48
1 LipC (Rv0220) is an immunogenic cell-surface esterase of Mycobacterium 1 tuberculosis 2 3 Guomiao Shen 1 , Krishna Singh 1 , Dinesh Chandra 1† , Carole Serveau-Avesque 4 , Damien 4 Maurin , Stéphane Canaan 4 , Rupak Singla 5 , Digambar Behera 5 , Suman Laal 1,2,3*, 5 6 1 Departments of Pathology and 2 Microbiology, New York University Langone Medical 7 Center, New York, NY 10016, USA. 8 3 New York Harbor Health Care System, New York, NY, 10010, USA. 9 4 CNRS - Aix-Marseille Université - Enzymologie Interfaciale et Physiologie de la 10 Lipolyse UPR 9025, 31 chemin Joseph Aiguier, 13402 Marseille cedex 20, France. 11 5 Lala Ram Sarup Institute of Tuberculosis and Respiratory Diseases, New Delhi, India. 12 110030. 13 † Present address: Albert Einstein College of Medicine, Bronx, NY 10461, USA 14 ¶ Institut de Biologie Structurale Jean-Pierre Ebel, CNRS-CEA-UJF UMR 5075, 41 rue 15 Jules Horowitz, 38027-Grenoble Cedex, France. 16 Running Title: LipC is an immunogenic cell-surface esterase 17 18 * Corresponding Author 19 Suman Laal, Ph. D 20 Veterans Affairs Medical Center 21 423 East 23 rd Street, Room 18123N 22 New York, NY 10010 23 Copyright © 2011, American Society for Microbiology and/or the Listed Authors/Institutions. All Rights Reserved. Infect. Immun. doi:10.1128/IAI.05541-11 IAI Accepts, published online ahead of print on 28 October 2011 on October 31, 2020 by guest http://iai.asm.org/ Downloaded from

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Page 1: Downloaded from on April 27, …...2011/10/25  · 4 Guomiao Shen 1, Krishna Singh 1, Dinesh Chandra 1 , Carole Serveau-Avesque 4, Damien 5 Maurin 4 , Stéphane Canaan 4, Rupak Singla

1

LipC (Rv0220) is an immunogenic cell-surface esterase of Mycobacterium 1

tuberculosis 2

3

Guomiao Shen1, Krishna Singh1, Dinesh Chandra1†, Carole Serveau-Avesque4, Damien 4

Maurin4¶, Stéphane Canaan4, Rupak Singla5, Digambar Behera5, Suman Laal1,2,3*, 5

6

1Departments of Pathology and 2Microbiology, New York University Langone Medical 7

Center, New York, NY 10016, USA. 8

3New York Harbor Health Care System, New York, NY, 10010, USA. 9

4CNRS - Aix-Marseille Université - Enzymologie Interfaciale et Physiologie de la 10

Lipolyse UPR 9025, 31 chemin Joseph Aiguier, 13402 Marseille cedex 20, France. 11

5Lala Ram Sarup Institute of Tuberculosis and Respiratory Diseases, New Delhi, India. 12

110030. 13

† Present address: Albert Einstein College of Medicine, Bronx, NY 10461, USA 14

¶ Institut de Biologie Structurale Jean-Pierre Ebel, CNRS-CEA-UJF UMR 5075, 41 rue 15

Jules Horowitz, 38027-Grenoble Cedex, France. 16

Running Title: LipC is an immunogenic cell-surface esterase 17

18

*Corresponding Author 19

Suman Laal, Ph. D 20

Veterans Affairs Medical Center 21

423 East 23rd Street, Room 18123N 22

New York, NY 10010 23

Copyright © 2011, American Society for Microbiology and/or the Listed Authors/Institutions. All Rights Reserved.Infect. Immun. doi:10.1128/IAI.05541-11 IAI Accepts, published online ahead of print on 28 October 2011

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Phone: 212-263-4164 24

Fax: 212-951-6321 25

E-mail: [email protected] 26

Key words: Mycobacterium tuberculosis; Tuberculosis; Cell-surface esterase; 27

Immunogenic protein; Epitope mapping 28

29

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Abstract 30

We have earlier reported the identification of novel proteins of Mycobacterium 31

tuberculosis (M. tb) by immunoscreening of an expression library of M. tb genomic DNA 32

with sera obtained from M. tb infected rabbits at 5 weeks post-infection. In this study, we 33

report further characterization of one of these antigens, LipC (Rv0220). LipC is 34

annotated as a member of the Lip family based on the presence of the consensus motif 35

“GXSXG’ characteristic of esterases. Although predicted to be a cytoplasmic enzyme, 36

we provide evidence that LipC is a cell-surface protein that is present both in the cell-37

wall and the capsule of M. tb. Consistent with this localization, LipC elicits strong 38

humoral immune responses in both HIV- and HIV+ TB patients. The absence of anti-39

LipC antibodies in sera from PPD+ healthy subjects confirms its expression only during 40

active M. tb infection. Epitope mapping of LipC identified 6 immunodominant epitopes, 5 41

of which map to the exposed surface of the modeled LipC protein. Recombinant LipC 42

(rLipC) protein also elicites pro-inflammatory cytokine and chemokine responses from 43

macrophages and pulmonary epithelial cells. rLipC can hydrolyze short chain esters 44

with the carbon chain containing 2-10 carbon atoms. Together, these studies 45

demonstrate that LipC is a novel cell-surface associated esterase of M. tb that is highly 46

immunogenic and elicits both antibodies and cytokines/chemokines. 47

48

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Introduction 49

There are an estimated 9 x106 new cases of tuberculosis (TB), and 2 x106 TB-50

related deaths every year (56). Infection with M. tuberculosis (M. tb) is initiated with the 51

inhalation of a droplet bearing bacteria, and it takes months or years to progress to 52

clinical TB. During this progression from initial infection to clinical disease, the in vivo 53

bacteria adapt to continuously changing environments by altering their gene expression 54

(31, 34, 48, 50). Studies to delineate culture-filtrate proteins of M. tb that are recognized 55

by antibodies during the natural course of disease progression demonstrated that the 56

repertoire of antigens enlarges with the progression of infection (34-36, 41). 57

Interestingly, several of the M. tb antigens (malate synthase, MPT51 and ESAT6 for 58

example) that elicit immune responses during the early stages of active infection have 59

also been demonstrated to play important roles in the host-pathogen interaction (19-21, 60

58). 61

To identify additional antigenic proteins of M. tb that are expressed during the 62

early stages of active infection, we used sera obtained from M. tb aerosol-infected 63

rabbits that were bled at 4-5 weeks post-infection, to screen an expression library of M. 64

tb genomic DNA (44). Antibodies in these sera identified several proteins known to 65

contribute to infection and survival of the M. tb (ERP, KatG and MtrA), as well as novel 66

proteins (PTRP, PE-PGRS51 and LipC (Rv0220)) (3, 26, 44, 60). Interestingly, ERP, 67

KatG and PTRP are cell-wall proteins of M. tb (3, 43, 59) and while the precise 68

localization of MtrA in M. tb is not reported, the M. leprae homolog is also cell-wall 69

protein (27). The current studies are focused on LipC. 70

LipC is annotated as a member of the Lip family based on the presence of the 71

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consensus motif “GXSXG” characteristic of esterases and members of the hydrolase 72

fold family (40). The Lip family is comprised of 24 putative carboxyl ester hydrolases. Of 73

these, studies with 3 members, LipF (Rv3487c), LipH (Rv1399c) and LipY (Rv3097c) 74

have been reported so far (5, 10, 61). The current studies demonstrate that LipC is a 75

cell-surface protein that is present both in the cell-wall and the capsule of M. tb. 76

