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Clinical and Diagnostic Laboratory Immunology, November 1998, p. 749-754, Vol. 5, No. 6
1071-412X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Evaluation of Lipopolysaccharides and Polysaccharides of
Different Epitopic Structures in the Indirect Enzyme-Linked
Immunosorbent Assay for Diagnosis of Brucellosis in Small Ruminants
and Cattle
B.
Alonso-Urmeneta,1
C.
Marín,2
V.
Aragón,1
J. M.
Blasco,2
R.
Díaz,1 and
I.
Moriyón1,*
Departamento de Microbiología,
Universidad de Navarra, Pamplona,1 and
Departamento de Sanidad Animal, Servicio de
Investigación Agraria, Diputación General de Aragón,
Zaragoza,2 Spain
Received 23 March 1998/Returned for modification 8 May
1998/Accepted 23 July 1998
 |
ABSTRACT |
Brucella abortus and Brucella melitensis
have surface lipopolysaccharides and polysaccharides carrying
B. melitensis-type (M) and B. abortus-type (A) epitopes as well as common (C) epitopes present
in all smooth Brucella biotypes. Crude lipopolysaccharides, hydrolytic O polysaccharides, and native hapten polysaccharides of MC
or AC specificity were evaluated in indirect enzyme-linked immunosorbent assays with polyclonal, monoclonal, or protein G conjugates by using sera from cattle, sheep, and goats infected with
AC, MC, or AMC Brucella biotypes. Regardless of the
antigen, the levels of antibodies were lower in goats than in sheep and highest in cattle. The diagnostic performance of the assay was not
affected by the absence of lipid A-core epitopes, the presence of
contaminating outer membrane proteins, the AC or MC epitopic structure
of the absorbed antigen, or the conjugate used. Moreover, with sera
from cattle vaccinated with B. abortus S19 (AC) or
from sheep and goats vaccinated with B. melitensis Rev
1 (MC), AC and MC antigens showed similar levels of reactivity. The
results show that antibodies to the C epitopes largely dominate in
infection, and this is consistent with the existence of
multiple overlapping C epitopes (V. Weynants, D. Gilson, A. Cloeckaert,
A. Tibor, P. A. Denoel, F. Godfroid, J. N. Limet, and J.-J.
Letesson, Infect. Immun. 65:1939-1943, 1997) rather than with one or
two C epitopes. It is concluded that, by adaptation to the
corresponding antibody levels, brucellosis in cattle, sheep, and goats
can be diagnosed by immunosorbent assay with a single combination of
conjugate and antigen.
 |
INTRODUCTION |
The members of the genus
Brucella are gram-negative bacteria causing brucellosis.
Brucella abortus and Brucella melitensis preferentially infect cattle and small ruminants, respectively, and
are largely responsible for human brucellosis. Both species carry a
smooth-type lipopolysaccharide (LPS) with O-chain variations (26), represented by biotypes 1 of B. abortus and B. melitensis, which carry the A
(B. abortus-type) and M (B. melitensis-type) epitopes, respectively (9, 19, 28,
33). In addition, there is at least one common (C) epitope
restricted to the smooth brucellae (19, 28, 33) and a
second common epitope (C/Y) shared with Yersinia
enterocolitica O:9 (19, 33). The two resulting
serotypes (herein referred to as AC or MC for simplicity) are not
species specific: B. abortus biotypes 4, 5, and 9 are serologically MC, B. melitensis biotype 2 is AC, and
B. melitensis biotype 3 is AMC (5). The
native hapten (NH), a surface polysaccharide closely related to
the LPS, shows a chemical structure similar to that of the
O chain, and it can be predicted to carry the same epitopes (6, 17). LPS and NH are relevant molecules
in serological diagnosis (reviewed in reference 6).
