Influence of arthritis-related protein (BBF01) on infectivity of Borrelia burgdorferi B31
© Imai et al.; licensee BioMed Central Ltd. 2013
Received: 7 January 2013
Accepted: 16 April 2013
Published: 7 May 2013
Lyme borreliosis, caused by tick-borne Borrelia burgdorferi, is a multi-phasic, multi-system disease in humans. Similar to humans, C3H mice develop arthritis and carditis, with resolution and periodic bouts of recurrence over the course of persistent infection. Borrelia burgdorferi arthritis-related protein (Arp/BBF01), a highly conserved protein among B. burgdorferi s.s. isolates, has been shown to be antigenic in humans with Lyme borreliosis, and a target for antibody-mediated disease resolution in the mouse model.
A mutant strain of B. burgdorferi s.s. deficient of the arp gene and a complemented version of that mutant were created and examined for phenotypic effects in mice compared to wild-type B. burgdorferi. Deletion of arp did not abolish infectivity, but did result in a higher infectious dose compared to wild-type B. burgdorferi, which was restored by complementation. Spirochete burdens in tissues of C3H-scid mice were lower when infected with the arp mutant, compared to wild-type, but arthritis was equally severe. Spirochete burdens were also lower in C3H mice infected with the arp mutant, but disease was markedly reduced. Ticks that fed upon infected C3H mice were able to acquire infection with both wild-type and arp mutant spirochetes. Arp mutant spirochetes were marginally able to be transmitted to naïve hosts by infected ticks.
These results indicated that deletion of BBF01/arp did not abrogate, but diminished infectivity and limited spirochete burdens in tissues of both immunocompetent and immunodeficient hosts, and attenuated, but did not abolish the ability of ticks to acquire or transmit infection.
KeywordsLyme borreliosis Arthritis related protein BBF01
Lyme disease, caused by tick-borne Borrelia burgdorferi, is a multi-systemic and multi-phasic disease in humans, which includes pauciarticular arthritis in up to 60% of untreated patients [1, 2]. In the absence of antibiotic treatment, arthritis and other lesions undergo resolution with variable bouts of recurrence over the course of months to years of persistent infection . Laboratory mice develop arthritis and carditis that follow a similar multi-phasic course as humans, with resolution and periodic bouts of recurrence over the course of persistent infection . The mouse model has implicated the humoral immune response as a critical factor in arthritis and carditis resolution. Infection of T-cell deficient (Tcr α/βnull, Tcr γ/δ-null), but not B-cell deficient (Igh6-null) or severe combined immunodeficient (SCID) or Rag1-null mice follows a course of resolution that is similar to fully immunocompetent mice , and passive transfer of serum from actively infected immunocompetent mice that have undergone disease resolution (immune serum) into infected SCID mice results in complete resolution of arthritis and carditis, but not clearance of infection [6–8].
Identification of the B. burgdorferi antigens targeted by antibodies that mediate disease resolution is complicated by the fact that B. burgdorferi grown in culture medium does not reflect the antigenic profile of spirochetes during mammalian infection [9, 10]. As a means to identify vulnerable antigenic targets that are expressed in the mammalian host that are responsible for antibody-mediated disease resolution, immune serum from actively infected mice has been used to probe B. burgdorferi genomic expression libraries or outer membrane extracts. These efforts revealed arthritis-related protein (BBF01/Arp) as well as decorin binding protein A (DbpA), among other antigens expressed during infection [8, 11–13]. Antiserum generated in mice hyperimmunized with non-lipidated recombinant Arp or DbpA induced arthritis and carditis resolution, but did not eliminate infection, when passively transferred to actively infected SCID mice [8, 12]. Immunization with DbpA was found to induce protective immunity against cultured spirochetes [11, 14], but not tick-borne spirochetes , whereas Arp immunization was ineffective at eliciting protective immunity against cultured spirochetes . Outer surface protein C (OspC), another immunogenic protein expressed during infection, has also been shown to be vulnerable to passively transferred OspC antibody in SCID mice, but is down-regulated in response to specific antibody, thereby avoiding immune clearance in immunocompetent mice [17, 18].
