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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2022.793205</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>A New Vaccination Method Based on Phage Ngo&#x03A6;6 and Its Phagemid Derivatives</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Piekarowicz</surname> <given-names>Andrzej</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>K&#x0142;y&#x017C;</surname> <given-names>Aneta</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Stein</surname> <given-names>Daniel C.</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/321363/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Department of Virology, Faculty of Biology, Institute of Microbiology, University of Warsaw</institution>, <addr-line>Warsaw</addr-line>, <country>Poland</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Cell Biology and Molecular Genetics, University of Maryland, College Park</institution>, <addr-line>College Park, MD</addr-line>, <country>United States</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Rustam Aminov, University of Aberdeen, United Kingdom</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Dragana Gagic, Massey University, New Zealand; David Peabody, University of New Mexico School of Medicine, United States</p></fn>
<corresp id="c001">&#x002A;Correspondence: Daniel C. Stein, <email>dcstein@umd.edu</email></corresp>
<fn fn-type="other" id="fn004"><p>This article was submitted to Antimicrobials, Resistance and Chemotherapy, a section of the journal Frontiers in Microbiology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>28</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>793205</elocation-id>
<history>
<date date-type="received">
<day>13</day>
<month>10</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>28</day>
<month>03</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2022 Piekarowicz, K&#x0142;y&#x017C; and Stein.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Piekarowicz, K&#x0142;y&#x017C; and Stein</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>Phagemid particles based on the <italic>Neisseria gonorrhoeae</italic> filamentous phage Ngo&#x03A6;6 were used as a vaccine delivery system. We demonstrate that the host proteins incorporated into/associated with these particles can be encoded by chromosomal genes of the host bacterium or from plasmids able to replicate as an autonomous entity in the phagemid host. Phagemid particles were prepared from three types of cells, namely, <italic>Salmonella enterica</italic> ser. Typhimurium [pBSKS::&#x03A6;6fm(ST)] containing phagemid genome as an autonomous plasmid, <italic>Haemophilus influenzae</italic> Rd containing phagemid [pBSKS::&#x03A6;6fm(Hin)] integrated into the chromosome, and <italic>S. enterica</italic> ser. Typhimurium [pMPMT6::&#x03A6;6fm(ST)] containing an additional plasmid, pE1 HCV, encoding the Hepatitis C virus envelope glycoprotein E1. Approximately 200 &#x03BC;g of purified phage particles was used to immunize rabbits. The phagemid particles prepared from these three strains all elicited a large amount of IgG antibodies that were able to recognize bacterial host cells and proteins, as determined by ELISA and FACS analysis. The amount of specific anti-<italic>S. enterica</italic> ser. Typhimurium, anti-<italic>H. influenzae</italic>, and anti-E1 HCV antibodies elicited by vaccination was 170 &#x03BC;g/ml for anti-<italic><italic>Salmonella</italic></italic>, 80 &#x03BC;g/ml for anti-<italic><italic>H. influenzae</italic></italic>, and 65 &#x03BC;g/ml for anti-E1 HCV. Taken in toto, these data suggest that classical phage display methods have underestimated the potential for filamentous phage as a novel immunogen delivery system.</p>
</abstract>
<kwd-group>
<kwd>vaccine</kwd>
<kwd>phage display</kwd>
<kwd>filamentous phagemid display method without protein fusions</kwd>
<kwd>IgG induction</kwd>
<kwd>FACS analysis</kwd>
</kwd-group>
<contract-sponsor id="cn001">National Institutes of Health<named-content content-type="fundref-id">10.13039/100000002</named-content></contract-sponsor>
<contract-sponsor id="cn002">Ministerstwo Edukacji i Nauki<named-content content-type="fundref-id">10.13039/501100004569</named-content></contract-sponsor>
<counts>
<fig-count count="6"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="28"/>
<page-count count="8"/>
<word-count count="5867"/>
</counts>
</article-meta>
</front>
<body>
<sec id="S1" sec-type="intro">
<title>Introduction</title>
<p>Bacteriophages have been used to make numerous contributions in the development of molecular biology and biotechnology, and in the development of vaccines. In molecular biology, phage display technology has been broadly used to study protein-protein interactions (<xref ref-type="bibr" rid="B10">Henry et al., 2015</xref>), library technology, immunotherapy (<xref ref-type="bibr" rid="B11">Hess and Jewell, 2020</xref>), antibody phage display technology (<xref ref-type="bibr" rid="B22">Roth et al., 2021</xref>), and for general biomedical science applications (<xref ref-type="bibr" rid="B1">Alfaleh et al., 2020</xref>). Based on phages, vaccines are classified into three types, namely, phage DNA vaccines, phage display vaccines, and hybrid vaccines (<xref ref-type="bibr" rid="B2">Bao et al., 2019</xref>; <xref ref-type="bibr" rid="B28">Zalewska-Piatek and Piatek, 2021</xref>). Phage DNA vaccines contain an expression cassette of antigens or mimetics in the phage genome (<xref ref-type="bibr" rid="B8">Gonz&#x00E1;lez-Mora et al., 2020</xref>). Phage display vaccines consist of phages that display peptides or proteins fused to phage coat proteins with different peptides or proteins that are expressed as a single protein unit presented on the surface of the phage particle (<xref ref-type="bibr" rid="B26">Stern et al., 2019</xref>). The third type of vaccine is a combination of the two types mentioned earlier.</p>
<p>The broad application of phage display technology in the construction of vaccines encounters some difficulties and limitations [see reviews by <xref ref-type="bibr" rid="B2">Bao et al. (2019)</xref> and <xref ref-type="bibr" rid="B28">Zalewska-Piatek and Piatek (2021)</xref>]. Among them are the necessity of finding a peptide with the correct strong antigenic properties, limitations in the length of peptide that can be fused with the phage protein without influencing phage stability and infection properties, and loss of correct folding of phage protein, fused foreign peptide, or both. While existing phage display methods are based on the formation of a protein fusion between phage structural proteins and foreign peptides, we have developed a phage incorporation method (PhIM) that does not need the formation of protein fusions. This method is based on our previous publications that indicate the following: (1) phage Ngo&#x03A6;6 can form phagemid particles from any Gram-negative bacterium where the phage genome is cloned into a plasmid that is able to replicate in that organism; (2) phagemid can be transferred into other bacteria by transformation (transfection) or by infection; (3) phagemid replicating in Gram-negative bacteria produce infective phagemid particles; (4) bacteria carrying such phagemid produce phagemid particles that show very strong antigenic properties and elicit antibodies against phage proteins without the use of any adjuvants; and (5) the viral particles of filamentous phages replicating in <italic>Neisseria gonorrhoeae</italic> and phagemids containing cloned Ngo&#x03A6;6 genome into any type of plasmid contain not only phage-encoded proteins but also proteins encoded by bacterial genome and foreign genes (<xref ref-type="bibr" rid="B19">Piekarowicz et al., 2014</xref>, <xref ref-type="bibr" rid="B18">2016</xref>; <xref ref-type="bibr" rid="B14">K&#x0142;y&#x017C; and Piekarowicz, 2018</xref>). We showed that bacterial host proteins associated with the phage filament (as identified by mass spectrometry) tended to be one of the predominant outer membrane components of the host strain, plus minor additional host proteins (<xref ref-type="bibr" rid="B17">Piekarowicz et al., 2020</xref>). Examples of the proteins include PorB and Opa from <italic>N</italic>. <italic>gonorrhoeae</italic>, flagellin from <italic>S</italic>. <italic>enterica sv</italic>. Typhimurium, and OmpA from <italic>E</italic>. <italic>coli.</italic></p>
