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Rapid Determination of HLA B*07 Ligands from the West Nile Virus NY99 Genome.


Defined T-cell epitopes for West Nile (WN) virus may be useful for developing subunit vaccines against WN virus infection and diagnostic reagents to detect WN virus-specific immune response immune response
n.
An integrated bodily response to an antigen, especially one mediated by lymphocytes and involving recognition of antigens by specific antibodies or previously sensitized lymphocytes.
. We applied a bioinformatics (EpiMatrix) approach to search the WN virus NY99 genome for HLA HLA human leukocyte antigens.

HLA
abbr.
human leukocyte antigen


HLA (human leuckocyte antigen) 
 B*07 restricted cytotoxic cy·to·tox·ic
adj.
Of, relating to, or producing a toxic effect on cells.



cyto·tox·ic
 T-cell (CTL See control key.

1. CTL - Checkout Test language.
2. CTL - Compiler Target Language.
3. CTL - Computational Tree Logic
) epitopes. Ninety-five of 3,433 WN virus peptides scored above a predetermined pre·de·ter·mine  
v. pre·de·ter·mined, pre·de·ter·min·ing, pre·de·ter·mines

v.tr.
1. To determine, decide, or establish in advance:
 cutoff, suggesting that these would be likely to bind to to contract; as, to bind one's self to a wife s>.

See also: Bind
 HLA B*07 and would also be likely candidate CTL epitopes. Compared with other methods for genome mapping, derivation of these ligands was rapid and inexpensive. Major histocompatibility complex major histocompatibility complex
n.
Abbr. MHC A chromosomal segment that codes for cell-surface histocompatibility antigens and is the principal determinant of tissue type and transplant compatibility. Also called HLA complex.
 ligands identified by this method may be used to screen T cells T cells
A type of white blood cell produced in the thymus gland. T cells are an important part of the immune system. Infants born with an underdeveloped or absent thymus do not have a normal level of T cells in their blood.
 from WN virus-exposed persons for cell-mediated response to WN virus or to develop diagnostic reagents for immunopathogenesis studies and epidemiologic surveillance epidemiologic surveillance The ongoing, systematic collection, analysis, and interpretation of health data essential to planning, implementing, and evaluating public health practice, closely integrated with the timely dissemination of these data to those who need to know .

West Nile (WN) virus is the cause of a potentially fatal form of viral encephalitis viral encephalitis Viral meningoencephalitis Neurology, infectious disease A general term for nonpurulent–'aseptic' viral infection of the CNS Etiology Coxsackie A and B–eg, A7, enterovirus 71, herpes simplex, etc Clinical If the viral load is extreme,  that suddenly emerged in the New York City New York City: see New York, city.
New York City

City (pop., 2000: 8,008,278), southeastern New York, at the mouth of the Hudson River. The largest city in the U.S.
 area during 1999. The virus is a member of the Flavivirus family, which includes St. Louis encephalitis St. Louis encephalitis

see St. Louis encephalitis.
 (SLE SLE systemic lupus erythematosus.

SLE
abbr.
systemic lupus erythematosus


Systemic lupus erythematosus (SLE) 
), Japanese encephalitis Japanese Encephalitis Definition

Japanese encephalitis is an infection of the brain caused by a virus. The virus is transmitted to humans by mosquitoes.
 (JE), hepatitis C Hepatitis C Definition

Hepatitis C is a form of liver inflammation that causes primarily a long-lasting (chronic) disease. Acute (newly developed) hepatitis C is rarely observed as the early disease is generally quite mild.
, and dengue viruses (1,2). WN virus is common in West Asia, Africa, and the Middle East but was not reported in the Americas until the New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
 outbreak in 1999. The source of virus introduction to New York City is unknown; potential sources include an infected host (human or bird), an infected vector (mosquito), or bioterrorism (1,3). The WN-NY99 virus associated with the New York 1999 outbreak appears to have been circulating in Israel since 1997 (1). Other close relatives to the WN-NY99 virus were isolated in Italy (1998), Morocco (1996), Romania (1996), and Africa (1989, 1993, and 1998).

Surveillance data indicate intensified transmission and geographic expansion of the WN virus-NY99 outbreak in the northeastern United States during 1999 and 2000. Twelve states and the District of Columbia District of Columbia, federal district (2000 pop. 572,059, a 5.7% decrease in population since the 1990 census), 69 sq mi (179 sq km), on the east bank of the Potomac River, coextensive with the city of Washington, D.C. (the capital of the United States).  reported WN virus activity in 2000, a substantial increase over the four states reporting activity in 1999. WN-NY99 is expected to continue to spread along the East Coast of the United States The "Eastern Seaboard," or "Atlantic Seaboard" are terms referring to the easternmost coastal states in the United States. They touch the Atlantic Ocean and stretch up to Canada.  in 2001 and thereafter, as a result of overwintering o·ver·win·ter·ing
n.
The persistence of an infectious agent in its vector for an extended period, as in the cooler winter months, during which the vector has no opportunity to be reinfected or to infect another host.
 of mosquitoes and avian migratory patterns (4,5).

Virology virology, study of viruses and their role in disease. Many viruses, such as animal RNA viruses and viruses that infect bacteria, or bacteriophages, have become useful laboratory tools in genetic studies and in work on the cellular metabolic control of gene expression

WN virus's genome is 11,000 nucleotides long. The following structural proteins have been identified: envelope glycoprotein glycoprotein (glī'kōprō`tēn), organic compound composed of both a protein and a carbohydrate joined together in covalent chemical linkage.  (env gp E), capsid capsid /cap·sid/ (kap´sid) the shell of protein that protects the nucleic acid of a virus; it is composed of structural units, or capsomers.

cap·sid
n.
 (C), and premembrane protein (prM). The following nonstructural proteins have also been identified: NS-1, NS-2A/NS-2B, NS3, NS-4A/NS-4B; and NS5 (RNA-directed polymerase) (1). Isolates that have been completely sequenced include the WN-NY99 virus originally obtained from a Chilean flamingo, a WN-NY99 equine isolate, the Italy 1998 virus, the Romania 1996 virus, and the prototype Eg101 virus. Although the latter viruses are closely related to WN-NY99, they are not identical to each other or to WN-NY99 (6). A virus isolated in Israel, Israel 1998, appears to be identical to WN-NY99; completion of its genome sequence is under way at the Institute Pasteur, France.

