Previous Article | Next Article 
Journal of Bacteriology, June 2000, p. 3597-3601, Vol. 182, No. 12
0021-9193/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Cryptic and Exposed Invariable Regions of VlsE, the
Variable Surface Antigen of Borrelia burgdorferi
sl
Fang Ting
Liang,
Jena M.
Nowling, and
Mario T.
Philipp*
Department of Parasitology, Tulane Regional
Primate Research Center, Tulane University Medical Center,
Covington, Louisiana 70433
Received 22 November 1999/Accepted 24 March 2000
 |
ABSTRACT |
Borrelia burgdorferi, the Lyme disease spirochete,
possesses a surface protein, VlsE, which undergoes antigenic variation. VlsE contains two invariable domains and a variable one that includes six variable and six invariable regions (IRs). Five of the IRs are
conserved among strains and genospecies of B. burgdorferi sensu lato. IR6 is conserved, immunodominant, and exposed
at the VlsE surface but not at the spirochete surface, as assessed in vitro. In the present study, the remaining conserved IRs
(IR2 to IR5) were investigated. Antisera to
synthetic peptides based on each of the IR2 to
IR5 sequences were produced in rabbits. Antipeptide
antibody titers were similarly high in all antisera. Native VlsE was
immunoprecipitable with antibodies to IR2, IR4, and IR5 but not to IR3, indicating that the
first three sequences were exposed at the VlsE surface. However,
negative surface immunofluorescence and in vitro antibody-mediated
killing results indicated that none of the IRs were accessible to
antibody at the spirochetal surface in vitro.
 |
TEXT |
Lyme disease, which is caused by the
spirochete Borrelia burgdorferi, affects multiple tissues
and organs in humans and in animals (19). In untreated
individuals, Lyme disease spirochetes can persist for extended periods,
even in the presence of a vigorous and persistent immune response
(18). Chronic infection may be achieved through a variety of
mechanisms, including limited exposure of antigenic targets
(6), seclusion of the organisms into immune-privileged sites
(14), local and/or systemic suppression of harmful immune responses (8), and antigenic variation (23).
Antigenic variation is an effective strategy evolved by pathogenic
microorganisms to evade the host immune system (4). Antigens
such as the variant surface glycoprotein of African trypanosomes (5, 22), the variable major protein of the spirochete
Borrelia hermsii (13, 20), and the variable
surface antigen (VlsE) of B. burgdorferi (23)
contain both invariable and variable domains. Antigenic variation
affects only the variable domains. Even within variable domains, short
invariable regions may be present. The invariable domains and regions
are important in maintaining the functional structure of the molecule
(4). The variable domains are highly immunogenic and serve
as the major target of the host immune response (4, 5, 13, 20, 22,
23). Invariable portions of the variant surface glycoprotein and
variable major protein antigens have not been found to be antigenic
during natural infections, although antibodies directed to these
conserved sequences may be produced by immunization (1, 3,
7).
Among molecules that undergo antigenic variation, VlsE is unusual in
that more than 75% of its primary structure is invariable. This
invariable portion of the molecule is composed of two domains at the
amino and carboxyl termini, respectively, which together encompass
approximately half of the molecule's length, and six small invariable
regions (IR1 to IR6) that are interspersed
within the central variable domain (Fig.
1) (11, 23). Any such
invariable portion could be explored as a possible target for a
protective immune response and vaccine development.

View larger version (10K):
[in this window]
[in a new window]
|
FIG. 1.
Diagrammatic illustration of the VlsE structure. VlsE
consists of two invariable domains at the amino and carboxyl termini
and a variable one at the center. The variable domain contains six
variable regions, VRI to VRVI, and six
invariable ones, IR1 to IR6. The sequences of
the invariable regions are based on those of the variable domain of
VlsE expressed by strain IP90 of B. garinii
(11).
|
|
To avoid immune responses harmful to the organism, invariable portions
may be (i) not exposed on the surface of the molecule, (ii) exposed on
the surface of the molecule but not at that of the spirochete, or (iii)
nonantigenic, either because of an intrinsic lack of antigenicity in a
given host species or because other regions of the molecule are
immunodominant. We have already demonstrated that one of the invariable
regions of VlsE, namely IR6, is strongly antigenic, exposed
at the molecule's surface but not accessible to antibody at the
surface of the spirochete in vitro (11).