<p>When Ngo&#x03A6;6 was administrated orally by lysogenic cells of <italic>S. enterica</italic> ser. Typhimurium carrying phagemid pBS::&#x03A6;6fm or subcutaneously in the form of purified phage, sera obtained from vaccinated rabbits contained large amounts of IgG and IgA antibodies that were bound by <italic>N. gonorrhoeae</italic> cells and were able to kill the cells, presumably by binding to phages that were being extruded from the bacteria (<xref ref-type="bibr" rid="B18">Piekarowicz et al., 2016</xref>; <xref ref-type="bibr" rid="B14">K&#x0142;y&#x017C; and Piekarowicz, 2018</xref>). Because the use of filamentous phage/phagemid particles in humans does not show apparent side effects, this indicates their safety. A clinical trial was recently approved by the FDA to allow for intravenous injection of phage to kill bacteria (<xref ref-type="bibr" rid="B15">LaFee and Buschman, 2020</xref>). Based on these findings and our previous publications demonstrating the association of host proteins with phage particles, we sought to determine if Ngo&#x03A6;6 isolated from several bacteria could induce bactericidal responses against the immunizing strain.</p>
</sec>
<sec id="S2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="S2.SS1">
<title>Bacterial Strains, Plasmids, Phages, and Growth Conditions</title>
<p><italic>Salmonella enterica</italic> sv. Typhimurium &#x03C7;<sup>3987</sup> (<xref ref-type="bibr" rid="B6">Galan et al., 1990</xref>) obtained from Roy Curtiss III was grown in Luria-Bertani broth (LB) in the presence of diaminopimelic acid (DAP) (100 &#x03BC;g/ml final concentration), <italic>Escherichia coli</italic> Top10 was grown in LB broth, and <italic>H. influenzae</italic> was grown in brain heart infusion broth (BHI) (Difco) supplemented with hemin (10 &#x03BC;g/ml) and nicotinamide adenine dinucleotide (NAD) (2 &#x03BC;g/ml). All bacteria were incubated at 37&#x00B0;C with aeration. Isolation of <italic>S. enterica</italic> ser. Typhimurium, <italic>E. coli</italic>, and <italic>H. influenzae</italic> strains carrying pBSKS::&#x03A6;6fm (Hin) was described previously (<xref ref-type="bibr" rid="B18">Piekarowicz et al., 2016</xref>). <italic>S. enterica</italic> ser. Typhimurium 3872 (pMPMT6::&#x03A6;6fmST) carrying plasmid pE1-HCV [E1 protein (NC004102) virus MycD Tagged ORF clone Origene, United States] was obtained by introduction of the plasmid DNA by electroporation into <italic>E. coli</italic> Top10, purifying the plasmid, and then using the isolated plasmid to transform <italic>S. enterica</italic> ser. Typhimurium #3872 (pMPMT6::&#x03A6;6fmST). For convenience, phagemids propagated in <italic>E. coli</italic> are designated as pBSKS::&#x03A6;6fm(Ec), in <italic>S. enterica</italic> ser. Typhimurium as pBSKS::&#x03A6;6fm(ST), and in <italic>H. influenzae</italic> as pBSKS::&#x03A6;6fm(Hin).</p>
</sec>
<sec id="S2.SS2">
<title>Enzymes and Chemicals</title>
<p>DNA and protein size markers were purchased from Fisher Scientific (Vilno). All chemicals used were of reagent grade or better and were obtained from Sigma-Aldrich (St. Louis, MO, United States), unless otherwise noted. Hepatitis C virus E1 recombinant protein was obtained from ProSci (United States).</p>
</sec>
<sec id="S2.SS3">
<title>Phage and Phagemid Particle Preparation</title>
<p>To isolate phage and phagemid particles, overnight cultures were diluted 50-fold into 1,000 ml of an appropriate medium and grown overnight with shaking at 37&#x00B0;C. Bacteria were collected by centrifugation (20 min at &#x223C;6,000 RCF). The supernatant was mixed with 1/5 volume of a solution containing 20% polyethylene glycol (PEG-8000) and 2.5 M NaCl and kept at 4&#x00B0;C overnight to precipitate the phage particles. The precipitate was collected by centrifugation (20 min &#x223C;7,500 RCF), dissolved in 4 ml of phosphate-buffered saline (PBS), and centrifuged at 4,000 rpm in an SS34 rotor for 10 min. The phage particles were then purified by sequential centrifugation of the PBS phage suspension at &#x223C;2,000 RCF for 10 min and &#x223C;43,000 RCF for 120 min at 4&#x00B0;C. This procedure was repeated two times. The phagemid particles were further purified and quantified as described previously (<xref ref-type="bibr" rid="B17">Piekarowicz et al., 2020</xref>). Phagemid pBSKS::&#x03A6;6fm(ST) was additionally purified by CsCl gradient centrifugation as described by <xref ref-type="bibr" rid="B24">Sambrook and Russell (2001)</xref>.</p>
</sec>
<sec id="S2.SS4">
<title>Production of Polyclonal Antisera</title>
<p>Samples of purified Ngo&#x03A6;6 phagemid particles containing &#x223C;200 &#x03BC;g of protein were sent to EUROGENTEC S.A., Liege, Belgium, for immunization of three rabbits according to their standard protocol (ref. no AS-PNOR-3MORAB). In this protocol, phage suspensions were introduced two times subcutaneously at days 0 and 21 in each animal without any adjuvant. Sera were collected at day 0 (before immunization) and at days 21 and 28. To determine the activity, these sera were pooled. All animal work performed at the EUROGENTEC S.A., Liege, Belgium, was carried out in accordance with the 2010/63/EU directive on the protection of animals used for scientific purposes. The protocols were approved under reference CE/SANTE/E/001 by the CER ethical licensing committee.</p>
</sec>
<sec id="S2.SS5">
<title>Determination of Antibodies Against Phagemid Particles and E1 Protein of HCV Virus by Dot Spot ELISA</title>
<p>Determination of antibodies against phage particles was carried out as described previously (<xref ref-type="bibr" rid="B18">Piekarowicz et al., 2016</xref>) with modifications. Bacteria [3 &#x03BC;l of a suspension made of (2 &#x00D7; 10<sup>8</sup> cells/ml)] diluted in PBS or 10 ng of EP1 protein (NC-004102) in carbonate buffer (50 mM sodium bicarbonate, 0.03 M sodium azide, pH 9.6) were spotted in triplicate onto a nitrocellulose membrane and dried at room temperature. After three washes with 20 ml of PBS buffer, the membranes were blocked with 1% alkaline casein (Sigma) in PBS at 25&#x00B0;C for 1 h. The membranes were then washed three times for 20 min with PBS. Following the washes, different dilutions of sera collected after 0 and 28 days in PBS with 1% alkaline casein were incubated at 25&#x00B0;C overnight. The membranes were washed three times with PBS and incubated with secondary antibodies at room temperature for 1 h [alkaline phosphatase-conjugated goat anti-rabbit IgG (Sigma-Aldrich, United States) diluted in PBS at 1:2,000]. The secondary antibody was removed, and the membranes were washed four times for 15 min each with PBS + 0.1% Tween-20 and once with PBS. Membranes were soaked in 20 ml of detection buffer (AP: 0.1 M Tris-HCl, pH 9.5; 0.1 M NaCl; 5 mM MgCl<sub>2</sub>, pH 9.5) containing 20 &#x03BC;l of NBT BCIP (Sigma, United States) for 30 min at room temperature in darkness. The reaction was stopped by intensive washing of the membrane with distilled water and dried. The amount of protein contained in each spot was visualized on the membrane and quantified using the Quantity One BioRad program. The intensity of each spot was expressed as the increase of the intensity compared with the negative control, where spotting of phagemid or EP1 protein was omitted.</p>
