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Characterisation of New Potential
Vaccine Candidates against Infections
caused by Staphylococcus aureus
Inaugural-Dissertation zur Erlangung des Doktorgrades
der Mathematisch-Naturwissenschaftlichen Fakultät
der Universität zu Köln
vorgelegt von
Bettina Tosetti
aus Neuss
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Strany 1 - Bettina Tosetti

Characterisation of New PotentialVaccine Candidates against Infectionscaused by Staphylococcus aureusInaugural-Dissertation zur Erlangung des Doktorgr

Strany 2 - Prof. Dr. Jonathan C. Howard

2 Introduction1997; Patel et al., 1987; Peacock et al., 1999).2.2 Antibiotic resistance of S. aureusTo date antibiotics are the only effective therapy

Strany 3 - Contents

2 Introduction2.3 Vaccination strategies against S. aureus2.3.1 Active immunisationSince first vaccination studies employing active immunisation using

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2 Introductionor SdrE significantly reduced the bacterial load in infected kidneys (Stranger-Jones et al.,2006). Moreover, as observed in the same stud

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2 Introductionpreparation targeting CP5 and CP8 obtained from volunteers immunised with StaphVaxTM(Altastaph; Nabi Biopharmaceuticals) failed to prove

Strany 6 - 1 Abbreviations

2 Introductiontimicrobial actions mediated by antibodies. It was shown that IgM or IgG specific for Bor-relia burgdorferi surface proteins damage the s

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3 Material and Methods3.1 Material3.1.1 Chemicals and enzymesChemicals were of research grade and purchased from AppliChem, Merck, Sigma-Aldrich,ROTH

Strany 8 - 2 Introduction

3 Material and MethodsMedia / Antibiotics CompositionLB -Medium 1 % Tryptone; 0.5 % Yeast extract; 0.5 % NaCl; pH 7.0LB-Agar1 % Tryptone; 0.5 % Yeast

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3 Material and MethodsBuffers and Solutions Composition10 % SDS 100 g SDS in 1000 ml A. bidest.Prehybridisation 3.5 x SSC, 0.1 % SDS, 10 mg/ml BSA in

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3 Material and MethodsBuffers and Solutions CompositionCoomassie stainingStaining solution 2.5 % Serva blue R250, 45 % Ethanol, 15 % Acetic acidDe-col

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3 Material and MethodsBuffers and Solutions CompositionElution buffer 0.1 M Glycine-HCl; pH 2.5Neutralisation buffer 1 M Tris-HCl; pH 9.03.1.4 Technic

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Berichterstatter: Prof. Dr. Martin KrönkeProf. Dr. Jonathan C. HowardTag der mündlichen Prüfung: 12.07.20102

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3 Material and MethodsDevice Specification ProviderTank-Blotter Trans-Blot cell (16x20 cm) Bio-RadTest-Tube-Rotator Model 34528 SnjidersThermomixer Com

Strany 14 - 2.4 Aim of the study

3 Material and MethodsDesignation ManufacturerQIAprep Spin Miniprep QiagenQIAquick PCR Purification QiagenRNeasy Mini Kit QiagenSuperscript®III first st

Strany 15 - 3 Material and Methods

3 Material and MethodsGene Name Sequence (5’ to 3’)qPCR ferritinferri-f CAG CAC CAA AAA TTG ACT TTT CAA Gferri-r TCT TGA CGA GCG ATT TCA GAT AAG TTA3.

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3 Material and Methods3.2 Methods3.2.1 Depletion of specific IgGs from IVIGS. aureus ATCC 29213 or E coli K12 XL1blue from an overnight (ON) culture wa

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3 Material and Methodsand the pellets washed once with ice-cold TE pH 8.0, and immediately subjected to RNAisolation3.2.3 RNA isolationSubsequent to w

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3 Material and MethodsThe Dye-coupling reaction was stopped by addition of 35 µl 100 mM NaOAc pH 5.2. Sam-ples intended for co-hybridisation were mixe

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3 Material and Methodsvs. PBS). Recommended settings for filtering criteria were applied to exclude signals fromthe dataset, which are not exceeding ba

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3 Material and Methodsurea for 2-D gel electrophoresis (2-DE). Protein concentration was determined using theBio-Rad DC assay in a 1:4 dilution accord