Based upon the presence of a leader sequence, arp encodes a putative lipoprotein that is expressed in ticks and throughout the course of mammalian infection and has been shown to stimulate the production of antibody in both experimentally infected mice and naturally infected humans [13, 16, 19–21]. Genomic comparison among several B. burgdorferi sensu stricto (s.s.) strains reveals highly conserved BBF01/arp sequences (95-100% identity from GenBank Blast). Curiously, the genomes of other B. burgdorferi sensu lato strains that are available in GenBank, such as B. afzelii and B. garinii, do not appear to have an arp homolog. In contrast to arp conservation in B. burgdorferi s.s. strains, dbpA and ospC, which also encode immunogenic antigens that are expressed during infection [19, 21–23], have considerable variation (81-85% identity) among the same B. burgdorferi s.s. strains (GenBank). As noted, both Arp and DbpA stimulate an arthritis-resolving immune response , and DbpA and OspC elicit protective immune responses against challenge [11, 14, 24]. It is therefore curious that Arp has such a conserved sequence among B. burgdorferi s.s. strains, when it is so obviously subjected to immune selection pressure. The present study explored the biological behavior of B. burgdorferi devoid of, or complemented with, Arp. Arp was found to be non-essential for infectivity, but it influenced infectious dose, spirochete burdens in tissues, arthritis severity, and tick infection kinetics, underscoring its biological significance.
Seven B. burgdorferi B31-arp deletion mutants (Δarp) were created, and found to grow equally well in BSKII medium as B31 (wild-type) spirochetes. The 7 Δarp mutants were initially tested for infectivity in infant ICR mice, which serve as an inexpensive system for titrating infectivity . All seven mutants were determined to be flagellin B (flaB) DNA-positive and arp DNA-negative by polymerase chain reaction (PCR), following growth selection in streptomycin. Four 2-day-old mice were inoculated with 106 of each Δarp mutant or wild-type spirochetes, and sub-inoculation site and urinary bladder were cultured to determine infectivity and ability to disseminate at 7 and 21 days after inoculation. All were infectious, and all disseminated to the urinary bladder. Spirochetes cultured from the inoculation site and urinary bladder were tested by PCR for presence of flaB and arp. Urinary bladder isolates from mice that were flaB-positive and arp-negative were selected for further analysis and confirmed to be arp-null. Upon subsequent inoculation of infant ICR mice with wild-type or each of the seven Δarp mutants, arthritis was of equivalent severity as mice infected with B31 among all groups of mice, indicating that B. burgdorferi devoid of arp were not only infectious, but also equally pathogenic as wild-type B. burgdorferi in susceptible infant mice. One arp isolate (Δarp3) was selected for further analysis.
Dose-related infectivity of arp null (Δarp3), Δarp3-complemented (Δarp3 + lp28-1G) and wild-type B. burgdorferi in infant ICR mice, based upon culture of sub-inoculation site and urinary bladder at 2 weeks after inoculation
Δarp3 + lp28-1G
A confirmatory experiment was performed in which 5 C3H-scid mice were each inoculated with 106 wild-type and 5 C3H-scid mice were each inoculated with 106 Δarp3 spirochetes, and necropsied on day 28 after inoculation. Inoculation sites and urinary bladders in all mice from both groups were culture-positive, and all mice in both groups were bacteremic. Arthritis severity scores were equivalent in both groups (mean 2.8 ± 0.4 SD wild-type vs. mean 2.4 ± 0.5 SD Δarp3). Significantly lower flaB Q-PCR spirochete burdens (P ≤ 0.05) were found in tissues of Δarp3 infected C3H-scid mice compared to wild-type infected C3H-scid mice, including inoculation site (320 ± 486 SD vs 249,660 ± 187,097 SD), heart base (983 ± 1,353 SD vs 514,400 ± 171,404 SD), ventricular muscle (9,656 ± 5,911 SD vs 432,260 ± 374,173 SD), and tibiotarsus (201 ± 187 SD vs 163,520 ± 89,127 SD). Spirochete burdens were also reduced in quadriceps muscle (3,730 ± 1,412 SD vs 58,640 ± 74,839 SD), but differences were not statistically significant (P = 0.07).