<p>The amount of antibody induced was determined by comparing the optical density of specific anti-<italic>S. enterica</italic> ser. Typhimurium antibodies bound to the spots as presented in a standard curve obtained with known quantities of purified mouse IgG reference antibodies. Standard curves were prepared by the quantitative spot ELISA method. The amount of protein was quantified using GeneTools GBox (Syngen) program and expressed as the intensity of spot versus concentration of IgG protein. Since the measurement range of the ELISA dot was between dilution 2,000 and 5,000, the final determination of IgG concentration in all sera tested was based on the spot intensity values in this range.</p>
</sec>
<sec id="S2.SS6">
<title>Flow Cytometric Analysis</title>
<p>Flow cytometry was performed according to <xref ref-type="bibr" rid="B21">Price et al. (2007)</xref> and described previously in detail (<xref ref-type="bibr" rid="B18">Piekarowicz et al., 2016</xref>).</p>
</sec>
<sec id="S2.SS7">
<title>Western Blotting</title>
<p>For Western blot analysis, proteins were transferred to a positively charged nylon membrane (Roche), blocked with 4% (w/v) non-fat milk in TBS at 25&#x00B0;C for 16 h, and then incubated with various antibodies suspended in TBS at 16&#x00B0;C overnight. After three washes with 20 ml of TBS buffer, the membranes were incubated with secondary antibodies at room temperature for 1 h. Secondary antibody was removed, and the membranes were washed four times for 5 min with TBS + 0.1% Tween-20 and once with TBS. Membranes were then soaked in 20 ml of detection buffer (AP: 0.1 M Tris-HCl, pH 9.5; 0.1 M NaCl; 5 mM MgCl<sub>2</sub>, pH 9.5) containing 20 &#x03BC;l of NBT BCIP for 30 min at room temperature in darkness. The reaction was stopped by washing the membrane with distilled water and dried. The following primary antibodies were used during studies: (1) (DYKDDDK) monoclonal antibodies (FG4R; Thermo Scientific), (2) monoclonal anti-E1 HCV protein (Clone BD198, OriGene), (3) antibodies obtained after subcutaneous vaccination of rabbit with phagemid particles pBSKS::&#x03A6;6fm(ST), (4) rabbit serum obtained after subcutaneous vaccination with phagemid particles pBSKS::&#x03A6;6fm(Hin), and (5) rabbit serum obtained after subcutaneous vaccination with phagemid particles pMPMT6::&#x03A6;6fm(ST) propagated in <italic>S. enterica</italic> ser. Typhimurium carrying plasmid encoding E1 HCV protein (all sera were used with 1:500 dilution). The following secondary antibodies were used: secondary mouse monoclonal 2A9 anti-rabbit IgG heavy &#x03B2; chain (alkaline phosphatase; Abcam; 1:2,000 dilution); and secondary goat anti-mouse IgG H&#x0026;L (alkaline phosphatase; Abcam; 1:4,000 dilution).</p>
</sec>
<sec id="S2.SS8">
<title>Transformation Protocols</title>
<p>Electrocompetent cells and transformation of <italic>Salmonella</italic> were carried out according to a procedure described previously (<xref ref-type="bibr" rid="B24">Sambrook and Russell, 2001</xref>) and stored at &#x2212;80&#x00B0;C. Transformed bacteria were selected by plating onto LB agar plates containing appropriate antibiotics.</p>
</sec>
<sec id="S2.SS9">
<title>Statistical Analysis</title>
<p>All statistical analysis was carried out using Student&#x2019;s <italic>t</italic>-test using Social Science Statistic web service.<sup><xref ref-type="fn" rid="footnote1">1</xref></sup> One-tailed <italic><italic>P</italic></italic>-values of &#x003C; 0.05 were considered statistically significant.</p>
</sec>
</sec>
<sec id="S3" sec-type="results">
<title>Results</title>
<sec id="S3.SS1">
<title>Host Proteins Associated With Phagemids pBSKS::&#x03A6;6fm(ST) Propagated in <italic>Salmonella enterica</italic> Ser. Typhimurium Elicit Antibodies Against Salmonella Cells</title>
<p>Our discovery that proteins other than phage filament proteins copurified with bacteriophage particles suggested that these particles could serve as a source of host-cell antigens (<xref ref-type="bibr" rid="B17">Piekarowicz et al., 2020</xref>). To test this possibility, we used phagemids propagated in (a) <italic>S. enterica</italic> ser. Typhimurium carrying pBSKS::&#x03A6;6fm plasmid, (b) <italic>H. influenzae</italic> Rd carrying pBSKS::&#x03A6;6fm phagemid integrated into bacterial chromosome, and (C) strain of <italic>S. enterica</italic> ser. Typhimurium carrying pMPMT6::&#x03A6;6 phagemid and plasmid pE1 HCV encoding Hepatitis C virus envelope glycoprotein E1. Approximately 200 &#x03BC;g of protein in the form of phage preparation was used to subcutaneously immunize rabbits without any adjuvant. Quantitative spot ELISA results used for the determination of levels of IgG antibodies specific for <italic>S. enterica</italic> ser. Typhimurium cells elicited by immunization of rabbits with purified pBSKS::&#x03A6;6fm(ST) showed significant levels of antibody induction (<xref ref-type="fig" rid="F1">Figure 1</xref>). The above results showed that phagemid pBSKS::&#x03A6;6fm(ST) particles induce after subcutaneous delivery a strong immunological response and elicit a large amount of anti-Salmonella antibodies.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>Serum IgG antibodies level elicited by immunization of rabbits with pBSKS::&#x03A6;6fm(ST) phagemid particles. Rabbits were immunized subcutaneously with pBSKS::&#x03A6;6fm(ST). The sera obtained at day 28 were analyzed by quantitative dot ELISA. <italic>S. enterica</italic> cells (2 &#x00D7; 10<sup>8</sup> cells/ml) diluted in PBS were spotted on a nitrocellulose strip and allowed to dry. Binding of anti-<italic>S. enterica</italic> was detected with goat anti-rabbit IgG-alkaline phosphatase conjugate. The intensity of the color of each spot was expressed as the change of the spot intensity compared with the negative control where spotting of <italic>S. enterica</italic> was omitted. For each point, four spots were analyzed. Line: &#x1F311;&#x2212;&#x1F311;, 0 day, &#x25B2;&#x2212;&#x25B2;, day 28.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-13-793205-g001.tif"/>
</fig>
<p>The binding activity was further analyzed by flow cytometry. The data in <xref ref-type="fig" rid="F2">Figure 2B</xref> show a significant shift in the binding profile. Using the gating shown in the figure, 65% of the cell population bound significant levels of IgG present in immunized sera (<xref ref-type="fig" rid="F2">Figure 2B</xref>), demonstrating that the elicited antibody was able to bind to intact cells. Preimmunized sera provided minimal binding (<xref ref-type="fig" rid="F2">Figure 2A</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>Flow cytometry analysis of antibody binding to <italic>S. enterica</italic> ser. Typhimurium. Cells were treated with preimmunization sera (dilution 1:500) <bold>(A)</bold> or immunized sera (dilution 1:500) obtained after 28 days <bold>(B)</bold> followed by treatment with Cy3 goat anti-rabbit IgG (Life Technologies). The bacteria were analyzed by using FACS Calibur flow cytometer. Data were analyzed with CellQuest. Representative histograms from at least three independent experiments are shown. The bar in the figure represents the gate used to measure binding efficiency. The number in each figure corresponds to the percentage of the population that bound antibody.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-13-793205-g002.tif"/>
