Progress on the research of Treponema pallidum recombinant antigens for syphilis diagnostics
WANG Si-qian1,2, FU Bo1, ZHAO Yu-long1, LIAO Meng-jia3, LI Chang-qing4, CAO Long-gu5, ZENG Tie-bing1
1.Institute of Pathogenic Biology and Key Laboratory of Special Pathogen Prevention and Control of Hunan Province, University of South China, Hengyang 421001, China; 2.Clinical laboratory of the First Pepole’s Hospital of Changde City, Changde 415003, China; 3.Undergraduate of Grade 2016, Clinical medicine Speciality, Hengyang Medical College, University of South China, Hengyang 421001, China; 4.Nanyue Biopharmaceutical Co., Ltd., Hengyang 421002, China; 5.College of Medical Imaging and lnspection, Xiangnan University, Chenzhou 423000, China
Abstract:Syphilis is a multistage sexually transmitted disease with complicated clinical manifestations, and serological studies remain the main method for laboratory diagnostics of syphilis. In recent ten years, serological methods, based on recombinant antigens of Treponema pallidum, considerably promoted the rapid development of treponema-specifc laboratory diagnostics of syphilis infection. However, current recombinant antigens are still inadequate for the diagnosis of early or late syphilis and for distinguishing syphilis stages or for the assessment of therapeutic efficacy. This article reviews the application value and limitations in the diagnosis of syphilis of recombinant T. pallidum lipoproteins and novel antigens including surface-exposed proteins, adhesins, and periplasmic and flagellar proteins. and summarizes the criteria for selection of optimal antigens panel, which may provide a reference for further study of other novel diagnostic antigens of T. pallidum.
王斯倩, 符波, 赵宇龙, 廖梦佳, 李长清, 曹龙古, 曾铁兵. 重组梅毒螺旋体诊断抗原的研究进展[J]. 中国人兽共患病学报, 2019, 35(9): 837-842.
WANG Si-qian, FU Bo, ZHAO Yu-long, LIAO Meng-jia, LI Chang-qing, CAO Long-gu, ZENG Tie-bing. Progress on the research of Treponema pallidum recombinant antigens for syphilis diagnostics. Chinese Journal of Zoonoses, 2019, 35(9): 837-842.
[1] Kubanov A, Runina A, Deryabin D. Novel Treponema pallidum recombinant antigens for syphilis diagnostics: current status and future prospects [J]. Biomed Res Int, 2017,2017:1436080. DOI: 10.1155/2017/1436080 [2] Pětroová H, Pospíilová P, Strouhal M, et al. Resequencing of Treponema pallidum ssp. pallidum strains Nichols and SS14: correction of sequencing errors resulted in increased separation of syphilis treponeme subclusters [J]. PLoS One, 2013,8(9):e74319. DOI: 10.1371/journal.pone.0074319 [3] Naqvi AA, Shahbaaz M, Ahmad F, et al. Identification of functional candidates amongst hypothetical proteins of Treponema pallidum ssp. pallidum [J]. PLoS One, 2015,10(4):e0124177. DOI: 10.1371/journal.pone.0124177 [4] Lafond RE, Lukehart SA. Biological basis for syphilis [J]. Clin Microbiol Rev, 2006,19(1):29-49. DOI: 10.1128/CMR.19.1.29-49.2006 [5] McGill MA, Edmondson DG, Carroll JA, et al. Characterization and serologic analysis of the Treponema pallidum proteome [J]. Infect Immun, 2010,78(6):2631-2643. DOI: 10.1128/IAI.00173-10 [6] Osbak KK, Houston S, Lithgow KV, et al. Characterizing the Syphilis-Causing Treponema pallidum ssp. pallidum Proteome Using Complementary Mass Spectrometry [J]. PLoS Negl Trop Dis, 2016,10(9):e0004988. DOI: 10.1371/journal.pntd.0004988 [7] Wolgemuth CW, Charon NW, Goldstein SF, et al. The flagellar cytoskeleton of the spirochetes [J]. J Mol Microbiol Biotechnol, 2006,11(3-5):221-227. DOI: 10.1159/000094056 [8] Setubal JC, Reis M, Matsunaga J, et al. Lipoprotein computational prediction in spirochaetal genomes [J]. Microbiology,2006,152(Pt 1):113-121. DOI: 10.1099/mic.0.28317-0 [9] Brinkman MB, McKevitt M, McLoughlin M, et al. Reactivity of antibodies from syphilis