Outcome of infection of C3H mice with wild-type vs. arp null (Δarp3) Borrelia burgdorferi at intervals (days) after inoculation
Rate of PCR ( flaB DNA) positivity of sub-inoculation site, heart base, ventricular muscle, quadriceps muscle and tibiotarsus tissue from C3H mice at intervals (days) after inoculation with wild-type vs. arp null (Δarp3) Borrelia burgdorferi
A confirmatory experiment was performed in which groups of 4 C3H mice were inoculated with 106 wild-type or Δarp3 spirochetes, and then necropsied on day 28 to verify the difference in tissue spirochete burdens in heart base, ventricular muscle, quadriceps muscle, and tibiotarsal tissue. Tissues were not collected for histopathology. In wild-type infected mice, 4/4 inoculation sites and 3/4 urinary bladders were culture-positive, and 3/3 inoculation sites (one sample contaminated) and 0/4 urinary bladders were culture-positive in Δarp3 infected mice. Spirochete burdens were significantly lower (P ≤ 0.05) in tissues of Δarp3 infected mice compared to wild-type infected mice, including sub-inoculation site (139 ± 266 SD vs. 1,761 ± 1,682 SD), heart base (45 ± 54 SD vs. 2,333 ± 1,400 SD), ventricular muscle (28 ± 26 SD vs 448 ± 276 SD), and quadriceps muscle (15 ± 23 SD vs 367 + 291 SD). Spirochete burdens were also lower in tibiotarsus tissue of Δarp3 infected mice (13 ± 11 SD vs 16,171 ± 29,765 SD), but differences were not statistically different (P = 0.16). Based upon these observations, it was determined that both C3H-scid mice as well as C3H mice infected with Δarp3 had lower spirochete burdens in tissues.
Sera from C3H mice that were confirmed to be culture-positive at 60 days of infection with wild-type or Δarp3 spirochetes were determined to be appropriately sero-reactive against recombinant Arp antigen (Arp seropositive or seronegative, respectively). Serum antibody titers from Δarp3 infected mice were equivalent to antibody titers in mice infected with wild-type infected mice when tested against B. burgdorferi lysate antigen (≥1:24,300), and antibody titers to recombinant Arp antigen were verified to be either negative (Δarp3) or positive (Δarp3 + lp28-1G), with titers equivalent to Arp titers in wild-type immune sera (1:2,700).
Larval ticks were fed upon the before-mentioned wild-type or Δarp3 infected C3H mice 3 days before necropsy at day 42. Replete ticks were allowed to molt and harden into nymphs, and then tested by Q-PCR for flaB and arp DNA. Among ticks that fed upon wild-type infected mice, 30/30 were PCR positive for both flaB and arp, with 53,950 mean ± 84,668 SD flaB copy numbers per tick. In contrast, 40/50 ticks that fed upon Δarp3 infected mice were flaB-positive, with significantly lower spirochete loads per positive tick (1,384 mean ± 1,780 SD flaB copy numbers, P = 0.0002). Tick cohorts from individual Δarp3 infected mice contained 9/10, 5/10, 10/10, 6/10 and 10/10 positive ticks. Results demonstrated that Δarp3 can be acquired by ticks from infected C3H mice, but ticks that acquired Δarp3 harbored fewer organisms compared to wild-type.
