A simplified immunoprecipitation method for quantitatively measuring antibody responses in clinical sera samples by using mammalian-produced Renillaluciferase-antigen fusion proteins
© Burbelo et al; licensee BioMed Central Ltd. 2005
Received: 03 March 2005
Accepted: 18 August 2005
Published: 18 August 2005
Assays detecting human antigen-specific antibodies are medically useful. However, the usefulness of existing simple immunoassay formats is limited by technical considerations such as sera antibodies to contaminants in insufficiently pure antigen, a problem likely exacerbated when antigen panels are screened to obtain clinically useful data.
We developed a novel and simple immunoprecipitation technology for identifying clinical sera containing antigen-specific antibodies and for generating quantitative antibody response profiles. This method is based on fusing protein antigens to an enzyme reporter, Renilla luciferase (Ruc), and expressing these fusions in mammalian cells, where mammalian-specific post-translational modifications can be added. After mixing crude extracts, sera and protein A/G beads together and incubating, during which the Ruc-antigen fusion become immobilized on the A/G beads, antigen-specific antibody is quantitated by washing the beads and adding coelenterazine substrate and measuring light production.
We have characterized this technology with sera from patients having three different types of cancers. We show that 20–85% of these sera contain significant titers of antibodies against at least one of five frequently mutated and/or overexpressed tumor-associated proteins. Five of six colon cancer sera tested gave responses that were statistically significantly greater than the average plus three standard deviations of 10 control sera. The results of competition experiments, preincubating positive sera with unmodified E. coli-produced antigens, varied dramatically.
This technology has several advantages over current quantitative immunoassays including its relative simplicity, its avoidance of problems associated with E. coli-produced antigens and its use of antigens that can carry mammalian or disease-specific post-translational modifications. This assay should be generally useful for analyzing sera for antibodies recognizing any protein or its post-translational modifications.
Although it is clear that a normal host immune system recognizes and responds to tumors, we understand very little about these complex tumor-host interactions. For example, it is not clear why tumor-associated proteins elicit humoral responses, although it is often speculated that such proteins can become antigenic when they are overexpressed or represent an unusual or modified form of a protein (e.g. altered spliced form), or are encoded by mutant genes [1, 2]. Efforts to identify antibody responses to tumor antigens are motivated primarily by their diagnostic potential. Unfortunately, the immunoassay formats available to most laboratories are less than ideal.
Most immunoassays use bacterial-expressed proteins for detecting antigen-specific antibodies in human sera . However, since such antigens do not carry post-translational modifications or may fold incorrectly, some immunoassays employ antigens produced in either yeast or insect cells. While these antigens may fold correctly and carry post-translational modifications, they will not carry either mammalian- or disease-specific posttranslational modifications. Tests employing bacterial-produced proteins can produce high backgrounds because it is difficult to completely eliminate or block serum antibodies reactive with trace amounts of bacterial contaminants present in most antigen preparations, even in pharmaceutical grade preparations . Therefore to overcome the biological limitations and technical problems associated with bacterially and non-mammalian-produced antigens, we have developed a simple immunoassay that combines conventional immunoprecipitation techniques with a novel approach for the production of tumor antigens. The tumor antigens are fused to an enzymatic reporter, Ruc, and produced in mammalian cell cultures, where mammalian-specific post-translational modifications can be added. This technology is based on our previously published studies showing that a Ruc fusion with a human protein retain the biological activities of both the reporter and the human protein and can be used to detect weak protein-protein interactions . In the present application, we utilized such fusions to detect protein-antibody interactions.
Our immediate interest in this technology is that we believe it can be used to systematically test the hypothesis that, in sporadic cancers, mutant or overexpressed tumor-associated proteins frequently induce humoral responses. While variations of this hypothesis have be proposed, it has not been vigorously tested for mainly historical and technological reasons. Until recently, only a few frequently mutated tumor-associated proteins were known . For example, in sporadic breast and colon cancers, mutations in only a few proteins, p53 and SMAD4 or p53, k-Ras and APC, respectively, had been identified prior to 2001. Recent molecular genetic studies have greatly increased the number of genes known to be mutant in different types of sporadic cancers. For example, in colon cancers over 15 different genes are known to be frequently mutated [6–10], although individual patient tumors are highly heterogeneous in their mutant gene spectrum. In light of the fact that accurate classification of patient tumors into well-defined subtypes by gene expression profiling requires a panel of genes, each of which may be specifically up- or down-regulated in only a small percentage of tumors [11–15], we hypothesize that monitoring humoral immune responses to a panel of frequently mutated and/or overexpressed tumor-associated proteins in cancer patient sera can be used in an analogous manner, but with the added advantage of not requiring tumor tissue. In addition, existing data suggests that cancer patients' antibody responses to these mutant proteins are generally not limited to the mutated region of the protein. For example, colon cancer patient sera containing anti-Ras antibodies were equally reactive with either wild type or mutant K-Ras recombinant proteins . Epitope mapping experiments showed that these sera always reacted with the C-terminus of K-Ras, although the mutated amino acid is almost always at the N-terminus of Ras. Similar results studying antibody responses to p53 were obtained with sera from patients with breast, colorectal and lung cancer . While p53 mutations are in the central region, the majority of immunodominant epitopes are in the N- and/or C-termini of p53 [18, 19]. For both mutant CDX2 in colon cancer, and mutant B-Raf in melanoma, patient antibodies react with both the wild type protein and mutant epitopes [20, 21]. Here we describe a simple practical quantitative immunoprecipitation assay that has a number of practical advantages including that it is inexpensive, easy-to-perform and can be used for detecting antigen-specific antibodies in clinical sera samples. The proteins used here, as antigens are frequently mutated or overexpressed in the types of tumors carried by the patients whose sera are used to demonstrate the usefulness of this new immunoassay format.
