1
1 An Fc-silent OspA monoclonal antibody passively protects mice from tick and
2 intradermal Borrelia burgdorferi challenge
3
4
5
6 Daniel Palmer 1, Atieh Shemshadian2, Katherine Berman1, Graham G. Willsey1, Carol Lyn
7 Piazza 1, Grace Freeman-Gallant1, Michael J Rudolph3, Jeff Bourgeois4, Linden Hu4, David J.
8 Vance1,2, and Nicholas Mantis1,2,*
9
10
11
12 1Wadsworth Center, New York Department of Health, Division of Infectious Disease, Albany
13 NY 12208; 2University of Albany, Department of Biomedical Sciences, Albany NY 12208;
14 3New York Structural Biology Center, New York, NY 10027; 4Deparrment of Microbiology,
15 Tufts University, Boston, MA 02111
16
17
18
19 *To whom correspondence should be addressed;
[email protected]
20
21
22 Running title: Passive protection afforded by LA-2 LALAPG
23
24 Keywords: spirochete; antibody; complement; Fc receptor; skin; vector
25
26
27
28
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29
30 ABSTRACT
31 The monoclonal antibody, LA-2, has played a pivotal role in the development of Outer surface
32 protein A (OspA)-based vaccines for Lyme disease, a multisystem illness caused by the tick-
33 borne spirochete, Borrelia burgdorferi sensu lato. Of particular significance was the
34 demonstration more than three decades ago that LA-2 equivalent antibody titers, defined by a
35 competitive-inhibition ELISA, serve as a reliable correlate of vaccine-induced protection across
36 different species, including humans. In vitro characterization of LA-2 has identified both
37 complement-dependent and -independent activities, although which of these attributes contribute
38 to protection against B. burgdorferi remains unresolved. To address this issue, we generated and
39 characterized an “Fc-silent” version of LA-2 IgG1 carrying so-called LALAPG substitutions
40 (L234A, L235A, P329G). We demonstrate that LA-2 LALAPG retained OspA binding activity
41 but was severely attenuated in in vitro complement deposition and complement-dependent
42 borreliacidal assays. Nonetheless, LA-2 LALAPG was as effective as LA-2 at passively
43 protecting C3H mice against nymphal tick-mediated B. burgdorferi challenge. LA-2 LALAPG
44 was also equivalent to LA-2 in passively protecting BALB/c mice against intradermal B.
45 burgdorferi challenge. In the intradermal challenge model, viable spirochetes were not
46 recoverable 24 h after injection from skin biopsies of mice treated with LA-2 or LA-2 LALAPG,
47 and an influx of pro-inflammatory cytokines and chemokines to the injection site was abrogated.
48 Collectively, these results suggest that LA-2’s primary mode of action involves direct physical
49 interactions with the spirochete rather than complement-dependent killing. Elucidating these
50 mechanisms may have implications for understanding the mechanistic correlates of OspA-based
51 vaccine-induced immunity in humans.
52
53
54
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55 INTRODUCTION
56 Over the past five decades, monoclonal antibodies (mAbs) have emerged as extraordinary
57 tools in the identification of protective antigens and epitopes associated with pathogens of
58 interest, leading to novel vaccines for viruses, bacteria and parasites 1-3. In the case of the Lyme
59 disease spirochete, Borrelia burgdorferi sensu lato, multiple groups working in the 1990s
60 generated large collections of mAbs that led to the identification Outer surface protein A (OspA)
61 as a candidate Lyme disease vaccine antigen 4-15. OspA is a lipoprotein expressed at high levels
62 by B. burgdorferi within the midgut of its arthropod vector, the black legged tick (Ixodes
63 scapularis), where it is proposed to function as an adhesin 16. Structurally, OspA consists of 21
64 anti-parallel β -strands with a single C-terminal α-helix 17,18. The N-terminus is anchored in the
65 spirochete outer membrane via a lipid moiety, while the C-terminus projects away (~80 Å) from
66 the bacterial surface and is accessible to antibody attack 19,20. OspA is downregulated during or
67 just after spirochete transmission to a mammalian host 21,22. As such, antibodies elicited by
68 OspA-based vaccines are proposed to inhibit one or more steps in B. burgdorferi tick-mediated
69 transmission, although the specific mechanisms by which this occurs remains to be fully
70 elucidated.
71 Among the many OspA mAbs characterized to date, LA-2 has played a particularly
72 significant role in our understanding of OspA-mediated immunity. LA-2 was one of the first
73 OspA-specific mAbs shown to passively protect mice from B. burgdorferi needle infection 6 and
74 tick-mediated challenge 23. And, until just a few years ago, LA-2 was the only protective
75 antibody whose epitope on OspA had been resolved at the structural level 18,24,25. In the context
76 of Lyme disease vaccine development, LA-2 serological antibody “equivalence,” as defined by a
77 competitive ELISA, proved to correlate with protection against tick-mediated B. burgdorferi
78 infection in OspA-vaccinated mice and dogs 26. Remarkably, as part of a large randomized OspA
79 vaccine trial, it was determined in a subset of individuals that LA-2 equivalent titers are also
80 important biomarkers of Lyme disease susceptibility in humans, as individuals with confirmed
81 Lyme disease had lower LA-2 equivalence than those who did not 27,28. LA-2 continues to be
82 used as a benchmark in the development of next generation OspA vaccines 29 (M. Finn, personal
83 communication).