Consistent with this localization, LipC is a strong inducer of antibodies in patients with 77

active TB and immunodominant epitopes of the protein have been mapped. LipC also 78

elicits cytokine responses from both macrophage-like THP-1 and pulmonary epithelial 79

A549 cells. Moreover, a recombinant and enzymatically active M. tb LipC was produced 80

and purified from M. smegmatis and the biochemical characterization revealed that LipC 81

hydrolyzes short chain esters. Together, these results suggest that LipC participates in 82

progression of active TB both by contributing to utilization of lipid substrates for bacterial 83

growth and replication, and by modulating immune responses. 84

Materials and Methods 85

Bioinformatics analysis. Nucleic and protein BLAST searches with the current 86

databases were performed on the National Center for Biotechnology Information 87

website (www.ncbi.nlm.nih.gov/). Prediction of theoretical molecular weight 88

(ProtParam), transmembrane helices (TMHMM), and signal peptide (SignalP) were 89

carried out with the respective software at the ExPASy Proteomics server 90

(http://ca.expasy.org/). NetOGlyc program was used to predict potential glycosylation 91

sites, and MeMo (http://www.bioinfo.tsinghua.edu.cn/~tigerchen/memo/links.html) to 92

predict potential arginine or lysine sites that may be methylated. A model of 3-D 93

structure of LipC was generated from the automatic protein structure homology 94

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modeling server using I-TASSER server (33). Rv0220 sequence was submitted against 95

the non-redundant sequence database structural classification of proteins and the PDB. 96

The molecular graphics software program PyMol (http://www.pymol.org/) was used to 97

display and draw the structure from the PDB files generated by the I-Tasser server. 98

Bacterial strains, plasmids and growth media. Mycobacterial strains were grown in 99

Middlebrook 7H9 broth (Becton Dickinson and Company (BD), Sparks, MD) 100

supplemented with 0.2% glycerol, 0.05% Tween 80 and 10% Albumin Dextrose Saline 101

(ADS; 0.5% bovine serum albumin, fraction V (Sigma, St. Louis, MO), 0.2% dextrose; 102

and 0.085% NaCl) at 37°C under constant shaking at 110 rpm. E. coli strains were 103

grown in LB broth (DIFCO Laboratories) at 37°C with shaking (220 rpm) in the presence 104

of either hygromycin (200 µg/ml), kanamycin (50 µg/ml), ampicillin (100 µg/ml) or 105

chloramphenicol (34 μg/ml) as required. 106

Immunoscreening of λgt11 library. The λgt11 expression library of M. tb H37Rv DNA 107

from the World Health Organization (WHO) was screened with pooled sera obtained 108

from M. tb aerosol-infected rabbits at 5 weeks post aerosol infection as described 109

previously (44). The reactive λgt11 clones were purified and the inserts were sequenced 110

to identify the gene encoding the immunoreactive protein (44). 111

Expression and purification of recombinant LipC (rLipC). For expression of rLipC in 112

E. coli, a 1235 bp DNA fragment containing the entire lipC open reading frame was 113

amplified from M. tb H37Rv genomic DNA using primers F1 5’-114

CCCATATGAACCAGCGACGCG-3’ and R1 5’-CCCTCGAGTTG 115

GCCGGCGTTTAGATG-3’ (underlined sequence indicates NdeI and XhoI sites, 116

respectively) and cloned into the pCR-Blunt cloning vector (Invitrogen, Carlsbad, CA). 117

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This intermediate plasmid (pCR-Blunt-lipC) was digested with NdeI and XhoI and the 118

resulting lipC gene cloned into pET14b expression vector (Novagen, EMD Biosciences, 119

Inc. San Diego, CA) at NdeI and XhoI sites to produce inframe fusion with His-tag at the 120

N-terminus position. The open reading frame of recombinant plasmid (pET14b-lipC) 121

was verified by DNA sequencing. The recombinant plasmid (pET14b-lipC) was 122

transformed into E. coli BL21 (DE3) pLysS (Invitrogen). After IPTG induction, the 123

recombinant protein was expressed in inclusions bodies and standard procedures wirh 124

urea were followed to obtain the purified His-tagged rLipC by affinity chromatography on 125

Ni-NTA Agarose column (Qiagen, Chatsworth, CA). Endotoxins were removed by 126

washing the protein-loaded affinity column with 10 mM Tris-HCl in 6 M Urea, followed 127

by 0.5% ASB-14 in 6 M Urea. rLipC was eluted (20 mM Tris-HCl pH 7.9, 1 M Imidazole, 128

6 M Urea) and fractions containing purified rLipC pooled and dialyzed against 10 mM 129

ammonium bicarbonate (pH 8.0) with stepwise decreased concentration of urea. The 130

purified rLipC formed aggregates which were readily solubilized in 0.1% SDS. The 131

limulus amoebocyte lysate (LAL) assay was used to determine the endotoxin content in 132

the purified LipC preparation as per the manufacturer’s instructions (Bio Whittaker, 133

Walkersville, MD). Proteomic analysis of rLipc was performed by Quadrupole time-of-134

flight (Q-TOF) mass spectrometry at the NYU protein analysis facility. All studies except 135

for the assessment of enzymatic activity were performed with this rLipC. 136

Since the rLipC obtained from E. coli was enzymatically inactive, lipC was also 137

expressed in M. smegmatis to determine enzymatic activity and substrate specificity. 138

Briefly, the lipC gene was amplified from M. tb H37Rv genomic DNA with primers F2 5’-139

GCATCCATGGTACAGCGACGCGCCGCCGGGTC-3’ and R2 5’-140

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CTTATGAAGCTTAGATGACCTCTTTCGCGAACTG-3’, containing NcoI and HindIII 141

restriction sites, respectively. The amplified lipC fragment was double digested (with 142

NcoI and HindIII) and after purification, the fragment was cloned into pMyNt vector (a 143

shuttle vector containing a TEV-cleavable N-terminal 6 His-tag, an acetamide inducible 144

promoter and a hygromycin resistance gene provided by EMBL-Hamburg). The 145

resulting recombinant plasmid (pMyNt-lipC) was verified by DNA sequencing and 146

electroporated into M. smegmatis mc2155. The bacteria expressing rLipC were cultured 147

until an OD600 value of 3 was reached, induced for 16 h by adding 0.2% (w/v) acetamide 148

and harvested by centrifugation. The bacterial pellet was suspended in 10 mM Tris 149

buffer (pH 8.0) containing 300 mM NaCl and 1% N-laurylsarcosine (sarkosyl) and 150

broken in a French Press. The His-tagged rLipC was purified by Ni-NTA agarose 151

column based affinity chromatography and eluted with 10 mM Tris buffer ( pH 8.0) 152

containing 300 mM NaCl and 100 mM Imidazol. The fractions containing rLipC were 153

pooled and further purified by superdex 200 column equilibrated with 10 mM Tris buffer 154