Results and discussion
Description of the immunoprecipitation assay
We used Ruc-tagged proteins to develop an immunoprecipitation assay that can quantitatively measure serum antibody reactivity with protein antigens. Briefly, crude extract containing the Ruc-antigen fusions, sera and protein A/G beads are mixed together and incubated, during which the antigen fusions become immobilized; antigen-specific antibody is then quantitated by washing the beads and adding the colenterazine substrate. In these assays the amount of light produced is proportional to the amount of soluble fusion protein captured, directly or indirectly by the antibody-bound beads. It should be noted that the binding capacity of the protein A/G beads (Pierce Biochemical) used to capture either purified monoclonal antibodies or immunoglobulins from crude human or animal antisera is quite high (24 μg of immunoglobulins/μl of packed beads).
The immunoprecipitation assay shows a linear range of detection with commercial antibodies
Human cancer patient sera contain antigen-specific antibodies
Immunoprecipitation capacity of 1 μl of human sera for Ruc-tumor antigen fusion proteinsa
+ 3 SD b
Head and Neck
Competition experiments with unmodified proteins
Competition of antibody responses by unmodified antigensa
We have preliminary observations suggesting that our approach of making antigen-enzyme fusions and producing these fusions in mammalian cells may be superior to conventional ELISA assays for detecting antigen-specific antibody responses in human sera. Specifically, we have tested the six colon cancer patient sera used here in a standard sandwich type ELISA where the antigen were fused to E. coli MBP and immobilized on ELISA plates with a monoclonal anti-MBP antibody. In these ELISA tests only two of the six colon cancer sera gave positive responses with any of the five tumor-associated proteins listed in Table 1 (data not shown). In any case, the immunoprecipitation assay described here offers a practical approach for identifying post-translational modification-specific antibody responses and studying their medical relevance.
These results demonstrate that a simple quantitative immunoprecipitation assay can identify human clinical sera samples containing disease-related antigen-specific antibodies. Quantitative results were obtained by using easily prepared crude cell extracts containing post-translationally modified antigens fused to a light-producing enzyme reporter. While the immunodetection of antigen-enzymes is not new [28, 29], by combining a robust reporter, such as Ruc with the production of recombinant enzyme-antigen fusions in mammalian cells, we have created a highly sensitive user friendly assay. This assay requires fewer manipulations for reagent preparation and less time than other immunoprecipitation methods including avoiding having to purify and then radiolabel the purified proteins or having to perform additional analysis such as Western blotting after the immunoprecipitations . Producing the target antigens in mammalian cells offers several potential advantages, including having mammalian-specific and/or disease-specific post-translational modifications added to these antigens. Thus, this immunoprecipitation assay provides a simple, accessible, reliable and reproducible tool for investigations aimed at documenting the role of post-translational modification in disease. Although altered post-translationally modified proteins occur in cancer [31, 32], future studies are needed to explore whether there are detectable cancer patient-specific antibodies to post-translationally-modified tumor proteins. The levels and kinds of post-translational modifications on the Ruc-antigen fusions can be manipulated by exploiting mutant proteins, unique human cell lines (e.g. cell lines overexpressing tyrosine kinases) and various culture conditions. Mammalian-produced antigens have additional advantages over bacterial produced antigens including facilitating the study of antibody responses to very large proteins (>100 kDa) that are difficult or impossible to produce as intact proteins in E. coli. Our assay also avoids false positives caused by variable amounts of anti-E. coli antibodies present in patient sera that react with the minor amounts of E. coli proteins that co-purify with bacterial recombinant proteins; such contaminants are even present in some pharmaceutical-grade recombinant protein preparations . These advantages, along with the possibility of improving the assay format, suggest that it may be worthwhile to use this assay to reevaluate the frequency with which known tumor-associated proteins are detectably antigenic in cancer patients. It is encouraging, although of limited significance, that the frequencies of significant antibody responses for two of the cancers are roughly comparable to reports in the literature. Thus, in colon cancer patients we detected statistically significant antibody responses to Ras and p53 in 50% and 33% of the sera, respectively, compared to published reports of 33% for Ras  and 26% for p53 . In contrast, we did not find any statistically significant antibody responses to p53 in breast cancer sera, which have been reported to occur with 9% of patient sera . Studies with much larger sample numbers are clearly needed to make statistically useful comparisons between our method and existing methods.