84 Despite LA-2’s central role in Lyme disease vaccine development, the exact mechanism
85 by which LA-2 protects against B. burgdorferi infection remains incompletely defined. In fact,
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86 the basic question of whether complement is needed for LA-2’s protective activity has not been
87 addressed. While LA-2 has potent complement-dependent borreliacidal activity in vitro 23,30,31,
88 evidence indicates that complement (human or mouse) is not active in the tick midgut 32. Several
89 complement-independent activities have been ascribed to LA-2, including effects on spirochete
90 transmigration, that would be expected to impede B. burgdorferi from the tick midgut 33,34.
91 Defining the contribution of complement in LA-2’s mechanism of action is important for
92 understanding correlates of OspA-mediated immunity, especially as clinical trials of next
93 generation OspA vaccines are ongoing 29,35,36. In this report, we generate an “Fc-silent” version
94 of LA-2 IgG1 that is effectively devoid of in vitro complement-dependent borreliacidal activity
95 and characterize its activity in mouse models of tick-mediated and intradermal B. burgdorferi
96 challenge.
97
98 Materials and Methods
99 Ethics statement. The mouse experiments described in this study were reviewed and approved
100 by the Institutional Animal Care and Use Committees (IACUC) at the Wadsworth Center
101 (protocol 23-459) and Tufts University-Tufts Medical Center (protocol B2024-50). The
102 Wadsworth Center and Tufts University-Tufts Medical Center both comply with the Public
103 Health Service Policy on Humane Care and Use of Laboratory Animals and were issued
104 assurance numbers A3183-01 and A4059-01, respectively. Both facilities are fully accredited by
105 the Association for Assessment and Accreditation of Laboratory Animal Care (AAALAC).
106 Obtaining this voluntary accreditation status reflects that these facilities’ Animal Care and Use
107 Program meets all standards required by law and goes beyond the standards as it strives to
108 achieve excellence in animal care and use. All animals were euthanized by carbon dioxide
109 asphyxiation followed by cervical dislocation, as recommended by the Office of Laboratory
110 Animal Welfare (OLAW), National Institutes of Health.
111
112 Recombinant B. burgdorferi B31 proteins. Recombinant OspA, DbpA and OspC type A
113 derived from B. burgdorferi strain B31 (Table 1) were expressed in E. coli as cited in Table 1.
114
Table 1. Recombinant B. burgdorferi B31 proteins used in this study
Antigen AA UniProt ID References
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OspA 18-273 P0CL66 24
OspB 50–296 P17739 unpublished
OspCA 38-201 Q07337 37
DbpA 26-188 O50917 38
DbpB 21–187 O50917 unpublished
Abbreviations; AA, amino acid; UniProt (https://www.uniprot.org/)
115
116 LA-2 and LA-2 LALAPG IgG1 expression and purification. Codon optimized VH and VL
117 DNA sequences of LA-2 (Antibody Registry RRID: AB_2619693) derived from PDB 1FJ1 18
118 were custom synthesized by Life Technologies (San Diego, CA) and cloned into TMV and PVX
119 plant expression vectors containing codon-optimized human kappa and human IgG1 constant
120 regions 39. The resulting plasmids were transformed into Agrobacterium tumefaciens. Four-
121 week-old N. benthamiana plants were infiltrated with A. tumefaciens carrying plasmids for the
122 expression of heavy and light chains of LA-2 LALAPG. Aerial plant parts were harvested after 7
123 days and extracted and clarified. The LA-2 LALAPG antibody was then purified with Protein A
124 affinity and anion exchange chromatography 40.
125
126 Antibody affinity determinations by Biolayer interferometry (BLI). Affinity determinations
127 were conducted using an Octet RED96e Biolayer Interferometer (Sartorius, Goettingen,
128 Germany) with Data Acquisition 12.0 software. Biotinylated OspA (5 μg/mL) in PBS containing
129 2% w/v BSA (“buffer”) was captured onto Octet SA (streptavidin) biosensors (Sartorius) for 5
130 min. After equilibration, sensors were immersed in two-fold serial dilutions of mAb starting at
131 100 nM for 10 min. The sensors were then dipped into buffer for 30 min to allow for
132 dissociation. The raw sensor data were loaded into the Data Analysis HT 12.0 software, grouped
133 and fit using a 1:2 bivalent analyte model.
134
135 Flow cytometric analysis of B. burgdorferi surface labeling. B. burgdorferi strain B31 surface
136 labeling with LA-2 and LA-2 LALAPG was performed essentially as described 31. LA-2 and
137 LA-2 LALAPG were 2-fold serially diluted in PBS before incubation with viable B. burgdorferi
138 B31. The ricin-specific mAb, PB10, was used as an IgG1 isotype control (10 µg/mL). Alexa
139 Fluor 647-labeled goat anti-human IgG (H+L) (Invitrogen, Carlsbad, CA) was used as a
140 secondary antibody. Samples were analyzed using a BD FACSCalibur (BD Biosciences,
141 Franklin Lakes, NJ). Bacteria were gated on FSC and SSC to exclude debris, and 20,000 events
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142 were counted per condition. Agglutination was calculated as the percent of events in the UL +
143 UR + LR quadrants. Data were analyzed using FlowJo v10.10.0 (BD Biosciences).
144
145 Complement-dependent borreliacidal assays. Complement-dependent borreliacidal assays
146 were performed using a recombinant B. burgdorferi B31-5A4 strain carrying an IPTG-inducible
147 mscarlet-I reporter (GGW979), as described 31. Briefly, GGW979 cultures were grown to mid-
148 log phase in BSKII medium supplemented with gentamicin (50 µg/ml) at 32 °C under static
149 conditions. Spirochetes were harvested by low-speed centrifugation and resuspended in phenol
150 red–free BSKII containing gentamicin (50 µg/ml) to a final density of 3×10⁷ spirochetes/ml.