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3 Material and Methodstransformed into E. coli BL 21 for protein expression.Clones with the highest efficiency in the expression of the respective fusi

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3 Material and Methodswas neutralised by addition of a sufficient amount of 1 M Tris-HCl (pH 9.0). IgG-containingfractions were pooled and, after buffe

Strany 23 - 3.2 Methods

Contents1 Abbreviations 62 Introduction 82.1 Clinical relevance and pathogenicity of Staphylococcus aureus . . . . . . . 82.2 Antibiotic resistance of

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3 Material and Methods3.2.14 In vitro opsonophagocytic killing of S. aureus by human neutrophilsTo assess killing of S. aureus by neutophils, in contr

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3 Material and Methods3.2.17 Statistical analysisGrowth curve results were statistically analysed by one-way ANOVA, followed by Bonfer-roni post analy

Strany 26 - × LightCycler

4 Results4.1 Characterisation of the bacteriostatic effect mediated by S. aureusspecific IgGs4.1.1 Human serum inhibits in vitro growth of S. aureusIt

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4 Results0 60 120 180103104105106LB25% PBS25% human serum25% HI-serum*********t (min)CFU / ml0 60 120 180103104105106LB*********50% PBS50% HI-serum50%

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4 Results0 60 120 180103104105106LB25 % PBS25 % IVIG****t (min)CFU / ml0 60 120 180103104105106LB50 % PBS50 % IVIG*****t (min)CFU / mlABFigure 4.2:Ef

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4 Results4.1.3 Bacteriostatic effect on S. aureus is mediated by S. aureus specific IgGsTo ensure that the observed inhibitory effect mediated by IVIG

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4 Resultscontrol LB dSaPBS dSaIVIG dEcIVIG IVIG 0255075100125*********120 minCFU / ml(% of control)Figure 4.4:Effect of IVIG on in vitro growth of S.

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4 Results4.1.4 Gene expression profiling of S. aureus over the course of bacteriostasisTo elucidate the mechanism leading to the observed bacteriostati

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4 Results39Function unknown19Inorganic compound transport & metabolism (15)12Amino acid transport & metabolism (3)11Co-enzyme metabolism (4)8N

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4 ResultsTable 4.1:Differentially expressed genes related to iron uptake and metabolism in IVIG versus dSaIVIGtreated samples revealed by microarray a

Strany 34 - ∗ = p < 0.05;

Contents3.2.9 Subtractive proteome analysis (SUPRA) . . . . . . . . . . . . . . . . 273.2.10 Cloning, expression and purification of vaccine candidates

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4 ResultsTo identify differentially expressed genes in IVIG treated samples at each time point (t0,t30 and t60), microarrays were hybridised in parall

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4 Results31 genes9Function unknown6Carbohydrate transport & metabolism3Energy production & conversion3Translation, ribosomal structure & b

Strany 37 - CFU / ml

4 ResultsAll genes falling into one of these two categories, including potential regulators are listedin Table 4.2 (for all 78 genes see Table 9.3 in

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4 ResultsRogers, 1980; Goel and Kapil, 2001). Thus, quantitative real time PCR (qPCR) for selectediron related genes was applied to validate the micro

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4 Resultsmicroarray qPCRt0 t30 t60-4-2024fold changet0 t30 t60-4-2024fold changeA Bfurcatalaset0 t30 t60-4-2024fold changet0 t30 t60-4-2024fold change

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4 ResultsIVIG vs dSaIVIG dSaIVIG vs. PBSIVIG vs. PBSt0 t30 t60-4-2024fold changet0 t30 t60-4-2024fold changeABfurcatalaset0 t30 t60-4-2024fold changet

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4 Results4.2 Identification and characterisation of potential vaccine candidatesagainst S. aureus4.2.1 Subtractive proteome analysis (SUPRA) of anchorl

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4 Results204320392037/2038222120362042205020532056215521612219222224252406hp2160"2158kDa310pI21304566972037/2038222120422050205320562155216122192

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4 ResultsTable 4.3: Immunogenic anchorless cell wall proteins from S. aureus ATCC 29213 identified by SUPRAGI protein Spot ID Predicted function pIa)MW

