basolateral compartment. Virus release in the apical cell culture medium from infected filter-grown Caco-2 cells in the presence of basolateral antibodies was determined at 20 h postinfection by plaque assay on MA104 cells as previously described (6). The experiment was done twice under each condition in triplicate.
Cell viability measurements. Polarized monolayers of Caco-2 cells were washed once with PBS to remove desquamated cells (usually less than 10 to 15% at 24 h postinfection), Snapwell filters were detached from the insert, and cells attached to the membrane were exposed to a solution of 0.25% trypsin-1 mM EDTA (Sigma) for 5 min. Cells were recovered by centrifugation, resuspended in FBS-free medium containing 0.1% trypan blue, and counted using a hemacytometer. Percent viability was assessed using the formula [(total cells stained cells)/total cells] x 100.
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FIG. 1. Western blot analysis of the pIgA7D9 MAb, SIgA7D9 MAb, and SC preparations. Polymeric IgA7D9 MAb, reconstituted SIgA7D9 MAb, and SC were purified by size-exclusion chromatography and analyzed by Western blotting under nonreducing conditions. (A) pIgA7D9 and SIgA7D9 MAbs were revealed with horseradish peroxidase-coupled anti-murine IgA serum. (B) Both polymeric forms contained the J chain, reflecting proper assembly. (C) Expected covalent and noncovalent association of SC and pIgA7D9 MAb was confirmed upon immunodetection with anti-SC antiserum. Molecular mass markers (kDa) are indicated alongside the sample lanes.
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FIG. 2. Interaction between RV TLP and pIgA7D9 or SIgA7D9 MAbs. Immunoprecipitation (IP) of RV TLP was performed with two quantities (50 µg and 500 µg) of pIgA7D9 MAb and equimolar amounts (62.5 µg and 625 µg) of SIgA7D9 MAb. Following protein separation by SDS-PAGE, detection of VP8* by specific 5.73 MAb indicates that TLP are recognized by the two molecular forms of the anti-VP6 MAb, namely pIgA7D9 MAb (lanes 1 and 2) and SIgA7D9 MAb (lanes 3 and 4). No signal was observed in the absence of IgA7D9 MAb (lane 5) or with 500 µg of irrelevant pIgAC5 MAb (lane 6).
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FIG. 3. Oral feeding with SIgA7D9 does not reduce viral shedding. (A) Time frame summarizing the kinetics of i.p. and oral passive administration of the various molecular forms of pIgA7D9 and SIgA7D9. (B) Mean percentages of reduction of virus shedding (± standard error) compared to the PBS group are reported from BALB/c mice inoculated i.p. with pIgA7D9 MAb or dosed orally with SIgA7D9, pIgA7D9 MAb, and SC. A statistically significant difference was only achieved for viral shedding in the group receiving pIgA7D9 MAb i.p. (Student's t test, P < 0.005). Similar results were obtained in two other independent experiments. (C) Level of IgA7D9 MAb in mouse feces measured 2 h after passive administration of pIgA7D9 MAb i.p. or SIgA7D9 MAb orally. BD, below the level of detection.
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FIG. 4. Intracellular neutralization of RRV by pIgA7D9 MAb. (A) Stability of the Caco-2 monolayer TER exposed to different virus MOI as a function of time. (B) Transcytosis of the various IgAs used in this study and molecular forms thereof across Caco-2 cell monolayers was measured by ELISA as the appearance of SIgA in the apical chamber 4 and 20 h after addition of the purified IgA MAbs in the basolateral compartment (B). (C) The amount of IgA present in the basolateral chamber (5 µg/ml) is not limiting in the assay, as measured at 20 h.
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TABLE 1. Release of RRV from polarized Caco-2 epithelial cellsa
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In the course of this work, we confirmed prior observations that pIgA7D9 MAb given i.p. interferes with viral replication (15). In the present study, purified pIgA and not crude ascites fluid was tested, further strengthening the conclusion that inhibition of viral replication was due to bona fide effects of IgA7D9 MAb and not to other nonspecific activities potentially present in ascites fluid or secreted from 7D9 hybridoma cells. In addition, the observed reduction of viral shedding supports the notion that the molecular form of the pIgA7D9 MAb used to prepare SIgA7D9 MAb is biologically active. Administration of only two intraperitoneal doses (1.4 mg in total) of antibody is the most likely explanation for the finding that viral replication was not more completely abrogated. In fact, Feng et al. (15) documented that full protection was observed after daily injections of 3 mg IgA7D9 MAb over a 9-day period and that only limited protection was seen with a lower dose.
One of our working hypotheses to explain the protective efficacy of the IgA7D9 MAb was that it might interact with infectious particles via spaces in the viral outer shell or other forms of exposed VP6 and thereby could anchor the viral immune complex in the mucus and prevent infection. However, our experiments demonstrated that we could not achieve protection by passive oral administration of SIgA7D9 MAb alone, as would be expected if our working hypothesis was correct. It remains possible that polyclonal sIgA with a broader spectrum of action or directed against other viral antigens, including VP4 and VP7, might work by this mechanism. Actually, oral administration of milk from RV-immunized dams protected suckling mice against challenge (34); protective activity was detected in both the anti-rotavirus IgA and IgG fractions, but IgA was more potent in vivo than IgG (34). The use of a milk concentrate prepared from rotavirus-hyperimmunized cows resulted in a significant reduction in the duration of viral excretion in infants hospitalized for acute rotavirus gastroenteritis (1, 12, 21). However, milk from dams immunized with VLP2/6 did not prevent diarrhea in suckling offspring (9), while milk from VLP2/6/7-vaccinated mothers was protective, indicating that sIgA directed at VP7, but not at VP6, could be implicated in mediating immune exclusion.