151 Cell suspensions were then mixed 1:1 with phenol red–free BSKII supplemented with
152 20% guinea pig complement (Sigma Aldrich, St. Louis, MO) and 20 nM of one of the following
153 mAbs: LA-2, LA-2 LALAPG, 857-2, PB10. PB10, a ricin toxin-specific antibody, was used as
154 an IgG1 isotype control. Reactions were set up in white 96-well assay plates (Co-Star).
155 Following sample addition, reactions contained 1.5×10⁶ spirochetes, 5 nM of antibody and 10%
156 guinea pig complement. Assay plates were then incubated overnight in a water jacketed
157 incubator at 37°C with 5% CO 2. The following day, 1 mM IPTG was added to each well to
158 induce mScarlet-I expression. Following a 48-h incubation at 37°C with 5% CO 2, the MFI was
159 recorded at 569 nm (excitation)/611 nm (emission) using a Spectramax ID3 plate reader
160 (Molecular Biosystems, San Jose, CA). Raw MFI data was then normalized as described 31. The
161 data presented is the mean and SD of three independent experiments.
162
163 MIA. B. burgdorferi B31 antigens OspA, OspB, OspC, DbpA, and DbpB (Table 1) were
164 coupled to Magplex-C microspheres (5 g antigen/ 1x10 6 microspheres) using a xMap Antibody
165 Coupling Kit as recommended by the manufacturer (Luminex Corporation, Austin, TX). Beads
166 were protected from light and stored at 2-8°C in xMAP AbC Wash Buffer (5x10 6
167 microspheres/mL) until use. Serum samples (1:100) and coupled microsphere stocks (1:50) were
168 diluted in assay buffer (1 x PBS, 2% BSA, pH 7.4). The diluted sera (50 μL) and diluted
169 microspheres (50 μL) were combined in black, clear-bottomed, non-binding, chimney 96-well
170 plates (Greiner Bio-One, Monroe, North Carolina) and incubated at room temperature for 1 hr in
171 a tabletop shaker (600 rpm). Plates were placed on a magnetic separator and washed three times
172 using wash buffer (1 x PBS, 2% BSA, 0.02% TWEEN-20, 0.05% Sodium azide, pH 7.4). To
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173 detect seroconversion in the mice, goat anti-mouse IgG, Human-ads-PE (SouthernBiotech,
174 Birmingham, Alabama) secondary antibody was diluted 1:500 in assay buffer, added (100 μL ) to
175 each well, and allowed to incubate at room temperature for 30 min in a tabletop shaker (600
176 rpm). Alternatively, to detect remaining LA-2 or LA-2 LALAPG, PE labeled goat anti-Human
177 IgG Fc, eBioscience (Invitrogen) secondary antibody was used. Plates were washed as
178 previously stated. The microspheres were resuspended in 100 μL of wash buffer and placed back
179 on the tabletop shaker (600 rpm) for 5 minutes prior to analysis using a FlexMap 3D (Luminex
180 Corporation). To establish reactivity cutoffs for each antigen, the average median fluorescent
181 intensity (MFI) of buffer-only wells was multiplied by six. MFIs for each mouse serum sample
182 were divided by the antigen-specific reactivity cutoffs yielding an index value. An index value
183 greater than 1 suggests reactivity above background for the given antigen.
184
185 Antibody-dependent complement deposition (ADCD) assay. We modified a flow cytometry-
186 based HIV-1 antibody-dependent complement deposition (ADCD) for use with a Luminex
187 instrument and OspA-coupled beads 41. Magplex-C microspheres coupled with recombinant B.
188 burgdorferi antigens, OspA and OspCA, were diluted (1:50) and mixed 1: 1 (v/v) with primary
189 antibodies, LA-2 and LA-2 LALAPG (10 g/mL), then seeded into a 96-well plates, covered in
190 foil, and incubated for 1 h at room temperature (RT) with shaking. Plates were washed twice
191 using a plate magnet and 190 L of wash buffer (PBS, 2% BSA, 0.02% Tween-20, 0.05%
192 sodium azide, pH 7.4). Following the washes, 200 L of diluted human complement (1:50; Pel-
193 Freez Biologicals, Rogers, AR) were added to each well and incubated for 20 min at RT with
194 shaking. Plates were washed again then phycoerythrin-tagged mouse anti-C3/C3b/iC3b (1:100;
195 BD) and phycoerythrin-tagged goat anti-human IgG Fc (1:500; Invitrogen) were added to their
196 respected wells and incubated for 30 min. The plates were washed a final time before antibody-
197 bead complexes were resuspended in 100 uL of wash buffer and incubated for 1 min while
198 shaking. The plates were analyzed via a FlexMAP 3D instrument (Luminex Corporation) with
199 results presented in median fluorescence intensity (MFI).
