Basic Research Open Access
Copyright ©2005 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 14, 2005; 11(14): 2088-2094
Published online Apr 14, 2005. doi: 10.3748/wjg.v11.i14.2088
Identification of the immunogenic domains in HBsAg preS1 region using overlapping preS1 fragment fusion proteins
Wei-Guo Hu, Jun Wei, Heng-Chuan Xia, Xin-Xiu Yang, Feng Li, Guang-Di Li, Yuan Wang, Zu-Chuan Zhang, Key Laboratory of Proteomics, Institute of Biochemistry and Cell Biology, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, 320 Yue-yang Road, Shanghai 200031, PR China
Jun Wei, Department of Pathology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA
Author contributions: All authors contributed equally to the work.
Correspondence to: Zu-Chuan Zhang, Key Laboratory of Proteomics, Institute of Biochemistry and Cell Biology, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, 320 Yue-yang Road, Shanghai 200031, China. zhangzc@sunm.shcnc.ac.cn
Telephone: +86-21-54921281 Fax: +86-21-54921011
Received: April 28, 2004
Revised: April 29, 2004
Accepted: June 24, 2004
Published online: April 14, 2005

Abstract

AIM: The incorporation of hepatitis B virus (HBV) preS1 region into epitope-based vaccines against HBV has been accepted widely, but the incorporate site and size of preS1 sequence is controversial. Therefore our purpose was to further investigate its immunogenic domains for the epitope-based hepatitis B vaccine design.

METHODS: Eight GST fusion proteins containing overlapping preS1 fragments in preS1 (21-119) region were expressed in E.coli. Using these purified fusion proteins, the immunogenic domains in preS1 region were identified in detail in mice and humans by Western blot analysis and ELISA.

RESULTS: The results in mice showed that the immu-nogenic domains mainly existed in preS1 (21-59) and preS1 (95-109). Similarly, these fragments had strong immunogenicity in humans; whereas the other parts except for preS1 (60-70) also had some immunogenicity. More importantly, a major immunogenic domain, preS1 (34-59), which has much stronger immunogenicity, was identified. Additionally, the antibodies against some preS1 fragments, especially preS1 (34-59), were speculated to be virus-neutralizing.

CONCLUSION: Eight GST fusion proteins containing overlapping preS1 fragments were prepared successfully. They were used for the study on the immunogenic dom-ains in preS1 (21-119) region. The preS1 (34-59) fragm-ents were the major immunogenic domains in the preS1 region, and the antibodies against these fragments were speculated to be virus-neutralizing. Therefore, the incorporation of preS1 (34-59) fragments into epitope-based HBV vaccines may be efficient for enhancement of immune response. Additionally, the results also imply that there are more complex immune responses to preS1 region and more abundant immunogenic domains in humans.

Key Words: HBV; preS1; GST fusion protein; Immunogenic domain; Overlapping



INTRODUCTION

Hepatitis B virus (HBV) is a small enveloped DNA virus, whose envelope contains three related surface glycoproteins called the large (L), middle (M) and small (S) proteins. All these proteins are the products of a single open reading frame, which is divided into preS1, preS2 and S regions[1]. They arise from three separate translation initiation AUG codons and share a common C-terminal. The S protein (226 amino acid residues) is encoded by the S gene. The M protein contains preS2 (55 amino acid residues) and S regions, while L protein contains preS1 (108 or 119 amino acid residues, depending on the subtype), preS2 and S regions.

HBV is the major etiologic agent for hepatitis B in humans[2]. It may cause acute and chronic hepatitis with serious sequelae such as cirrhosis and hepatocellular carcinoma (HCC)[3]. There are about 400 million HBV carriers worldwide[4] with about one million deaths per year due to HBV-associated liver cancer[5]. Whereas a previous study claimed that mass vaccination was effective in preventing HBV infection and in declining the incidence of HCC[6]. These enormous successes were achieved with plasma-derived vaccines, and later with yeast-derived recombinant vaccines[7,8]. However, both vaccines have a none-response rate of up to 10% in healthy vaccines after immunization with the licensed vaccines containing only the S-protein component of HBV surface antigen (HBsAg) particles[9]. Therefore, it is necessary to develop more effective and highly immunogenic vaccines.