(pH 8.0) containing 300 mM NaCl. 155

Localization of LipC. Purified rLipC from E. coli suspended in incomplete Freund’s 156

adjuvant (IFA; Sigma) was used to immunize a New Zealand white rabbit to obtain 157

polyclonal antibodies (16). Immunoglobulin G (IgG) from normal rabbit serum or serum 158

from the immunized rabbit was purified by Protein A-sepharose 4B columns (Amersham 159

Bio-sciences). M. tb H37Rv sub-cellular protein fractions (cytoplasm (Cyt), total cell-wall 160

(TCW), SDS-extracted cell-wall (SDS-CW), culture-filtrate (CF)) (NIH/NIAID TB 161

Research Materials contract, CSU) and M. tb capsular material (kindly provided by Dr. 162

Mary Jackson, CSU) were separated by SDS-PAGE (5.0 µg/lane) and the western blots 163

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probed with rabbit anti-LipC IgG (1:1000) or normal rabbit IgG, followed by alkaline 164

phosphatase (AP)-conjugated anti-rabbit IgG (1:2000) and BCIP-NBT substrate (KPL 165

Inc, Gaithersburg, MD). Previous studies have demonstrated that M. tb malate synthase 166

is present in all the subcellular fractions of M. tb (19). Identical western blots of all 167

subcellular fractions were probed with anti-malate synthase IgG (1:1000) to ensure 168

integrity of the preparations used. Localization of LipC on intact bacterial cells was 169

confirmed by immunoelectron microscopy. Briefly, M. tb clinical isolate CDC1551, and 170

transposon mutant of lipC in CDC1551 (CDC1551 lipC::Tn) were obtained from 171

TARGET (Tuberculosis Animal Research and Gene Evaluation Taskforce, John 172

Hopkins University (http://webhost.nts.jhu.edu/target/)). Bacteria from mid-log cultures 173

of M. tb H37Rv, M. tb CDC1551 and M. tb CDC1551 lipC::Tn were fixed and processed 174

as described earlier (43). The sections were examined under Philips CM 10 TEM 175

electron microscope at the NYU Image Core Facility. 176

Patients and control subjects. Sera from 19 PPD-, 29 PPD+ healthy subjects, 70 non-177

HIV, acid fast bacilli (AFB) sputum smear-positive TB patients (HIV-TB+) and 45 HIV+ 178

AFB smear-positive TB patients (HIV+TB+) from India, a TB endemic country, were 179

included in these studies. As per the DOTS (Directly observed therapy-short term) 180

programs guided by the WHO, diagnosis of TB in the endemic countries is based on 181

microscopic examination of sputum smears for AFB since this test is highly specific 182

(55). Cultures are too expensive and complex for TB diagnosis in high-burden settings; 183

for this reason the bacteriological confirmation of TB in patients included in these 184

studies was based on microscopy. Sera from 46 HIV+ asymptomatic patients on 185

antiretroviral therapy were also included (HIV+TB-). All the TB patients were bled prior 186

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to initiation of TB therapy (Table 1). All individuals were bled with informed consent after 187

permissions from the appropriate ethical committees had been obtained. 188

In vivo expression of LipC during active TB. The presence of antibodies to LipC in 189

serum specimens from TB patients and PPD+ subjects was tested to determine the in 190

vivo expression of LipC during active and latent TB. Western blots of rLipC (75 ng per 191

lane) were blocked with 3% BSA in PBS overnight, washed with PBST (2% Tween 80 in 192

PBS) and incubated with sera (1:50) from 6 PPD-, and 6 HIV+TB- subjects, as well as 6 193

PPD+, 6 HIV-TB+ and 6 HIV+TB+ patients at 4°C overnight. After extensive washing, 194

the blots were probed with a mixture of protein-A-AP (1:2000, Sigma) and anti-human 195

IgA-AP (1:1000, Sigma) followed by BCIP-NBT substrate (KPL Inc, Gaithersburg, MD). 196

To confirm results obtained in the above experiment, sera from 20 additional subjects 197

(10 PPD+ subjects and 10 HIV-TB+ patients) were evaluated similarly. Semi-198

quantitative analysis of the reactivity on western blots was performed using an Epson® 199

Perfection 4990 Professional Scanner (Epson, USA) and the relative intensity values 200

were determined by Image J software (http://rsbweb.nih.gov/ij/). 201

Identification of immunodominant regions of LipC. Having confirmed the in vivo 202

expression of LipC in humans during active TB, epitope mapping of LipC was performed 203

to identify the immunodominant regions. Overlapping N-terminal biotin labeled peptides 204

(20 amino acid (AA) length with 10 AA overlap, total 40) covering the entire LipC 205

sequence (PEPscreen; Sigma) were captured (2.5 µg/ml, 50 µl/well) in wells of 206

commercial streptavidin-coated ELISA plates (Roche Diagnostic, Indianapolis, IN). Each 207

peptide was probed with 50 µl of individual sera (1:40 final concentration) from 13 PPD-, 208

23 PPD+ subjects and 60 HIV-TB+ patients (39, 43). After washing, the wells were 209

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probed with a mixture of protein-A-AP (1:2000, Sigma) and anti-human IgA-AP (1:1000, 210

Sigma). p-nitrophenyl phosphate (pNpp) was used to detect the peptide bound 211

antibodies. Mean OD of the 36 healthy subjects (13 PPD- and 23 PPD+) sera plus 3 212

standard deviations (SD) was used as cut-off to determine positive responses in TB 213

patients. Twelve peptides that were recognized by antibodies in sera from > 50% of the 214

60 HIV-TB+ patients in the initial screening were retested twice and positive reactivity in 215

3/3 or 2/3 ELISA assays was considered positive. The reactivity of the 6 peptides which 216

were consistently recognized by >50% of the HIV-TB+ patients was evaluated with sera 217

from 46 HIV+TB- and 45 HIV+TB+ patients. 218

Cell viability assay. Since rLipC remains soluble only in the presence of 0.1% SDS, 219

experiments were performed to confirm that the SDS concentration being used does not 220

affect cell viability in the cytokine studies. The LipC stock (400 µg/ml) was diluted to 1 221

µg/ml in medium (final concentration of SDS= 0.00025% (~0.01 mM)) and 200 ul 222

solution added to ~4x104 A549 cells/well or 2X105 PMA differentiated THP-1 cells in 223

triplicate for 24 h. At the end of incubation, viability of cells was determined by 3-(4,5-224

dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay as per the 225

manufacturer’s instructions (Invitrogen). 226

Confirmation of lack of endotoxin contamination. The LAL assay showed that the 227

endotoxin in the purified rLipC preparation was <10 ng/ml. For biological confirmation of 228

absence of contamination with endotoxin, 2x105 PMA-differentiated THP-1 cells were 229

exposed to 200 µl medium containing 1 ng/ml LPS, 1 ng/ml LPS that was pre-incubated 230

with 10 ng/ml polymixin B for 1 h, 1 µg/ml LipC and 1 µg/ml LipC that was preincubated 231

with 10 ng/ml polymixin B in triplicate. Culture supernatants were collected 24 h later 232

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and used for cytokine assessment with commercially procured ELISA kits as per 233

manufacturer’s instruction (BD Biosciences Pharmingen, San Diego, CA). 234

Cytokine responses to rLipC. 2 X105 THP-1 or 4 X104 A549 cells/well (in 200 µl 235

medium) were exposed to different concentrations of rLipC protein for 24h and the 236

supernatants were harvested and assayed for IL-12, TNF-α, MCP-1 and IL-8 using the 237

commercial sandwich ELISA kits (BD Biosciences Pharmingen), as described above. 238

