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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2022.886733</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>
<italic>Borrelia miyamotoi</italic> FbpA and FbpB Are Immunomodulatory Outer Surface Lipoproteins With Distinct Structures and Functions</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Booth</surname>
<given-names>Charles E.</given-names>
<suffix>Jr</suffix>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1659831"/>
</contrib>
<contrib contrib-type="author"> <name>
<surname>Powell-Pierce</surname>
<given-names>Alexandra D.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1765153"/>
</contrib>
<contrib contrib-type="author" corresp="yes"> <name>
<surname>Skare</surname>
<given-names>Jon T.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/16137"/>
</contrib>
<contrib contrib-type="author" corresp="yes"> <name>
<surname>Garcia</surname>
<given-names>Brandon L.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/944826"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Microbiology and Immunology, Brody School of Medicine, East Carolina University</institution>, <addr-line>Greenville, NC</addr-line>, <country>United States</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Microbial Pathogenesis and Immunology, College of Medicine, Texas A&amp;M University</institution>, <addr-line>Bryan, TX</addr-line>, <country>United States</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: P&#xe9;ter G&#xe1;l, Research Centre for Natural Sciences, Hungary</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Christine Gaboriaud, UMR5075 Institut de Biologie Structurale (IBS), France; Cl&#xe1;udia Vilhena, Leibniz Institute for Natural Product Research and Infection Biology, Germany</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Brandon L. Garcia, <email xlink:href="mailto:garciabr18@ecu.edu">garciabr18@ecu.edu</email>; Jon T. Skare, <email xlink:href="mailto:jskare@tamu.edu">jskare@tamu.edu</email>
</p>
</fn>
<fn fn-type="equal" id="fn003">
<p>&#x2020;These authors have contributed equally to this work</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Molecular Innate Immunity, a section of the journal Frontiers in Immunology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>27</day>
<month>05</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>886733</elocation-id>
<history>
<date date-type="received">
<day>28</day>
<month>02</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>19</day>
<month>04</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Booth, Powell-Pierce, Skare and Garcia</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Booth, Powell-Pierce, Skare and Garcia</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Pathogens that traffic in the blood of their hosts must employ mechanisms to evade the host innate immune system, including the complement cascade. The Lyme disease spirochete, <italic>Borreliella burgdorferi</italic>, has evolved numerous outer membrane lipoproteins that interact directly with host proteins. Compared to Lyme disease-associated spirochetes, relatively little is known about how an emerging tick-borne spirochetal pathogen, <italic>Borrelia miyamotoi</italic>, utilizes surface lipoproteins to interact with a human host. <italic>B. burgdorferi</italic> expresses the multifunctional lipoprotein, BBK32, that inhibits the classical pathway of complement through interaction with the initiating protease C1r, and also interacts with fibronectin using a separate intrinsically disordered domain. <italic>B. miyamotoi</italic> encodes two separate <italic>bbk32</italic> orthologs denoted <italic>fbpA</italic> and <italic>fbpB</italic>; however, the activities of these proteins are unknown. Here, we show that <italic>B. miyamotoi</italic> FbpA binds human fibronectin in a manner similar to <italic>B. burgdorferi</italic> BBK32, whereas FbpB does not. FbpA and FbpB both bind human complement C1r and protect a serum-sensitive <italic>B. burgdorferi</italic> strain from complement-mediated killing, but surprisingly, differ in their ability to recognize activated C1r versus zymogen states of C1r. To better understand the observed differences in C1r recognition and inhibition properties, high-resolution X-ray crystallography structures were solved of the C1r-binding regions of <italic>B. miyamotoi</italic> FbpA and FbpB at 1.9&#xc5; and 2.1&#xc5;, respectively. Collectively, these data suggest that FbpA and FbpB have partially overlapping functions but are functionally and structurally distinct. The data presented herein enhances our overall understanding of how bloodborne pathogens interact with fibronectin and modulate the complement system.</p>
</abstract>
<kwd-group>
<kwd>complement C1r</kwd>
<kwd>classical pathway of complement</kwd>
<kwd>
<italic>Borrelia miyamotoi</italic>
</kwd>
<kwd>complement evasion</kwd>
<kwd>spirochete</kwd>
<kwd>BBK32</kwd>
</kwd-group>
<contract-num rid="cn001">R01-AI146930</contract-num>
<contract-sponsor id="cn001">National Institute of Allergy and Infectious Diseases<named-content content-type="fundref-id">10.13039/100000060</named-content>
</contract-sponsor>
<counts>
<fig-count count="7"/>
<table-count count="4"/>
<equation-count count="0"/>
<ref-count count="80"/>
<page-count count="18"/>
<word-count count="11534"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>In the United States, tick-borne relapsing fever (TBRF) is caused by the spirochetes <italic>Borrelia hermsii</italic> and <italic>Borrelia turicatae</italic>. Whereas these spirochetes are vectored by the soft tick of the <italic>Ornithodoros</italic> genus, a related TBRF pathogen, <italic>Borrelia miyamotoi</italic>, is transmitted by ixodid ticks that also vector the agent of Lyme disease (LD), <italic>Borreliella burgdorferi</italic> (<xref ref-type="bibr" rid="B1">1</xref>&#x2013;<xref ref-type="bibr" rid="B6">6</xref>). A recent study suggests that <italic>B. miyamotoi</italic> is more widespread in some areas of the U.S. than previously recognized (<xref ref-type="bibr" rid="B7">7</xref>). Human infection by <italic>B. miyamotoi</italic> results in overlapping but differing pathology from TBRF, and is known as <italic>B. miyamotoi</italic> disease (BMD) (<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B6">6</xref>). In immunocompetent hosts, BMD presents as a recurrent influenza-like illness that is treatable with doxycycline, ceftriaxone, azithromycin, and potentially amoxicillin (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>). Although BMD-, TBRF-, and LD-causing spirochetes are tick-transmitted, their lifestyles within vertebrate hosts differ (<xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B11">11</xref>). In the context of vertebrate infection, LD <italic>Borreliella</italic> are thought to survive within the skin and briefly in the bloodstream as a means to disseminate to deeper distal tissues (<xref ref-type="bibr" rid="B12">12</xref>&#x2013;<xref ref-type="bibr" rid="B14">14</xref>), while TBRF and BMD <italic>Borrelia</italic> predominantly exist in host blood, indicating a heightened need to evade both soluble and cellular blood-borne immune components (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B15">15</xref>).</p>
<p>To survive in immunocompetent hosts, TBRF and BMD spirochetes exhibit a robust antigenic variation mechanism <italic>via</italic> a surface-exposed lipoprotein termed variable major protein (Vmp), which allows them to evade clearance from the adaptive immune response (<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B16">16</xref>&#x2013;<xref ref-type="bibr" rid="B18">18</xref>). Each Vmp-associated serotype leads to high bacteremia until a targeted antibody response lowers the relapsing fever <italic>Borrelia</italic> load, after which a new serotype arises, resulting in a &#x201c;relapse&#x201d; (<xref ref-type="bibr" rid="B19">19</xref>, <xref ref-type="bibr" rid="B20">20</xref>). TBRF symptoms are correlated with the presence of blood-borne spirochetes and the gene conversion event that produces unique Vmp proteins is associated with relapses for TBRF, though less prevalent in BMD (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B4">4</xref>). In addition to their Vmp-associated immune evasive strategy, <italic>B. miyamotoi</italic> uses other surface lipoproteins to target innate immune mechanisms, including the complement system (<xref ref-type="bibr" rid="B21">21</xref>&#x2013;<xref ref-type="bibr" rid="B25">25</xref>). The complement system serves as a first line of defense against invading pathogens. It is initiated through three pathways known as the alternative (AP), lectin (LP), and classical pathway (CP). The CP plays a critical role in elimination of foreign cells and is initiated by antibody-antigen complexes bound by the circulating complement component, C1 (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B27">27</xref>). Upon activation of C1, proteolytic cleavage of downstream complement components leads to a self-amplifying cascade, resulting in opsonization and phagocytosis of the target cell, modulation of adaptive immunity, neutrophil synergy, and bactericidal activity through formation of the terminal complement complex (TCC), also known as the membrane attack complex (MAC) (<xref ref-type="bibr" rid="B27">27</xref>). To avoid destruction of healthy self-cells, host regulators bind complement components, preventing their activation in circulation, such as C1 esterase inhibitor (C1-INH), or on the surface of cells, such as Factor H (FH) (<xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B28">28</xref>). A number of bacterial complement inhibitors have been characterized, from inhibitors of complement activation in Gram-positive pathogens, to inhibitors of the MAC in susceptible Gram-negative pathogens, as well as factors that reduce opsonization and phagocytosis by host immune cells (<xref ref-type="bibr" rid="B29">29</xref>, <xref ref-type="bibr" rid="B30">30</xref>).</p>
<p>While the complement/complement-evasion axis is better understood for Lyme disease-associated spirochetes (<xref ref-type="bibr" rid="B31">31</xref>), recent reports highlight the likely importance of complement evasion by <italic>B. miyamotoi</italic>. CbiA, a surface-exposed FH, C3, C3b, C4b, and C5-binding lipoprotein, inhibits both the CP and AP (<xref ref-type="bibr" rid="B21">21</xref>). BOM1093 is a <italic>B. miyamotoi</italic> vitronectin-binding protein that inhibits complement <italic>via</italic> vitronectin&#x2019;s endogenous TCC-inhibitory activity (<xref ref-type="bibr" rid="B25">25</xref>). Additionally, Vlp15/16 and Vlp18 were shown to inhibit the AP, though the mechanism of this activity has not yet been determined (<xref ref-type="bibr" rid="B22">22</xref>). The identification of a range of complement inhibitors, despite the relative nascent research into <italic>B. miyamotoi</italic> pathogenesis, is consistent with its blood-borne lifecycle in the vertebrate host.</p>
<p>We have previously shown that the <italic>B. burgdorferi</italic> BBK32 surface-exposed lipoprotein inhibits the CP by directly binding and inhibiting C1r, a serine protease required for activation of the CP (<xref ref-type="bibr" rid="B31">31</xref>&#x2013;<xref ref-type="bibr" rid="B34">34</xref>). Separately, we demonstrated that BBK32 provides resistance to a serum-sensitive strain of <italic>B. burgdorferi</italic>, indicating a biologically relevant role for BBK32 in complement resistance (<xref ref-type="bibr" rid="B32">32</xref>&#x2013;<xref ref-type="bibr" rid="B34">34</xref>). In addition, BBK32 is multifunctional, also acting as an adhesin to fibronectin and glycosaminoglycans (GAGs) (<xref ref-type="bibr" rid="B35">35</xref>&#x2013;<xref ref-type="bibr" rid="B40">40</xref>). Additional work showed that BBK32 is required for optimal <italic>B. burgdorferi</italic> infection (<xref ref-type="bibr" rid="B35">35</xref>, <xref ref-type="bibr" rid="B40">40</xref>). Phylogenetic analyses revealed orthologous protein families to BBK32 in both BMD and TBRF spirochetes, designated FbpA, FbpB, and FbpC (<xref ref-type="bibr" rid="B41">41</xref>). Both BMD and TBRF spirochetes harbor different sets of Fbp genes, with <italic>Borrelia miyamotoi</italic> encoding only <italic>fbpA</italic> and <italic>fbpB</italic>. In the TBRF pathogen <italic>B. hermsii</italic>, FbpC has been shown to bind fibronectin, however whether <italic>B. miyamotoi</italic> Fbp proteins retain functional similarity to BBK32 has not previously been explored (<xref ref-type="bibr" rid="B41">41</xref>, <xref ref-type="bibr" rid="B42">42</xref>). In this study, we characterized the ability of <italic>B. miyamotoi</italic> FbpA and FbpB to bind human fibronectin and the complement protease C1r. Our detailed structure-function investigation reveals that these proteins exhibit differential interactions with both fibronectin and C1r, differences in the three-dimensional structures of their complement inhibitory domains, and demonstrates their ability to protect a serum-sensitive strain of <italic>B. burgdorferi</italic> from serum-mediated killing. Collectively, our data show that Fbp proteins from <italic>B. miyamotoi</italic> harbor partially overlapping, but distinct functions from one another. The novel finding that FbpB specifically recognizes active C1r may inform future efforts to develop therapeutics that are specific for the classical pathway of complement. The need for such complement-directed drugs is highlighted by the association of dysregulated or overactivated complement in important human pathologies (<xref ref-type="bibr" rid="B43">43</xref>&#x2013;<xref ref-type="bibr" rid="B45">45</xref>).</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="s2_1">
