3.1. Immunoblot and Dot-Blot for N. meningitidis OMVs
OMVs are composed of several antigens, including the
Neisseria Adhesin A (NadA), Transferrin binding protein (Tbp), Porin A (PorA), Opacity protein (Opa), and
Neisseria surface protein A (NspA), which have different molecular weights [
25] and shown in (
Figure 2).
To standardize the incubation time for the caotropic agent using a mouse IgG antibody avidity assay using the Immunoblot and Dot-Blot technique that has not previously been described in mice, we tested three different incubation times using the 1.5 M KSCN caotropic agent in the avidity assay (
Figure 3).
Regarding the main objective of our work, the standardization of the incubation time was proceeded with the sera from the group immunized with OMV+AH, since it was the one that showed the highest antibody titers against OMVs and the highest avidity index with the KSCN chaotropic agent in the ELISA avidity [
26,
33].
It was observed that time affected the appearance of the bands and spots. Visually, 5 minutes was the most appropriate incubation time, as the bands and spots remained with stronger color intensity, while 20 minutes of incubation resulted in almost complete disappearance of the bands, as shown in (
Figure 3).
Once the time was set, we tested the sera from other immunization schedules for 5 minutes incubation. This allowed us to check the specificity of the antibodies with avidity and to predict which antigens would induce antibodies with higher binding strength. We used mouse serum of groups immunized with OMVs + DDA, OMVs, AH, and DDA (
Figure 4).
As expected, the controls did not recognize any bands on the Immunoblot. For the sera from animals immunized with OMVs + DDA, the antibodies recognized the NadA (170-190 kDa), PorA (46 kDa), and Tbp (80 kDa) bands. The 46 kDa/PorA band remained stained intensely after KSCN incubation, while the high molecular weight bands - 80 kDa/Tbp and NadA/170-190 kDa - showed less intense staining (
Figure 4). We can assume that the PorA protein induces antibodies with higher binding strength, while NadA and Tbp induce antibodies with lower binding strength.
Sera from mice immunized with OMVs + AH recognized more antigens, including NadA (180 kDa), Tbp (85-95 kDa), PorA (46 kDa), PorB (33-42 kDa), and Opa (25-30 kDa) (
Figure 4). However, the NadA, PorA, and Opa bands were more intensely stained, whereas Tbp and PorB were less intensely stained. This suggests that, when formulated with AH, the antigens PorA, NadA, and Opa induced antibodies with higher binding strength, whereas Tbp and PorB induced antibodies with lower binding strength.
In this sense, aluminum hydroxide as an adjuvant seems to contribute to the presentation of more antigens, the activation of the immune response, and the induction of antibodies with higher binding strength, as observed in previous studies [
6,
26,
33].
The Porin A is one of the trimeric proteins located on the outer membrane of
N. meningitidis [
25]. PorA has been described in the literature as an immunogenic protein that induces the production of antibodies with elevated avidity and bactericidal activity [
18].
As for NadA, it is a protein exposed on the surface of the bacterium that adheres to the cell epithelium and provokes a strong response of protective bactericidal antibodies and cross-reactivity with strains of different serosubtypes. Moreover, the expression of NadA was associated with 50% of the strains causing meningococcal disease [
7]. Anti-NadA antibodies were detected only in the presence of AH and ainduced antibodies with high avidity (
Figure 4). Interestingly, NadA is a high molecular weight antigen (
Figure 2) that induces cross-reactivity against different meningococcal serosubtypes and contributes to protection against multiple strain variants, making it an important antigen for vaccine preparations [
7,
18].
Opa is a protein located on the outer membrane of meningococci that adheres to and invades the surface of epithelial cells. Although it has been reported in the literature to be antigenically variable, this antigen was able to induce high avidity IgG antibodies (
Figure 4). This reinforces the fact that antibodies can block bacterial adhesion and invasion to host cells, thereby favoring neutrophil phagocytic activity, as described by several authors [
13,
17,
23,
25,
36].
During our study, no bactericidal assay was performed with the mice sera, but our results showed that the antibodies triggered by OMV+AH are likely to have high avidity against more than one antigen (PorA, Opa and NadA), which are immunogenic and induced bactericidal antibodies in other manuscripts, as described by some authors, which is important for protecting against meningococcal disease [
16,
25,
34]. On the other hand, OMV+DDA induced antibodies that remained bounded with PorA and, which is a relevant antigen as well, like described above. OMVs, without any adjuvant, the antibodies show reactivity and good avidity only against PorA, confirming that the presence of adjuvants favors the presentation of more than one antigen of the bacterium and induces IgG antibodies of high avidity, as our data show.
In general, several studies have shown that aluminum hydroxide in vaccines induces high concentrations and prolonged antibody responses. AH adjuvant is also included in the formulation of other vaccines against other pathogens and diseases, such as hepatitis A and B, tetanus, HPV, diphtheria and tetanus toxoid (DTP), anthrax, rabies,
Haemophilus influenzae type b, and also against diphtheria, tetanus and pertussis (DTaP), which are recommended for their proven efficacy and safety [
11,
27]. In addition, other authors have reported that aluminum hydroxide as an adjuvant in vaccine preparations leads to the generation of memory B cells and effector T cells [
22], which likely contributed to the generation of highly avidity antibodies against several antigens in the OMVs + AH group.