Enzymatic characterization of rLipC. The activity of rLipC expressed in M. smegmatis 239

was measured using p-nitrophenyl (pNP) esters family (Sigma) with carbon chain 240

lengths ranging from C2 to C16. Release of pNP was monitored at 410 nm using a 96-241

well plate spectrophotometer and quantified using a calibration curve of pNP (ε(λ=410nm)= 242

30 mM-1). Enzymatic reactions were performed in a 2.5 mM Tris buffer pH 8.0 243

containing 300 mM NaCl (with 0, 1 and 4 mM NaTDC) at 37°C over a period of 15 min 244

in a final volume of 300 µL, containing various amount of enzyme and 1 mM substrate. 245

Results are expressed as specific activity in international unit (U/mg) corresponding to 246

1 µmole of pNP released per minute and per mg of enzyme. rLipC activity was also 247

investigated using pH-stat, fluorescent and spectrophotometric assays for various lipids, 248

as well as phospholipids, to detect lipase or phospholipase activity, respectively. 249

Statistical analysis. Comparisons between the reactivity with sera from PPD- and 250

PPD+ healthy controls, as well as TB patients were performed by calculating P values 251

with nonparametric Mann-Whitney test using GraphPad Prism version 5 software 252

(GraphPad Software Inc,. San Diego, CA). A P value of <0.01 was considered 253

statistically significant. 254

Results 255

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Identification and characteristics of LipC. The λgt11 clone identified by the serum 256

pool from M. tb infected rabbits expressed the C-terminal half (AA 231-403) of the lipC 257

(Rv0220) gene product (data not shown). Bioinformatics analysis predicts LipC to be 44 258

kDa (403 AA) protein with a pI of 10.4. Three amino acids, Ala, Arg and Val are 259

overrepresented (12.3, 11.1 and 10.5 percent respectively) in the LipC AA sequence. 260

SignalP analysis predicted no signal sequence in LipC protein. No transmembrane 261

helices are identified by the TMHMM software. In the Tuberculist data website 262

(http://tuberculist.epfl.ch/), LipC is annotated as an esterase based on the presence of 263

the carboxylesterases type-B serine active site (GXSXG) and the hydrolase fold that is 264

characteristic of lipases/esterases. The AA sequence of lipC shows <40% identity with 265

the other 23 members of the Lip family. BLAST-P identified a homologous protein 266

(~100% identity) in M. tb H37Ra, M. bovis AF2122/97, M. bovis BCG str. Pasteur 267

1173P2, M. bovis BCG str. Tokyo 172 and all M. tb clinical isolates sequenced so far. 268

The protein is absent in M. leprae TN and M. leprae Br4923. Proteins showing 70-80% 269

identity are present in the non-tuberculous mycobacteria (NTM): M. avium 270

paratuberculosis K-10, M. avium 104, M. avium ATCC 2529, M. ulcerans Agy99, M. 271

kansasii ATCC 12478, M. parascrofulaceum ATCC BAA-614, M. intracellulare ATCC 272

13950, M. marinum and M. smegmatis mc2 155. In M. abscessus, a protein showing 273

only 23% identity is found. No glycosylation sites, but 3 potential Arg residues that may 274

be methylated are predicted. 275

The LipC protein model was generated from 10 templates available in PDB which 276

are structurally closest to proteins like the brefeldin A esterase (pdb code 1jkm) or the 277

carboxylesterase from Archaeoglobus fulgidus (1JJI). This model reveals that LipC is a 278

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globular protein similar to other α/β hydrolase serine enzymes and consists of eleven 279

α−helices and a central β-sheet core containing six parallel and one anti-parallel β-280

strand (Fig. 1). The catalytic triad is composed of residues Ser237 (nucleophilic 281

residue), Asp334 (charge relay network) and His367 (proton carrier) (Fig. 1). Ser237 is 282

located within the nucleophilic elbow connecting strand β4 and helix α8 at the center of 283

the protein. 284

Expression and purification of rLipC. When expressed in E. coli, rLipC formed 285

inclusion bodies and was purified under denaturing conditions but removal of urea at the 286

final stages of purification led to aggregation and precipitation of the protein in the 287

several buffers (Ammonium bicarbonate, PBS, or Tris) that were used for refolding. The 288

rLipC protein could be kept soluble in the presence of low concentrations (0.1%) of 289

SDS. The purified recombinant protein appeared as a single ~45 kD band on SDS-290

PAGE, and was recognized by commercial anti-His antibody and anti-LipC antibodies 291

(Fig. 2). The identification of rLipC was confirmed by protein sequencing (Table 2). 292

Since the rLipC expressed in E. coli was enzymatically inactive, the protein was also 293

expressed in M. smegmatis. rLipC expressed in M. smegmatis was also recognized by 294

anti-His antibody and anti-LipC antibodies (Fig. 2). The identity of LipC expressed in M. 295

smegmatis was also confirmed by protein sequencing (data not shown). 296

LipC is a cell-surface protein of M. tb. As reported earlier, anti-malate synthase 297

antibodies showed strong reactivity with an ~81 kDa protein in the Cyt preparation of M. 298

tb (19). Lower amounts of malate synthase were present in the CW and SDS-CW 299

preparations while strong protein bands were present both in the capsule and CF 300

preparations. Anti-malate synthase IgG did not react with the rLipC protein (Fig. 3A, top 301

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panel). In contrast, anti-LipC IgG showed strong reactivity with the ~45 kDa rLipC 302

protein band. The same antibody showed weak reactivity with a doublet of proteins at 303

~45 and ~47 kDa in the Cyt preparation of M. tb. Stronger reactivity with the doublet 304

was observed in the TCW and the SDS-CW protein preparations. Only the ~47 kDa 305

protein was identified in the capsular preparation while no protein in the CF reacted with 306

these antibodies (Fig. 3A, middle panel). Purified IgG from normal rabbit serum showed 307

no reactivity with any protein in any subcellular fraction (Fig. 3A, bottom panel). The 308

surface localization of LipC was confirmed by the presence of gold particles on M. tb 309

H37Rv and M. tb CDC1551 bacterial cells (Fig. 3B, b and d) and their paucity on the 310

cell-surface of CDC1551 lipC::Tn bacterial cells (Fig. 3B c) when examined by 311

immunoelectron microscopy. No LipC was detected on the bacterial cells when IgG 312

from normal rabbit serum were used instead of anti-LipC antibodies (Fig. 3B a) 313

Expression of LipC in vivo. To determine if LipC is expressed during M. tb infection in 314

humans, reactivity of rLipC with sera from PPD-, and HIV+TB- as well as PPD+ healthy 315

subjects and TB patients was examined by western blotting. Visual examination showed 316

that while sera from non-TB subjects showed background reactivity with the rLipC, there 317

was no difference between the reactivity of sera from PPD- and HIV+TB- subjects and 318

the PPD+ subjects. In contrast, sera from most HIV-TB+ and HIV+TB+ patients showed 319

stronger reactivity (Fig. 4A). To confirm these results, sera from additional randomly 320

selected PPD+ subjects and TB patients were tested and similar results were obtained 321