This study examined the effect of targeted deletion of BBF01/arp on infectivity of B. burgdorferi B31. The median infectious dose of B. burgdorferi B31 with an arp null mutation was elevated approximately ten-fold compared to wild-type spirochetes, and restored by complementation. Therefore, it is apparent that BBF01/arp is not essential for infectivity of the mammalian host. This is supported by indirect results of others, who demonstrated diminished infectivity in B. burgdorferi spirochetes lacking linear plasmid 28–1 (lp28-1), which encodes only two unique and functional genes, vlsE and arp[25–29]. Furthermore, clones of B. burgdorferi B31 with a deletion of the left side of lp28-1, which contains arp, remained infectious and capable of persistence, similar to wild-type spirochetes .
Examination of the pathogenicity of various B. burgdorferi B31 clones lacking lp28-1 has shown that clones lacking lp28-1 were infectious in BALB/c-scid mice and reached similar tissue burdens as wild-type spirochetes, but were incapable of inducing arthritis . Results of the current study indicate that infection of C3H-scid mice with arp null spirochetes resulted in lower spirochete burdens in tissues with development of equally severe arthritis as that induced by wild-type spirochetes. Thus, it appears that arp null spirochetes are equally (if not more) arthritogenic than wild-type B. burgdorferi in C3H-scid mice. The lack of effect on tissue burdens and arthritis in BALB/c-scid mice infected with B. burgdorferi devoid of the entire lp28-1 plasmid, but reduced burdens in infections with arp null spirochetes observed in the current study are likely due to the experimental variations in B. burgdorferi strains (B31-5A11 vs. B31-A3), mouse strains (BALB/c-scid vs. C3H-scid), or a number of other possible genetic variables.
Lack of lp28-1 has been associated with failure to persist in immunocompetent mice. This has been attributed to vlsE, since clones lacking a region of the plasmid that encodes arp are capable of persistent infection [25, 29]. The current study examined persistence in immunocompetent C3H mice up to 42 days after inoculation, and demonstrated that arp null spirochetes were indeed capable of persistence. In the present study, we also infected mice for antibody evaluation at 60 days of culture-confirmed infection, and thus verified persistence for up to 60 days. As in C3H-scid mice, arp null spirochete burdens were lower in C3H mouse tissues compared to wild-type spirochetes. Notably, arthritis severity was markedly reduced in C3H mice infected with arp null spirochetes. Since arp null spirochetes are fully arthritogenic in SCID mice, these results suggest that the lower pathogenicity of arp null spirochetes in immunocompetent mice is a consequence of susceptibility of the arp null mutant to immune response. Other antigens that are expressed during infection have also been shown to be susceptible to arthritis-resolving antibody responses, including DbpA , BmpA, and BmpB . In the absence of Arp, these or other antigens may be targets of immune-mediated phenotypic effects noted in the present study.
Although arp null spirochetes are capable of surviving in the murine host, their ability to do so appears to be compromised, since arp null spirochete burdens were 2 logs fewer in tissues of SCID mice compared to wild type spirochetes, and were even lower in immunocompetent mice. Thus, arp null spirochetes appear to be either less fit to grow or are more vulnerable to innate and acquired immune factors compared to wild type spirochetes. This lack of fitness is likely responsible for the additional phenotypic effect of arp deletion that was observed in acquisition and transmission by vector ticks. Larval ticks were fed upon mice infected with wild-type or arp null spirochetes, and allowed to molt into nymphs. Ticks became infected with both types of spirochetes, but following molting, nymphal ticks that were colonized with arp null spirochetes had significantly lower spirochete loads per tick compared to ticks colonized with wild type spirochetes. The lower arp null spirochete loads were likely influenced by the lower spirochete burdens in tissues of mice that were fed upon by the ticks. This effect has been demonstrated by others  in which ticks that fed upon MyD88 deficient mice infected with B. burgdorferi had higher spirochete burdens compared to ticks that fed upon wild-type mice. MyD88 deficient mice have significantly higher spirochete tissue burdens compared to wild-type mice. The lower rate of transmission of arp null spirochetes from infected nymphal ticks to naïve mice could also have been influenced lower spirochete burdens in arp null colonized ticks. Further studies are needed to examine dynamics within ticks, but there is normally a significant burst of replication of spirochetes within fed ticks  that did not appear to occur in ticks colonized with arp null spirochetes. Nevertheless, results indicated that arp null spirochetes could be acquired and transmitted by vector ticks, albeit at diminished levels.