patients to a protein array representing the Treponema pallidum proteome [J]. J Clin Microbiol, 2006,44(3):888-891. DOI: 10.1128/JCM.44.3.888-891.2006 [10] Brautigam CA, Deka RK, Liu WZ, et al. Insights into the potential function and membrane organization of the TP0435 (Tp17) lipoprotein from Treponema pallidum derived from structural and biophysical analyses [J]. Protein Sci, 2015,24(1):11-19. DOI: 10.1002/pro.2576 [11] Zhang RL, Wang QQ, Zhang JP, et al. Tp17 membrane protein of Treponema pallidum activates endothelial cells in vitro [J]. Int Immunopharmacol, 2015,25(2):538-244. DOI: 10.1016/j.intimp.2015.02.028 [12] Lee KH, Choi HJ, Lee MG, et al. Virulent Treponema pallidum 47 kDa antigen regulates the expression of cell adhesion molecules and binding of T-lymphocytes to cultured human dermal microvascular endothelial cells [J].Yonsei Med J, 2000,41(5):623-633. DOI: 10.3349/ymj.2000.41.5.623 [13] Backhouse JL, Nesteroff SI. Treponema pallidum western blot: comparison with the FTA-ABS test as a confirmatory test for syphilis [J]. Diagn Microbiol Infect Dis, 2001,39(1):9-14. DOI:10.1016/S0732-8893(00)00213-3 [14] Sun AH, Mao YF, Hu Y, et al. Sensitive and specifc ELISA coated by TpN15-TpN17-TpN47 fusion protein for detection of antibodies to Treponema pallidum [J]. Clin Chem Lab Med,2009,47(3):321-326. DOI: 10.1515/CCLM.2009.071 [15] Huang NL, Ye L, Schneider ME, et al. Development of a novel protein biochip enabling validation of immunological assays and detection of serum IgG and IgM antibodies against Treponema pallidum pathogens in the patients with syphilis [J]. Biosens Bioelectron, 2016,75:465-471. DOI: 10.1016/j.bios.2015.08.036 [16] Ijsselmuiden OE, Schouls LM, Stolz E, et al. Sensitivity and specificity of an enzyme-linked immunosorbent assay using the recombinant DNA-derived Treponema pallidum protein TmpA for serodiagnosis of syphilis and the potential use of TmpA for assessing the effect of antibiotic therapy [J]. J Clin Microbiol, 1989,27(1):152-157. [17] 肖勇健,伍宁,刘双全,等. 梅毒螺旋体Tp0319重组蛋白的表达、纯化及其在临床诊断中的初步应用[J].临床检验杂志,2009,27(4):252-255. DOI:10.13602/j.cnki.jcls.2009.04.003 [18] 肖洁,郭刚,曾明,等.梅毒螺旋体特异抗原 TP0684的克隆和表达[J].中国生物制品学杂志,2007,20(4):248-251. DOI:10.3969/j.issn.1004-5503.2007.04.005 [19] Sambri V, Marangoni A, Eyer C, et al.Western immunoblotting with five Treponema pallidum recombinant antigens for serologic diagnosis of syphilis [J]. Clin Diagn Lab Immunol, 2001,8(3):534-539. DOI: 10.1128/CDLI.8.3.534-539.2001 [20] Xie Y, Xu M, Wang C,et al. Diagnostic value of recombinant Tp0821 protein in serodiagnosis for syphilis [J]. Lett Appl Microbiol,2016,62(4):336-343. DOI: 10.1111/lam.12554 [21] Binnicker MJ, Jespersen DJ, Rollins LO. Treponema-specific tests for serodiagnosis of syphilis: comparative evaluation of seven assays [J]. J Clin Microbiol, 2011,49(4):1313-1317. DOI: 10.1128/JCM.02555-10 [22] Cox DL, Luthra A, Dunham-Ems S,et al. Surface immunolabeling and consensus computational framework to identify candidate rare outer membrane proteins of Treponema pallidum [J]. Infect Immun, 2010,78(12):5178-5194. DOI: 10.1128/IAI.00834-10 [23] Reid TB, Molini BJ, Fernandez MC, et al. Antigenic variation of TprK facilitates development of secondary syphilis [J]. Infect Immun, 2014,82(12):4959-4967. DOI: 10.1128/IAI.02236-14 [24] Blanco DR, Miller JN, Lovett MA. Surface antigens of the syphilis spirochete and their potential as virulence determinants[J]. Emerg Infect Dis, 1997,3(1): 11-20. DOI: 10.3201/eid0301.970102 [25] Xu M, Xie Y, Jiang C, et al. A novel ELISA using a recombinant outer membrane protein, rTp0663, as the antigen for serological diagnosis of syphilis [J]. Int J Infect Dis, 2016,43:51-57. DOI: 10.1016/j.ijid.2015.12.013 [26] Desrosiers DC, Anand A, Luthra A, et al. TP0326, a Treponema