Background
Human Papillomavirus type 16 (HPV16) is associated with the development of benign and malignant lesions of the oral and genital tract [
1]. The oncogenic potential of HPV16 is mainly ascribed to the viral oncoprotein E7, which has been shown to interact with a variety of cellular proteins. HPV16 E7 is a 98-amino-acid phosphoprotein (11 kDa) that binds the Zn
++ ion through two Cys-X-X-Cys motifs proposed to be involved in protein oligomerization [
2‐
4]. An ATP-independent chaperone holdase activity was recently detected as the first biochemical activity of HPV16 E7 [
5]. E7 is a tumour specific antigen (TSA), the mediator of tumour recognition by the host immune response [
6], hence an ideal target for the development of therapeutic vaccines for treating HPV16-associated cancer and its precursor lesions [
7‐
9].
HPV16 E7 has been expressed in various eukaryotic and prokaryotic systems [
10‐
26] since the end of the 80s. The main objective was to produce and purify E7 in the native form to study both, its molecular structure and its cell transformation activity
in vitro. Some of these studies have also shown the ability of E7 to form aggregates when present in high quantities. Electron microscopy micrographs of bacterial-derived E7 aggregates in particles have been shown only by Chinami
et al. [
20] and Alonso
et al. [
27]. Bacteria-derived E7 maintains the antigenic properties of the native protein, being recognised by sera from HPV infected subjects and has therefore been used in HPV serology [
28‐
31].
The E7 protein was extensively used in vaccine development. It is a small protein poorly immunogenic (11 kDa) hence it was used with immunological adjuvants, protein and gene carriers. Various forms of therapeutic vaccines based on E7 have been developed and tested in animal models. Most of the vaccines induced E7-specific CTLs and were effective in HPV16-related tumour regression in animal models. Nevertheless, only few have reached the clinical trial phase [
7‐
9]. As the HPV16 mouse tumour model [
32] had been made available to the research community and was easy to set up, considerable work was done using E7 as antigen to demonstrate the efficacy of various adjuvants, molecular carriers and genetic vectors as inductors or enhancers of T cell response [
9]. E7 has also been, fused to a number of peptides and proteins, even those of HPV16 such as L1, L2 and E6 with the aim to combine HPV prophylactic and therapeutic vaccines [
6‐
9].
Recent progress in elucidating the cross-presentation mechanism and the role of particulate antigens in CTL immunity [
33] encouraged us to use the immunogenicity of a bacterial-derived HPV16 E7, in particle form, to explore the possible development of a therapeutic vaccine against HPV16 related tumours.
This paper shows that a bacterial-derived HPV16 E7 assembles in micro- and nanoparticles on dialysis in buffer containing DTT and induces protective immunity against a tumour cell challenge in an HPV16 mouse tumour model. Interestingly, the E7 particles was administered without adjuvant. The protection of mice from tumour growth induced by the E7 particles is mediated by a strong E7-specific humoral and cell mediated immune response.
