Background
Expression of a variant surface antigen is utilised by a wide variety of pathogenic micro-organisms to evade the immune defences of the host, thereby prolonging the duration of infection and increasing the likelihood of transmission. In the early part of the last century microbiologists first observed this process in relapsing fever caused by Borreliae as the spirochaetes recovered from each relapse differed serologically. The classical molecular description of this phenomenon comes from studies of
Borrelia hermsii, an aetiologic agent of tick-borne relapsing fever. Variable major proteins are the dominant surface antigen [
1], which are involved in evasion of the host's immune system as Borreliae emerging at each relapse express a different antigenic form [
2]. Detailed molecular analysis has revealed that the corresponding genes are arranged into silent and expressed copies on different plasmids [
3,
4]. Antigenic variation occurs by replacement of the entire open reading frame of the expressed gene by a previously silent one, or by activation of a previously silent downstream gene [
3‐
8]. Recently the variant major proteins, formerly denoted Vmp, have been divided into two groups based on size, namely the variant large proteins (encoded by
vlp genes of typical size 1 kbp) and variant small proteins (encoded by
vsp genes of typical size 0.6 kbp).
The present study considers the related organism
B. recurrentis, the causative agent of louse-borne relapsing fever (LBRF). LBRF is a systemic inflammatory disease, which, if untreated, is associated with mortality rates of up to 40% [
9]. This is reduced to 2–4% by use of antibiotics. Although the disease is relatively localised at present, with an endemic focus in Ethiopia, the potential for epidemics remains. Indeed the most recent outbreak occurred in the Sudan [
10]. The disease is characterised by high fevers due to production of inflammatory mediators by the host in response to spirochaetal toxins [
11,
12]. It has been shown that the major pro-inflammatory molecule of
B. recurrentis clinical isolate A1 is highly homologous to Vlp12
B. hermsii HS1
, and is here referred to as Vlp1
B. recurrentis A1
[
13].
Studies of the molecular biology of
B. recurrentis have been hampered by the lack of an animal model. The first cultivation of a clinical isolate
in vitro was achieved in 1993 [
14] and to date eighteen clinical isolates have been characterised by their plasmid profile and by the expression of a putative Vlp or Vsp [
15]. As the first step to study antigenic variation in
B. recurrentis, we report the complete organisation and characterisation of
vlp1
B. recurrentis A1
gene coding for the variant surface antigen of this isolate.
Discussion
The dominant surface antigen of Borrelia is a variant protein encoded by a large repertoire of genes, only one of which is expressed at anyone time. In contrast to other borreliae, the study of antigenic variation in B. recurrentis has been hampered by the lack of an animal model of infection. Isolates can only be recovered from patients and further characterised in vitro. Nevertheless, as the first step to better understand this phenomenon, we report the first complete characterisation of vlp1
B. recurrentis A1
gene from a clinical isolate. This gene has common features with variant protein genes from other Borrelia species but has some intriguing features.
In isolate A1, which expresses the Vlp1
B. recurrentis A1
protein [
13,
15], there are two copies of
vlp1
B. recurrentis A1
, one on a 54 kbp plasmid and the other on a 24 kbp plasmid. This is reinforced by the observation of hybridisation with these two plasmids and the 715 bp
vlp1 probe in other A1 group members (isolates A2–A4) [
15]. The third plasmid, which hybridised at lower stringency, may carry an A1-like, but different
vlp gene. In isolate A17, which expresses a different form of variant protein,
vlp1
B. recurrentis A17
is found only on the 54 kbp plasmid. Sequence analysis shows that absolute identity between the two
vlp1 copies in isolate A1 starts 5 nucleotides upstream of the unique cysteine codon. This cysteine is the N-terminal amino acid of the mature Vlp1
B. recurrentis
and is the attachment point for the lipid modification of the variant protein [
17,
20]. Upstream of this region the two copies are divergent but both sequences fit the lipoprotein leader consensus sequence. Using oligonucleotides probes specific for these two leader sequences we demonstrate by Northern analysis that only the
vlp1
B. recurrentis A1
copy present on the 24 kbp plasmid is expressed in isolate A1. This result suggests that silent
vlp1
B. recurrentis A1
, carried on a 54 kbp plasmid, may have undergone a duplicative translocation to the active expression site on a 24 kbp plasmid. Of note, 12 the 18
B. recurrentis clinical isolates described to date, one of which is isolate A17, possess a plasmid migrating in the region of 24 to 31 kbp [
15].