(Fig. 4B). When the intensity of rLipC protein probed with anti-His antibodies was 322

considered as 100 units, the relative intensity obtained with individual sera from PPD-, 323

HIV+TB- and PPD+ subjects ranged from 1-14 units, and there was no difference 324

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between sera from the 3 subgroups of subjects (P>0.01). In contrast, reactivity with the 325

6 HIV-TB+ sera ranged from 7-60 units (median reactivity = 28.5 units) and for the 6 326

HIV+TB+ sera, it ranged from 33-75 units (median reactivity = 62.5 units). The 327

difference in intensity between the non-TB subjects and TB patients was statistically 328

significant (P<0.01). Using mean intensity of PPD-, PPD+ and HIV+TB- sera +3 SD as 329

cut off, sera from 11/12 TB patients in the first experiment (Fig. 4A and 4C) and from 330

8/10 TB patients in the second experiment (Fig. 4B and 4D) were positive for the 331

presence of anti-LipC antibodies. Thus, sera from ~85% of the TB patients had anti-332

LipC antibodies. Reactivity of a subset of the control and TB sera was evaluated with 333

rLipC expressed in M. smegmatis; the reactivity was similar to that observed with the 334

rLipC expressed in E. coli (data not shown). 335

Epitope mapping of LipC. When the reactivity of the 40 overlapping peptides of LipC 336

was tested with sera from 13 PPD- and 23 PPD+ subjects, there was no difference in 337

the reactivity of sera from these two types of subjects with any of the peptides. In 338

contrast, sera from a vast majority (57/60; 95%) of the HIV-TB+ patients had antibodies 339

against at least one LipC peptide (Fig. 5A); most sera (56/60, 93%) had antibodies to >1 340

peptide. As expected, there was a wide variation in the recognition of individual peptides 341

with the HIV-TB+ sera, in which different peptides were recognized by 0-70% of the 342

patients (Fig. 5A). Twelve peptides were recognized by >50% of the HIV-TB+ sera (52-343

70%). These peptides were re-tested twice for reactivity with the same sera. For 6 344

peptides (LipC3, LipC6, LipC24, LipC26, LipC34, LipC39) (Fig 5B and Table 3), the 345

reactivity was maintained (52-65%). In contrast, the reactivity with the remaining 6 346

peptides was lower during the subsequent assays (32-43%). For the 6 peptides which 347

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were consistently recognized by >50% of the HIV-TB+ sera, there was no difference 348

between the reactivity with sera from PPD+ and PPD- subjects (P=0.29-0.74) while 349

reactivity of all 6 peptides was significantly higher (P<0.001) with sera from patients. 350

The combined reactivity with the 6 peptides was ~83% in HIV-TB+ patients. These 6 351

peptides were also reproducibly recognized individually with >50% of the HIV+TB+ sera 352

(Fig. 5C) and the combined reactivity with the peptides was ~82%, while the vast 353

majority of HIV+TB- patients lacked antibodies to any of these peptides (Fig. 5C). 354

Mapping of the 6 immunodominant peptides on the model of the 3-D structure of LipC 355

showed that 5 peptides (LipC3, LipC6, LipC26, LipC34, LipC39) were totally exposed to 356

the solvent while LipC24 was buried in the folded conformation of the protein (Fig. 1). 357

Cytokine responses to LipC. The cytokine responses elicited by rLipC from THP-1 358

and A549 were also evaluated. The viability of both cell-types was unaffected by the low 359

concentration of SDS (0.00025% SDS) present in the antigen preparation used to 360

stimulate them (Fig. 6A). THP-1 cells exposed to 1 ng/ml LPS produced ~2400 pg/ml of 361

IL-12 and ~2500 pg/ml of TNF-α. Preincubation of LPS with 10 ng/ml of polymixin B 362

completely abrogated the production of both cytokines (Fig. 6B). Cells exposed to 1 363

µg/ml rLipC expressed ~2800 pg/ml and ~2700 pg/ml IL-12 and TNF-α respectively. 364

Preincubation of rLipC with polymixin B had no effect on cytokine production confirming 365

that the observed cytokine responses were not due to contaminating endotoxin (Fig. 366

6B). 367

THP-1 cells exposed to different concentrations of rLipC showed dose-368

dependent production of IL-12, TNF-α, IL-8 and MCP-1 and in most cases, peak 369

response was attained at 0.1 µg/ml (Fig. 6C). MCP-1 was the most highly induced 370

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cytokine (~7000 pg/ml), followed by IL-8 (~3500 pg/ml), IL-12 (~3000 pg/ml) and TNF-α 371

(~2500 pg/ml) (Fig. 6C). Minimal or no cytokine levels (<400 pg/ml) were detected in 372

supernatants from unstimulated cells (Fig. 6C). 373

A549 cells stimulated with rLipC expressed IL-8 and MCP-1 in a dose dependent 374

manner, and as was observed with THP-1 cells, peak MCP-1 induction was higher 375

(~5500 pg/ml) compared to peak induction of IL-8 (~1600 pg/ml) (Fig. 6D). 376

Enzymatic Characterization of LipC. To evaluate the substrate specificity of LipC, the 377

enzymatic activity of protein expressed and purified from M. smegmatis was 378

investigated towards p-nitrophenyl esters using substrates with acyl chain length 379

ranging from C2 to C16 in presence or not of NaTDC (1 or 4 mM) (Fig. 7). The presence 380

of NaTDC enhances slightly the specific activity for substrates ranging from C2 to C10 381

compared to the buffer alone. The activity of rLipC increased with the chain length of the 382

substrate reaching a maximum of specific activity of 160 (Km = 2.89 mM, Vm = 0.48 383

µM/mn) and 110 mU/mg (Km = 2 mM, Vm = 0.69 µM/mn), with and without NaTDC, 384

respectively. 385

No activity was detected for substrates with carbon chain length greater than C10 386

whatever the conditions used. Using the pH-Stat method (12), fluorescent spectrometric 387

(52) and radioactive assays (37), no activity was detected on mono, di or triacylglycerol 388

whatever the carbon chain length, indicating that this enzyme is a strict esterase and 389

does not have any lipase activity (data not shown). Also, all attempts to detect 390

phospholipase activity failed (data not shown). 391

Discussion 392

The sequencing of the M. tb genome revealed that M. tb possesses ~ 150 genes 393

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that code for enzymes involved in fatty acid degradation (6), suggesting that M. tb 394

utilizes host lipids during growth and replication in vivo. The analysis of the genes by 395

bioinformatics methods identified a family of 24 putative carboxyl hydrolases with the 396

characteristic GXSXG motif. Twenty of the Lip family members are predicted to be 397

present in the cytoplasm of the bacterium and 4 in the periplasmic space; LipC is 398

predicted to be a cytoplasmic enzyme (40). However, the experimental approaches 399

used in this study clearly demonstrate that native LipC is primarily present in the cell-400

wall and the capsule of M. tb. This is reminiscent of the findings with 2 other Lip family 401

members, LipF and LipY, both of which are also associated with the cell-wall (28, 45). In 402

confirmation of this localization in vivo, like LipF and LipY, LipC also participates in 403

immune responses by eliciting antibodies. It is interesting that anti-LipC antibodies 404

raised by immunization with rLipC (~45 kDa) recognize the appropriate protein band as 405

well as an additional ~47kDa protein in the native cell-wall subcellular fractions but only 406

the ~47 kDa band in the capsular fraction. This suggests that the native LipC present on 407

the bacterial surface in the capsule may have post-translational modifications while the 408

cytoplasm and cell-wall have both the modified and the non-modified LipC. The nature 409

of these post-translational modifications remains to be identified. 410

Earlier studies have suggested that there may be interspecies differences in the 411

profiles of antigens recognized by antibodies (17, 18). Since LipC was originally 412

identified by antibodies in sera from M. tb infected rabbits, it was important to confirm its 413

expression during TB in humans. Thus, sera from subjects with latent or active M. tb 414

infection were evaluated for presence of anti-LipC antibodies. Earlier studies have also 415

reported differential expression of some M. tb antigens in HIV-TB+ and HIV+TB+ 416