Immunology and Immunopathogenesis

An extensive body of research is available on the immunology of flaviviruses in the murine murine /mu·rine/ (mur´en) pertaining to, derived from, or characteristic of mice or rats.

mu·rine
adj.
 model; however, relatively little research has been done on human immune response to WN virus. Some information on human T-cell responses to related viruses (e.g., JE virus, dengue dengue
 or breakbone fever or dandy fever

Infectious, disabling mosquito-borne fever. Other symptoms include extreme joint pain and stiffness, intense pain behind the eyes, a return of fever after brief pause, and a characteristic rash.
) has been obtained (7,8). Both CD4 T-helper cells T-helper cells
A cellular component of the immune system that plays a major role in ridding the body of bacteria and viruses, characterized by the presence of the CD4 protein on its surface; the type of cell that divides uncontrollable with CTCL.
 and cytotoxic T-cells that respond to JE virus and dengue proteins have been identified, and their epitopes have been mapped (9). Some of the JE virus CD4 T epitopes are identical or nearly identical to sequences in WN virus (10). Langerhans cells Langerhans cells,
n.pl the cells of the pancreas that produce insulin.
 in the epidermis may play a role in the upregulation of immune response to the virus, processing antigen and presenting it to T cells (11,12). Mobilization of dendritic cells and antigen presentation by these cells to T cells in the lymphoid lymphoid /lym·phoid/ (lim´foid) resembling or pertaining to lymph or tissue of the lymphoid system.

lym·phoid
adj.
Of or relating to lymph or the lymphatic tissue where lymphocytes are formed.
 follicles follicles,
n the masses that are embedded in a meshwork of reticular fibers within the lobules of the thyroid gland. See also thyroid gland.
 may be involved in the development of immune responses to WN virus (13).

Cytotoxic T-cell responses (restricted by class I major histocompatibility complex [MHC MHC major histocompatibility complex.

MHC
abbr.
major histocompatibility complex



MHC

major histocompatibility complex.
] and MHC class II MHC Class II molecules are found only on a few specialized cell types, including macrophages, dendritic cells and B cells, all of which are professional antigen-presenting cells (APCs). ) and T helper responses (restricted by class II MHC) appear to be critical components of human immune response to members of the flavivirus family (14,15). Cell-mediated immunity cell-mediated immunity
n. Abbr. CMI
Immunity resulting from a cell-mediated immune response. Also called cellular immunity.
 to WN virus may prove to be an important barrier to infection of the central nervous system, and vaccines that promote the development of T-effector cells may provide protection from WN virus encephalitis encephalitis (ĕnsĕf'əlī`təs), general term used to describe a diffuse inflammation of the brain and spinal cord, usually of viral origin, often transmitted by mosquitoes, in contrast to a bacterial infection of the meninges  or may be used to treat patients who have WN virus-related illnesses. Further research to test these hypotheses will require the development of reagents such as the T-cell epitopes defined in this study.

Applying Bioinformatics to Defining T-Cell Epitopes

New bioinformatics tools developed by the TB/HIV Research Lab and EpiVax (Providence, RI) enable researchers to move rapidly from genome sequence to epitope epitope: see immunity.  selection (16). EpiMatrix is a computer-driven pattern-matching algorithm that identifies T-cell epitopes. BlastiMer permits the analysis of protein sequences for homology homology (hōmŏl`əjē), in biology, the correspondence between structures of different species that is attributable to their evolutionary descent from a common ancestor.  with other known proteins.

The goal of this project was to demonstrate the utility of a bioinformatics and computational immunology approach for the rapid selection of T-cell epitope reagents. Defining these reagents will permit the evaluation of cell-mediated responses in the immunopathogenesis of WN virus, promote the development of diagnostic reagents such as tetramers (17), and provide components for epitope-based preventive or therapeutic vaccines (18-20). A secondary goal was to determine the time required to select and screen epitope candidates in vitro in vitro /in vi·tro/ (in ve´tro) [L.] within a glass; observable in a test tube; in an artificial environment.

in vi·tro
adj.
In an artificial environment outside a living organism.
, since time may be a critical factor in the development of vaccines and diagnostic reagents in response to emerging infectious pathogens.

On the basis of experience with the EpiMatrix HLA B*07 prediction tool, we selected peptides for this pilot study that were expected to be restricted by HLA B*07. In studies of HIV-1 peptides, 60% of peptides selected by EpiMatrix HLA B*07 stimulated T-cell responses in vitro. We therefore expected that approximately 60% of WN virus peptides selected by the same criteria would bind to HLA B*07 and stimulate T-cell responses.

We screened 16 WN virus peptides and identified 12 epitope candidates, 5 of which exhibited strong binding to HLA B*07 at a range of peptide concentrations in vitro. The largest source of delay in the screening process was peptide synthesis (4 weeks from placement of order to receipt of the first set of peptides and 8 weeks until delivery of the final set of peptides). This process could be accelerated if more rapid access to MHC ligands were necessary.

The binding studies we describe are a first step to confirming immunogenicity immunogenicity /im·mu·no·ge·nic·i·ty/ (-je-nis´it-e) the property enabling a substance to provoke an immune response, or the degree to which a substance possesses this property. . In cases such as WN virus, in which access to T cells from infected persons is limited, both the bioinformatics step and the binding assays can be carried out without clinical specimens. Once the epitope candidates selected by this method are confirmed in cytotoxic T-cell (CTL) assays, they may be useful for 1) screening exposed persons for T-cell responses, 2) investigating the immunopathogenesis of WN virus disease in humans, 3) as components of diagnostic kits developed for WN virus surveillance, 4) as reagents for measuring WN virus vaccine-related immune responses, and possibly 5) as components of a subunit vaccine for WN virus. Confirmation of T-cell response to the peptides will depend on availability of peripheral blood cells from WN virus-infected patients during the 2001 transmission season. Additional peptides also need to be identified and screened for binding to other HLA alleles, to broaden the MHC specificity of the diagnostic reagent or immunopathogenesis tools developed by this approach.

Methods

Bioinformatics Analysis

We obtained the NY 1999 WN virus sequence from GenBank (GenBank accession number AF196835) (21). The 3,433 amino acids in the GenBank translation were parsed into 3,424 10-amino acid long frames, each 10 amino acid-long peptide sequence overlapping the previous peptide sequence by nine amino acids. The sequences of these 3,424 decamers were stored in a database.

