Engineering of HIV gp120 by Yeast Surface Display for Neutralizing Antibody Characterization and Immunogen Design ARCHTV by Jordi Mata-Fink B.S., M.S. Chemical Engineering Stanford University, 2005 SUBMITTED TO THE DEPARTMENT OF CHEMICAL ENGINEERING IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY AT THE MASSACHUSETTS INSTITUTE OF TECHNOLOGY FEBRUARY 2013 © Massachusetts Institute of Technology. All rights reserved. Signature of Author: Certified by: Dep*ment of Chemical Engineering December 18, 2012 K. Dane Wittrup C.P. Dubbs Professor of Chemical Engineering and Biological Engineering Thesis Supervisor Accepted by: * 1 1~ F~ 1 ratrick :. uoyle Professor of Chemical Engineering Chairman, Committee for Graduate Students 2 Engineering of HIV gp120 by Yeast Surface Display for Neutralizing Antibody Characterization and Immunogen Design by Jordi Mata-Fink Submitted to the Department of Chemical Engineering on December 19, 2012 in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy in Chemical Engineering ABSTRACT The sequence diversity of glycoprotein gp120 of the envelope spike of Human Immunodeficiency Virus (HIV) allows the virus to escape from antibody selection pressure. Certain conserved epitopes, like the CD4 binding site, are required for viral fitness and antibodies against these epitopes are able to neutralize HIV from multiple clades. Passive immunization experiments suggest that eliciting such broadly reactive antibodies by vaccination may provide protection, but so far this has proven impossible. In this thesis, we establish a yeast surface display system for the development of gp120-based molecules for antibody characterization and immunogen design. A stripped core gp120 is constructed that retains the correct presentation of the CD4 binding site. Epitopes of several CD4 binding site-directed antibodies, including the gold standard antibody VRC01, are mapped with yeast displayed mutant libraries. A panel of immunogens that share the epitope defined by VRC01 but are diverse elsewhere on their surfaces is designed. Mice immunized sequentially with the diverse immunogens elicit an antibody response that is focused entirely on the VRC01 epitope. The serum cross-reacts with gp120 from multiple clades. Monoclonal antibodies from these mice are isolated and characterized. Thesis Supervisor: K. Dane Wittrup Title: C.P. Dubbs Professor, Chemical Engineering and Biological Engineering 3 4 Acknowledgments Stephen Jay Gould, in his book Wonderful Life, describes the history of Cambrian fossils from the Burgess Shale in British Columbia, Canada. The soft-bodied organisms were first classified into existing taxa as precursors on a neatly progressing tree of life. Decades later, the fossils were re-examined and determined to be organisms with no modem counterpart, evolutionary deadends that met their demise by chance rather than a fundamental unfitness. This thesis began with a vague idea-apply protein engineering to vaccinesand grew to the specific work described in the following pages. The process was neither linear nor predetermined. Along the way there were side branches that, like the fossils of the Burgess Shale, petered out. Others, like the HIV project, which appeared as an intellectual detour two years into the work, flourished. The document that follows reflects not a finished product, but the current state of an idea that has already evolved and will continue to do so. I am grateful to many people who made this work possible. Foremost among them, I am beholden to my advisor, Dane Wittrup, whose intellectual power, creativity, patience, and guidance has shaped me both personally and professionally. My thesis committee members, Darrell Irvine and Chris Love, were generous with their labs, resources, and ideas. The Wittrup lab has been a phenomenal place to call home for the past six years. I am indebted to lab members past and present for advice, assistance, and friendship. In particular, Shanshan Howland mentored me through the early learning curve; Ben Hackel set a standard of productivity and effort that I will forever strive to meet; Jamie Spangler and Chris Pirie shared with me many of the joys of grad school; Seymour de Picciotto was a fountain of scientific curiosity; Cary Opel and Katie Maass provided non-scientific intellectual stimulation. I was fortunate to work with undergraduates-Barry Kriegsman, Hanna Zhu, Yu Huixin, Moses Leavens, and Matt Glassman-who contributed significantly to the project. In the Irvine lab, Melissa Hanson and Pete DeMuth were wonderful colleagues. In the Love lab, Tim Politano and Brittany Thomas were generous with their time and expertise. Dennis Burton, Laura Walker, and Emilia Falkowska helped us establish our footing in a field in which we were complete newcomers. Outside of lab, CJ Zopf, Joe Scott, and many classmates helped make daily life interesting. Pam Grich and Lou Fink introduced me to the White Mountains and provided warm meals and family. My sister, Ana, lent a patient ear to research troubles. My parents, David and Marina, offered guidance when needed, distance when wanted, and encouragement always. My wife, Rebecca, stuck with me through it all. This thesis is for you. Thank you. Jordi Mata-Fink December 15, 2012 5 6 Table of Contents Chapter 1. Introduction Background......................................................................---Thesis Summary......................................................................... 9 11 Works Cited................................................................................12 Chapter 2. Yeast display of HIV gp120 Background.......................................................................... Results...................................................................................... Display of gp120 on yeast Modifications to gp120 to make strippedcore Binding of stripped core to anti-gp120 antibodies Stability of stripped core Discussion........................................................21 Materials & Methods................................................................... ... Figures & Tables..................................................................... Works Cited.............................................................................. Chapter 3. Epitope mapping of CD4 binding site-directed antibodies Background.......................................................................... Results...................................................................................... Mapping the VRCO1 epitope with a random mutagenesis library Making a defined mutant panel Mapping the VRCO1 epitope with the mutant panel Mapping other anti-gp120 antibodies Multi-mutation constructs that bind differentially to VRCO1, b12, and b13 Discussion.............................................................................. Materials & Methods....................................................................... ..-Figures & Tables................................................................... Works Cited................................................................................ 17 18 22 25 31 37 39 43 46 49 62 Chapter 4. Eliciting VRC01-like antibodies by vaccination Background................................................................................67 ............- 70 Results.................................................................... Generationof diversified immunogens by semi-random mutagenesis Characterizationof diversified immunogens Immunization of mice with diversified immunogens Characterizationof serum binding to individual immunogens Serum binding to gp120 mutant D368R Serum competition with VRCO1 by ternary complex assay Serum binds to stripped core gp120from multiple clades Isolationof monoclonal antibodies 7 Table of Contents (continued) Discussion.................................................................................. Materials & Methods................................................................... Figures & Tables...........................................................................83 Works Cited................................................................................ 74 79 99 Chapter 5. Perspectives on immunizations Background...................................................................................107 Results......................................................................................... 108 Immunization routes andformulations tested Intranasaladministrationrequires both Fc and adjuvant Pharmacokineticsof antigen administeredintranasally Timing of boost mattersfor liposomalformulation Conjugation is requiredfor liposomalformulations but not for other adjuvants Immunization with diverse immunogens on liposomesfails to steer the immune response to the CD4 binding site Comparison of intradermalinjection to microneedle application Differences in inflammation, retention, and biodistributionof antigen administered intradermallyor by microneedle array Steering the immune response to the VRC01 epitope using microneedles Relationship between dose and KA across adjuvants,formulations, and routes Discussion.....................................................................................114 Materials & Methods.......................................................................117 Figures & Tables.............................................................................119 Works Cited..................................................................................131 Chapter 6. Targeting DEC-205 to deliver antigen to the cross-presentation pathway in dendritic cells Background.................................................................................... 133 Results.......................................................................................... 134 Engineeringfibronectins to bind DEC-205 Conjugationof Fn3 clones to CpG DNA Effect on bone marrow-deriveddendritic cells Discussion.................................................................................... 136 Materials & Methods...................................................................... 137 Figures & Tables............................................................................ 139 Works Cited..................................................................................144 8 Chapter 1. Introduction Background Broadly neutralizing antibodies are the best hope for an effective anti-HIV vaccine (1, 2). Glycoprotein gp120 of the envelope spike of human immunodeficiency virus (HIV) is the target of most antibodies generated upon HIV infection (3, 4), but HIV's fast mutation rate and its tolerance of sequence diversity allow the virus to escape from nearly all antibodies raised against epitopes on the envelope spike (5-9). There are, however, regions of the viral envelope spike that are essential for viral fitness and therefore are highly conserved. Antibodies against these conserved epitopes that can neutralize HIV across clades are known as broadly neutralizing antibodies (4). The CD4 binding site is one such target for broadly neutralizing antibodies, conserved because HIV from any strain must first dock onto CD4 in order to infect a T cell (10-14). Antibodies exert selection pressure on autologous HIV almost immediately following infection (8, 15, 16), and most patients eventually develop neutralizing antibodies against conserved epitopes (6, 17-21) though these antibodies are unable to control infection. Even individuals who generate the most potent of broadly neutralizing antibodies over the course of infection do not demonstrate any clinical benefit from having elicited them (22). The hypothesis is that by the time broadly neutralizing antibodies are elicited-typically 2-3 years after infection (3)-there is a sufficient reservoir of virus to find escape mutations against any antibody. VRC01 is the most potent CD4 binding site-directed neutralizing antibody yet discovered, able to neutralize more than 90% of circulating isolates (13), but analysis of envelope variants from the patient who generated VRC01 found that no autologous viruses were sensitive to it (7). Once an infection is established, HIV is able to sample enough sequence space to evade neutralization. During mucosal transmission, however, a single founder virus often initiates the infection, creating an evolutionary bottleneck (23-25). A 9 broadly neutralizing antibody present before transmission may therefore be able to block HIV with the breadth observed in vitro. In passive immunization experiments performed in macaques, animals given neutralizing antibodies prophylactically were protected from SHIV challenge, whereas those given nonneutralizing antibodies or to whom the antibodies were administered after infection were not protected (26-29). The studies also suggest that a low concentration of antibody as may be present following a vaccine could be sufficient to neutralize the virus (2, 8, 30). There is tremendous interest in the field to discover new neutralizing antibodies, understand their mechanisms, and ultimately to elicit them by vaccination (3137). The tasks of antibody discovery, characterization, and immunogen design are at heart protein engineering challenges, but the full arsenal of protein engineering tools has not yet been deployed in service of finding a solution. To discover neutralizing antibodies, patient samples are screened against wildtype gp120 and mutants that exhibit differential binding (13). Epitopes are typically defined by crystallography or alanine scanning (12, 19, 32, 38). Immunogens are engineered by inserting selective glycosylation sites to mask immunodominant epitopes, or grafting defined epitopes onto new scaffolds (3942). Most of the previously-described gp120 variants are made by rational design, sometimes guided by computation, then individually constructed, secreted, and tested for binding by ELISA (35, 40, 43). Yeast surface display and directed evolution provides an alternative, simple and flexible method for engineering complex glycoproteins (44,45). Surface displayed proteins can be easily modified by random or rational mutagenesis, and binding phenotypes assayed by flow cytometry. We and others have engineered complex glycoprotein receptor ectodomains (46, 47), and validated yeast surface display for fine resolution mapping of conformational epitopes (48). 10 Thesis summary This thesis adapts and adopts the tools of protein engineering by yeast surface display to characterize CD4 binding site-directed neutralizing antibodies and develop immunogens that elicit these vital antibodies by vaccination. More broadly, the methods described can be used to design immunogens that focus the immune response on a single epitope for any target antigen and any model antibody. * In chapter 2 we describe the display of a stripped core gp120 construct on the surface of yeast, and show that the conformational CD4 binding site is presented correctly. * In chapter 3 we map the epitopes of CD4 binding site-directed antibodies by two different yeast display methods, and determine important energetic interactions between the antibodies and stripped core. These interactions are mined to design mutants that more selectively identify CD4 binding site-directed neutralizing antibodies than the canonical gp120 mutant D368R. " In chapter 4 we generate four stripped core-based immunogens that are diverse on their surfaces but share the epitope defined by antibody VRCO1. Mice immunized sequentially with these immunogens elicit a strong gp120-specific antibody response that is directed entirely to the VRC01 epitope. This is the first demonstration that an antibody response can be focused upon the CD4 binding site by vaccination. Serum and monoclonal antibodies from these mice are characterized for breadth and neutralization potential. * In chapter 5 we describe several robust mouse immunization protocols with different formulations, adjuvants, and routes of administration. Key parameters for each protocol are elucidated. * In chapter 6 we deviate from HIV and describe early work done to design 10 type III fibronectin domains that bind to DEC-205, a dendritic cell surface receptor involved in cross-presentation of extracellular protein antigens onto MHC-I molecules. 11 Works Cited 1. D. R. Burton, R. L. Stanfield, I. A. Wilson, Antibody vs. HIV in a clash of evolutionary titans, Proc Natl Acad Sci USA 102, 14943-14948 (2005). 2. M. J.McElrath, B. F. Haynes, Induction of immunity to human immunodeficiency virus type-1 by vaccination, Immunity 33, 542-554 (2010). 3. J. R. Mascola, D. C. Montefiori, The role of antibodies in HIV vaccines, Annu Rev Immunol 28, 413-444 (2010). 4. R. Pantophlet, D. R. Burton, GP120: target for neutralizing HIV-1 antibodies, Annu Rev Immunol 24, 739-769 (2006). 5. B. Korber et al., Evolutionary and immunological implications of contemporary HIV-1 variation, Br Med Bull 58, 19-42 (2001). 6. S. D. W. Frost et al., Neutralizing antibody responses drive the evolution of human immunodeficiency virus type 1 envelope during recent HIV infection, Proc Natl Acad Sci USA 102, 18514-18519 (2005). 7. X. Wu et al., Selection Pressure on HIV-1 Envelope by Broadly Neutralizing Antibodies to the Conserved CD4-Binding Site, J Virol 86, 5844-5856 (2012). 8. K. J.Bar et al., Early Low-Titer Neutralizing Antibodies Impede HIV-1 Replication and Select for Virus Escape, PLoS Pathog 8, e1002721 (2012). 9. P. L. Moore et al., Evolution of an HIV glycan-dependent broadly neutralizing antibody epitope through immune escape, Nat Med (2012), doi:10.1038 /nm.2985. 10. D. R. Burton et al., A large array of human monoclonal antibodies to type 1 human immunodeficiency virus from combinatorial libraries of asymptomatic seropositive individuals, Proc Natl Acad Sci USA 88, 10134-10137 (1991). 11. D. R. Burton et al., Efficient neutralization of primary isolates of HIV-1 by a recombinant human monoclonal antibody, Science 266, 1024-1027 (1994). 12. T. Zhou et al., Structural definition of a conserved neutralization epitope on HIV1 gp120, Nature 445, 732-737 (2007). 13. X. Wu et al., Rational design of envelope identifies broadly neutralizing human monoclonal antibodies to HIV-1, Science 329, 856-861 (2010). 14. E. Falkowska et al., PG V04, an HIV-1 gp120 CD4 binding site antibody, is broad and potent in neutralization but does not induce conformational changes characteristic of CD4, J Virol (2012), doi:10.1128/JVI.06973-11. 12 15. R. M. Lynch et al., The development of CD4 binding site antibodies during HIV-1 infection, J Virol 86, 7588-7595 (2012). 16. A. J. Mcmichael, P. Borrow, G. D. Tomaras, N. Goonetilleke, B. F. Haynes, The immune response during acute HIV-1 infection: clues for vaccine development, Nat Rev Immunol 10, 11-23 (2010). 17. A. Nandi et al., Epitopes for broad and potent neutralizing antibody responses during chronic infection with human immunodeficiency virus type 1, Virology (2009), doi:10.1016/j.virol.2009.10.044. 18. D. N. Sather, L. Stamatatos, Epitope specificities of broadly neutralizing plasmas from HIV-1 infected subjects, Vaccine 28 Suppl 2, B8-12 (2010). 19. L. M. Walker et al., A limited number of antibody specificities mediate broad and potent serum neutralization in selected HIV-1 infected individuals, PLoS Pathog6 (2010), doi:10.1371/journal.ppat.1001028. 20. J.F. Scheid et al., Broad diversity of neutralizing antibodies isolated from memory B cells in HIV-infected individuals, Nature 458, 636-640 (2009). 21. J.Pietzsch et al., Human anti-HIV-neutralizing antibodies frequently target a conserved epitope essential for viral fitness, I Exp Med 207, 1995-2002 (2010). 22. Z. Euler et al., Cross-reactive neutralizing humoral immunity does not protect from HIV type 1 disease progression, J Infect Dis 201, 1045-1053 (2010). 23. B. F. Keele et al., Identification and characterization of transmitted and early founder virus envelopes in primary HIV-1 infection, Proc Natl Acad Sci USA 105, 7552-7557 (2008). 24. M.-R. Abrahams et al., Quantitating the Multiplicity of Infection with Human Immunodeficiency Virus Type 1 Subtype C Reveals a Non-Poisson Distribution of Transmitted Variants, J Virol 83, 3556-3567 (2009). 25. J.F. Salazar-Gonzalez et al., Genetic identity, biological phenotype, and evolutionary pathways of transmitted/founder viruses in acute and early HIVinfection, Journal of ExperimentalMedicine 206, 1273-1289 (2009). 26. D. R. Burton et al., Limited or no protection by weakly or nonneutralizing antibodies against vaginal SHIV challenge of macaques compared with a strongly neutralizing antibody, Proc Natl Acad Sci USA 108, 11181-11186 (2011). 27. A. J.Hessell et al., Broadly neutralizing human anti-HIV antibody 2G12 is effective in protection against mucosal SHIV challenge even at low serum neutralizing titers, PLoS Pathog 5, e1000433 (2009). 28. A. J. Hessell et al., Effective, low-titer antibody protection against low-dose repeated mucosal SHIV challenge in macaques, Nat Med 15, 951-954 (2009). 