200
201 Mouse model of B. burgdorferi challenge by Ixodes scapularis nymphs. Animal studies were
202 conducted with approval by the Institutional Animal Care and Use Committees (IACUC) at the
203 Wadsworth Center and Tufts University-Tufts Medical Center. To generate B. burgdorferi B31
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204 infected Ixodes scapularis nymphs, C57BL/6J mice were injected subcutaneously with 10^5
205 cells/mL log growth phase of B. burgdorferi B31. Two to four weeks later, the mice were
206 infested with naive Ixodes scapularis larvae, which were allowed to feed to repletion. Replete
207 larvae were harvested and allowed molt into mature infected nymphs. As controls, we used naive
208 Ixodes scapularis nymphs procured from the Oklahoma State University tick rearing facility 42.
209 For challenge studies, equal numbers of male and female C3H/HeN mice aged ~6 weeks
210 (Charles River Laboratories, Kingston, NY) were acclimated in the Wadsworth Center’s
211 vivarium for 1-2 weeks before the start of the experiment. On study day -1, mice were
212 subcutaneously (SC) administered either LA-2, LA-2 LALAPG or an IgG1 isotype control (anti-
213 Vibrio cholerae mAb ZAC-3) (120 g or 30 g per mouse) diluted in 200 µL of PBS. The
214 following day, infected or naive nymphal ticks (5 per mouse) were placed on a shaved area of the
215 mouse’s dorsum. Nymphs were collected from all mice 3-5 days post placement. Mice which
216 had at least one tick that appeared to be at or near repletion at the time of collection were
217 presumed to be successfully challenged. On study day 21, mice were euthanized, and blood was
218 collected via cardiac puncture for serological analysis. Bladders were also collected for
219 cultivation of spirochetes in 2 mL BSKII cultures treated with rifampicin (50 μg/mL),
220 fosfomycin (20 μg/mL), and amphotericin B (2.5 μg/mL). Infection status was based on
221 seroconversion using the MIA described above, as well as the presence or absence of live
222 spirochetes in bladder cultures using dark-field microscopy, which were assessed weekly for one
223 month.
224
225 Collection of engorged ticks, dissection, and determination of genome equivalents. One
226 replete or near-replete nymph that had fed on each mouse was dissected to harvest the midgut
227 tissues. Midgut tissues were extracted using the E.Z.N.A.® Mollusc & Insect DNA Kit (Omega
228 Bio-tek, Inc., Norcross, GA) and real-time qPCR was performed to determine the Borrelia
229 burden in midgut tissues. The single-copy B. burgdorferi flaB (flagellin) gene was amplified, and
230 flaB copy number was standardized to total gDNA in each sample as measured using the Qubit 4
231 Fluorometer (Invitrogen) to determine normalized spirochete burdens in tick midguts.
232
233 Mouse model of intradermal B. burgdorferi challenge. Female BALB/c mice aged ~8 weeks
234 (Taconic Biosciences, Germantown, NY) were acclimated in the Wadsworth Center’s vivarium
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235 for one week before the start of the experiment. On study day -1, mice were injected
236 intraperitoneally (IP) with LA-2 or LA-2 LALAPG (0.1 - 120 g/mouse) in 200 µL PBS. The
237 following day (study day 0), mice were challenged with mid-log phase B. burgdorferi strain
238 B31-5A4 (1x10 5 cells) by intradermal (ID) injection. On day 21, the mice were euthanized, and
239 blood was collected via cardiac puncture for serological analysis. Infection status was
240 determined based on seroconversion using the MIA described above.
241
242 To assess the effects of LA-2 and LA-2 LALAPG on B. burgdorferi skin dissemination, a mix of
243 male and female BALB/c mice aged ~6 weeks were injected SC with 30 µg of LA-2 or LA-2
244 LALAPG in 200 µL PBS, or remained untreated. The following day (study day 0), mice were
245 challenged with mid-log phase B. burgdorferi strain B31-5A4 (1x10 5 cells) by ID injection.
246 Groups of mice were euthanized on days 1, 3 and 7, and ~5 mm skin biopsies were excised from
247 the injection site (IS), ~1 cm away from the IS, and ~3 cm away from the IS. Biopsies were
248 rinsed in PBS immediately after collection and placed in 2 mL BSKII medium supplemented
249 with rifampicin (50 μg/mL), fosfomycin (20 μg/mL), and amphotericin B (2.5 μg/mL) for
250 cultivation of spirochetes. The biopsy cultures were assessed weekly by dark-field microscopy
251 over the course of four weeks for the presence of viable spirochetes.
252
253 Inflammatory cytokine and chemokine analysis in mouse skin biopsies. Groups of male and
254 female BALB/c mice were SC administered 30 ug LA-2 per mouse on day -1 or left untreated.
255 The following day (study day 0), mice were challenged with mid-log phase B. burgdorferi strain
256 B31-5A4 (1x10 5 cells) by ID injection. 5 days-post infection, mice were euthanized, and a skin
257 biopsy ~1 cm in diameter was collected from the injection site of each mouse in a cytokine
258 extraction buffer containing 0.4M NaCl, 0.05% Tween 20, 0.5% Bovine Serum Albumin, 0.1
259 mM phenylmethylsulphonyl fluoride, and 20 Ki of aprotinin in 1X PBS. The solution containing
260 the biopsy was homogenized at 5 m/s in a bead beater in 1-minute increments, with a 1-minute
261 cool down between shakes. This was repeated five times, or until the biopsy was fully
262 homogenized. This solution was centrifuged at 13,000 g for 10 minutes at 4°C, and the
263 supernatant was collected and then prepared for cytometric bead array analysis. Skin
264 homogenates were diluted 1:2 in assay diluent and processed using the BD Biosciences
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265 Cytometric Bead Array (CBA) Mouse Inflammation Kit following the manufacturer’s
266 instructions. Samples were analyzed using a BD FACSCalibur (BD Biosciences).