In the present study, we investigated the exposure, at the surface both
of the VlsE molecule and of the spirochete, of four additional
invariable regions, IR2 to IR5. To address this
issue, we generated antibodies to these four regions by immunizing
rabbits with synthetic peptides conjugated to keyhole limpet hemocyanin (KLH). Rabbit antisera were used in immunoprecipitation experiments with native VlsE to determine exposure of invariable regions at the
VlsE surface. Exposure of IR2 to IR5 at the
spirochete's surface was assessed by indirect immunofluorescence and
by antibody-dependent, complement-mediated killing (ADCK) assays using
the rabbit antipeptide antibodies.
Borrelia garinii strain IP90 (low passage) was obtained from
the Centers for Disease Control and Prevention (Fort Collins, Colo.).
Spirochetes were cultivated in Barbour-Stoenner-Kelly (BSK-H) medium
supplemented with 10% rabbit or human serum (Sigma Chemical Co., St.
Louis, Mo.), as described previously (16).
Reactivity of rabbit antipeptide antibody with the VlsE
protein.
To generate antibody to invariable regions of VlsE,
peptides were prepared using the fluorenylmethoxycarbonyl synthesis
protocol (2) according to the sequences listed in Fig. 1.
The synthetic peptides C2, C3, C4,
and C5 represented the sequences of IR2, IR3, IR4, and IR5, respectively. A
cysteine residue was included at the NH2 terminus of each
synthetic peptide and used as a conjugation site when KLH was used as a
carrier. Conjugation of the synthetic peptides to KLH was performed by
the N-succinimidyl maleimide carboxylate method. The
maleimide reagent was from Molecular Probes (Eugene, Oreg.), and the
protocol suggested by the manufacturer was followed. The synthetic
peptides were also conjugated to biotin and used as peptide-based
enzyme-linked immunosorbent assay (ELISA) antigens. Six-month-old New
Zealand White rabbits were given three injections at biweekly intervals
of 200 µg of peptide-KLH conjugate emulsified with Freund's complete
(first injection) or incomplete adjuvant (remaining injections). Ten
days after the last injection, the antibody reactivity was determined
by peptide-based ELISA and immunoblotting.
The peptide-based ELISA was performed as previously described
(11). Ninety-six-well ELISA plates were coated with 100 µl of streptavidin (4 µg/ml) per well (Pierce Chemical Company,
Rockford, Ill.) in coating buffer (0.1 M carbonate buffer [pH 9.2])
and incubated at 4°C overnight. The remaining steps were conducted in
a rotatory shaker at room temperature. After two 3-min washes with 200 µl of phosphate-buffered saline-Tween 20 (PBS-T; PBS containing 0.1%
Tween 20 [pH 7.4]) per well at 200 rpm, 200 µl of biotinylated
peptide (5 µg/ml) dissolved in blocking solution (PBS-T supplemented
with 5% nonfat dry milk) was applied to each well. The plate was
shaken at 150 rpm for 2 h. After three washes with PBS-T, 50 µl
of serial dilutions of rabbit serum with blocking solution was added to
each well. The plate was incubated at 150 rpm for 1 h and then
washed three times with PBS-T. Each well then received 100 µl of
0.2-µg/ml goat anti-rabbit immunoglobulin G (IgG) (heavy- and
light-chain specific [Sigma])-horseradish peroxidase conjugate
dissolved in blocking solution. The plate was incubated for 1 h
while shaking. After four washes with PBS-T each for 3 to 6 min, the
antigen-antibody reaction was probed using the TMB microwell peroxidase
substrate system (Kirkegaard & Perry Laboratories, Gaithersburg, Md.),
and color was allowed to develop for 10 min. The enzyme reaction was
stopped by addition of 100 µl of 1 M H3PO4.
Optical density (OD) was measured at 450 nm. Peptide-based ELISAs
revealed that antibodies to all of the peptides had similar titers of
1:204,800 (Fig. 2). To confirm the
specificity of antipeptide antibodies, rabbit antiserum to each of the
peptides was allowed to react with all of the other peptides using the
ELISA described above. No signals were detected above background,
indicating that the antipeptide antibodies were specific (data not
shown).

View larger version (20K):
[in this window]
[in a new window]
|
FIG. 2.