13 29. J. R. Mascola, Passive transfer studies to elucidate the role of antibody-mediated protection against HIV-1, Vaccine 20, 1922-1925 (2002). 30. D. C. Montefiori, J.R. Mascola, Neutralizing antibodies against HIV-1: can we elicit them with vaccines and how much do we need? Curr Opin HIV AIDS 4, 347-351 (2009). 31. L. Chen et al., Structural basis of immune evasion at the site of CD4 attachment on HIV-1 gp120, Science 326, 1123-1127 (2009). 32. T. Zhou et al., Structural basis for broad and potent neutralization of HIV-1 by antibody VRC01, Science 329, 811-817 (2010). 33. J.F. Scheid et al., Sequence and structural convergence of broad and potent HIV antibodies that mimic CD4 binding, Science 333, 1633-1637 (2011). 34. X. Wu et al., Focused evolution of HIV-1 neutralizing antibodies revealed by structures and deep sequencing, Science 333, 1593-1602 (2011). 35. W. R. Schief, Y.-E. A. Ban, L. Stamatatos, Challenges for structure-based HIV vaccine design, Curr Opin HIV AIDS 4, 431-440 (2009). 36. L. M. Walker, D. R. Burton, Rational antibody-based HIV-1 vaccine design: current approaches and future directions, CurrentOpinion in Immunology (2010), doi:10.1016/j.coi.2010.02.012. 37. B. D. Walker, D. R. Burton, Toward an AIDS vaccine, Science 320, 760-764 (2008). 38. M. Pancera et al., Crystal structure of PG16 and chimeric dissection with somatically related PG9: structure-function analysis of two quaternary-specific antibodies that effectively neutralize HIV-1, J Virol 84, 8098-8110 (2010). 39. B. Dey et al., Characterization of human immunodeficiency virus type 1 monomeric and trimeric gp120 glycoproteins stabilized in the CD4-bound state: antigenicity, biophysics, and immunogenicity, J Virol 81, 5579-5593 (2007). 40. R. Pantophlet, I. A. Wilson, D. R. Burton, Hyperglycosylated mutants of human immunodeficiency virus (HIV) type 1 monomeric gp120 as novel antigens for HIV vaccine design, J Virol 77, 5889-5901 (2003). 41. R. Pantophlet et al., Fine mapping of the interaction of neutralizing and nonneutralizing monoclonal antibodies with the CD4 binding site of human immunodeficiency virus type 1 gp120, J Virol 77, 642-658 (2003). 42. J. Guenaga et al., Heterologous epitope-scaffold prime:boosting immuno-focuses B cell responses to the HIV-1 gp4l 2F5 neutralization determinant, PLoS ONE 6, e16074 (2011). 14 43. B. E. Correia et al., Computational protein design using flexible backbone remodeling and resurfacing: case studies in structure-based antigen design, Journal of Molecular Biology 405, 284-297 (2011). 44. E. T. Boder, K. D. Wittrup, Yeast surface display for screening combinatorial polypeptide libraries, Nat Biotechnol 15, 553-557 (1997). 45. E. T. Boder, K. S. Midelfort, K. D. Wittrup, Directed evolution of antibody fragments with monovalent femtomolar antigen-binding affinity, Proc Natl Acad Sci USA 97, 10701-10705 (2000). 46. Y.-S. Kim, R. Bhandari, J.R. Cochran, J.Kuriyan, K. D. Wittrup, Directed evolution of the epidermal growth factor receptor extracellular domain for expression in yeast, Proteins 62, 1026-1035 (2006). 47. S. A. Gai, K. D. Wittrup, Yeast surface display for protein engineering and characterization, Curr Opin Struct Biol 17, 467-473 (2007). 48. G. Chao, J.R. Cochran, K. D. Wittrup, Fine epitope mapping of anti-epidermal growth factor receptor antibodies through random mutagenesis and yeast surface display, Journalof Molecular Biology 342, 539-550 (2004). 15 16 Chapter 2. Yeast display of HIV gp120* Background Much of the focus of current HIV vaccine research involves the isolation of new neutralizing antibodies, understanding their structure and function, and designing immunogens intended to elicit such antibodies by vaccination. These efforts often require that gp120, the predominant glycoprotein of the envelope spike, be modified or engineered. New neutralizing antibodies are identified and characterized by screening patient samples against engineered gp120 probes with differential binding profiles to known epitopes (1-3). For example, antibody VRC01, the gold standard CD4-competitive antibody, was isolated from a patient sample using a hybrid HIV/SIV gp120 that had been "resurfaced" to remove all HIV epitopes except for the CD4 binding site (4). Modifications are also made to gp120 when designing an immunogen to elicit neutralizing antibodies by vaccination (5). Deliberate amino acid substitutions can, for example, lock the flexible molecule into an "open" conformation and overcome the considerable entropic penalty incurred upon binding (6-8). Mutations can also disrupt antibody binding to irrelevant surfaces and encode glycosylation sites to shield undesired epitopes from immune recognition (9-11). Immunodominant loops that distract from neutralizing epitopes can be removed entirely (12, 13). Stable gp160 trimers have recently been described in the literature (14, 15). Trimeric envelope is an attractive alternative to monomeric gp120 for many of these applications. The immune system elicits non-neutralizing antibodies to monomer-specific epitopes that are sterically inaccessible on the native trimer (16). Additionally, some neutralizing antibodies recognize quaternary epitopes *Portions of this chapter were adapted from Mata-Fink et al., Rapid conformational epitope mapping of anti-gp120 antibodies with a designed mutant panel displayed on yeast, I Mol Biol, in press. 17 and thus cannot be faithfully captured by monomeric gp120 (17). Engineered viruses are also used to present gp120 in its native conformation (18). The drawbacks to these methods are that the trimer is less forgiving of mutations (Kovacs et al. have only reported stable trimers for two strains of HIV (14)), and that not every lab has the capability to work with pseudoviruses. To date, engineering gp120 is a low-throughput process. Most of the previouslydescribed gp120 variants are made by rational design, sometimes guided by computation, then individually constructed, secreted, and tested for binding by ELISA (10, 19, 20). Yeast surface display provides an alternative, simple and flexible method for engineering complex glycoproteins (21, 22). Surface displayed proteins can be easily modified by random or rational mutagenesis, and binding phenotypes assayed by flow cytometry. We and others have engineered complex glycoprotein receptor ectodomains (23, 24), and validated yeast surface display for fine resolution mapping of conformational epitopes (25). Despite its utility, yeast display has not yet been used to engineer gp120 for immunogens or as bait for isolating neutralizing antibodies. In this chapter we describe the display of an engineered stripped core gp120 on yeast and characterize its binding to a panel of CD4 binding site-directed neutralizing antibodies to demonstrate that the CD4 binding site is correctly presented. Results Display of gp120 on yeast. The gene for gp120 from HIV strain YU2 (26) was subcloned into the yeast display vector pCHA with a C-terminal Aga2p fusion partner (Figure 2.1A). The traditional pCT vector with an N-terminal Aga2p fusion was tested and worked equally well (data not shown). The advantage of pCHA over pCT is that, since the surface anchor Aga2p is at the distal end of the transcript, truncated proteins are not captured and displayed. 18 Modifications to gp120 to make stripped core. Yeast displaying the full-length gp120 protein did not bind to antibody b12 (data not shown). Extensive modifications were made to strip the protein of flexible loops that might cause the protein to misfold or sterically occlude the b12 epitope. The resultant "stripped core" is similar, though not identical, to the original core gp120 crystalized in complex with CD4 (27). The flexible gp41-interactive regions at the N- and C-termini (aa 1-89, 493-511) (28) were excised entirely. The long hypervariable loops (29, 30)-V1 /V2 (aa 124-198), V3 (aa 298-329), and the bridging sheet p20 / 21 (aa 422-437)-were replaced with the short, glycosylated amino acid linkers GNGS, GNGSG, and GGNGS respectively. An additional set of mutations (Q114N, L116T) introduced an N-linked glycosylation sequence at a site previously identified as important for masking an epitope on the V1 /V2 stem (10). The full sequence of stripped core is listed in Table 2.1, and a structural model is shown in Figure 2.1B. Binding of stripped core to anti-gp120 antibodies. Despite these significant modifications, stripped core gp120 retains the structurally rigid outer domain that has been extensively studied elsewhere (31-33). The protein is expressed well on the yeast surface (1x10 5 copies per cell; standard for yeast surface display) and conserves the structure of the CD4 binding site as measured by binding to CD4 and to a panel of neutralizing antibodies (Figures 2.1C, 1D). Broadly neutralizing anti-gp120 antibodies VRC01, PGV04 (isolated from the same patient as VRC01 but by a different protocol) (4), and b12 (34, 35), as well as the non-neutralizing CD4-directed antibodies b6 and b13 (36) were titrated on yeast displaying stripped core gp120 and the binding measured by flow cytometry. The equilibrium binding constants ranged from 24 pM for b6 to 0.9 nM for PGV04 and b13. Yeast-displayed stripped core gp120 also bound CD4-Fc with a binding constant of 5.6 nM, despite the removal of the bridging sheet that comprises a substantial portion of the CD4 binding site (27, 37). These binding data are consistent with the single-digit nM affinities measured for CD4 binding site-directed antibodies to several gp120 constructs by other methods (4), and 19 with binding of multivalent CD4 constructs to both "liganded" and "unliganded" conformations of gp120 (38). Other antibodies of interest in the field of HIV vaccine design were tested as well, but did not bind to the stripped core construct (data not shown). Antibodies 17b and X5 that recognize the chemokine receptor epitope on gp120 (39-41)called the CD4-induced or CD4i epitope because it is only induced upon CD4 engagement-did not bind, which is expected given that much of the CD4i epitope was removed when the bridging sheet was replaced with a short linker. Non-neutralizing antibody F105 (42), whose crystal structure (PDB ID: 3HI1) indicates that it too makes significant contacts with the bridging sheet (16), did not bind. Antibodies PGT-121 and PGT-128, known to recognize an epitope on variable loop V3 (43, 44), did not bind to the V3-less construct. Antibody 2G12, which recognizes an array of high-mannose glycans on the surface of gp120 (4547) also did not bind the stripped core displayed on yeast. S. cerevisiae hypermannosylates N-linked glycans and produces glycoforms different from those recognized by 2G12 (48). Others have engineered S. cerevisiae such that its glycoproteins are recognized by 2G12 (49); display of stripped core on this modified yeast strain may introduce 2G12 sensitivity. To ensure that the binding to CD4 binding site-directed antibodies was not an artifact of yeast display, we secreted stripped core gp120 from HEK 293 cells both as a monomer and as an Fc-fusion, and measured its binding to the singlechain variable fragment (scFv) of VRC01 displayed on yeast. The equilibrium dissociation constant was found to be 8.7 nM for monomeric stripped core and 1.1 nM for the dimeric Fc-fusion (Figure 2.1E), consistent with previous titrations in which the arrangement of gp120 and antibody was inverted. Stability of stripped core. The stripped core also proved to be remarkably stable, perhaps due to its six inter-chain disulfide bonds. Yeast-displayed protein retains its binding to CD4 binding site-directed antibodies for months at 4C. Soluble Fcstripped core can be lyophilized and rehydrated, heated for 30 minutes in the presence of SDS, and stored at room temperature in liquid formulation for at least four weeks with no loss of binding to VRC01 (Figure 2.1F). Mass 20 spectrometry indicated that the protein is not aggregated, in keeping with these observations. For the Fc-fusion, a species of radius 6.1 nm (22.4 %Pd) corresponding to an Fc-dimer with two gp120 molecules accounts for 99.9% of the mass. For the non-Fc-fusion, the predominant species has radius 5.4 nm (23.9 %Pd) and accounts for 96.2% of the mass. The non-Fc-fusion is purified by metal affinity chromatography and size exclusion, whereas the Fc-fusion is purified by sequential metal affinity and protein A chromatography. The additional heterogeneity observed in non-Fc soluble stripped core is likely from incomplete purification rather than aggregation. This translation of behavior on the surface of yeast to behavior in solution did not hold for all gp120 constructs tested. An engineered outer domain construct (aa 254-476) with V3 and bridging sheet replaced with glycosylated linkers, a glycosylation site inserted at the C-terminus, and a necessary deglycosylation at position 386 (mutation N386D) bound well to CD4 binding site-directed antibodies when displayed on yeast but lost all binding when secreted from HEK 293 cells (Figure 2.2). Our hypothesis is that the hydrophobic surface at the interface of the inner and outer domains destabilizes the protein, but was shielded by the close proximity of Aga2p or the yeast cell wall when displayed on the cell surface. In another instance, immunogens were engineered to contain diversity on their surfaces but retain the CD4 binding site (Chapter 4). 16 of 20 immunogens that bound VRC01 when displayed on yeast lost most or all binding when secreted as Fc-fusions. Discussion There is much effort in the HIV vaccine field to modify gp120 to make subunit vaccine immunogens and bait for isolating and characterizing antibodies from patient samples. Yeast surface display is a simple and powerful tool for engineering complex glycoproteins (21, 22, 24). We report for the first time the display of a stripped core gp120 on yeast, which opens the toolkit of protein engineering-including directed evolution, high-throughput screening by flow 21 cytometry, and conformational epitope mapping-to the problem of HIV vaccine design. Stripped core is well displayed on yeast, and presents the CD4 binding site in the correct conformation as measured by binding to CD4 and a panel of CD4 binding site-directed antibodies. The platform thus enables rapid screening of candidate immunogens and high-throughput analysis of serum samples. The modifications to stripped core ablate binding to many anti-gp120 antibodies that are specific for epitopes other than the CD4 binding site. A different starting scaffold must be designed in order to screen these antibodies by yeast display. Stripped core is highly stable both on the cell surface and when secreted from mammalian cells, and binds similarly to VRC01 in both instances. This is promising for the generation of candidate immunogens, which relies on the accurate translation of selected characteristics on the cell surface to behavior in solution and in vivo. Materials & Methods Display of gp120 on yeast. The gene for gp120 from HIV strain YU2 (26) (Genbank Accession No. M93258) was subcloned into the yeast display vector pCHA between NheI and BamHI restriction sites, immediately downstream of an HA epitope tag (YPYDVPDYA) and upstream of a CMyc tag (EQKLISEEDL) and the Aga-2 fusion partner. The protein was displayed on Saccharomyces cerevisiae strain EBY100 using a standard surface display protocol (50). In brief, EBY100 yeast were transformed with plasmid (Frozen-EZ Yeast Transformation II Kit, Zymo Research, Irvine, CA), grown to mid-log phase in SD-CAA media at 30*C, and induced in galactose-containing SG-CAA media for 24 hr at 20"C. Approximately 1x10 5 gp120 molecules are displayed per yeast, as measured by quantitative flow cytometry (data not shown). 22 Modifications to gp120. Modifications to gp120 were made by site-directed mutagenesis or the Geiser variant thereof (51) following the QuickChange mutagenesis protocol (Agilent Technologies, Santa Clara, CA). The flexible gp4linteractive regions at the N- and C-termini were removed entirely (aa 1-89, 493511) (28). The hyper-variable loops V1 /V2 (aa 124-198), V3 (aa 298-329), and the bridging sheet p20/21 (aa 422-437) were replaced with the short, glycosylated amino acid linkers, GNGS, GNGSG, and GGNGS respectively. An additional double mutation (Q114N, L116T) introduced an N-linked glycosylation sequence at a site previously identified as important for masking an epitope on the V1 /V2 stem (10). All amino acid numbering is based on the HxB2 numbering convention (52). Stripped core is 285 amino acids long. The full sequence with these modifications listed is in Table 2.1. Secretion of gp120 from HEK 293 cells. The stripped core gp120 was subcloned into a mammalian expression vector based on gWiz (Genlantis, San Diego, CA), either by itself or downstream of the Fc domain of mouse IgG2a (53). All constructs also have a his6 tag. There are two variants of the Fc-fusion construct. gWiz-Fc-X-hisC has a TEV protease site upstream of the gene of interest, a his6 tag immediately downstream, and a terminal cysteine. gWiz-Fc-hisT-X has a his6 tag and TEV protease site between the Fc and the gene of interest, and no terminal modification. Protein secreted equally well from both Fc-fusion formats. A suspension culture of HEK 293 cells grown in serum-free medium (Freestyle 293, Life Technologies, Carlsbad, CA) was transfected with DNA using PEI as per manufacturers instructions. Supernatant was harvested after one week and purified on TALON metal affinity chromatography resin (Clontech, Mountain View, CA) followed by size-exclusion chromatography for the non-Fc-fusion, and on sequential metal affinity chromatography and protein A affinity chromatography (Genscript, Piscataway, NJ) for the Fc-fusion. Binding assays. Anti-gp120 antibodies were either produced from HEK cells (the plasmid for VRC01 was a generous gift from John Mascola, Vaccine Research Center, NIAID, NIH) or a generous gift from Dennis Burton. CD4-Fc was purchased from Sino Biological (Beijing, China). Yeast cells displaying protein 23 were incubated with anti-gp120 antibodies and the anti-epitope tag antibody chicken anti-CMyc (Gallus Immunotech, Fergus, Ontario). Secondary labeling was performed with goat anti-mouse, -human, or -chicken antibodies conjugated to Alexa Fluor dyes (Life Technologies, Carlsbad, CA) at recommended dilutions. Individual samples were analyzed on an Accuri C6 cytometer (BD Accuri Cytometers, Ann Arbor, MI); 96-well plates were run on a FACSCalibur HTS with a high-throughput plate sampler (Becton Dickinson, Franklin Lakes, NJ). 24 A C B 10 Aga2p 7AgOa1p CMye 00 HA gplZO CMycAga2 1.1 01 100 1 Display (anti-Cyc) D 12- - - V 13 141 -* 4Cslwap 12j -. -~PG9 121 q-IM -- ac4! A 02~ -odCOMc(11" a Jou1 tR 00 0 0 1 gobooCoric (Wi) 10 100 1 10 100 Pc-CorsCmimetadon(Wi) 1000 Figure 2.1. Yeast display of gp120. (a) Schematic of gp120 displayed on the surface of yeast. Beaneath it, the DNA map of vector pCHA showing gp120, the C-terminal Aga2 fusion partner, and two epitope tags. (b) Homology model of stripped core showing the inner domain (white), outer domain (blue), the short glycosylated peptides that have replaced the V 1/V2 loop (orange), V3 loop (red), and bridging sheet (purple), and the VRC01 contact residues (yellow). (c) Representative flow cytometry dot-plot of yeast displaying stripped core gp120, bound to both an anti-CMyc antibody (x axis) and the broadly neutralizing antibody VRC01 (y axis). (d) Binding isotherms of yeast-displayed stripped core gp120 to a panel of CD4 binding site-directed antibodies. Equilibrium KD values for the antibodies are as follows: VRC01, 0.8 nM; PGV04, 0.9 nM; b12, 41 pM; b6, 24 pM; b13, 0.9 nM; CD4-Fc, 5.6 nM. (e) Binding of secreted stripped core gp120 to yeast displaying the scFv of antibody VRCO1. Equilibrium KD values for the interactions are: Stripped Core, 8.7 nM; Fc Stripped Core, 1.1 nM. (f) Stability of secreted Fc-stripped core. Binding of Fc-stripped core to yeast displaying the scFv of antibody VRC01 after dissolution from microneedle array (black), stock stored at 4C for several months (red), or stock stored at room temperature for 1 month (blue). 25 26 1.21 0.8 e0.4- 0.2 801 0.1 1 10 100 Protein (nM) Figure 2.2. Differential binding of displayed and secreted outer domain-only construct. Stripped outer domain (aa 254-476) has V3 and bridging sheet replaced with glycosylated linkers, a glycosylation site inserted at the Cterminus, and deglycosylation mutation N386D (construct called 3G or stripped OD). Fc-stripped core (solid) and Fc-stripped OD (dashed) secreted from HEK293 cells binding to VRC01 scFv displayed on yeast. Stripped OD displayed on yeast (dash-dotted) binding to antibody VRC02, a somatic variant of VRCO1. 