</fig>
</sec>
<sec id="S3.SS2">
<title>Host Proteins Associated With Phagemids pBSKS::&#x03A6;6fm(Hin) Elicit Antibodies Against <italic>Haemophilus influenzae</italic> Cells</title>
<p>The DNA sequence of pBS&#x03A6;6 is integrated into the chromosome of <italic>H. influenzae</italic> Rd30 cells (<xref ref-type="bibr" rid="B18">Piekarowicz et al., 2016</xref>). Lysogenic cells release phagemid particles that contain host cellular proteins (<xref ref-type="bibr" rid="B17">Piekarowicz et al., 2020</xref>). We used the same approach as described above to determine if these phagemid particles elicited antibodies against <italic>H. influenzae.</italic> Rabbit sera were obtained from animals immunized with purified pBSKS::&#x03A6;6fm(Hin) propagated in <italic>H. influenzae</italic> Rd30. Quantitative spot ELISA results again demonstrated significant levels of IgG antibodies specific for <italic>H. influenzae</italic> cells elicited by immunization of rabbits with purified pBKS::&#x03A6;6fm(Hin) (<xref ref-type="fig" rid="F3">Figure 3</xref>). Flow cytometry analysis (<xref ref-type="fig" rid="F4">Figure 4</xref>) shows a significant shift in the binding profile, again demonstrating that the elicited antibody bound intact cells.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>Serum IgG antibodies level elicited by immunization of rabbits with pBSKS::&#x03A6;6fm(Hin) phagemid particles. Sera were analyzed by quantitative dot ELISA. <italic>H. influenzae</italic> Rd30 cells (2 &#x00D7; 10<sup>8</sup> cells/ml) diluted in PBS were spotted on a nitrocellulose strip and allowed to dry. Titers of IgG polyclonal antibodies were collected on day 28 after immunization. The intensity of the color of each spot was expressed as the change of the spot intensity compared with the negative control where spotting was omitted. For each point, four spots were analyzed. anti-<italic>H. influenzae</italic> antibodies bound to the spots. Line: &#x1F311;&#x2212;&#x1F311;, 0 day, &#x25B2;&#x2212;&#x25B2;, day 28.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-13-793205-g003.tif"/>
</fig>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption><p>Flow cytometry analysis of antibody binding to <italic>H. influenzae.</italic> Cells were treated with preimmunization sera (dilution 1:500) <bold>(A)</bold> or immunized sera (dilution 1:500) obtained after 28 days <bold>(B)</bold> followed by treatment with Cy3 goat anti-rabbit IgG (Life Technologies). The bacteria were analyzed by using FACS Calibur flow cytometer. Data were analyzed with CellQuest. Representative histograms from three independent experiments are shown. The bar in the figure represents the gate used to measure binding efficiency. The number in each figure corresponds to the percentage of the population that bound antibody.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-13-793205-g004.tif"/>
</fig>
</sec>
<sec id="S3.SS3">
<title>Heterologous Association of Non-host Proteins in Phagemids</title>
<p>We have previously shown that NgoPhi6 phagemid particles incorporate into/associate with the filament of not only phage structural proteins and host outer membrane proteins but also proteins produced by the expression of foreign genes (<xref ref-type="bibr" rid="B17">Piekarowicz et al., 2020</xref>). Purified pMPMT6::&#x03A6;6fm phagemid particles grown in <italic>S. enterica</italic> ser. Typhimurium cells expressing the HCV E1 gene incorporate protein E1 into phagemid particles shown by the reactivity of this protein with anti-Myc DDK antibodies. Testing the presence of E1 HCV protein in these phagemid particles showed that the E1 protein is present not only as native 25 kDa protein but also as smaller degradation products. This was also observed for the presence of <italic>Salmonella</italic> flagella protein incorporated into pBSKS::&#x03A6;6fm particles propagated in <italic>Salmonella</italic> cells (<xref ref-type="bibr" rid="B17">Piekarowicz et al., 2020</xref>). Purified phagemid pMPMT6::&#x03A6;6fm particles grown in <italic>S. enterica</italic> ser. Typhimurium cells expressing the HCV E1 protein were used for the immunization of rabbits, and the elicited antibodies were tested for the reactivity with protein E1 HCV. The spot ELISA results used for the determination of levels of IgG-specific HCV E1 protein showed a very high level of antibodies (<xref ref-type="fig" rid="F5">Figure 5</xref>).</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption><p>Heterologous expression of non-host proteins in phagemids. Rabbits were immunized with purified pMPMT6::&#x03A6;6fm phagemid particles grown in <italic>S. enterica</italic> ser. Typhimurium cells expressing HCV E1. Sera were analyzed by quantitative dot ELISA; 0.1 &#x03BC;g of commercial HCV E1 protein suspended in PBS was spotted on a nitrocellulose strip and allowed to dry. Titers of IgG polyclonal antibodies were collected on day 28 after immunization. The intensity of the color of each spot was expressed as the change of the spot intensity compared with the negative control where spotting of protein was omitted. For each point, 4 spots were analyzed. Line: &#x1F311;&#x2212;&#x1F311;, 0 day, &#x25B2;&#x2212;&#x25B2;, day 28.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-13-793205-g005.tif"/>
</fig>
</sec>
<sec id="S3.SS4">
<title>Quantification of Antibody Production</title>
<p>The amount of antibody induced by various vaccine constructs was determined by comparing the optical density of specific anti-target protein antibodies bound to the spots of a standard curve obtained with known quantities of purified mouse IgG reference antibodies. Standard curves were prepared by the quantitative spot ELISA method. Since the measurement range of the ELISA dot was between dilution 2,000 and 5,000, the final determination of IgG concentration in all sera tested was based on the spot intensity values in this range. The amount of specific anti-<italic>S. enterica</italic> ser. Typhimurium, anti-<italic>H. influenzae</italic>, and anti-E1 HCV protein was 170 &#x03BC;g/ml for anti-<italic>Salmonella</italic>, 80 &#x03BC;g/ml for anti-<italic>H. influenzae</italic>, and 65 &#x03BC;g/ml for anti-E1 HCV protein.</p>
</sec>
<sec id="S3.SS5">
<title>Elicited Antibodies Bind to Host Proteins Present in Bacterial Cells</title>