For the development of vaccines against HBV, the preS1 sequence of HBsAg has been shown to be a particularly efficient immunogen at T-and B-cell levels[10,11]. In general, epitopes of proteins should be incorporated into recombinant vaccines for the production of poly-and monoclonal antib-odies[12]. Great deals of studies have shown that there are many immunogenic B-cell epitopes in the preS1 domain. Five distinct antibody-binding sites within the preS1 region of HBsAg/P43 of the adw subtype: preS1 (16-27), preS1 (32-53), preS1 (41-53), preS1 (94-105) and preS1 (106-117) have been determined in mice[13]. A putative B-cell epitope biased to the C-terminal region, preS1 (57-119), was identified in a commercially available immunoglobulin prep-ared from chronically HBV-infected donors[14]. Additionally, many epitopes of monoclonal antibodies directed against preS1 have also been mapped such as preS1 (27-35), preS1 (72-78)[15], preS1 (30-35)[16], preS1 (19-26), preS1 (37-45)[17,18], preS1 (37-43)[19] and preS1 (32-47)[20]. Many T-cell epitopes in preS1 region have also been identified, such as preS1 (21-30), preS1 (29-48)[21], preS1 (12-21) and preS1 (94-117)[13]. On the other hand, the incorporate site and size of preS1 seque-nces are controversial. Some candidate vaccines integrated all preS1 sequences[22-24]; other incorporated partial sequences of preS1 such as preS1 (21-47)[25], preS1 (12-52)[26] and preS1 (1-42)[27]. So it is important to further identify the immunogenic domains in HBsAg preS1 region for the design of vaccines against HBV.

Some reports pointed out that there were no important B-cell epitopes in preS1 (1-20) domains[13,28]. In the present study, eight GST-preS1 fusion proteins overlapped in the preS1 (21-119) region were highly expressed in E.coli and used to identify its immunogenic domains in mice and hum-ans by Western blot analysis and ELISA.

MATERIALS AND METHODS
Expression, purification of GST-preS1 fusion proteins

Eight overlapping fragments, preS1 (21-47), preS1 (34-59), preS1 (48-70), preS1 (60-85), preS1 (71-94), preS1 (86-109), preS1 (95-119) and preS1 (21-119) of HBV adr subtype were individually expressed as a fusion protein with GST. The coding sequences of these preS1 fragments were synthesized by PCR from pADR-1 using 5’- and 3’-primers and subcloned into the BamHI and EcoRI sites of pGEX 4T-1 (Pharmacia) to yield expression plasmids. To express the GST-preS1 fusion proteins, expression plasmids were transformed into E.coli BL21 (gold) cells and the expression of fusion proteins was induced by 0.1 mmol/L isoprophyl-β-D-thiogalactopyranoside (IPTG) at 37 °C for 2 h. The induced cells were harvested and sonicated. Supernatants of the cell lysates were affinity purified by glutathione (GSH)-sepharose 4B (Sigma) column chromatography. The quantity of purified fusion proteins was measured by Lowry’s method using bovine serum albumin as the standard. The procedures in detail were described in a previous study[29]. Then the cell lysates and the purified fusion proteins were subjected to 12.5% SDS-PAGE and Western blot analysis.

Immunization of mice

A group of five 7-week-old female Balb/C mice were immunized intraperitoneally with 25 µg of His-preS1 (21-119) fusion proteins[30] in 0.5 mL of complete Freund’s adjuvant (CFA, Sigma) at wk 0 and boosted at wk 2, 4, 6, and 8 with a same amount of antigen in Freund’s incomplete adjuvant (IFA, Sigma). The collected sera obtained at wk 0, 1, 3, 5, 7 and 9 were used to analyze the antigenicity of the above eight preS1 fusion proteins by Western blot analysis and ELISA.

Western blot analysis

After electrophoresis, electrophoretic protein bands of the expressed cell lysates were transferred to nitrocellulose membranes (Hoefer Scientific). The membranes were incubated with the mixture of five mice antisera (1:300 dilution) collected at wk 9, then reacted with goat anti-mouse IgG peroxidase conjugates (Novagen) (1:20000 dilution). After being washed, the substrate solution containing DAB·4HCl (0.5 mg/mL, Amersco) and H2O2 (0.1 µL/mL) was added and the reaction was quenched with distilled water.

ELISA of mouse antisera

A same amount (100 ng/well) of eight preS1 fusion proteins dissolved in 15 mmol/L sodium carbonate, 35 mmol/L sodium bicarbonate buffer, pH 9.6 were coated on microtiter plates (Nunc) at 37 °C for 2 h. After being washed thrice with PBS-0.1% Tween 20 (PBS-T) and blocked with 2.5% bovine serum albumin in PBS at 37 °C for 1 h, separate mouse antisera (1:300 dilution) collected at different time points were added and incubated at 37 °C for 1 h. The wells were washed five times as described above, then goat anti-mouse IgG peroxidase conjugates (Novagen) (1:20000 dilution) were added and incubated at 37 °C for 1 h. The substrate solution (0.06 mg/mL TMB and 0.3 µL/mL H2O2 in 0.1 mol/L Na2HPO4-citrate buffer, pH 5.0) was added to each well and incubated at 37 °C for 15 min. The reaction was stopped with 2 N sulfuric acid and A values were measured at 450 nm in an ELISA reader. The mean A value from five mice antisera was plotted on the corresponding graph.