27 28 Table 2.1. Sequence of stripped core gp120 numbered both sequentially and by the HxB2 numbering convention (52). Extra glycosylation sites (aa 114/116) and modified linker sequences (V1 /V2 aa124-199; V3 aa298-329; P20 /21 aa422-437) are highlighted in gray. Sequential position HxB2 position 238 115 276 201 239 116 277 92 202 240 117 278 93 203 241 118 279 5 94 204 242 119 280 6 95 205 243 120 281 7 206 244 121 282 8 97 207 245 122 283 9 98 208 246 123 284 10 99 209 247 124 285 11 100 210 248 125 286 126 287 Amino Acid HxB2 position Sequential position HxB2 position 1 90 200 2 91 3 4 Sequential position Amino Acid Sequential position HxB2 position Amino Acid 12 101 211 249 13 102 212 250 127 288 14 103 213 251 128 289 15 104 214 252 129 290 16 105 215 253 130 291 17 106 216 254 131 292 18 107 217 255 132 293 19 108 218 256 133 294 20 109 219 257 134 295 21 110 220 258 135 2% 22 111 221 259 136 297 23 112 222 260 Amino Acid 24 113 223 261 25 114 N 224 262 26 115 S 225 263 27 116 T 226 264 28 117 K 227 265 142 330 H 29 118 P 228 266 143 331 C 30 119 C 229 267 144 332 N 31 120 V 230 268 145 333 L 32 121 K 231 269 146 334 S 33 122 L 232 270 147 335 K 34 123 T 233 271 148 336 T 234 272 149 337 235 273 150 338 Q w 236 274 151 339 E 237 275 152 340 N 29 Sequential position HxB2 position Amino Acid 379 264 471 G 192 380 265 472 G 343 193 381 266 473 G 156 344 194 382 267 474 D 157 345 195 383 268 475 M R Sequential position HxB2 Amino position Acid 153 Sequential position HxB2 position 341 191 154 342 155 Amino Acid Sequential position HxB2 position Amino Acid 158 346 196 384 231 438 269 476 159 347 197 385 232 439 270 477 D 160 348 198 386 233 440 271 478 N 161 349 199 387 234 441 272 479 w 162 350 200 388 235 442 273 480 R 274 481 S 163 351 201 389 236 443 164 352 202 390 237 444 275 482 E 165 353 203 391 238 445 276 483 L 166 354 204 394 239 446 277 484 Y K 167 355 205 395 240 447 278 485 168 356 206 396 241 448 279 486 Y 169 357 207 397 242 449 280 487 K 170 358 208 402 243 450 281 488 V 489 V 171 359 209 403 244 451 282 172 360 210 404 245 452 283 490 K 173 361 211 405 246 453 284 491 I 174 362 212 406 247 454 285 492 E 175 363 213 407 248 455 176 364 214 408 249 456 177 365 215 411 250 457 178 366 216 412 251 458 179 367 217 413 252 459 180 368 218 414 253 460 181 369 219 415 254 461 182 370 220 416 255 462 183 371 221 417 256 463 184 372 222 418 257 464 185 373 223 419 258 465 186 374 224 420 259 466 187 375 225 421 260 467 188 376 261 468 189 377 262 469 190 378 263 470 30 Works Cited 1. 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Lo et al., High level expression and secretion of Fc-X fusion proteins in mammalian cells, Protein Eng 11, 495-500 (1998). 35 36 Chapter 3. Epitope mapping of CD4 binding site-directed antibodies* Background Advances in high-throughput screening techniques and new patient cohorts have led to an explosion in the discovery of broadly neutralizing antibodies against HIV. Whereas five years ago there were just a handful of known gp120specific neutralizing antibodies, there are now dozens of antibodies against a well-defined set of conserved epitopes on the envelope spike. These epitopes are the CD4 binding site (1-5), the co-receptor binding site (6-8), invariant linear regions of the V 1/V2 and V3 loops (9, 10), a quaternary epitope formed by adjacent gp120 monomers in the envelope trimer (11-14), a common glycan motif (15), and the membrane-proximal external region of gp4l (16-18). Determining the specificity of broadly neutralizing antibodies can provide important insight into the mechanism of their action, and inform the design of immunogens to elicit them by vaccination (19). For example, analysis of the crystal structures of antibodies b12, b13, and F105 suggests that the angle at which the antibodies approach the CD4 binding site explains why one is broadly neutralizing and the other two are incapable of binding native trimer (20). Alanine scanning of non-neutralizing CD4 binding site-directed antibodies elicited by vaccination in rhesus macaques indicated that the mutation-sensitive residues on gp120 for these antibodies match the epitope of non-neutralizing antibody F105 more closely than they do the epitope of broadly neutralizing antibody VRC01 (21). This data suggests that immunogens be designed expressly to mask or otherwise distract from the non-neutralizing epitope recognized by antibodies like b13 and F105. *Portions of this chapter were adapted from Mata-Fink et al., Rapid conformational epitope mapping of anti-gp120 antibodies with a designed mutant panel displayed on yeast, JMol Biol, in press. 37 Epitope mapping of serum samples from infected individuals has also shed important light on virus-host dynamics during the course of natural infection. Epitope mapping of serum with mutated pseudoviruses demonstrated that most individuals develop antibodies against the same limited set of conserved epitopes on the envelope spike described above, even if these antibodies do not broadly neutralize heterologous virus (22). This important finding suggests that the sites of vulnerability recognized by broadly neutralizing antibodies are not privileged epitopes, and should be targetable by vaccination. Several groups have used epitope mapping to elucidate pathways of viral escape from immune pressure, which may also help inform immunogen design. Longitudinal sequencing of envelope variants demonstrates that antibodies exert selection pressure on autologous virus almost immediately following infection (23-25). Analysis of envelope variants from the patient that generated antibody VRC01 shows that the virus can escape from even the most broad and potent of CD4 binding site-directed neutralizing antibodies (26). A separate study clearly demonstrated that viral escape in two individuals was due to glycosylation at position 332, a key neutralization determinant for V3-specific antibodies (27). Yeast surface display is a simple and powerful tool for engineering complex glycoproteins (28-30), and randomly mutated yeast-displayed libraries have been used for conformational epitope mapping of EGFR (31), West Nile virus (32), and influenza hemagglutinin (33). In this chapter, we generate a fine resolution map of the conformational epitope of antibody VRC01 using a random library of gp120 stripped core mutants. Mutations can easily cause the protein to misfold and result in an allosteric loss of binding. The random mutagenesis method requires a conformational control antibody to guard against these false positive mutations (31), but one is not readily available for stripped core gp120. To circumvent this problem, we create a defined mutant panel using information from natural HIV sequence diversity and a homology model of stripped core. With the panel we map the epitopes of the CD4 binding site-directed antibodies VRC01, b12, and b13 and elucidate residues that are energetically important for binding. 38 Antibodies VRCO1, b12, and b13 are competitive with one another and have nearly overlapping epitopes but differ in their neutralization phenotypes. The canonical mutation used to tease out CD4 binding site specificity, D368R, disrupts binding to all three antibodies equally. The epitope maps made with the mutant panel point to combinations of mutations that can discriminate between these three antibodies. The new multi-mutation constructs may be a more sensitive screening tool for binding specificity. Results Mapping the VRC01 epitope with a random mutagenesis library. The broadly neutralizing antibody VRC01 was used as a test case for epitope mapping with yeast-displayed stripped core gp120. The crystal structure of the antibody in complex with gp120 from HIV strain 93TH057 has been solved (PDB ID: 3NGB) (34) and can be used to validate mapping results. The antibody is one of the broadest and most potent neutralizers of HIV yet discovered, and a deeper understanding of its function many help inform immunogen design and guide the search for new neutralizing antibodies. We first mapped the VRC01 epitope using a library of randomly mutagenized gp120 molecules, as described previously (31). The library was generated by PCR with an error-prone polymerase under conditions of low mutagenesis. Its diversity was 7x10 7, sufficient to sample all possible single amino acid substitutions at each of 285 positions. Yeast displaying the gp120 library were incubated with 50 nM VRC01 and sorted for loss of binding to the antibody. 0.6% of the original library was collected in this first sort, and a second round at the same antibody concentration further enriched the population (Figure 3.1A). A third round of sorting was performed with a conformational control antibody to exclude allosteric mutations that ablate VRC01 binding from afar without making direct contact with the antibody. gp120-specific antiserum from a mouse immunized with the stripped core construct was used as a conformational control in this third sort. The antiserum bound more weakly to gp120 whose 39 structure had been disrupted by heating in the presence of 8 M urea (Figure 3.1D), suggesting that the antiserum recognized some conformational epitopes on the protein. When the yeast library was incubated with antiserum, only 5.5% of cells retained binding and were collected (Figure 3.1C). This suggests that the majority of clones isolated in the VRC01 sorting rounds contained allosteric mutations, and underscores the importance of a conformational control antibody for this method. Thirty-two clones from the library were sequenced after the third sort. Mutations that introduced or replaced a cysteine or proline were removed from the analysis, as were positions that were mutated only once. The remaining 21 mutations occurred at five positions: 280, 368, 456, 458, and 469 in standard HxB2 numbering (35). These positions fall within the VRC01 footprint as defined by the antibody contact residues in crystal structure 3NGB (Figure 3.1E). Of the nine single mutations that were discarded from the analysis, one (N278Y) resides in the VRC01 epitope and seven came from clones that also contained either a VRC01 epitope mutation or a change to/ from cysteine / proline. The random mutagenesis epitope map is consistent with the structural epitope, but the method requires access to a cell sorter and repeated rounds of sorting, sequencing and analysis. To enable higher-throughput analysis of antibodies and antisera, we constructed a small mutant library useful for rapid mapping of gp120-specific antibodies simply by flow cytometry, without sorting, sequencing, or the need for a validated conformational control antibody. Making a defined mutant panel. We generated a homology model of stripped core gp120 with the protein structure modeling program MODELLER (36), and 31 evenly-spaced surface residues were chosen for mutagenesis. Amino acid substitutions were selected to be highly disruptive based on differences in polarity, charge, and size. To guard against allosteric mutations, only amino acids present with at least 0.1% frequency in the Los Alamos National Laboratory HIV Sequence Database were considered at each position. Thus, prevalence in nature was used as a proxy for properly-folded gp120. The only exception to this rule is the mutation D368R-a known CD4 binding site 40 disruptor commonly used to screen for CD4-directed antibodies from patient samples (37)-which is included in the library though absent from the database. The location and identities of selected amino acid substitutions are shown in Figure 3.2A and Table 3.1. Mapping the VRC01 epitope with the mutant panel. The epitope of VRC01 was mapped with the defined mutant panel. VRC01 was incubated with the library at 300 pM, and binding signal analyzed using a plate-reader cytometer. Six mutations were found to disrupt binding to VRC01: the expected D368R, as well as S365K, T455E, G459E, D461I, and G473R (Figure 3.2C). These residues are consistent with the map from the random mutagenesis library, and nicely overlay the antibody footprint as defined by crystal structure 3NGB (Figure 3.2B). The positions identified by the epitope map fall along the ridge comprised of the CD4 binding loop, variable loop V5, and beta strand p24, all known to be energetically important for VRC01 binding (38). Two mutations in loop D, T278K and K282V, were found not to disrupt VRC01 binding to stripped core despite the fact that the loop appears to make contact with VRC01 in the native trimer (34). An important consideration is that the quality of the map generated with this panel is sensitive to the antibody concentration in the assay (Figure 3.2D). When the library was incubated with VRC01 at 30 nM, only D368R showed any appreciable disruption of binding. Incubations at 0.3 and 3 nM resulted in a clear distinction between the six mutations listed above and all others. At lower VRC01 concentrations, this difference diminished as the overall binding signal decreased across the board. Fitting binding isotherms to the mapping data for each mutant illustrates this phenomenon (Figure 3.3A, Table 3.2). Non-epitope mutants have equilibrium binding constants between 0.1-1 nM, similar to that of wild-type stripped core gp120. By contrast, the KD for D368R was greater than 100 nM, which explains why the mutant fails to bind at even the highest tested concentrations of VRCO1. A cluster of weaker mutations-the same S365K, T455E, G459E, D461I, and G473R identified above-have a KD an order of 41 magnitude higher than wild-type gp120. There is a narrower window of antibody concentration for identifying these five mutations in our screen. Mapping other anti-gp120 antibodies. Two other important CD4-directed antigp120 antibodies, b12 and b13, were then mapped with the mutant panel. Antibody b12 is neither as broadly cross-reactive nor as potent as VRC01 but for many years was the gold standard of HIV neutralization. Antibody b13 also binds the CD4 binding site, but its offset footprint renders it incapable of binding trimeric gp120 envelope on HIV (20) and thus incapable of neutralizing the virus. Antibodies b12 and b13 were mapped over a range of concentrations near their KD (Figure 3.3B, 3C; Table 3.2, and Table 3.3). Mutations D368R, R419G, and T455E strongly disrupt binding to b12, while mutations K282V, S365K, and 1467K have weaker effects. For b13, D368R is strongly disruptive and R419G is marginally so. When these mutations are mapped onto the homology model, they are consistent with the contact residues from the corresponding crystal structures (2ND7 and 3IDY, respectively) (Figure 3.3E, 3F). The residues identified by epitope mapping by yeast surface display are also consistent with those identified by previous mapping efforts reported in the literature. Amino acid substitutions at positions 368 and 457 were found to disrupt binding of CD4 to gp120 (39). Alanine scanning identified residues 365, 455, 458, and 473 as important for b12 binding (40), and residues 474-476 for binding of CD4 binding site-reactive antibodies cloned from infected individuals (41). Computational analysis of envelope sequences found that conservation at positions 364, 369 and 461 were indicative of b12 neutralization (42). Multi-mutation constructs that bind differentially to VRC01, b12, and b13. D368R ablates binding to all three CD4 binding site-directed antibodies tested, despite variation in their epitopes and important phenotypic differences. The fine resolution conformational epitope maps suggest that some of the weaker mutations may be more specific disruptors than D368R, but they are very sensitive to antibody concentration. We decided to combine the weaker 42 mutations to see if they can act cooperatively to knock out binding over a broader antibody concentration range while maintaining specificity. Six constructs with either two or three mutations in combination were made by site-directed mutagenesis and displayed on the surface of yeast (Table 3.4). The constructs were first titrated against gp120-specific mouse antiserum (Figure 3.4A). For all constructs, the binding thermodynamics were similar to that of D368R, suggesting that the multiple mutations do not grossly disturb the overall protein structure. The constructs were then titrated against antibodies VRC01, b12, and b13 (Figure 3.4B-D). Multi-mutation construct MM3 (S365K, T455E, G473R) knocked out binding to VRC01 and b12 to a greater than or equal extent as canonical mutation D368R, but had no effect on binding of b13. This construct may be useful for screening out b13-like antibodies that approach the CD4 epitope at an angle not conducive to neutralization. Multi-mutation construct MM5 (T459E, G473R) is even more specific for VRCO1. It abrogates binding to VRC01 more completely than D368R, but has negligible effects on both b12 and b13 binding. This construct may be useful for identifying precisely VRC01-like antibodies from patient samples or immunization antisera. Discussion There is much effort in the HIV vaccine field to modify gp120 to make subunit vaccine immunogens, and as bait to isolate and characterize antibodies from patient samples. Yeast surface display is a simple and powerful tool for engineering complex glycoproteins (28-30), and random mutagenesis yeastdisplayed libraries have been used for conformational epitope mapping of EGFR (31), West Nile virus (32), and influenza hemagglutinin (33) previously. In this work we map the epitope of the broadly neutralizing antibody VRC01 using a random mutagenesis library screened by FACS. This is a convenient and established way to generate fine resolution maps of conformational epitopes (31, 43 43-45). In the method, a random library of gp120 variants with single point mutations is displayed on the surface of yeast and sorted for loss of binding to the antibody. Mutants that disrupt binding likely form part of the epitope. We isolated mutations at five positions-280, 368, 456, 458, and 469-that are consistent with the known contact area of VRC01 from crystallography. Because it can be difficult to distinguish mutations in the epitope from allosteric mutations that disrupt the binding site at a distance, the random library method requires a conformational control antibody that binds non-competitively elsewhere on the protein and can report whether the molecule is correctly folded. In this work we relied upon gp120-specific mouse antiserum collected in-house to eliminate mutations that allosterically disrupt VRC01 binding. The small fraction of the library (5.5%) that retained binding to serum after having been sorted for loss of binding to VRC01 underscores how critical the conformational control is. A small mutant panel such as we constructed in this work has both advantages and disadvantages relative to the random library screening approach. The initial effort to identify a set of ~30 mutants is balanced against the relative speed with which a given antibody can then be tested. A defined library of rationally chosen mutations, though requiring more work to make, can be screened and analyzed without any DNA sequencing, giving results in just a few hours. VRC01 was mapped with the mutant panel, and the results were consistent with both the random mutagenesis mapping and crystallography. It is important to note that the quality of the map from the defined mutant panel is sensitive to the antibody concentration in the assay. This sensitivity is less evident with random library mapping because only strongly disrupting mutations are isolated by that method. By contrast, each mutant in the panel, although chosen to be disruptive, will have a particular equilibrium binding constant. At too high a concentration all the isotherms are saturated and will show similar binding signals. At too low a concentration, noise will make it impossible to distinguish strong from weak binders. 44 Two other anti-gp120 antibodies, b12 and b13, were mapped with the mutant panel, and the results agreed with crystallography. Crystal structures give accurate and detailed spatial data; epitope mapping can provide additional information about epitope energetics. The three mapped antibodies all bind the CD4 binding site but have significantly different neutralization phenotypes. VRC01 is broadly neutralizing; b12 is weakly neutralizing; and b13 is nonneutralizing. Our epitope map highlights the different energetically important residues in the epitopes of these three antibodies. One shared mutation among the three epitope maps is D368R, the canonical CD4 knockout mutation. This mutation is widely used in the HIV vaccine field to test the specificity of antibodies elicited by immunization and to screen patient samples for new neutralizing antibodies (4, 22, 46-48). Our mapping titrations indicate why this mutation is so favored. It abrogates binding to all CD4-directed antibodies, and shifts the KD to such a degree that the effect is observed regardless of the antibody concentration. This is particularly useful when screening polyclonal antisera in which the precise concentration of individual antibodies is unknown. But the fact that D368R is common to all three epitope maps is also a detriment to its use, because the mutation cannot distinguish between antibodies with similar epitopes but significantly different phenotypes. Our mapping data suggests that combinations of some of the weaker mutations may have equal potency but be more specific disruptors than D368R. The multiple mutation construct MM3 (S365K, T455E, G473R) knocks out binding only to VRC01 and b12, but not b13. The construct MM5 (T459E, G473R) abrogates binding to VRC01 alone. These constructs may be useful for identifying precisely VRC01-like antibodies from patient samples or immunization antisera. No binding assay can replace a neutralization assay to determine antibody function, but improved specificity can help improve the initial screen, particularly in cases where there may be limiting quantities of serum (e.g. mouse immunization). 