<p>The data demonstrate that phagemid particles propagated in either <italic>S. enterica</italic> sr. Typhimurium, <italic>H. influenzae</italic>, or <italic>S. enterica</italic> sr. Typhimurium carrying pE1 plasmid encoding for HSV E1 protein in fact elicit a high level of IgG antibodies. To demonstrate that these antibodies bind to specific cellular proteins present in bacterial cells, several Western blots experiments were performed. We previously showed that flagellin proteins of 50 and 52 kDa molecular size or their degradation or precursor products are the predominant host proteins present in pBSKS::&#x03A6;6fm(ST) particles (<xref ref-type="bibr" rid="B17">Piekarowicz et al., 2020</xref>). Western blotting was carried out to detect whether they represent also a majority of elicited antibodies in rabbits immunized subcutaneously with pBSKS::&#x03A6;6(ST) phagemid particles. The data presented in <xref ref-type="fig" rid="F6">Figure 6</xref> show reactivity with several proteins, among them proteins in the 50 kDa range (<xref ref-type="fig" rid="F6">Figure 6A</xref>, lane 1), when probed against <italic>S. enterica</italic> ser. Typhimurium cells without phagemids. The outer membrane protein P2 is a predominant host protein associated with pBS::&#x03A6;6fm(Hin) phagemid particles (<xref ref-type="bibr" rid="B17">Piekarowicz et al., 2020</xref>). Western blotting demonstrated that the phagemid isolated from pBS::&#x03A6;6fm(Hin) generated antibodies against both phagemid proteins and several host proteins, one with a mobility similar in mass to the P2 protein (molecular mass of &#x223C;37 kDal) (<xref ref-type="fig" rid="F6">Figure 6B</xref>). Finally, Western blotting demonstrated that phagemids isolated from a strain that also expressed the HCV E1 protein-induced antibody were able to recognize this protein (<xref ref-type="fig" rid="F6">Figure 6C</xref>). From these data, we concluded that phages derived from Ngo&#x03A6;6 induce immune responses that reflect the host from which they were isolated.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption><p>Specificity of elicited antibodies. Phage particles, cellular proteins, and E1 HCV protein were separated on SDS-PAGE gel and subjected to Western blot analysis. Reactivity of rabbit sera obtained after immunization with phagemid pBSKS::&#x03A6;6fm(ST) with <italic>S. enterica</italic> ser. Typhimurium proteins (<bold>A</bold>, lane 1); Reactivity of rabbit sera elicited after immunization with phagemid pBSKS::&#x03A6;6fm(Hin) with phagemid proteins (<bold>B</bold>, lane 1) and <italic>H. influenzae</italic> Rd30 cell proteins (<bold>B</bold>, lane 2); Reactivity of rabbit sera elicited after immunization with phagemid pBSKS::&#x03A6;6fm(ST) propagated in <italic>S. enterica</italic> ser. Typhimurium cells carrying plasmid pE1 HCV with commercial E1 HCV protein (<bold>C</bold>, lane 1). Lanes marked with M indicate molecular weight standards.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-13-793205-g006.tif"/>
</fig>
</sec>
</sec>
<sec id="S4" sec-type="discussion">
<title>Discussion</title>
<p>Filamentous phages were described and characterized in the 1960s (see <xref ref-type="bibr" rid="B16">Marvin and Hohn, 1969</xref> for a topical review). Filamentous bacteriophages like Ngo&#x03B8;6 are members of the genus <italic>Inovirus</italic> in the Inoviridae family. These thread-like viruses have a circular single-stranded DNA genome packaged into a fibrous structure with thousands of copies of coat proteins. During replication, a characteristic feature is that they do not lyse the host (see <xref ref-type="bibr" rid="B9">Hay and Lithgow, 2019</xref> for a recent review). While filamentous phages are known to infect a wide variety of bacterial species (<xref ref-type="bibr" rid="B23">Roux et al., 2019</xref>), most of the work utilizing these phages has been based on those that infect <italic>E. coli</italic> (see <xref ref-type="bibr" rid="B26">Stern et al., 2019</xref> for a recent review). This is largely based on the historical role of <italic>E. coli</italic> as a model organism for studying bacteria. The first molecular applications of these phages were for use as cloning vectors for DNA sequencing (<xref ref-type="bibr" rid="B25">Sanger et al., 1980</xref>). With the availability of well-developed tools and protocols for engineering phage, the replicative features of <italic>E. coli</italic> filamentous phage have more recently been exploited for use in phage display technology. The first demonstration of filamentous phage as an antigen delivery system was the construction of a fusion protein between the pIII minor coat protein of the bacteriophage f1 and the repeat regions of the circumsporozoite protein gene of <italic>Plasmodium falciparum</italic> (<xref ref-type="bibr" rid="B4">de la Cruz et al., 1988</xref>), but their usefulness as antigen delivery systems has largely been limited by the fact that these phages have been limited to the expression of short peptides (<xref ref-type="bibr" rid="B5">de Vries et al., 2021</xref>).</p>
<p>There are several dozen vaccines based on filamentous phages that are undergoing testing (see <xref ref-type="bibr" rid="B8">Gonz&#x00E1;lez-Mora et al., 2020</xref> for a recent review), but most of these are anticancer vaccines or vaccines for the prevention of viral infections. This most likely is the result of the fact that fusion between phage structural proteins and peptides to be tested influences the frequency of formation of recombinant phages and their survival. Among all five structural genes of the Inoviridae used in phage display, gp3 is most frequently used, with gp6/gp7/gp9 much less (<xref ref-type="bibr" rid="B12">Jespers et al., 1995</xref>; <xref ref-type="bibr" rid="B7">Gao et al., 1999</xref>; <xref ref-type="bibr" rid="B3">Carmen and Jermutus, 2002</xref>; <xref ref-type="bibr" rid="B20">Ploss and Kuhn, 2011</xref>). Because of the complexity of bacterial cell surfaces, it is unlikely that epitope grafting would generate a protective response to these infections.</p>
<p>Our data suggest that the use of Ngo&#x03B8;6 avoids these obstacles. First, it can be used in a broad spectrum of Gram-negative bacterial strains where phagemids based on phage Ngo&#x03A6;6 can propagate. The majority of the proteins that we have identified that are incorporated into or associated with phage/phagemid particles belong to outer membrane proteins characterized by the presence of beta-barrel folds (<xref ref-type="bibr" rid="B17">Piekarowicz et al., 2020</xref>). While the foreign proteins not only retain their native length, they can also undergo fragmentations, and such fragments are also incorporated (<xref ref-type="bibr" rid="B18">Piekarowicz et al., 2016</xref>). As the host proteins that are incorporated into/onto the phage particles are derived from the bacteria used for the propagation of phage, it eliminates the necessity of looking for immunogenic epitopes, increasing the chance that these proteins will retain their native conformation and will act as good antigens and good vaccines.</p>
<p>While the first antibodies produced after vaccination are IgMs, activated B cells subsequently undergo class switching to secrete IgG, among other isotypes. Hence, one hallmark of a good vaccine would be the induction of a strong IgG response. In most cases, increased levels of specific IgG antibodies correlate with increased immunity against the particular pathogen (<xref ref-type="bibr" rid="B13">Klimpel, 1996</xref>). Using 200 &#x03BC;g of purified phage/phagemid particles, we were able to generate a strong IgG response after a single boost. These antibodies were reactive with the host cells expressing the phage/phagemid. The data in <xref ref-type="fig" rid="F6">Figure 6</xref> clearly demonstrate that this response was able to recognize proteins other than those found in the phage genome. That this antibody was able to bind purified HCV protein (<xref ref-type="fig" rid="F5">Figure 5</xref>) demonstrates that the observed reactivity was not due to simple contamination of host proteins with phagemid during the purification process. In toto, our data show that the protein incorporated into/onto phage particles can be derived from heterogeneous genetic elements (plasmids) present in these bacteria. This fact suggests using phagemid particles obtained from such bacteria in the construction of vaccines. Our example is the phagemid particles containing E1 protein of the HCV virus that was expressed from a plasmid.</p>