One can argue that the amount of SIgA7D9 MAb (670 µg) given orally might not have been sufficient to confer protection by passive administration. However, the concentration of fecal SIgA7D9 recovered after oral delivery of SIgA7D9 in our experiments was in the same order of magnitude as the amount of specific fecal sIgA observed following nasal vaccination with VP6 (31). It represents 35 times more antibody than the amount used to passively protect against a Shigella infection via the nasal route in mice (38). Furthermore, 100 times less anti-VP4 or -VP7 IgG, an isotype not optimal for protection at mucosal surfaces, was sufficient to protect newborn mice from RV challenge after oral administration (35). While passive administration of sIgA is not strictly comparable to the physiological transport of pIgA across the mucosae, it results in the location of sIgA in mucus lining epithelial cells (38) and does lead to comparable levels of VP6-reacting sIgA in feces. Taken together, our data support the notion that IgA7D9 MAb acts against rotavirus predominantly inside cells in vivo.
In most cases where intracellular neutralization by IgA has been described, for human immunodeficiency virus (HIV) (2, 22), Sendai virus (18), and influenza virus (29), the active IgA molecule was directed at a viral protein known to be the target of extracellularly acting neutralizing antibodies. However, in the case of RV, such neutralizing antibodies directed to VP4 (44) did not exhibit intracellular neutralization activity. Conversely, we show here that the anti-VP6 IgA7D9, which is unable to inhibit viral replication in a classic neutralization assay, can indeed mediate intracellular neutralization. The mechanism involved is most probably associated with the pIgR-mediated transcystosis pathway. Polymeric Ig receptor-mediated transcytosis of polymeric IgA occurs via a vesicular pathway divided into three steps: step 1, internalization from the basolateral plasma membrane into basolateral early endosomes; step 2, translocation from the basolateral early endosomes to the apical recycling endosomes (ARE); and step 3, delivery from the ARE to the apical plasma membrane (27). Step 3 is rate-limiting, resulting in accumulation of pIgA-pIgR in the ARE. We propose that VP6, although first synthesized in the cytosol, encounters IgA either before or after new viral protein synthesis, leading to impediment of replication. This hypothesis will be addressed in future studies. Rotavirus particles enter the cell through a still-debated mechanism, but experiments showing that infection is a dynamin-dependent phenomenon (46) strongly support the hypothesis that RV is initially internalized via endocytosis. Thus, IgA7D9 MAb associated with pIgR could complex VP6 during transepithelial transport in the ARE, the compartment where IgA-mediated intracellular neutralization of HIV has been shown to occur (2) and where LPS signaling in epithelial cells can also be blocked (16). As previously hypothesized, IgA7D9 MAb could impede viral transcription by causing subtle architectural rearrangements within the VP6 capsid layer, reducing the enzymatic activity of the viral RNA polymerase in the core (15). The fact that this antitranscriptional property was limited to IgA7D9 MAb (15) may explain why all anti-VP6 antibodies are not capable of intracellular neutralization (44). Actually, the structure of the VP6 epitope recognized by the anti-VP6 IgA is probably crucial for intracellular neutralization to occur (44). This might also explain why J chain-dependent protection was observed when mice were immunized with VLP2/6 (48) and not with recombinant chimeric VP6 (31). Alternatively, recent studies have clearly identified a secretory transport pathway of RV from the endoplasmic reticulum, through the endoplasmic reticulum-Golgi intermediate compartment that eventually leads to rotavirus secretion from the apical surface of the cell; transcytosis of IgA7D9 might interact with VP6 during this phase of assembly and release (11).
Heterotypic protection observed after rotavirus infection can involve several mechanisms. Using a specific anti-VP6 IgA (IgA7D9), we show that intracellular neutralization can be one of these mechanisms. Since humoral immunity has been implicated in protection induced after live virus immunization (17, 30), it is likely that heterotypic protection with anti-VP6 IgA MAb occurs primarily after natural infection or live virus vaccination. However, when protection was generated by recombinant VP6 (5, 32) or by VLP2/6 (M. Conner, unpublished results), CD4 T cells were found to play a pivotal role. Finally, heterotypic neutralizing antibodies to VP7 and VP4 (28) may also contribute to broad protection. Thus, heterotypic immunity probably involves several distinct immunological pathways, and this work illustrates that one anti-VP6 IgA MAb acts via an intracellular neutralization mechanism.
I.S.-C. and B.C. thank the PAI-Germaine de Staël-SATW exchange program (SAMW-03-001). B.C. is supported by grant no. 3200-109545 from the Swiss Science Research Foundation, and I.S.-C. is supported by INRA institutional funds. Work on this study was also supported by a grant from the Veterans Administration (H.G.).
This work is dedicated to the memory of Jean Cohen. ![]()
Published ahead of print on 6 September 2006. ![]()
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