ELISA titers of rabbit antisera to synthetic peptides.
Rabbit antipeptide antisera were serially diluted fourfold and reacted
with the corresponding peptide bound to an ELISA plate, following the
procedure described in the text. Titer was defined as the highest serum
dilution at which the ELISA OD was larger than the mean OD value of the
preimmune sera of all of the rabbits plus 3 standard deviations.
|
|
To assess if antipeptide antibodies react appropriately with the
original antigen VlsE, whole-spirochete cell lysate immunoblots were
conducted. IP90 spirochetes grown to stationary phase in BSK-H medium
were harvested and washed twice with PBS by centrifugation at 10,000 × g for 10 min. Resultant pellets were dissolved in sodium
dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) sample
buffer (125 mM Tris, 3% SDS, 5%
-mercaptoethanol, 10% glycerol,
0.01% bromophenol blue [pH 6.8]) at a concentration of
108 organisms per ml and incubated at 95°C for 5 min.
Approximately 10 µl of such preparation was applied to each lane of a
10-well minigel of 12% acrylamide. Resolved proteins were transferred onto nitrocellulose in Towbin transfer buffer (21). The blot was shaken in blocking solution for 2 h and then in the same
solution supplemented with a 1:500 dilution of preimmune or immune
rabbit serum for an additional 1 h. After three washes with PBS-T,
the blot was incubated in 0.2 µg of goat anti-rabbit IgG-horseradish peroxidase conjugate per ml for 1 h. After three more washes with PBS-T, the blot was developed in PBS-T supplemented with 0.05% 4-chloro-naphthol, 0.015% H2O2, and 17%
methanol. Although immunization resulted in similar ELISA titers for
all of the immune sera, rabbit antisera to peptides C2 and
C4 reacted with VlsE more intensely than
anti-C3 and -C5 antisera (Fig.
3). The single immunoblot band revealed
by each individual rabbit antiserum indicated that antibodies raised
against synthetic peptides reacted only with VlsE and that the
reactivity was specific. However, our experiment cannot rule out the
possibility that antipeptide antibodies also bind other regions of
VlsE, such as variable regions and invariable domains. We believe that
this is very unlikely.

View larger version (53K):
[in this window]
[in a new window]
|
FIG. 3.
Reactivity of rabbit antipeptide antibodies with VlsE. A
whole-cell lysate of B. garinii IP90 spirochetes was
separated by SDS-PAGE and transferred onto nitrocellulose. The blot was
allowed to react with preimmune or rabbit antipeptide antiserum. MW,
molecular weight (values are in thousands).
|
|
IR2, IR4, and IR5 but not
IR3 are exposed at the surface of VlsE.
Immunoprecipitation was used to determine if invariable regions are
exposed at the VlsE surface. Immunoprecipitation was conducted at
4°C. Approximately 2.5 × 1010 IP90 spirochetes
harvested at stationary growth phase were washed twice with PBS and
extracted in 7.5 ml of solubilization buffer (50 mM Tris-HCl, 1%
Triton X-100, 1 mM EDTA [pH 7.6]) for 30 min. The mixture was
centrifuged at 13,000 × g for 30 min, and the supernatant was collected. Each sample of 1.5 ml of this supernatant was mixed with 30 µl of preimmune or immune rabbit serum and
incubated for 30 min. Fifty microliters of drained ImmunoPure
immobilized protein G beads (Pierce) preequilibrated in solubilization
buffer was then added and incubated for an additional 30 min. The beads were washed twice with excess volumes of this buffer by centrifugation at 3,000 × g for 20 min and resuspended in 150 µl of
nonreducing SDS-PAGE sample buffer (125 mM Tris-HCl, 3% SDS, and 20%
glycerol [pH 6.8]). The suspension was incubated at room temperature
for 30 min and then centrifuged at 16,000 × g for 30 min. Ten microliters of supernatant was loaded onto each of 10 lanes of
a SDS-12% acrylamide minigel. Separated proteins were
electrotransferred to nitrocellulose in Towbin transfer buffer
(21). The blot was then processed as described above and was
developed with rabbit anti-C6 antiserum. The sequence of
the synthetic peptide C6 was based on IR6
(11). This antiserum reacted strongly with VlsE. Rabbit
antisera to C2, C4, and C5 were
able to precipitate VlsE, indicating that IR2,
IR4, and IR5 were exposed at the surface of
this antigen (Fig. 4). In contrast, VlsE
was not precipitated with anti-C3 antibody. Preimmune serum
was also negative.