<p>Before this study can move forward, one needs to assess its limitations. We only immunized three animals and used pooled sera for all of our experiments. This precludes a statistical analysis of potential animal to animal variability. We have previously shown that the gene encoding Orf7 from Ngo&#x03B8;6, while part of the phage filament, is dispensable (<xref ref-type="bibr" rid="B15">LaFee and Buschman, 2020</xref>). This unique property of Ngo&#x03B8;6 suggests that any gene could replace this coding region, and it would be likely that the new gene would be incorporated into the phage. In this way, one could envision that Ngo&#x03B8;6 could be used to deliver specific proteins encoded by Gram-positive bacteria or intact viral proteins, demonstrating that this could be a new platform for vaccine delivery. Because the phage particles can be generated from phagemids, it should be possible to engineer the phage so that it would lose its replicative abilities. However, it might be necessary to limit the presence of &#x00DF;-lactamase or other toxins or toxic proteins found in the host strain, requiring additional manipulation of that host. Modifications in the phage coat could be introduced, which alter the pharmacokinetics of bacteriophages or enhance antigen presentation. IgG antibodies play an important role as an element of immunological memory and therefore a role against reinfections by bacteria and viruses (<xref ref-type="bibr" rid="B27">Wu et al., 2016</xref>). In thinking how this filamentous phage can serve as a vaccine platform, one can think about the construction of strain producing phagemid particles in the bacterial strain containing both a phagemid genome and plasmids encoding one of three main membrane proteins of SARS-CoV-2 virus as a potential vaccine against COVID-19. Such a potential vaccine could be constructed very fast in an emergency situation.</p>
</sec>
<sec id="S5" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="S6">
<title>Ethics Statement</title>
<p>The animal study was reviewed and approved by the EUROGENETIC S.A. Liege Belgium.</p>
</sec>
<sec id="S7">
<title>Author Contributions</title>
<p>AP: conceptualization, formal analysis, funding acquisition, investigation, methodology, project administration, supervision, validation, and writing &#x2013; original draft. AK: formal analysis, investigation, methodology, validation, and writing &#x2013; original draft. DS: conceptualization, funding acquisition, visualization, and writing &#x2013; review and editing. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="conf1" 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="pudiscl1" 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="S8" sec-type="funding-information">
<title>Funding</title>
<p>This work was supported by grants to AP from the Polish Ministry of Science and Higher Education (Grant No. UMO-2014/13/B/NZ6/00245) and a grant to DS from the National Institutes of Health, AI (Grant No. AI099819).</p>
</sec>
<ref-list>
<title>References</title>
<ref id="B1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Alfaleh</surname> <given-names>M. A.</given-names></name> <name><surname>Alsaab</surname> <given-names>H. O.</given-names></name> <name><surname>Mahmoud</surname> <given-names>A. B.</given-names></name> <name><surname>Alkayyal</surname> <given-names>A. A.</given-names></name> <name><surname>Jones</surname> <given-names>M. L.</given-names></name> <name><surname>Mahler</surname> <given-names>S. M.</given-names></name><etal/></person-group> (<year>2020</year>). <article-title>Phage display derived monoclonal antibodies: from bench to bedside.</article-title> <source><italic>Front. Immunol.</italic></source> <volume>11</volume>:<issue>1986</issue>. <pub-id pub-id-type="doi">10.3389/fimmu.2020.01986</pub-id></citation></ref>
<ref id="B2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bao</surname> <given-names>Q.</given-names></name> <name><surname>Li</surname> <given-names>X.</given-names></name> <name><surname>Han</surname> <given-names>G.</given-names></name> <name><surname>Zhu</surname> <given-names>Y.</given-names></name> <name><surname>Mao</surname> <given-names>C.</given-names></name> <name><surname>Yang</surname> <given-names>M.</given-names></name></person-group> (<year>2019</year>). <article-title>Phage-based vaccines.</article-title> <source><italic>Adv. Drug Delivery Rev.</italic></source> <volume>145</volume> <fpage>40</fpage>&#x2013;<lpage>56</lpage>.</citation></ref>
<ref id="B3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Carmen</surname> <given-names>S.</given-names></name> <name><surname>Jermutus</surname> <given-names>L.</given-names></name></person-group> (<year>2002</year>). <article-title>Concepts in antibody phage display.</article-title> <source><italic>Briefings Funct. Genomics Proteomics</italic></source> <volume>1</volume> <fpage>189</fpage>&#x2013;<lpage>203</lpage>. <pub-id pub-id-type="doi">10.1093/bfgp/1.2.189</pub-id> <pub-id pub-id-type="pmid">15239904</pub-id></citation></ref>
<ref id="B4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>de la Cruz</surname> <given-names>V. F.</given-names></name> <name><surname>Lal</surname> <given-names>A. A.</given-names></name> <name><surname>Mccutchan</surname> <given-names>T. F.</given-names></name></person-group> (<year>1988</year>). <article-title>Immunogenicity and epitope mapping of foreign sequences via genetically engineered filamentous phage.</article-title> <source><italic>J. Biol. Chem.</italic></source> <volume>263</volume> <fpage>4318</fpage>&#x2013;<lpage>4322</lpage>. <pub-id pub-id-type="doi">10.1016/s0021-9258(18)68927-6</pub-id> <pub-id pub-id-type="pmid">2450091</pub-id></citation></ref>
<ref id="B5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>de Vries</surname> <given-names>C. R.</given-names></name> <name><surname>Chen</surname> <given-names>Q.</given-names></name> <name><surname>Demirdjian</surname> <given-names>S.</given-names></name> <name><surname>Kaber</surname> <given-names>G.</given-names></name> <name><surname>Khosravi</surname> <given-names>A.</given-names></name> <name><surname>Liu</surname> <given-names>D.</given-names></name><etal/></person-group> (<year>2021</year>). <article-title>Phages in vaccine design and immunity; mechanisms and mysteries.</article-title> <source><italic>Curr. Opin. Biotechnol.</italic></source> <volume>68</volume> <fpage>160</fpage>&#x2013;<lpage>165</lpage>. <pub-id pub-id-type="doi">10.1016/j.copbio.2020.11.002</pub-id> <pub-id pub-id-type="pmid">33316575</pub-id></citation></ref>
<ref id="B6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Galan</surname> <given-names>J. E.</given-names></name> <name><surname>Nakayama</surname> <given-names>K.</given-names></name> <name><surname>Curtiss</surname> <given-names>R.</given-names> <suffix>III</suffix></name></person-group> (<year>1990</year>). <article-title>Cloning and characterization of the asd gene of <italic>Salmonella</italic> typhimurium: use in stable maintenance of recombinant plasmids in <italic>Salmonella</italic> vaccine strains.</article-title> <source><italic>Gene</italic></source> <volume>94</volume> <fpage>29</fpage>&#x2013;<lpage>35</lpage>. <pub-id pub-id-type="doi">10.1016/0378-1119(90)90464-3</pub-id> <pub-id pub-id-type="pmid">2227450</pub-id></citation></ref>