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patients (34, 36). For this reason, sera from both HIV-TB+ and HIV+TB+ patients were 417

included. Sera from healthy subjects with no evidence of M. tb infection (PPD-) as well 418

as HIV+TB- subjects (from the US) were included as negative controls. Antibodies to 419

LipC were present in sera from ~90% of the TB patients tested (Fig. 4), whether or not 420

co-infected with HIV, indicating the in vivo expression of the proteins during active 421

infection in both types of patients. In contrast, sera from PPD+ subjects showed similar 422

reactivity as PPD- subjects demonstrating absence of in vivo expression of LipC during 423

latent TB. 424

We have demonstrated that immunodominant epitopes of antigenic proteins can 425

replace and improve upon the detection of antibodies to the parent protein (39, 43). 426

Antibodies to at least one epitope of LipC were present in ~95% of the HIV-TB+ patients 427

and absent in the vast majority of PPD+ subjects, confirming the results of the western 428

blot studies. Moreover, reactivity with just the 6 immunodominant peptides was 429

sufficient to identify a vast majority (>80%) of the HIV-TB+ patients. This level of 430

reactivity is similar to that observed with immunodominant peptides of PTRP, which is 431

also a cell-wall protein that was identified by antibodies in rabbit sera obtained at 5-432

weeks post-infection, and whose immunodominant epitopes were mapped with sera 433

from the same cohorts as have been used in this study (43). Moreover, as was 434

observed for PTRP and its immunodominant peptides, there is no difference in the 435

recognition of LipC and its peptides between HIV-TB+ and HIV+TB+ patients. Our 436

earlier studies with CFP of M. tb showed that some antigens (Malate synthase and 437

MPT51 for example) are well-recognized by antibodies from both cavitary and non-438

cavitary TB patients, demonstrating that these antigens are expressed in vivo in both 439

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types of patients (34, 54). In contrast, other antigens (38 kDa protein and MPT32 for 440

example) appear to be expressed primarily during cavitary TB since non-cavitary TB 441

patients lack antibodies to them (34). The similar immunogenicity of LipC and its 442

peptides in the smear positive HIV-TB+ patients most of who had cavitary lesions and 443

HIV+TB+ patients who were mostly non-cavitary indicates that it is expressed by M. tb 444

during replication in both non-cavitary and cavitary environments in vivo. 445

Inexpensive and rapid point-of-care (POC) tests based on detection of antibodies 446

to antigens and/or epitopes selected by careful analysis of their immunogenic potential 447

in patients and controls have been devised for other diseases (1, 13). However, recent 448

WHO-sponsored analysis of performance of currently available commercial serological 449

tests for TB diagnosis has shown that none of these tests provide accurate and reliable 450

results in either pulmonary or extrapulmonary TB patients (46, 47, 57). These 451

commercial tests are based primarily on crude mixtures of M. tb antigens or on antigens 452

that elicited antibodies in immunized animals, rather than on a careful analysis and 453

selection of antigens relevant to human TB during the natural course of disease. Our 454

systematic studies of humoral responses in TB patients have identified a panel of 455

potential candidates for devising a rapid POC test for TB, and immunodominant 456

epitopes of some of these highly immunogenic M. tb antigens have been delineated (11, 457

34, 36, 39, 43, 44). Since combinations of multiple antigens provide increased 458

sensitivity of antibody detection (11, 15, 17, 42, 54), it is likely that combinations of 459

immunodominant epitopes from multiple highly immunogenic proteins of M. tb will 460

enable development of a peptide-based rapid test for TB. One or more of the 6 epitopes 461

of LipC defined in these studies could make significant contributions to such a 462

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diagnostic test. 463

The use of peptides is economically advantageous over recombinant purified 464

proteins which are expensive to produce, difficult to purify and pose considerable 465

challenges for maintaining batch-to-batch consistency and long-term stability. Moreover, 466

use of peptides eliminates the non-immunogenic and sometimes cross-reactive portions 467

of the antigens. The use of biotin-conjugated peptides enables equal binding of 468

individual peptides to the streptavidin-coated plates, thus eliminating differences 469

between their binding capacities when being tested by ELISA. Despite equal binding, 470

some peptides that are recognized by antibodies in a high proportion of TB patients 471

during the first screen performed poorly when retested. This was also observed when 472

epitope mapping of other immunogenic proteins was performed (39, 43). In some 473

cases, solubilized peptides can be seen to gradually aggregate and precipitate during 474

storage suggesting that they undergo conformational changes in solution; for other 475

peptides it was unclear why the reactivity decreased during retesting. It is for this reason 476

that reactivity of each peptide needs to be evaluated multiple times so that only stable 477

and highly reactive peptides are finally selected for test development. 478

Antibodies in sera from a few (<10%) of the HIV+TB- subjects showed reactivity 479

with the 6 LipC peptides. Since these HIV+TB- patients were from the US, and were 480

asymptomatic and on ART, it is unlikely that they were infected with any non-481

tuberculous mycobacteria (NTM). The cross-reactivity observed with some of these sera 482

is likely due to the hypergammaglobinemia caused by HIV-infection and may be 483

eliminated during optimization of conditions during development of the rapid test. 484

As expected from B cell epitopes, 5 of the 6 immunodominant peptides mapped 485

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to the exposed surface of the modeled protein (Fig 1). The presence of antibodies to 486

LipC24, which is not surface exposed, indicates that in vivo, shedding of the bacterial 487

capsule may result in release of LipC in somewhat unfolded conformation, providing the 488

B cells with access to this region. 489

While macrophages are well known to be the host cells for M. tb, there is 490

increasing evidence for important roles for alveolar epithelial cells in TB (2, 19, 20, 23, 491

53). We therefore evaluated the ability of purified LipC protein to elicit cytokines from 492

both THP-1 and A549 cells. While MCP-1 was the most highly induced cytokine, IL-8 493

was also expressed by the two cell types (Fig. 6C and 6D). Both MCP-1 and IL-8 are 494

involved in recruitment of macrophages, neutrophils, dendritic cells and T cells, and play 495

important roles in the formation of granulomas (51). Importantly, IL-8 and MCP-1 have 496

also been demonstrated to be present in the broncho-alveolar lavage of TB patients 497