View larger version (54K):
[in this window]
[in a new window]
|
FIG. 4.
Exposure of IR2, IR4, and
IR5 at the VlsE surface. VlsE from B. garinii
strain IP90 spirochetes was extracted with solubilization buffer and
immunoprecipitated with rabbit antipeptide antiserum or preimmune serum
and protein G-agarose. Solubilized immunoprecipitates were separated by
SDS-PAGE and blotted onto nitrocellulose. VlsE was visualized with
rabbit anti-C6 antiserum and goat anti-rabbit
IgG-peroxidase conjugate. In addition to VlsE (approximately 39.5 kDa), precipitated rabbit IgG is visible at the top of each lane. MW,
molecular weight (values are in thousands).
|
|
IR2, IR4, and IR5 are not
accessible to antibody at the surface of intact spirochetes.
To
assess if IR2, IR4, and IR5 are
exposed at the spirochete's surface, immunofluorescence experiments
were conducted. Both unfixed and fixed spirochetes were used in this
study. For immunofluorescence with unfixed spirochetes, approximately
108 IP90 spirochetes that were harvested from 1.0 ml of
stationary-phase culture (10% rabbit serum-BSK) by centrifugation at
4,000 × g for 20 min were gently resuspended in 100 µl of PBS supplemented with 0.2 µl of preimmune or immune rabbit
serum and incubated for 1 h at room temperature. B. burgdorferi-infected mouse antiserum and monkey anti-OspA (outer
surface protein A) antiserum were used as positive controls. Mice were
infected with spirochetes of the B31 strain by tick inoculation.
Anti-OspA antiserum was raised by immunization with the OspA vaccine
(17). After two washes by centrifugation at 4,000 × g for 8 min with excess volumes of PBS, the spirochetes were
resuspended in 100 µl of PBS containing 2 µg of goat anti-rabbit
(Pierce), -monkey, or -mouse (Kirkegaard & Perry) IgG antibody
conjugated to fluorescein and incubated for an additional 1 h at
room temperature. Spirochetes were washed three times with PBS and
resuspended in 500 µl of PBS. Approximately 5 µl of spirochete
suspension was applied to a microscope slide, glass covered, and
observed under a fluorescence microscope. For immunofluorescence with
fixed spirochetes, IP90 spirochetes grown in 10% human serum-BSK
medium were harvested by centrifugation and washed once with PBS.
Spirochetes were fixed in acetone for 30 min and recovered by
centrifugation. Fixed organisms were resuspended in PBS containing 5%
human serum and incubated at 37°C for 30 min. After one wash with
PBS-human serum, spirochetes were processed as for immunofluorescence
for unfixed spirochetes, except for the following modifications: PBS
was replaced with PBS-human serum, rabbit serum was diluted at 1:1,000
instead of 1:500, and goat anti-rabbit IgG fluorescein conjugate
(Sigma) was absorbed with human serum protein and diluted at 1:150
instead of 1:50. None of the antipeptide antibodies were able to make
unfixed spirochetes visible under a fluorescence microscope, while the
control mouse anti-B. burgdorferi antibody labeled the
bacteria under the same conditions (Fig.
5). Like the mouse antiserum, monkey
anti-OspA antibody lit up both fixed and unfixed spirochetes (data not
shown), evidence that our gentle treatment did not significantly remove outer surface proteins from the spirochete's surface. This indicates that the invariable regions that are exposed at the VlsE surface are
inaccessible to antibody on the intact spirochete. As expected, IR3 also was inaccessible to antibody at the spirochetal
surface (Fig. 5). In contrast, acetone-fixed spirochetes were readily labeled with anti-C2, -C4, and -C5
antibodies (Fig. 5). Anti-C3 antibody was essentially
negative, although spotted labeling on some of the organisms was
visible. Preimmune rabbit serum was negative (Fig. 5).

View larger version (29K):
[in this window]
[in a new window]
|
FIG. 5.
IR2 to IR5 are not accessible to
antibody at the surface of spirochetes. B. garinii strain
IP90 spirochetes either were fixed with acetone or left unfixed.