<ref id="B7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gao</surname> <given-names>C.</given-names></name> <name><surname>Mao</surname> <given-names>S.</given-names></name> <name><surname>Lo</surname> <given-names>C. H.</given-names></name> <name><surname>Wirsching</surname> <given-names>P.</given-names></name> <name><surname>Lerner</surname> <given-names>R. A.</given-names></name> <name><surname>Janda</surname> <given-names>K. D.</given-names></name></person-group> (<year>1999</year>). <article-title>Making artificial antibodies: a format for phage display of combinatorial heterodimeric arrays.</article-title> <source><italic>Proc. Natl. Acad. Sci. U.S.A.</italic></source> <volume>96</volume> <fpage>6025</fpage>&#x2013;<lpage>6030</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.96.11.6025</pub-id> <pub-id pub-id-type="pmid">10339535</pub-id></citation></ref>
<ref id="B8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gonz&#x00E1;lez-Mora</surname> <given-names>A.</given-names></name> <name><surname>Hern&#x00E1;ndez-P&#x00E9;rez</surname> <given-names>J.</given-names></name> <name><surname>Iqbal</surname> <given-names>H. M. N.</given-names></name> <name><surname>Rito-Palomares</surname> <given-names>M.</given-names></name> <name><surname>Benavides</surname> <given-names>J.</given-names></name></person-group> (<year>2020</year>). <article-title>Bacteriophage-based vaccines: a potent approach for antigen delivery.</article-title> <source><italic>Vaccines (Basel)</italic></source> <volume>8</volume>:<issue>504</issue>. <pub-id pub-id-type="doi">10.3390/vaccines8030504</pub-id> <pub-id pub-id-type="pmid">32899720</pub-id></citation></ref>
<ref id="B9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hay</surname> <given-names>I. D.</given-names></name> <name><surname>Lithgow</surname> <given-names>T.</given-names></name></person-group> (<year>2019</year>). <article-title>Filamentous phages: masters of a microbial sharing economy.</article-title> <source><italic>EMBO Rep.</italic></source> <volume>20</volume> <issue>e47427</issue>. <pub-id pub-id-type="doi">10.15252/embr.201847427</pub-id> <pub-id pub-id-type="pmid">30952693</pub-id></citation></ref>
<ref id="B10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Henry</surname> <given-names>K. A.</given-names></name> <name><surname>Arbabi-Ghahroudi</surname> <given-names>M.</given-names></name> <name><surname>Scott</surname> <given-names>J. K.</given-names></name></person-group> (<year>2015</year>). <article-title>Beyond phage display: non-traditional applications of the filamentous bacteriophage as a vaccine carrier, therapeutic biologic, and bioconjugation scaffold.</article-title> <source><italic>Front. Microbiol.</italic></source> <volume>6</volume>:<issue>755</issue>. <pub-id pub-id-type="doi">10.3389/fmicb.2015.00755</pub-id></citation></ref>
<ref id="B11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hess</surname> <given-names>K. L.</given-names></name> <name><surname>Jewell</surname> <given-names>C. M.</given-names></name></person-group> (<year>2020</year>). <article-title>Phage display as a tool for vaccine and immunotherapy development.</article-title> <source><italic>Bioeng. Transl. Med.</italic></source> <volume>5</volume>:<issue>e10142</issue>. <pub-id pub-id-type="doi">10.1002/btm2.10142</pub-id> <pub-id pub-id-type="pmid">31989033</pub-id></citation></ref>
<ref id="B12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jespers</surname> <given-names>L. S.</given-names></name> <name><surname>Messens</surname> <given-names>J. H.</given-names></name> <name><surname>De Keyser</surname> <given-names>A.</given-names></name> <name><surname>Eeckhout</surname> <given-names>D.</given-names></name> <name><surname>Van Den Brande</surname> <given-names>I.</given-names></name> <name><surname>Gansemans</surname> <given-names>Y. G.</given-names></name><etal/></person-group> (<year>1995</year>). <article-title>Surface expression and ligand-based selection of cDNAs fused to filamentous phage gene VI.</article-title> <source><italic>Biotechnology</italic></source> <volume>13</volume> <fpage>378</fpage>&#x2013;<lpage>382</lpage>. <pub-id pub-id-type="doi">10.1038/nbt0495-378</pub-id> <pub-id pub-id-type="pmid">9634780</pub-id></citation></ref>
<ref id="B13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Klimpel</surname> <given-names>G.</given-names></name></person-group> (<year>1996</year>). &#x201C;<article-title>Immune defenses</article-title>,&#x201D; in <source><italic>Medical Microbiology</italic></source>, <edition>4th Edn</edition>, <role>ed.</role> <person-group person-group-type="editor"><name><surname>Baron</surname> <given-names>S.</given-names></name></person-group> (<publisher-loc>Galveston, TX</publisher-loc>: <publisher-name>University of Texas Medical Branch at Galveston</publisher-name>).</citation></ref>
<ref id="B14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>K&#x0142;y&#x017C;</surname> <given-names>A.</given-names></name> <name><surname>Piekarowicz</surname> <given-names>A.</given-names></name></person-group> (<year>2018</year>). <article-title>Phage proteins are expressed on the surface of <italic>Neisseria gonorrhoeae</italic> and are potential vaccine candidates.</article-title> <source><italic>PLoS One</italic></source> <volume>13</volume>:<issue>e0202437</issue>. <pub-id pub-id-type="doi">10.1371/journal.pone.0202437</pub-id></citation></ref>
<ref id="B15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>LaFee</surname> <given-names>S.</given-names></name> <name><surname>Buschman</surname> <given-names>H.</given-names></name></person-group> (<year>2020</year>). <source><italic>With OK From FDA, UC San Diego Researchers Prepare to Launch Novel Phage Study. Clinical Trial Using Intravenous Viruses to Kill Resistant Bacteria Would be First in Nation</italic></source> <ext-link ext-link-type="uri" xlink:href="https://Health.Ucsd.Edu/News/Releases/Pages/2019-01-08-Fda-Okays-Uc-San-Diego-To-Launch-Novel-Phage-Study.Aspx">https://Health.Ucsd.Edu/News/Releases/Pages/2019-01-08-Fda-Okays-Uc-San-Diego-To-Launch-Novel-Phage-Study.Aspx</ext-link> <comment>[Online]. Available online at:</comment> <ext-link ext-link-type="uri" xlink:href="https://health.ucsd.edu/news/releases/Pages/2019-01-08-FDA-okays-uc-san-diego-to-launch-novel-phage-study.aspx">https://health.ucsd.edu/news/releases/Pages/2019-01-08-FDA-okays-uc-san-diego-to-launch-novel-phage-study.aspx</ext-link> <comment>(accessed Augest 25, 2021)</comment>.</citation></ref>
<ref id="B16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Marvin</surname> <given-names>D. A.</given-names></name> <name><surname>Hohn</surname> <given-names>B.</given-names></name></person-group> (<year>1969</year>). <article-title>Filamentous bacterial viruses.</article-title> <source><italic>Bacteriol. Rev.</italic></source> <volume>33</volume> <fpage>172</fpage>&#x2013;<lpage>209</lpage>. <pub-id pub-id-type="doi">10.1128/br.33.2.172-209.1969</pub-id></citation></ref>
<ref id="B17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Piekarowicz</surname> <given-names>A.</given-names></name> <name><surname>Klyz</surname> <given-names>A.</given-names></name> <name><surname>Adamczyk-Poplawska</surname> <given-names>M.</given-names></name> <name><surname>Stein</surname> <given-names>D. C.</given-names></name></person-group> (<year>2020</year>). <article-title>Association of host proteins with the broad host range filamentous phage NgoPhi6 of <italic>Neisseria gonorrhoeae</italic>.</article-title> <source><italic>PLoS One</italic></source> <volume>15</volume>:<issue>e0240579</issue>. <pub-id pub-id-type="doi">10.1371/journal.pone.0240579</pub-id></citation></ref>