<title>Growth of Bacterial Strains</title>
<p>
<italic>Borreliella burgdorferi</italic> B31 strain B314 (<xref ref-type="bibr" rid="B46">46</xref>) (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>) was grown to mid-log phase in BSK-II and 6% normal rabbit serum (Pel-Freez Biologicals, Rogers, AR) under conventional conditions (1% CO<sub>2</sub>, 32&#xb0;C, pH 7.6). Genetically transformed <italic>B. burgdorferi</italic> strains were grown with kanamycin at 300 &#x3bc;g/mL. <italic>Borrelia miyamotoi</italic> strain FR64b was grown in MKP-F media (<xref ref-type="bibr" rid="B24">24</xref>) under the same conditions listed above for <italic>B. burgdorferi. Escherichia coli</italic> strain NEB-5&#x3b1; (New England Biolabs) was grown in Luria broth media under aerobic conditions at 37&#xb0;C and, as appropriate, with kanamycin at 50 &#x3bc;g/mL. <italic>E. coli</italic> strain BL21 (DE3) (Thermo Fisher) was grown in Terrific Broth (Fisher Bioreagents) with kanamycin (50 &#x3bc;g/mL) at 37&#xb0;C until an OD<sub>600</sub> between 0.6-0.8 was achieved, then moved to 16&#xb0;C overnight for production of recombinant Fbp proteins.</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Bacterial Strains and Plasmid Constructs used in this study.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">
<italic>E. coli</italic> strains</th>
<th valign="top" align="left">Description</th>
<th valign="top" align="center">Reference</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">NEB 5&#x3b1;</td>
<td valign="top" align="left">
<italic>fhuA2</italic> (<italic>argF</italic>-<italic>lacZ</italic>)U169 <italic>phoA glnV44</italic> &#x3d5;80(<italic>lacZ</italic>)&#x394;M15 <italic>gyrA96 recA1 relA1 endA1 thi-1 hsdR17</italic>
</td>
<td valign="top" align="center">New England Biolabs</td>
</tr>
<tr>
<td valign="top" align="left">BL21(DE3)</td>
<td valign="top" align="left">F<sup>&#x2013;</sup>
<italic>omp</italic>T&#xa0;<italic>hsd</italic>S<sub>B</sub>&#xa0;(r<sub>B</sub>
<sup>&#x2013;</sup>, m<sub>B</sub>
<sup>&#x2013;</sup>)&#xa0;<italic>gal dcm&#xa0;</italic>(DE3)</td>
<td valign="top" align="center">ThermoFisher Scientific</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>
<italic>Borreliella burgdorferi</italic> strains</bold>
</td>
<td valign="top" align="left">
<bold>Description</bold>
</td>
<td valign="top" align="center">
<bold>Reference</bold>
</td>
</tr>
<tr>
<td valign="top" align="left">B314</td>
<td valign="top" align="left">Serum-sensitive, non-infectious <italic>B. burgdorferi</italic> B31 derivative strain lacking all linear plasmids</td>
<td valign="top" align="center"> (<xref ref-type="bibr" rid="B46">46</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">B314 pBBE22<italic>luc</italic>
</td>
<td valign="top" align="left">B314 with shuttle vector encoding <italic>bbe22</italic> and <italic>B. burgdorferi</italic> codon optimized <italic>luc</italic> gene under the control of a strong borrelial promoter (P<italic>
<sub>flaB</sub>
</italic>-<italic>luc</italic>); kan<sup>R</sup>.</td>
<td valign="top" align="center"> (<xref ref-type="bibr" rid="B40">40</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">B314 pCD100</td>
<td valign="top" align="left">B314 with wildtype <italic>bbk32</italic> under control of its native promoter in pBBE22<italic>luc</italic>; kan<sup>R</sup>.</td>
<td valign="top" align="center"> (<xref ref-type="bibr" rid="B32">32</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">B314 pAP8</td>
<td valign="top" align="left">B314 with <italic>B. miyamotoi fbpA</italic> under control of the <italic>B. burgdorferi bbk32</italic> promoter in pBBE22<italic>luc</italic>; kan<sup>R</sup>.</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">B314 pAP13</td>
<td valign="top" align="left">B314 with <italic>B. miyamotoi fbpA-R264A-K343A</italic> (<italic>fbpA</italic> DA) under control of the <italic>B. burgdorferi bbk32</italic> promoter in pBBE22<italic>luc</italic>; kan<sup>R</sup>.</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">B314 pAP11</td>
<td valign="top" align="left">B314 with <italic>B. miyamotoi fbpB</italic> under control of the <italic>B. burgdorferi bbk32</italic> promoter in pBBE22<italic>luc</italic>; kan<sup>R</sup>.</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>
<italic>Borrelia miyamotoi</italic>
</bold>
</td>
<td valign="top" align="left">
<bold>Description</bold>
</td>
<td valign="top" align="center">
<bold>Reference</bold>
</td>
</tr>
<tr>
<td valign="top" align="left">FR64b</td>
<td valign="top" align="left">
<italic>Borrelia miyamotoi</italic> isolate originally discovered in Japan and subsequently found in the U.S.</td>
<td valign="top" align="center"> (<xref ref-type="bibr" rid="B47">47</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>Plasmids</bold>
</td>
<td valign="top" align="left"/>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="left">pBBE22<italic>luc</italic>
</td>
<td valign="top" align="left">Borrelial shuttle vector containing <italic>bbe22</italic> and <italic>B. burgdorferi</italic> codon-optimized <italic>luc</italic> gene under the control of a strong borrelial promoter (P<italic>
<sub>flaB</sub>
</italic>-<italic>luc</italic>)</td>
<td valign="top" align="center"> (<xref ref-type="bibr" rid="B40">40</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">pCD100</td>
<td valign="top" align="left">Knock in construct of wild-type <italic>bbk32</italic> with its native promoter in pBBE22<italic>luc</italic>.</td>
<td valign="top" align="center"> (<xref ref-type="bibr" rid="B32">32</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">pAP8</td>
<td valign="top" align="left">Knock in construct encoding <italic>B. miyamotoi fbpA</italic> under the control of the <italic>B. burgdorferi bbk32</italic> promoter in pBBE22<italic>luc</italic>.</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">pAP13</td>
<td valign="top" align="left">Knock in construct encoding <italic>B. miyamotoi fbpA</italic>-<italic>R264A-K343A</italic> (<italic>fbpA</italic> DA) under the control of the <italic>B. burgdorferi bbk32</italic> promoter in pBBE22<italic>luc</italic>.</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">pAP11</td>
<td valign="top" align="left">Knock in construct encoding <italic>B. miyamotoi fbpB</italic> under the control of the <italic>B. burgdorferi bbk32</italic> promoter in pBBE22<italic>luc</italic>.</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">pT7HMT-BBK32-C</td>
<td valign="top" align="left">Construct used for overexpression of recombinant BBK32-C.</td>
<td valign="top" align="center"> (<xref ref-type="bibr" rid="B32">32</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">pT7HMT-C1r-CCP2-SP</td>
<td valign="top" align="left">Construct used for overexpression of recombinant C1r-CCP2-SP.</td>
<td valign="top" align="center"> (<xref ref-type="bibr" rid="B33">33</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">pT7HMT-FbpA-C</td>
<td valign="top" align="left">Construct used for overexpression of recombinant FbpA-C.</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">pT7HMT-FbpB-C</td>
<td valign="top" align="left">Construct used for overexpression of recombinant FbpB-C.</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">pT7HMT-FbpB-&#x394;5C</td>
<td valign="top" align="left">Construct used for overexpression of recombinant FbpB&#x394;5-C.</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">pT7HMT-FbpA DA-C</td>
<td valign="top" align="left">Construct used for overexpression of recombinant FbpA DA-C (R264A-K343A).</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">pT7HMT-MBP-FbpA-N</td>
<td valign="top" align="left">Construct used for overexpression of recombinant MBP fusion protein FbpA-N</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">pT7HMT-MBP-FbpB-N</td>
<td valign="top" align="left">Construct used for overexpression of recombinant MBP fusion protein FbpB-N</td>
<td valign="top" align="center">This study</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2_2">
<title>Plasmid Constructs</title>
<p>The following constructs for <italic>B. miyamotoi</italic> FR64b <italic>fbpA</italic> (UNIPROT#: AHH06014.1) and <italic>fbpB</italic> (UNIPROT#: AHH05635.1) were subcloned into pT7HMT or a modification of pT7HMT encoding maltose binding protein (MBP) (<xref ref-type="bibr" rid="B48">48</xref>). All plasmid constructs are listed in <xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>. <italic>E. coli</italic> codon-optimized DNA fragments were purchased from IDT Technologies gBlock Gene Fragment Service or produced using PCR amplification templated from previously cloned constructs using methodology and constructs previously described (<xref ref-type="bibr" rid="B32">32</xref>&#x2013;<xref ref-type="bibr" rid="B34">34</xref>, <xref ref-type="bibr" rid="B48">48</xref>): FbpA-C residues 222-371; FbpA-C-R264A-K343A; FbpB-C residues 264-432; FbpB-&#x394;5C residues 264-427; FbpA-N residues 152-201; and FbpB-N residues 207-248. Oligonucleotides used are listed in <xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>. Residue numbering were based on UNIPROT numbering. The expression constructs for <italic>B. burgdorferi</italic> BBK32-C and C1r-CCP2-SP originated from previous studies (<xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B33">33</xref>).</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Oligonucleotides used in this report.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Oligonucleotides</th>
<th valign="top" align="left">5&#x2019; to 3&#x2019; sequence</th>
<th valign="top" align="left">Description</th>
<th valign="top" align="left">Reference</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">
<italic>pncAF</italic>
</td>
<td valign="top" align="left">TATTGGAATTAATAGGCGGTGATG</td>
<td valign="top" rowspan="2" align="left">Oligonucleotide pair used to confirm <italic>bbk32</italic>, <italic>fbpA</italic>, and <italic>fbpB</italic> knock-in constructs</td>
<td valign="top" rowspan="2" align="left"> (<xref ref-type="bibr" rid="B32">32</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">
<italic>lucF</italic>
</td>
<td valign="top" align="left">GAGGGGTTGTATTTGTTGACG</td>
</tr>
<tr>
<td valign="top" align="left">BmAUSF</td>
<td valign="top" align="left">CTTTAAAGGAGAGAAAGCATGATAGTTAAAAGTAAATAT</td>
<td valign="top" rowspan="2" align="left">Oligonucleotide pair used to amplify <italic>B. miyamotoi fbpA</italic> for assembly with the <italic>bbk32</italic> promoter and pBBE22<italic>luc</italic>; used to assemble pAP8</td>
<td valign="top" rowspan="2" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">BmADSR</td>
<td valign="top" align="left">TGCATGCCTGCAGGTCGACCTAATACCAAGGACCATCTC</td>
</tr>
<tr>
<td valign="top" align="left">K32PBmABmBFusionF</td>
<td valign="top" align="left">GAGGTACCCGGGGATCCGTACTTTGTTCACCCTCTTG</td>
<td valign="top" rowspan="2" align="left">Oligonucleotide pair used to amplify the <italic>bbk32</italic> promoter for assembly with <italic>fbpA</italic> and pBBE22<italic>luc</italic>; used to assemble pAP8</td>
<td valign="top" rowspan="2" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">K32PBmAFusionR</td>
<td valign="top" align="left">ATATTTACTTTTAACTATCATGCTTTCTCTCCTTTAAAG</td>
</tr>
<tr>
<td valign="top" align="left">BmBUSF</td>
<td valign="top" align="left">CTTTAAAGGAGAGAAAGCATGATTTTTAAAAATA</td>
<td valign="top" rowspan="2" align="left">Oligonucleotide pair used to amplify <italic>B. miyamotoi fbpB</italic> for assembly with the <italic>bbk32</italic> promoter and pBBE22<italic>luc</italic> used to assemble pAP11</td>
<td valign="top" rowspan="2" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">BmBDSR</td>
<td valign="top" align="left">GCATGCCTGCAGGTCGACTTATCTTGCAACAATACCTG</td>
</tr>
<tr>
<td valign="top" align="left">K32PBmABmBFusionF</td>
<td valign="top" align="left">GAGGTACCCGGGGATCCGTACTTTGTTCACCCTCTTG</td>
<td valign="top" rowspan="2" align="left">Oligonucleotide pair used to amplify the <italic>bbk32</italic> promoter for assembly with <italic>fbpB</italic> and pBBE22<italic>luc</italic> used to assemble pAP11</td>
<td valign="top" rowspan="2" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">K32PBmBFusionR</td>
<td valign="top" align="left">TATTTTTAAAAATCATGCTTTCTCTCCTTTAAAG</td>
</tr>
<tr>
<td valign="top" align="left">BmAR264AF</td>
<td valign="top" align="left">GGAAATAAGGCTAGACAATCGATACAAGTCTTATCTGG</td>
<td valign="top" rowspan="2" align="left">Oligonucleotide pair used to amplify the R264A fragment to generate a precursor of pAP13</td>
<td valign="top" rowspan="2" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">BmAR264AR</td>
<td valign="top" align="left">TTTAATAGCTCCTTAAGATCTTTCTCAAGTTCTTCTTTTG</td>
</tr>
<tr>
<td valign="top" align="left">BmAK343AF</td>
<td valign="top" align="left">CAAAAGAAGAACTTGAGAAAGATCTTAAGGAGCTATTAAA</td>
<td valign="top" rowspan="2" align="left">Oligonucleotide pair used to amplify the K343A fragment of <italic>fbpA</italic> for site directed mutagenesis of <italic>fbpA</italic> K343 used to assemble pAP13</td>