In competitive ELISA, the mouse antisera were diluted in different concentrations, and previously incub-ated with the coated antigens or other overlapping antigen (s) at a dose of 2 µg at 37 °C for 1 h. The antisera without antigen treatment were used as controls. The selection of coated antigens with immunogenicity depends on the results of Western blot analysis. The other experimental steps were the same as described above.

ELISA of human sera

The plate wells were coated with different preS1 fusion proteins as described above, and then washed thrice with PBS-0.5% Tween 20 (PBS-T) and blocked with 25% goat sera, 2.5% skimmed milk in PBS at 37 °C for 1 h. Human serum samples from 28 normal individuals, 37 acute hepatitis B patients, 106 chronic hepatitis B patients and 33 HCC patients with hepatitis B collected from Changzheng Hospital, Shanghai and East Hepatobiliary Surgery Hospital, Shanghai were diluted 1:30 with sample buffer (25% goat sera, 2.5% skimmed milk, 10% glycerol, 0.19% EDTA in PBS-T). The plates were filled with the diluted serum samples and incubated at 37 °C for 1 h, then washed seven times as described above. Peroxidase conjugated goat anti-human IgG (γ-chain specific, Sigma) (1:5000 dilution) was added to each well and incubated at 37 °C for 1 h. The plates were then washed seven times with PBS-T and the substrate solution was added to react. After 15-min incubation, the reaction was stopped with 2 N sulfuric acid. A values were measured at 450 nm in an ELISA reader. The mean value obtained from the sera of different infection types was plotted on the corresponding graph.

In competitive ELISA, the mixture of serum samples from acute hepatitis B patients was used and the other procedures were similar to those in mice.

RESULTS
Expression, purification of GST-preS1 fusion proteins

After the expression plasmids were verified by sequencing, they were transformed into E.coli BL21 (gold). The eight overlapping preS1 fusion proteins were highly expressed in the transformed cells (Figure 1A). The supernatants of sonicated cell lysates were applied to affinity chromat-ography on glutathione-sepharose 4B column, and the purified fusion proteins were obtained (Figure 1B). The purities of purified fusion proteins were evaluated to be over 95% by densitometric scanning. About 50-90 mg of soluble purified proteins was obtained from 1 L of culture.

Figure 1
Figure 1 Expression, purification, and Western blot analysis of eight GST fusion proteins containing overlapping preS1 fragments in E. coli BL21 (gold). A and B: Cell lysates and purified fusion proteins subjected to 12.5% SDS-PAGE and stained with Coomassie brilliant blue. C: Protein bands on the duplicate gel of cell lysates electroblotted onto a nitrocellulose membrane for Western blot analysis with mice antisera. Lane M: Molecular weight standard. Lanes 1-8: The samples containing preS1 (21-119), preS1 (21-47), preS1 (34-59), preS1 (48-70), preS1 (60-85), preS1 (71-94), preS1 (86-109) and preS1 (95-119) in a sequent order.
Immune response to His-preS1 (21-119) fusion protein in mice

The results of Western blot analysis (Figure 1C) showed that the immunogenic domains of preS1 (21-119) sequences in mice existed in the fragments of preS1 (21-47), preS1 (34-59) and preS1 (48-70) in the N-terminus, and in the fragments of preS1 (86-109) and preS1 (94-119) in the C-terminus, whose strips appeared obvious staining intensity. Especially, the staining intensity of preS1 (34-59) strips was much higher than that of the other preS1 fragments. While the staining intensity of preS1 (60-85) and preS1 (71-94) strips was very weak, suggesting that the five fragments in preS1 (21-119) region, especially preS1 (34-59), had strong immunogenicity, and the two fragments in the middle had little immunogenicity.

The results of ELISA as shown in Figure 2 indicated that the immunoreactivity of antisera directed against most preS1 fragments increased obviously at wk 3 and went to the utmost at wk 7. It also showed that the antigenicity of preS1 (21-119) and preS1 (34-59) decreased slightly after wk 7, while the antigenicity of the other fragments did not. The distribution and strength of immunogenicity in these fragments were in agreement with the observations in Western blot analysis. The results also demonstrated that preS1 (34-59) fragments were also the strongest in immu-nogenicity.