This organisation is similar to that of other relapsing fever borreliae in which expressed and archived variant protein genes are located on different plasmids [
6,
21,
22]. In these borreliae, the use of an animal model of infection has allowed the precise delineation of events taking place during an antigenic switch. In
B. hermsii, antigenic variation occurs by replacement of one variable gene with another downstream from a telomeric promoter. In
B. turicatae, gene conversion is more extensive, involving 10 or more kilobases downstream of the promoter giving rise to changes in the size of the plasmid carrying the expression site [
22]. However, a third of
B. recurrentis clinical isolates do not possess a plasmid migrating in the 24 kbp region [
15]. Hence, it is possible that this plasmid was lost during in vitro cultivation or alternatively, as these isolates express a major antigen [
15], there may exist an expression site located on a different plasmid. Indeed, activation of an alternative expression site has already been described in
B. hermsii[
23], utilised for expression of the vector transmission associated protein Vtp33 [
24].
Based on the sequence alignment between silent and expressed
vlp1
B. recurrentis A1
, it is tempting to speculate that the recombination site having given rise to expressed
vlp1 is located where the two sequences become identical; that is within the open reading frame itself. Such a model would be supported by the finding that the probe specific for the lipoprotein leader sequence of the expressed
vlp1
B. recurrentis
recognises a message of around 800 bases in RNA purified from isolate A17. The size of this message is in agreement with the theoretical size of the major antigen, Vsp17
B. recurrentis A17
, expressed by isolate A17 as determined previously by protein gel electrophoresis [
15]. Further analysis of sequences from other variant protein genes should answer this point.
It is not clear how a rapid and successful antigenic switch is achieved in either
B. recurrentis or
B. hermsii[
25] since for both species there is an approximately threefold excess of the expression plasmid compared to the silent plasmid. Clearly, maintenance and copy number for the two plasmids are differentially controlled and this may provide an opportunity to specifically modulate the copy number of the silent plasmid prior to a switching event.
The upstream region of both expressed and silent
vlp1
B. recurrentis A1
possesses potential promoter sequence, whose way of functioning remains speculative. Firstly, the expressed
vlp1 contains an unusually long polydT tract that starts 167 nucleotides from the putative initiating codon. Shorter polydT tracts closer to the initiating codon (adjacent to the -35 region of the promoter) of two lipoprotein genes of other
Borrelia species have been shown to have a role in transcriptional regulation [
26]. It may be that this region replaces the UP element since such a consensus sequence could not be found in these promoters [
26]. Unlike the expressed
vlp1
B. recurrentis A1
where there is a nearly perfect UP element consensus sequence there exists a long polydT tract. Silencing of the archived variant protein gene copies in
B. hermsii is due to the absence of a promoter upstream of these genes [
6], whereas in
B. turicatae some silent variant protein genes lack promoter features while others lack both a promoter signature and an initiation codon [
22]. Unexpectedly, we find that the silent copy of
vlp1
B. recurrentis A1
contains all the features necessary for expression. Although the upstream sequences of silent and expressed
vlp1
B. recurrentis A1
are dissimilar, both copies have a consensus lipoprotein leader sequence and putative characteristic features of a constitutive promoter. These observations are based on the assumption that promoters in
B. recurrentis are similar to those in
Escherichia coli. However, only mRNA corresponding to the expressed copy could be detected in isolate A1. It is possible that the promoter present in the silent copy is not recognised as functional. An alternative interpretation is that in
B. recurrentis transcription of the silent copy of the
vlp1
B. recurrentis A1
gene is actively repressed. Such a silencing mechanism to prevent inappropriate expression of a variant protein gene has not been reported previously for Borreliae [
6,
27,
28] and may be unique to
B. recurrentis. Active repression of surface antigen gene expression has been described in trypanosomes and is achieved by telomere silencing [
29] and further investigation is required to determine whether a similar process operates here. In that context, it would be interesting to pinpoint the location of the silent
vlp1
B. recurrentis A1
gene relative to plasmid ends.
Authors' contributions
VV carried out the majority of the experimental work reported for A1 and A17. SC obtained the isolates during field investigation and independently located bands carrying A1-like genes in all 18 clinical isolates. IS undertook some of the experimental investigations. VV did the initial drafting of the manuscript with assistance from DK, SC and DW. These authors also assisted in the conception and design of the study.