Development and validation of an assay for detection of Japanese encephalitis virus specific antibody responses
PLOS ONE
Authors: Pushpakumara, Pradeep Darshana; Jeewandara, Chandima; Gomes, Laksiri; Perera, Yashodha; Wijewickrama, Ananda; Malavige, Gathsaurie Neelika; Goonesekara, Charitha
Abstract
Introduction Although immune responses to the Japanese Encephalitis virus (JEV), and the dengue viruses (DENV) have a potential to modulate the immune responses to each other, this has been poorly investigated. Therefore, we developed an ELISA to identify JEV specific, DENV non cross-reactive antibody responses by identifying JEV specific, highly conserved regions of the virus and proceeded to investigate if the presence of JEV specific antibodies associate with dengue disease severity. Methodology and results 22 JEV specific peptides were identified from highly conserved regions of the virus and the immunogenicity and specificity of these peptides were assessed in individuals who were non-immune to JEV and DENV (JEV(-)DENV(-), N = 30), those who were only immune to the JEV and not DENV (JEV(+)DENV(-), N = 30), those who were only immune to DENV(JEV(-)DENV(+), N = 30) and in those who were immune to both viruses (JEV(+)DENV(+), N = 30). 7/22 peptides were found to be highly immunogenic and specific and these 7 peptides were used as a pool to further evaluate JEV-specific responses. All 30/30 JEV(+)DENV(-) and 30/30 JEV(+)DENV(+) individuals, and only 3/30 (10%) JEV(-)DENV(+) individuals responded to this pool. We further evaluated this pool of 7 peptides in patients following primary and secondary dengue infection during the convalescent period and found that the JEV-specific peptides, were unlikely to cross react with DENV IgG antibodies. We further compared this in-house ELISA developed with the peptide pool with an existing commercial JEV IgG assay to identify JEV-specific IgG following vaccination, and our in-house ELISA was found to be more sensitive. We then proceeded to investigate if the presence of JEV-specific antibodies were associated with dengue disease severity, and we found that those who had past severe dengue (n = 175) were significantly more likely (p<0.0001) to have JEV-specific antibodies than those with past non-severe dengue (n = 175) (OR 5.3, 95% CI 3.3 to 8.3). Conclusions As our data show that this assay is highly sensitive and specific for detection of JEV-specific antibody responses, it would be an important tool to determine how JEV seropositivity modulate dengue immunity and disease severity when undertaking dengue vaccine trials.
Persistent Bacteriuria and Antibodies Recognizing Curli/eDNA Complexes FromEscherichia coliAre Linked to Flares in Systemic Lupus Erythematosus
ARTHRITIS & RHEUMATOLOGY
Authors: Pachucki, Ryan J.; Corradetti, Chelsea; Kohler, Lynne; Ghadiali, Jay; Gallo, Paul M.; Nicastro, Lauren; Tursi, Sarah A.; Gallucci, Stefania; Tukel, Cagla; Caricchio, Roberto
Abstract
Objective Infections contribute to morbidity and mortality in systemic lupus erythematosus (SLE). UropathogenicEscherichia coli(UPEC) are known to trigger urinary tract infections (UTIs) and form biofilms, which are multicellular communities of bacteria that are strengthened by amyloids such as curli. We previously reported that curli naturally form complexes with bacterial extracellular DNA (eDNA), and these curli/eDNA complexes induce hallmark features of lupus in mouse models. The present study was undertaken to investigate whether anti-curli/eDNA complex antibodies play a role in the pathogenesis of SLE or development of flares in SLE. Methods In total, 96 SLE patients who met at least 4 Systemic Lupus International Collaborating Clinics disease criteria were investigated. Anti-curli/eDNA complex antibodies in the plasma were tested for both IgG and IgA subclasses. Results were compared to that in 54 age-, sex-, and race/ethnicity-matched healthy controls. Correlations of the levels of anti-curli/eDNA antibodies with clinical parameters, lupus disease status, and frequency of bacteriuria were assessed. Results Anti-curli/eDNA antibodies were detected in the plasma of SLE patients and healthy controls, and their levels correlated with the presence of asymptomatic persistent bacteriuria and occurrence of disease flares in lupus patients. Persistent bacteriuria contained curli-producing UPEC, and this was associated with an inflammatory phenotype. Finally, curli/eDNA complexes cross-reacted with lupus autoantigens, such as double-stranded DNA, in binding autoantibodies. Conclusion These results suggest that UTIs and persistent bacteriuria are environmental triggers of lupus and its flares. Antibodies against curli/eDNA could serve as a sign of systemic exposure to bacterial products in SLE.