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4 ResultsFurthermore, the two most obvious candidates S. aureus protein A (Spa, several spotsbetween 45 and 66 kDa) and immunodominant antigen A (IsaA

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Contents7 Zusammenfassung 668 Bibliography 689 Supplement 7810 Danksagung 8611 Erklärung 8712 Lebenslauf 885

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4 ResultsAE. coliLysBL21-BT1 Lyspur. BT1170130100705540352515BT1anti-BT1170130100705540352515E. coliLysBL21-BT2 Lyspur. BT2BT2anti-BT21701301007055403

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4 Results10010110210310480706050403020100Serum75.4 %10010110210310480706050403020100HI-Serum77.2 %10010110210310480706050403020100anti-BT147.4 %100101

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4 Results0 10 20 30 40 50 60 70 80 90 10020406080100120dSaIVIGIVIG anti-BT32.5% HI-serumno ABanti-BT1anti-BT2*******************t (min)Bacterial surv

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4 Resultschallenged intravenously with 3 x 107CFU of S. aureus strain ATCC 29213 one week afterthe second booster immunisation. For two weeks infected

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4 Results0 5 10 15020406080100BT1BSAP= 0,0488t (days)Percent survival0 5 10 15020406080100BT2BSAP= 0,6821t (days)Percent survival0 5 10 15020406080100

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4 Results0 5 10 15020406080100BT1BSAp = 0.0168t (days)Percent survival0 5 10 15020406080100BT3BSAp = 0.2787t (days)Percent survival0 5 10 150204060801

Strany 52 - Bacterial survival (%)

5 DiscussionS. aureus causes apart from minor skin infections severe life-threatening invasive diseaseslike pneumonia, endocarditis and sepsis in heal

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5 Discussioncould be depleted by over night co-incubation of IVIG with S. aureus (dSaIVIG), thus provingthat S. aureus specific IgGs mediate the inhibi

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5 Discussionthat the expression of iron related genes was altered due to dSaIVIG treatment, hence notrepresenting the mechanism underlying bacteriosta

Strany 55 - Percent survival

5 Discussion5.2 Identification and characterisation of potential vaccine candidatesagainst Staphylococcus aureusThe steadily growing interest in a prot

Strany 56 - 5 Discussion

1 Abbreviationsaa-dUTP 5-(3-Aminoallyl)-2’-deoxyuridine 5’-triphosphateACW-proteins Anchorless cell wall proteinsANOVA Analysis of varianceAPS Ammoniu

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5 Discussionremains the identification of eligible candidate proteins (Projan et al., 2006). The major pre-requisite for a target protein is the expres

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5 DiscussionSince ACW proteins are not traceable by bioinformatic genome screenings, we applied aproteomic approach on an ACW-protein preparation from

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5 Discussionreach statistical significance.Since the previously obtained results concerning eno, oxo and hp2160 demonstrated thatthese in vitro assays

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5 DiscussionBT3.Remarkably SUPRA led to the identification of 39 immunogenic proteins within the ACW-proteins of S. aureus. The results obtained to dat

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6 AbstractDue to the rapid emergence of S. aureus strains resistant to multiple antibiotics and thetherewith increased mortality rates, the developmen

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6 Abstractextent using dSaIVIG were identified by MALDI-TOF analysis. SUPRA led to the identifica-tion of 37 new potential vaccine candidates among ACW

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7 ZusammenfassungBedingt durch die rasante Entstehung multiresistenter S. aureus (MRSA) Stämmen undder damit einhergehenden gestiegenen Mortalität, is

Strany 64 - 6 Abstract

7 Zusammenfassungpolyvalenten Vakzine gegen S. aureus erweitern. Zu diesem Zweck wurde eine neue sub-traktive Proteom Analyse (SUPRA) von Zellwand-ass

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8 BibliographyANTELMANN, H., H. YAMAMOTO, J. SEKIGUCHI, and M. HECKER, 2002. Stabilization of cellwall proteins in Bacillus subtilis: a proteomic appr

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8 BibliographyBERNARDO, K., N. PAKULAT, S. FLEER, A. SCHNAITH, O. UTERMÖHLEN, O. KRUT,S. MÜLLER, and M. KRÖNKE, 2004. Subinhibitory concentrations of