Figure 2
Figure 2 Immunogenicity analysis of different fragments in preS1 (21-119) region in mice by ELISA using eight overlapping GST-preS1 fusion proteins as coated antigens. The mice were immunized with His-preS1 (21-119) fusion proteins at wk 0, 2, 4, 6 and 8, and the antisera were collected the following week.

The precise immunogenic domains in preS1 (21-119) region in mice were further identified with competitive ELISA. The antigenicity of each coated antigen could be inhibited by itself, which confirmed the specificity of its corresponding antibody. The antigenicity of preS1 (21-47) could be partially inhibited by preS1 (34-59) (Figure 3A), suggesting that the two fragments, preS1 (21-33) and preS1 (34-47) had immunogenicity. The antigenicity of preS1 (34-59) could only be slightly inhibited by preS1 (21-47) or preS1 (48-70) or a mixture of them (Figure 3B), implying that there might be a conformational epitope in preS1 (34-59) region. While the antigenicity of preS1 (48-70) could be almost totally inhibited by preS1 (34-59) (Figure 3C), suggesting that there was an immunogenic domain in the part of preS1 (48-59). In addition, the antigenicity of preS1 (86-109) and preS1 (95-119) could be inhibited by each other (Figure 3D and 3E), implying that the immunogenic domain existed in the overlapping part, preS1 (95-109).

Figure 3
Figure 3 Identification of the precise immunogenic domains in mice by competitive ELISA. The coated antigens were the five fusion proteins containing different preS1 fragments: preS1 (21-47) (A), preS1 (34-59) (B), preS1 (48-70) (C), preS1 (86-109) (D) and preS1 (95-119) (E), respectively. The mouse antisera colleted at wk 9 were previously incubated with the coated antigens or the other overlapping antigen(s) at a dose of 2 µg, and the samples not treated with antigen(s) were used as controls.
Detection of antibodies against overlapping preS1 fragments in the sera from HBV-infected patients

The activity of antibodies against different preS1 fragments detected from the sera of patients with different infection types is shown in Figure 4. The discrimination of HBV infection types was based on the immunological evidence of sera and clinical manifestations of cases. The results indicated that all the fragments showed stronger antigenicity against acute hepatitis B patient samples and the fragments of preS1 (34-59) also had much stronger antigenicity as in mice. In addition, the antigenicity of the fragments, preS1 (21-47), preS1 (48-70), preS1 (86-109), preS1 (95-119), and especially preS1 (34-59), was significantly lower in chronic-phase sera (chronic hepatitis B and HCC with hepatitis B samples) than in acute-phase sera (P<0.05). However, the antigenicity of the fragments, preS1 (60-85) and preS1 (71-94), in the middle part of preS1 showed less diversity (P>0.05).

Figure 4
Figure 4 Detection of antigenicity (A450) of the eight different preS1 fragments overlapped in preS1 (21-119) region against hepatitis B patients’ serum samples with different infection types by indirect ELISA. 1The antigenicity of the fragments, preS1 (21-47), preS1 (48-70), preS1 (86-109), preS1 (95-119), and especially preS1 (34-59), decreased significantly in chronic-phase sera (chronic hepatitis B and HCC with hepatitis B samples) in comparison with acute-phase sera (P<0.05). However, 2the antigenicity of the fragments, preS1 (60-85) and preS1 (71-94), in the middle part showed less diversity (P>0.05). Each column represents the mean A value±SE.

The data of competitive ELISA (Figure 5) likewise confirmed the specificity of corresponding antib-odies. It also indicated that the antigenicity of most fragments could not be chiefly inhibited by the overlapping fragment(s). With an exception, the antigenicity of preS1 (60-85) could be most inhibited by preS1 (71-94), but could not be inhibited by preS1 (48-70). The above results suggested that all the domains except for preS1 (60-70) had some immunogenicity.