45 Materials & Methods Making the random mutagenesis library. A random mutagenesis library was generated by PCR with Mutazyme II error-prone polymerase (GeneMorph II Kit, Agilent, Santa Clara, CA). To ensure a low mutagenesis rate, 400 ng target DNA was amplified for 24 cycles with flanking primers. The re-amplified PCR product was combined with digested pCHA vector and electroporated into EBY100 yeast, where the full plasmid was reassembled by homologous recombination (49). The final library size was estimated to be 7x10 7. Homology modeling with MODELLER. The protein structure modeling program MODELLER (36) (http:/ /salilab.org /modeller) was used to generate a homology model of the yeast-displayed stripped core YU2 gp120. Though several crystal structures of gp120 exist in the Protein Data Bank, none is an exact analog for the yeast-displayed molecule. We used the crystal structure of gp120 bound by VRC01 (PDB ID: 3NGB, strain 93TH057) as a structural template, though basing the model on alternate gp120 templates did not alter the model significantly (Figure 3.5). Algorithm for selecting surface residues and amino acid substitutions for the mutant panel. The homology model of stripped core gp120 was rendered in PyMOL (PyMOL Molecular Graphics System, Version 1.2r3pre, Schr6dinger, LLC.) and 31 evenly-spaced sites with large solvent-exposed surface areas were selected for mutagenesis. Amino acid substitutions were chosen to be highly disruptive of binding, yet not so disruptive as to misfold the protein. We evaluated each amino acid substitution on three biophysical axes: polarity (hydophobic, neutral, or polar), charge (negative, neutral, or positive), and size (greater than or less than 160 A2 surface area) (50-52). A value of +1 was assigned for every unit step on each axis, and the total disruption score was calculated by summing the net differences between two amino acids. Higher scores correspond to more disruptive changes. For example, a mutation from glutamic acid to tyrosine would be scored +3 total: +2 for the change from polar to hydrophobic, +1 for the change from negative charge to neutral, and +0 for size because both surface areas are greater than 160 A2. 46 To guard against allosteric mutations, we excluded all amino acid substitutions that are present at less than 0.1% frequency in the Los Alamos National Laboratory HIV Sequence Database (http:/ /hiv.lanl.gov). An extremely disruptive mutation that that destroys the fold of gp120 would likely ablate viral fitness too. The only exception to this rule is the mutation D368R, a frequently used CD4 binding site disruptor, that is included in the library though absent from the database. Substitutions were made by site-directed mutagenesis. The mutant panel was limited to 31 clones and one wild-type stripped core gp120 so that three mappings could be performed on a single 96-well plate on a high-throughput flow cytometer. A library with more members would provide a finer resolution map at the cost of overall assay throughput. Flow cytometry. Anti-gp120 antibodies were either produced from HEK cells (the plasmid for VRC01 was a generous gift from John Mascola, Vaccine Research Center, NIAID, NIH) or a generous gift from Dennis Burton. Yeast cells displaying protein were incubated with anti-gp120 antibodies and the antiepitope tag antibody chicken anti-CMyc (Gallus Immunotech, Fergus, Ontario). Secondary labeling was performed with goat anti-mouse, -human, or -chicken antibodies conjugated to Alexa Fluor dyes (Life Technologies, Carlsbad, CA) at recommended dilutions. Individual samples were analyzed on an Accuri C6 cytometer (BD Accuri Cytometers, Ann Arbor, MI); 96-well plates were run on a FACSCalibur HTS with a high-throughput plate sampler (Becton Dickinson, Franklin Lakes, NJ); sorting was performed on a MoFlo instrument (Beckman Coulter, Brea, CA). gp120-specific mouse serum. Stripped core gp120 was secreted from HEK 293 cells as a fusion to mouse IgG2a Fc, and purified by sequential TALON metal affinity chromatography (Clontech, Mountain View, CA) and protein A affinity chromatography (Genscript, Piscataway, NJ). The protein was mixed with AddaVax (Invivogen, San Diego, CA) an oil-in-water emulsion adjuvant similar to MF59 licensed for use in Europe. BALB / c mice (Charles River Laboratories, Wilmington, MA) were immunized with 7.5 pmol gp120 subcutaneously at the 47 base of the tail, and boosted again six weeks later. Antisera were titrated on gp120-displaying yeast (Figure 3.1D). A dilution of 1:200 saturated the yeastdisplayed gp120, and was used as the working dilution for antisera in all experiments in this report. To demonstrate conformational specificity of the antisera, titrations were performed on yeast displaying gp120 that had been incubated with 8 M urea and heated for 30 minutes at 82C to denature the protein. In this assay, binding MFU were scaled by display MFU (CMyc epitope tag) to ensure that the loss of binding signal was not due to fewer total proteins present on the yeast cell surface. 48 A'- B C '0 10 10 - 0.6% e01' L1Displa-y E -e-Core gp12 80 Core 'Denured * 0 60'. U. 40 200 Mutation Freq. N280D D368G D368E R456G G458D R4691 5 1 1 8 3 3 n.-? Yoo 1000 10000 Dflutio (fold) 100000 Figure 3.1. Epitope mapping of VRC01 with a random mutagenesis library. (a-c) Sequential FACS sorting plots of the library incubated with (a) 50 nM VRC01, (b) 50 nM VRC01, and (c) a 1:200 dilution of anti-gp120 antiserum. The fraction of total cells collected is shown on each plot. (d) Titration of serum from an immunized mouse on yeast displaying gp120 (solid) and yeast displaying gp120 whose structure has been disrupted by incubation with 8 M urea (dashed). (e) Mutated residues from 32 sorted clones highlighted on the homology model of stripped core gp120. Residues in red are the sequenced mutations; residues in yellow are the contact region of VRC01 as determined from crystal structure 3NGB. The accompanying table lists the mutations and their frequency. 49 50 0461 A B 1so-t D C 100 FM12V o on 0A 0800 0 000 0A T2WUL. 80o -AA8 T240K 30 nM 3 nM 0.3 nM 0 .1nM 0 120 A 20 o 8~ 0 20 - 00 0 A AA8 88 00 8 0 0 00 * 000 A AA p 08 0RI~~ ~jO ' ' - - - - - - - - - . . 03M0§800 1o 80.010!1 319 0808001800 a 0 0 - ' AA AAA 00 00 einnowu Figure 3.2. Epitope mapping of VRC01 with a defined mutant panel. (a) Homology model of stripped core gp120 with mutant panel residues shown in black. The contact surface of VRC01 from crystal structure 3NGB is shown in yellow. (b) Close-up of the VRC01 epitope with select residues in the mutant panel labeled and shown in red. (c) Binding of 300 pM VRC01 to the mutant panel as measured by flow cytometry. Mutations are arranged in decreasing order of binding MFU. (d) VRC01 binding to the mutant panel over a range of VRC01 concentrations. At the highest concentration (30 nM) only D368R disrupts binding. At the lowest concentration (100 pM) it is difficult to distinguish differences in binding signal. At intermediate concentrations, an epitope is well defined by loss of binding to: S365K, T455E, G473R, G459E, D461I, and D368R. 51 52 C A A 1014 100 40-4 20O1 01 D 10 100 D 01 A01 VRC.1 [nMAI E 3NGB 1 10 S b12{nM 1 10 b13 (pM) 10 F 2ND7 31DY Figure 3.3. Epitope mapping of CD4 binding site-directed antibodies. (a-c) Binding of antibodies VRC01 (a), b12 (b), and b13 (c) to the defined mutant panel at a range of concentrations. Monovalent equilibrium binding isotherms are fit to the data. Mutations that do not significantly change the binding thermodynamics are shown in black. Those that weakly disrupt binding are shown in red with dashed lines. Mutations that strongly disrupt binding are drawn in solid red lines. Fitted KD values and classification of mutations are listed in Table 3.2 and Table 3.3. (d-f) Mutations that affect binding to VRC01 (d), b12 (e), and b13 (f) are shown on the homology model of stripped core gp120. Mutations that weakly disrupt binding are colored pink; those that strongly disrupt binding are colored red. The contact residues of each antibody as defined by crystallography are shown in yellow (VRC01, PDB ID 3NGB), orange (b12, PDB ID 2ND7), and blue (b13, PDB ID 3IDY) respectively. 53 54 Serum binding to CD4-KO gp120 mutants b12 binding to CD4-KO A gp120 mutants B 10 104 Serum (inverse dilution) 10b12 (nM) VRCO1 binding to CD4-KO gpi20 mutants CO D MU. Y- 1 VOI (WM) 100 b13 (nM) Figure 3.4 Binding of anti-gp120 antibodies to selective CD4 knockout mutants displayed on yeast. Multi-mutation constructs MM3 (blue) and MM5 (red), stripped core (black), and stripped core D368R (dashed black) are displayed on yeast, and binding to various antibodies is assayed by flow cytometry: (a) gp120specific mouse antiserum; (b) VRC01; (c) b12; (d) b13. Mutations in multimutation constructs are listed in Table 3.3. 55 56 A B E Exposed surface area 2 B CS Standard deviation C DD 0 50 I00 1 200 250 Residue (continuous numbering) Figure 3.5. Homology model generation and evaluation using the protein structure modeling program MODELLER (36). The stripped core sequence was aligned to various subsets of known crystal structures of gp120 bound to CD4 or neutralizing antibodies (tabulated by Zhou et. al.) (34). (a) Homology models of the yeast-displayed stripped core YU2 gp120 generated with different structural templates are overlaid in PyMOL: orange, gp120 of the same YU2 strain as the stripped core (PDB ID: 1RZK, 2QAD); yellow, gp120 bound to VRC01 (PDB ID: 3NGB, strain 93TH057); blue, fourteen templates in the list (those mentioned already and 3DNL, 3DNO, 3JWO, 3JWD, 2NXY, 2NXZ, 1RZJ, 1G9M, 1G9N, 1GC1, 2NY7, 2B4C). The homology models are self-consistent, and individual ga341 model quality scores for all three models were 1.0 (53, 54). (b) Variability in solvent-exposed surface area at each amino acid of the homology models is plotted. In the top plot, the blue line is the mean surface area of the three models, whereas the red curves are the mean ± standard deviation. The standard deviation alone is plotted in the bottom plot. Amino acid residues in both plots are numbered continuously, rather than the HxB2 convention. Areas of disagreement between the homology models made from different structural templates are lettered. As expected, the largest variability was observed in the variable loops (A, C, E), the truncated bridging sheet (D), and in a highlyconserved, glycosylated, solvent-exposed loop (B). 57 58 Table 3.1. Mutations in defined mutant panel N99Y K121T N197K V200K H216Y K231T T240K L265R Library point mutations D397F E269G R403V T278K L405D K282V G327R R412V R419G Q337V G434K Q344V S365K Q442V S446K D368R T455E G459E D4611 1467K G473R R476V K490S 59 Table 3.2 Binding affinities of gp120 variants in defined mutant panel to CD4 binding site-directed antibodies (Figure 3.3A-C). Affinities are reported as fitted KD values ± one standard deviation. Mutations classified as strong disruptors of binding are highlighted in black. Those classified as weak disruptors of binding are highlighted in gray. Mutation N 99Y K121T N197K V200K H216Y K231T T240K L265R E269G T278K K282V G327R Q337V 0344V VRC01 0.28±0.11 0.45 ± 0.19 0.40 ± 0.17 0.37 ± 0.18 0.28 ± 0.11 0.39 ± 0.16 0.47 ± 0.21 0.47 ± 0.21 1.12 ± 0.46 0.21 ± 0.08 0.95 ± 0.49 0.53 ± 0.25 0.37 ± 0.14 0.42 ± 0.17 b13 3.87±0.76 3.42 ± 1.24 2.36 ± 1.62 3.00 ± 0.94 3.51 ± 1.33 4.26 ± 1.53 4.64 ± 1.15 3.96 ± 1.22 3.50 ± 1.18 4.17 ± 1.13 3.26 ± 0.52 3.81 ± 1.56 4.02 ± 1.79 5.40 ± 2.16 b12 0.035±0.013 0.024 ± 0.012 0.043 ± 0.020 0.045 ± 0.018 0.034 ± 0.014 0.033 ± 0.012 0.045 ± 0.022 0.021 ± 0.009 0.031 ± 0.017 0.037 ± 0.017 0.028 ± 0.015 0.029 ± 0.009 0.024 ± 0.010 5.52 ± 1.41 S365K 14 .0 17 1 7845 10 D368R . 25 7. D397F 0.63 ± 0.32 0.40 ± 0.19 0.055 ± 0.034 4.36 ± 1.61 0.019 ± 0.009 3.47 ± 1.36 0.46 ± 0.22 0.39 ± 0.14 G434K 0.32 ± 0.14 0.37 ± 0.18 3.15 ± 1.28 0.036 ± 0.019 3.51 ± 1.04 0.037 ± 0.018 38.12 ±35.34J~'" -3.64 ± 1.39 0.034 ± 0.012 Q4 42V 0.58 ± 0.25 0.031 ± 0.018 4.50 ± 1.56 S446K 0.33 ± 0.14 0.040 ± 0.011 4.12 ± 1.61 R40 3V L405D R412V R419G 3.52 ± 0.83 T455E W0-0400 D461I 1467K 3.30± 0.79 045 0.020 G459E 1.83 0 3.43 0 12 1.23 0.023 ± 0.007 4.65 1.18 6.74t 1.87 1.06 G473R ± R476V 1.28 ± 0.75 0.032 ± 0.012 2.81 ± 1.02 K490S 0.51 ± 0.24 0.42 ± 0.21 0.063 ± 0.039 0.050 ± 0.019 4.25 ± 1.30 4.96 ± 1.38 WT 60 Table 3.3. Mutations that disrupt binding to CD4 binding site-directed antibodies Antibody VRC01 b12 b13 Highly-disruptive mutations D368R D368R, R419G, T455E D368R Weak mutations S365K, T455E, G459E, D461 1,G473R K282V, S365K, 1467K R419G Table 3.4. Point mutations in multi-mutation (MM) constructs for selective knockout of CD4 binding site-directed antibodies. 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Oliphant et al., Antibody recognition and neutralization determinants on domains I and II of West Nile Virus envelope protein, J Virol 80, 12149-12159 (2006). 46. A. Nandi et al., Epitopes for broad and potent neutralizing antibody responses during chronic infection with human immunodeficiency virus type 1, Virology (2009), doi:10.1016/j.virol.2009.10.044. 47. G. D. Tomaras et al., Polyclonal B Cell Responses to Conserved Neutralization Epitopes in a Subset of HIV-1-infected Individuals, J Virol (2011), doi:10.1128/JVI.05363-11. 48. J.F. Scheid et al., A method for identification of HIV gp140 binding memory B cells in human blood, Journal of Immunological Methods 343, 65-67 (2009). 49. G. Chao et al., Isolating and engineering human antibodies using yeast surface display, Nature Protocols 1, 755-768 (2006). 50. R. Grantham, Amino acid difference formula to help explain protein evolution, Science 185, 862-864 (1974). 51. D. Bordo, P. Argos, Suggestions for "safe" residue substitutions in site-directed mutagenesis, Journalof Molecular Biology 217, 721-729 (1991). 52. C. Chothia, J. Janin, Principles of protein-protein recognition, Nature 256, 705-708 (1975). 53. F. Melo, R. Sinchez, A. Sali, Statistical potentials for fold assessment, Protein Sci 11,430-448 (2002). 54. B. John, A. Sali, Comparative protein structure modeling by iterative alignment, model building and model assessment, Nucleic Acids Res 31, 3982-3992 (2003). 65 66 Chapter 4. Eliciting VRC01-like antibodies by vaccination Background Though the immune system has evolved to be redundant, most vaccine-induced protection is mediated by antibodies (1). Glycoprotein gp120 of the envelope spike of HIV is the target of most antibodies generated upon infection by the virus (2, 3). HIV's fast mutation rate and its tolerance of sequence diversity allow the virus to adapt in response to selection pressure from neutralizing antibodies and evade recognition (4-8). There are, however, regions of the viral envelope spike that are essential for viral fitness and are therefore highly conserved. Antibodies against these conserved epitopes-the CD4 binding site (9-13), the coreceptor binding site (14-16), invariant linear regions of the V 1/V2 and V3 loops (17, 18), a quaternary epitope formed by adjacent gp120 monomers in the envelope trimer (19-22), a common glycan motif (23), and the membraneproximal external region (MPER) of gp4l (24-26)-can neutralize HIV across clades. In recent years, our growing understanding of the mechanisms of action of these broadly neutralizing raises the specter of someday eliciting them by vaccination (27-33). Individuals from whom broadly neutralizing antibodies are isolated do not demonstrate any clinical benefit from having elicited these antibodies (34). The natural response to infection sheds light on the dynamic interplay between virus and neutralizing antibodies and helps to explain this phenomenon. Broadly reactive neutralizing antibodies do not arise until several years after infection (2), but antibodies exert selection pressure on autologous virus almost immediately (7, 35, 36). These early antibodies have little heterologous neutralization potential but tend to be specific for the same finite conserved epitopes that the broadly neutralizing antibodies eventually recognize (37-41). Longitudinal tracking of virus and serum samples from infected individuals shows that serum reliably neutralizes past autologous virus but not present or future autologous strains (5). This is true even in patients that develop broadly neutralizing antibodies. For 67 example, envelope variants from the individual who elicited antibody VRC01 were not sensitive to this antibody or its somatic variants, even though they are the broadest and most potent CD4 binding site-directed neutralizing antibodies known (6). These observations suggest that during persistent infection HIV is able to sample enough sequence space to escape from any antibody. During a typical sexual transmission event, however, a single founder virus initiates the infection (42-44). A broadly neutralizing antibody present at this evolutionary bottleneck may be able to block HIV with the breadth observed in vitro. Indeed, in passive immunization experiments performed in macaques, animals given neutralizing antibodies prophylactically were protected from SHIV challenge, whereas those given non-neutralizing antibodies or to whom the antibodies were administered after infection were not protected (45-48). These and other studies suggest that low doses of antibody, as would be present following a vaccine, may be sufficient to neutralize the virus in this setting (7,49, 50). Eliciting neutralizing specificity by vaccination remains a challenge. Analysis of immune correlates from the recently completed RV144 vaccination trial in Thailand (51) found that the presence of IgG against the V1 /V2 loop on gp120 was inversely correlated with the rate of HIV infection in individuals who received the vaccine (52). Some of these antibodies recognized a conserved sequence in the otherwise variable loop, but it is does not appear that they were broadly neutralizing (53, 54). Interestingly, plasma IgA reactivity to gp120 correlated with a higher risk of HIV infection, suggesting that antibodies to irrelevant epitopes may interfere with protective functions of specific antibodies (52). It may thus be important to focus the immune response only on the desired neutralizing epitopes. One way to focus the immune response on a particular epitope is to exclude undesirable epitopes from the immunogen. Monomeric gp120 has been extensively engineered by mutation and glycosylation to mask immunodominant epitopes and focus the immune response on the CD4 binding site (31, 55-57). However, most of these immunogens fail to elicit CD4 binding 68 site-directed antibodies upon vaccination (58, 59) or elicit non-neutralizing antibodies (60). Immunization with stable trimers that more precisely mimic the native envelope spike can elicit neutralizing antibodies in a guinea pig model, though the specificity of the antibodies is not limited to a single epitope (61, 62). A second way to steer the immune response is to administer multiple immunogens that differ except for a shared epitope, such that only B cells specific for the common epitope are boosted. In one elegant study, the MPER peptide epitope of neutralizing antibody 2F5 was grafted onto protein scaffolds selected to ensure that the peptide retained its proper conformation (63). Sequential immunization of mice with the heterologous epitope scaffolds did elicit 2F5-competitive antibodies, though the antibodies were non-neutralizing because they did not engage the lipids flanking the MPER peptide on the virus (64, 65). Similar work has been done with combinations of variable loop V3 immunogens grafted onto cholera toxin (66-68) or displayed on phage (69) to focus the antibody response on conserved determinants within the variable loop (70). In a non-vaccine context, a high-affinity cross-reactive antibody to multiple chemokines was generated by sequential immunization with the chemokines CCL3, CCL4, and CCL5 (71). Antibodies against the CD4 binding site are among the broadest and most potent neutralizers of HIV (12, 13, 17). Sequential immunization to focus the immune response on the CD4 binding site has been tried with a