Each of the peptides in the database was then evaluated by EpiMatrix, a matrix-based algorithm that ranks 9 and 10 amino acid peptides by estimated probability of binding to a selected MHC molecule (22). The estimated binding potential (EBP EBP Evidence Based Practice
EBP Enterprise Buyer Professional
EBP Education Business Partnership
EBP European Business Programme
EBP Efficiency Bandwidth Product
EBP Electronic Billing and Payment
EBP Extended Base Pointer
EBP Error Back Propagation
) is derived by comparing the EpiMatrix score with those of known binders and presumed nonbinders. The EBP describes the proportion of peptides with EpiMatrix scores as high or higher than known binders for a given MHC molecule. Both retrospective and prospective studies of EpiMatrix predictions have confirmed the accuracy of this T-cell epitope selection method (22-24). EpiMatrix is available for use by HIV HIV (Human Immunodeficiency Virus), either of two closely related retroviruses that invade T-helper lymphocytes and are responsible for AIDS. There are two types of HIV: HIV-1 and HIV-2. HIV-1 is responsible for the vast majority of AIDS in the United States.  researchers on the TB/HIV Research Laboratory website (http://tbhiv.biomed.brown.edu/) and under collaborative and commercial arrangements with the TB/HIV Research Laboratory and EpiVax, Inc. (Providence, RI), respectively.

Table 1 illustrates the process of selecting candidate B*07 ligands from the WN virus genome. Of six overlapping peptides in the region of the WN virus sequence shown (Table 1), WN virus B7 0019 scored in the same range as known B*07 ligands and HLA B*07-restricted epitopes (EBP 22.49). Therefore, this peptide would be considered the most likely candidate to show binding to HLA B*07 of the six peptides in this illustration.
Table 1. Scoring overlapping peptides by the EpiMatrix
motif HLA B*07

  EpiMatrix analysis of West Nile virus protein NS-1

AA start   Peptide no. (B*07 rank)   Sequence     EBP(a)

1123             WNB7 3119           GMEIRPQRHD    0.04
1124             WNB7 2818           MEIRPQRHDE    0.08
1125             WNB7 0591           EIRPQRHDEK    1.12
1126             WNB7 2660           IRPQRHDEKT    0.10
1127             WNB7 0019           RPQRHDEKTL   22.49
1128             WNB7 2661           PQRHDEKTLV    0.10

(a) EBP = estimated binding potential, which is the value that
EpiMatrix uses to describe the probability that the peptide will
bind to B*07 in vitro and in vivo. In this example, six
overlapping peptides in the region of the WNV sequence
coding for the NS-1 protein (WNV genome AA 1123 to 1128) are shown.
WNVB7 0019 received the best EpiMatrix score (22.49) and was
therefore selected for in vitro studies.


EBPs for the WN virus peptides ranged from [is greater than] 20% (highly likely to bind) to [is less than] 1% (very unlikely to bind) (Figure 1). We also scored 10,000 random peptides of natural amino acid composition (25) derived from the ExPASy (Expert Protein Analysis System) proteomics server at the Swiss Institute of Bioinformatics (Randseq, http://www.expasy.ch/ tools/randseq.html). We compared the HLA B*07 EpiMatrix scores of this set of random peptides with those of a set of [is greater than] 300 known binders (compiled and maintained at EpiVax) and with the scores of the set of WN virus peptides selected for this study (Figure 2).

[GRAPHS OMITTED]

Selection of Peptides

Peptides with EpiMatrix EBP scores in the range of 7 to 50 are more likely to bind to MHC and stimulate T cells in vitro (23). Peptides with an EBP score [is greater than] 50 are less likely to be immunogenic im·mu·no·gen·ic
adj.
Producing an immune response.



immunogenic

producing immunity; evoking an immune response.
, although they may bind to B7 in vitro (16,23). Therefore, peptides scoring [is greater than] 50 in the WN virus set were excluded. Based on these criteria, a final set of 22 peptides with EBP scores from 20 to 50 (Table 2a, 2b) was selected for screening in vitro. We excluded 3,329 WN virus peptides with EBP scores [is less than] 7, 70 potential B*07 binders with EBP scores [is greater than] 7 and [is less than] 20, and 3 peptides with scores [is greater than] 50 (Table 2b).
Tables 2. Selected West Nile virus peptides and their
EpiMatrix scores

a. Peptides selected for screening in vitro

Peptide no.                                 AA
(B*07 rank)   Source          Sequence     start   EBP

WNB7 0004     NS-1            AVKDELNTLL     861   48
WNB7 0005     mpM             APAYSFNCLG     286   47
WNB7 0006     NS-2A           AAKKKGASLL    1337   45
WNB7 0007     NS-2A           NPMILAAGLI    1357   37
WNB7 0008     NS-3            IPAGFEPEML    1680   36
WNB7 0009     env gp E        TPAAPSYTLK     460   36
WNB7 0010     NS-5            VPCRGQDELV    3259   33
WNB7 0011     NS-5            GPGHEEPQLV    2635   32
WNB7 0013     NS-5            EPPEGVKYVL    2895   31
WNB7 0015     NS-5            KPTGSASSLV    2842   29
WNB7 0017     NS-3            RPRWIDARVY    2098   24
WNB7 0018     NS-4A           VPGTKIAGML    2223   23
WNB7 0019     NS-1            RPQRHDEKTL    1127   22
WNB7 0020     NS-3            SPHRVPNYNL    1777   22
WNB7 0023     NS-5            RPAADGRTVM    3112   21
WNB7 0024     NS-2A           TPGLRCLNLD    1306   21
WNB7 3399     pre-mpM         PEDIDCWCTK     185   0
WNB7 3403     NS-1            PETPQGLAKI     827   0
WNB7 3411     NS-3            PFPESNSPIS    1830   0
WNB7 3415     NS-5            PRTNTILEDN    2073   0

b. Peptides excluded from screening in vitro

Peptide no.   Reason for                    AA
(B*07 rank)   not testing     Sequence     start   EBP(a)

WNB7 0001     EBP>50          RPSECCDTLL    2663   72
WNB7 0002     EBP>50          GPIRFVLALL      42   60
WNB7 0003     EBP>50          GPREFCVKVL    2703   55
WNB7 0012     Human-like      AGMLLLSLLL    2229   31
WNB7 0014     Poor quality    MPAILIALLV    1177   30
WNB7 0021     Poor quality    IPMTIAGLMF    1405   22
WNB7 0025     Poor quality    SVNMTSQVLL    2760   20
WNB7 0016     Not expressed   IPTAAGKNLC     148   26
WNB7 0022     Not expressed   MPRVLSLIGL      21   21

(a) EBP = estimated binding potential; env gp E = envelope
glycoprotein E; prM = pre-membrane protein; nonstructural
proteins NS-1, NS-2A, NS-2B, NS-3, NS-4A, NS-4B, and NS-5.