Unfixed spirochetes were resuspended in PBS containing preimmune or
immune rabbit antipeptide antiserum or positive control mouse
antiserum, while fixed spirochetes were incubated in PBS-human serum
supplemented with the same antiserum samples. Sensitized spirochetes
were probed with goat anti-rabbit or -mouse IgG-fluorescein
conjugate.
|
|
The failure of anti-C2 to -C5 antibodies to
access IR2 to IR5 on the intact spirochetes was
underscored by the results of the ADCK experiments. These experiments
were performed by a procedure described previously (15). No
significant killing was observed with any of the antipeptide antibodies
at a 1:10 dilution, whereas monkey anti-OspA antibodies readily killed
100% of spirochetes at a 1:25 dilution (data not shown).
VlsE is a surface-exposed lipoprotein of the Lyme disease spirochete
(23). Absence of the linear plasmid lp28-1, which contains the VlsE gene, has been shown to correlate with infectivity of B. burgdorferi in a mouse model (23). More recent studies
indicate that lp28-1-deficient mutants have a reduced infectivity
(S. J. Norris, Abstr. VIII Int. Conf. Lyme Borr. Other Emerg.
Tick-Borne Dis., abstr. 37, p. 13, 1999). Immunization of mice with
recombinant VlsE protects the animals from a challenge infection with a
spirochete clone that expresses the same VlsE that was used for
immunization (M. B. Lawrenz, J. M. Hardham, R. T. Owens,
and S. J. Norris, Abstr. 99th Gen. Meet. Am. Soc. Microbiol.,
abstr. D/B-264, p. 260, 1999). Taken together, these data suggest that
VlsE is a target of a host protective immune response. The VlsE
variable domain contains six invariable regions (Fig. 1), five of which (IR2 to IR6) are conserved among strains and
genospecies of B. burgdorferi sensu lato (11).
These conserved sequences could serve as targets of protective antibody
if they were exposed at the surface of the spirochete. One invariable
region, IR6, is immunodominant in both humans and nonhuman
primates (11) and may serve as a global probe for the
serodiagnosis of Lyme disease (12). Since this sequence is
exposed at the surface of VlsE but not of the spirochete
(11), antibody to it is likely not protective in vivo.
In the present study we investigated the accessibility of
IR2 to IR5 to specific antibodies at both the
VlsE and spirochetal surfaces. For this purpose, four peptides
reproducing the sequences of IR2 to IR5 were
synthesized and conjugated to KLH; the conjugates were used to immunize
rabbits. Similarly high ELISA titers of antibody to all of the
synthetic peptides were obtained. In spite of this similarity in
antipeptide antibody titers, the antibodies did not react equally well
with VlsE on immunoblots. The antibody raised against the two longer
peptides, C2 (19-mer) and C4 (25-mer), showed
strong bands, while antibodies to the two shorter peptides, C3 (7-mer) and C5 (8-mer), did not bind as
strongly to VlsE on the immunoblot. It is possible that the sequences
that flank the shorter IR3 and IR5 may
sterically interfere with the binding of antibody to these regions on
the immunoblot more easily than with the antibody binding to the longer
IR2 and IR4. Partial or complete re- or
denaturation of the SDS-treated VlsE blotted onto nitrocellulose may
also help to diminish exposure of certain epitopes on the VlsE surface.
In fact, immunoprecipitation revealed that IR2,
IR4, and IR5 are probably exposed at the VlsE
surface, whereas IR3 is not. Alternatively, the limited
length of IR3 may also explain the failure to
immunoprecipitate VlsE with the anti-C3 antibody. In
addition, immunoprecipitation with the anti-C5 antibody was
less efficient than with the anti-C2 and -C4
antibodies, suggesting that IR5 might be only partially
exposed at the VlsE surface. Our conclusions on surface exposure, as
determined by immunoprecipitation of Triton X-100-solubilized VlsE,
stand on the reasonable premise that this detergent does not modify the
conformation of VlsE.
Molecularly surface-exposed sequences of a surface protein may not be
exposed at the bacterium's surface after the protein is inserted into
the spirochetal outer membrane. To address this issue, two different
experimental procedures were conducted: immunofluorescence and ADCK.