pallidum β-barrel assembly machinery A (BamA) orthologue and rare outer membrane protein [J]. Mol Microbiol, 2011,80(6):1496-1515. DOI: 10.1111/j.1365-2958.2011.07662.x [27] Luthra A, Anand A, Hawley KL,et al. A homology model reveals novel structural features and an immunodominant surface loop/opsonic target in the Treponema pallidum bamA ortholog TP_0326 [J]. J Bacteriol, 2015,197(11):1906-1920. DOI: 10.1128/JB.00086-15 [28] Smith BC, Simpson Y, Morshed MG, et al. New proteins for a new perspective on syphilis diagnosis [J]. J Clin Microbiol, 2013,51(1):105-111. DOI: 10.1128/JCM.01390-12. [29] Van Voorhis WC, Barrett LK, Lukehart SA, et al. Serodiagnosis of syphilis: antibodies to recombinant Tp0453, Tp92, and Gpd proteins are sensitive and specific indicators of infection by Treponema pallidum [J]. J Clin Microbiol, 2003, 41(8):3668-3674. DOI: 10.1128/JCM.41.8.3668-3674.2003 [30] Ke W, Molini BJ, Lukehart SA, Giacani L, et al. Treponema pallidum subsp. pallidum TP0136 protein is heterogeneous among isolates and binds cellular and plasma fibronectin via its NH2-terminal end [J]. PLoS Negl Trop Dis, 2015, 9(3):e0003662. DOI: 10.1371/journal.pntd.0003662 [31] 杨珺,沈琳,张小贤,等.梅毒螺旋体Tp0136活性肽段的可溶性表达、纯化及鉴定 [J].中华微生物学与免疫学杂志,2011,31(2):119-123. DOI:10.3760/cma.j.issn.0254-5101.2011.02.006 [32] Houston S, Russell S, Hof R, et al.The multifunctional role of the pallilysin-associated Treponema pallidum protein, Tp0750, in promoting fibrinolysis and extracellular matrix component degradation [J]. Mol Microbiol, 2014,91(3):618-634. DOI: 10.1111/mmi.12482 [33] Lithgow KV, Hof R, Wetherell C, et al. A defined syphilis vaccine candidate inhibits dissemination of Treponema pallidum subspecies pallidum [J]. Nat Commun, 2017,8:14273. DOI: 10.1038/ncomms14273 [34] Pozzobon T, Facchinello N, Bossi F, et al. Treponema pallidum (syphilis) antigen TpF1 induces angiogenesis through the activation of the IL-8 pathway [J]. Sci Rep, 2016, 5(6):18785. DOI: 10.1038/srep18785 [35] Jiang C, Zhao F, Xiao J,et al. Evaluation of the recombinant protein TpF1 of Treponema pallidum for serodiagnosis of syphilis [J]. Clin Vaccine Immunol, 2013,20(10):1563-1568. DOI: 10.1128/CVI.00122-13 [36] Zhang RL, Zhang JP, Wang QQ. Recombinant Treponema pallidum protein Tp0965 activates endothelial cells and increases the permeability of endothelial cell monolayer [J]. PLoS One, 2014,9(12):e115134. DOI: 10.1128/CVI.00122-13 [37] Long FQ, Zhang JP, Shang GD, et al. Seroreactivity and immunogenicity of Tp0965, a hypothetical membrane protein of Treponema pallidum [J]. Chin Med J (Engl), 2012,125(11):1920-1924. DOI: 10.3760/cma.j.issn.0366-6999.2012.11.015 [38] Runina AV, Starovoitova AS, Deryabin DG, et al. Evaluation of the recombinant protein Tp0965 of Treponema pallidum as perspective antigen for the improved serological diagnosis of syphilis [J]. Vestn Ross Akad Med Nauk, 2016,(2):109-13. [39] Jiang C, Xiao J, Xie Y et al. Evaluation of FlaB1, FlaB2, FlaB3, and Tp0463 of Treponema pallidum for serodiagnosis of syphilis [J]. Diagn Microbiol Infect Dis, 2016, 84(2):105-111. DOI: 10.1016/j.diagmicrobio.2015.10.005 [40] Tan M,Xu M,Xiao Y, et al. Screening and identification of immunoactive FlaB protein fragments of Treponema pallidum for the serodiagnosis of syphilis [J]. Pathog Dis,2018,76(2). DOI: 10.1093/femspd/ftx122 [41] Runina AV,Katunin GL,Filippova MA,et al. Immunochip for syphilis serodiagnostics with the use of extended array of Treponema pallidum recombinant antigens [J]. Bull Exp Biol Med,2018,165(6):767-771. DOI: 10.1007/s10517-018-4261-0 [42] Liu W,Deng M,Zhang X,et al. Performance of novel infection phase-dependent antigens in syphilis serodiagnosis and treatment efficacy determination [J]. Clin Chim Acta,2019,488:13-19. DOI: 10.1016/j.cca.2018.10.017