Four of the lowest scoring WN virus peptides (EBP 0.00%, Table 2a) were also selected to test the hypothesis that low scoring peptides derived from WN virus would not bind to HLA B*07 in vitro (predicted nonbinders). One well-defined B*07-restricted epitope, GPGHKARVLA (derived from HIV), was also chosen as a positive control for the assays (26).

Cross-Reactive Analysis

After the EpiMatrix analysis, the Conservatrix tool (EpiVax, Providence, RI) was used to align and compare the WN virus sequences with those of other related flaviviruses (21). In an intermediate step designed to avoid selecting epitopes that may have cross-reactivity with "self," each of the highly selected epitopes was passed through the Blast engine at the National Center for Biotechnology Information The National Center for Biotechnology Information (NCBI) is part of the United States National Library of Medicine (NLM), a branch of the National Institutes of Health. The NCBI is located in Bethesda, Maryland and was founded in 1988. , using the BlastiMer tool (EpiVax, Providence, RI). Any sequence that was similar to (i.e., [is greater than] 80% identical to the 10 amino acid WN virus NY99 sequence) a peptide component of equivalent length in the human genome (accessible and published to date) was excluded from the study set.

Peptide Synthesis

Peptides corresponding to the epitope selections were prepared by 9-fluoronylmethoxycarbonyl synthesis on an automated Rainen Symphony/Protein Technologies synthesizer synthesizer

Machine that electronically generates and modifies sounds, frequently with the use of a digital computer, for use in the composition of electronic music and in live performance.
 (Synpep, Dublin, CA). The peptides were delivered 90% pure as ascertained by high-performance liquid chromatography, mass spectrophotometry spectrophotometry

Branch of spectroscopy dealing with measurement of radiant energy transmitted or reflected by a body as a function of wavelength. The measurement is usually compared to that transmitted or reflected by a system that serves as a standard.
, and UV scan. The peptides were shipped as lyophilized ly·oph·i·lize  
tr.v. ly·oph·i·lized, ly·oph·i·liz·ing, ly·oph·i·liz·es
To freeze-dry (blood plasma or other biological substances).



[lyophil(ic) + -ize.
 powder, which was diluted in a minimal volume of dimethyl sulfoxide dimethyl sulfoxide (DMSO)

Colourless, nearly odourless liquid organic compound. It mixes in all proportions with water, ethanol, and most organic solvents and dissolves a wide variety of compounds (but not aliphatic hydrocarbons).
 and then diluted to stock concentrations in RPMI RPMI Rapid Prototyping & Manufacturing Institute
RPMI Roswell Park Memorial Institute
RPMI Royal Park Memorial Institute (culture medium) 
 1640 medium (Sigma, St Louis, MO). Peptides that could not be purified to specifications within the study period were not evaluated.

MHC Binding Studies

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7 binding assay method (23,24) relies on the ability of exogenously added peptides to stabilize the class I MHC/beta 2 microglobulin structure on the surface of transporters associated with antigen processing (TAP)-deficient cell lines (27,28). Briefly, the HLA B*07 T2 cell line was prepared for the assay by incubating overnight (16 hours) at 26 [degrees] C. Before the binding assay, these cells were washed twice in serum-free media. Solutions of the test peptides at three concentrations (final concentrations of 10, 20, and 200 [micro]g/mL in RPMI 1640 (Sigma, St Louis, MO) were plated in triplicate wells of a 96-well, round-bottom assay plate (Becton Dickinson, Lincoln Park, NJ). Sixteen wells containing cells without peptide were included in each plate as background controls.

After 100,000 cells were added to each well, the plates were incubated for 4 hours at 37 [degrees] C, 5% [CO.sub.2], followed by centrifugation Centrifugation

A mechanical method of separating immiscible liquids or solids from liquids by the application of centrifugal force. This force can be very great, and separations which proceed slowly by gravity can be speeded up enormously in centrifugal
 at 110 x g for 10 minutes at 4 [degrees] C. The supernatant supernatant /su·per·na·tant/ (-na´tant) the liquid lying above a layer of precipitated insoluble material.

supernatant

the liquid lying above a layer of precipitated insoluble material.
 was discarded, and the remaining cells were resuspended. One hundred [micro]L of anti-HLA-B*07 primary antibody-containing hybridoma hybridoma /hy·brid·o·ma/ (hi?brid-o´mah) a somatic cell hybrid formed by fusion of normal lymphocytes and tumor cells.

hy·brid·o·ma
n.
 supernatant was diluted in staining buffer (1:10 dilution of ME1 supernatant produced by HB-119 cell line [ATCC ATCC American Type Culture Collection, see there , Rockville, MD] in staining buffer: phosphate-buffered saline [PBS PBS
 in full Public Broadcasting Service

Private, nonprofit U.S. corporation of public television stations. PBS provides its member stations, which are supported by public funds and private contributions rather than by commercials, with educational, cultural,
], 5% fetal bovine serum Fetal bovine serum ( or foetal bovine serum) is serum taken from the fetuses of cows. Fetal Bovine Serum (or FBS) is the most widely used serum in the culturing of cells. In some papers the expression foetal calf serum is used. , 0.1% sodium azide sodium azide NaN3 Microbiology A toxic salt added–concentration, 0.01%, to a transport medium of lab specimens–eg, urine for culturing bacteria, which prevents oxidative phosphorylation and bacterial overgrowth ) was added to all the wells. Primary antibody was incubated with the peptide-pulsed cells for 30 minutes at 4 [degrees] C. After washing three times with staining buffer, the cells were resuspended, and 100 [micro]L of a 1:250 dilution of fluorescein isothiocyanate (FITC FITC

fluorescein isothiocyanate; used as a fluorescent label for proteins, especially antibodies.
)-labeled secondary antibody (FITC-labeled Goat F[ab']2 anti-mouse IgG [H+L] [Caltag, Burlingame, CA]) in staining buffer was added to all the wells. The binding studies are predicated on the assumption that the primary antibody recognizes an epitope on the HLA with a configuration that is unchanged by the stabilizing peptide. The plates were incubated for 30 minutes at 4 [degrees] C, then washed three times with staining buffer. The contents of each well were then resuspended in 200 [micro]L of fixing buffer (PBS, 1% paraformaldehyde paraformaldehyde: see formaldehyde. ).

The 16 negative control wells in each plate contained no peptide but did contain cells, primary antibody, and secondary antibody. An additional set of wells was plated with peptide at the highest concentration (200 [micro]g/mL), but no primary antibody was added to the wells as a control for nonspecific nonspecific /non·spe·cif·ic/ (non?spi-sif´ik)
1. not due to any single known cause.