Methods
Protein expression and purification
Freshly streaked bacterial colonies, containing the E7 plasmid [
30], were inoculated in 25 ml LB medium (DIFCO) and grown to saturation overnight (O/N) at 37°C. The culture was then inoculated in 500 ml LB, and grown until the culture density reached OD
600 = 0.6. The His-E7 protein was induced by the addition of 1 mM IPTG (A.G. Scientific, Inc) for 3 h. The culture was harvested and centrifuged for 30 min in a Sorval centrifuge at 6000 rpm in GSA rotor. The bacterial pellet was lysed for 30 min in a rotator at room temperature (R/T) in a denaturing buffer (40 ml) containing 8 M urea (MP Biomedicals, Inc), 10 mM NaH
2PO
4, 10 mM Tris-HCl pH 8, 300 mM NaCl, 1 mM DTT, (Sigma-Aldrich), 1% Triton-X 114 (Sigma-Aldrich) and 1% Triton X-100 (Buffer B mod). To break the DNA, the lysate was sonicated for 60 min in the pulsed mode (50% on/off pulse; effective sonication time, 30 min) using an ultrasonic processor (Vibra-Cell 400, Sonics). The lysate was clarified in a Sorval centrifuge for 20 min at 10.000 rpm in a SS34 rotor. The supernatant was incubated for 30 min with 4 ml of 50% slurry NiNTA resin (QIAGEN) at RT. To reduce the endotoxin content, the E7-NiNTA agarose suspension was collected in a 50 ml tube, extensively washed in batch and spun down in a centrifuge at 500 × g. The E7-NiNTA was sequentially washed in Buffer B (pH 8, without detergents) containing 10% glycerol (100 ml), 20% ethanol (100 ml) and 60% isopropanol (200 ml). The isopropanol washes were alternated with cold 10 mM Tris-HCl washes (200 ml) [
34]. The last sequential washes were performed using 500 ml Buffer C (8 M urea, 10 mM NaH
2PO
4, 10 mM Tris-HCl pH 6.3). The protein was eluted by gravity-flow in several 2 ml fractions from packed E7-Ni-NTA using 1 M Imidazole (Sigma-Aldrich) in Buffer B. After an analytical Coomassie stained SDS-PAGE, the fractions containing E7 were collected and the protein was subjected to 2 step-dialysis at 4°C in native buffers. The first step was performed in 2 L of buffer containing 25 mM Tris, 50 mM NaCl pH 7.5 (TN) in presence of 1 mM DTT and the second step was performed in 2 L of TN buffer only. E7 was concentrated in a centrifugal filter device up to a final concentration of 2 mg/ml. All the reagents were ultrapure grade. The E7 protein yield was 20 mg/l of medium culture. The protein was quantified by standard methods (Protein BC assay, BIORAD); its purity and identity were monitored by SDS-PAGE followed by Coomassie brilliant blue staining and western blotting (30). The endotoxin contamination was as low as 0.5 EU/mg protein as monitored by LAL assay (QCL-1000, Lonza). The presence of E7 particles was monitored by negative stain EM.
SDS-PAGE and Western Blot analysis
Protein samples were separated in 12.5% polyacrylamide gels in Leammli Tris-Glycine buffer and blotted into an Immobilon-P membrane. In a non-reducing gel, the protein samples were denatured in SDS-loading buffer [
30] without β-mercapto-ethanol. The protein was identified by Western blot using both commercial monoclonal and in-house prepared polyclonal anti-E7 antibodies [
30]. A peroxidase-conjugate rabbit anti-mouse IgG (H+L) (Sigma-Aldrich) was used as secondary antibody. The immune complexes were revealed with a chemiluminescence substrate (PIERCE).
Electron Microscopy Analysis
10 μl samples of the E7 preparation (2 mg/ml) were adsorbed for 1 min onto Formvar-coated copper grids, then rinsed briefly with water and negatively stained with 2% filtered aqueous sodium phosphotungstate adjusted to pH 7.0. Negatively stained preparations were observed with a Philips 208S transmission electron microscope at 80 kV.
Zn analysis
Three samples of different E7 preparations and, as a control, three samples of Glutathione-S-transferase (GST) were analysed for their content of 66Zn and 68Zn analytical masses. The GST protein was produced in pGEX-2T transformed E. coli and purified by glutathione affinity chromatography (PIERCE). Measurements were performed by means of High Resolution Inductively Coupled Plasma-Mass Spectrometry (HR-ICP-MS), using an Element2 apparatus (Thermo-Finnigan, Bremen, Germany). HR-ICP-MS is a well established and powerful analytical technique for the determination of trace and ultra-trace elements in biological samples. The calibration of the method was performed by the adoption of the standard addition mode: diluted single-element standards were added to the analytical solutions. To compensate for instrumental drifts and matrix effects, indium was added to each sample as an internal standard.
Mice immunization and tumour protection assay
6-8 week-old female C57BL/6 mice were purchased from Charles River Laboratories and maintained under pathogen-free conditions for one week before the experiment. The animal care and the experiments followed the European Directive 86/609 EEC. The protocol of animal use was evaluated by the Service for Biotechnology Animal Welfare of the Istituto Superiore di Sanità, and approved by the Italian Ministry of Health. Three groups of mice (14 per group) were inoculated subcutaneously with 1, 2 or 3 doses of 10 μg E7 respectively, at 1 week intervals. A fourth mouse group was inoculated with a saline solution and used as a control (naïve). Two weeks after the last immunization, 4 mice of each group were sacrificed to analyse the immune response and 10 mice were inoculated subcutaneously with 1 × 10
5 TC-1 cells/mouse, as described [
35]. The TC-1 cells were grown in complete medium with 0.4 mg/ml G418. Cells at 50% confluence were harvested, counted and rinsed in Hank's medium at 1 × 10
6cells/ml for the injection in mice. Tumour growth was monitored by visual inspection and palpation once a week for 2 months. The experiment was performed twice.