<td valign="top" rowspan="2" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">BmAK343AR</td>
<td valign="top" align="left">TGCATGCCTGCAGGTCGACCTAATACCAAGGACCATCTC</td>
</tr>
<tr>
<td valign="top" align="left">BmB_D5C_Fwd_BAM</td>
<td valign="top" align="left">GATGATGGATCCGACAACCAGTACAAATTCAAACT</td>
<td valign="top" rowspan="2" align="left">Oligonucelotide pair used to amplify the FbpB-&#x394;5C fragment using the pT7HMT-FbpB-C construct template</td>
<td valign="top" rowspan="2" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">BmB_D5C_Rev_Not</td>
<td valign="top" align="left">GATGATGCGGCCGCTTAGGTACGGGTCA</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Expression constructs for <italic>B. miyamotoi fbpA</italic> and <italic>fbpB</italic> were assembled using the NEBBuilderHiFi DNA Assembly Cloning Kit as described in (<xref ref-type="bibr" rid="B34">34</xref>). The <italic>B. miyamotoi fbpA</italic> and <italic>fbpB</italic> genes were transcriptionally linked with the <italic>bbk32</italic> promoter from <italic>B. burgdorferi</italic> to promote equal expression in B314 relative to <italic>bbk32</italic>. The R264A and K343A mutations in <italic>fbpA</italic> were constructed sequentially by synthesizing a 194 bp fragment of <italic>fbpA</italic> from nucleotide 918 to 1112 containing the R264A mutation, and then once the R264A construct was obtained, with a 254 bp fragment from nucleotide 1112 to 1366 containing the K343A mutation. Both DNA fragments were synthesized by IDT gBlocks using the native <italic>B. miyamotoi</italic> strain FR64b <italic>fbpA</italic> sequences. The fragments were each assembled into the <italic>fbpA</italic> gene using primers that added overhangs complementing the <italic>fbpA</italic> gene adjacent to the synthesized fragments. These fragments were then assembled into the <italic>fbpA</italic>-expressing vector using NEBuilderHiFi DNA Assembly Cloning Kit. All plasmids were sequenced to ensure the desired mutations were obtained and that no additional mutations were introduced during the assembly process.</p>
</sec>
<sec id="s2_3">
<title>Transformation of <italic>B. burgdorferi</italic>
</title>
<p>Transformation of strain B314 with the plasmid constructs pAP8, pAP11, and pAP13 was done as previously described (<xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B49">49</xref>).</p>
</sec>
<sec id="s2_4">
<title>Protein Expression and Purification</title>
<p>Recombinant proteins were expressed and purified as in (<xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B33">33</xref>). Briefly, after elution of the Ni column using the Elution buffer (20 mM Tris (pH 8.0), 500 mM NaCl, 500 mM Imidazole), the proteins were exchanged into 20 mM Tris (pH 8.0), 500 mM NaCl, 10 mM Imidazole using a Desalting 26/10 column (GE Healthcare). The His-tag was then removed by incubation with the tobacco etch virus (TEV) protease and 5 mM &#x3b2;-mercaptoethanol overnight at room temperature. The TEV digested proteins were separated from the His-tag by passing over a 5 mL HisTrap-FF column on the FPLC with the captured flowthrough further purified using a HiLoad Superdex 75 PG gel filtration column (GE Healthcare). The single peak after gel filtration was examined using SDS-PAGE analysis, then pooled and exchanged into HBS buffer (10 mM HEPES [pH 7.3], 140 mM NaCl). The C1r-CCP2-SP construct was purified according to previously published protocols with an added final gel filtration chromatography step using a HiLoad Superdex 75 PG column (GE Healthcare) and exchanged into HBS buffer (<xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B34">34</xref>, <xref ref-type="bibr" rid="B50">50</xref>, <xref ref-type="bibr" rid="B51">51</xref>). Purified full-length complement proteins of both the zymogen and enzymatically active forms of C1r were obtained from Complement Technology, Inc. (Tyler, TX). Purified full-length human fibronectin was purchased from Millipore Sigma. Sequence alignments of the proteins were generated using Clustal alignment server from EMBL-EBI.</p>
</sec>
<sec id="s2_5">
<title>Surface Plasmon Resonance</title>
<p>Surface plasmon resonance (SPR) was performed on a Biacore T200 instrument set to 25&#xb0;C with a flowrate of 30 &#x3bc;L/min. The running buffer was HBS-T (10 mM HEPES (pH 7.3), 140 mM NaCl, and 0.005% Tween 20) or HBS-T containing 5 mM CaCl<sub>2</sub>. Proteins of interest were immobilized on CMD200 sensor chips (Xantec Bioanalytics) <italic>via</italic> standard amine coupling as before (<xref ref-type="bibr" rid="B32">32</xref>&#x2013;<xref ref-type="bibr" rid="B34">34</xref>). Immobilization quantities were as follows: human plasma fibronectin over MBP-FbpA-C (1015.3 RU), MBP-FbpB-C (1074.1 RU); C1r-CCP2-SP over FbpA-C (1061.2 RU), FbpB-C (877.7 RU), FbpA-C-R264A-K343A (FbpA DA-C) (1591.8 RU); C1r zymogen or active C1r over FbpA-C (852.4 RU), FbpB-C (1116.6 RU). C1r-CCP2-SP over Fbps was performed in multi-cycle using a twofold dilution series of the C1r-CCP2-SP ranging from 0-100 nM. Data was obtained in triplicate with each cycle having an association time of 2&#xa0;min, a dissociation time of 3&#xa0;min, and three 1&#xa0;min injections of regeneration buffer (0.1 M Glycine [pH 2.0], 2.5 M NaCl). Equilibrium dissociation constants (<italic>K</italic>
<sub>D</sub>) were obtained from the resulting kinetic fits generated by the Biacore T200 Evaluation Software (GE Healthcare). Zymogen or active C1r binding data for FbpA-C and FbpB-C was obtained in single cycle using a fivefold dilution series of either C1r zymogen or active C1r ranging from 0-100 nM. Data was obtained in triplicate with each cycle having an association time of 5&#xa0;min, a final dissociation time of 1 hour, and two 1&#xa0;min regeneration injections with regeneration buffer (0.1 M Glycine [pH 2.0], 2.5 M NaCl). Equilibrium dissociation constants (<italic>K</italic>
<sub>D</sub>) were obtained from the resulting kinetic fits generated by the Biacore T200 Evaluation Software (GE Healthcare). Human plasma fibronectin was buffer exchanged into HBS-T and then injected over MBP-FbpA-N or MBP-FbpB-N. Data was obtained in multicycle using a twofold dilution series ranging from 0-500 nM. Data was obtained in triplicate with each cycle having an association time of 2&#xa0;min, a dissociation time of 3&#xa0;min, and two 1&#xa0;min injections of regeneration buffer (10 mM CAPS [pH 10.0]). Steady-state affinity fits were performed using Biacore T200 Evaluation Software.</p>
</sec>
<sec id="s2_6">
<title>Surface Plasmon Resonance Competition Experiments</title>
<p>SPR was performed using conditions described for the direct binding experiments. FbpA-C (935.4 RU), FbpB-C (1082.9 RU), and FbpB-&#x394;5C (1115.4 RU) were immobilized on a new CMD200 sensor chip (Xantec Bioanalytics) <italic>via</italic> standard amine coupling as before (<xref ref-type="bibr" rid="B32">32</xref>&#x2013;<xref ref-type="bibr" rid="B34">34</xref>). 25 nM C1r-CCP2-SP alone, or with 25 nM FbpA-C, FbpB-B, FbpA DA-C, or FbpB-&#x394;5C were injected over the Fbp biosensors. Injections were performed in triplicate with each cycle having an association time of 2&#xa0;min, a dissociation time of 3&#xa0;min, and two 1&#xa0;min injections of regeneration buffer (0.1 M Glycine [pH 2.0], 2.5 M NaCl). The binding response just prior to injection stop was used to determine differences for the ability of the soluble Fbp proteins to compete with immobilized Fbps for C1r-CCP2-SP binding.</p>
</sec>
<sec id="s2_7">
<title>Generation of Polylonal Antibodies Against FbpA and FbpB</title>
<p>Polyclonal antibodies reactive with FbpA and FbpB were generated by separately immunizing female C57BL/6 mice intradermally with 25 &#xb5;g either FbpA-C or FbpB-C in an equal volume of PBS and TiterMax<sup>&#xae;</sup> Gold Adjuvant (Sigma Aldrich) as outlined (<xref ref-type="bibr" rid="B52">52</xref>). Two weeks after the initial immunization, mice were boosted with 25 &#xb5;g of the same protein. Two weeks after boosting, mice were euthanized and blood was immediately isolated by exsangunation, allowed to clot, and serum removed after low speed centrifugation. Reactivity and specificity of each serum sample to <italic>B. miyamotoi</italic> FbpA and FbpB was evaluated by Western Blot using purified recombinant protein. All animal work was reviewed and approved by the Texas A&amp;M University Institutional Animal Care and Use Committee (protocol number 2019-0422).</p>
</sec>
<sec id="s2_8">
<title>Far Western Overlay Analysis With Full-Length <italic>B. miyamotoi</italic> Proteins</title>
<p>Far Western overlays were carried out as described in (<xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B35">35</xref>). Briefly, <italic>B. burgdorferi</italic> strain B314 derivatives were cultured in BSKII media supplemented with 300 &#x3bc;g/mL kanamycin. Cultures were harvested and <italic>B. burgdorferi</italic> whole-cell lysates were generated for B314 strains producing FbpA, FbpB, FbpA DA, or from the pBBE22<italic>luc</italic> vector-only control. 2.5 x10<sup>7</sup> whole cell equivalents were resolved by SDS-PAGE with 0.625 &#x3bc;g of recombinant Fbp-C and MBP-Fbp-N proteins used as controls for C1r and fibronectin, respectively. The SDS-PAGE resolved proteins were transferred to a PVDF membrane and then blocked overnight in 5% non-fat milk. The blots were washed and incubated with 20 &#x3bc;g of zymogen or active C1r for 1 hour. PVDF membranes were probed for C1r binding using a goat antibody to human C1r (R&amp;D Systems) at a 1:3,000 dilution followed by a rabbit anti-goat antibody conjugated to HRP (Invitrogen) at a 1:5,000 dilution. Similar experimentation was done after incubation with 20 &#x3bc;g of human fibronectin with subsequent binding determined using a mouse monoclonal antibody specific for human fibronectin conjugated to HRP (Santa Cruz Biotechnology) at a 1:1,000 dilution. All blots were then visualized using the SuperSignal&#x2122; West Pico Plus chemiluminescent kit (Thermo Scientific). Control Western blots were performed as above with 2.5 x10<sup>7</sup> whole cell equivalents to monitor Fbp expression and to serve as loading controls. To probe for FbpA and FbpB expression, mouse antibodies against FbpA or FbpB were used at a 1:5,000 dilution, respectively. To examine the flagellar protein FlaB, a mouse monoclonal antibody specific for FlaB (US Biologicals, Inc.) was used at a 1:20,000 dilution. Detection of membrane bound immune complexes was facilitated with a goat anti-mouse immunoglobulin HRP conjugate diluted 1:10,000 (Invitrogen). Visualization was the same as above. All Far Western blots were performed in duplicate.</p>
</sec>
<sec id="s2_9">
<title>Crystallization, Structure Determination, Refinement, and Analysis</title>
<p>FbpA-C<bold> </bold>was concentrated to 12.8 mg/mL total protein in a buffer of (10 mM HEPES [pH 7.3], 50 mM NaCl). Crystals were obtained by vapor diffusion of sitting drops at 20&#xb0;C by mixing 1 &#xb5;L of protein with 1 &#xb5;L of precipitant solution (0.1 M Tris [pH 8.5], 2 M ammonium sulfate). Large crystal plate clusters generally appeared after 9-10&#xa0;d. Sequential rounds of micro-seeding produced samples of sufficient size and quality for harvesting. Samples were cryopreserved in precipitant solution supplemented with an additional 20% glycerol.</p>
<p>Crystallization trials using FbpB-C failed to produce diffraction quality crystals. Constructs removing residues from the N-terminus and C-terminus were screened resulting in identification of crystallization conditions for a construct of FbpB where five residues were removed from the C-terminus (<italic>i.e.</italic>, FbpB-&#x394;5C). FbpB-&#x394;5C was concentrated to 19.1 mg/mL and 8.69 mg/mL in 10 mM Tris (pH 8.0), 50 mM NaCl buffer. Crystals of FbpB-&#x394;5C were obtained by vapor diffusion of sitting drops at 4&#xb0;C for both concentrations. Initial crystals grew in a condition containing 0.2M MgCl<sub>2</sub>, 0.1M Tris (pH 8.5), 30% PEG 4,000 and an optimized condition was identified by additive screening 4 mg/mL in 0.2 M MgCl<sub>2</sub>, 0.1 M Tris (pH 8.5), 26.25% PEG 4,000, 35 mM spermidine followed by microseeding. Crystals were harvested and cryoprotected by supplementing the crystallization buffer with 10% glycerol.</p>