2. not directed against a particular agent, but rather having a general effect.


nonspecific

1.
 secondary antibody binding. One positive control peptide (the known B*07 binder) was tested in triplicate at three concentrations (final concentrations of 10, 20, and 200 [micro]g/mL in RPMI 1640) in each assay plate.

Following fixing, the presence of fluorescent secondary antibody on the surface of T2 cells (gated to the appropriate cell size) was measured at 488 nm on a FACScan flow cytometer (Becton Dickinson). The mean linear fluorescence of 10,000 events was measured and compared with the background fluorescence of cells plated in control wells. The entire assay was repeated 4 times, so that each peptide was tested in a total of 36 wells (triplicate wells, three concentrations, four assays).

The B*07 molecule was considered to be stabilized on the surface of the T2B7 cells if the average of the mean linear fluorescence for the triplicate wells at each concentration of peptide was [is greater than] 10% higher than the average of the 16 negative control wells (and p [is less than] 0.05 in two-way comparisons by ANOVA anova

see analysis of variance.

ANOVA Analysis of variance, see there
). Binding was rated as strong, moderate, weak, or none, based on the number of significantly positive wells by pair-wise ANOVA (Table 3).
Table 3. West Nile virus T2B7 binding assay results

                                       Avg. fold
                                         inc.
Peptide no.     AA sequence   EBP(a)    @200(b)

WNB7 0004       AVKDELNTLL     47.77      1.0
WNB7 0005       APAYSFNCLG     47.03      1.2
WNB7 0006       AAKKKGASLL     45.3       1.2
WNB7 0007       NPMILAAGLI     36.60      1.1
WNB7 0008       IPAGFEPEML     36.02      1.9
WNB7 0009       TPAAPSYTLK     35.68      1.5
WNB7 0010       VPCRGQDELV     32.57      1.0
WNB7 0011       GPGHEEPQLV     32.35      1.0
WNB7 0012       AGMLLLSLLL     31.17      --
WNB7 0013       EPPEGVKYVL     31.07      1.1
WNB7 0014       MPAILIALLV     30.23      --
WNB7 0015       KPTGSASSLV     28.79      1.7
WNB7 0017       RPRWIDARVY     23.99      1.9
WNB7 0018       VPGTKIAGML     23.10      1.7
WNB7 0019       RPQRHDEKTL     22.49      2.8
WNB7 0020       SPHRVPNYNL     22.40      2.5
WNB7 0021       IPMTIAGLMF     22.32      --
WNB7 0023       RPAADGRTVM     20.89      1.5
WNB7 0024       TPGLRCLNLD     20.73      1.0
WNB7 0025       SVNMTSQVLL     20.09      --
WNB7 3399       PEDIDCWCTK      0.00      1.1
WNB7 3403       PETPQGLAKI      0.00      1.0
WNB7 3411       PFPESNSPIS      0.00      1.0
WNB7 3415       PRTNTILEDN      0.00      0.9
HIV-1 B7 1291   GPGHKARVLA     28.0       2.2
                                          1.5
                                          1.6

                             Fluorescence ratio
                 Avg.     (peptide/negative control)
Peptide no.       MFI      10     20    200

WNB7 0004         842.5   0.91   0.89   0.90
WNB7 0005         743.5   0.96   1.09   1.14
WNB7 0006         708.1   1.01   1.04   1.19
WNB7 0007         944.6   0.89   0.92   1.00
WNB7 0008       1,207.4   1.03   1.18   1.89
WNB7 0009         954.5   1.03   1.13   1.55
WNB7 0010         658.6   1.05   1.06   1.04
WNB7 0011         848.9   1.01   1.03   0.98
WNB7 0012         --       --     --     --
WNB7 0013         681.7   1.08   1.10   1.06
WNB7 0014         --       --     --     --
WNB7 0015       1,070.2   1.04   1.08   1.68
WNB7 0017       1,714.0   1.18   1.43   1.97
WNB7 0018       1,088.4   0.98   1.06   1.54
WNB7 0019       1,644.6   1.32   1.57   2.77
WNB7 0020       1,607.9   1.37   1.59   2.44
WNB7 0021         --       --     --     --
WNB7 0023         979.1   1.68   2.01   2.90
WNB7 0024         849.6   1.09   1.11   1.01
WNB7 0025         --       --     --     --
WNB7 3399         990.3   0.97   0.96   0.94
WNB7 3403         588.9   1.02   1.02   0.99
WNB7 3411         626.7   0.90   0.86   0.90
WNB7 3415         778.6   0.92   0.91   0.90
HIV-1 B7 1291   1,423.8   1.16   1.20   1.72
                1,370.9   1.12   1.14   1.78
                1,003.9   0.98   1.06   1.66

                            Fluorescence ratio
                           comparisons (p value)
Peptide no.     control -10   control -20   control -200   Summary

WNB7 0004          0.021         0.007         0.009       None
WNB7 0005          0.511         0.127         0.020       Weak
WNB7 0006          0.717         0.100         0.000       Weak
WNB7 0007          0.008         0.051         0.949       None
WNB7 0008          0.468         0.000         0.000       Moderate
WNB7 0009          0.372         0.001         0.000       Moderate
WNB7 0010          0.053         0.015         0.118       None
WNB7 0011          0.759         0.521         0.689       None
WNB7 0012           --            --             --        --
WNB7 0013          0.004         0.000         0.023       Weak
WNB7 0014           --            --             --        --
WNB7 0015          0.243         0.012         0.000       Weak
WNB7 0017          0.003         0.000         0.000       Strong
WNB7 0018          0.533         0.058         0.000       Weak
WNB7 0019          0.000         0.000         0.000       Strong
WNB7 0020          0.000         0.000         0.000       Strong
WNB7 0021           --            --             --        --
WNB7 0023          0.000         0.000         0.000       Strong
WNB7 0024          0.037         0.015         0.821       Weak
WNB7 0025           --            --             --        --
WNB7 3399          0.448         0.396         0.145       None
WNB7 3403          0.484         0.395         0.716       None
WNB7 3411          0.020         0.001         0.019       None
WNB7 3415          0.041         0.020         0.008       None
HIV-1 B7 1291      0.002         0.000         0.000       Strong
                   0.000         0.000         0.000       Strong
                   0.720         0.195         0.000       Weak

(a) EBP = estimated binding potential; MFI = mean fluorescence
index and T2B7 binding assay results for each of the peptides.