Indirect enzyme-linked immunosorbent assays (iELISAs) with
LPS are held to be at least as sensitive and specific as the
combination of the rose bengal and complement fixation tests for
brucellosis, both of which detect antibodies to the LPS
(15). However, the issue of how the use of a
Brucella LPS of a given serological specificity affects the
detection of antibodies elicited by heterologous serotypes has not been
rigorously investigated. For the rose bengal test, and depending on the
antigen dilution, it has been reported that suspensions of
B. melitensis biotype 1 (MC) perform better than those
of B. abortus biotype 1 (AC) in identifying cattle infected with B. abortus biotype 5 (MC)
(14). It is also known that, for optimal performance with
sera of B. melitensis-infected goats and sheep,
the standard rose bengal antigen (a B. abortus biotype
1 suspension standardized with cattle serum) has to be diluted
(7, 18), and this could be due to a combination of antigen
epitopic structure and titers of the antibodies of the possible
specificities. It has been suggested that differences in the
results of hemolysis in gel (29) and tube serum
agglutination (4) tests with sera from animals infected with
different Brucella biotypes are also related to the
antigen specificity. Finally, the epitopic structure of
Brucella NH and O-chain polysaccharide is relevant in
gel precipitation tests since optimal sensitivity in identifying
B. melitensis-infected animals requires polysaccharides carrying the M epitope (17). Thus, the first goal of the
present study was to investigate whether the epitopic structure of the LPS O chain is relevant in the iELISA for animal brucellosis and whether the assay needs to be substantially adapted to test sera from
cattle, sheep, and goats.
A second aspect to be considered in tests that detect antibodies to LPS
is that this molecule contains core and lipid A epitopes in
addition to the O-chain epitopes (28). Moreover,
Brucella LPS preparations often contain outer membrane
proteins tightly bound to lipid A (28) that evoke antibodies
during infection (12, 24, 27, 31, 34). Since lengthy
protocols are necessary both to achieve LPS purification and to obtain
the O-chain polysaccharide and NH in a pure state (6, 11,
17), it is important to assess how the presence of epitopes
other than those carried by the O chain affects the performance of the
iELISA. This was the second goal of the present study.
 |
MATERIALS AND METHODS |
Bacterial strains and cultures.
B. abortus 2308 (biotype 1 [AC], U.S. Department of Agriculture challenge strain) and
B. melitensis 16 M (biotype 1 [MC], virulent) are
smooth strains that have been used in previous studies (6,
17). They were grown in a Biostat fermentor (B. Braun Mesulgen AG, Leinfelden, Germany) under the conditions described previously (6). After 36 to 48 h, bacteria were
inactivated with phenol (0.5%, 36°C, 48 h), harvested by
tangential-flow filtration (Omega 100K filter; Filtron Technology
Corp., Northborough, Mass.), and washed twice with saline.
Antigen extraction and characterization.
Crude LPS fractions
(crLPS) and pure NH preparations were obtained by protocols described
previously (6, 11, 17). Briefly, to obtain the crLPS
fractions, wet cells were extracted with water at 100°C, the extract
was precipitated with 3 volumes of cold ethanol, and the precipitate
was dialyzed and freeze-dried. To obtain the pure NH preparations, the
remaining supernatant was precipitated with 2 additional volumes of
ethanol and the new precipitate was digested with nucleases and
proteinase K and ultracentrifuged (200,000 × g, 6 h, 10°C). The supernatant fluid was chromatographed on Sephacryl
S-300, and the fractions containing pure NH were pooled, dialyzed, and
freeze-dried (6). To obtain the LPS hydrolytic O-polysaccharide (PS), cells were suspended in 5.0% acetic
acid-10.0% NaCl and autoclaved for 30 min, and cell debris were
removed by centrifugation. The extract was precipitated with 5 volumes
of methanol (1.0% of methanol saturated with sodium acetate), and the
precipitate was digested with lysozyme, nucleases, and proteinase K and
extracted with hot phenol. After the mixture was chilled, the phenol
phase was precipitated with methanol (1% methanol saturated with
sodium acetate) and resuspended in water. After ultracentrifugation (100,000 × g, 18 h, 4°C), the supernatant fluid
was chromatographed on Sephadex G-50 (Pharmacia, Uppsala, Sweden) and
the void volume fractions were freeze-dried (11).