<p>Monochromatic X-ray diffraction data were collected at 0.975&#xc5; (FbpA-C) or 1.00&#xc5; (FbpB-&#x394;5C) wavelength using beamline 22-ID of the Advanced Photon Source (Argonne National Laboratory). Diffraction data were integrated, scaled, and reduced using the HKL2000 software suite (<xref ref-type="bibr" rid="B53">53</xref>) and assessed for data quality (<xref ref-type="bibr" rid="B54">54</xref>) (<xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>). FbpA-C crystals grew in the space group P21 and contained two copies in the asymmetric unit which were related by twofold non-crystallographic symmetry. FbpB-&#x394;5C crystals grew in space group C2 and contained a single copy of FbpB-&#x394;5C in the asymmetric unit. Initial phases for FbpA-C were obtained by molecular replacement using a single copy of a poly-alanine model of BBK32-C (PBD:6N1L) generated with the program CHAINSAW <italic>via</italic> the CCP4 software package (<xref ref-type="bibr" rid="B55">55</xref>). Initial phases for FbpB-&#x394;5C were obtained by molecular replacement using a FbpA-C polyalanine model that was created using CHAINSAW from CCP4 (<xref ref-type="bibr" rid="B55">55</xref>). Following an initial round of refinement, models for FbpA-C and FbpB-&#x394;5C were completed by a combination of automated chain tracing using PHENIX.AUTOBUILD (<xref ref-type="bibr" rid="B56">56</xref>&#x2013;<xref ref-type="bibr" rid="B58">58</xref>) and manual building into electron density maps using COOT (<xref ref-type="bibr" rid="B59">59</xref>). The final model was completed upon iterative cycles of manual rebuilding and refinement using PHENIX.REFINE (<xref ref-type="bibr" rid="B56">56</xref>&#x2013;<xref ref-type="bibr" rid="B58">58</xref>). The N-terminal cloning artifact sequence for FbpA-C (Residues G-S-T-G-S) and FbpB-&#x394;5C, and residues 264-268, 355, 401-403, and 427 of FbpB-&#x394;5C were not modeled in the final refined structure due to poor electron density. Refined coordinates and structure factors have been deposited in the Protein Data Bank, Research Collaboratory for Structural Bioinformatics, Rutgers University (<uri xlink:href="http://www.rcsb.org/">www.rcsb.org/</uri>) under PDB ID codes 7RPR for FbpA-C and 7RPS for FbpB-&#x394;5C. A description of crystal cell constants, diffraction data quality, and properties of the final models for FbpA-C and FbpB-&#x394;5C can be found in <xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>. Representations of the protein structures and electron density maps were generated by PyMol (<uri xlink:href="http://www.pymol.org/">www.pymol.org/</uri>).</p>
<table-wrap id="T3" position="float">
<label>Table&#xa0;3</label>
<caption>
<p>Refinement data for the solved FbpA and FbpB crystal structures.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Data collection and refinement</th>
<th valign="top" align="center"/>
<th valign="top" align="center"/>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">
<underline>Data collection</underline>
</td>
<td valign="top" align="center">FbpA <sub>(222&#x2013;371)</sub>
</td>
<td valign="top" align="center">FbpB <sub>(267-427)</sub>
</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;Space group</td>
<td valign="top" align="center">P 1 21 1</td>
<td valign="top" align="center">C 1 2 1</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;Cell dimensions</td>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="left">&#x2003;&#x2003;a, b, c, &#xc5;</td>
<td valign="top" align="center">58.43, 40.32, 74.09</td>
<td valign="top" align="center">62.77, 46.21, 59.56</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;&#x2003;&#x3b1;, &#x3b2;, &#x3b3;, &#x2da;</td>
<td valign="top" align="center">90.00, 105.41, 90.00</td>
<td valign="top" align="center">90.00, 102.94, 90.00</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;Resolution, &#xc5;</td>
<td valign="top" align="center">50.0-1.90 (1.97-1.90)</td>
<td valign="top" align="center">50-2.09 (2.17-2.09)</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;<italic>R<sub>meas</sub>
</italic>
</td>
<td valign="top" align="center">0.166 (0.654)</td>
<td valign="top" align="center">0.115 (0.424)</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;<italic>R</italic>
<sub>pim</sub>
</td>
<td valign="top" align="center">0.068 (0.276)</td>
<td valign="top" align="center">0.054 (0.209)</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;<italic>CC<sub>1/2</sub>
</italic>
</td>
<td valign="top" align="center">0.988 (0.834)</td>
<td valign="top" align="center">0.995 (0.910)</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;I/<italic>&#x3c3;</italic>I</td>
<td valign="top" align="center">13.2 (2.13)</td>
<td valign="top" align="center">20.2 (2.42)</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;Completeness, %</td>
<td valign="top" align="center">97.3 (97.7)</td>
<td valign="top" align="center">96.5 (93.5)</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;Redundancy</td>
<td valign="top" align="center">5.8 (5.3)</td>
<td valign="top" align="center">4.4 (3.5)</td>
</tr>
<tr>
<td valign="top" align="left">
<underline>Refinement</underline>
</td>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="left">&#x2003;Resolution, &#xc5;</td>
<td valign="top" align="center">35.71-1.90</td>
<td valign="top" align="center">33.21-2.09</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;No. reflections</td>
<td valign="top" align="center">25,840</td>
<td valign="top" align="center">9,513</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;<italic>R<sub>work</sub>/R<sub>free</sub>
</italic>
</td>
<td valign="top" align="center">0.206, 0.232</td>
<td valign="top" align="center">0.225, 0.258</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;No. non-hydrogen atoms</td>
<td valign="top" align="center">2,694</td>
<td valign="top" align="center">1,288</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;&#x2003;Protein</td>
<td valign="top" align="center">2,492</td>
<td valign="top" align="center">1,252</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;&#x2003;Water</td>
<td valign="top" align="center">202</td>
<td valign="top" align="center">36</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;B-factors</td>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="left">&#x2003;&#x2003;Protein</td>
<td valign="top" align="center">27.6</td>
<td valign="top" align="center">44.2</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;&#x2003;Water</td>
<td valign="top" align="center">33.5</td>
<td valign="top" align="center">45.5</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;Rmsd</td>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="left">&#x2003;&#x2003;Bond lengths, &#xc5;</td>
<td valign="top" align="center">0.014</td>
<td valign="top" align="center">0.010</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003;&#x2003;Bond angles, &#x2da;</td>
<td valign="top" align="center">1.39</td>
<td valign="top" align="center">1.27</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Values in parantheses refer to the highest-resolution shell.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s2_10">
<title>Circular Dichroism</title>
<p>Far-UV spectra were collected to assess the secondary structure for FbpA-C, FbpB-C, FbpA DA-C, and FbpB-&#x394;5C. Samples were diluted to 10 &#x3bc;M in 10 mM Na<sub>3</sub>PO<sub>4</sub> based on previous protocols (<xref ref-type="bibr" rid="B60">60</xref>). Spectra for a buffer control were used to subtract background noise. Spectra were collected across a wavelength range of 180-300 nm, at 120 nm min<sup>-1</sup>, using 1 nm step, 0.5 sec response, and 1 nm bandwidth. Data was collected using a Chirascan V100 instrument with a square small volume quartz cuvette with a path length of 0.05&#xa0;cm (Applied Photophysics, UK).</p>
</sec>
<sec id="s2_11">
<title>Analytical Gel Filtration Chromatography</title>
<p>Analytical gel filtration was performed as before (<xref ref-type="bibr" rid="B34">34</xref>). 100 &#x3bc;g of FbpB-C and FbpB-&#x394;5C in a total volume of 500 &#x3bc;L were injected onto a Superdex 75 10/300 GL column (GE Healthcare) at a flowrate of 0.5 mL/min. The running buffer used was 10 mM HEPES (pH 7.3), 140 mM NaCl.</p>
</sec>
<sec id="s2_12">
<title>C1r-CCP2-SP Enzyme Inhibition Assay</title>
<p>A colorimetric assay was used to monitor dose-dependent inhibition of C1r-CCP2-SP enzyme activity based off (<xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B34">34</xref>). 1 &#x3bc;M Fbps-C were incubated with 15 nM C1r-CCP2-SP enzyme and 300 &#x3bc;M of the serine protease substrate Z-Gly-Arg-thiobenzyl (MP Biomedical) in HBS buffer (10 mM HEPES [pH 7.3] and 140 mM NaCl). Enzyme cleavage of Z-Gly-Arg-thiobenzyl was determined by incubating the reaction with 100 &#x3bc;M DTNB (5,5&#x2019;-Dithiobis-[2-nitrobenzoic acid], Ellman&#x2019;s reagent). The EnSight Multimode Plate Reader (PerkinElmer) was used to read the absorbance values for the reaction at 412 nm. Data were obtained in triplicate and normalized with 15 nM C1r-CCP2-SP lacking inhibitor as a positive control that represented the 100% amount of Z-Gly-Arg-thiobenzyl cleaved by C1r-CCP2-SP in 30&#xa0;min at 25&#xb0;C. Using a DTNB and Z-Gly-Arg-thiobenzyl only negative control allowed for subtraction of any non-specific colorimetric change.</p>
</sec>
<sec id="s2_13">
<title>ELISA-Based Complement Inhibition Assay</title>
<p>An ELISA-based assay that utilizes IgM as a specific activator of the classical pathway as described (<xref ref-type="bibr" rid="B32">32</xref>&#x2013;<xref ref-type="bibr" rid="B34">34</xref>, <xref ref-type="bibr" rid="B50">50</xref>, <xref ref-type="bibr" rid="B61">61</xref>), was used to determine the pathway&#x2019;s downstream effect while in the presence of the Fbps. Data were obtained in triplicate and normalized using no inhibitor with 2% normal human serum (Innovative Research) as a positive control that represented the 100% amount of C4b deposition in 1 hour at 37&#xb0;C. Non-specific interactions were subtracted out using a negative control with no serum. An EnSight Multimode Plate Reader (PerkinElmer) was used to read the absorbance values at 450 nm for the reaction.</p>
</sec>
<sec id="s2_14">
<title>Hemolysis Assay</title>
<p>A hemolysis assay that uses antibody-opsonized sheep red blood cells to specifically activate the classical pathway was performed as previously described (<xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B62">62</xref>) to determine if <italic>B. miyamotoi</italic> Fbp-C proteins protected erythrocytes from complement-mediated hemolysis. A serial dilution series of Fbp-C proteins was incubated with buffer-exchanged pre-sensitized sheep erythrocytes (Complement Technology) and 2% normal human serum (Innovative Research). After a 1 hour incubation at 37&#xb0;C the reaction was clarified <italic>via</italic> centrifugation at 500 x g and the absorbance read using an EnSight Multimode Plate Reader (PerkinElmer) at 412 nm. Data were obtained in triplicate normalized using a no inhibitor with serum positive control that represented the 100% cell lysis at 37&#xb0;C in 1 hour. Background hemolysis was subtracted out using a negative control with only buffer and red blood cells.</p>
</sec>
<sec id="s2_15">
<title>Quantitative ELISA to Assess <italic>B. miyamotoi</italic> Lipoproteins Binding to Serum C1r</title>
<p>The interaction of <italic>B. miyamotoi</italic> Fbp proteins with C1r in human serum was measured using an ELISA-type binding assay based on (<xref ref-type="bibr" rid="B63">63</xref>). Fbp proteins were immobilized overnight onto high-binding 96-well plates (Greiner Bio-One) at 0.2 mg/mL in 100 mM NaCO<sub>3</sub> (pH 9.6). A twofold serial dilution of normal human serum (Innovative Research) ranging from 0.0012-10% serum in CP Assay buffer (10 mM HEPES [pH 7.3], 140 mM NaCl, 2 mM CaCl<sub>2</sub>, 0.5 mM MgCl<sub>2</sub>, 0.1% gelatin) was incubated with immobilized Fbp-C proteins at 37&#xb0;C for 1 hour. The amount of serum C1r bound to immobilized Fbps was found using a goat antibody to human C1r (R&amp;D Systems) diluted 1:2,000 and immune complexes detected with rabbit anti-goat Ig conjugated to HRP (Invitrogen) at a 1:3,000 dilution. Data were obtained in at least duplicate and read at 450 nm using the EnSight Multimode Plate Reader (PerkinElmer) with non-specific interactions subtracted out using a negative control with no serum.</p>
</sec>
<sec id="s2_16">
<title>Proteinase K Accessibility Assays</title>
<p>
<italic>B. burgdorferi</italic> strain B314 was grown to mid-log phase and harvested by centrifugation at 4,500 x g for 10 minutes at 4&#xb0;C, and washed once with PBS. The cell pellet was resuspended in 0.8 mL of either PBS alone, or PBS with proteinase K to a final concentration of 200 &#x3bc;g/mL, and incubated at 20&#xb0;C for 40&#xa0;min. Reactions were terminated by the addition of phenylmethylsulfonyl fluoride (PMSF) to a final concentration of 1 mM. Cells were centrifuged (4,500 x g for 10&#xa0;min at 4&#xb0;C), washed twice with PBS, and resuspended in sample buffer. Samples corresponding to 5x10<sup>7</sup> whole cell equivalents were run on SDS-PAGE gel, transferred to PVDF membranes and immunoblotted with mouse polyclonal antibodies to FbpA and FbpB or monoclonal antibodies directed against BBK32 or borrelial FlaB (US Biologicals Inc.) and imaged with chemiluminescence as previously described (<xref ref-type="bibr" rid="B33">33</xref>).</p>
</sec>
<sec id="s2_17">
<title>Serum Complement Sensitivity Assay</title>
<p>Assays were performed as in (<xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B34">34</xref>). Briefly, <italic>B. burgdorferi</italic> strain B314 producing BBK32 (pCD100), <italic>B. miyamotoi</italic> FbpA (pAP8) or FbpA-DA (pAP13), and <italic>B. miyamotoi</italic> FbpB (pAP11) (see <xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>), as well as the vector-only control B314 pBBE22<italic>luc</italic>, were grown at 32&#xb0;C in 1% CO<sub>2</sub> to early- to mid-log phase and diluted in complete BSK-II media to a final cell density of 1x10<sup>6</sup> cells/mL. <italic>B. burgdorferi</italic> cells were then incubated in 15% normal human serum (Complement Technology) or heat inactivated serum (55&#xb0;C for 30&#xa0;min.), with thermal inactivation of complement proteins as a positive control for survival, for 1.5 hours at 37&#xb0;C under gentle agitation. Cell survival was assessed by dark field microscopy based on cell motility and overt membrane damage or lysis.</p>
</sec>
<sec id="s2_18">
<title>Soluble Protein Inhibition Rescue Assay</title>