Among meningococcal vaccines licensed for human use that contain aluminum hydroxide in their formulation, we have Bexsero®, a vaccine for the prevention of disease caused by
N. meningitidis from serogroup B. This vaccine has been shown to be safe, effective, and highly immunogenic in children and infants. It contains in its formulation the recombinant antigens heparin-binding protein (NHBA), factor H binding protein (fHbp), NadA, and OMVs expressing Porin A, and is recommended for clinical use in several countries, including high-risk groups, adolescents, routine childhood immunization, and outbreak control [
2,
24,
27].
For meningococcal disease prevention, interestingly, that more than one epitope is recognized for antibodies of different specificities, provided that it may favor opsonization and subsequent lysis by the complement system, as described by some authors [
25].
Considering the Dot-Blot (
Figure 4), the area remained stained, probably due to the high avidity antibodies remaining on the membrane. This confirms our results regarding the high avidity of mice IgG antibodies and the contribution of the adjuvants. However, we believe that Immunoblot would be a more interesting technique, allowing a better characterization of the response by separating the antigens according to molecular weight.
3.2. Standardization of SARS-CoV-2 Immunoblot and Dot-Blot for RBD
We used the recombinant RBD antigen that was provided by the Immunobiotechnology Laboratory of the Immunology Center of the Adolfo Lutz Central Institute. The recombinant RBD protein was expressed, and the antigen was purified according to [
9]. As described in the literature, the recombinant RBD antigen of SARS-CoV-2 used for immunization is approximately 32 kDa [
31] (Standlbauer et al., 2020). We also standardized the assay for SARS-CoV-2 using sera from mice immunized with RBD + OMVs + AH from previous work in our laboratory [
15].
For the serum from the RBD + OMV + AH immunization scheme, we also tested different incubation times for 5, 10, and 20 minutes using the chaotropic KSCN as shown in (
Figure 5). Similarly to OMV, 5 minutes seems to be ideal, while in a 20-minute incubation time the band almost disappeared from the membrane and the dot disappears completely from the membrane.
Since 5 minutes seemed to be the ideal incubation time and immunization with RBD resulted in the recognition of only one band, it would be more reliable to observe the interference of the dilution with this sera. For this purpose, different dilutions were used: 1/50, 1/100, 1/200, and 1/400, to evaluate whether it would interfere with the binding strength as shown in the (
Figure 6).
Unlike the
N. meningitidis study samples, where we were able to evaluate the results of the assay at a 1/1000 dilution with KSCN within 5 minutes, the SARS-CoV-2 study samples required a dilution of 1/100 (
Figure 6). The type of immune response will vary depending on the components of the antigenic preparation (antigens and adjuvants used), the concentration, route and number of doses administered. That means that the results may be different and non-replicable depending on the various factors involved, so it is important to standardize the protocol within each study. In this sense, it is necessary to characterize the response before moving to a functional assay, adapting the assay according to the samples used and the experimental design. This again highlights the importance of standardizing the avidity assay [
8].
In our study, a dilution of 1/50 to 1/200 would be appropriate for evaluating the avidity of the Immunoblot and a dilution of 1/50 would be appropriate for evaluating the avidity of the dot assay only, because at a dilution of 1/400, the band and the dot disappears completely in both the Immunoblot and Dot-Blot assays (
Figure 6). The study [
1] used another chaotropic agent, urea 6 M, to evaluate the avidity of antibodies present in the serum of humans infected with COVID-19. He showed that the use of different concentrations of urea can result in a high degree of variation in the avidity assay, thus demonstrating how variables can affect the results of a study.
However, at the 1/100 and 1/200 dilutions, the color of the band became less intense, suggesting that as the serum was diluted, antibodies with good avidity disappeared. Compared to the 1/50 dilution, the band was more intensely stained, suggesting that high avidity antibodies remain at this dilution (
Figure 6). Similarly, the results of the characterization of these sera in our previous study [
15] showed, by ELISA-Avidity, that the antibodies had an intermediate avidity index, close to the high avidity threshold, as well as a high neutralization index; together, these results show that the antibodies were functional. Our results are consistent with those obtained previously because, although it is not possible to quantify the avidity index by Immunoblot, the permanence of the stained band suggests that the antibodies had good binding strength to the antigen.
For COVID-19, it has already been correlated that antibodies with high avidity are good indicators of viral neutralization [
4]. Also, some authors showed that three doses of mRNA vaccines against the Omicron variant (which is a variant of concern due to its high mutability rate) increased the avidity of antibodies directed against the RBD (where most mutations occur), thus ensuring protection against different variants of SARS-CoV-2 [
10,
21]. Seeing the relevance of avidity in the context of COVID-19 prevention, it is interesting to standardize different avidity assays that can be used in different conditions and locations. In this way, the avidity technique, which is simpler than neutralization, could be disseminated and provide more information on the immune response against SARS-CoV-2.