stabilized gp120 monomer followed by a gp140 trimer from a different strain, but the observed neutralization of Tier 1 viruses was traced predominantly to V3-directed antibodies (72). The grafting method described above has proven difficult for this epitope since the CD4 binding site is discontinuous and conformational. One scaffold structure has been reported in the literature (73), and a hybrid HIV /SIV gp120 that has been "resurfaced" to remove all non-CD4 binding site epitopes is used to characterize antibodies (12), but no immunization results with either of these molecules have been published. The task of generating diverse immunogens that share a common epitope is well suited to yeast surface display. The technology, coupled with random 69 mutagenesis and flow sorting, enables the rapid engineering large, complex glycoproteins in the absence of detailed structural data (74-78). Yeast display is sensitive enough to handle delicate epitopes, and has been used to map the conformational epitopes of antibodies on a variety of target antigens (79-81). In this chapter, we combine the yeast display system described in previous chapters (Figure 4.1A) with semi-random mutagenesis to generate a panel of immunogens based on stripped core gp120 that are diverse except for the shared VRC01 epitope. We immunize mice with these immunogens, and develop yeastdisplay methods for analyzing the strength, specificity, and breadth of the serum. Mice immunized sequentially with the diversified immunogens generate an antibody response entirely focused on the CD4 binding site and that reacts with stripped core from multiple clades of HIV. In ongoing work, hybridomas are generated from these mice and monoclonal antibodies are isolated to assess their neutralization potential and genetic lineage. Results Generation of diversified immunogens by semi-random mutagenesis. Immunogen diversity was concentrated on surface residues because the conformational CD4 binding site is sensitive to allosteric mutations that disrupt the overall fold of the molecule. A homology model of stripped core gp120 was generated with the protein structure modeling program MODELLER (http:/ /salilab.org /modeller) (82), and 43 evenly-spaced, solvent-exposed surface residues not in the CD4 binding site were selected for diversification (Figure 4.1B and Table 4.1). Diversity was introduced by polymerase chain reaction with degenerate oligonucleotide primers. Segments of the gp120 gene were amplified with primers containing random nucleotides (NNB) at chosen positions then pieced together by overlap-extension PCR to reconstitute the full-length gene (Figure 4.1C). A library of 5x10 7 unique clones was transformed into yeast and displayed by standard methods (83). The library was screened twice by FACS for binding 70 to 10 nM then 50 nM VRC01 to enrich for clones that retained correct presentation of the CD4 binding site (Figure 4.1D). Based on the degree of library oversampling (2.35x) and percentage of cells isolated at each sort (0.0067% and 7.1%, respectively), we estimate that 200-500 unique clones were collected (84, 85). Plasmid DNA from sorted cells was isolated and 288 variants were sequenced. 20 mutants with high diversity were then secreted from HEK 293 cells as mouse Fc fusions, purified by sequential metal affinity and protein A chromatography, and tested for binding to VRC01 scFv displayed on yeast. Three gp120 variants that retained binding to VRC01 in this format were selected as candidate immunogens (Figure 4.1E), henceforth called Clones A, B, and C. Fitted KD values were 3.5 nM (stripped core), 6.2 nM (Clone A), 1.5 nM (Clone B), and 12.2 nM (Clone C). Characterization of diversified immunogens. The full amino acid sequences of the four candidate immnogens were analyzed. 43 of 285 amino acids were diversified, with a pairwise sequence identity of 13.6% at these positions (Table 4.1). The CD4 binding site-directed antibodies VRC01, b12, and b13 were titrated against the individual immunogens displayed on yeast (Figure 4.2). Stripped core binds with similar affinity to all three antibodies, whereas the mutants exhibit varying degrees of weaker binding to b12 and b13 against which they were not sorted. VRC01 neutralizes greater than 90% of circulating HIV isolates (12). Antibody b12 neutralizes just 40% of circulating isolates (9, 10). Antibody b13 binds the CD4 binding site on monomeric gp120 but not on trimeric envelope and is thus incapable of neutralizing the virus (27). Immunization of mice with diversified immunogens. BALB/c mice were immunized intranasally with HEK 293-produced immunogens fused to mouse Fc (Figure 4.3A) and CpG oligonucleotide adjuvant as described elsewhere (86, 87). Both the Fc and the adjuvant are necessary to generate a serum antibody response to the antigen by this route (Figure 5.1A). Immunogens were administered every two weeks at a total protein dose of 50 pmol (6 gg Fc-fusion, equivalent to 3 yg stripped core gp120). Animals were divided into three groups (Figure 4.3B). One group (Sequential, four mice) was immunized sequentially 71 with each of the four immunogens. A second group (Parallel, four mice) received all four of the immunogens at each administration. The third group (Core-Only, two mice) was given three sequential doses of the stripped core immunogen. Serum was collected every week. Characterization of serum binding to individual immunogens. Serum binding to the various immunogens was assayed by cell-surface titration on yeast. Yeast displaying each of the immunogens were incubated with serial dilutions of serum. Binding was measured by flow cytometry. Representative curves for each of the three immunization groups are shown in Figure 4.3C-E. Sequentially immunized mice bind similarly to each of the four immunogens, a result consistent with serum that recognizes a shared epitope presented on all clones (Figure 4.3C). Mice immunized with all four immunogens in parallel show a broader spread of binding affinities, a result consistent with dominant serum specificities that are present on some immunogens but not others (Figure 4.3D). In this example, it appears that the mouse generated a response to an epitope on stripped core that is not present on Clones A or C. Serum from mice immunized only with stripped core bind strongly to stripped core but not to the other immunogens, a result consistent with the design objective that the four immunogens not share many epitopes (Figure 4.3E). Serum binding to gp120 mutant D368R. Serum specificity for the CD4 binding site was determined in two ways. First, the binding of serum to the stripped core mutant D368R, which is known to disrupt several CD4 binding site-directed antibodies (88), was compared to binding to unmutated stripped core (Figure 4.4A). Sequentially immunized mice exhibit low fractional binding to D368R (0.09-0.30 after four immunizations), similar to VRC01 at saturating concentrations. Three of four mice immunized from the parallel group are very sensitive to D368R after three immunizations (0.14-0.37 fractional binding) but lose this specificity after the fourth immunization (0.40-0.54 fractional binding). The two mice immunized solely with stripped core bind well to D368R (0.56 and 0.89 fractional binding), suggesting that some portion of the serum response is specific for the disrupted epitope but much is directed elsewhere. 72 Serum competition with VRC01 by ternary complex assay. A second method developed to measure specificity is a ternary complex assay. In this assay (Figures 4.4B, 4C), yeast displaying the scFv of VRC01 is incubated with soluble stripped core gp120 and mouse antiserum. The formation of a ternary complexa sandwich of VRC01, gp120, and mouse serum-can only occur if the serum and VRC01 do not compete. A ternary complex is detected as the presence of mouse antibodies on yeast by flow cytometry and reported as the percentage of positive yeast cells. 40-50% of induced yeast lose their plasmid and do not display any protein, so 50-60% positive cells is the maximum observable signal in the assay. In the first iteration of the assay (Figure 4.4B), the gp120 is pre-incubated with mouse serum before introducing the yeast to resolve whether the serum binds to the VRC01 epitope on gp120. If so, the gp20-serum complex will not be captured on VRC01-displaying yeast. When this experiment was performed, no binding signal was observed for any of the serum samples (Figure 4.4D), suggesting that all sera contained some fraction of VRC01-competitive antibodies. This result is consistent with the D368R binding results discussed above. In the second iteration of the assay (Figure 4.4C), the gp120 is loaded onto the VRC01 yeast before the serum is introduced to determine whether the serum contains any specificity other than to the CD4 binding site. Mice immunized with just stripped core (mean = 54% ± 2%) or with all four immunogens in parallel (mean = 32% ± 5%) develop antibodies that bind to other epitopes on the gp120 (Figure 4.4E). However, mice immunized sequentially do not (mean = 1.0% ± 0.3%). These experiments suggest that the entirety of the gp120-specific serum response elicited by vaccination with four sequential immunogens is VRC01competitive. Serum binds to stripped core gp120 from multiple clades. Genes for stripped core from four other clades of HIV were synthesized and the proteins displayed on yeast. Binding to the five strains-92UG037 (Clade A), 98ZADU156 (Clade C), 92UG021 (Clade D), 93BR037 (Clade F), and YU2 (Clade B, original stripped core)-was used to simulate breadth of recognition of multiple virus subtypes (Figure 4.5A, 5B, Table 4.2). The strains are all Tier 2 viruses that are commonly 73 used in representative neutralization panels. VRC01, b13, and serum from the sequential group (day 55, after four immunizations) were tested for binding to the panel (Figure 4.5C). VRC01 bound well to all except for the Clade D strain, which has a mutation at the base of the V5 loop (Figure 4.5A) and is resistant to multiple other neutralizing antibodies (12, 89). b13 bound poorly to all except for stripped core YU2. Serum from all four sequential mice bound to all five gp120 strains, suggesting that they do in fact recognize a shared epitope. We do not yet know how well this panel of stripped cores reflects natural diversity on the envelope spike or predicts broad cross-reactivity of antibodies, but the above results are encouraging. Isolation of monoclonal antibodies. Serum was tested for neutralization by the standard TZM-bl assay by Emilia Falkowska of Dennis Burton's lab. In this assay, luciferase-expressing CD4* cells are exposed to virus that has been incubated with antibody (90). The samples did not neutralize any of four viruses tested, though quantification of gp120-specific antibodies in serum by sequential immunoprecipitation suggested that the antibody concentration may have been too low to observe any effect in the assay (Figure 4.6). To isolate monoclonal antibodies, a mouse from the sequential immunization group were boosted with 150 pmol stripped core at day 237 and 150 pmol of Clone A at day 251, and hybridomas made by splenic myeloma fusion. As of this writing, several promising hybridoma clones that secrete antibodies that match the affinity, specificity, and breadth of serum are being produced (Figure 4.7). Discussion Despite much effort over the past twenty-five years there is no successful HIV vaccine. The primary culprit is the virus' propensity to mutate rapidly and the ability of gp120 on the envelope spike to accept amino acid diversity, which allows the virus to escape from nearly any antibody elicited against it (4-8). A growing handful of antibodies, termed broadly neutralizing antibodies, have been discovered that recognize conserved sites on the envelope spike such as the 74 CD4 binding site, which are required for viral fitness (9-21, 23-26, 30). These antibodies potently neutralize HIV from multiple clades. Patients who elicit broadly neutralizing antibodies over the course of infection are unable to control the virus (34), but passive immunization studies suggest that broadly neutralizing antibodies present at transmission, when only one or two virions cross the mucosal barrier (42-44), may be sufficient to provide protection (45-48). The recent explosion of structural information about neutralizing antibodies and how they bind (2 7-30, 32, 33) has spawned much interest in structure-guided vaccine design, in which detailed knowledge of the antigen's interaction with a particular antibody is used to design immunogens to elicit this specificity (31). This has taken the form of selective mutagenesis and glycosylation of the immunogen (55, 56, 58-60, 91), as well as computational design and stability engineering (61, 62, 92). A compelling way to steer the immune response to a desired epitope is to immunize with heterologous immunogens that are diverse except for a single conserved epitope. In this strategy, only B cells specific for the conserved epitope are boosted. This method has been used to elicit a cross-reactive antibody to multiple chemokines (71), focus an immune response to conserved determinants in the V2 loop of HIV (66-70), and generate antibodies specific for the 2F5 epitope determinant on gp4l (63). In this last work, the short peptide epitope of interest was grafted onto several heterologous scaffolds guided by protein structure calculations such that the peptide retained its bound conformation. Mice immunized with these diverse scaffolds elicited antibodies to the conserved grafted peptide. The CD4 binding site is more difficult to graft because it is a conformational epitope comprised of four polypeptides (V5 loop, CD4 binding loop, loop D, and strand p24) that must all be in the correct orientation relative to one another. To date, just a single epitope scaffold of the CD4 binding site has been reported (73). Another construct, resurfaced core RSC3, a hybrid HIV/SIV gp120 whose surface residues have been replaced with their SIV analogues (12), is commonly used to isolate CD4 binding site-directed antibodies from patient samples. These 75 molecules demonstrate that it is possible to engineer the surface milieu yet retain the functionality of the CD4 binding site, but no immunization results with these molecules have been reported. In this work, a stripped core gp120 derived from strain YU2 is displayed on yeast and used as a scaffold for immunogen design. Rather than grafting the native epitope onto a new scaffold, we diversified the surrounding protein by semirandom mutagenesis to create an immunogen library. Previous experience with stripped core suggested that the conformational integrity of the CD4 binding site is sensitive to allosteric mutations, so a homology model of the core was used to target the diversity to surface-exposed positions not in the CD4 binding site (Table 4.1 and Figure 4.1B). This limited structural information is convenient but not strictly necessary. For a protein with unknown structure, low mutagenesis libraries can be sorted to ensure the target epitope is unaffected then shuffled together to generate a high-diversity library. Three immunogens were isolated from the library after sorting for binding to VRC01, analyzing sequences for diversity, and confirming that the mammalianproduced protein was well behaved. The VRC01 concentrations used to sort the library (10-50 nM) are a log higher than the equilibrium binding affinity for the antibody to stripped core. We expressly selected for clones that retained binding to VRC01, not those that bound better to VRCO1. The fitted KD values for the four immunogens are 3.5 nM (stripped core), 6.2 nM (Clone A), 1.5 nM (Clone B), and 12.2 nM (Clone C). The rationale is that the naive B cell repertoire of a vaccine recipient will not contain an exact replica of VRCO1. VRC01 has a high degree of somatic hypermutation and other features that contribute to its binding to gp120 (28). We hypothesize that these attributes are artifacts of adaptation to a persistent infection in vivo, not requirements for neutralization, and that the immune system will be able to evolve the same specificity de novo if given the chance. Immunogens with enhanced affinity for VRC01 lose fidelity to the native epitope and may favor one B cell receptor with a particular germ line immunoglubulin gene and specific VDJ recombination to the detriment of other possible solutions. 76 We characterized the immunogens in vitro by testing their binding to the CD4 binding site-directed antibodies VRC01, b12, and b13. VRC01 is the model antibody whose specificity and breadth we aim to recapitulate in the serum. Antibodies b12 and b13, though competitive with CD4, are less desirable. Antibody b12 neutralizes only about 40% of circulating isolates (12), and antibody b13 is unable to bind trimeric envelope on HIV and is thus incapable of neutralizing the virus (27). We observe that stripped core binds well to all three antibodies, whereas the three engineered immunogens retain VRC01 binding but exhibit weaker or no binding to b12 and b13 (Figure 4.2). The fact that stripped core retains the undesired epitopes is not cause for its dismissal. Since any protein surface will function as an epitope for a B cell receptor, what matters is that the immunogens be diverse such that any one epitope is presented only once. Our previous mapping work suggests that residue 419 may be the key mediator of the differential binding of stripped core-based constructs to VRC01, b12, and b13. In stripped core, the point mutation R419G was found to be a strong disruptor of b12, a weak disruptor of b13, and to have no effect on VRC01 binding (Chapter 3). Clone B preserves the wild-type arginine at position 419 and retains reasonable binding to b12 and b13. Clone A has a tyrosine at that position and loses binding to both b12 and b13. The leucine in Clone C at position 419 disrupts b12 but not b13. If b13-like antibodies are elicited by vaccination, this position is a good candidate for future focused randomization. Another target for further engineering is the V5 loop (amino acids 460-464), which makes intimate contacts with VRC01 (28). It is hypothesized that VRC01 tolerates diversity in the V5 loop because the polypeptide rests in the cleft between the heavy and light chains of the antibody. Introducing amino acid diversity at the tip of the V5 loop may ensure that elicited antibodies are not too reliant on any particular sequence in this highly variable epitope. An analysis of 10,000 published HIV sequences in the Los Alamos National Labs HIV Sequence Database (http: / / lanl.hiv.gov) indicates that the aspartate at position 461 in stripped core is conserved in 7.9% of sequences. The similar residues asparagine 77 (26.8%), threonine (12.4%), and serine (8.2%) could be substituted to introduce mild diversity. Their frequency in existing HIV sequences suggests that the risk of allosteric effects on the VRC01 epitope is small. In our previous mapping work, the hydrophilic-to-hydrophobic mutation D4611, which is observed in only 1.9% of published sequences, reduced binding to VRC01 by a factor of 10 (Table 3.2). Existing sequence and structural data were useful in designing the immunogens for this study and in proposing future variations, but the power of the yeastdisplay technique for immunogen design is that it requires neither complicated protein structure calculations nor accurate crystallographic data. All that is necessary to generate diverse immunogens with a shared epitope is an antigen displayed on yeast and a model antibody with which to perform the sorting. This simplicity makes the method translatable. With other immunogens it should be possible to direct the immune response to other epitopes on gp120, other vaccine targets, or multiple conserved epitopes on a single antigen. BALB / c mice were immunized with the engineered immunogens either sequentially, in parallel, or with just the stripped core (Figure 4.3B). Serum from mice immunized sequentially with each of the four immunogens bound equally well to all immunogens displayed on yeast, suggesting it recognized a shared epitope (Figure 4.3C). Serum binding was significantly disrupted by the D368R mutation known to knock out binding to CD4 binding site-directed antibodies (Figure 4.4A), and the serum was able to bind stripped core from other clades (Figure 4.5C). Furthermore, in a ternary complex assay with VRC01 scFv and soluble stripped core gp120, it appears the sequential serum recognizes only the VRC01 epitope and has no other specificities (Figure 4.4D, 4E). Mice that were exposed to the same immunogen multiple times (parallel immunization or coreonly) generated some VRC01-competitve antibodies, but also antibodies to other epitopes. Only sequential immunization elicited a response that is entirely VRC01-competitive. Serum did not neutralize a panel of four viruses by TZM-bl