<p>The ability of exogenous <italic>B. miyamotoi</italic> FbpA-C, FbpA DA-C, and FbpB-C to rescue serum-sensitive <italic>B. burgdorferi</italic> B314 pBBE22<italic>luc</italic> was measured similarly to the serum sensitivity assay. Exogenous complement inhibitory proteins were added at a final concentration of 48 nM, 240 nM, and 1.2 &#x3bc;M, approximately five-fold less than, equal to, and five-fold greater than the concentration of C1r in the human serum sample used. Survival was compared to that of B314 pBBE22<italic>luc</italic> with no exogenous protein addition, and of B314 pCD100, which produces BBK32, as described for the serum sensitivity assays.</p>
</sec>
<sec id="s2_19">
<title>Statistics</title>
<p>Data is shown as the average of the replicates with 95% confidence intervals. Half-maximal inhibitory concentrations (IC<sub>50</sub>) values for the CP inhibitory ELISA and CP hemolysis assays were determined using a non-linear variable slope regression fit. The half-maximal effective concentration (EC<sub>50</sub>) for the serum C1r binding ELISA was determined using a non-linear one-site total regression fit. One-way ANOVA was used for the C1r enzyme and competition SPR experiments to determine differences among the means, followed by a <italic>post-hoc</italic> Tukey analysis for pairwise comparison of each Fbp protein. For serum sensitivity and B314 &#x201c;rescue&#x201d; assays, two-way ANOVA with a &#x160;id&#xe1;k correction for multiple comparisons was used. All statistical analysis was performed using GraphPad Prism version 9.3.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>
<italic>B. miyamotoi</italic> Encodes Two Orthologous Proteins to <italic>B. burgdorferi</italic> BBK32</title>
<p>
<italic>B. burgdorferi</italic> BBK32 interacts with multiple host proteins through non-overlapping protein domains. The N-terminus of BBK32 (BBK32-N) binds to fibronectin (<xref ref-type="bibr" rid="B35">35</xref>&#x2013;<xref ref-type="bibr" rid="B37">37</xref>, <xref ref-type="bibr" rid="B40">40</xref>, <xref ref-type="bibr" rid="B64">64</xref>&#x2013;<xref ref-type="bibr" rid="B70">70</xref>), while the C-terminal domain (BBK32-C) interacts with complement serine protease C1r (<xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B33">33</xref>). Relapsing fever spirochetes encode a combination of up to three separate BBK32 orthologs termed fibronectin binding proteins (Fbps) (<xref ref-type="bibr" rid="B41">41</xref>) (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). Fbp genes organize into three protein families denoted FbpA, FbpB, and FbpC and vary in their sequence identity to BBK32 between 56-62% (FbpAs), 25-30% (FbpBs), and 22-27% (FbpCs) (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S1A</bold>
</xref>). A BLASTp search of the <italic>B. miyamotoi</italic> strain FR64b genomic sequence, using <italic>B. burgdorferi</italic> strain B31 BBK32 as a query, identified only two orthologous sequences; one belonging to the FbpA family and one to the FbpB family (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). Unlike <italic>B. miyamotoi</italic> FbpA, FbpB lacks significant amino acid sequence homology for a key motif that is important for BBK32&#x2019;s interaction with fibronectin (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>) (i.e., gelatin-binding domain sequence [GBD]) (<xref ref-type="bibr" rid="B69">69</xref>). Similarly, while a critical residue involved in the BBK32/C1r interaction is conserved in both FbpA and FbpB (i.e. BBK32-R248/FbpA-R264/FbpB-R309), another important &#x2018;hot-spot&#x2019; lysine residue is conserved only in FbpA (BBK32-K327/FbpA-K343) (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>) (<xref ref-type="bibr" rid="B34">34</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>
<italic>B. miyamotoi</italic> encodes two orthologous genes to <italic>B. burgdorferi</italic> BBK32. <bold>(A)</bold> BBK32 orthologs are found in relapsing fever (RF)-associated and <italic>B. miyamotoi</italic> spirochetes and are denoted FbpA, FbpB, and FbpC (<xref ref-type="bibr" rid="B41">41</xref>). <italic>B. miyamotoi</italic> FR64b FbpA and FbpB are underlined. <bold>(B)</bold> An alignment of <italic>B. miyamotoi</italic> strain FR64b FbpA and FbpB to <italic>B. burgdorferi</italic> strain B31 BBK32 shows differences of the amino acid sequences within the fibronectin binding (green box) and complement inhibitory domains (blue box). The gelatin-binding domain (GBD) of BBK32 is denoted. The key residues R248 and K327 of BBK32 involved in complement C1r binding are indicated by a red box. * conserved, : strongly similar, . weakly similar.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-886733-g001.tif"/>
</fig>
</sec>
<sec id="s3_2">
<title>Differential Interactions of <italic>B. miyamotoi</italic> Fbps With Human Fibronectin</title>
<p>We hypothesized that the sequence variation in predicted functional sites of FbpB, and to a lesser degree FbpA, may result in altered function of <italic>B. miyamotoi</italic> Fbps relative to BBK32. To test this, we first began by evaluating the direct interaction of each protein with human fibronectin. We expressed and purified recombinant maltose-binding protein (MBP) fusion proteins that encoded the predicted fibronectin-binding site based on alignment to BBK32 (termed MBP-FbpA-N and MBP-FbpB-N) (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>, green box). Surface plasmon resonance (SPR) experiments were carried out by immobilizing each fusion protein on the surface of an SPR sensorchip and evaluating purified human fibronectin as an analyte in a dose-dependent manner. MBP-FbpA-N bound dose-dependently to soluble human fibronectin (<italic>K</italic>
<sub>D</sub> = 170 nM) (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2A</bold>
</xref>
<xref ref-type="fig" rid="f2">
<bold>, C</bold>
</xref>), whereas MBP-FbpB-N exhibited no detectable interaction with fibronectin at concentrations up to 500 nM (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2B</bold>
</xref>
<xref ref-type="fig" rid="f2">
<bold>, D</bold>
</xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Assessing the interaction of human fibronectin with <italic>B. miyamotoi</italic> FbpA and FbpB. <bold>(A, B)</bold> SPR was used to quantitatively measure the interaction between FbpA-N <bold>(A)</bold> and FbpB-N <bold>(B)</bold> with human fibronectin. MBP-Fbp-N fusion proteins (Fbp sequences denoted by green box in <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>) were immobilized on a sensorchip using amine coupling, then a twofold dilution series of purified human fibronectin ranging from 1.95-500 nM was injected. A representative sensorgram from the three replicates for each biosensor surface is shown. <bold>(C, D)</bold> Equilibrium dissociation constants (<italic>K</italic>
<sub>D</sub>) were determined using steady state fits and are shown as the mean +/- standard deviation of three replicates in <xref ref-type="table" rid="T4">
<bold>Table&#xa0;4</bold>
</xref> for FbpA <bold>(C)</bold> and FbpB <bold>(D)</bold>. Closed circles in <bold>(A)</bold> correspond to the steady-state response used for calculation of the steady state fits in <bold>(C)</bold>, respectively. A <italic>K</italic>
<sub>D</sub> value for the fibronectin interactions with MBP-FbpB-N was not determined (N.D.). <bold>(E)</bold> To assess if full-length Fbp proteins were capable of binding fibronectin, a Far Western approach was implemented by probing full-length Fbps from <italic>B. burgdorferi</italic> strain B314 &#x201c;knock-in&#x201d; lysates with fibronectin. Full-length FbpB fails to interact with fibronectin, whereas FbpA and FbpA DA do. A spirochete transformed with shuttle vector only (pBBE22<italic>luc</italic>) and recombinant MBP-FbpA-N/MBP-FbpB-N were used as controls. A Western blot against the flagellar protein FlaB (&#x3b1;-FlaB) was used as a loading control.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-886733-g002.tif"/>
</fig>
<p>To exclude the possibility that FbpB may utilize a site outside of the predicted fibronectin-binding region to engage fibronectin, and to evaluate the interaction in the context of a full-length lipoprotein, we expressed intact <italic>fbpA</italic> and <italic>fbpB</italic> ectopically in <italic>B. burgdorferi</italic> strain B314. <italic>B. burgdorferi</italic> B314 is a serum-sensitive, high-passaged strain that has lost all linear plasmids including the 36 kilobase linear plasmid (lp36) that encodes <italic>bbk32</italic> (<xref ref-type="bibr" rid="B46">46</xref>). Equivalent protein lysates from <italic>B. burgdorferi</italic> strain B314 derivatives were tested for their ability to produce native <italic>B. miyamotoi</italic> FbpA, a double alanine mutant of FbpA at residues 264 and 343&#x2014;R264A and K343A&#x2014;denoted FbpA-DA (discussed below), and FbpB, by SDS-PAGE and Western immunoblot analysis (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figures S2A, B</bold>
</xref>). Whereas the antibody to FbpA recognized only the FbpA protein, antisera to FbpB recognized both FbpB and, to a lesser extent, FbpA (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S2A</bold>
</xref>). We then tested these same samples using a Far Western approach with human fibronectin as the probe. Both FbpA and FbpA-DA in B314 bound human fibronectin whereas samples containing FbpB or the pBBE22<italic>luc</italic> shuttle vector control spirochetes exhibited no detectable binding (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref>). Consistent with the SPR experiments (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2A</bold>
</xref>
<xref ref-type="fig" rid="f2">
<bold>&#x2013;D</bold>
</xref>), recombinant MBP-FbpA-N fusion protein bound human fibronectin in this assay format, whereas the MBP-FbpB-N protein did not (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref>). Analysis of total lysate samples by SDS-PAGE (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S2B</bold>
</xref>) and FlaB protein by Western blot (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref>) demonstrated equivalent protein levels were used for comparison. These results show that while <italic>B. miyamotoi</italic> FbpA retains BBK32-like fibronectin-binding activity, FbpB does not.</p>
</sec>
<sec id="s3_3">
<title>
<italic>B. miyamotoi</italic> FbpA and FbpB Bind to Activated C1r in a BBK32-Like Manner</title>
<p>Next, we examined if <italic>B. miyamotoi</italic> FbpA and FbpB bound human C1r in a manner similar to <italic>B. burgdorferi</italic> BBK32 (<xref ref-type="bibr" rid="B32">32</xref>&#x2013;<xref ref-type="bibr" rid="B34">34</xref>). BBK32 binds C1r <italic>via</italic> a C-terminal domain where residues R248 and K327 are critical in mediating the interaction with the S1 site of the C1r serine protease (SP) domain and the B-loop of C1r, respectively (<xref ref-type="bibr" rid="B34">34</xref>). Each of these key residues are conserved in FbpA (i.e., R264 and K343), whereas in FbpB, only the arginine is conserved (i.e., R309) (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). We expressed and purified recombinant C-terminal truncation constructs of <italic>B. miyamotoi</italic> FbpA (FbpA-C), a site-directed double alanine mutant of FbpA-C (FbpA-R264A-K343A, denoted FbpA DA-C) (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S2C</bold>
</xref>), and FbpB (FbpB-C), and assessed their direct interaction with a recombinant activated C1r construct encompassing the complement control protein 2 and serine protease domains (C1r-CCP2-SP). SPR binding assays showed that FbpA-C and FbpB-C bound with high affinity to C1r-CCP2-SP with <italic>K</italic>
<sub>D</sub> = 0.90 nM and 1.4 nM, respectively (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3A</bold>
</xref>
<xref ref-type="fig" rid="f3">
<bold>, B</bold>
</xref> and <xref ref-type="table" rid="T4">
<bold>Table&#xa0;4</bold>
</xref>), whereas FbpA DA-C exhibited no detectable C1r-CCP2-SP binding (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>).</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Assessing the interaction of human C1r with <italic>B. miyamotoi</italic> FbpA and FbpB. SPR was used to assess protein-protein interactions between the C-terminal regions of each Fbp protein and activated C1r-CCP2-SP. Immobilized <bold>(A)</bold> FbpA-C, <bold>(B)</bold> FbpB-C, and <bold>(C)</bold> FbpA-C-R264A-K343A (referred to as FbpA DA-C throughout) were subjected to an injection series of serially diluted C1r-CCP2-SP (0.78 - 100 nM). A representative sensorgram from the three replicates for each Fbp is shown with the black curve being the sensorgram and the red curve the associated kinetic fit. <italic>K</italic>
<sub>D</sub> values were determined using kinetic fits and are shown as the mean +/- standard deviation of three replicates in <xref ref-type="table" rid="T4">
<bold>Table&#xa0;4</bold>
</xref>. A <italic>K</italic>
<sub>D</sub> value for C1r-CCP2-SP interactions with FbpA DA-C was not determined (N.D.). <bold>(D, E)</bold> Competition experiments were carried out using 25 nM C1r-CCP2-SP alone or mixed with 25 nM soluble Fbp proteins injected over FbpA-C <bold>(D)</bold> or FbpB-C <bold>(E)</bold>. <bold>(F)</bold> Comparisons of statistical significance were performed for data shown in panels <bold>(D, E)</bold> using a one-way ANOVA followed by a multiple comparison Tukey test (* = p &lt; 0.05).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-886733-g003.tif"/>