Figure 5
Figure 5 Identification of the precise immunogenic domains in humans by competitive ELISA. The coated antigens were the seven fusion proteins containing different preS1 fragments: preS1 (21-47) (A), preS1 (34-59) (B), preS1 (48-70) (C), preS1 (60-85) (D), preS1 (71-94) (E), preS1 (86-109) (F) and preS1 (95-119) (G), respectively. The mixture of sera samples from acute hepatitis B patients was previously incubated with the coated antigens or the overlapping antigen(s) at a dose of 2 µg, and the samples not treated with antigen(s) were used as controls.
DISCUSSION

Because the HBsAg preS1 region correlates with the assembly and infectivity of HBV[31-33], possesses the binding site on hepatocyte membranes[31], has abundant T-and B-cell epitopes[13] and may overcome the none-response against common vaccines containing only S region[34,35], the incorporation of preS1 region into epitope-based vaccines has been widely accepted[10,36]. While the incorporation site and size of preS1 sequences are controversial, some prev-ious studies on the immunogenicity of preS1 region mainly focused on mice and the tested antigens in preS1 region did not overlap[13,37]. So it may acquire more information about the immunogenic domains in preS1 region if its immu-nogenic domains in mice and humans with overlapping preS1 fragments are simultaneously analyzed.

It has been established that small proteins could be successfully expressed in E.coli by fusing them with GST[38], with which the fusion proteins could be expressed mostly in soluble form and purified more easily by a simple affinity chromatography. In addition, GST did not influence the specificity of anti-preS1 antibodies[29,39]. Therefore, we selected the plasmid of pGEX 4T-1 as a vector to express the different overlapping preS1 fragments in E.coli and gained the satisfactory results. Then the mice were immunized by His-preS1 (21-119) fusion proteins expressed previously in our laboratory[30] and the anti-sera were used to identify the immunogenic domains of preS1 (21-119) region in mice by ELISA using these overlapping preS1 fusion proteins. The antigenicity of these different preS1 fragments against the sera from different HBV-infected patients was also invest-igated.

The results of immunogenicity analysis in mice showed that the immunogenic domains existed in preS1 (21-59) and preS1 (95-109). It is in agreement with the previous observ-ations, which indicated that the immunogenic domains of preS1 in mice were located in preS1 (16-53) and preS1 (94-117) with the immunization of HBsAg/p43 particles[13]. A previous study also found that the immunogenicity of natural and recom-binant antigens was identical[40]. However, the results in humans indicated that other fragments, such as preS1 (71-94), also had strong immunogenicity. It implies that there are more abundant immunogenic domains in preS1 region and more complex immune responses to preS1 region in humans, which might be due to the more complex MHC gene regulation of human immune responses[41]. Additionally, the antigenicity of the N-and C-terminal of the sequences of preS1 (21-119), preS1 (21-47), preS1 (48-70), preS1 (86-109), preS1 (95-119) and especially preS1 (34-59), was significantly lower in chronic-phase sera than in acute-phase sera (P<0.05), leading to the speculation that the antibodies against these fragments, especially preS1 (34-59), are virus-neutralizing.

On the other hand, some previous data figured out that the major epitope of preS1 region in acute-phase sera was conformational, its specific antibody was virus-precipitating and the activity was decreased later[37,40-42]. But it has not been identified. Importantly, the results here clearly showed that the fragments of preS1 (34-59) were the major immu-nogenic domains in mice and human immune responses to preS1 region and its antibody activity was also decreased in mice at wk 7 after immunization. Therefore, the antibody could be speculated to be virus-neutralizing, and it might be efficient to develop a promising vaccine, which incorporates these fragments into HBsAg-based recombinant vaccines.

The predictions of secondary structure and immunological properties in the preS1 (21-119) region using Lasegene software (DNASTAR Inc., Madison, WI) also supported the above results. In conclusion, there are a great deal of turn regions and coil regions, which lack of alpha and beta regions in preS1 region. The only alpha region is located in the domain of preS1 (51-58), which may partially explain the much stronger immunogenicity of preS1 (34-59). In addition, the N-and C-terminal in preS1 (21-119) region have a strong hydrophilicity, a high antigenic index and a high surface probability, which cause the strong immuno-genicity, while preS1 (60-70) has a very weak hydrophilicity, a low antigenic index and low surface probability, which cause the little immunogenicity.

ACKNOWLEDGMENTS

The authors are deeply grateful to Dr. Wen-Sheng Xue, Dr. En-Bing Xue and Dr. Xiang-Ji Luo in Changzheng Hospital, Shanghai and East Hepatobiliary Surgery Hospital, Shanghai for the collection of human sera samples.