assay (Figure 4.6). There are two competing explanations for this result: specificity and 78 stoichiometry. It is possible that the epitope presented by stripped core against which the serum response is focused does not accurately mimic the CD4 binding site as presented by the virus. If this were the case, a solution might be to design immunogens based on native trimer that would be more faithful to the true target. An alternative hypothesis is that the concentration of antibody is too low to observe any effect in the neutralization assay. We quantified the amount of gp120-specific antibody in the serum samples and found that it ranged from 10100 yg/mL. At working dilutions of these concentrations, even VRC01 would not neutralize above the assay baseline. We have generated hybridomas from a mouse in the sequential group to isolate the monoclonal antibodies that make up the serum response. As of this writing, fusions that secrete monoclonal antibodies that are specific for the VRC01 epitope and broadly cross-reactive have been identified (Figure 4.7). In addition to answering the neutralization question, the sequences of these antibodies will shed light on the requirement for particular germ lines or CDR lengths, as well as demonstrate the robustness of the immunization strategy. Materials & Methods Library construction and sorting. Degenerate oligonucleotide primers (Integrated DNA Technologies, Coralville, IA) were designed with overlapping homology. Eleven fragments were amplified with these degenerate primers by PCR for 30 cycles with Taq polymerase (New England Biolabs, Ipswich, MA) and purified by gel electrophoresis. The full-length gene was reconstituted by pairwise overlap-extension PCR of these fragments. In each reaction, fragments were allowed to self-prime for 8 cycles then outer primers were added for an additional 30 cycles. Following gel purification, the new, longer fragments were amplified for an additional 30 cycles and re-purified. The full-length library was transformed into yeast by electroporation. The induced library was incubated with VRC01 (expression plasmids a generous gift from John Mascola, Vaccine Research Center, NIAID, NIH) at the stated 79 concentrations and a 10-fold molar excess of chicken anti-CMyc (Gallus Immunotech, Fergus, Ontario). Secondary labeling was performed with Alexa Fluor-labeled goat anti-human and goat anti-chicken antibodies (Life Technologies, Carlsbad, CA) at recommended dilutions. The library was sorted on a MoFlo instrument (Beckman Coulter, Brea, CA). Secretion of Fc-gp120 from HEK 293 cells. gp120 constructs were subcloned into a mammalian expression vector based on gWiz (Genlantis, San Diego, CA) downstream of the Fc domain of mouse IgG2a and a his6 tag. A suspension culture of HEK 293 cells grown in serum-free medium (Freestyle 293, Life Technologies, Carlsbad, CA) was transfected with DNA using PEI as per manufacturers instructions. Supernatant was harvested after one week and purified by sequential metal affinity chromatography (TALON resin, Clontech, Mountain View, CA) and protein A affinity chromatography (Genscript, Piscataway, NJ). Yeast cell surface binding assays. Cell surface binding titrations were performed with various combinations of displayed and soluble proteins, e.g. displayed immunogens binding to soluble anti-gp120 antibodies; displayed VRC01 scFv binding to soluble immunogens; displayed gp120 from various clades binding to anti-gp120 antibodies and serum from immunized mice. In all instances, display was detected by chicken anti-CMyc (Gallus Immunotech, Fergus, Ontario). Secondary labeling was performed with Alexa Fluor-labeled goat anti-human or anti-mouse, and goat anti-chicken antibodies (Life Technologies, Carlsbad, CA) at a 1:400 dilution, and analyzed on a FACSCalibur HTS with a high-throughput plate sampler (Becton Dickinson, Franklin Lakes, NJ). Immunizations. 6-8 week-old female BALB /c mice (Taconic, Hudson, NY) were immunized with 50 pmol Fc-gp120 (6 yg total protein, or 3 yg gp120 equivalents) intranasally with 3 nmol CpG-1826 adjuvant (Integrated DNA Technologies, Coralville, IA) in PBS in the method of (86, 87). The maximum administered volume was 15 yL. Mice were boosted at two-week intervals, and serum was collected weekly. In a separate experiment, 6-8 week-old female C57BL / 6 mice (Taconic, Hudson, NY) were immunized with 150 pmol Fc-stripped core, 150 80 pmol Fc-Clone A, and 1 nmol Fc-Clone B at two-week intervals, each time with 3 nmol CpG-1826 adjuvant. Analysis of serum binding. Antisera were titrated on gp120-displaying yeast. In each well of a 96-well plate, 1.5x10' induced yeast were incubated with serial dilutions of serum and 40 ng chicken anti-CMyc (Gallus Immunotech, Fergus, Ontario) in 50 yL for several hours. Secondary labeling was performed with Alexa Fluor-labeled goat anti-human and goat anti-chicken antibodies (Life Technologies, Carlsbad, CA) at a 1:400 dilution, and analyzed on a FACSCalibur HTS with a high-throughput plate sampler (Becton Dickinson, Franklin Lakes, NJ). Median binding signals were fit using MATLAB (MathWorks, Natick, MA) to a monovalent binding isotherm of the form y = Ymax di ' where "dil" is the serum dilution and y is the binding signal in MFU. The two fitted parameters are the maximal binding signal, y. and the equilibrium association constant, KA' max depends on the display level of a particular gp120 variant and the number of antibodies that can bind to a single variant simultaneously. KA, the dilution at which the binding signal is one-half the maximum value, is a combination measure of the affinity and number of antigen-specific antibodies in the serum. Ternary complex assay. This assay has two iterations. In the first, an excess of serum at a saturating dilution (as calculated by cell-surface titration) is incubated with soluble stripped core (not an Fc-fusion) at 4*C overnight. This solution (20 nM gp120) is then added to 5x10' yeast displaying the scFv of VRC01 in a 96-well plate and incubated for 1 hr at 4"C. In the second iteration, yeast displaying the scFv of VRC01 are incubated with a large molar excess of 20 nM soluble stripped core at 4*C overnight. The yeast are washed and distributed into a 96-well plate at 5x104 cells per well. Serum is added at a saturating dilution and the plate is incubated for 1 hr at 4". The formation of a ternary complex-a sandwich of VRC01, gp120, and mouse serum-is detected by secondary labeling with goat anti-mouse 647 (Life Technologies, Carlsbad, CA) at a 1:400 dilution, and 81 analyzed on a FACSCalibur HTS with a high-throughput plate sampler (Becton Dickinson, Franklin Lakes, NJ). Neutralization assay. Standard TZM-bl assay described by Li et al. (90). TZM-bl cells are HeLa cells expressing CD4, CCR5 and CXCR4, and luciferase under a Tat-inducible promoter. HIV-infected cells will express luciferase. In brief, virus (supernatant from 293T-transfected cells) is incubated with antibodies for 1 hr at 37C then added to TZM-bl cells at 2x10 5 mL1 and incubated for 48 hr at 37C. Luciferase substrate is added and lysed cells are visualized. Hybridoma production. Two mice from the sequential immunization group were boosted with 150 pmol stripped core at day 237 and 150 pmol of Clone A at day 251, both times with 3 nmol CpG-1826 adjuvant (Integrated DNA Technologies, Coralville, IA) intranasally. A third C57BL /6 mouse was immunized with three immunogens as described previously. Hybridomas were produced by Green Mountain Antibodies, Burlington, VT, by standard splenic fusion methods. Fusions were screened for binding to stripped core by ELISA. Positive supernatants were titrated on yeast-displayed stripped core and specificity determined by the ternary complex assay described above. Promising wells were subcloned by limiting dilution to isolate single cells. 82 HA gp120 B Aga2 gp120 Agaip Front HA CMyc Yeast NN- C D 10 30 -.-OoA NNO Q Cltone8 ?#48 Introduce diverst 25 -cinc by PCIR ~l0~ 50' 10;S QCombne mutations Ill M H! iff- K 81 1 10 Prowen(nm) 100 10,00 CMyc Display Figure 4.1. Generation of diversified immunogens. (a) Map of yeast display vector with gp120 and two epitope tags (HA and CMyc) fused to Aga2, and schematic of the construct displayed on the surface of yeast. (b) Homology model of stripped core gp120 showing the VRC01 contact residues (yellow, from PDB ID: 3NGB(28)) and diversified surface residues (red). (c) Schematic of PCR-based method for introducing random amino acids at defined positions. Degenerate oligonucleotides were used as amplification primers to introduce diversity at chosen positions. The amplified fragments were pieced together by overlapextension PCR to form the final full-length library. The library was displayed on yeast and sorted twice for binding to VRCO1. (d) FACS plot of the second library sort against 50 nM VRCO1. Clones in the red gate were collected and sequenced. Selected clones were secreted from HEK 293 cells as fusions to mouse Fc. (e) Titration of stripped core and candidate immunogens (Clones A-C) on yeast displaying VRC01 scFv. Fitted KD values are 3.5 nM (stripped core), 6.2 nM (Clone A), 1.5 nM (Clone B), and 12.2 nM (Clone C). 83 84 C * -vRcO1 0.8 *-b12 +-b13 10.8 D -- VRC01 -*-b12 0.8 -+b13 *1 I 0.6 .. 0.4 0.4 10 100 1 Antibody Conc () 1000 - .1 10 100 Antibody Conc (nM) 1 -- 1000 Figure 4.2. Binding of immunogens to CD4 binding site-directed antibodies. CD4 binding site-directed antibodies VRC01 (solid line), b12 (dashed line), and b13 (dash-dotted line) were titrated on yeast displaying (a) stripped core, (b) Clone A, (c) Clone B, or (d) Clone C. An anti-CMyc antibody was used to confirm display, and secondary detection was performed with fluorescently labeled antichicken and anti-mouse antibodies. 85 86 A B 2 Wk Group Sequential Core-only C **D L 0 2Wk 2wk I Dose 1 Dose 2 Dose 3 Core Clone A Clone B Clone C core Clone A Clone B Clone C core Clone A clone B Clone C Core Clone A Clone B Clone C core Clone A Clone B Cone C Core core core Doee 4 **E* o i. L?40! w.g60 0F F 20 90oom0 Serumn Dilution (fold) 00 100 00 20-, 100 i00 Serum Dilution (fold) 90- 100 100 10000 Serum Dilution (fold) Figure 4.3. Immunization of mice with diversified immunogens. (a) Schematic of an Fc-gpl2O immunogen. Mouse IgG2a Fc with a gpl2O variant fused at the C terminus was secreted from HEK 293 cells and purified by sequential metal affinity and protein A chromatography. (b) BALB/c mice were divided into three groups. The sequential group (4 mice) was immunized sequentially with each immunogen. The parallel group (4 mice) was immunized with all four immunogens each time. The core-only group (2 mice) was immunized just with stripped core. Immunizations were given every two weeks. Each immunization was administered intranasally with 50 pmol total protein (equivalent to 6 yg Fcgp120 or 3 sg gp120 protein weight) and 3 nmol CpG oligonucleotide adjuvant (CpG 1826(93)). (c-e) Titration of serum on yeast displaying gp120 variants. Serum at day 48 post prime from a representative mouse from each group-(c) sequential, (d) parallel, (e) core-only-is titrated on yeast displaying stripped core (black), Clone A (blue), Clone B (red), or Clone C (green). Each plot also includes serum from an unimmunized mouse binding to yeast displaying Clone C (black dashed). Binding data is fit to a monovalent binding isotherm of the form y =Ymax di-' where "dil" is the serum dilution and y is the binding signal in form = "+Kj MFU. For the sequential mouse (c) the KA values are 1833 (core), 1242 (Clone A), 1631 (Clone B), 1735 (Clone C). For the parallel mouse (d) the KA values are 2600 (core), 238 (Clone A), 210 (Clone B), 68 (Clone C). For the core-only mouse (e) the KA values are 604 (core), 65 (Clone A), 50 (Clone B), 37 (Clone C). 87 88 A B 1 C 0Fu .4. Serum i~a Agpi2o U? J 04 d r (f e o.~gpI2O m) ias par Seq c yastt D 10- 60 E~ eo D --- Par sp core M a 1t ore - ------ -- r---Core 40 ~30j i 2 0 01 2 at 3 3 42 ous 4 doses cNo. Figure 4.4. Serum specificity for CD4 binding site. (a) Binding of serum to stripped core D368R mutant. Serum from each group after three (open markers) and four (filled markers) immunizations was assayed at 1:100 dilution on yeast displaying stripped core and stripped core D368R. The ratio of D368R MFU to stripped core MFU for each mouse is plotted. The fractional binding to D368R for antibody VRC01 at various concentrations is shown as lines: 0.21 at 93 nM (dashed line), 0.10 at 75 nM (dash-dotted line), and 0.06 at 8.2 nM (dotted line). (b-c) Schematic of ternary complex assay with yeast displaying the VRC01 scFv, soluble stripped core gpo2n with the CD4 binding site shown in gray, and mouse serum. The presence of mouse serum on yeast--only possible if a ternary complex is formed between the three assay components-is assayed by flow cytometry. In the first iteration (b), serum is pre-incubated with gpl2O before introducing the VRC01 yeast to determine whether any component of serum competes with VRC01 for its binding site. In the second iteration (c), gp120 is loaded onto VRC01 yeast before the serum is introduced to determine whether the serum binds any other epitopes on stripped core. (d) Percentage of yeast cells that are positive for mouse serum in the ternary complex assay (version (b)) after incubation with serum from each immunization group-sequential (solid line), parallel (dashed line), core-only (dash-dotted line). (e) Percentage of yeast cells that are positive for mouse serum in the ternary complex assay (version (c)) after incubation with serum from each immunization group-sequential (solid line), parallel (dashed line), core-only (dash-dotted line). 89 90 B A BYU2 C_98ZADU156 * Clade A92UG037 Clade B YU2 * CladeC98ZADU156 * Clade D92UG021 * Clade F 93BR029 o "" F_93BR029 "" D_92UG021 a A_92UG037 C 80 15W A 0 1 40 A Clade C v Clade D 0 Clade F U5W . A 20[ Clade A 0 Clade B V 0 LL CMt 0 a V a V VRC01 I b13 V Sequential Serum Figure 4.5. Binding to stripped core from multiple HIV clades. (a) Homology model overlay of stripped core from five HIV strains: 92UG037 (Clade A), YU2 (Clade B, original stripped core), 98ZADU156 (Clade C), 92UG021 (Clade D), and 93BR037 (Clade F). VRC01 contact surface is highlighted in yellow. Side chains for positions within this surface that differ among the clades are shown in the color indicated by the legend. (b) Phylogenetic tree of the five strains. (c) Binding of antibodies and serum to stripped core from multiple strains displayed on yeast. VRC01 and b13 are at 100 nM and labeled with goat anti-human 647. Serum from sequential mice is at 1:100 dilution and labeled with goat anti-mouse 647. 91 92 A 8 Neutralization of JR-CSF Neutralization of 94UG 40- 40 20- c2 20 -20 10 10 10 -2 10 102 10 10-2 102 Ab conc. (ug/mL) Ab conc. (ug/mL) Figure 4.6. Neutralzation potential of serum by TZM-bl assay. Neutralization of (a) JR-CSF and (b) 94UG pseudoviruses by VRC01 (positive control, black solid), DEN3 (negative control, black dashed), sera from two sequential mice (red and blue), and sera from three unimmunized mice (yellow). Antibody concentration for the serum samples was measured by sequential immunoprecipitation on gp120 yeast and quantitative flow cytometry. The starting concentrations for serum samples (1:100 dilution) was 0.1 and 1 yg/mL. 93 94 50 on-target Off-target Non-binders A S40!+ 10 8 0 e -10- 0 20 40 04 60 80 Maximal binding (MFU) B o000 100 120 120 10 0 0 h 80 0 0 M 8o U- . 0 a Clade A Clade B A Clade C v Clade D * Clade F 0 0 S60! 0 iD 401 A 20V 0 01A4 3D4 ---4C9 0 587 6B9 # a__,L__ ---~ ANW -_ -7D9 7E10 8C8 lOA6 13D10 1401 14F7 Figure 4.7. Screening of hybridomas. Hybridomas made by splenic fusion from a sequentially immunized mouse were screened for binding to stripped core by yeast surface display, and for specificity by ternary complex assay. (a) Scatter plot of 32 ELISA-positive fusions showing three distinct populations of clones: on-target binders (circles), false-positive non-binders (squares), and off-target binders (pluses). Off-target binders are likely interacting with the his6 tag or other artifact that is different between the yeast-displayed and mammalianproduced protein used in the immunization, ELISA, and ternary complex assay. (b) Hybridoma supernatant (26.7x dilution) binding to yeast displaying stripped core from five clades. Cross-reactive clones 3D4 and 10A6, and core-only clones 6B7 and 13D10, were subcloned for further analysis. 95 96 Table 4.1. Surface positions modified in engineered immunogens. Amino acid position in sequential and HxB2 numbering (94), solvent-accessible surface area on the homology model, and residue for stripped core and three immunogen clones. Position Position Solvent-accessible Amino Acid Amino Acid Amino Acid Amino Acid (Sequential) (HxB2) surface area (AA2) (Core) (Clone A) (Clone B) (Clone C) 92 97 92.1 131.6 N K D D R T T D 10 99 93.4 N V P G 18 24 32 107 113 121 65.8 114.8 98.6 D D K E R A R G A K A 1 33 122 138.6 L R P R 34 123 49.4 T T M Q 35 196 64.7 G F L W 36 39 40 41 197 200 201 202 164.1 102.1 63.4 106.1 N V I T P S G Y F A K P G N D S 42 203 95.0 Q R L V 43 46 52 55 70 79 85 204 207 213 216 231 240 246 45.8 91.0 103.7 108.4 116.5 113.2 137.5 A K I H K T Q N N T M A S V L F L S R S E P T K P S C L 108 139 269 327 66.0 70.1 E G E G E G G T 149 337 75.9 Q Q Q Y 156 164 170 344 352 358 79.0 72.8 76.1 Q Q T Q R T Q Q T A Q A 193 381 3.5 E E E K 201 389 85.7 Q Q N A 207 397 127.7 D A P P 208 402 48.2 T T L R 209 210 403 404 147.6 165.7 R K K R D L A R 211 212 405 406 64.5 136.0 L N T A R R E R 213 214 216 407 408 412 112.7 3.6 168.1 N T R L R H T S T E A G 223 419 154.6 R Y R L 235 442 120.9 Q H P N 239 446 62.3 S A G V 268 475 82.5 M V M M 283 490 138.7 K R P A 3 8 97 Table 4.2. Sequence alignment of stripped core gp120 from multiple clades. aln. pos SC4Gv A_92UG037 B_YU2 C_98ZADU156 D_92UG021 F_93BR029 _consrvd 10 20 30 40 50 60 TENFNMWKNNMVEQMHEDIISLWDNSTKPCVKLTGNGSVITQACPKVSFEPIPIHYCAPAGFAIL TEEFNMWKNNMVEQMHTDIISLWDNSTKPCVQLTGNGSALTQACPKVTFEPIPIHYCAPAGYAIL TENFNMWKNNMVEQMHEDIISLWDNSTKPCVKLTGNGSVITQACPKVSFEPIPIHYCAPAGFAIL TENFNMWKNDMVDQMHEDIISLWDNSTKPCVKLTGNGSTITQACPKVSFDPIPIHYCAPAGYAIL TENFNIWKNNMVEQMHDDIISLWDNSTKPCVKLTGNGSTITQACPKISFEPIPIHYCAPAGFAIL TENFDMWKNNMVEQMHTDIISLWDNSTKPCVKLTGNGSTLTQACPKVSWDPIPIHYCAPAGYAIL _aln.pos SC4Gv A_92UG037 B_YU2 C_98ZADU156 D_92UG021 F_93BR029 70 80 90 100 110 120 130 KCNDKKFNGTGPCTNVSTVQCTHGIRPVVSTQLLLNGSLAEEEIVIRSENFTNNAKTIIVQLNES KCNDKEFNGTGLCKNVSTVQYTHGIRPVVSTQLLLNGSLAEGKVMIRSENITNNVKNIIVQLNES KCNDKKFNGTGPCTNVSTVQCTHGIRPVVSTQLLLNGSLAEEEIVIRSENFTNNAKTIIVQLNES KCTDKKFNGTGSCNNVSTVQCTHGIKPVVSTQLLLNGSLAEEEIIIKSENLTDNIKTIIVQLNQS KCNDKKFNGTGPCKNVSTVQCTHGIKPVVSTQLLLNGSLAEEEIIIRSKNLTNNAKIIIVHLNES KCNDKKFNGTGPCTNVSTVQCTHGIKPVVSTQLLLNGSLAEKDIIIRSQNISDNAKTIIVQLNVS _consrvd ** ** * ** *** ***** ** *** * ************** ****** ****** **** ****** *********** *************** * * * * *** * *** ** * _aln.pos SC4Gv A_92UG037 B_YU2 C_98ZADU156 D_92UG021 F_93BR029 _consrvd 140 150 160 170 180 190 VVINCTGNGSGHCNLSKTQWENTLEQIAIKLKEQFGNNKTIIFNPSSGGDPEIVTHSFNCGGEFF VTINCTGNGSGHCNVSGSQWNKTLHQVVEQLRK-YWNNNTIIFNSSSGGDLEITTHSFNCAGEFF VVINCTGNGSGHCNLSKTQWENTLEQIAIKLKEQFGNNKTIIFNPSSGGDPEIVTHSFNCGGEFF IGINCTGNGSGHCNISRNQWNETLEQVKKKLGEHFHNQTKIKFEPPSGGDLEITTHSFNCRGEFF VPINCTGNGSGHCNISGEKWNKTLQQVAVKLRD-LLNQTAIIFKPSSGGDPEITTHSFNCGGEFF VPINCTGNGSGHCNVSGTQWNQTLERVRAKLKSHFPN-ATIKFNSSSGGDLEITMHSFNCRGEFF _aln.pos SC4Gv A_92UG037 B_YU2 C_98ZADU156 D_92UG021 F_93BR029 _consrvd 200 210 220 230 240 250 260 YCNSTQLF--TWNDTRKLNNTGRNITLPCRIKGGNGSPIRGQIRCSSNITGLLLTRDGG---KDT YCNTSGLFNSTWVNGTTSSMSNGTITLPCRIKGGNGSPIQGVIKCESNITGLILTRDGG--V-NS YCNSTQLF--TWNDTRKLNNTGRNITLPCRIKGGNGSPIRGQIRCSSNITGLLLTRDGG---KDT YCNTTDLFTNATKLVNDTE-NKAVITIPCRIKGGNGSPIEGNITCNSNITGLLLTRDGGGNVTEI YCNTSGLFNNSVWTSNSTIGANGTITLPCRIKGGNGSPIEGQINCSSTITGLLLTRDGG--VKNN YCNTSGLFNDTV--------DNNTITLPCRIKGGNGSPIAGNITCSSNITGLLLTRDGG---QNN _aln.pos SC4Gv A_92UG037 B_YU2 C_98ZADU156 D_92UG021 F_93BR029 _consrvd 270 280 290 NGTEIFRPGGGDMRDNWRSELYKYKVVKIE SDSETFRPGGGDMRDNWRSELYKYKVVKIE NGTEIFRPGGGDMRDNWRSELYKYKVVKIE NRTEIFRPGGGNMKDNWRNELYKYKVVEIK SQNETFRPGGGDMRDNWRNELYKYKVVRIE QTEETFRPGGGNMKDNWRSELYKYKVVEIE ************ *** * * ** * ****** ** * ** * **** ************ ******** * 98 * * * * * **** * * ** **** ***** ****** **** Works Cited 1. 