(24). LipC also induced the expression of TNF-α and IL-12 from THP1 cells. TNF-α is 498

known to play a key role in granuloma formation, induce macrophage activation, and 499

has immunoregulatory properties (51). IL-12 is known to play a crucial role in the 500

induction of IFN-γ, which activates macrophages to kill the bacteria (7). The in vivo 501

expression of LipC in rabbits at 4-5 weeks post-aerosol infection when granuloma 502

formation occurs, and the ability of LipC to stimulate proinflammatory cytokine and 503

chemokine production suggest that the precise role of LipC in granuloma formation on 504

aerosol infection with M. tb warrants investigation in animal models. In this regards, 505

earlier studies of another carboxylesterase (Rv2224c), which also anchored to the cell 506

wall, has been shown to modulate innate immune responses to M. tb in mice (25). 507

Previous studies have shown that M. tb stores energy in the form of 508

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triacylglycerol (TAG) as it goes into the latent state which is utilized for survival during 509

dormancy and reactivation when bacterial replication is resumed (9). TAG is also the 510

common form of stored energy in hibernating animals and oil seeds when the metabolic 511

activity is low (30). TAG is hydrolyzed via the glyoxylate cycle, which has been shown to 512

be used by M. tb during intra-cellular survival (29). Interestingly, in M. tb, malate 513

synthase, which participates in the glyoxylate cycle is present not only in the cytoplasm, 514

but also on the cell-wall and in the capsule (19), and antibodies to malate synthase are 515

strongly associated with clinical TB but not latent TB, suggesting enhanced expression 516

when bacteria are replicating actively in vivo. Studies have also demonstrated that LipY 517

hydrolyses TAG (10), and LipF hydrolyzes both short-chain esters and 518

phosphotydalcholine, which is major constituent of biological membranes (45, 61). Both 519

LipY and LipF also localize to the bacterial cell-wall, and elicit antibodies in patients with 520

active TB (8, 10, 28, 45, 61). Together, these data suggest that LipY, LipF and LipC 521

may be used in tandem by M. tb for utilization of host lipid substrates during active 522

replication and growth in vivo. 523

There is increasing evidence that bacterial cell-wall/surface localized enzymes 524

also multitask as antigenic proteins that play roles in modulation of immune responses 525

and/or in invasion of host cells (4, 19, 32, 38, 49). For example, besides LipC, LipY, 526

LipF, malate synthase, MPT51, Ag85B, Ag85C and Rv2224c, are all cell-wall/cell-527

surface located enzymes of M. tb that elicit humoral and/or cellular and/or inflammatory 528

immune responses (10, 19, 21, 22, 25, 54, 58). Ag85B, malate synthase and MPT51 529

are also reported to be adhesins of M. tb that bind to extracellular matrix proteins like 530

fibronectin and laminin (14, 19, 21, 58). Interestingly, the GehD lipase of 531

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Staphylococcus epidermidis is a collagen-binding protein (4); the GbpD protein of 532

Streptococcus mutans has both lipase and glucan-binding activity (38) and an 533

extracellular lipase of Pseudomonas aeruginosa participates in release of inflammatory 534

mediators from granulocytes and monocytes (32). The current studies demonstrate that 535

LipC is a cell-surface associated esterase of M. tb that is highly immunogenic and elicits 536

both antibodies and cytokines/chemokines. We have identified immunodominant 537

regions of LipC, which may be important constituents of a peptide-based sero-538

diagnostic test for TB. The role of LipC in infection and disease progression in TB merits 539

further investigation. 540

541

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Acknowledgments 542

This work was supported by the NIH/FIC AIDS International Training and Research 543

program (AITRP, grant TW001409), by the NIH/NIAID (grant AI056257) and by a VA 544

Medical Center Merit Review Award. It was also supported by a grant from the GIP ANR 545

06-JCJC-0067-01 and the FoamyTub Program ANR-09-MIEN-009-02, French Network. 546

The authors thank Flavia Camacho for editing figures. 547

548

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native antigen profiling. Mol Cell Proteomics 5:2102-2113. 670

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Mycobacterium tuberculosis. J Biosci 33:221-230. 700

46. Steingart, K. R., N. Dendukuri, M. Henry, I. Schiller, P. Nahid, P. C. 701

Hopewell, A. Ramsay, M. Pai, and S. Laal. 2009. Performance of purified 702

antigens for serodiagnosis of pulmonary tuberculosis: a meta-analysis. Clin 703

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47. Steingart, K. R., M. Henry, S. Laal, P. C. Hopewell, A. Ramsay, D. Menzies, J. 705

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commercial serological antibody detection tests for the diagnosis of 707

extrapulmonary tuberculosis. Thorax 62:911-918. 708

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temporal expression profile of Mycobacterium tuberculosis infection in mice. Proc 710

Natl Acad Sci U S A 101:4602-4607. 711

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Pseudomonas aeruginosa. Microbiology 156:2239-2252. 714

50. Timm, J., F. A. Post, L. G. Bekker, G. B. Walther, H. C. Wainwright, R. 715

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McKinney. 2003. Differential expression of iron-, carbon-, and oxygen-717

responsive mycobacterial genes in the lungs of chronically infected mice and 718

tuberculosis patients. Proc Natl Acad Sci U S A 100:14321-14326. 719

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to Mycobacterium tuberculosis. Clin Microbiol Rev 15:294-309. 721

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speed detection and/or measurement of a lipase or phospholipase activity, PCT 723

patent application: WO2006/85009. 724

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Ramakrishnan. 2010. Tuberculous granuloma induction via interaction of a 726

bacterial secreted protein with host epithelium. Science 327:466-469. 727

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Performance in a TB-endemic Country. PLoS ONE 3:e2071-e2079. 730

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World Health Organization, Geneva, Switzerland. 732

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56. WHO. 2009. Global Tuberculosis Control 2009: Epidemiology, Strategy, 733

Financing. World Health Organization, Geneva, Switzerland. 734

57. WHO. 2008. Laboratory-based evaluation of 19 commercially available rapid 735

diagnostic tests for tuberculosis. World Health Organization, Geneva, 736

Switzerland. 737

58. Wilson, R. A., W. N. Maughan, L. Kremer, G. S. Besra, and K. Futterer. 2004. 738

The structure of Mycobacterium tuberculosis MPT51 (FbpC1) defines a new 739

family of non-catalytic alpha/beta hydrolases. J Mol Biol 335:519-530. 740

59. Wolfe, L. M., S. B. Mahaffey, N. A. Kruh, and K. M. Dobos. 2010. Proteomic 741

definition of the cell wall of Mycobacterium tuberculosis. J Proteome Res 9:5816-742

5826. 743

60. Zahrt, T. C., and V. Deretic. 2000. An essential two-component signal 744

transduction system in Mycobacterium tuberculosis. J Bacteriol 182:3832-3838. 745

61. Zhang, M., J. D. Wang, Z. F. Li, J. Xie, Y. P. Yang, Y. Zhong, and H. H. Wang. 746

2005. Expression and characterization of the carboxyl esterase Rv3487c from 747

Mycobacterium tuberculosis. Protein Expr Purif 42:59-66. 748

749

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Figures and Tables 750

Fig. 1 3D model of LipC. (A) Ribbon representation; (B) Molecular surface of the 3-D 751

structure of LipC. C and D show rotation of 180° of the structures depicted in A and B, 752

respectively. The catalytic triad (Ser237, Asp334 and His367) is represented in cyan 753

sticks in A and C. The localization of the immunodominant peptides of LipC identified by 754

epitope mapping, LipC3 (red), LipC6 (orange), LipC24 (blue), LipC26 (green), LipC34 755