267
268 Statistical analysis. Statistical procedures for experiments are described in the figure legends.
269 All statistical analysis of data was performed in R, Graphpad Prism 9.0, and Microsoft Excel.
270 In all experiments, p-values <0.05 are considered significant.
271
272 Results
273 Recognition of recombinant and native OspA by LA-2 and LA-2 LALAPG. To generate an
274 Fc-silent version of LA-2, codon optimized DNA sequences encoding the variable heavy chain
275 (V H) was cloned in-frame into human IgG1 Fc and IgG1 LALAPG expression vectors. The IgG1
276 LALAPG derivative carries three-point mutations (L234A, L235A, P329G) relative to IgG1 that
277 abolishes complement fixation activity and FcR recognition 43,44. The LA-2 VL coding sequence
278 was inserted into a human kappa expression vector. The V H and VL plasmids were transformed
279 into A. tumefaciens that was then used to infiltrate N. benthamiana . Aerial plant parts were
280 harvested after 7 days and extracted and clarified antibodies were purified to homogeneity by
281 Protein A affinity and anion exchange chromatography 40. By flow cytometry, LA-2 IgG1 and
282 LA-2 LALAPG were equivalent in their ability to recognize native OspA on the surface of viable
283 B. burgdorferi strain B31, as well as induce agglutination of those cells (Figure 1). Surface
284 labeling was dose-dependent and resulted in a maximum of ~90% total cell labeling with a
285 median fluorescence intensity (MFIs) exceeding 7500 for LA-2 LALAPG. LA-2 and LA-2
286 LALAPG also recognized recombinant OspA with similar apparent affinities as measured by
287 BLI (Figure S1 ).
288
289 Figure 1. Reactivity of LA-2 and LA-2 LALAPG with native OspA. Representative flow
290 cytometry assay of serially diluted LA-2 (dark blue) and LA-2 LALAPG (light blue overlay)
291 reactivity with native OspA on the surface of B. burgdorferi B31. (Left) Fluorescence histogram
292 overlays comparing binding properties. Percent and gMFIs of Alexa-647 fluorescently labeled
293 events (under bracket) are indicated. (Right) Forward scatter (FSC) – side scatter (SSC) dot plot
294 overlays comparing agglutination properties. Events increased in FSC and/or SSC (UL, UR, LR
295 quadrants) demonstrate agglutination, and percent of events agglutinated is indicated.
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296
297 LA-2 LALAPG IgG1 lacks complement fixation and borreliacidal activities. Introduction of
298 the LALAPG (L234A, L235A, P329G) mutations into the Fc region of IgG1 is reported to
299 essentially eliminate complement fixation activity 43,44. To examine this in the case of LA-2, we
300 adopted an antibody-dependent complement deposition (ADCD) assay to OspA (Figure 2A) 41.
301 Recombinant OspA was covalently coupled to fluorescent microspheres, then probed with LA-2
302 IgG1 and LA-2 LALAPG in the presence of human complement. Total mAb binding to the
303 beads was determined using PE-labeled anti-human IgG, while complement deposition was
304 measured using a PE-labeled anti-C3 antibody. The results confirmed that LA-2 and LA-2
305 LALAPG have equivalent capacities to bind OspA (Figure 2B). However, the two mAbs were
306 starkly different in terms of complement fixation activity. LA-2 demonstrated a dose-dependent
307 increase in C3 deposition that peaked at ~2 g/ml. LA-2 LALAPG, in contrast, was devoid of
308 any activity even at 10 g/ml (Figure 2C). These results confirmed that LA-2 LALAPG is
309 unable to fix complement via the classical pathway.
310
311 Figure 2. LA-2 LALAPG is deficient in complement deposition in vitro. (A) Binding (MFI)
312 of LA-2 IgG and LA-2 LALAPG to recombinant OspA. The asterisks indicate a significant
313 difference between groups by Welch’s t-test (**P<0.01). Quantification and comparison of
314 human complement C3 deposition between LA-2 and LA-2 LALAPG in the context of OspA.
315 The asterisk indicates a significant difference between groups by Welch’s t-test, where *P<0.05.
316 (C) Dose response of complement C3 deposition of LA-2 and LA-2 LALAPG in the context of
317 OspA.
318
319 To assess the capacity of LA-2 and LA-2 LALAPG to promote complement-dependent
320 borreliacidal activity, we employed a recently developed fluorescence-based B. burgdorferi
321 reporter strain GGW979 31. GGW979 is a derivative of B. burgdorferi B31 that expresses the red
322 fluorescent protein, mScarlet, under control of an IPTG-inducible promoter 45. In the assay,
323 neither LA-2 nor LA-2 LALAPG had any measurable demonstrable borreliacidal activity in the
324 absence of 5 nM complement (Figure 3). In the presence of exogenous complement, LA-2 IgG
325 elicited dose-dependent borreliacidal activity at concentrations ranging from 20 to <1 g/ml
326 (data not shown). LA-2 LALAPG, on the other hand, had no measurable complement-
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327 dependent borreliacidal activity, even at 20 g/ml. Collectively, these results demonstrate that
328 the LA-2 LALAPG retains OspA binding activity but lacks complement-fixing activity.
329
330 Figure 3. Complement-dependent borreliacidal activity associated with LA-2 and LA-2
331 LALAPG. Mid-log phase B. burgdorferi strain B31-5A4 carrying an IPTG-inducible mscarlet-I
332 reporter (GGW979) were suspended (1.5×10⁶ cells per reaction) in BSKII medium supplemented
333 with 20% guinea pig complement and 5 nM of the mAbs indicated on the x-axis (857-2, LA-2,
334 LA-2 LALAPG, PB10), as detailed in the Materials and Methods. Following a 48-h incubation,
335 the median fluorescence intensity (MFI; 569 nm excitation/611 nm emission) was determined.