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Published by: Theoretical Biology and Biophysics Group, Los Alamos National Laboratory, Los Alamos, NM. httD://www.hiv.lanl.ov/content/seauence/HIV/REVIEWS/HXB2.html 106 Chapter 5. Perspectives on immunizations Background The formulation and route of administration of a vaccine can have a profound impact on its in vivo efficacy. In the HIV vaccine field, clinical trials have been performed with soluble adjuvanted proteins, plasmid DNA, viral vectors, and heterologous prime-boost regimens that combine the above formulations (1). These trials have demonstrated beyond doubt that the choice of formulation and adjuvant can determine the strength and type of elicited response, which is important because several analyses suggest that the number of antibodies required for neutralization or clearance in vivo may be achievable by vaccination (1-3). Traditional adjuvants like aluminum phosphate or hydroxide (alum) or oil/water emulsions (Incomplete Freund's Adjuvant and derivatives) have been used for many years in commercial antibody production and laboratory scale clinical trials. Their mechanism of action is largely unknown, but they have been empirically and clinically validated (4). More recently, molecularly defined adjuvants like TLR ligands and enterotoxins, as well as particulate vaccines that present antigen in multivalent, pathogen-like arrays, have been developed and studied (5-9). Since sexual transmission of HIV occurs at mucosal surfaces, a successful vaccine will likely have to elicit protective mucosal immunity beyond simply circulating serum antibodies. Much work has recently been done on mucosal vaccination strategies that may promote the induction of immunity at these sites (10, 11). The choice of animal model is an important consideration. Immunologists have traditionally favored rabbits because they generate high antibody titers and large volumes of serum can be collected, but analysis of their V gene usage, VDJ recombination, and antibody maturation pathways suggest that mice are more similar to humans than rabbits are (12-14). A recent immunization study in 107 rhesus macaques notes that they have similar numbers of heavy chain V, D, and J segments to humans, as well as much homology in the VH sequences (15). Macaques have the added benefit that challenge experiments can be performed on them and the attendant drawback that they are significantly more expensive than mice. Advances in the development of humanized mice may one day make a cheap, user-friendly animal challenge model available to researchers. In this chapter we describe our work with several immunization routes and formulations, and establish important optimization parameters to consider for each. For intranasal administration of antigen, we demonstrate that both the Fc fusion partner and GpG adjuvant are necessary to elicit a serum response, and characterize the pharmacokinetics of the immunogen. For subcutaneous liposomal vaccines, we show that conjugation of the immunogen to the particle is required and that the timing of the boost can affect the post-boost serum titers. We also show that immunization with heterologous immunogens loaded on the current generation of protein-coated liposomes is unable to steer the immune response to the CD4 binding site. For intradermal vaccines, we demonstrate that micronedle application increases local inflammation over direct intradermal injection and that the biodistribution of antigen is different between these two routes. We also show that only a fraction of the antigen loaded onto a microneedle array is delivered. In a broad comparison across routes, formulations, and adjuvants, we find that antigen dose is the primary parameter driving serum titer. Results Immunization routes and formulations tested. Several different immunization routes and formulations were tested over the course of this work. The steering experiments described in the previous chapter were performed by intranasal administration of soluble protein with CpG DNA adjuvant in the method of (16, 17). In collaboration with Melissa Hanson of the Irvine lab, stripped core was conjugated to the surface of liposomes by maleimide-thiol linkage, and then 108 injected subcutaneously at the base of the tail with monophosphoryl lipid A (MPLA) adjuvant. In collaboration with Peter Demuth of the Irvine lab, stripped core was coated onto poly-L lactic acid (PLLA) microneedle arrays with poly I:C adjuvant, and administered intradermally in the ear. Liposome work was performed using BALB / c mice; microneedle and intranasal immunizations were done with both BALB/c and C57BL /6 strains. Intranasal administration requires both Fc and adjuvant. BALB / c mice were immunized with stripped core or Fc-stripped core (300 pmol gp120 equivalents) and CpG DNA adjuvant (3 nmol). Two mice were given Fc-stripped core with CpG, two were given stripped core with CpG, and one was given Fc-stripped core without CpG. Serum titers were measured by yeast cell surface titration as described in previous chapters. A strong gp120-specific serum response was only observed when mice were immunized with the Fc-fusion construct in the presence of CpG DNA adjuvant (Figure 5.1A). This result is consistent with the hypothesis put forth by Xiaoping Zhu and colleagues that the antigen is actively transported across the mucosal barrier by the neonatal Fc receptor (FcRn) (16, 17). Pharmacokinetics of antigen administered intranasally. A C57BL /6 mouse was immunized intranasally with 300 pmol fluorescently labeled Fc-stripped core and CpG adjuvant. Blood samples were collected at various time points, and blood fluorescence was measured to estimate the serum pharmacokinetics of the antigen (Figure 5,1B). The signal did not peak until 0.5-1 hr post administration, in contrast to the immediate bolus observed with intravenous delivery. The peak fluorescent signal measured was equivalent to 1000x lower concentration than expected if the full dose were delivered intraveinously, suggesting that only a small fraction of antigen reached the bloodstream. A bi-exponential curve was fit to the data with an a-phase time constant of 0.966 min' and a p-phase time constant of 0.010 min'. The long serum half-life is likely due to FcRn-mediated recycling of the Fc-containing antigen. After four days, cervical lymph nodes were harvested from the immunized mouse and an unimmunized control mouse. The lymph node from the immunized mouse was more fluorescent than 109 that of the control (Figure 5.1C), though the absolute amount of antigen present was not quantified. Timing of the boost matters for liposomal formulation. BALB / c mice were immunized with stripped core (7.5 pmol, approximately 250 ng protein) conjugated to liposomes by maleimide-thiol linkage, with 1.3 sg MPLA adjuvant, injected subcutaneously at the base of the tail. Mice were boosted two, four, or six weeks after the prime. Serum titers were measured by yeast cell surface titration. A spike in serum titer was observed for all mice that were boosted (Figure 5.2A). There appeared to be two tiers of responses: a high response KA ~ 4000 fold dilution, and a low response KA~ 1000 fold dilution. Three of four mice in the six-week group had a high response, two of which sustained this response for at least 100 days after the boost. Only two of five mice in the four-week group elicited a high response, but both of these responses waned by 50 days post boost. One mouse of five in the two-week group reached a KA of 3500, but regressed to the low level response by 20 days after the boost, joining the other four mice of its cohort. Our conclusion from these experiments is that allowing six weeks to pass between prime and boost may improve the magnitude and duration of the serum response, perhaps by allowing more time for germinal centers to form and somatic hypermutation to occur. Conjugation is required for liposomal formulations, but not for other adjuvants. BALB / c mice were immunized with stripped core or Fc-stripped core (3.75 pmol protein) that was either conjugated to liposomes or simply mixed with liposomes prior to injection, with 1.3 pg MPLA as adjuvant, injected subcutaneously at the base of the tail. Mice were boosted six weeks after the prime. Serum titers were measured by yeast cell surface titration. Regardless of the antigen, conjugated liposomes elicited an anti-gp120 response whereas unconjugated antigen and liposomes did not (Figure 5.2B). The presence of the Fc in the conjugated liposome formulation may generate a stronger initial peak titer following the boost, but the effect disappears after two weeks. The serum titer elicited by MPLA liposomes was compared to the response to other common adjuvants. Alum, AddaVax, and Montanide are all depot-forming 110 adjuvants that have been tested in clinical settings (18). Alum is the only FDAapproved adjuvant. It promotes an antibody and Th2-type immune response, though its mechanism of action is still under investigation (19). AddaVax is a squalene-in-water emulsion analogous to MF59 recently approved for use with influenza vaccines in Europe. Montanide, a water-in-oil emulsion analogous to Incomplete Freund's Adjuvant, is used routinely in animals and occasionally in human trials, though severe local inflammation limits its widespread use (4). Mice were immunized with 3.75 pmol Fc-stripped core mixed with alum, AddaVax, or Montanide and 1.3 pg MPLA subcutaneously at the base of the tail, and boosted six weeks later. Serum titers were measured by yeast cell surface titration. Immunization with alum elicited titers significantly lower than conjugated liposomes (Figure 5.2C). Three of four mice immunized with each AddaVax and Montanide elicited significantly stronger responses than conjugated liposomes (KA~ 5000-15000). One AddaVax mouse elicited a liposome-like response, and one Montanide mouse elicited a significantly higher titer (peak KA ~ 30000 before reverting to ~10000 40 days after the boost). Immunization with diverse immunogens on liposomes fails to steer the immune response to the CD4 binding site. BALB/c mice were immunized with 5 pmol Fc-gp120 conjugated to liposomes with 1.3 gg MPLA injected subcutaneously at the base of the tail. As with the steering experiment described in the previous chapter, mice were immunized with each immunogen sequentially (Core, Clone A, Clone B, Clone C), all four immunogens in parallel, or just stripped core every four weeks for four administrations. Serum titer was analyzed by yeast cell surface titration on yeast displaying each of the immunogens. Serum titers for all groups after three immunizations are shown in Figure 5.3A. Serum from core-only mice predominantly binds to stripped core, whereas serum from parallel mice binds to all four immunogens. Serum from sequential mice binds to all immunogens as well, though with lower titers than parallel mice. This is consistent with the serum binding to a single epitope shared by all immunogens, rather than multiple epitopes on all immunogens. 111 To confirm this initial impression, sera from these mice were analyzed by the ternary complex assay described in a previous chapter. In the iteration for competition with the VRC01 binding site, it appears that two mice in each the parallel and sequential groups begin to lose all specificity for the VRC01 epitope by the third immunization (Figure 5.3B). In the iteration for non-VRC01 specificities, there is no difference between the groups (Figure 5.3C). All mice, regardless of the order of immunogens given, raise antibodies to non-VRC01 epitopes on stripped core. Comparison of intradermal injection to microneedle application. In close collaboration with Pete DeMuth of the Irvine lab, microneedles were investigated as a means of intradermal delivery of protein antigen. Fc-stripped core was coated onto PLLA microneedle arrays in a sucrose shell (Figure 5.4A). Protein stability on microneedles was tested by dissolving the microneedle arrays at various points in time and measuring protein binding to VRC01 scFv displayed on yeast. Stripped core that had been stored on microneedle arrays at room temperature for several months retained its binding to VRC01 (Figure 2.1F). Intradermal delivery by microneedle application was compared to direct intradermal injection in BALB / c and C57BL /6 mice. 1 nmol Fc-stripped core was coated onto microneedle arrays with poly I:C adjuvant and pressed into ear skin, or injected as soluble protein with poly I:C adjuvant into the ear. Mice were boosted 4 weeks after the prime. Serum titers were measured by yeast cell surface titration (Figure 5.4B) All mice immunized with microneedles (three from each strain) elicited steady serum responses of KA~ 5000. All three BALB / c mice and two of three C57BL /6 mice injected intradermally elicited substantially stronger responses of KA ~10000-20000. We attribute this difference in serum titers to difference in delivered dose. IVIS imaging of microneedle arrays coated with fluorescently labeled protein before and after application, as well as total fluorescence in the ear, suggested that only ~10% of the coated dose enters the skin from microneedle array during the five minute application time (data not shown). In contrast, intradermal injection delivers the entire dose. 112 Differences in inflammation, retention, and biodistribution of antigen administered intradermally or by microneedle array. Despite the difference in delivered dose and resultant difference in serum titers, administration with microneedles resulted in much stronger local inflammation as measured by in vivo myeloperoxidase activity, which is due to phagocytic activity by neutrophils (20). Bioluminescence was measured each day for several days after administration of the prime, immediately after intraperitoneal injection of 200 mg/kg luminol (protocol identical to that described in (20)). A spike of myeloperoxidase activity was observed one and two days post application in mice administered the antigen via microneedles but not in mice that received the intradermal injection (Figure 5.4C). To determine whether the retention time and biodistribution of antigen differed for the two delivery methods, fluorescently labeled Fc-stripped core was administered and necropsies were performed four days later. In mice that were injected intradermally, fluorescence was detected in the axillary lymph node. In mice that received microneedle application, on the other hand, fluorescent signal was retained in the skin of the cheek and neck (the ear was removed), and no signal was observed in the draining lymph node (Figure 5.4D). Steering the immune response to the VRC01 epitope using microneedles. C57BL / 6 mice were immunized with 1 nmol Fc-stripped core coated on microneedles with poly I:C adjuvant, then boosted four weeks later with either the same immunogen or clone A. Serum titer was analyzed by yeast cell surface titration. All three mice in the homologous immunogen group and two of three in the heterologous immunogen group generated strong anti-core responses KA 1000-2000 (Figure 5.5A). One mouse in the heterologous immunogen group had a weak response to core. When these sera were analyzed by the ternary complex assay, it appears that one of three mice from the homologous group and one of three mice from the heterologous group have specificity for the VRC01 epitope (Figure 5.5B). The titer from another mouse in the heterologous group is too low to be confident in the specificity measure. Further investigation of these mice is 113 warranted, but these results suggest that epitope focusing may be possible using microneedles with only two immunogens. Relationship between dose and KA across adjuvants, formulations, and routes. The post-boost peak KA was plotted versus the protein dose per immunization for all BALB / c mice immunized with Fc-stripped core (Figure 5.6). The data includes intradermal injection of soluble protein with poly I:C, intradermal administration of protein with poly I:C on microneedles, intranasal administration of soluble protein with CpG DNA, subcutaneous injection of protein conjugated to liposomes with MPLA, and subcutaneous injection of protein with MPLA formulated with alum, AddaVax, or Montanide. A few points merit comment. There appears to be a log-linear relationship between protein dose and peak KA, particularly at concentrations above 50 pmol protein, independent of route of administration or adjuvant. Below 50 pmol protein, the KA is pretty consistently 1000-2000. Only AddaVax and Montanide buck this trend with consistently high titers at low protein dose. Discussion Despite many efforts in the field, an HIV vaccine that elicits broad antibodybased protection has not yet been developed (1). Much of our work involves the design of engineered antigens, but the successful translation of these proteins into immunogens requires a functioning vaccination model. In the course of the thesis, we have explored various formulations and routes of delivery in mice. The species was chosen for its ease of use and the similarities in V gene usage, VDJ recombination, and germinal center formation between it and humans (1214). In this chapter, we report the successful development of four different vaccination modes-intranasal administration of soluble protein, subcutaneous injection of protein-loaded liposomes, intradermal injection of soluble protein, and intradermal administration of protein-coated microneedles-that elicit reliable titers to stripped core and the engineered immunogens. 114 The different routes have different requirements for success. Intranasal administration requires that the antigen be fused to an Fc in order to cross the mucosal barrier, and also co-administered with GpG DNA adjuvant in order to elicit anti-gp120 titers (Figure 5.1A). Subcutaneously injected liposomes require that the antigen be conjugated to the particle surface and not simply mixed (Figure 5.2B). The timing of the boost matters as well for the liposome formulation, with a six-week gap between prime and boost eliciting stronger and more consistent titers than four-week or two-week gaps (Figure 5.2A). Intradermal administration of antigen-coated microneedles efficiently elicits antibodies, but only -10% of the loaded dose is delivered to the animal per application. Direct intradermal injection delivers the entire dose, but elicits less local neutrophil activation than microneedle application (Figure 5.4). The biological significance of the enhanced activation for this system has yet to be determined. We attempted to focus the immune response on the CD4 binding site by sequential immunization with liposomal formulations of the same four immunogens described in the previous chapter. We were surprised that the series of immunization did not steer the immune response as measured by the ternary complex assay (Figure 5.3B, 3C). There are two plausible hypotheses for why the liposomes fail to steer: persistence and avidity. The persistence hypothesis argues that the liposomes form a subcutaneous antigen depot and persist longer than the four weeks between boosts. When the second immunogen is administered with immunostimulatory adjuvant, there is enough of the first immunogen present to boost all primed B cells. Experimental validation would involve boosting at longer intervals after the prime. The avidity hypothesis argues instead that the multivalent presentation of antigen on liposomes counteracts the loss of affinity due to surface mutations on the diversified clones. That is, a point mutation that causes a significant loss of binding to a particular antibody in isolation may not disrupt binding enough to prevent B cell activation when the antigen is presented multivalently on a liposome. Experimental validation for this hypothesis would require adjusting the degree of protein 115 loading per liposome by, for example, varying the molar fraction of maleimide lipid in the liposome. Regardless of whether the depot effect is an important parameter in steering, it is important to understand the pharmacokinetics and biodistribution of antigen after administration by these different routes, and the cells and tissues involved in mounting the immune response. The serum pharmacokinetics of antigen administered intranasally was measured. The concentration of Fc-antigen peaks in the bloodstream after 0.5-1 hour, then undergoes rapid a-phase clearance and slower P-phase clearance due to FcRn recycling, as is observed with antibody therapeutics and other Fc-containing molecules. Some fluorescence was observed in the draining cervical lymph node four days after protein administration. The fluorescence signals in serum and tissue were orders of magnitude lower than what would be expected from the delivered dose, however, suggesting that only a small fraction of the administered antigen is being captured in this assay. The antigen may have drained to more distal nodes, or perhaps much did not cross the mucosal barrier and was instead swallowed or expelled. Further investigation is warranted. Biodistribution of the two intradermal formulations was studied as well. Antigen that was injected directly into the ear drained primarily to the axillary lymph node and was present there four days after injection. In contrast, antigen that was delivered via microneedle array appeared to be retained in the skin below the affected ear (Figure 5.4D). Whether this retention is due to the Fc on the antigen interacting with Fc-receptors on skin-resident macrophages or somehow related to the enhanced neutrophil