Deletion of the arp gene resulted in a modest phenotypic effect, including reduced infectious dose, reduced fitness of B. burgdorferi for growth in the mammalian host, and reduced ability for acquisition and transmission by the vector tick. Deletion of a number of B. burgdorferi genes has been found to have only mild phenotypic effects upon infectivity and persistence of B. burgdorferi (reviewed in ). This is likely due in large part to compensatory up-regulation of other genes. Although the function of Arp remains unknown, the current study in which arp was deleted with relatively modest phenotypic effects underscores the complexity of B. burgdorferi biology and emphasizes caution in attributing phenotype or lack thereof to the role of a single gene alteration.
Specific-pathogen-free, 3 to 5 week old C3H/HeN (C3H) and severe combined immunodeficient (SCID) C3H/Smn.CIcrHsd-Prkdc scid (C3H-scid) mice were obtained from Frederick Cancer Research Center (Frederick, MD) and Harlan Sprague Dawley, Inc. (Indianapolis, IN), respectively. Pregnant Swiss outbred Crl:CD1(ICR) mice were obtained from Charles River Laboratories (Hollister, CA). Mice were infected by subdermal inoculation of mid-log phase B. burgdorferi in 0.1 ml culture medium on the dorsal thoracic midline. Mice were killed by carbon dioxide narcosis and exsanguination by cardiocentesis. Infection status of mice was confirmed at necropsy by culture of the urinary bladder and sub-inoculation site, as described . Animal use was approved by the University of California Davis Animal Care and Use Committee. University of California Davis has a Public Health Service Animal Welfare Assurance on file and is fully accredited by the Association for the Assessment and Accreditation of Laboratory Animal Care International.
Joint (knee and tibiotarsus) and heart tissues were fixed in neutral buffered formalin, demineralized, paraffin-embedded, sectioned, and stained with hematoxylin and eosin. Tissues were blindly evaluated and tibiotarsal arthritis severity was scored on a scale of 0 (negative), 1 (mild), 2 (moderate) or 3 (severe). Based upon extensive use of this scoring system, a score of 3 is generally limited to SCID mice, and a score of 1–2 is typical of immunocompetent C3H mice [4, 34, 35]. The prevalence of carditis was also blindly recorded, but a severity score is not possible with carditis, due to variation in severity among mice within a particular treatment group, thereby precluding accurate scoring .
Low passage infectious B. burgdorferi s.s. strain B31-A3 (wild-type) was acquired from D. Scott Samuels, University of Montana, and utilized as both a wild-type control and for genetic manipulation. B31-A3 is a clonal isolate of B31 MI, the prototype B31 strain utilized for genome sequencing [36, 37]. An additional B31-A3 variant, B. burgdorferi B31-A3-lp28-1-G, containing a gentamicin resistance gene on lp28-1 , was provided by D. Scott Samuels (originally from P. Rosa, Rocky Mountain Laboratories). Spirochetes were grown in modified Barbour Stoenner Kelly (BSKII) medium  with 6% rabbit serum. Inocula were enumerated by dark-field microscopy using a Petroff-Hausser chamber immediately prior to use, and serial 10-fold dilutions were prepared for evaluating median infectious doses. For isolation of transformants, spirochetes were cultured on semi-solid gelatin-free BSKII medium supplemented with 1.7% dissolved agarose plus appropriate antibiotic (50 μg/ml streptomycin or 40 μg/ml gentamicin). Escherichia coli cloning strain TOP10F’ (Invitrogen, Inc., CA), was grown in Luria-Bertani broth under aerobic conditions at 37°C. Transformed E. coli were selectively cultured in broth medium with 50 μg/ml spectinomycin.