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1 Abbreviationshp2160 hypothetical protein similar to esterase (spot ID 2160)IEF Isoelectric focussingIgG Immunoglobulin GIgM Immunoglobulin MIPG Immo

Strany 68 - 8 Bibliography

8 BibliographyCONNOLLY, S. E., D. G. THANASSI, and J. L. BENACH, 2004. Generation of a Complement-Independent Bactericidal IgM against a Relapsing Fev

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8 Bibliographycomposed of Staphylococcus aureus type 5 and type 8 capsular polysaccharides conju-gated to Pseudomonas aeruginosa exotoxin A. Infect Im

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8 BibliographyGOEL, V. and A. KAPIL, 2001. Monoclonal antibodies against the iron regulated outermembrane Proteins of Acinetobacter baumannii are bact

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8 Bibliographycus aureus USA 300 clone as the predominant cause of skin and soft-tissue infections.Ann Intern Med, 144(5) 309–17KLEVENS, R. M., M. A.

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8 BibliographyMAIRA-LITRAN, T., A. KROPEC, D. GOLDMANN, and G. B. PIER, 2004. Biologic propertiesand vaccine potential of the staphylococcal poly-N-ac

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8 BibliographyPATEL, A. H., P. NOWLAN, E. D. WEAVERS, and T. FOSTER, 1987. Virulence of proteinA-deficient and alpha-toxin-deficient mutants of Staphylo

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8 BibliographyRUPP, M. E., J. HOLLEY, H. P., J. LUTZ, P. V. DICPINIGAITIS, C. W. WOODS, D. P. LEVINE,N. VENEY, and J. FOWLER, V. G., 2007. Phase II, r

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8 BibliographyVERNACHIO, J. H., A. S. BAYER, B. AMES, D. BRYANT, B. D. PRATER, P. J. SYRIBEYS,E. L. GOROVITS, and J. M. PATTI, 2006. Human immunoglobu

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9 SupplementTable 9.1: Differentially expressed genes in IVIG versus dSaIVIG and IVIG versus PBSCommona)Predicted function GI proteint0 t30 t60FC 1b)F

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9 SupplementList of the 236 differentially expressed genes in IVIG compared to dSaIVIG treated samples (con-tinued)Commona)Predicted function GI prote

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2 Introduction2.1 Clinical relevance and pathogenicity of Staphylococcus aureusStaphlococcus aureus is a facultatively anaerobic gram-positive coccus,

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9 SupplementList of the 236 differentially expressed genes in IVIG compared to dSaIVIG treated samples (con-tinued)Commona)Predicted function GI prote

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9 SupplementList of the 236 differentially expressed genes in IVIG compared to dSaIVIG treated samples (con-tinued)Commona)Predicted function GI prote

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9 SupplementList of the 236 differentially expressed genes in IVIG compared to dSaIVIG treated samples (con-tinued)Commona)Predicted function GI prote

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9 SupplementList of the 236 differentially expressed genes in IVIG compared to dSaIVIG treated samples (con-tinued)Commona)Predicted function GI prote

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9 SupplementTable 9.3: List of the 78 differentially expressed genes in IVIG compared to PBS treated samplesCommona)Predicted function GI proteint0t30

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9 SupplementList of the 78 differentially expressed genes in IVIG compared to PBS treated samples (continued)Common Predicted function GI proteint0t30

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10 DanksagungFür die wertvollen Diskussionen und Ideen sowie die engagierte Leitung während der ge-samten Arbeit möchte ich mich bei Herrn Prof. Dr. M

Strany 86 - 10 Danksagung

11 ErklärungIch versichere, dass ich die von mir vorgelegte Dissertation selbständig angefertigt,die benutzten Quellen und Hilfsmittel vollständig ang

Strany 87 - 11 Erklärung

12 LebenslaufAngaben zur PersonName Bettina TosettiGeburtsdatum und -ort 21.02.1978, NeussFamilienstand ledigStaatsangehörigkeit deutschHochschulausbi

Strany 88 - 12 Lebenslauf

2 IntroductionBesides covalently linked protein adhesins, also anchorless cell wall proteins (ACW pro-teins) mediating adhesion to extracellular matri

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