(yellow) and LipC39 (magenta) on the 3-D model is also depicted. 756

757

Fig. 2 Expression and purification of rLipC. Lane 1, Molecular weight markers. Lane 758

2, rLipC purified from E. coli was separated on 10% SDS-PAGE and stained with 759

Coomassie blue. Lanes 3-5, Western blots of rLipC (from E. coli) were probed with anti-760

His (lane 3), rabbit anti-LipC IgG (lane 4) and normal rabbit IgG (lane 5). Lane 6, rLipC 761

purified from M. smegmatis was separated on 10% SDS-PAGE and stained with 762

Coomassie blue. Lanes 7-9, Western blots of rLipC (from M. smegmatis) were probed 763

with anti-His (lane 7), rabbit anti-LipC IgG (lane 8) and normal rabbit IgG (lane 9). 764

765

Fig. 3 Localization of LipC protein. (A) M. tb H37Rv subcellular protein fractions 766

(5 µg/lane) and rLipC (75 ng/lane) were separated on 10% SDS-PAGE and transferred 767

to nitrocellulose membrane. The blots were probed with anti-malate synthase (MS) IgG 768

(top panel), anti-LipC IgG (middle panel) and normal rabbit IgG (bottom panel). Lane 1, 769

rLipC; 2, cytoplasm; 3, total cell-wall; 4, SDS-extracted cell-wall; 5, capsule; 6, culture 770

filtrate. (B) Immunoelectron microscopy of ultrathin sections of M. tb H37Rv (a and b), 771

M. tb CDC1551 lipC::Tn mutant (c) and M. tb CDC1551 (d). The bacterial sections were 772

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37

probed with either rabbit normal IgG (a) or rabbit anti-LipC IgG (b, c and d). 773

774

Fig. 4 Reactivity of rLipC with sera from TB patients and control subjects. (A) 775

Western blots of rLipC (75 ng/lane) were probed with sera (1:50) from 6 PPD- (lanes 2-776

7), 6 PPD+ (lanes 8-13), 6 HIV+TB- (lanes 14-19), 6 HIV+TB+ (lanes 20-25) and 6 HIV-777

TB+ subjects (lanes 26-31). (B) Probing of rLipC (75 ng/lane) blots with sera from 10 778

additional PPD+ healthy subjects (lanes 2-11) and 10 additional HIV-TB+ patients (Lane 779

12-21). Lane 1 in both panels A and B shows reactivity of rLipC with anti-His antibody. 780

(C and D) Reactivity of rLipC with sera from each subject was measured by determining 781

intensity of the rLipC band in panel A and B by Image J software. The relative intensity 782

of rLipC bands in panel A and B calculated by considering anti-His antibody reactivity as 783

100 Unit is plotted in C and D respectively. 784

785

Fig. 5 Epitope mapping of LipC protein. (A) Reactivity of overlapping peptides of 786

LipC with sera from 60 HIV-TB+ patients and 36 PPD- or PPD+ healthy subjects was 787

tested by ELISA. The mean optical density (OD) at 405 nm plus 3 standard deviations 788

with sera from PPD- or PPD+ healthy subjects was used as cut-off to determine positive 789

reactivity. Percent of sera from PPD- and PPD+ healthy subjects (hollow bars) and HIV-790

TB+ patients (black bars) showing positive reactivity with individual peptide is plotted. 791

(B) The reactivity of 6 LipC immunodominant peptides with sera from 13 PPD- (black 792

circles), 23 PPD+ healthy subjects (hollow circles) and HIV-TB+ patients (black 793

triangles) is shown. The OD values obtained with individual serum specimens in one 794

representative experiment are plotted. (C) The OD values obtained by reactivity of 795

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individual sera from 36 PPD- or PPD+ healthy subjects (black circles), 46 HIV+TB- 796

asymptomatic subjects (hollow circles) and 45 HIV+TB+ patients (black triangles) with 6 797

immunodominant peptides of LipC from one representative experiment is depicted. The 798

dotted lines in Fig. 5B and 5C indicate the cut off (mean OD + 3SD with sera from PPD- 799

and PPD+ subjects) for determining positive reactivity with each peptide. 800

801

Fig. 6 Cytokine production by THP1 and A549 cells in response to rLipC. (A) 802

Viability of A549 and THP-1 cells at 24 h with medium alone, medium containing 803

1 µg/ml rLipC and medium containing 0.00025%SDS. The percent viability calculated by 804

considering cells exposed to medium alone as 100% is plotted. (B) Production of IL-12 805

and TNF-α by THP-1 cells exposed to LPS alone (1 ng/ml), LPS (1 ng/ml) pre-incubated 806

with polymixin B (10 ng/ml), rLipC (1 µg/ml) and rLipC (1 µg/ml) pre-incubated with 807

polymixin B (10 ng/ml) are shown. (C) Induction of IL-12, TNF-α, IL-8 and MCP-1 in 808

THP-1 cells after incubation with various concentrations of rLipC and 1 µg/ml of LPS. 809

(D) Production of IL-8 and MCP-1 by A549 cells exposed to different concentrations of 810

rLipC and 1 µg/ml LPS. 811

812

Fig. 7 Enzymatic activity of rLipC. The enzymatic activity of rLipC was measured 813

using p-nitrophenyl esters family with carbon chain length ranging from C2 to C16 as 814

substrate using various concentration of NaTDC. The mean ± SD of specific activity 815

(mU/mg) obtained with 3 independent replicates is plotted. 816

817

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Table 1. Human subjects included in the study

Infection

status Origin

No. of

subjects

AFB Sputum

Smear status

Treatment

status

HIV-TB+ India 70 Positive Untreated

HIV+TB+ India 45 Positive Untreated

HIV+TB- USA 46 ND ART

PPD+ USA 7 ND NA

India 11 ND NA

China 7 ND NA

Cameroon 2 ND NA

Japan 1 ND NA

Colombia 1 ND NA

PPD- USA 6 ND NA

India 10 ND NA

China 3 ND NA

*AFB= Acid Fast Bacilli; ART = Anti-Retroviral Therapy; ND = Not Done; NA = Not

Applicable.

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Table 2. Sequencing of rLipC by quadrupole time-off-flight (Q-TOF) mass

spectrometry

LipC peptide fragments

mapped

Number of identified

peptides LipC AA position

AAGSTGVAYIR 1 6-16

HASDFLSATAK 2 60-70

DLLTPGINEVR 3 71-81

GIVSPDDLAVEWPAPER 12 98-114

VLYGDDPAQLLDVWR 22 123-147

AIQGYAVLSR 1 173-182

FVDFLER 2 290-296

TGPTAHAIALFLNQVHR 1 377-393

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Table 3. Amino acid sequence of immunodominant LipC peptides

Name Sequence*

LipC3 ARPADYMLALSVAGGSLPVV (Red)

LipC6 TAIGVWGARHASDFLSATAK (Orange)

LipC24 IAVAGCSAGGHLSALAGLTA (Blue)

LipC26 NDPQYQAELPEGSDTSVDAV (Green)

LipC34 GSRDCVIPVEQARSFVERLR (Yellow)

LipC39 AHAIALFLNQVHRSRAQFAK (Magenta)

*The color assigned to each peptide refers to localization of the peptide as shown in Fig.

1.

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