(b) Average fold increase in fluorescence of cells incubated
with peptide at 200 [micro]g/mL.


Results

The 3,424 decamers derived from the WN virus genome were evaluated by EpiMatrix B*07 and evaluated for match to the stored matrix pattern. Most decamers scored for the entire WN virus genome (by the HLA B*07 scoring matrix) had EBP scores [is less than] 1% (Figure 1). Figure 2 shows the distribution of HLA B*07 scores of a set of 10,000 random peptides (plotted as their natural logs, to allow better distribution of EBP scores [is less than] 1), compared with scores for the set of [is greater than] 300 known HLA B*07 binders and with the scores of the selected WN virus peptides. The set of peptides selected for study scored well within the EBP range of the comparison set of [is greater than] 300 known HLA B*07 ligands (Figure 1).

Each peptide in the entire WN virus-NY99 dataset of peptides was scored by EpiMatrix. Ninety-five of the 3,424 decamers had EBP scores [is greater than] 7%. Of these 95 peptides, 20 of the 25 with EBP scores between 20% and 50% (Table 2a) were selected for screening. Three peptides with EBP scores [is greater than] 50 (0001, 0002, 0003) were eliminated from the set of peptides tested because scores in this range are less likely to be B*07 ligands and epitopes (TB/HIV Research Lab and EpiVax, unpub, data). The amino acid sequence of peptide 0012 overlapped substantially with the human genome, and for that reason this peptide was also excluded. Three of the original 25 peptides (0014, 0021, 0025) could not be synthesized to sufficient purity within the study timeframe. Two peptides with EBP scores between 50 and 20 (0016 and 0022) were also not tested because they did not fall within a region of the WN virus genome belonging to a mature WN virus protein, based on information in the GenBank database. Sixteen WN virus peptides remained in the final selection.

The final set of 16 WN virus peptides included two from NS-1, four from NS-2A, five from NS-3, one from NS-4A, five from NS-5, one from env gp E, and one from prM (Table 2a). In addition to these peptides, four predicted nonbinder peptides and a known binder (1291) were also synthesized. Twenty-one peptides were tested in vitro in T2B7 binding assays.

Binding Results

Triplicate wells of peptide at 10, 20, and 200 [micro]g/mL were evaluated in each of the T2 B7 binding assays. Table 3 provides information on the mean fluorescence index for the peptide at 200 [micro]g/mL; the average fold increase over background for the peptide at 10, 20 and 200 [micro]g/mL; and the ANOVA analysis for each pairwise comparison (between fluorescence for cells incubated with one of the concentrations of the study peptide and the fluorescence of the cells in control wells).

Twelve of the 16 study peptides demonstrated consistent binding in the four replicate assays. Of these peptides, four (0017, 0019, 0020, and 0023) stabilized HLA B*07 on the surface of T2B7 cells substantially more often than controls in the four replicate assays (strong binders, Table 3). Two WN virus peptides (0008, 0009) stabilized HLA B*07 to a moderate degree. Six WN virus peptides (0005, 0006, 0013, 0015, 0018, and 0024) were weak binders, and four did not bind.

The positive control peptide, 1291, was tested with each set of peptides. The peptide bound significantly over background (based on ANOVA) in all three assays. Four negative control peptides selected for low EBP scores (3399, 3404, 3411, and 3415, all with scores of 0.0%) did not stabilize T2B7 to a significant degree.

Cross Strain Analysis Results

Peptide 0019, a strong binder, was conserved in all strains of WN virus (100% or 10 of 10 amino acids) and Kunjin virus Kunjin virus

a strain of West Nile virus, generally considered apathogenic but has been isolated from horses with encephalomyelitis. See also encephalitis.
; it was 80% conserved in JE virus strains (8 of 10 amino acids). Peptides 0017 and 0023, two strong binders, were 100% conserved in all strains of WN virus and Kunjin virus, 80% conserved in JE virus and Murray Valley encephalitis Murray Valley encephalitis

see Murray Valley encephalitis.
 (MVE MVE Murray Valley Encephalitis
MVE Market Value of Equity
MVE Midwest Vocal Express (barbershop chorus)
MVE Mid Valley Engineering (Modesto, CA)
MVE Modulo Variable Expansion
) virus, and 90% conserved in some strains of dengue. Peptide 0020, the fourth strong binder, was conserved in West Nile and Kunjin (100%), JE virus, MVE virus, and dengue (90%).

The two moderate binders 0008 and 0009 were unique. Peptide 0008 was 100% conserved in West Nile virus West Nile virus, microorganism and the infection resulting from it, which typically produces no symptoms or a flulike condition. The virus is a flavivirus and is related to a number of viruses that cause encephalitis.  strains, different by one amino acid from Kunjin virus (closely related to WN virus), and not conserved in any other flaviviruses. Peptide 0009 was conserved only in WN virus and Kunjin virus (100%) and not conserved in any other related flavivirus strains.

Of the weaker binding peptides (0005, 0006, 0013, 0015, 0018, and 0024), 0005 was 100% conserved across WN, Kunjin, SLE, and Sindbis viruses. Peptide 0006 was 90%-100% conserved in WN, Kunjin, JE, and MVE viruses. Peptide 0013, likewise, was conserved in WN and Kunjin but less well in JE virus (80%). WN virus 0015 was conserved in WN virus, Kunjin (100%), JE virus (90%), MVE virus (80%), SLE virus (90%), and dengue (80%). WN virus 0018 was conserved in WN virus, JE virus (90%), MVE virus (80%), and SLE virus (90%). In contrast, peptide 0024 was 100% conserved in all strains of WN virus (100%, or 10 of 10 amino acids) and Kunjin virus but not conserved in any other virus of the flavivirus group.

Estimated Cost

The 3,329 peptides with EBP scores [is less than] 7% (3,424 to 95) were considered unlikely to bind to HLA B*07. The EpiMatrix approach reduced the number of candidate peptides by 97% (3,329/3,424). Some researchers have adopted a standard overlapping (OL) approach (constructing a set of 10 amino acid-long peptides overlapping by 5 amino acids covering the entire genome [29]). This strategy (10/5 OL set) would have required the synthesis of 685 decamer peptides for the WN virus genome, more than 7 times the number (95) selected by the EpiMatrix approach.