References
1.  Heermann KH, Goldmann U, Schwartz W, Seyffarth T, Baumgarten H, Gerlich WH. Large surface proteins of hepatitis B virus containing the pre-s sequence. J Virol. 1984;52:396-402.  [PubMed]  [DOI]  [Cited in This Article: ]
2.  Ganem D, Varmus HE. The molecular biology of the hepatitis B viruses. Annu Rev Biochem. 1987;56:651-693.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 805]  [Cited by in F6Publishing: 824]  [Article Influence: 22.3]  [Reference Citation Analysis (0)]
3.  Beasley RP, Hwang LY. Hepatocellular carcinoma and hepatitis B virus. Semin Liver Dis. 1984;4:113-121.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 116]  [Cited by in F6Publishing: 115]  [Article Influence: 2.9]  [Reference Citation Analysis (0)]
4.  Malik AH, Lee WM. Chronic hepatitis B virus infection: treatment strategies for the next millennium. Ann Intern Med. 2000;132:723-731.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 110]  [Cited by in F6Publishing: 118]  [Article Influence: 4.9]  [Reference Citation Analysis (1)]
5.  Blumberg BS. Hepatitis B virus, the vaccine, and the control of primary cancer of the liver. Proc Natl Acad Sci USA. 1997;94:7121-7125.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 90]  [Cited by in F6Publishing: 81]  [Article Influence: 3.0]  [Reference Citation Analysis (0)]
6.  Lee CL, Ko YC. Hepatitis B vaccination and hepatocellular carcinoma in Taiwan. Pediatrics. 1997;99:351-353.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 56]  [Cited by in F6Publishing: 58]  [Article Influence: 2.1]  [Reference Citation Analysis (0)]
7.  Mahoney FJ, Kane M.  Hepatitis B vaccine. In: Plotkin S A, Orenstein W A (Eds), Vaccines. 3rd ed. London Saunders 1999; 158-182.  [PubMed]  [DOI]  [Cited in This Article: ]
8.  West DJ, Calandra GB, Ellis RW. Vaccination of infants and children against hepatitis B. Pediatr Clin North Am. 1990;37:585-601.  [PubMed]  [DOI]  [Cited in This Article: ]
9.  André FE. Overview of a 5-year clinical experience with a yeast-derived hepatitis B vaccine. Vaccine. 1990;8 Suppl:S74-S78; discussion S79-S80.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 121]  [Cited by in F6Publishing: 124]  [Article Influence: 3.6]  [Reference Citation Analysis (0)]
10.  Milich DR. Genetic and molecular basis for T- and B-cell recognition of hepatitis B viral antigens. Immunol Rev. 1987;99:71-103.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 54]  [Cited by in F6Publishing: 59]  [Article Influence: 1.6]  [Reference Citation Analysis (0)]
11.  Milich DR. T- and B-cell recognition of hepatitis B viral antigens. Immunol Today. 1988;9:380-386.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 103]  [Cited by in F6Publishing: 104]  [Article Influence: 2.9]  [Reference Citation Analysis (0)]
12.  Horsfall AC, Hay FC, Soltys AJ, Jones MG. Epitope mapping. Immunol Today. 1991;12:211-213.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 37]  [Cited by in F6Publishing: 41]  [Article Influence: 1.2]  [Reference Citation Analysis (0)]
13.  Milich DR, McLachlan A, Moriarty A, Thornton GB. A single 10-residue pre-S(1) peptide can prime T cell help for antibody production to multiple epitopes within the pre-S(1), pre-S(2), and S regions of HBsAg. J Immunol. 1987;138:4457-4465.  [PubMed]  [DOI]  [Cited in This Article: ]
14.  Park JH, Cho EW, Lee YJ, Shin SY, Kim KL. Determination of the protective effects of neutralizing anti-hepatitis B virus (HBV) immunoglobulins by epitope mapping with recombinant HBV surface-antigen proteins. Microbiol Immunol. 2000;44:703-710.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 21]  [Cited by in F6Publishing: 25]  [Article Influence: 1.1]  [Reference Citation Analysis (0)]
15.  Kuroki K, Floreani M, Mimms LT, Ganem D. Epitope mapping of the PreS1 domain of the hepatitis B virus large surface protein. Virology. 1990;176:620-624.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 39]  [Cited by in F6Publishing: 44]  [Article Influence: 1.3]  [Reference Citation Analysis (0)]
16.  Küttner G, Kramer A, Schmidtke G, Giessmann E, Dong L, Roggenbuck D, Scholz C, Seifert M, Stigler RD, Schneider-Mergener J. Characterization of neutralizing anti-pre-S1 and anti-pre-S2 (HBV) monoclonal antibodies and their fragments. Mol Immunol. 1999;36:669-683.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 25]  [Cited by in F6Publishing: 27]  [Article Influence: 1.1]  [Reference Citation Analysis (0)]