Genetic modification of B. burgdorferi
Primers for construction of the arp mutagenic cassette and verification of allelic exchange
Sequence (5′ > 3′)
amplify arp upstream homology
SOEing arp upstream homology
to aadA cassette
amplify aadA cassette
SOEing arp downstream
homology to aadA cassett
amplify arp dowsteam homology
amplify arp dowsteam homology
check integration at 5′ end
check integration at 3′ end
check integration within aadA
check integration within aadA
The Δarp3 clone was complemented with a whole lp28-1 plasmid that contained the arp gene and a selection marker for gentamicin (lp28-1-G). This plasmid was knocked in to replace the endogenous lp28-1 (where arp was deleted), as previously published . Plasmid DNA containing lp28-1-G was purified from B. burgdorferi B31-A3-lp28-1-G, electroporated into B31-Δarp3 spirochetes, and then complemented transformants were selected with gentamicin. A series of PCRs using diagnostic primers (Table 1) were used to identify clones that had undergone successful plasmid exchange of lp28-1 arp::aadA with lp28-1G by confirming the presence of the arp operon. Plasmid profiling was performed and the complemented isolate B31-Δarp3-2.2 (Δarp3-lp28-1-G) was used for further analysis.
DNA was extracted from sub-inoculation site, heart base, ventricular muscle, quadriceps muscle and right tibiotarsus (integument removed), and samples were subjected to real-time Q-PCR. In addition to the site of inoculation, four additional sites were evaluated, based upon previous studies demonstrating that they all become consistently infected , but manifest different patterns of inflammation. Heart base is the site where carditis occurs, whereas cardiac ventricular muscle develops minimal or no inflammation . In addition, the tibiotarsal joint typically develops arthritis, whereas the adjacent quadriceps femoris muscle develops minimal or no inflammation . Quantification of gene copies was based upon copy number per mg of tissue weight, as previously described . DNA was extracted from samples using the DNeasy tissue kit, according to the manufacturer’s instructions for tissues or insects (QIAGEN, Valencia, CA). In addition, DNA from B. burgdorferi cultured from mouse tissues was extracted for verification of genetic status of isolates. Three oligonucleotides, two primers and a probe, for the B. burgdorferi flaB and the arp genes were used, as previously described .
Immune sera were generated in C3H mice inoculated with 105 wild-type, Δarp3, or Δarp3 + lp28-1G spirochetes at 60 days of infection. Infection was verified by culture, and individual sera were tested by enzyme linked immunosorbent assay (ELISA) to verify the appropriate presence or absence of Arp-reactive antibody. Three-fold dilutions (starting at 1:300) of immune sera were titrated by ELISA for antibody to B. burgdorferi B31 lysates and recombinant Arp, as described . Samples were tested in duplicate, and each assay included uninfected mouse serum as a negative control and wild-type infected mouse serum as a positive control.
Tick acquisition and transmission
Ixodes scapularis ticks were acquired from Durland Fish, Yale University, as a single cohort of larvae from a pathogen-free laboratory-reared colony. In order to determine the ability of ticks to acquire infection, 40 larval ticks were placed on each mouse infected with either wild-type or Δarp3 spirochetes. Replete (fed) ticks were collected as cohorts from each mouse and allowed to harden and molt into nymphal ticks. Randomly selected ticks from each mouse/tick cohort were tested for flaB and arp by Q-PCR. Remaining nymphal ticks in each cohort were placed on naïve C3H mice to assess the relative ability of infected nymphal ticks to transmit wild-type or Δarp3 spirochetes.
Multiple comparison analyses were performed using independent samples t-test or one-way analysis of variance, followed by post-hoc pair-wise comparisons (Tukey’s HSD test) (PASW Statistics v. 18.0). Calculated P values ≤ 0.05 were considered significant. The median infectious dose (ID50) was calculated using the method of Reed and Muench .
The generous technical guidance of D. Scott Samuels is particularly appreciated, and we are also grateful for the provision of ticks by Durland Fish. This work was supported by NIH/NIAID grants R01 AI-26815 and T32 AI-060555 (DI), and by NIH/ORIP T32 OD-011147 (DI).
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