The cost of synthesizing the 16 putative ligands and four controls (at a cost of $250 per peptide) for this project was $5,000. Synthesizing the entire selected set and four controls would have cost $24,750. Had the standard overlapping peptide approach been used, the cost of synthesizing OL peptides would have been approximately $170,000 ($250 for each of 685 peptides). The cost of synthesizing and mapping the complete overlapping set of peptides representing decamer peptides overlapping by 9 amino acids (3,423 peptides) would be $856,000 (Table 4).
Table 4. Projected cost of HLA-B7 epitope mapping for
the West Nile virus genome

                                       Overlapping    Complete
                                         (OL)(a)       OL set
                                         (10 AA      (decamers
                                       long OL by    overlapping
                           EpiMatrix    by 5 AA)        by 9)

Peptides                       20           685         3,424
Peptide synthesis          $5,000      $171,250      $856,000
Time (days)                    28           959         4,794
Technician/reagent cost    $2,608       $89,332      $446,527
Cost (synthesis + assay)     $634       $21,715      $108,544
  12 ligands(b)
Cost (synthesis + assay)     $617        $3,619       $18,091
  72 ligands(c)

(a) The standard overlapping approach, constructing a set of 10
amino-acid long peptides overlapping by 5 amino acids
(10/5 OL set) would require the synthesis of 685 decamer
peptides, approximately 30 times the number synthesized and
tested by the EpiMatrix approach. The "discovery" cost per
ligand was calculated by dividing the total cost of synthesis
and screening for each of the approaches by the number of
ligands expected to be discovered (12 ligands, a low
estimate, and 72 ligands, a high estimate).

(b) Based on the assumption that only 12 ligands will be found

(c) Based on the assumption that as many as 72 ligands may be
found. In that case, 95 peptides would be synthesized for
EpiMatrix, 685 for OL (10 by 5), and 3,434 for the exhaustive
approach.


If the WN virus B7 peptides behave as observed in previous studies of HLA B*07 peptide datasets (23; De Groot et al., unpub. data), additional HLA-B7 ligands would be identified (approximately 76%; 72 of the set of 95 WN virus peptides with EBP scores [is greater than] 7). If, by performing more overlapping peptide assays, this larger set of 72 (putative) ligands had been found, the cost per ligand with the OL approach would have been approximately $3,600 per ligand, compared with $617 per ligand for 72 ligands with the EpiMatrix approach. If no epitopes were to be missed, the exhaustive approach could be used at an estimated cost of $18,000 per ligand. This approach would have cost approximately five times more than the OL approach and 30 times more than the EpiMatrix approach.

Time Required for Analysis

Analysis of the WN virus genome and selection of the WN virus peptides was performed during one working week. Selected peptides were obtained in batches over a 4-week period. T2B7 binding assays were performed as the peptides arrived. Overall, the T2 B7 binding assays and data analysis took place over 20 working days, and the entire process from peptide selection to completion of data analysis took 8 weeks. Eliminating delays associated with peptide synthesis would have reduced the time required to 4 weeks.

Discussion

Using the EpiMatrix approach, we rapidly identified four excellent B*07-restricted T-cell epitope candidates for WN virus. Overall, 12 (75%) of 16 selected peptides bound in T2B7 binding assays. These binding results compare favorably with those of other T2B7 binding results for HIV-1 (16,23). Xia Jin et al. tested 29 HIV-1 peptides with EBP scores of 7%, of which 10 (35%) bound to T2B7 cells in vitro and 4 (14%) were subsequently demonstrated to be HLA-B7 restricted CTL epitopes in assays performed with CD8+ T-cell lines derived from an HIV-infected patient (23). In a separate study (16) of HLA B*07-restricted peptides, 25 peptides were tested, including a known HLA B*07-restricted epitope (peptide 1291, also used in this study). Nineteen (76%) of 25 peptides were shown to bind to T2B7 cells in vitro, and 60% of the peptides stimulated gamma-interferon release in T-cell assays performed with HIV-1-infected patients' cells.

Based on these experiences with EpiMatrix HLA-B7 selection, additional peptides from the original list of 95 WN virus peptides (EBP scores [is greater than] 7) might be expected to bind to HLA B*07 and stimulate T-cell responses. If the rest of the WN virus B7 peptides behave as observed in the HIV-1 datasets, 21 to 60 additional HLA-B7 ligands might be identified (76%, or 72 of the set of 95 WN virus peptides with EBP scores [is greater than] 7). This observation is also consistent with estimates of the number of epitopes in a given protein (30). Even at this higher number of total ligands, the cost per ligand of the OL approach would still have been more expensive than the EpiMatrix approach. Furthermore, the exhaustive approach would have cost approximately five times more than the OL (10/5) approach and 30 times more than the EpiMatrix approach. The EpiMatrix approach would also be substantially more rapid than OL or exhaustive testing of overlapping peptides.

EpiMatrix is one of several epitope mapping tools available to researchers, including the tool available at the SYFPEITHI (31) website and the HLA binding prediction tool available on the National Institutes of Health (BIMAS BIMAS Bioinformatics Molecular Analysis Section (US NIH) ) site (32). Neither of these sites returned exactly the same predictions as EpiMatrix for the WN virus genome; however, no direct comparison was made. Either of these web-based epitope-mapping tools could also accelerate the process of epitope mapping the WN virus genome by the approach described here.

The matrix-based approach used by EpiMatrix developers occasionally results in the selection of peptides that do not fit standard anchor-based and extended anchor motifs such as those available on the SYFPEITHI website. As a result, WN virus peptides selected by the EpiMatrix method and included in this study did not always fit the conventional, anchor-based format of proline proline (prō`lēn), organic compound, one of the 20 amino acids commonly found in animal proteins. Only the l-stereoisomer appears in mammalian protein.  in position 2 and leucine leucine (l`sēn), organic compund, one of the 20 amino acids commonly found in animal proteins.  or phenylalanine phenylalanine (fĕn'əlăl`ənēn'), organic compound, one of the 22 α-amino acids commonly found in animal proteins. Only the l-stereoisomer appears in mammalian protein.  in position 9 (17). For example, the sequence of one weak WN virus binder, AAKKKGASLL, has little in common with published HLA B*07 motifs, illustrating how EpiMatrix is able to prospectively identify ligands that do not necessarily match anchor-based motifs.

Although EpiMatrix appears to provide excellent discrimination between most published HLA B*07 ligands and a set of random peptides (Figure 2), there is still overlap between the lower-scoring published HLA B*07 ligands and the scores of some of the random peptides. Since the universe of HLA B*07 ligands is unknown, some of the set of random peptides could be previously unidentified HLA B*07 ligands. Furthermore, EpiMatrix scored several known HLA B*07 ligands very low, reflecting either inaccuracy in·ac·cu·ra·cy  
n. pl. in·ac·cu·ra·cies
1. The quality or condition of being inaccurate.