activation described earlier is not yet known. Further investigation is required to establish the tissues and cells in which the antigen-specific immune response is elicited via this route. Intriguingly, there is evidence that one mouse may have generated a steered immune response after the administration of just two antigens-stripped core and clone A-on microneedles (figure 5.5B). This response should be explored further. As the experiments described in this chapter suggest, the parameter space for optimizing immunization route and formulation is enormous. There is no a priori 116 reason to prefer a particulate vaccine to a soluble one, or to suppose one recipient tissue will be superior to another in eliciting the desired epitope-specific antibody response. In an attempt to bring order to this landscape, we compared post-boost peak serum titers across routes, formulations, and adjuvants. Surprisingly, with the exception of depot-forming emulsion adjuvants AddaVax and Montanide that give strong responses at a very low dose, we observe that antigen dose is the primary parameter that determines serum titer (Figure 5.6). Depot formation may hinder the sequential immunization strategy, which relies upon clearance of one antigen before administration of a second, so these potent adjuvants may not be suitable for repeated use. Perhaps, however, they could be used as the final adjuvant, to strongly boost a weak but focused humoral response. Materials & Methods Intranasal immunization. Mice were anesthetized with isoflurane then held by the scruff with their necks along the edge of a cage. Gentle pressure was applied to close the oropharynx, and liquid (maximum 20 yL) was held at the nostril using a pipette. After the liquid was aspirated, mice were laid on their backs to encourage draining into the nasopharynx. Studies of intranasal administration of technetium-labeled colloid particles have shown that the particles are dispersed throughout both the upper and lower respiratory tracts (21). Beyond the pharmacokinetic study and lymph node biopsy described above, we did not investigate the in vivo fate of intranasally-delivered antigen. Liposome conjugation and purification. Liposomes were made by sonication (70 nm diameter) or extrusion (200 nm diameter) of DOPC and DOPG lipids in a 4:1 molar ratio with 5-10% PEG-Maleimide-DSPE (Avanti Polar Lipids, Alabaster, AL). Surface amines on the antigen were converted to thiols with the bifunctional molecule SAT(PEG)4 (Thermo Fisher Scientific, Rockford, IL), an amine-reactive NHS ester group linked to an acetylated thiol by a short PEG chain. Deacetylated thiol-modified proteins were conjugated to the maleimide 117 liposomes overnight. Liposomes were purified from unreacted protein by size exclusion chromatography on a Sepharose CL-4B column (GE Healthcare Biosciences, Pittsburgh, PA). Purified fractions were concentrated using a 30 kDa centrifugal filter (EMD Millipore, Billerica, MA) and sterilized with a 0.45 Pm filter (note that a 0.22 pm filter will retain most of the 200 nm particles) (Pall, Port Washington, NY). Injections were performed subcutaneously at the base of the tail. Injection volumes were 50-100 yL. Microneedle fabrication. Antigen was dissolved at 200 yM in PBS, and mixed 1:1 with a 5% sucrose and 13.9% Tween PBS solution. Poly I:C (Invivogen, San Diego, CA) was added to 0.24 mg / mL. 75 jyL antigen solution was added to the top surface of a PLLA microneedle array and carefully spread to cover the base, before removing 35 yL to leave 40 y L solution. The coated arrays were incubated under vacuum overnight. Mice were anesthetized by isoflurane inhalation and ears were immobilized with tape. Microneedle arrays were applied to the ear and held in place for five minutes. 118 A B"~ Fc-gpl20 + CpG gp120 + CpG -a- Fc-gp120 no CpG -49000 -o.01o6n' bs 14000 soc-o20001 0 20 40 W0 8 100 TO*e (hrs) C 4000 8000 700m 3000k 6000 2000 s500_____ 4000- Days post prime 0 Treated Untreated Figure 5.1. Intranasal immunization. (a) Serum titer KA for BALB/c mice immunized intranasally with 150 pmol Fc-stripped core and 3 nmol CpG (blue), 300 pmol stripped core and 3 nmol CpG (green), or 150 pmol Fc-stripped core without CpG (red). Mice were primed at day 0 and boosted at day 14. (b) Serum fluorescence from a C57BL6 mouse immunized with 300 pmol Alexa 647-labeled Fc-stripped core and 3 nmol CpG. (c) Fluorescence from a cervical lymph node from the same immunized mouse ("Treated") and an unimmunized control ("Untreated"). 119 120 B - rp r o (sis Boostweek 2 Boost wek 4 p -0\ i D" sh ( a Al ~POWP&*M pre20 ps2 asic8 13 C y Co(ttid qp120 FC-PI2 -0- Unconjugatcor edgp12O -- Loncorjted Fc-gp2 - .. lue -a- C~fnUgd /c (l-a ouBoostwed w - o~ 8 6 Boost 3- S - Uposomes -0- Akum 41- Adit69 -0 Monterlde Figure 5.2. Subcutaneous liposome immunizations of BALBc mice. (a) Serum titer KA for mice immunized with 7.5 pmol stripped core conjugated to liposomes with 1.3 pg MPLA adjuvant. Mice were boosted at week 2 (blue), week 4 (green), or week 6 (red) after prime, or unboosted (black). (b) Serum titer KA for mice immunized with 7.5 pmol stripped core (solid blue) or 3.75 pmol Fc-stripped, core (solid green) conjugated to liposomes, or 7.5 pmol stripped core (dashed blue) or 3.75 pmol Fc-stripped core (dashed green) mixed with liposomes. All preps also included 1.3 pg MPLA. (c) Serum titer KA for mice immunized with 3.75 pmol Fc-stripped core conjugated to liposomes (solid green) or mixed with alum (dashed red), AddaVax also called Adju,59 (solid black), or Montanide (dashed black). All preps also included 1.3 jug MPLA. 121 122 A Mouse 1 Seq Par Core B Serum pre-incubated withcore gp120 2 i- -cr _Q" I to ~S 0 Mouse 2 Day VRC01 yeawt pre-incubated withcore p120 - Mouse 3 C-50 7;0 -eq - Per -COW 40 20 Mouse 4 10 VO 30 410 Da'* so so 710 Figure 5.3. Heterologous immunogen immunization with liposomes to focus the immune response on the VRC01 epitope. (a) Serum titer KA for mice immunized with immunogens sequentially (Seq), in parallel (Par), or with stripped core only (Core). Titers are measured against yeast displaying stripped core (black), Clone A (blue), Clone B (red), or Clone C (green). Mice have been immunized with Fcstripped core (day 0), Fc-Clone A (day 28), and Fc-Clone B (day 56). (b) Ternary complex assay in which serum from day 63 (after three immunizations) is preincubated with stripped core gp120 before introducing VRC01 yeast. Data points are mean ± standard deviation for four mice. Y-axis is the percent of cells that stain positive for mouse serum. (c) Ternary complex assay in which yeast is preloaded with stripped core gp120 before introducing serum from day 63 (after three immunizations). Data points are mean ± standard deviation for four mice. Y-axis is the percent of cells that stain positive for mouse serum. 123 124 BBo : A LumMoIAssayofMPO .C Black6 ID MBaoM MN 1000 . ka .. maw ) c0000 W teooo aAt ID D Aftw BALB/MN awauum I 4-MN W~b I 200M.0 a 0 0 s Post "" Figure 5.4. Intradermal microneedle delivery. (a) Array of Fc-stripped corecoated poly-L lactic acid microneedles. (b) Serum titrations on gp120 yeast for mice immunized with 1 nmol Fc-stripped core by direct injection-C57BL6 (black), BALB/c (red)-or by microneedle array-C57BL6 (blue), BALB/c (green). Mice were primed on day 0 and boosted on day 28. Serum was collected on day 35. (c) Luminol assay of myeloperoxidase activity. Three mice from either strain C57BL6 (Black6) or BALB/c were administered 1 nmol Fc-stripped core by direct intradermal injection (ID) or by microneedle array (MN). Signal was measured daily for five days, and is quantified in the lower plot. (d) IVIS imaging of BALB / c mice administered 1 nmol Alexa 647-labeled Fc-stripped core by direct injection (ID) or microneedle array (MN). The lower images shown the axillary lymph node and the large patch of skin to which the signal localized after three days. 125 126 A Cell surface titration of MN steering expt 90 -m-only MN.i Day351 -4- Ce-o -o- SueWMN.i Da 35! B Ternary complex assay 50 MN.1 Day 351 40 4- 60 50 aSer-gp120+Y 20 * Ser +gp120-Y 10O 420 40 iCore 1 Core 2 Core 3 Het 1 Hot 2 Het 3 -10 Figure 5.5. Heterologous immunogen immunization with microneedle arrays. C57BL6 mice were primed with 1 nmol Fc-stripped core then boosted 4 weeks later with either 1 nmol Fc-stripped core or 1 nmol Fc-Clone A on microneedle arrays. (a) Cell surface titrations for serum collected on day 35. (b) Ternary complex assay with serum from day 35 from homologous mice (Core) or heterologous mice (Het). The blue bars are the percent serum-positive cells when serum is pre-incubated with stripped core gp120 before introducing VRC01 yeast. 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Inman, Distribution of intranasal instillations in mice: effects of volume, time, body position, and anesthesia, Am J Physiol Lung Cell Mol Physiol 282, L833-9 (2002). 132 Chapter 6. Targeting DEC-205 to deliver antigen to the crosspresentation pathway in dendritic cells Background Neutralizing antibodies are the correlate of protection for successful vaccines against smallpox, poliovirus, rubella, tetanus, and bacterial toxins. Some diseases for which effective vaccines do not yet exist, such as tuberculosis, parasitic infections, and hepatitis C, may require CD8* T cell activation in addition to antibodies in order to be cleared (1). Eliciting a robust CD8* T cell response by vaccination remains a challenge. Dendritic cells (DC) are the key innate mediators of adaptive immunity (2). Like all nucleated cells, DCs present fragments of intracellular antigens on MHC-I molecules for immune surveillance. Like other antigen presenting cells, DCs can display peptides from extracellular antigens on MHC-II molecules to elicit CD4* T cell responses. Unlike most other cell types, however, DCs can also crosspresent antigen-that is, process peptides from extracellular antigens onto MHCI molecules to prime CD8* T cells (3). This is the pathway we seek to exploit by vaccination. DEC-205 is a scavenger receptor on the surface of DCs that recognizes necrotic self antigen (4). It actively transports its cargo into the cross-presentation pathway, most likely in order to induce tolerance to self antigens. Delivery of antigen conjugated to an antibody specific for DEC-205 induces peripheral tolerance, whereas antigen delivered in an immunostimulatory context can activate CD8* lymphocytes (5-8). Other receptors in the family including DCSIGN and the mannose receptor have also been targeted for their crosspresentation potential (9-12). CpG DNA is a promising class of immunostimulatory molecules that engage TLR9 and promote Th1-type inflammation. CG-rich sequences have been implicated in responses to bacterial infection as well as autoimmune disorders 133 (13-16), and their mechanism of engagement of TLR9 has been investigated (1721). CpG DNA has been explored in a number of vaccine and immunostimulatory contexts, both in the lab and in the clinic (22-28). Studies have shown, however, that conjugating antigen to CpG is insufficient to elicit CD8* T cell responses in the absence of robust cross-presentation (29). The objective of this portion of the thesis is to combine antigen cross-presentation with CpG immunostimulation to generate a dendritic cell-targeted vaccine that elicits a strong CD8* T cell response. We engineer fibronectin domains (Figure 6.1A) to bind to DEC-205, express these molecules as fusions to a model ovalbumin antigen, and conjugate CpG DNA to them. This all-in-one package may be small enough to drain to follicular dendritic cells in the lymph node (30, 31). An original design-targeted antigen fused to zinc finger domains bound to double stranded immunostimulatory and/or structured DNA-was discarded in favor of direct conjugation, and is not discussed herein. Results Engineering fibronectins to bind DEC-205. The two outermost extracellular domains of DEC-205-the N-terminal cysteine-rich and type II fibronectin domains-were secreted from HEK-293 cells (Figure 6.1B). This extracellular subunit was the immunogen used to elicit the rat anti-mouse DEC-205 studied by the Steinman laboratory (5, 32, 33), and so was chosen as the antigen target for library sorting. The G4 library of human 10* type III fibronectin domains (Fn3) was displayed on yeast (34, 35). This library of 1x10' unique clones has diversity in antigen binding loop length and amino acid usage that mimics the human antibody CDR repertoire. The library was sorted against antigen-loaded magnetic beads for four rounds (36) before switching to flow cytometry-based sorting for three additional rounds. In between rounds of selection, the library was diversified by errorprone PCR in the manner of Hackel et al. (37). By the fifth round of sorting the library was able to bind well to 20 nM soluble DEC-205, and this affinity 134 increased in the sixth round before reaching a plateau in the seventh round (Figure 6.1C). After seven total rounds of sorting, 16 individual clones from the library were isolated and sequenced. Four of these were displayed on yeast as single clones and binding to soluble DEC-205 was measured. The fitted KD values ranged from 0.5-1.25 nM (Figure 6.1D). Ten clones were then subcloned into a pET vector for expression in bacteria, immediately upstream of the ovalbumin MHC-I peptide, SIINFEKL, and a terminal cysteine. SDS-PAGE analysis of bacterial lysates indicated that four clones were expressed at high levels, three at medium levels, and three hardly at all (data not shown). Sequences of select Fn3 are shown in Table 6.1. Conjugation of Fn3 clones to CpG DNA. Expressed proteins were purified on Talon resin and conjugated to CpG DNA by means of a heterobifunctional crosslinker SM(PEG)8 . Amine-terminated CpG DNA was reacted with the NHS ester of the cross-linker, desalted to remove excess linker, then conjugated to the terminal thiol on the reduced Fn3. Gel electrophoresis indicated that the conjugation had occurred and that the single conjugate was the dominant product (Figure 6.2A), but further purification by ion exchange or size-exclusion chromatography did not produce a pure product. Effect on bone marrow-derived dendritic cells. We attempted to measure the binding of select clones to DEC-205 on primary bone marrow-derived dendritic cells (BMDC-hematopoetic stem cells cultured with GM-CSF). DEC-205 is expressed at low levels on BMDCs (2000-5000 copies per cell) and BMDCs are sticky, which made generating clean binding isotherms difficult. Equilibrium binding constants measured both with two-step labeling and competition titrations were calculated to be single-digit nanomolar (data not shown). Endotoxin removal from protein preparations was an enduring challenge. BMDCs were treated with Fn3-OVAp and Fn3-OVAp-CpG at various concentrations for 24 hours and activation was assayed by IL12-p70 secretion (Figure 6.2B). The unconjugated fibronectins generated higher cytokine secretion 135 than their conjugated counterparts, which suggests that the endotoxin present in the preparation outweighed any immunostimulation provided by the CpG. A preliminary attempt to measure cross-presentation suggested that BMDCs might be able to cross present OVA peptide following treatment with Fn3OVAp. BMDCs were treated with Fn3-OVAp for 11 hours and the number of peptide-MHC complexes was detected by flow cytometry by labeling with antibody 25D1-16 specific for SIINFEKL-Kb (38). All four Fn3-OVAp clones tested had peptide-MHC levels similar to a 1 nM pulse of SIINFEKL peptide (Figure 6.2C, 2D). There was no clear dose response, perhaps because the few DEC-205 molecules per BMDC were saturated. Discussion This section of the thesis remains largely preliminary. We developed fibronectin binders to the dendritic cell surface receptor DEC-205 by standard directed evolution and yeast surface display. The molecules bound soluble DEC-205 as well as primary bone marrow-derived dendritic cells. Proteins were expressed in bacterial cells, purified, and conjugated to immunostimulatory CpG DNA, but the presence of CpG did not enhance the secretion of the inflammatory cytokine IL12-p70, perhaps because of residual endotoxin. Many fundamental experiments were shelved when the immunogen engineering project took off. For example, conjugation of CpG to the validated rat anti-mouse DEC-205 antibody would demonstrate whether the DEC-205 internalization pathway crosses paths with TLR9, indicating whether this combination of receptor and immunostimulant have synergistic potential. There are other potential directions for this project that do not involve direct cross-presentation and immunostimulation. For example, the DEC-205-binding Fn3 could be conjugated to IgGs, like the multi-epitopic EGFR-targeting molecules developed by Jamie Spangler and now in wide use in the lab (39), to engage dendritic cells in immunotherapy or other applications. 136 Materials & Methods Fibronectin engineering. The library was diversified by error-prone PCR in the manner of Hackel et al. (37). See Ben Hackel's thesis for a detailed protocol. Briefly, loops were subjected to a high mutagenesis rate then shuffled together, while the whole gene was subject to a low mutagenesis rate to search for beneficial, stabilizing framework mutations. The "gene" and "loop" libraries were then transformed into yeast and sorted on beads (36) or by flow cytometry (40) using standard methods. Protein expression, purification, and conjugation to CpG. Proteins were expressed in E. coli and purified on Talon resin. 5'-amino CpG DNA 1826 (phosphorothioate backbone 5'- TCCATGACGTTCCTGACGTT - 3') was reacted with the NHS ester of SM(PEG),, desalted to remove excess linker, and conjugated in excess to the reduced terminal thiol on Fn3. Culturing dendritic cells. BMDCs were derived by culturing hematopoetic stem cells in GM-CSF, as described by Inaba et al. (41). Briefly, C57BL / 6 mice were euthanized, and tibias and femurs collected and cleaned. Hematopoetic stem cells were extracted by flushing out the bone marrow with PBS and lysing the red blood cells in hypotonic solution. Cells were resuspended in DC medium (RPMI 1640 + 5% FBS + 1% Pen-Strep + L-Glutamine + GM-CSF 1:30 dilution J5 supernatant) at 2x105 mL-' and distributed in 24-well plates (1 mL per well). On days 2 and 4, old media was replaced with 1 mL fresh media. On day 6, loosely adherent cells were collected by gentle pipetting and resuspended at 1x10 6 mL-1 in fresh media. These cells were promptly used for flow cytometry, or plated for treatment assays. 137 138 A FG - BC B ----1 2 tni *= 0 -M4 C 4 4.2 so 10 0 125 0 Ubrwy *3.2 go- 7 0 5 -r"**WPf D 100 3 1 A + 721 - Ka'.050W4 729 4 ' 80WW 72 11 - 72,12 K . 254M - r4 0-714A -4. 0.5 5.2 40 6.2 *7.2 20 0 10 0.25 00.01 10E C 101 0.1 1 10 AIGX&488DEC-205 $nho Alexa488-DEC-205 Figure 6.1. Engineered fibronectin binders to DEC-205. (a) Fibronectin domain with antigen binding loops shown in red, blue, and orange. (b) Schematic of DEC-205, with outermost two ectodomains marked with dashed line. SDS-PAGE of soluble DEC-205 secreted from HEK 293 cells. (c) Libraries from sequential rounds of directed evolution binding to 20 nM soluble DEC205. Sorting was performed by FACS beginning in round 5. (d) Titration of soluble DEC-205 on yeast displaying select fibronectin clones. 139 140 IL-12 p70EUSA A 1 23 4 5 B 6 +-Dimer q#--- Conjugate I C D SINFEKL peptide pulse 20 Is 10 hkAu loriI pMHC complexes- I hr Incubation 1 1hU 2. 0.01 01 1 10 too ~11 1000 + Owcl-C Dsc2-C D~O4-C XDso" A Dm00-C 100 Conoma*01 SWFM 0'- P10005 00n.1mn (11t" Figure 6.2. Effect on bone marrow-derived dendritic cells (BMDC). (a) Select fibronectin clones with terminal cysteine (1) and conjugated to CpG DNA by maleimide-thiol chemistry (2-6). (b) Activation of BMDCs as measured by IL-12 p70 secretion for various concentrations of select fibronectins with and without conjugation to CpG DNA. (c) Detection of OVA peptide-MHC complexes on BMDCs pulsed with SIINFEKL using antibody 25D1-16. (d) Detection of OVA peptide-MHC complexes on BMDCs incubated with DEC-205-targeted fibronectins fused to OVAp using antibody 25D1-16. 141 142 Table 6.1. Sequences of select fibronectin clones Clone 7.2.1 7.2.2 7.2.4 7.2.5 7.2.9 7.2.11 7.2.12 WT Fn3 BC RSTPYAAY RNTPYAAH RSTPYAAY RNTPYAAH RSTPYAAH HSSAYAYS HPSAYAYS DAPAVTVR DE RSASS RSASS RSNSS RRFSV RSRSK WRRTN WRRTN GSKST FG WTGYPL WTGYPL WTGYSL WTGYPL WTGYPL WTNYSL WTGYPL GRGDSPASSK 143 Framework V11A, V72A L8Q, S24N, A71T, V751, Y92H L19P, P85S, 190T L8Q, S24N V1 A, P44S, T49A, D67G, T94A V10A, V45A V10A, T39A, N42S, K63R, D67G Works Cited 1. R. M. Zinkernagel, On natural and artificial vaccinations, Annu Rev Immunol 21, 515-546 (2003). 2. P. Guermonprez, J. Valladeau, L. Zitvogel, C. Thdry, S. Amigorena, Antigen presentation and T cell stimulation by dendritic cells, Annu Rev Immunol 20, 621667 (2002). 3. P. 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