</fig>
<table-wrap id="T4" position="float">
<label>Table&#xa0;4</label>
<caption>
<p>SPR and complement assay results.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left"/>
<th valign="top" align="center">MBP-FbpA-N</th>
<th valign="top" align="center">MBP-FbpB-N</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">
<bold>SPR (Affinity Fit): Human Fibronectin (<italic>K</italic>
<sub>D</sub>)</bold>
</td>
<td valign="top" align="char" char="&#xb1;">170 &#xb1; 5.4 nM</td>
<td valign="top" align="center">N.D.</td>
</tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="center">
<bold>FbpA-C</bold>
</td>
<td valign="top" align="center">
<bold>FbpB-C</bold>
</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>SPR (Kinetic Fit):C1r-CCP2-SP (<italic>K</italic>
<sub>D</sub>)</bold>
</td>
<td valign="top" align="char" char="&#xb1;">0.90 &#xb1; 0.0017 nM</td>
<td valign="top" align="char" char="&#xb1;">1.4 &#xb1; 0.024 nM</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>SPR (Kinetic Fit):C1r-CCP2-SP (<italic>k</italic>
<sub>a</sub>)</bold>
</td>
<td valign="top" align="char" char="&#xb1;">3.3x10<sup>5</sup> &#xb1; 3.6x10<sup>3</sup> 1/Ms</td>
<td valign="top" align="char" char="&#xb1;">3.9x10<sup>5</sup> &#xb1; 5.3x10<sup>2</sup> 1/Ms</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>SPR (Kinetic Fit):C1r-CCP2-SP (<italic>k</italic>
<sub>d</sub>)</bold>
</td>
<td valign="top" align="char" char="&#xb1;">3.1x10<sup>-4</sup> &#xb1; 2.0x10<sup>-5</sup> 1/s</td>
<td valign="top" align="char" char="&#xb1;">5.5x10<sup>-4</sup> &#xb1; 8.8x10<sup>-6</sup> 1/s</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>Complement ELISA (IC<sub>50</sub>)</bold>
</td>
<td valign="top" align="center">23 (18 to 30) nM</td>
<td valign="top" align="center">1,900 (1,600 to 2,300) nM</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>Erythrocyte Hemolysis (IC<sub>50</sub>)</bold>
</td>
<td valign="top" align="center">220 (170 to 280) nM</td>
<td valign="top" align="center">N.D.</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>SPR (Kinetic Fit): C1r Zymogen (<italic>K</italic>
<sub>D</sub>)</bold>
</td>
<td valign="top" align="char" char="&#xb1;">0.85 &#xb1; 0.036 nM</td>
<td valign="top" align="center">N.D.</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>SPR (Kinetic Fit): C1r Zymogen (<italic>k</italic>
<sub>a</sub>)</bold>
</td>
<td valign="top" align="char" char="&#xb1;">2.2x10<sup>4</sup> &#xb1; 2.3x10<sup>3</sup> 1/Ms</td>
<td valign="top" align="center">N.D.</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>SPR (Kinetic Fit): C1r Zymogen (<italic>k</italic>
<sub>d</sub>)</bold>
</td>
<td valign="top" align="char" char="&#xb1;">1.9x10<sup>-5</sup> &#xb1; 1.2x10<sup>-6</sup> 1/s</td>
<td valign="top" align="center">N.D.</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>SPR (Kinetic Fit): Active C1r (<italic>K</italic>
<sub>D</sub>)</bold>
</td>
<td valign="top" align="char" char="&#xb1;">0.39 &#xb1; 0.049 nM</td>
<td valign="top" align="char" char="&#xb1;">1.1 &#xb1; 0.042 nM</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>SPR (Kinetic Fit): Active C1r (<italic>k</italic>
<sub>a</sub>)</bold>
</td>
<td valign="top" align="char" char="&#xb1;">6.8x10<sup>4</sup> &#xb1; 1.0x10<sup>3</sup> 1/Ms</td>
<td valign="top" align="char" char="&#xb1;">6.8x10<sup>4</sup> &#xb1; 8.0x10<sup>2</sup> 1/Ms</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>SPR (Kinetic Fit): Active C1r (<italic>k</italic>
<sub>d</sub>)</bold>
</td>
<td valign="top" align="char" char="&#xb1;">2.7x10<sup>-5</sup> &#xb1; 2.3x10<sup>-6</sup> 1/s</td>
<td valign="top" align="char" char="&#xb1;">7.6x10<sup>-5</sup> &#xb1; 3.6x10<sup>-6</sup> 1/s</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>Serum C1r Binding (EC<sub>50</sub>)</bold>
</td>
<td valign="top" align="center">0.27 (0.23 to 0.32) %</td>
<td valign="top" align="center">N.D.</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>95% Confidence interval = (), Standard deviation (S.D.)= &#xb1; S.D., N. D., Not Determined.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>Next, we determined if FbpA-C and FbpB-C could compete with one another for binding to C1r-CCP2-SP. Equimolar mixtures of C1r-CCP2-SP with soluble FbpA-C, FbpA DA-C or FbpB-C were injected over immobilized FbpA-C and FbpB-C. Significantly reduced binding signals were observed when soluble FbpA-C or FbpB-C was used, but not for FbpA DA-C, indicating that active FbpA and FbpB proteins are capable of competing with one another for binding to activated C1r (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3D&#x2013;F</bold>
</xref>). These results suggest that both FbpA and FbpB bind to activated C1r in a manner similar to what has been reported for BBK32 and underscores the importance of the conserved R248 and K327 residues (BBK32 numbering) in the FbpA/C1r interaction (<xref ref-type="bibr" rid="B34">34</xref>). Interestingly, although BBK32-K327 is not conserved in FbpB (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>), this did not preclude high-affinity interaction with activated C1r-CCP2-SP.</p>
</sec>
<sec id="s3_4">
<title>Differential Inhibition of Human Classical Pathway Complement Activation by <italic>B. miyamotoi</italic> FbpA and FbpB</title>
<p>
<italic>B. miyamotoi</italic> FbpA-C and FbpB-C were next assessed for the ability to inhibit the classical complement cascade due ostensibly to the inhibition of C1r. A classical pathway-specific ELISA-based assay was implemented with Fbp-based inhibitors and normal human serum (<xref ref-type="bibr" rid="B32">32</xref>&#x2013;<xref ref-type="bibr" rid="B34">34</xref>). As expected, in light of the C1r-CCP2-SP binding data (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref>), FbpA-C demonstrated potent inhibition of classical pathway-mediated complement activation (IC<sub>50</sub> = 23 nM), whereas the FbpA DA-C mutant lost all inhibitory activity (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref> and <xref ref-type="table" rid="T4">
<bold>Table&#xa0;4</bold>
</xref>). FbpB-C blocked complement activation but, surprisingly, was ~80-fold less potent than FbpA (IC<sub>50</sub> = 1,900 nM) despite having similar high affinity for activated C1r-CCP2-SP. To confirm these activities, each protein was serially diluted and incubated with opsonized sheep erythrocytes and normal human serum. Consistent with the ELISA-based assay, FbpA, but not FbpA DA prevented hemolysis (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>). In this assay format, FbpB-C had even lower activity, showing no inhibition at concentrations up to 4&#xb5;M.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Assessing the complement inhibitory properties of <italic>B. miyamotoi</italic> FbpA and FbpB <italic>in vitro</italic>. <bold>(A)</bold> An ELISA-based assay specific for CP complement activation was used to determine if FbpA-C and FbpB-C were able to inhibit human CP progression. FbpA-C, FbpA DA-C, and FbpB-C, were serially diluted two-fold then incubated with normal human serum, followed by detection of deposited C4b. IC<sub>50</sub> values were determined using normalized non-linear regression analysis and reported in <xref ref-type="table" rid="T4">
<bold>Table&#xa0;4</bold>
</xref> along with 95% confidence intervals. <bold>(B)</bold> A CP hemolysis assay was carried out using a two-fold serial dilution of Fbp proteins incubated with pre-sensitized sheep erythrocytes and 2% normal human serum. MAC formation and progression of the CP was measured by detecting MAC-mediated erythrocyte hemolysis. IC<sub>50</sub> values were determined using normalized non-linear regression analysis and reported in <xref ref-type="table" rid="T4">
<bold>Table&#xa0;4</bold>
</xref> along with 95% confidence intervals.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-886733-g004.tif"/>
</fig>
</sec>
<sec id="s3_5">
<title>Structural Differences Between <italic>B. miyamotoi</italic> FbpA-C and FbpB-C</title>
<p>While differences in the ability of <italic>B. miyamotoi</italic> FbpA and FbpB to bind fibronectin are likely attributed to low sequence conservation of critical fibronectin-binding motifs in FbpB (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>) (<xref ref-type="bibr" rid="B36">36</xref>, <xref ref-type="bibr" rid="B37">37</xref>, <xref ref-type="bibr" rid="B66">66</xref>, <xref ref-type="bibr" rid="B69">69</xref>, <xref ref-type="bibr" rid="B70">70</xref>), the basis for differences in the complement inhibitory activities of FbpA-C and FbpB-C were less clear. To determine if FbpA and FbpB have altered structures in their C1r-binding C-terminal regions, we solved the crystal structures of each protein. FbpA-C crystals diffracted to a limiting resolution of 1.9&#xc5; (R<sub>free (%)</sub>/R<sub>work (%)</sub> = 20.6/23.2) (PDB: 7RPR) (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>, <xref ref-type="supplementary-material" rid="SM1">
<bold>Figures S3A, B</bold>
</xref> and <xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>). FbpB-C was recalcitrant to crystallization; however, an active FbpB-C construct lacking five C-terminal residues (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S4</bold>
</xref>, referred to as FbpB-&#x394;5C hereafter), was crystallized and the structure resolved to a limiting resolution of 2.1&#xc5; (R<sub>free (%)</sub>/R<sub>work (%)</sub> = 22.5/25.8) (PDB: 7RPS) (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>, <xref ref-type="supplementary-material" rid="SM1">
<bold>Figures S3C, D</bold>
</xref> and <xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>).</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>The crystal structures of <italic>B. miyamotoi</italic> FbpA-C and FbpB-&#x394;5C. Crystal structures of <bold>(A)</bold> FbpA-C (PDB Code: 7RPR) and <bold>(B)</bold> FbpB-&#x394;5C (PDB Code: 7RPS) were solved to a limiting resolution of 1.9&#xc5; and 2.1&#xc5;, respectively. Both FbpA-C and FbpB-&#x394;5C are shown as a color spectrum where blue represents the N-terminus and red represents the C-terminus. <bold>(C)</bold> A structural alignment of FbpA-C (purple), FbpB-&#x394;5C (yellow), and <italic>B</italic>) <italic>burgdorferi</italic> BBK32-C (cyan, PDB Code: 6N1L). <bold>(D)</bold> Each protein is structurally similar near the functionally critical BBK32-R248 residue (i.e., FbpA-R264 and FbpB-R309). <bold>(E)</bold> Differences between BBK32-C, FbpA-C, and FbpB-C are found at the functionally critical BBK32-K327 residue (K343 in <italic>B miyamotoi</italic> FbpA). FbpB-&#x394;5C shows an altered secondary structure with an extended loop structure corresponding to residues Q394-Q405 that aligns to the alpha helical structures found in both FbpA-C and BBK32-C.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-886733-g005.tif"/>
</fig>
<p>A structural overlay with BBK32-C (PDB: 6N1L) and <italic>B. miyamotoi</italic> FbpA-C and FbpB-&#x394;5C reveals that all three proteins have similar folds involving a core four-helix bundle (helices 1, 3, 4, and 5) with alpha helix 2 extending away from the core (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>). BBK32-C was previously shown to interact with activated C1r using two primary binding sites: i) the active site of C1r involving several BBK32 residues, including R248, and ii) the B-loop of C1r involving residues on the fifth alpha helix, including K327 (<xref ref-type="bibr" rid="B34">34</xref>). A structural overlay of FbpA-C, FbpB-&#x394;5C, and BBK32-C shows that the three proteins retain an overall similar structure around the conserved R248 residue (BBK32 numbering) (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5D</bold>
</xref>). However, we noted that the area near BBK32-K327 involves a minor structural alteration in FbpA-C and a more major alteration in FbpB-&#x394;5C (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5E</bold>
</xref>). In FbpA-C, the kinked portion of alpha helix 5 extends one turn longer than in BBK32, resulting in FbpA-C containing an additional surface-exposed residue on this helix (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5E</bold>
</xref>). More strikingly, the structure of FbpB-&#x394;5C has a significantly altered secondary structure in this region when compared to both FbpA-C and BBK32-C (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5E</bold>
</xref>). Specifically, FbpB-&#x394;5C shows a loss of secondary structure within alpha helix 5 that accommodates a loop insertion sequence (i.e., residues Q394-Q405), which are not conserved in both BBK32-C or FbpA-C. Furthermore, a proline residue (P397) in this sequence interrupts the alpha helical secondary structure in FbpB-&#x394;5C. A portion of this unique loop structure in FbpB has apparent increased disorder in the crystal structure, indicated by weak electron density surrounding residues 401-403 in this region of the protein. Collectively, these data show that FbpA and FbpB are structurally divergent from BBK32 at a functionally critical region of the protein on the fifth alpha helix (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5C</bold>
</xref>
<xref ref-type="fig" rid="f5">
<bold>&#x2013;E</bold>
</xref>).</p>
</sec>
<sec id="s3_6">
<title>
<italic>B. miyamotoi</italic> FbpA and FbpB Differentially Recognize C1r Activation States</title>