Detailed descriptions of the methods used in the characterization of
these preparations have been published before (6, 17). The
presence of LPS was assessed by sodium dodecyl sulfate-polyacrylamide gel electrophoresis followed by periodate-silver staining. In addition,
the LPS core marker 3-deoxy-D-manno-2-octulosonic acid (KDO) was measured and used to calculate the amount of LPS in crLPSs by
using the KDO content reported for NH-free LPS preparations (6). The purity of the NH and PS fractions was determined by sodium dodecyl sulfate-polyacrylamide gel electrophoresis followed by
either silver or periodate-silver staining, gel immunoprecipitation, high-performance gel filtration chromatography, and 13C
nuclear magnetic resonance (6). Group 3 outer membrane
proteins (Omp31 and/or Omp25 [13, 20]) contaminating
the crLPS extracts were identified by sodium dodecyl
sulfate-polyacrylamide gel electrophoresis (20). The
relevant features of the crLPS, PS, and NH preparations are summarized
in Table 1.
iELISA.
Stock solutions of crLPS, NH, and PS extracts were
prepared at 1 mg/ml in distilled water, sonicated briefly, and kept
at
20°C. Standard 96-well polystyrene plates, either
Inotech-ELISA (Bioreba, Basel, Switzerland) or Maxisorp (Nunc A/S,
Roskilde, Denmark), were used (no significant differences between the
brands were observed). Preliminary experiments showed that optimal
antigen concentration for coating was 2.5 µg/ml for the six antigens. Two coating conditions were used: 0.06 M carbonate-bicarbonate (pH 9.6)
at 37°C overnight and 10 mM phosphate-buffered saline (pH 7.2) (PBS)
at 4°C overnight. Nonadsorbed material was removed with four washings
with 0.05% Tween 20-PBS. To assess repeatability, batches of plates
were coated simultaneously, dried, sealed, and stored at 4°C
(controls with positive and negative sera showed that under these
conditions plates were stable for several months). Serum dilutions were
made in 0.05% Tween 20-PBS, a 100-µl aliquot was dispensed into
each well, and the plates were incubated for 1 h at 37°C before
being washed four times with the diluent. The following conjugates were
used: (i) a polyclonal (rabbit) anti-sheep immunoglobulin G
(IgG)-peroxidase conjugate (also suitable for goat IgG) of heavy- and
light-chain specificity (Pierce Chemical Co., Rockford, Ill.), (ii) a
polyclonal anti-bovine IgG-peroxidase conjugate of heavy- and
light-chain specificity (Nordic Immunological Laboratories, Tilburg,
The Netherlands), (iii) an anti-ruminant IgG1 monoclonal
antibody conjugated with peroxidase (Zentral Diergeneeskunding Institut, Edelherweg, Lelystand, The Netherlands), and (iv) a recombinant protein G (reacting with the IgG of ruminants)-peroxidase conjugate (Pierce). All conjugates were diluted in 0.05% Tween-PBS (optimal dilutions were 1:1,000 to 1:2,000 for the antibodies and 0.2 µg/ml for protein G). Conjugate solution (100 µl) was added to each
well, and after 1 h at 37°C, plates were washed and developed
with 100 µl of 0.1% 2,2'azinobis(3-ethylbenzthiazolinesulfonic acid diammonium salt (ABTS; Sigma Chemical Co., St. Louis,
Mo.)-0.05 M citrate (pH 4)-0.004%
H2O2 per well for 15 min at 20°C. As
controls, a negative serum and a positive serum of the appropriate
animal species were used in all plates. The results were expressed as the optical density (OD) at 405 nm or as the percentage of the OD at
405 nm of the positive control serum at the dilution giving the best
discrimination between infected and vaccinated animals (see below).
Sensitivity, specificity, and statistical analyses.
The
sensitivity and the specificity were calculated with respect to the
infected and brucella-free groups (see below) as described elsewhere
(23). The receiver-operating-characteristic (ROC) analysis
and the Student t test were performed with the SAS
statistical package (version 6; SAS Institute Inc.).
Animals and sera.