<ref id="B18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Piekarowicz</surname> <given-names>A.</given-names></name> <name><surname>K&#x0142;y&#x017C;</surname> <given-names>A.</given-names></name> <name><surname>Majchrzak</surname> <given-names>M.</given-names></name> <name><surname>Stein</surname> <given-names>D. C.</given-names></name></person-group> (<year>2016</year>). <article-title>Oral immunization of rabbits with s. enterica typhimurium expressing <italic>Neisseria gonorrhoeae</italic> filamentous phage &#x03C6;6 induces bactericidal antibodies against <italic>N. gonorrhoeae</italic>.</article-title> <source><italic>Sci. Rep.</italic></source> <volume>4</volume>:<issue>22549</issue>. <pub-id pub-id-type="doi">10.1038/srep22549</pub-id> <pub-id pub-id-type="pmid">26939573</pub-id></citation></ref>
<ref id="B19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Piekarowicz</surname> <given-names>A.</given-names></name> <name><surname>Klyz</surname> <given-names>A.</given-names></name> <name><surname>Majchrzak</surname> <given-names>M.</given-names></name> <name><surname>Szczesna</surname> <given-names>E.</given-names></name> <name><surname>Piechucki</surname> <given-names>M.</given-names></name> <name><surname>Kwiatek</surname> <given-names>A.</given-names></name><etal/></person-group> (<year>2014</year>). <article-title><italic>Neisseria gonorrhoeae</italic> filamentous phage NgoPhi6 is capable of infecting a variety of Gram-negative bacteria.</article-title> <source><italic>J. Virol.</italic></source> <volume>88</volume> <fpage>1002</fpage>&#x2013;<lpage>1010</lpage>. <pub-id pub-id-type="doi">10.1128/JVI.02707-13</pub-id> <pub-id pub-id-type="pmid">24198404</pub-id></citation></ref>
<ref id="B20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ploss</surname> <given-names>M.</given-names></name> <name><surname>Kuhn</surname> <given-names>A.</given-names></name></person-group> (<year>2011</year>). <article-title>Membrane insertion and assembly of epitope-tagged gp9 at the tip of the M13 phage.</article-title> <source><italic>BMC Microbiol.</italic></source> <volume>11</volume>:<issue>211</issue>. <pub-id pub-id-type="doi">10.1186/1471-2180-11-211</pub-id></citation></ref>
<ref id="B21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Price</surname> <given-names>G. A.</given-names></name> <name><surname>Masri</surname> <given-names>H. P.</given-names></name> <name><surname>Hollander</surname> <given-names>A. M.</given-names></name> <name><surname>Russell</surname> <given-names>M. W.</given-names></name> <name><surname>Cornelissen</surname> <given-names>C. N.</given-names></name></person-group> (<year>2007</year>). <article-title>Gonococcal transferrin binding protein chimeras induce bactericidal and growth inhibitory antibodies in mice.</article-title> <source><italic>Vaccine</italic></source> <volume>25</volume> <fpage>7247</fpage>&#x2013;<lpage>7260</lpage>. <pub-id pub-id-type="doi">10.1016/j.vaccine.2007.07.038</pub-id> <pub-id pub-id-type="pmid">17720283</pub-id></citation></ref>
<ref id="B22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Roth</surname> <given-names>K. D. R.</given-names></name> <name><surname>Wenzel</surname> <given-names>E. V.</given-names></name> <name><surname>Ruschig</surname> <given-names>M.</given-names></name> <name><surname>Steinke</surname> <given-names>S.</given-names></name> <name><surname>Langreder</surname> <given-names>N.</given-names></name> <name><surname>Heine</surname> <given-names>P. A.</given-names></name><etal/></person-group> (<year>2021</year>). <article-title>Developing recombinant antibodies by phage display against infectious diseases and toxins for diagnostics and therapy.</article-title> <source><italic>Front. Cell Infect. Microbiol.</italic></source> <volume>11</volume>:<issue>697876</issue>. <pub-id pub-id-type="doi">10.3389/fcimb.2021.697876</pub-id></citation></ref>
<ref id="B23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Roux</surname> <given-names>S.</given-names></name> <name><surname>Krupovic</surname> <given-names>M.</given-names></name> <name><surname>Daly</surname> <given-names>R. A.</given-names></name> <name><surname>Borges</surname> <given-names>A. L.</given-names></name> <name><surname>Nayfach</surname> <given-names>S.</given-names></name> <name><surname>Schulz</surname> <given-names>F.</given-names></name><etal/></person-group> (<year>2019</year>). <article-title>Cryptic inoviruses revealed as pervasive in bacteria and archaea across Earth&#x2019;s biomes.</article-title> <source><italic>Nature microbiology</italic></source> <volume>4</volume> <fpage>1895</fpage>&#x2013;<lpage>1906</lpage>. <pub-id pub-id-type="doi">10.1038/s41564-019-0510-x</pub-id></citation></ref>
<ref id="B24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sambrook</surname> <given-names>J.</given-names></name> <name><surname>Russell</surname> <given-names>D. W.</given-names></name></person-group> (<year>2001</year>). <source><italic>Molecular Cloning: A Laboratory Manual</italic></source>, <edition>3rd Edn</edition>. <publisher-loc>Cold Spring Harbor, NY</publisher-loc>: <publisher-name>Cold Spring Harbor Laboratory Press</publisher-name>.</citation></ref>
<ref id="B25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sanger</surname> <given-names>F.</given-names></name> <name><surname>Coulson</surname> <given-names>A. R.</given-names></name> <name><surname>Barrell</surname> <given-names>B. G.</given-names></name> <name><surname>Smith</surname> <given-names>A. J.</given-names></name> <name><surname>Roe</surname> <given-names>B. A.</given-names></name></person-group> (<year>1980</year>). <article-title>Cloning in single-stranded bacteriophage as an aid to rapid DNA sequencing.</article-title> <source><italic>J. Mol. Biol.</italic></source> <volume>143</volume> <fpage>161</fpage>&#x2013;<lpage>178</lpage>. <pub-id pub-id-type="doi">10.1016/0022-2836(80)90196-5</pub-id> <pub-id pub-id-type="pmid">6260957</pub-id></citation></ref>
<ref id="B26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Stern</surname> <given-names>Z.</given-names></name> <name><surname>Stylianou</surname> <given-names>D. C.</given-names></name> <name><surname>Kostrikis</surname> <given-names>L. G.</given-names></name></person-group> (<year>2019</year>). <article-title>The development of inovirus-associated vector vaccines using phage-display technologies.</article-title> <source><italic>Expert Rev. Vaccines</italic></source> <volume>18</volume> <fpage>913</fpage>&#x2013;<lpage>920</lpage>. <pub-id pub-id-type="doi">10.1080/14760584.2019.1651649</pub-id></citation></ref>
<ref id="B27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname> <given-names>C.-H.</given-names></name> <name><surname>Liu</surname> <given-names>I.-J.</given-names></name> <name><surname>Lu</surname> <given-names>R.-M.</given-names></name> <name><surname>Wu</surname> <given-names>H.-C.</given-names></name></person-group> (<year>2016</year>). <article-title>Advancement and applications of peptide phage display technology in biomedical science</article-title>. <source><italic>J. Biomed. Sci.</italic></source> <volume>23</volume>:<fpage>8</fpage>. <pub-id pub-id-type="doi">10.1186/s12929-016-0223-x</pub-id></citation></ref>
<ref id="B28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zalewska-Piatek</surname> <given-names>B.</given-names></name> <name><surname>Piatek</surname> <given-names>R.</given-names></name></person-group> (<year>2021</year>). <article-title>Bacteriophages as potential tools for use in antimicrobial therapy and vaccine development.</article-title> <source><italic>Pharmaceuticals</italic></source> <volume>14</volume>:<issue>331</issue>. <pub-id pub-id-type="doi">10.3390/ph14040331</pub-id> <pub-id pub-id-type="pmid">33916345</pub-id></citation></ref>
</ref-list>
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