<p>C1r is a serine protease subcomponent of the C1 complex which circulates in blood as an inactive zymogen, and is converted to an activated enzyme by autocatalysis when C1 binds to an activating ligand (<xref ref-type="bibr" rid="B71">71</xref>&#x2013;<xref ref-type="bibr" rid="B75">75</xref>). This transition involves a conformational change in the SP domain of C1r resulting in a rearrangement of several loop structures, including the C1r B-loop (<xref ref-type="bibr" rid="B75">75</xref>) (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S5</bold>
</xref>). We have previously shown that BBK32 binds to both active and zymogen forms of C1r in a manner that relies on R248 and K327 (<xref ref-type="bibr" rid="B34">34</xref>). Given the involvement of B-loop residues in the BBK32-K327 binding site, the observed structural differences at this site in the Fbp crystal structures (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5</bold>
</xref>), and the potential for different conformations of this loop between zymogen and active states of C1r (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S5</bold>
</xref>) (<xref ref-type="bibr" rid="B75">75</xref>), we hypothesized that FbpA and FbpB may have altered recognition properties for zymogen C1r.</p>
<p>To assess this, <italic>B. miyamotoi</italic> FbpA-C and FbpB-C were immobilized on an SPR chip and a five-fold dilution series of either zymogen or active forms of full-length purified C1r were injected over each surface. Interestingly, while FbpA-C was able to bind to both zymogen and active forms of C1r readily (C1r zymogen <italic>K</italic>
<sub>D</sub> = 0.85 &#xb1; 0.036 nM, active C1r <italic>K</italic>
<sub>D</sub> = 0.39 &#xb1; 0.049 nM), FbpB selectively interacted with active C1r only (active C1r <italic>K</italic>
<sub>D</sub>= 1.1 &#xb1; 0.042 nM) (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>). We next confirmed that the selective nature of FbpB was observed with full-length proteins expressed in <italic>B. burgdorferi</italic> B314 strains in an approach identical to that presented for fibronectin in <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref>. Whereas FbpA could recognize both zymogen and activated forms of purified C1r, FbpB preferentially bound activated C1r. The negative controls, FbpA DA and vector-only lysates, did not bind either form of C1r as expected (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6B</bold>
</xref>), although we note that FbpA DA retained fibronectin binding (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref>).</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>FbpA-C and FbpB-C interact differentially with zymogen and activated forms of human C1r. <bold>(A)</bold> Single cycle SPR was used to determine binding affinities of C1r zymogen or active C1r ranging from 0.16 - 100 nM injected over immobilized Fbps. A representative sensorgram from a three-injection series for each Fbp-C and C1r active state is shown with the black curve being the sensorgram and the red curve the associated kinetic fit. <italic>K</italic>
<sub>D</sub>&#x2019;s were determined using kinetic fits and are shown as the average and standard deviation of three replicates in <xref ref-type="table" rid="T4">
<bold>Table&#xa0;4</bold>
</xref>. <bold>(B)</bold> Far Western overlays using <italic>B. burgdorferi</italic> B314 lysates probed with zymogen or enzymatic forms of purified full-length C1r, followed by an antibody to C1r. <bold>(C)</bold> An ELISA-type binding assay was used to determine the ability of FbpA-C, FbpA DA-C and FbpB-C to interact with C1r in human serum. FbpA-C (black), FbpB-C (blue), and FbpA DA-C (red) were immobilized on an ELISA plate then incubated with a two-fold dilution series of normal human serum ranging from 0.0012-10%. Corresponding EC<sub>50</sub> values for FbpA-C, FbpB-C, and FbpA DA-C are reported in <xref ref-type="table" rid="T4">
<bold>Table&#xa0;4</bold>
</xref>. <bold>(D)</bold> Fbp-mediated inhibition of purified active C1r-CCP2-SP enzymatic activity was assessed by incubating 15 nM C1r-CCP2-SP with a 1 &#x3bc;M of FbpA-C (white), FbpB-C (striped), and FbpA DA-C (grey). C1r-CCP2-SP enzymatic activity was determined by incubation with a C1r substrate (Z-Gly-Arg-sBzl) that, once cleaved, reacts with DTNB resulting in a colorimetric change. No statistical difference was found between FbpA-C and FbpB-C inhibitory activity, whereas FbpA DA-C exhibited significant loss in inhibitory activity. Statistical analysis was performed using a one-way ANOVA followed by a multiple comparison Tukey test (*=p&lt;0.05).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-886733-g006.tif"/>
</fig>
<p>We considered whether the apparent zymogen/active C1r selectivity differences between FbpA and FbpB could be observed in serum where C1r is in a zymogen form (<xref ref-type="bibr" rid="B71">71</xref>&#x2013;<xref ref-type="bibr" rid="B74">74</xref>). To test this, we implemented a serum-based ELISA-type binding assay. <italic>B. miyamotoi</italic> FbpA-C, FbpB-C, and FbpA DA-C were immobilized onto an ELISA plate and incubated with a dilution series of normal human serum followed by detection of C1r binding using a C1r antibody. FbpA-C readily bound serum C1r (half-maximal effective concentration (EC<sub>50</sub>) = 0.27% (v/v) serum concentration), while FbpB-C and FbpA DA-C did not (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6C</bold>
</xref>). However, consistent with the ability of FbpB-C to bind tightly to previously activated forms of C1r (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3</bold>
</xref>, <xref ref-type="fig" rid="f6">
<bold>6A</bold>
</xref>), FbpB-C inhibited the enzymatic activity of pre-activated C1r-CCP2-SP enzyme similar to FbpA-C (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6D</bold>
</xref>). Collectively, these results show that, like BBK32, <italic>B. miyamotoi</italic> FbpA can bind and inhibit both the zymogen and active forms of C1r, whereas <italic>B. miyamotoi</italic> FbpB selectively interacts with and inhibits only the active form of the C1r protease.</p>
</sec>
<sec id="s3_7">
<title>
<italic>B. miyamotoi</italic> Fbp Proteins Protect a Serum-Sensitive Strain of <italic>B. burgdorferi</italic> From Complement-Mediated Killing</title>
<p>Next, we assessed the protection <italic>B. miyamotoi</italic> FbpA and FbpB conferred to <italic>B. burgdorferi</italic> B314 when ectopically expressed on the cell surface. Since <italic>B. miyamotoi</italic> has not yet been genetically manipulated, we modeled these proteins&#x2019; surface expression and activity in B314 relative to a pBBE22<italic>luc</italic> vector-only control and cells producing BBK32, given that BBK32 confers serum resistance to strain B314 (<xref ref-type="bibr" rid="B32">32</xref>&#x2013;<xref ref-type="bibr" rid="B34">34</xref>). As a prelude to the serum sensitivity assay, we first tested whether <italic>B. miyamotoi</italic> FbpA, FbpA DA or FbpB were surface exposed in <italic>B. burgdorferi</italic> strain B314 relative to a B314 BBK32 control, as well as expressed on the surface of <italic>B. miyamotoi</italic> strain FR64b, using the well-established proteinase K accessibility assay (<xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B76">76</xref>). The results clearly show that FbpA, FbpA DA, FbpB, and BBK32 were all produced and are all protease-sensitive, indicating surface exposure in strain B314. However, only FbpA is detected on the surface of <italic>B. miyamotoi</italic> strain FR64b, potentially due to the <italic>in vitro</italic> growth conditions not being conducive for expression of <italic>fbpB</italic> (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>). Importantly, the subsurface endoflagellar protein, FlaB, was unaffected by the treatment in both <italic>B. miyamotoi</italic> strain FR64b and <italic>B. burgdorferi</italic> B314, indicating the preserved structural integrity of the borrelial cells tested (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>). As observed in <xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S2A</bold>
</xref>, antibody to <italic>B. miyamotoi</italic> FbpB also recognized FbpA and FbpA DA, albeit to a lesser extent (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>).</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>Determining the ability of surface-expressed <italic>B. miyamotoi</italic> FbpA and FbpB to protect a serum-sensitive strain of <italic>B. burgdorferi</italic>. <bold>(A)</bold> Western blots of lysates from <italic>B. miyamotoi</italic> strain FR64b and <italic>B burgdorferi</italic> B314 isolates expressing <italic>fbpA</italic>, <italic>fbpA-DA</italic>, <italic>fbpB</italic>, and <italic>bbk32</italic> were probed with antibodies to FbpA (anti-FbpA), FbpB (anti-FbpB), BBK32 (anti-BBK32) and FlaB (anti-FlaB), the latter as a loading control and a control for a subsurface target. Vector refers to the plasmid-only backbone sample (B314/pBBE22<italic>luc</italic>). Samples from each population were subjected to proteinase K accessibility treatments to determine the surface expression of the proteins. Due to its periplasmic location, the flagellar protein, FlaB, is unaffected by proteinase K in intact cells and depicts structural integrity in the treated <italic>B. miyamotoi</italic> and B314 derivatives listed. <bold>(B)</bold> <italic>B. miyamotoi</italic> Fbp proteins were tested for their ability to confer resistance to normal human serum (NHS) sensitive <italic>B. burgdorferi</italic> strain B314 relative to vector-only and BBK32-expressing controls (negative and positive controls, respectively). Asterisks depict a significant increase in survival relative to FbpA DA and the vector control (*=p&lt;0.0001). All strains exposed to heat inactivated NHS (hiNHS), rendering complement proteins inactive, were largely unaffected. <bold>(C)</bold> Rescue assays were used to determine if soluble exogenous recombinant proteins could promote survival of serum-sensitive vector-containing <italic>B. burgdorferi</italic> B314. Increasing five-fold concentrations of BBK32-C, FbpA-C, FbpA DA-C, and FbpB-C were added in serum sensitivity assays. The middle samples (i.e., 240 nM) have added recombinant protein that is roughly equivalent to the concentration of C1r in the assay conditions employed. Cells were assessed <italic>via</italic> darkfield microscopy. Included as controls are a vector-only strain of B314 with no exogenous protein addition, as well as a BBK32-producing B314 isolate (right side). Asterisks depict a significant increase in survival relative to the vector control (*=p&lt;0.015). Significance for serum sensitivity and rescue assays was determined using two-way ANOVA with a &#x160;id&#xe1;k correction for multiple comparisons.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-886733-g007.tif"/>
</fig>
<p>We then exposed each B314 knock-in strain to normal human serum and assessed the viability of the cells. <italic>B. miyamotoi</italic> FbpA conferred levels of resistance comparable to BBK32, while the FbpA DA strain was as sensitive to serum killing as the vector-only control (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>). In contrast to the lower apparent inhibitory activity of recombinant FbpB-C (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref>), <italic>B. burgdorferi</italic> strain B314 producing FbpB on the surface also conferred significant protection against human serum (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>). In order to more fully address differences in the resistance observed for FbpB in the prior assays, we incubated serum sensitive B314 pBBE22<italic>luc</italic> with differential levels of <italic>B. miyamotoi</italic> FbpA-C, FbpB-C, FbpA DA-C, and <italic>B. burgdorferi</italic> BBK32-C to ask whether these soluble components could provide resistance to complement-dependent killing with normal human serum and thus &#x201c;rescue&#x201d; this sensitive <italic>B. burgdorferi</italic> strain. Exogenous addition of the C-terminus of the <italic>B. miyamotoi</italic> Fbps and <italic>B. burgdorferi</italic> BBK32-C resulted in dose-dependent rescue for BBK32-C, FbpA-C, and FbpB-C (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7C</bold>
</xref>). However, the inhibitory effect was weaker for FbpB-C, with significant inhibition observed only at the 1.2 &#xb5;M treatment, which is comparable to the IC<sub>50</sub> value observed for FbpB-C in the ELISA-based inhibition assay (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref>). Consistent with its inability to inhibit complement, addition of FbpA DA-C was unable to rescue serum-based killing of B314 pBBE22<italic>luc</italic> cells at any of the protein concentrations used (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7C</bold>