The results of the immunofluorescence experiments indicate that none of
the invariable regions are accessible to antibody at the surface of
intact (unfixed) spirochetes. In contrast, acetone-fixed spirochetes
readily bound anti-C2, -C4, and -C5
antibodies. Very weak fluorescence was at times observed with the
anti-C3 antibody. Acetone fixation may modify the
spirochetal membrane architecture so as to expose epitopes otherwise
inaccessible to antibody and, moreover, modify the VlsE conformation as
well. It is interesting that the anti-C5 antibody showed a
more intense fluorescence than the anti-C4 antibody, a
result opposite to that obtained by immunoblot and immunoprecipitation.
It is possible that acetone treatment partially denatured VlsE and thus
made IR5 more accessible to the anti-C5 antibody.
The results of the immunofluorescence experiments are entirely
consistent with our interpretation of the ADCK assay, as absence of
killing is most likely due to failure of the antibodies to bind to the
spirochete's surface in vitro. Complement-mediated killing of B. burgdorferi is facilitated by antibody to surface antigens
regardless of the complement-activating properties of the antibody.
B. burgdorferi spirochetes are able to activate complement
through an antibody-independent mechanism (9, 10). Taken
together, our immunofluorescence and ADCK results indicate that all of
the invariable regions that were investigated herein are cryptic on the
spirochetal surface, at least as demonstrated in vitro. It is possible
that the display of these regions may be different in vivo.
Our previous and present studies together reveal that none of the more
conserved invariable regions of VlsE are accessible to antibody at the
surface of the spirochete. We were unable to investigate the surface
localization of IR1, which is less conserved (11), as immunization of both rabbits and mice with the
corresponding synthetic peptide-KLH conjugate failed to generate an
antibody response to this invariable region. A question raised by our
studies is which portions of VlsE are exposed at the surface of the
spirochete. The recent finding by Lawrenz and colleagues that
immunization with recombinant VlsE provides protection against B. burgdorferi expressing the same but not a different VlsE variant
suggests that at least some of the variable regions of VlsE are exposed at the surface of the spirochete (Lawrenz et al., Abstr. 99th Gen.
Meet. Am. Soc. Microbiol.). It remains to be clarified whether the
amino- and carboxyl-terminal invariable domains of VlsE are exposed at
the surface of the bacterium. We are currently investigating this issue.
 |
ACKNOWLEDGMENTS |
This work was supported by grants AI35027 and RR00164 from the
National Institutes of Health and by a grant from SmithKline Beecham Biologicals.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Tulane Regional
Primate Research Center, Tulane University Medical Center, 18703 Three Rivers Rd., Covington, LA 70433. Phone: (504) 871-6221. Fax: (504) 871-6390. E-mail: philipp{at}tpc.tulane.edu.
 |
REFERENCES |
| 1.
|
Barbet, A. F., and T. C. McGuire.
1978.
Crossreacting determinants in variant-specific surface antigens of African trypanosomes.
Proc. Natl. Acad. Sci. USA
75:1989-1993[Abstract/Free Full Text].
|
| 2.
|
Barony, G., and R. B. Merrifield.
1980.
The peptides: analysis, synthesis, & Biology, p. 3-285.
Academic Press, New York, N.Y.
|
| 3.
|
Barstad, P. A.,
J. E. Coligan,
M. G. Raum, and A. G. Barbour.
1985.
Variable major proteins of Borrelia hermsii. Epitope mapping and partial sequence analysis of CNBr peptides.
J. Exp. Med.
161:1302-1314[Abstract/Free Full Text].
|
| 4.
|
Borst, P.
1991.
Molecular genetics of antigenic variation.
Immunol. Today
12:A29-A33[CrossRef][Medline].
|
| 5.
|
Borst, P., and G. A. M. Cross.
1982.
Molecular basis for trypanosome antigenic variation.
Cell
29:291-303[CrossRef][Medline].
|
| 6.
|
Cox, D. L.,
D. R. Akins,
K. W. Bourrel,
P. Lahdenne,
M. W. Norgard, and J. D. Radolf.
1996.
Limited surface exposure of Borrelia burgdorferi outer surface lipoproteins.
Proc. Natl. Acad. Sci. USA
93:7973-7978[Abstract/Free Full Text].
|
| 7.
|
Cross, G. A. M.
1979.
