key: cord-0729999-3z1jdiwo
authors: Ohno, Satoshi; Kohyama, Shunsuke; Taneichi, Maiko; Moriya, Osamu; Hayashi, Hidenori; Oda, Hiroshi; Mori, Masahito; Kobayashi, Akiharu; Akatsuka, Toshitaka; Uchida, Tetsuya; Matsui, Masanori
title: Synthetic peptides coupled to the surface of liposomes effectively induce SARS coronavirus-specific cytotoxic T lymphocytes and viral clearance in HLA-A*0201 transgenic mice
date: 2009-06-12
journal: Vaccine
DOI: 10.1016/j.vaccine.2009.04.001
sha: d783f56cc0176b2a634a6c4e8a2679fda162acd5
doc_id: 729999
cord_uid: 3z1jdiwo

We investigated whether the surface-linked liposomal peptide was applicable to a vaccine based on cytotoxic T lymphocytes (CTLs) against severe acute respiratory syndrome (SARS) coronavirus (SARS-CoV). We first identified four HLA-A*0201-restricted CTL epitopes derived from SARS-CoV using HLA-A*0201 transgenic mice and recombinant adenovirus expressing predicted epitopes. These peptides were coupled to the surface of liposomes, and inoculated into mice. Two of the liposomal peptides were effective for peptide-specific CTL induction, and one of them was efficient for the clearance of vaccinia virus expressing epitopes of SARS-CoV, suggesting that the surface-linked liposomal peptide might offer an effective CTL-based vaccine against SARS.

Severe acute respiratory syndrome (SARS) is a novel infectious disease that emerged in southern China in late 2002 and spread to several countries in early 2003. More than 8000 cases of SARS had been identified worldwide, and nearly 800 patients had died before the epidemic ended [1] . The etiologic agent of SARS has turned out to be a novel coronavirus termed SARS-associated coronavirus (SARS-CoV) [2] [3] [4] , which is a plus-stranded RNA virus with an approximately 30-kb long genome encoding replicase gene products and the structural proteins containing spike (S), envelop (E), membrane (M), and nucleocapsid (N). Until now, the viral genome has been sequenced [5] and the viral receptor has been identified [6] . However, the pathogenesis of SARS remains poorly understood, and the apparent latency of SARS-CoV in animal reservoirs continuously provides us a serious threat of reemergence. Therefore, it is urgent to develop a new prophylactic and therapeutic strategy against SARS.

Among the four structural proteins of SARS-CoV, S protein interacts with the cellular receptor to mediate membrane fusion, allowing the virus to enter host cells [6] . Accordingly, S protein is a major target for neutralizing antibodies [7] . High titers of neutralizing antibodies to SARS-CoV were detected in sera of the recovered patients [8] , and further, humoral immunity induced by a DNA vaccine contributed to the protection against SARS-CoV challenge in mice [7] . These data imply that neutralizing antibodies play a critical role in the clearance of SARS-CoV. On the other hand, a rapid loss of both CD4 + and CD8 + T cells was observed in patients suffering from severe SARS, and the cell counts gradually returned to normal ranges as the patients recovered [9] . Furthermore, certain HLA class I alleles have been reported to correlate with SARS susceptibility [10, 11] . These data strongly suggest that, as with many other viral infections, virus-specific cytotoxic T lymphocytes (CTLs) should be important for viral elimination in SARS as well.

A synthetic peptide vaccine is a potential candidate for a CTLbased vaccine against pathogenic viruses on account of several advantages over conventional vaccines. First, synthetic peptides rarely cause undesirable responses including general toxicity, immunosuppression and autoimmunity. Second, it is possible to select short peptides in the absence of amino acid mutations. Third, synthetic peptides can easily be prepared as a pure immunogen in large quantities. However, a major disadvantage is the weak immunogenicity. Therefore, it is critical to search for adjuvant vehi- cles which are non-immunogenic themselves but which enhance the immunogenicity of peptides.