</xref>). Collectively, these data demonstrate that ectopically-produced <italic>B. miyamotoi</italic> FbpA and FbpB confer resistance to human serum.</p>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>Like other tick-borne microbial agents, <italic>B. miyamotoi</italic> spirochetes must survive host immune defenses, including complement, beginning at the tick bloodmeal stage and throughout host infection. <italic>B. miyamotoi</italic> has been reported to evade the alternative pathway (AP) of complement through recruitment of endogenous complement regulators or plasmin, and produces lipoproteins that directly bind to and inhibit complement proteins, like CbiA, to protect the spirochete from complement-mediated killing (<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B77">77</xref>). However, little is known about how <italic>B. miyamotoi</italic> defends against the classical pathway (CP), which may be particularly important during later stages of infection when an adaptive immune response has been developed. Interestingly, the Lyme disease spirochete <italic>B. burgdorferi</italic> has evolved at least two mechanistically distinct inhibitors of the classical complement pathway, i) BBK32 (<xref ref-type="bibr" rid="B32">32</xref>&#x2013;<xref ref-type="bibr" rid="B34">34</xref>) and ii) ElpB/ElpQ (<xref ref-type="bibr" rid="B78">78</xref>). As <italic>elp</italic> genes with CP inhibitory activity have yet to be identified in <italic>B. miyamotoi</italic> genomes, we hypothesized that <italic>B. miyamotoi</italic> may use orthologs of BBK32 to neutralize the classical complement cascade and/or exert BBK32-like fibronectin-binding activity (<xref ref-type="bibr" rid="B32">32</xref>&#x2013;<xref ref-type="bibr" rid="B34">34</xref>).</p>
<p>
<italic>B. miyamotoi</italic> strain FR64b encodes two BBK32 orthologs, FbpA and FbpB, that share 56% and 25% amino acid sequence identity to <italic>B. burgdorferi</italic> strain B31 BBK32, respectively (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1B</bold>
</xref>, <xref ref-type="supplementary-material" rid="SM1">
<bold>S1</bold>
</xref>). <italic>B. miyamotoi</italic> strain LB-2001, a North American strain of <italic>B. miyamotoi</italic> (<xref ref-type="bibr" rid="B24">24</xref>), also encodes FbpA and FbpB proteins with 85% and 81% identity to FR64b FbpA and FbpB, respectively. We found that <italic>B. miyamotoi</italic> strain FR64b FbpA exhibits similar activity to BBK32 for both fibronectin-binding and C1r-binding/inhibition. The results presented herein highlight that FbpA and BBK32 are multifunctional proteins capable of interacting with more than one host protein <italic>via</italic> separate domains (<xref ref-type="bibr" rid="B32">32</xref>&#x2013;<xref ref-type="bibr" rid="B37">37</xref>, <xref ref-type="bibr" rid="B40">40</xref>, <xref ref-type="bibr" rid="B64">64</xref>&#x2013;<xref ref-type="bibr" rid="B68">68</xref>). Similar to what has been proposed for <italic>B. burgdorferi</italic> BBK32, the anti-C1r activity found here for FbpA may selectively protect <italic>B. miyamotoi</italic> from CP-mediated complement killing. This is supported by the ability of FbpA to protect previously serum-sensitive spirochetes from complement-mediated bacteriolysis (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>). The functional consequence of the fibronectin-binding activity of <italic>B. miyamotoi</italic> FbpA interacting with fibronectin may be related to extravasation as has been shown for BBK32 (<xref ref-type="bibr" rid="B35">35</xref>&#x2013;<xref ref-type="bibr" rid="B37">37</xref>, <xref ref-type="bibr" rid="B40">40</xref>, <xref ref-type="bibr" rid="B64">64</xref>&#x2013;<xref ref-type="bibr" rid="B68">68</xref>), and/or it may serve other functions including acting as an adhesin to the vascular endothelium or binding to plasma fibronectin, another activity reported for BBK32 (<xref ref-type="bibr" rid="B38">38</xref>, <xref ref-type="bibr" rid="B65">65</xref>, <xref ref-type="bibr" rid="B79">79</xref>).</p>
<p>The functional consequence of <italic>B. miyamotoi</italic> FbpA and FbpB production within a host will need to be investigated <italic>in vivo</italic>. A current limitation is the lack of an immunocompetent mouse model for <italic>B. miyamotoi</italic> to determine the temporal expression of <italic>fbpA</italic> and <italic>fbpB</italic> during mammalian infection. The culturing of <italic>B. miyamotoi</italic> is possible (<xref ref-type="bibr" rid="B24">24</xref>), but challenging, and allows for only limited experimentation. Additionally, genetic manipulation of <italic>B. miyamotoi</italic> has not yet been reported. To overcome these challenges, we used an established human serum sensitivity assay in which serum resistance can be quantitatively measured and correlated with protein production of <italic>B. miyamotoi</italic> FbpA and FbpB on the surface of the serum-sensitive <italic>B. burgdorferi</italic> strain B314, e.g., as a &#x201c;knock-in&#x201d; construct (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>) (<xref ref-type="bibr" rid="B32">32</xref>&#x2013;<xref ref-type="bibr" rid="B34">34</xref>). Alternatively, we tested whether the addition of exogenous FbpA-C, FbpA DA-C, or FbpB-C could &#x201c;rescue&#x201d; normal human serum-dependent killing of a sensitive B314 derivative (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7C</bold>
</xref>). The &#x201c;knock-in&#x201d; system is a minimalist approach that measures the complement inhibitory activity of surface-exposed proteins due to the absence of all linear plasmid-encoded lipoproteins and the concomitant absence of redundant immune evasion mechanisms. Proteinase K accessibility assays confirmed the surface localization of <italic>B. miyamotoi</italic> FbpA, FbpA DA, and FbpB in the surrogate <italic>B. burgdorferi</italic> B314 knock-in background (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>). Interestingly, only FbpA was produced following <italic>in vitro</italic> cultivation of <italic>B. miyamotoi</italic> strain FR64b and surface-expression was also confirmed; no FbpB was detectable by Western immunoblotting (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>). Limited cultivation conditions were tested here for <italic>B. miyamotoi</italic> and additional experimentation using mammalian-like growth conditions may also induce FbpB production comparable to that observed for pathogenesis-associated proteins in <italic>B. burgdorferi</italic> (<xref ref-type="bibr" rid="B80">80</xref>).</p>
<p>In contrast to <italic>B. miyamotoi</italic> FbpA, we found that FbpB fails to interact with human fibronectin in a BBK32-like manner and lacks a key motif that is known to be important for BBK32 recognition of fibronectin (<xref ref-type="bibr" rid="B37">37</xref>, <xref ref-type="bibr" rid="B66">66</xref>) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>). The C1r-binding activity for FbpB proved to be more complex. Unlike BBK32/FbpA, FbpB fails to interact with zymogen forms of human C1r but instead selectively binds and inhibits the activated form (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3</bold>
</xref>, <xref ref-type="fig" rid="f6">
<bold>6A, B, D</bold>
</xref>). The crystal structures presented here of FbpA-C and FbpB-C show that a defining feature of the C1r-binding domains for BBK32 and <italic>B. miyamotoi</italic> Fbps is a four-helix core with an extended second alpha helix that presents a functional arginine residue on a small surface-loop (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5C</bold>
</xref>
<xref ref-type="fig" rid="f5">
<bold>, D</bold>
</xref>). However, the crystal structure of FbpB revealed structural differences in the fifth alpha helix relative to FbpA and BBK32. FbpB has a divergent loop structure in this region and therefore lacks the same secondary structure seen in both FbpA and BBK32 (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5E</bold>
</xref>). We have previously shown that residues on the fifth alpha helix of BBK32 interact with a non-active site loop on C1r known as the B-loop (<xref ref-type="bibr" rid="B34">34</xref>). Despite these structural differences, FbpB-C was still capable of saturable inhibition of human complement activation, although at several orders of magnitude weaker potency in the ELISA-based assay (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>). Recombinant FbpB-C also protected serum sensitive spirochetes from complement-mediated killing, but was significantly weaker in its ability to do so relative to FbpA-C (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7C</bold>
</xref>). Initially, these results pointed to FbpA being the more relevant classical pathway complement inhibitor in <italic>B. miyamotoi</italic> and suggested that targeting of the zymogen form of human C1r is an important functional feature of this class of inhibitors. However, in our serum sensitivity assays, where <italic>B. miyamotoi</italic> FbpA and FbpB were produced ectopically on the surface of <italic>B. burgdorferi</italic>, both proteins conferred significantly greater protection to B314 than FbpA DA or the vector-only control (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>). These data suggest that within the physiological context of complement activation on the spirochete surface, FbpB&#x2019;s inhibition of activated C1r is sufficient to prevent downstream complement activation. Thus, the selective recognition of activated C1r by FbpB implies that it functions at a different temporal or spatial level than FbpA. Combined with the differences in relative fibronectin-binding activities of FbpA and FbpB, our data suggest that Fbp proteins have evolved to have partially overlapping, but non-identical functions compared to the Lyme disease-associated BBK32 orthologs.</p>
<p>Nonetheless, <italic>B. miyamotoi</italic> FbpB&#x2019;s conferred resistance in the human serum sensitivity assays was initially surprising based on <italic>in vitro</italic> biochemical data showing very limited inhibition of serum-based complement activation (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>). The lack of consensus between FbpB activity in the human serum sensitivity assay relative to FbpB-C likely reflects differences in the truncated soluble form of the recombinant protein relative to the full-length lipoprotein-tethered surface-exposed configuration (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>). Given that soluble FbpB-C significantly protected serum-sensitive spirochetes at high concentrations (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7C</bold>
</xref>), one explanation may be that differences observed in the B314 background are related to sufficient protein concentrations of surface-exposed FbpB that can confer complement resistance to these borrelial cells (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>). Another possibility is suggested by the observation that soluble FbpB-C does not interact with zymogen C1r in serum (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6C</bold>
</xref>), but rather interacts and inhibits C1r only once activated (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6</bold>
</xref>). Thus soluble forms of FbpA, but not FbpB, are capable of binding to C1r prior to surface activation. This difference likely makes the inhibitory activity of FbpB more dependent on surface localization compared to FbpA, which binds tightly to zymogen C1r in solution (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6C</bold>
</xref>).</p>
<p>In summary, we have characterized the structure and function of two <italic>bbk32</italic> orthologs within the emerging pathogen <italic>B. miyamotoi</italic>, termed FbpA and FbpB. Our investigation showed that FbpA and FbpB share some activities with one another and with <italic>B. burgdorferi</italic> BBK32. However, important differences &#x2013; both structurally and at the functional level &#x2013; were found to influence their relative ability to interact with both human fibronectin and complement C1r. Surprisingly, our data suggest that <italic>B. burgdorferi</italic> BBK32 and <italic>B. miyamotoi</italic> Fbp proteins have evolved distinct molecular mechanisms across the family of inhibitors. These observations have significance for understanding how <italic>B. miyamotoi</italic> modulates the host immune response and provides novel insight into the diverse structure-function relationships of this multifunctional class of borrelial lipoproteins.</p>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found below: <uri xlink:href="http://www.wwpdb.org/">http://www.wwpdb.org/</uri>, 7RPR, <uri xlink:href="http://www.wwpdb.org/">http://www.wwpdb.org/</uri>, 7RPS.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics Statement</title>
<p>The animal work described herein was reviewed and approved by Texas A&amp;M IACUC.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author Contributions</title>
<p>CB and AP-P are equal contributors. JS and BG are co-corresponding authors. JS and BG designed research. CB and AP-P conducted research. AP-P, JS, BG CB analyzed data. CB, AP-P, JS, and BG wrote the paper.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>Support was provided by Public Health Service Grant R01-AI146930 from the National Institute of Allergy and Infectious Diseases (to JS and BG). X-ray diffraction data were collected at Southeast Regional Collaborative Access Team 22-ID beamline at the Advanced Photon Source, Argonne National Laboratory. Supporting institutions may be found at <uri xlink:href="http://www.ser-cat.org/members.html">www.ser-cat.org/members.html</uri>.</p>
</sec>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<sec id="s11" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2022.886733/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2022.886733/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet_1.pdf" id="SM1" mimetype="application/pdf"/>
</sec>
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