Lymphoproliferation and IFNγ-ELISPOT assays
Splenocytes from mice of the same immunization group were pooled and enriched in CD4
+ and CD8
+ cells using the Dynal Mouse T cell Negative isolation kit (Invitrogen). Cells were cultured in RPMI 1640 (Lonza) supplemented with 10% FCS, 1% penicillin/streptomycin, 2 mM glutamine, 1 mM pyruvate and 1% non-essential amino acids (Lonza) (complete RPMI). To assess cell proliferation, the splenocyte pools (2 × 10
5 cells/well, in triplicate) were stimulated for five days in the presence of 5 μg/ml of two 8- and 9-mer E7 peptides, DLYCYEQL (aa 21-28) and RAHYNIVTF (aa 49-57), already known to efficiently bind the H-2 K
b complex of C57 Black/6 mice [
36]. On day 6, the cells were pulsed with 0.5 μCi [
3H] thymidine per well and incubated for 18 h. The cells were then harvested onto filters using an automatic harvester and counted in a Beta Counter (Wallac). The results were expressed in stimulation index (SI), calculated by dividing the mean counts per minute (cpm) of cells exposed to the E7 peptides by the mean cpm of cells incubated only with medium. The IFN-γ ELISPOT assay was performed using commercially available reagents (Mabtech AB). T-cell enriched splenocytes were seeded in triplicate (5 × 10
5 cells per well) in 200 μl complete medium with the E7 stimulator peptides. After 18 h at 37°C in a humidified 5% CO
2 incubator, the plates were analysed for the presence of IFN-γ as described in [
35].
Antibody assay
The sera from each group of immunized mice were pooled and analysed. To determine the anti-E7 specific IgG titre the sera pools were serially diluted (two-fold) and assayed by ELISA [
30]. The end-point dilution corresponded to an OD absorbance < 0.1 at 450 nm. Sera pools diluted 1:100 were used to analyse the anti-E7 IgM, IgA and the IgG isotypes (IgG1, IgG2b, IgG2c and IgG3). Antigen-antibody complexes were detected using the following HRP-secondary antibodies (Sigma-Aldrich): rabbit anti-mouse IgG (H+L), goat anti-mouse IgM (μ-chain), goat anti-mouse IgA (α-specific), goat anti-mouse IgG1, IgG2b, IgG3, IgG2c. HRP activity was revealed using tetramethyl benzidine substrate (TMB) in the presence of H
2O
2. After 30 min at RT, the enzymatic reaction was stopped by adding 50 μl of 1 M sulphuric acid/well. Washing steps were done with 400 μl/well of PBS containing 0.05% Tween-20 in an automatic washer.
Statistical analysis
Significance analysis was performed using the Student t test for unpaired data. Differences were considered significant if P < 0.05.
Discussion
This study reports the induction in mice of a tumour-protective immunity using an E. coli-derived HPV-E7 preparation containing particles. E7 has been intensively studied for many years. However, this is the first time, to our knowledge, that a particulate form of E7 has been used as an immunogen and proposed as a non-adjuvated vaccine. Our results show that, the tumour-protective immunity in the mouse TC1/C57BL/6 tumour model correlates to the elicited E7-specific T cell response, and to the IgG isotype switching (IgG2b and IgG2c).