Liposomes have extensively been investigated as a delivery system for antigen [12] . In most cases, it has been prepared by antigen entrapment within the aqueous lumen of liposomes. In contrast, we have previously shown that ovalbulim (OVA) chemically conjugated on the surface of liposomes induced OVA-specific IgG production but not OVA-specific IgE production in mice [13] , suggesting that the surface-linked liposomal antigen could offer a safe antigen delivery system without allergic side effects. Furthermore, we have demonstrated that an OVA-derived peptide, OVA 257-264 conjugated on the surface of liposomes made from unsaturated, but not saturated fatty acid, induced OVA 257-264 -specific CTLs in mice more effectively than did liposomes containing OVA 257-264 inside [14, 15] . In addition, it was shown that surface-linked liposomal peptides were able to provide tumor eradication [15] and protection against viral challenge [14] in mice. Taken together, these data suggest that liposomes would become an excellent adjuvant vehicle for a synthetic peptide vaccine when a peptide(s) is chemically coupled to the surface of liposomes.

In the current study, we explored the possibility that the surface-linked liposomal peptide might serve as an effective CTLbased vaccine against SARS. Firstly, we attempted to identify HLA-A*0201-restricted CTL epitopes derived from N protein of SARS-CoV (SARS-CoV-N) using computational algorithm, recombinant adenovirus and HLA-A*0201 transgenic mice. N protein was chosen for the analyses because this is more conserved than S protein. Peptides identified were then chemically conjugated on the surface of liposomes and evaluated for their abilities to induce SARS-CoV-N-specific CTLs and to clear virus using recombinant vaccinia virus expressing SARS-CoV-derived epitopes.

To define potential HLA-A*0201-binding peptides derived from SARS-CoV-N (Urbani strain) (GenBank accession number: AY278741), we used two computer-based programs, SYFPEI-THI (http://www.syfpeithi.de/) [16] and BIMAS (http://wwwbimas.cit.nih.gov/molbio/hla bind/) [17] . As shown in Table 1 , eight peptides (N-113, N-159, N-222, N-223, N-227, N-317, N-331, and N-352) with high scores were selected, and synthesized by Operon Biotechnologies (Tokyo, Japan). An I-A b -restricted helper T cell peptide, hepatitis B virus (HBV) core 128 (amino acid sequence: TPPAYRPPNAPIL) [18] was also synthesized and used for immunization. Synthesized peptides were desalted, and analyzed by high performance liquid chromatography (HPLC).

Mice express a transgenic HLA-A*0201 monochain, designated as HHD, in which human beta-2 microglobulin (␤2m) is covalently linked to a chimeric heavy chain composed of HLA-A*0201 (␣1 and ␣2 domains) and H-2D b (␣3, transmembrane, and cytoplasmic domains) [19, 20] . Eight-to 12-week-old mice were used for all experiments. Mice were housed in appropriate animal care facilities at Saitama Medical University, Saitama, Japan, and handled according to international guidelines for experiments with animals.

A mouse lymphoma cell line transfected with the HHD gene, RMA-HHD (H-2 b ) was previously described [19] . T2 [21] is a TAP-deficient, human lymphoblastoid cell line expressing natural HLA-A*0201. Human kidney cell lines, 293 and 293T cells were obtained from the American Type Culture Collection (Rockville, MD). African green monkey-derived kidney cell lines, CV-1 and BS-C-1, and a human osteosarcoma, thymidine kinase-defective cell line, C143 were kindly provided by Dr. T. Shioda (Osaka University, Japan). The T2 cell line was maintained in RPMI-1640 medium (Sigma-Aldrich, St. Louis, MO) supplemented with 10% fetal calf serum (FCS) (JRH Biosciences, Lenexa, KS) (R-10). The 293, 293T, CV-1, BS-C-1 and C143 cell lines were cultured in Dulbecco's modified Eagle's medium (DMEM) (Sigma-Aldrich) with 10% FCS (D-10). The RMA-HHD cell line was maintained in D-10 containing G418 (Sigma-Aldrich) at a final concentration of 500 g/ml.

Peptide binding assay was performed as described [22] . Briefly, T2 cells were incubated with a synthetic peptide at various concentrations overnight at 37 • C. Cells were stained with the anti-HLA-A*0201 monoclonal antibody (mAb), BB7.2 [23] , followed by fluorescein isothiocyanate (FITC)-labeled goat anti-mouse IgG (Sigma-Aldrich). The mean fluorescence intensity (MFI) was measured by flow cytometry (FACScan, BD Biosciences, San Jose, CA). The concentration of each peptide that yields the half-maximal MFI of T2 cells pulsed with a control peptide derived from hepatitis C virus (HCV), NS3-1585 [22] was calculated as the half-maximal binding level (BL 50 ). Experiments were performed three times, and data are given as mean values ± SD.