The blood sera used were from 38 cows
naturally infected with B. abortus biotype 1, 18 cows
naturally infected with B. melitensis biotype 3, 83 heifers vaccinated subcutaneously with the standard dose of
B. abortus S19 and bled 6 months later, and 76 cows
from brucellosis-free areas. Sheep blood sera were obtained from 82 sheep naturally infected with B. melitensis biotype 1, 58 sheep naturally infected with B. melitensis biotype
3, 121 sheep from brucellosis-free areas, and 31 lambs vaccinated
subcutaneously with the standard dose of B. melitensis
Rev 1 and bled 4 months later. Finally, goat blood sera were from 30 goats naturally infected with B. melitensis biotype 1, 30 Brucella-free goats, and 16 young goats vaccinated
subcutaneously with the standard dose of B. melitensis Rev 1 and bled 4 months later. Infections were demonstrated by bacteriological culture of cow's milk or necropsy samples (8, 18,
22).
 |
RESULTS |
In preliminary experiments, it was confirmed (3, 18)
that whereas coating in carbonate buffer at 37°C gave good results with crLPS and PS, these conditions were unsatisfactory for NH. On the
other hand, binding was achieved for all antigens when they were
dispensed into PBS and incubated at 4°C overnight
(1). Thus, the reactivities of the antigens with sera from
cattle, sheep, and goats in plates coated under those conditions
were compared. The results obtained with the six antigens,
the sera of the Brucella-free goats and the goats
infected with B. melitensis biotype 1, and the protein
G conjugate are presented in Fig. 1. It can be seen that there were only very small differences in average
IgG binding to the MC or AC antigens despite the MC serological specificity of the infecting biotype. Furthermore, such small differences were not related to the serological specificity (AC or MC)
of the antigens (Fig. 1) and were not constantly reproduced when
different batches of coated plates were compared (not shown). Similar
analyses performed with sera from sheep infected with B. melitensis biotypes 1 and 3 and Brucella-free sheep
(data not shown) also showed that the IgG reactivities with the
antigens were similar and independent from variations in the epitopic
structure. Finally, similar results (data not shown) were also obtained
with the sera of cattle infected with serologically AC B. abortus biotype 1 or serologically AMC B. melitensis biotype 3 (only the crLPSs were tested with sera from
the last group). Protein G, monoclonal anti-ruminant IgG1, and
polyclonal conjugates yielded the same results, even though the
background reactivity with sera from Brucella-free animals
was higher with the polyclonal conjugates.

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FIG. 1.
Reactivities of sera from goats infected with
B. melitensis biotype 1 (MC) (continuous lines) and
Brucella-free goats (dotted lines) in the ELISA with MC
crLPS ( ), MC PS ( ), MC NH ( ), AC crLPS ( ), AC PS ( ), and
AC NH ( ) (for clarity, error bars are not shown).
|
|
Since antigens yielding the same average reactivity could produce
different diagnostic sensitivities and specificities and OD
distributions, the data of the serum dilutions (1:25 for goats, 1:50 for sheep, and 1:100 for cattle) giving maximal discrimination between infected and Brucella-free animals were
evaluated by ROC analysis (Table 2) and
by examining the distribution of the percentage of the OD (results
obtained with sera from cattle and sheep are shown in Fig.
2 and 3,
respectively). For a given antigen, there were no significant
differences in the sensitivities obtained with the sera of sheep
infected with B. melitensis biotype 1 or biotype 3 or
with the sera from cattle infected with B. abortus biotype 1 or B. melitensis biotype 3 (Table 2).
Moreover, in both goats and cattle, there were no significant
sensitivity differences among the six antigens. In sheep, AC or MC NHs
were significantly (P
0.05) less sensitive than the
other antigens, but no significant differences between the AC and MC
crLPSs and PSs were observed (Table 2). The six distributions of the
percentage of the OD for the sera from infected and
Brucella-free cattle (Fig. 2) were very similar, with small
differences in the few sera of B. abortus biotype
1-infected cattle that yielded low percentages of the OD. With these
sera, the values obtained with the AC antigens were slightly higher
than the values obtained with the heterologous MC preparations.