17.  Ryu CJ, Kim YK, Hur H, Kim HS, Oh JM, Kang YJ, Hong HJ. Mouse monoclonal antibodies to hepatitis B virus preS1 produced after immunization with recombinant preS1 peptide. Hybridoma. 2000;19:185-189.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 19]  [Cited by in F6Publishing: 20]  [Article Influence: 0.8]  [Reference Citation Analysis (0)]
18.  Maeng CY, Ryu CJ, Gripon P, Guguen-Guillouzo C, Hong HJ. Fine mapping of virus-neutralizing epitopes on hepatitis B virus PreS1. Virology. 2000;270:9-16.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 61]  [Cited by in F6Publishing: 65]  [Article Influence: 2.7]  [Reference Citation Analysis (0)]
19.  Pizarro JC, Vulliez-le Normand B, Riottot MM, Budkowska A, Bentley GA. Structural and functional characterization of a monoclonal antibody specific for the preS1 region of hepatitis B virus. FEBS Lett. 2001;509:463-468.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 12]  [Cited by in F6Publishing: 13]  [Article Influence: 0.6]  [Reference Citation Analysis (0)]
20.  Petit MA, Strick N, Dubanchet S, Capel F, Neurath AR. Inhibitory activity of monoclonal antibody F35.25 on the interaction between hepatocytes (HepG2 cells) and preS1-specific ligands. Mol Immunol. 1991;28:517-521.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 16]  [Cited by in F6Publishing: 19]  [Article Influence: 0.6]  [Reference Citation Analysis (0)]
21.  Ferrari C, Cavalli A, Penna A, Valli A, Bertoletti A, Pedretti G, Pilli M, Vitali P, Neri TM, Giuberti T. Fine specificity of the human T-cell response to the hepatitis B virus preS1 antigen. Gastroenterology. 1992;103:255-263.  [PubMed]  [DOI]  [Cited in This Article: ]
22.  Bertino JS, Tirrell P, Greenberg RN, Keyserling HL, Poland GA, Gump D, Kumer ML, Ramsey K. A comparative trial of standard or high-dose S subunit recombinant hepatitis B vaccine versus a vaccine containing S subunit, Pre-S1, and Pre-S2 particles for revaccination of healthy adult non-responders. J Inf Dis. 1997;175:678-681.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 37]  [Cited by in F6Publishing: 40]  [Article Influence: 1.5]  [Reference Citation Analysis (0)]
23.  Holzer GW, Mayrhofer J, Leitner J, Blum M, Webersinke G, Heuritsch S, Falkner FG. Overexpression of hepatitis B virus surface antigens including the preS1 region in a serum-free Chinese hamster ovary cell line. Protein Expr Purif. 2003;29:58-69.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 19]  [Cited by in F6Publishing: 20]  [Article Influence: 1.0]  [Reference Citation Analysis (0)]
24.  Kniskern PJ, Hagopian A, Burke P, Dunn N, Emini EA, Miller WJ, Yamazaki S, Ellis RW. A candidate vaccine for hepatitis B containing the complete viral surface protein. Hepatology. 1988;8:82-87.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 31]  [Cited by in F6Publishing: 33]  [Article Influence: 0.9]  [Reference Citation Analysis (0)]
25.  Xu X, Li GD, Kong YY, Yang HL, Zhang Z, Cao HT, Wang Y. A modified hepatitis B virus surface antigen with the receptor-binding site for hepatocytes at its C terminus: expression, antigenicity and immunogenicity. J Gen Virol. 1994;75:3673-3677.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 9]  [Cited by in F6Publishing: 10]  [Article Influence: 0.3]  [Reference Citation Analysis (0)]
26.  Petre J, Rutgers T, Hauser P. Properties of a recombinant yeast-derived hepatitis B surface antigen containing S, preS2 and preS1 antigenic domains. Arch Virol Suppl. 1992;4:137-141.  [PubMed]  [DOI]  [Cited in This Article: ]
27.  Prange R, Werr M, Birkner M, Hilfrich R, Streeck RE. Properties of modified hepatitis B virus surface antigen particles carrying preS epitopes. J Gen Virol. 1995;76:2131-2140.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 19]  [Cited by in F6Publishing: 21]  [Article Influence: 0.7]  [Reference Citation Analysis (0)]
28.  Alberti A, Gerlich WH, Heermann KH, Pontisso P. Nature and display of hepatitis B virus envelope proteins and the humoral immune response. Springer Semin Immunopathol. 1990;12:5-23.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 22]  [Cited by in F6Publishing: 25]  [Article Influence: 0.7]  [Reference Citation Analysis (0)]