Previous studies on bacterial-derived E7 showed that Zinc has a role in E7 particle formation. Chinami
et al. [
20] obtained E7 nanoparticles using Zinc acetate both in culture medium and purification buffers. On the contrary, Alonso
et al. [
27] obtained well defined-E7 oligomers after EDTA chelation of Zinc. For our E7 preparations, neither the culture medium nor the purification buffers contained Zinc salts. The analysis of the Zinc content in our protein preparation indicates that only 19% of E7 binds the metal, suggesting that several forms of particles could be generated from the bacterial-derived E7. The metal does not seem important for the formation of our E7 micro- and nanoparticles, at least not in the experimental conditions used here. We did not increase the Zn
++ content in the E7 preparation used as immunogen in mice, considering that while Zn
++ is an essential mineral in eukaryotic systems, a high quantity of the metal is also toxic [
38]. When Zinc was removed from the E7 preparation by dialysis in the presence of 1 mM EDTA, the protein's solubility decreased resulting in salting out of E7 as large aggregates without forming micro- and nanoparticles, as observed by EM (data not shown).
As the aim was to obtain a highly immunogenic E7 preparation, we did not focus on obtaining identical particles, considering that particles of different size can be taken up by different types of antigen presenting cells, such as dendritic cells, macrophages and polymorphonuclear leukocytes, sustaining a more potent immune response [
39,
40]. However, we standardized the different preparations by semi-quantitative counting of particles on EM micrographs (not shown).
The immunogenicity of E. coli-derived E7 fused, through the N-terminus, to either HPV16 E6 or GST, was also investigated in mice. An antigen-specific immune response of Th2 polarity was obtained when the fusion proteins were administered to mice without adjuvant (data not shown). However, we were unable to observe the typical micro- and nanoparticles in these E7-fusion proteins prepared from E. coli (data not shown).
Recently, the cytosolic accumulation of E7-oligomers shown in HPV16 cervical cancer cell lines and in clinical samples by indirect methods, supports a new hypothesis regarding the presence of E7 isoforms and their role in different cell compartments [
41‐
43]. As keratinocytes display antigen-presenting cell features [
44], the presence of E7 in different aggregation forms and cell compartments could affect E7 processing and presentation by MHC I and II molecules, determining both the strength and quality of the host's anti-HPV immunity.
More studies on recombinant E. coli-derived E7, assembled in different forms, would contribute to explaining how the different branches of the immune system in the HPV16 mouse tumour model are stimulated. Significant differences exist between the HPV16 mouse tumour model and human HPV16-dependent diseases. However, studies on IgG subclasses and their FcγR receptors between mouse and human are comparable (37). We believe that HPV16 E7 immunogenicity studies in mouse will provide insights into the understanding of the protective immunity against human HPV16 infections as well.
The commercial preventive HPV vaccines have high production costs which has made widespread vaccination programs still not possible. Recently, new combined preventive and therapeutic HPV vaccines produced in
E. coli have been described [
45‐
47] and the data presented here suggests a possible use of
E. coli-derived E7 in particle form in subunit vaccines. The
E. coli expressed proteins represent a well-studied and cost-effective means for the production of vaccines. These methods require reduced time, costs, labour and can be easily scaled up in industrial-scale productions. A generation of new low-cost HPV vaccines could represent the only possibility for women living in developing countries to gain access to HPV vaccination programs to prevent or treat pre-cancerous lesions and cancer.
Conclusions
The paper describes, for the first time, the use of recombinant HPV16 E7, assembled
in vitro into particulate form, to induce protective immunity against a HPV16-related tumour in an HPV16 mouse tumour model. Data show that E7 particles, used without adjuvant, are excellent stimulators of the immune system. In C57BL/6 mice, the E7 preparation induces anti-tumour immunity sustained by both humoral and cell-mediated immune responses. This E7 protein (derived from
Escherichia coli) without adjuvant could represent, along with the recently proposed
E. coli-derived HPV antigens [
45‐
47], a low cost constituent for the development of a new generation of HPV16 vaccines, which combine prophylactic and therapeutic activities.
Competing interest
The authors declare that they have no competing interests.
Authors' contributions
LP carried out the biochemical and immunological assays, made contribution to the analysis and interpretation of the data and helped to draft the manuscript; MGA carried out the EM analysis and made contribution in data analysis; AC performed the experiments with the animals. SC carried out the mass spectrometry experiments; FB made contribution in data analysis; CG made contribution to the analysis and interpretation of the data, in critical revision of the manuscript and in acquisition of funding. PDB conceived and designed the study, analysed and interpreted the data and drafted the manuscript. All authors read and approved the final manuscript.