Crossreacting determinants in the C-terminal region of trypanosome variant surface antigens.
Nature
277:310-312[CrossRef][Medline].
|
| 8.
|
Giambartolomei, G.,
V. A. Dennis, and M. T. Philipp.
1998.
Borrelia burgdorferi stimulates the production of interleukin-10 in peripheral blood mononuclear cells from uninfected humans and rhesus monkeys.
Infect. Immun.
66:2691-2697[Abstract/Free Full Text].
|
| 9.
|
Kochi, S. K.,
R. C. Johnson, and A. P. Dalmasso.
1991.
Complement-mediated killing of the Lyme disease spirochete Borrelia burgdorferi: role of antibody in formation of an effective membrane attack complex.
J. Immunol.
146:3964-3970[Abstract].
|
| 10.
|
Kochi, S. K.,
R. C. Johnson, and A. P. Dalmasso.
1993.
Facilitation of complement-dependent killing of the Lyme disease spirochete, Borrelia burgdorferi, by specific immunoglobulin G Fab antibody fragments.
Infect. Immun.
61:2532-2536[Abstract/Free Full Text].
|
| 11.
|
Liang, F. T.,
A. L. Alvarez,
Y. Gu,
J. M. Nowling,
R. Ramamoorthy, and M. T. Philipp.
1999.
An immunodominant conserved region within the variable domain of VlsE, the variable surface antigen of Borrelia burgdorferi.
J. Immunol.
163:5566-5573[Abstract/Free Full Text].
|
| 12.
|
Liang, F. T.,
A. C. Steere,
A. R. Marques,
B. J. B. Johnson,
J. N. Miller, and M. T. Philipp.
1999.
Sensitive and specific serodiagnosis of Lyme disease by enzyme-linked immunosorbent assay with a peptide based on an immunodominant conserved region of Borrelia burgdorferi VlsE.
J. Clin. Microbiol.
37:3990-3996[Abstract/Free Full Text].
|
| 13.
|
Meier, J. T.,
M. I. Simon, and A. G. Barbour.
1985.
Antigenic variation is associated with DNA rearrangements in a relapsing fever Borrelia.
Cell
41:403-409[CrossRef][Medline].
|
| 14.
|
Nocton, J. J.,
F. Dressler,
B. J. Rutledge,
P. N. Rys,
D. H. Persing, and A. C. Steere.
1994.
Detection of Borrelia burgdorferi DNA by polymerase chain reaction in synovial fluid from patients with Lyme arthritis.
N. Engl. J. Med.
330:229-234[Abstract/Free Full Text].
|
| 15.
|
Nowling, J. M., and M. T. Philipp.
1999.
Killing of Borrelia burgdorferi by antibody elicited by OspA vaccine is inefficient in the absence of complement.
Infect. Immun.
67:443-445[Abstract/Free Full Text].
|
| 16.
|
Philipp, M. T.,
M. K. Aydintug,
R. P. Bohm, Jr.,
F. B. Cogswell,
V. A. Dennis,
H. N. Lanners,
R. C. Lowrie, Jr.,
E. D. Roberts,
M. D. Conway,
M. Karaçorlu,
G. A. Peyman,
D. J. Gubler,
B. J. B. Johnson,
J. Piesman, and Y. Gu.
1993.
Early and early disseminated phases of Lyme disease in the rhesus monkey: a model for infection in humans.
Infect. Immun.
61:3047-3059[Abstract/Free Full Text].
|
| 17.
|
Philipp, M. T.,
Y. Lobet,
R. P. Bohm, Jr.,
E. D. Roberts,
V. A. Dennis,
Y. Gu,
R. C. Lowrie, Jr.,
P. Desmons,
P. H. Duray,
J. D. England,
P. Hauser,
J. Piesman, and K. Xu.
1997.
The outer surface protein A (OspA) vaccine against Lyme disease: efficacy in the rhesus monkey.
Vaccine
15:1872-1887[CrossRef][Medline].
|
| 18.
|
Seiler, K. P., and J. J. Weis.
1996.
Immunity to Lyme disease: protection, pathology and persistence.
Curr. Opin. Immunol.
8:503-509[CrossRef][Medline].
|
| 19.
|
Steere, A. C.
1989.
Lyme disease.