336 The bars are the mean of three independent experiments with each symbol being an independent
337 experiment and the error bars indicating SD. The dashed red line represented 50% killing. The
338 results demonstrate that 857-2 and LA-2 have potent borreliacidal activity as indicated by low
339 normalized MFI, whereas LA-2 LALAPG and the isotype control were devoid of activity.
340
341 LA-2 LALAPG protects mice from tick-mediated B. burgdorferi infection. Having
342 established that LA-2 LALAPG is deficient in complement fixation, we next examined the
343 mAb’s ability to protect mice from infection in a tick-mediated B. burgdorferi challenge. Groups
344 of C3H/HeN mice were administered 120 or 30 g of LA-2 or LA-2 LALAPG by subcutaneous
345 injection and challenged the following day with B. burgdorferi B31-infected Ixodes scapularis
346 nymphs. An additional group of mice received an IgG1 isotype control (ZAC-3). On day 21, the
347 mice were euthanized and assessed for B. burgdorferi infection by serology using a
348 B.burgdorferi specific MIA and recovery of viable spirochetes from bladders. For statistical
349 purposes, a mouse was scored as categorically infected if either readout (seroconversion, culture)
350 was positive. By these metrics, LA-2 and LA-2 LALAPG were each protective at the 120 g
351 dose (p<0.01), but only marginally effective at 30 g dose, relative to mice that received the
352 isotype control (Table 2). Of particular importance, LA-2 and LA-2 LALAPG were statistically
353 indistinguishable in terms of their protective efficacy (p>0.99). These results demonstrate that
354 LA-2 can protect mice from tick-mediated B. burgdorferi infection in the absence of complement
355 fixation.
356 B. burgdorferi numbers in the midgut of ticks that feed on OspA immunized mice were
357 reported to decline or be eliminated entirely within days after engorgement suggesting that OspA
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358 antibodies exhibit borreliacidal activities within the tick gut 9,32,46. On the other hand, the “LA-2-
359 like” mAb, C3.78, passively protected mice from tick-mediated B. burgdorferi infection without
360 affecting spirochete numbers in the midgut, consistent with a mechanism of action not dependent
361 on borreliacidal activity 47. To address this issue in the case of LA-2, we collected engorged ticks
362 that had fed on ZAC-3-, LA-2- or LA-2 LALAPG-treated mice, dissected the midguts, then
363 quantified spirochete burdens using qPCR. There was no significant reduction in spirochete
364 burdens in the tick midgut in ticks that fed on LA-2 or LA-2 LALAPG-treated mice (Figure S2),
365 as compared to the isotype control-treated group. Thus, LA-2 or LA-2 LALAPG do not appear to
366 exhibit borreliacidal activity in the context of the tick midgut environment.
367
Table 2. mAb passive protection in mouse model of tick-mediated B. burgdorferi challenge
readout (# pos./# total) significance (p) b
mAb Dose (µg) Tick serologya culture a vs. IC vs. LA-2
LA-2 120 + 0/6 0/6 0.99
LA-2 30 + 2/5 1/5 0.18 -
LALAPG 30 + 3/6 2/6 0.18 >0.99
IC 30 + 5/5 5/5 - -
IC 30 - 0/2 0/2 - -
a, number of positive mice/total mice per group. b, significance (Fisher’s exact test with Benjamani-Hochberg procedure
for the FDR) was determined using readout with highest infection status. p-values <0.05 are considered significant. IC =
isotype control.
368
369 LA-2 and LA-2 LALAPG limit skin dissemination of B. burgdorferi. While it is known that
370 LA-2 and other OspA antibodies protect mice from B. burgdorferi dissemination even when
371 spirochetes are delivered by injection, there are no reports examining whether this is dependent
372 on complement 6,48,49. Considering the sensitivity of B. burgdorferi to the classical complement
373 pathway 50, we reasoned that LA-2 would prevent disseminated infection following intradermal
374 challenge, while LA-2 LALAPG would not. To test this, groups of mice were administered LA-2
375 or LA-2 LALAPG at 120 g per mouse then challenged the following day with viable B.
376 burgdorferi B31 (105 cells) by intradermal injection. Three weeks later, mice were euthanized
377 and assessed for seroconversion using the B. burgdorferi-specific MIA, described above. By this
378 measure, all six mice in the LA-2 treated group and five of the six mice in the LA-2 LALAPG
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379 group were protected (Table 3). This demonstrates that neither Fc effector functions nor
380 complement fixing activity are required for LA-2’s protective activity following intradermal
381 challenge.
382
Table 3. mAb passive protection in mouse model of B. burgdorferi ID challenge
Dose
(µg/mouse) LA-2 (p =)a LA-2 LALAPG (p =) a LA-2 vs. LA-2
LALAPGb
120 0/6 (0.99
1 1/6 (0.046) 2/6 (0.09) >0.99
0.3 3/6 (0.54) 5/6 (>0.99) 0.82
0.1 3/6 (0.27) 6/6 (>0.99) 0.27
0 6/6 -- -
a, number of positive mice/total mice per group with significance compared to the infected control (0 µg/mouse
dose) determined by Fisher’s exact test with Benjamani-Hochberg procedure for the FDR indicated in
parentheses; b significance (p values), determined by Fisher’s exact test with Benjamani-Hochberg procedure
for the FDR, comparing numbers of infected mice between LA-2 and LA-2 LALALPG at each dose indicated.