This assay format and high throughput modifications (e.g. magnetic A/G beads in a microtiter plate format) are obviously directly applicable to detecting human sera antibodies specific for any protein antigen of interest and is likely to be useful for non-human sera, such as sera obtained from animal models of disease, as well as for antibodies in other bodily fluids including from ascites and saliva. Variations of this immunoprecipitation assay format might also be useful for studying other types of protein-protein interactions.
Biochemical reagents and antibodies
Ultralink™ immobilized protein A/G beads were obtained from Pierce Biotechnology Inc. Commercially available antibodies were: mouse monoclonal anti-FLAG™ M2 from Sigma; rabbit anti-acetylated p53 from Upstate Biochemicals and polyclonal rabbit anti-p53, polyclonal rabbit phosphoserine p53 and polyc lonal anti-WASP from Santa Cruz Biotechnology.
The breast and colon cancer patient sera were obtained from the University of Wisconsin collection, now kept at Georgetown University Medical Center. Sera samples from head and neck cancer patients and control sera were collected by Dr. Radoslav Goldman at Georgetown University Medical Center (Washington, DC). The sex, age and disease stages of these samples were not examined until after the reactivities for all antigens were measured.
Generation of constructs encoding Ruc fused to tumor-associated antigens
Immunoprecipitation assays with Ruc fusion proteins
Forty-eight hours after Fugene-6 transfection, Cos1 cells in 100 mm2 plates were washed twice with PBS, scraped with 1.0 ml of Buffer A (20 mM Tris, pH 7.5, 150 mM NaCl, 5 mM MgCl2, 1% Triton X-100) plus 50% glycerol and protease inhibitors (10 μg/mL each of leupeptin, aprotinin and pepstatin), sonicated, centrifuged at 13,000 × g for 4 min, supernatants collected and used immediately or stored at -20°C. Total luciferase activity in 1 μl of each crude extract was measured by adding it to 100 μl of assay buffer and substrate mixture (Renilla Luciferase Reagent Kit, Promega) in a 12 × 75 mm glass tube, vortexing and immediately measuring light-forming units with a luminometer (GeneProbe) for 10 sec. Lysate prepared from each 100 mm2 plate of transfected Cos1 cells typically provides enough extract for 60–200 assays. These crude Cos1 extracts containing these Ruc fusions were stable for at least a few weeks when stored in 50% glycerol at -20°C.
Immunoprecipitation assays were performed in 100 μl volumes containng 6 μl of a 30% suspension of protein A/G beads (in PBS), 1–10 μl sera (undiluted or diluted in Buffer A plus 100 μg/ml BSA), sufficient Cos1 cell extract to generate 1–5 million light units (usually 5 μl to 10 μl) and Buffer A and incubated at 4°C with tumbling for 5–120 minutes, washed 4–5 times with 1.2 ml of cold Buffer A and once with 1.0 ml of PBS. After the final wash, the beads, in a volume of about 10 μl, were added to the Ruc substrate and light units measured as described above. Since the capacity of these protein A/G is 24–32 mg/ml of packed beads, 2 μl of packed beads should be sufficient to immobilize most or all of the IgG in 1 μl of undiluted sera (assumed to be 10 mg/ml IgG). The amount of IgG in 2 μl of each sera that actually bound to protein A/G beads was estimated by measuring the amount of bead-bound sera released by a low pH glycine elution buffer and measured using the BCA Protein Assay kit (Pierce Biotechnology Inc.). The protein values varied from 2.0 μg to 7.3 μg/μl of patient sera (see Additional file 3).
Competition experiments were performed using MBP fusion proteins. Bacterial expression vectors were constructed by subcloning cDNA fragments into the pMAL-c2 vector (New England Biolabs). Recombinant MBP fusion proteins were produced in bacteria, purified by amylose-agarose affinity and eluted with maltose as described by the manufacturer and stored frozen or in 50% glycerol at -20°C. An MBP fusion containing the SPEC2 cDNA  was produced and used as a non-specific inhibitor. The integrity of the proteins was confirmed by SDS-PAGE electrophoresis and protein concentration determined. Diluted patient sera (10 μl used of sera diluted 1:10 in buffer A containing 100 μg/ml BSA) were used in the competition experiments described in Table 2, while only 5 μl of 1:10 diluted colon patient sera 34 was used in the experiments described in Figure 3.
We would like to thank Nicholas Madian for technical help and Kathryn Ching for numerous helpful suggestions and assistance. We are also grateful to Dr. R. Parniak and Dr. A. Uren for helpful comments on the manuscript. We also thank the Friends You can Count On Foundation for funding our initial work of tumor antigens. This study was funded through a grant from the Susan G. Komen Breast Cancer Foundation (BCTR02-1017) awarded to PDB and in part by American Cancer Society Grant CRTG-02-245-01-CCE awarded to RG. Additional support was in part by the Lombardi Comprehensive Cancer Center Tissue Culture and Biomarkers Shared Resources, U.S. Public Health Service Grant 2P30-CA-51008 and 1S10 RR15768-01.
Supported in part by grant M01 RR-020359 from the National Center for Resereach Resources, National Institues of Health
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