However, a corresponding observation was not made for sheep (Fig. 3):
whatever the infecting B. melitensis biotype, the
results obtained with AC or MC antigens did not show clear differences
even for those sera that produced low percentages of the OD. Figure 2
also shows that the separation between the infected and the
Brucella-free cattle was lessened with the NH preparations,
in particular with that of the MC type, and a corresponding observation
was made with the NHs and the sheep sera (Fig. 3). No differences in
the distributions of percentage of the OD obtained with goat sera and
the AC and MC antigens were observed, and NH preparations also showed
the lowest resolution between infected and Brucella-free
populations (not shown).
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TABLE 2.
Influence of the epitopic structure of crLPS, PS, and NH
in the performance of the iELISA with sera rom infected
cattle, sheep, and goats
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FIG. 2.
Distribution of the results of the iELISA obtained with
sera from Brucella-free cattle and cattle infected with
B. abortus biotype 1 and B. melitensis
biotype 3 and crLPSs, PSs, and NHs of AC or MC specificity.
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FIG. 3.
Distribution of the results of the iELISA obtained with
sera from Brucella-free sheep and sheep infected with
B. melitensis biotype 1 and B. melitensis biotype 3 and crLPSs, PSs, and NHs of AC or MC
specificity.
|
|
Finally, to determine whether the epitopic structure of the antigens
influenced the detection of serological responses in vaccinated
animals, the six antigens were tested with sera from cattle vaccinated
with B. abortus S19 (AC) and sera from sheep and goats
vaccinated with B. melitensis Rev 1 (MC) and the
protein G conjugate (Table 3). There were
no significant differences in the percentages of sera from cattle and
goats reacting with the six different antigenic preparations. For sheep
sera, no significant differences were observed in the crLPSs and PSs of
either MC or AC structure. However, in keeping with the lower
sensitivity obtained with the AC NHs and the sera from infected sheep
(Table 2), the AC NH preparation identified a significantly lower
number of vaccinated sheep than the MC NH. The data also show that a
higher percentage of sera from Rev 1-vaccinated than from
S19-vaccinated animals were positive in the iELISA, an observation
possibly reflecting the shorter postvaccination bleeding times
(see Materials and Methods) and the greater stimulation caused by the
Rev 1 vaccine.
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TABLE 3.
Influence of the epitopic structure of crLPS, PS,
and NH in the performance of the iELISA with sera from
vaccinated cattle, sheep, and goats
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|
 |
DISCUSSION |
It has long been recognized that the LPS is the major antigen of
the surface of smooth brucellae (16) and the relevant
molecule in classical diagnostic tests for brucellosis (15).
LPS preparations of various degrees of purity have been used in many
serological tests, and although specificity may be compromised in the
testing of sera from vaccinated animals, no alternative antigens that could match the sensitivity achieved with LPS have been found so far
(8, 12, 18, 21, 24, 25, 30, 31, 34). Studies with monoclonal
antibodies have shown that the B. abortus LPS contains
at least three lipid A epitopes, two core epitopes (28), and M, A, and C O-chain epitopes. Whereas the
lipid A-core structure remains to be elucidated, the B. abortus biotype 1 O-chain polysaccharide has been defined by
nuclear magnetic resonance analysis of PS preparations. In
B. abortus biotype 1, the O-polysaccharide is an
unbranched homopolymer of
-1,2-linked
4-formamido-4,6-dideoxy-D-mannose (N-formylperosamine) (26). In B. melitensis biotype 1, the O chain consists of repeating blocks of
five N-formylperosamine residues, four
-1,2 linked and
one
-1,3 linked (26). Obviously, the
-1,2 linkages
relate to both the A and C epitope(s), and the
-1,3 linkages
relate to the M epitope(s), and intermediate biotypes expressing
both the A- and M-type epitopes (such as B. melitensis biotype 3) and M-type B. abortus
biotypes have the expected proportions of
-1,2- and
-1,3-linked
sugars (26). However, the chemical structures suggest that
these epitopes are not discrete entities; in fact, some data in the
literature show that the epitopic specificities of some
anti-Brucella O-chain monoclonal antibodies depend on the
precise dilution at which these reagents are used (9, 10,
32) and, therefore, on their intrinsic avidity. Thus, a
polyclonal response should contain a large proportion of antibodies
that, because of combinations of titer and avidity, should show
overlapping reactivities with the overlapping stretches of different
numbers of
-1,2-linked sugars present in both MC and AC
polysaccharides. Moreover, antibodies evoked by epitopes
constituted exclusively by
-1,2-linked sugars could show various
degrees of reactivities with epitopes containing both
-1,2- and
-1,3-linked sugars, and the opposite should also be true. This
interpretation is supported by the recent work of Weynants et al.