383
384 To investigate how LA-2 and LA-2 LALAPG perform at limiting doses, we carried out a
385 pilot study to establish the minimum amount of LA-2 required to protect BALB/c mice against
386 B. burgdorferi B31 intradermal challenge. Those studies indicated that as little as 1 g of LA-2
387 IgG per mouse was sufficient to render B. burgdorferi B31 non-infectious (Table S1). We
388 therefore compared LA-2 and LA-2 LALAPG side by side at doses of 1, 0.3 and 0.1 g mAb per
389 animal in intradermal B. burgdorferi B31 challenge. At the 1 g dose, one of the six mice in the
390 LA-2 treatment group was infected at day 21, while two of the six mice in the LA-2 LALAPG
391 group were infected (Table 3). Although neither mAb conferred significant protection at the two
392 lower doses tested (0.3 and 0.1 g per mouse), LA-2 treated mice fared slightly better than the
393 LA-2 LALAPG treated mice in both cases. We conclude that LA-2 IgG protection in the
394 intradermal challenge model is independent of Fc-mediated activities at high antibody
395 concentrations but possibly important when antibody is limiting.
396
397 LA-2 and LA-2 LALAPG clear viable spirochetes from the B. burgdorferi skin. The fact that
398 both LA-2 and LA-2 LALAPG treatments inhibited B. burgdorferi dissemination in the mouse
399 model of intradermal challenge prompted us to examine spirochete burden in tissues at earlier
400 time points. To do this, skin biopsies were collected on days 1, 3 and 7 at three locations: the
401 injection site (IS) on the ventral side of the animal, ~1 cm from the IS, and ~3 cm from the IS on
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402 the dorsal side of the animal (Figure 4). Skin biopsies were cultured in BSKII medium for a
403 month and scored regularly for appearance of viable spirochetes. In the control mice, viable
404 spirochetes were recovered on days 1, 3 and 7, which coincides with the reported kinetics of B.
405 burgdorferi dissemination 51,52. Moreover, three of the four mice also had positive knee and
406 spleen cultures (data not shown). In contrast, skin biopsies from LA-2-treated mice were culture
407 negative at all time points examined (Figure 4). The results were similar for LA-2 LALAPG
408 treatment, with just one of three animals showing positive cultures on day 7 (Figure 4). These
409 results indicate that, in the presence of LA-2 and LA-2 LALAPG, viable B. burgdorferi
410 spirochetes are cleared rapidly at or very near the injection site, thereby arresting dissemination
411 before it even gets started.
412
413 Figure 4. LA-2 and LA-2 LALAPG prevent spirochete dissemination through skin. Groups
414 of mice were administered LA-2, LA-2 LALAPG or an isotype control by subcutaneous
415 injection, then intradermally challenged one day later with B. burgdorferi. On days 1, 3, and 7
416 post challenge, mice were euthanized, and skin biopsies were harvested at the injection site (IS),
417 ~ 1 cm from the IS (S1), and ~3 cm from the IS (S2). Biopsies were immersed in BSKII media to
418 recover viable spirochetes. The pie charts indicate the number of skin samples assayed per
419 treatment, with one sample collected from each skin site per mouse. Red subdivisions indicate
420 positivity for motile spirochetes, while white subdivisions indicate no viable spirochetes
421 detected. Shown are the combined results from two independent experiments.
422
423 The absence of viable spirochetes in the skin biopsies led us to hypothesize that local
424 inflammation may contribute to LA-2-mediated spirochete clearance. To test this, we examined
425 skin biopsy homogenates for the presence of mouse inflammatory chemokines and chemokines
426 TNF-α, IFN-γ, MCP-1, IL-6, IL-10, and IL-12p70. At five days following injection, we observed
427 elevated levels of TNF-α, IFN-γ, IL-6 and especially MCP-1 in untreated mice when compared
428 to uninfected mice (Figure 5). However, in infected mice that were pretreated with LA-2,
429 analytes showed cytokine concentrations similar to levels of uninfected mice (Figure 5). Thus,
430 LA-2 treatment is not associated with residual inflammation in the skin and may clear the
431 spirochetes before a cytokine response can be generated. Further analysis of mouse skin
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432 cytokines and chemokines, as well as immune cell infiltrates, collected at earlier infection time
433 points is ongoing.
434
435 Figure 5. BALB/c mice intradermal infected with B. burgdorferi and treated with LA-2, 5
436 days post-injection. On day –1, mice were given a subcutaneous injection of 30 µg/mL of LA-2
437 in 200 µL of 1X PBS, 30 µg/mL of ZAC-3 in 200 µL of 1X PBS, or 200 µL of 1X PBS. Mice
438 were shaved on day 0 on their right and left flanks, then given an intradermal injection, on each
439 flank, of 10^5 live B. burgdorferi cells in 50 µL of 1X PBS, or 50 µL of 1X PBS. Skin biopsies,
440 approximately 1 cm in diameter, were collected in 1 mL of cytokine extraction buffer for
441 cytometric bead array (CBA) analysis, 5 days post-injection. Skin samples were diluted 1:2 in
442 assay diluent for analysis. Statistics performed by one-way ANOVA, no matching or pairing,
443 corrected for multiple comparisons using Tukey’s test. 95% confidence interval. *p<0.05,
444 **p<0.01.