N. Engl. J. Med.
321:586-596[Abstract].
|
| 20.
|
Stoenner, H. G.,
T. Dodd, and C. Larsen.
1982.
Antigenic variation of Borrelia hermsii.
J. Exp. Med.
156:1297-1311[Abstract/Free Full Text].
|
| 21.
|
Towbin, H.,
T. Staehelin, and J. Gordon.
1979.
Electrophoretic transfer of proteins from polyacrylamide gels to nitrocellulose sheets: procedure and some applications.
Proc. Natl. Acad. Sci. USA
76:4350-4354[Abstract/Free Full Text].
|
| 22.
|
Van der Ploeg, L. H. T.,
K. Gottesdiener, and M. G. S. Lee.
1992.
Antigenic variation in African trypanosomes.
Trends Genet.
8:452-457[Medline].
|
| 23.
|
Zhang, J. R.,
J. M. Hardham,
A. G. Barbour, and S. J. Norris.
1997.
Antigenic variation in Lyme disease Borreliae by promiscuous recombination of VMP-like sequence cassettes.
Cell
89:275-285[CrossRef][Medline].
|
Journal of Bacteriology, June 2000, p. 3597-3601, Vol. 182, No. 12
0021-9193/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
This article has been cited by other articles:
-
Embers, M. E., Jacobs, M. B., Johnson, B. J. B., Philipp, M. T.
(2007). Dominant Epitopes of the C6 Diagnostic Peptide of Borrelia burgdorferi Are Largely Inaccessible to Antibody on the Parent VlsE Molecule. CVI
14: 931-936
[Abstract]
[Full Text]
-
Xu, Q., Seemanapalli, S. V., McShan, K., Liang, F. T.
(2006). Constitutive Expression of Outer Surface Protein C Diminishes the Ability of Borrelia burgdorferi To Evade Specific Humoral Immunity. Infect. Immun.
74: 5177-5184
[Abstract]
[Full Text]
-
Bykowski, T., Babb, K., von Lackum, K., Riley, S. P., Norris, S. J., Stevenson, B.
(2006). Transcriptional Regulation of the Borrelia burgdorferi Antigenically Variable VlsE Surface Protein. J. Bacteriol.
188: 4879-4889
[Abstract]
[Full Text]
-
Liang, F. T., Yan, J., Mbow, M. L., Sviat, S. L., Gilmore, R. D., Mamula, M., Fikrig, E.
(2004). Borrelia burgdorferi Changes Its Surface Antigenic Expression in Response to Host Immune Responses. Infect. Immun.
72: 5759-5767
[Abstract]
[Full Text]
-
Ohnishi, J., Schneider, B., Messer, W. B., Piesman, J., de Silva, A. M.
(2003). Genetic Variation at the vlsE Locus of Borrelia burgdorferi within Ticks and Mice over the Course of a Single Transmission Cycle. J. Bacteriol.
185: 4432-4441
[Abstract]
[Full Text]
-
Eicken, C., Sharma, V., Klabunde, T., Lawrenz, M. B., Hardham, J. M., Norris, S. J., Sacchettini, J. C.
(2002). Crystal Structure of Lyme Disease Variable Surface Antigen VlsE of Borrelia burgdorferi. J. Biol. Chem.
277: 21691-21696
[Abstract]
[Full Text]
-
Anguita, J., Thomas, V., Samanta, S., Persinski, R., Hernanz, C., Barthold, S. W., Fikrig, E.
(2001). Borrelia burgdorferi-Induced Inflammation Facilitates Spirochete Adaptation and Variable Major Protein-Like Sequence Locus Recombination. J. Immunol.
167: 3383-3390
[Abstract]
[Full Text]
-
Liang, F. T., Jacobs, M. B., Philipp, M. T.
(2001). C-Terminal Invariable Domain of VlsE May Not Serve as Target for Protective Immune Response against Borrelia burgdorferi. Infect. Immun.
69: 1337-1343
[Abstract]
[Full Text]
-
Liang, F. T., Jacobson, R. H., Straubinger, R. K., Grooters, A., Philipp, M. T.
(2000). Characterization of a Borrelia burgdorferi VlsE Invariable Region Useful in Canine Lyme Disease Serodiagnosis by Enzyme-Linked Immunosorbent Assay. J. Clin. Microbiol.
38: 4160-4166
[Abstract]
[Full Text]