29.  Hu W, Li F, Yang X, Li Z, Xia H, Li G, Wang Y, Zhang Z. A flexible peptide linker enhances the immunoreactivity of two copies HBsAg preS1 (21-47) fusion protein. J Biotechnol. 2004;107:83-90.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 28]  [Cited by in F6Publishing: 30]  [Article Influence: 1.5]  [Reference Citation Analysis (0)]
30.  Wei J, Wang YQ, Lu ZM, Li GD, Wang Y, Zhang ZC. Detection of anti-preS1 antibodies for recovery of hepatitis B patients by immunoassay. World J Gastroenterol. 2002;8:276-281.  [PubMed]  [DOI]  [Cited in This Article: ]
31.  Neurath AR, Kent SB, Strick N, Parker K. Identification and chemical synthesis of a host cell receptor binding site on hepatitis B virus. Cell. 1986;46:429-436.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 412]  [Cited by in F6Publishing: 402]  [Article Influence: 10.6]  [Reference Citation Analysis (0)]
32.  Ou JH, Rutter WJ. Regulation of secretion of the hepatitis B virus major surface antigen by the preS-1 protein. J Virol. 1987;61:782-786.  [PubMed]  [DOI]  [Cited in This Article: ]
33.  Persing DH, Varmus HE, Ganem D. Inhibition of secretion of hepatitis B surface antigen by a related presurface polypeptide. Science. 1986;234:1388-1391.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 158]  [Cited by in F6Publishing: 170]  [Article Influence: 4.5]  [Reference Citation Analysis (0)]
34.  Neurath AR, Kent SB, Strick N, Stark D, Sproul P. Genetic restriction of immune responsiveness to synthetic peptides corresponding to sequences in the pre-S region of the hepatitis B virus (HBV) envelope gene. J Med Virol. 1985;17:119-125.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 37]  [Cited by in F6Publishing: 40]  [Article Influence: 1.0]  [Reference Citation Analysis (0)]
35.  Milich DR, McLachlan A, Chisari FV, Kent SB, Thorton GB. Immune response to the pre-S(1) region of the hepatitis B surface antigen (HBsAg): a pre-S(1)-specific T cell response can bypass nonresponsiveness to the pre-S(2) and S regions of HBsAg. J Immunol. 1986;137:315-322.  [PubMed]  [DOI]  [Cited in This Article: ]
36.  Jilg W. Novel hepatitis B vaccines. Vaccine 1998; 16: s65-68 42 Cavalletto D, Pontisso P, Belussi F, Alberti A. Fine specificity of antibodies precipitating Dane particles in hepatitis B. J Hepatol. 1988;7:s19-s22.  [PubMed]  [DOI]  [Cited in This Article: ]
37.  Alberti A, Cavalletto D, Chemello L, Belussi F, Fattovich G, Pontisso P, Milanesi G, Ruol A. Fine specificity of human antibody response to the PreS1 domain of hepatitis B virus. Hepatology. 1990;12:199-203.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 15]  [Cited by in F6Publishing: 18]  [Article Influence: 0.5]  [Reference Citation Analysis (0)]
38.  Smith DB, Johnson KS. Single-step purification of polypeptides expressed in Escherichia coli as fusions with glutathione S-transferase. Gene. 1988;67:31-40.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 4396]  [Cited by in F6Publishing: 4896]  [Article Influence: 136.0]  [Reference Citation Analysis (0)]
39.  Wei J, Liu XJ, Wang YQ, Lu ZM, Li GD, Wang Y, Zhang ZC. Development of the diagnostic immunoassay to detect anti-PreS1(21-47aa) antibody--a marker suggesting the health improvement of hepatitis B patients. Clin Chim Acta. 2002;317:159-169.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 7]  [Cited by in F6Publishing: 8]  [Article Influence: 0.4]  [Reference Citation Analysis (0)]
40.  Heermann KH, Kruse F, Seifer M, Gerlich WH. Immunogenicity of the gene S and Pre-S domains in hepatitis B virions and HBsAg filaments. Intervirology. 1987;28:14-25.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 51]  [Cited by in F6Publishing: 55]  [Article Influence: 1.5]  [Reference Citation Analysis (0)]
41.  Milich DR, Leroux-Roels GG. Immunogenetics of the response to HBsAg vaccination. Autoimmun Rev. 2003;2:248-257.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 65]  [Cited by in F6Publishing: 68]  [Article Influence: 3.2]  [Reference Citation Analysis (0)]
42.  Cavalletto D, Pontisso P, Belussi F, Alberti A. Fine specificity of antibodies precipitating Dane particles in hepatitis B. J Hepatol. 1988;7:s19-s22.  [PubMed]  [DOI]  [Cited in This Article: ]