445
446 Discussion
447 In this report, we generated and characterized an “Fc-silent” derivative of LA-2 as a tool
448 to investigate the role of complement in passive protection afforded by LA-2 in both tick- and
449 needle-mediated B. burgdorferi challenge models. The Fc element of LA-2 was rendered silent
450 by the addition of the so-called LALAPG substitutions (L234A, L235A, P329G), a modification
451 that is gaining wide recognition for its research and clinical applications 44,53,54. We confirmed
452 that LA-2 LALAPG retained OspA binding activity comparable to the parenteral LA-2 IgG1 but
453 was markedly attenuated for in vitro complement fixation and complement-dependent
454 borreliacidal activity.
455 When tested in vivo, we found that LA-2 LALAPG was as effective as LA-2 IgG in
456 passively protecting mice from tick-mediated B. burgdorferi challenge, indicating that neither
457 antibody-mediated complement fixation nor complement-dependent borreliacidal activity were
458 necessary to inhibit spirochete infectivity. In this respect, our results agree with Gipson and de
459 Silva who reported that the “LA-2-like” monoclonal antibody C3.78 blocks tick transmission of
460 B. burgdorferi in the absence of host complement 8,47. Those studies were conducted using
461 complement-deficient (C3) mice and C3.78 Fab fragments. de Silva and colleagues also
462 demonstrated that C3-deficient mice actively immunized with OspA were also protected against
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463 B. burgdorferi infection, further reinforcing the notion that host complement is not required for
464 transmission blocking activity of OspA vaccines 32.
465 Furthermore, our results support a model in which LA-2 and LA-2 LALAPG inhibit B.
466 burgdorferi transmission without affecting the number of spirochetes within the tick midgut.
467 This observation is consistent with C3.78’s mode of action, in which low dose (~60 g/mouse)
468 antibody protected mice from tick-mediated B. burgdorferi challenge without a concomitant
469 reduction in spirochete numbers in tick tissues 47. In other words, antibody is proposed to block
470 spirochete egress from the midgut by a non-borreliacidal mechanism. Gipson and de Silva and
471 others have speculated that OspA antibodies like C3.78 influence the expression of spirochete
472 genes and gene products required for transmission, including the requisite OspA to OspC
473 transition 23,47. We favor a model in which OspA antibodies like LA-2 entrap spirochetes within
474 the midgut by physically altering their transmigratory activity 34. Using a two compartment
475 Transwell system, we reported recently that spirochete movement from the lower to upper
476 chambers is reduced by >99% in the presence LA-2 or LA-2 LALAPG. Inhibition of
477 transmigration coincided with LA-2’s ability to promote spirochete agglutination, alternations in
478 membrane permeability, and even bleb formation 33,55. Exactly how LA-2 engagement with
479 OspA results in changes in migratory activity remains obscure.
480 While LA-2 has the capacity to interfere with B. burgdorferi transmission within the
481 context of the tick, it can also reduce infectivity of B. burgdorferi within the mouse. Indeed, LA-
482 2 was originally identified as being capable of passively protecting scid mice from subcutaneous
483 B. burgdorferi challenge 6. We confirmed and extended that original observation by
484 demonstrating in both BALB/c and C3H mice that remarkably low doses of passively
485 administered LA-2 were sufficient to not only confine but seemingly eliminate B. burgdorferi
486 from the site of intradermal inoculation within hours. LA-2 LALAPG had similar properties,
487 indicating that clearance of B. burgdorferi from the skin environment occurs without
488 complement or Fc effector functions. These observations may be of clinical importance, as they
489 suggest that if B. burgdorferi evades immunity within the context of the tick body, any
490 spirochetes that still express OspA upon entry into the skin will encounter a second line of
491 defense 21,56. While the underlying mechanism by which LA-2 promotes clearance of spirochetes
492 from the skin environment without Fc effector functions is unknown, there are interesting
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493 parallels with antibody-mediated clearance of malaria parasites in this same environment that
494 involve motility arrest and membrane shedding 57,58.
495 In summary, we have demonstrated that LA-2, the well-characterized monoclonal
496 antibody directed against the C-terminus of OspA, functions in both the tick and mammalian
497 environments to limit B. burgdorferi infection without the need for Fc effector functions, such as
498 complement fixation and FcR interactions. It is unclear whether LA-2 equivalence, as defined
499 by a competitive ELISA, which correlates with immunity to Lyme disease in animal models and
500 humans reflects functional activities in vivo or simply a proxy for other activities. Nonetheless,
501 our study makes a case for LA-2’s primary mode of action involving direct physical interactions
502 with the spirochete rather than complement-dependent killing. Elucidating these mechanisms
503 may have implications for our understanding of the mechanistic correlates of OspA-based
504 vaccine-induced immunity in humans.
505
506 Acknowledgements
507 We are grateful to Dr. Michael Pauly and colleagues ZabBio for generating LA-2 LALAPG. We
508 thank Drs. Renji Song and Jennifer Yates of the Wadsworth Center’s Immunology Core for
509 assistance with flow cytometry and the Media and Cell Culture core for BSK II medium. We
510 thank Ms. Elizabeth Cavosie (Wadsworth Center) for administrative assistance. BioRender was
511 used for some figure generation. This work was supported by the National Institute of Allergy
512 and Infectious Diseases (NIAID), National Institutes of Health, Department of Health and
513 Human Services, Contract No. 75N93019C00040 (PI/PD Mantis). This content is solely the
514 responsibility of the authors and does not necessarily represent the official views of the NIH.
515
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