(33), who have observed that PS monoclonal antibodies display intermediate degrees of reactivity with the B. abortus and B. melitensis LPS O-polysaccharides
and have proposed that they correspond to overlapping epitopes in
the cognate antigens.
The preceding data are relevant in the interpretation of the results of
the present study. The presence or absence of lipid A epitopes (and
outer membrane proteins) did not significantly affect the performance
of the iELISA, as shown by the similar results obtained with the crLPSs
and PSs. The fact that NHs yielded less satisfactory results suggests a
reduced but relevant role of the core oligosaccharide (present in PS
but absent from NH) in the immunosorbent assay. This could be due to
the existence of diagnostically relevant antibodies specific for core
epitopes (not detectable with NHs) or to a role of the core in
polystyrene adsorption leading to a conformation of the adsorbed PS
more favorable for antibody binding. Although the first possibility is
suggested by the fact that infected animals produce low but significant titers of antibodies to lipid A-core epitopes (2, 28,
34), the second is also suggested by the fact that, depending on
the conditions, NHs and PSs show different polystyrene binding (this work and references 2 and 18). No
matter what the exact explanation is, it can be concluded that NHs are
not the optimal antigens in immunosorbent assays for brucellosis.
Moreover, the results of this work confirm (25) that PSs do
not outperform LPSs in these assays and show that the relatively crude
and technically simple-to-obtain LPS preparations used in this and
previous studies (8, 18, 22) are a practical choice.
The fact that, regardless of the infecting strain or vaccine serotypes,
the antigens of MC and AC epitopic structure produced similar results
strongly suggests a dominance of the anti-C antibodies in natural
infections and also in vaccinated animals. In fact, although they have
not been tested for sheep and goat brucellosis, competitive iELISAs for
cattle brucellosis based on monoclonal antibodies of C specificity as
the competing reagent are sensitive assays (25). This is in
apparent contradiction to our previous report that, whereas NHs and PSs
of MC specificity efficiently identify cattle infected with
B. abortus biotype 1, NHs and PSs of AC specificity are
inefficient in detecting B. melitensis-infected sheep
(17). However, these observations were made by gel
immunoprecipitation, and factors other than the specificity of the
antigen, such as the threshold antibody avidity of the assay (higher in
immunoprecipitation than in iELISA), can account for the results
(2, 3). Also, as discussed above, the O-chain structure of
the LPSs of B. abortus and B. melitensis can be considered to be made of overlapping epitopes (33) to which a given antibody of a polyclonal
response can bind with various avidities. Thus, the chemical analyses
(26), the concept of overlapping epitopes
(33), and the results of the present work make it rather
unlikely that the serological diagnosis of animal brucellosis could be
improved by the use of LPSs or PSs obtained from the serologically
intermediate serotypes of the smooth Brucella spp.
Obviously, the practical implications are that the epitopic structure
of the LPS used in the iELISA is not relevant in the diagnosis and that
a single antigen (and conjugate) can be used for the diagnosis of
brucellosis in small ruminants and cattle.
 |
ACKNOWLEDGMENTS |
This research was supported by the Dirección General de
Investigación Científica y Tecnológica (grant
AGF95-1013-CO) and by the Insituto Nacional de la Investigación
Agronómica (grant INIA SC-037).
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Departamento de
Microbiología, Universidad de Navarra, Aptdo. 177, 31080 Pamplona, Spain. Phone: 34-948-425600. Fax: 34-948-425649. E-mail:
imoriyon{at}unav.es.
 |
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Clinical and Diagnostic Laboratory Immunology, November 1998, p. 749-754, Vol. 5, No. 6
1071-412X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
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