2. An instance of being inaccurate; an error.
 of the HLA B*07 matrix or inaccurate reporting of these ligands. Further study of these low-scoring HLA B*07 ligands may improve knowledge of the rules determining HLA B*07 binding.

Epitopes that are specific for WN virus could be used to develop diagnostic tests such as tetramer tet·ra·mer
n.
A polymer consisting of four identical monomers.



tetra·mer
 assays for WN virus (17). The tetramer staining assay relies only on the interaction between the tetramer reagent and T-cell receptors on the surface of T cells; it can be performed in [is less than] 30 minutes on as little as 2 mL of blood. Peptide 0008 was unique to WN virus, with only 8 of 10 amino acids in this sequence conserved in Kunjin virus; the sequence was even less well conserved in other members of the flavivirus family. Peptide 0009 would also be a strong candidate reagent for a diagnostic test, as it was conserved in Kunjin and in many strains of WN virus but not in any other member of the flavivirus family.

The incubation period incubation period
n.
1. See latent period.

2. See incubative stage.


Incubation period 
 in humans (i.e., time from infection to onset of disease symptoms) for WN virus encephalitis is usually 5 to 15 days. Antibodies are detectable within 3 to 7 days; however, to confirm infection, antibody assays must be repeated in the acute and convalescent con·va·les·cent
adj.
Relating to convalescence.

n.
A person who is recovering from an illness, an injury, or a surgical operation.



convalescent

1. pertaining to or characterized by convalescence.

2.
 phases. In contrast, recent tetramer-staining studies (33) indicate that cell responses may be detectable 2 to 3 days after acute infection. The initial CTL response to acute infection with a virus, as measured by tetramer technology, can be dramatic. For example, during the acute immune response to lymphocytic choriomeningitis virus lymphocytic choriomeningitis virus
n.
A virus of the genus Arenavirus that is the causative agent of lymphocytic choriomeningitis.
 (LCMV LCMV Lymphocytic Choriomeningitis Virus
LCMV Linearly Constrained Minimum Variance
LCMV Least Cost Matrix Value
LCMV Lightweight Counter-Mortar Radar
) in BALB/c mice, 55% of all CD8+ splenocytes are stained with an LCMV-specific tetramer (34). The method is extremely robust and can detect antigen-specific populations at frequencies as low as 1:5,000 CD8+ T cells, or approximately 1:50,000 peripheral blood peripheral blood Cardiology Blood circulating in the system/body  mononuclear mononuclear /mono·nu·cle·ar/ (-noo´kle-er)
1. having but one nucleus.

2. a cell having a single nucleus, especially a monocyte of the blood or tissues.


mon·o·nu·cle·ar
adj.
 cells (35). Results of the studies performed here suggest that peptides 0008 and 0009, which are relatively specific for WN virus and which score in the range of EpiMatrix scores shown to be compatible with immunogenicity (24), would be reasonable first candidates for the development of a tetramer-based diagnostic reagent for WN virus.

No specific vaccine or antiviral antiviral /an·ti·vi·ral/ (-vi´ral) destroying viruses or suppressing their replication, or an agent that so acts.

an·ti·vi·ral
adj.
 treatment exists for WN virus infection. CTL response will likely be one critical component of the immune response against WN virus. Development of a preventive or therapeutic vaccine against this public health threat would be greatly expedited if the correlates of immune response were determined and appropriate components rapidly incorporated into a vaccine. Epitopes defined by methods such as the one described here are likely to contribute substantially to the development of new research and diagnostic reagents and vaccines for WN virus and other emerging infectious diseases.

Dr. De Groot is director of the TB/HIV Research Laboratory and assistant professor of community health and medicine at Brown University. She is also CEO (1) (Chief Executive Officer) The highest individual in command of an organization. Typically the president of the company, the CEO reports to the Chairman of the Board.  and President of EpiVax, Inc., a privately owned bioinformatics and vaccine design company in Providence, RI. She trained in informatics and immunology at the National Institutes of Health and is an HIV/AIDS HIV/AIDS Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome  specialist in correctional settings.

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One of two types of nucleic acid (the other is RNA); a complex organic compound found in all living cells and many viruses. It is the chemical substance of genes.
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1. having the power of combining with three or more univalent atoms.

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adj.
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A scientific discipline that uses immunological methods to study the inheritance of traits. Traditionally, immunogenetics has been concerned with moieties that elicit immune response, that is, with antigens (antigenic determinants).
 1999;50:213-9. Available at: URL: http:// www.uni-tuebingen.de/uni/kxi/

(32.) Parker KC, Bednarek MA, Coligan JE. Scheme for ranking potential HLA-A2 binding peptides based on independent binding of individual peptide side-chains. J Immunol 1994;152:163-75.

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(34.) Murali-Krishna K, Altman JD, Suresh M, Sourdive DJD DJD
abbr.
degenerative joint disease



DJD

degenerative joint disease, osteoarthritis.

DJD Degenerative joint disease, see there
, Zajac AJ, Miller JD, et al. Counting antigen-specific CD8 T Cells: A reevaluation of bystander activation during viral infection. Immunity 1998;8:177-87.

(35.) Callan MF, Tan L, Annels N, Ogg GS, Wilson JD, O'Callaghan CA, et al. Direct visualization of antigen-specific CD8+ T cells during the primary immune response to Epstein-Barr virus Epstein-Barr virus (EBV), herpesvirus that is the major cause of infectious mononucleosis and is associated with a number of cancers, particularly lymphomas in immunosuppressed persons, including persons with AIDS.  in vivo. J Exp Med 1998;187:1395-402.

Anne S. De Groot,(*)([dagger]) Caitlin Saint-Aubin,(*) Andrew Bosma,(*) Hakima Sbai,(*) James Rayner,([dagger]) and William Martin([dagger])

(*) Brown University, Providence, Rhode Island

“Providence” redirects here. For other uses, see Providence (disambiguation).
Providence is the capital and the most populous city of the U.S.
, USA; and

([dagger]) EpiVax, Inc., Providence, Rhode Island, USA

Address for correspondence: Anne S. De Groot, TB/HIV Research Laboratory, Brown University, Providence, RI 02906, USA; fax: 401-863-1243; e-mail: Anne_DeGroot@Brown.edu
COPYRIGHT 2001 U.S. National Center for Infectious Diseases
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2001, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Author:Martin, William
Publication:Emerging Infectious Diseases
Article Type:Statistical Data Included
Geographic Code:1USA
Date:Jul 1, 2001
Words:7550
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