A multiepitope minigene that encodes the eight predicted epitopes with 5-11 natural flanking amino acid residues at both of the N and C termini ( Fig. 1 ) (SARS-N8E) was constructed using overlapping long oligonucleotides in PCR-based synthesis [24] . In brief, five long oligos, averaging about 90 nucleotides in length with 20-25 nucleotide overlaps, were synthesized and HPLC-purified by Operon Biotechnologies. The minigene was then assembled by extending the five overlapping oligos. After confirming the nucleotide sequence by DNA sequencing, the multiepitope minigene, SARS-N8E was cloned into the NotI and EcoRI sites of p3xFLAG-CMV-10 expression vector (Sigma-Aldrich) (p3xFLAG-SARS-N8E). This vector encodes the three adjacent FLAG-tag epitopes (amino acid sequence: DYKDHDGDYKDHDIDYKDDDDK) upstream of the multiple cloning region, and hence, expresses an N-terminal 3xFLAG fusion protein under the control of the CMV promoter in mammalian cells.

Recombinant adenovirus expressing the eight predicted epitopes (Ad-SARS-N8E) was generated using the Adenovirus Expression Vector Kit (Takara Bio Inc., Shiga, Japan). Briefly, the SARS-N8E minigene linked to the 3xFLAG-tag sequence was isolated by PCR amplification from p3xFLAG-SARS-N8E, and inserted into the cloning site of the cosmid vector, pAxCAwtit containing the entire adenovirus genome except for the E1 and E3 genes. This recombinant cosmid was co-transfected with DNA-TPC containing the adenovirus terminal protein into 293 cells by Lipofectamine 2000 (Invitrogen, Carlsbad, CA). Since 293 cells express E1A and E1B, replication-defective adenovirus can be produced. After cloning, virus was amplified in 293 cells and titered by stan-dard plaque assays on 293 cells. Wild-type adenovirus (Ad-WT) was used as a negative control.

Recombinant vaccinia virus (WR strain) expressing the eight predicted epitopes (VV-SARS-N8E) was generated as described before [25] . In brief, the SARS-N8E minigene with the 3xFLAG-tag sequence was inserted into the transfer vector, pNZ68K2. VV-SARS-N8E was then generated by homologous recombination between wild-type vaccinia virus (VV-WT) and the transfer vector, purified by three cycles of plaque cloning with C143 cells in the presence of bromodeoxyuridine, and propagated in CV-1 cells. Viral titers were measured by standard plaque assays on BS-C-1 cells.

To detect expression of the SARS-N8E fusion protein, Western blotting was performed as described previously [25] . In brief, 293T cells were infected with Ad-SARS-N8E at a multiplicity of infection (MOI) of 30 or VV-SARS-N8E at an MOI of 3 for 1.5 h. After 2 days' incubation, cells were lysed and the solubilized proteins were separated by electrophoresis on a 12% SDS-PAGE under reducing condition, and blotted onto a nitrocellulose membrane. The blot was stained with 5 g/ml of the anti-FLAG M2 mAb (Sigma-Aldrich), followed by secondary staining with peroxidase conjugated anti-mouse IgG Ab. The protein bands were developed by the BCIP/NBT Phosphatase Substrate System (KPL Inc., Gaithersburg, MD).

Oleoyl liposomes are composed of dioleoyl phosphatidyl choline, dioleoyl phosphatidyl ethanolamine, dioleoyl phosphatidyl glycerol acid, and cholesterol in a 4:3:2:7 molar ratio [26] .

Each of CTL peptides and a helper peptide was then coupled to the surface of liposomes at a same molar concentration via disuccinimidyl suberate (DSS) as described previously [15] . Empty liposomes were used as a negative control.

For identification of CTL epitopes, mice were immunized intraperitoneally (i.p.) with 5 × 10 8 plaque-forming units (PFU) of either Ad-WT or Ad-SARS-N8E. For the immunization with liposomal peptides, mice were subcutaneously (s.c.) immunized with each surface-linked liposomal CTL peptide (25 g/mouse) mixed with a liposomal helper peptide (25 g/mouse) and CpG-ODN (5 -TCCATGACGTTCTGATGTT-3 , Hokkaido System Science, Sapporo, Japan) (5 g/mouse) in 100 l PBS in the footpad.

Intracellular cytokine staining (ICS) was performed as described previously [27] . Briefly, after 1 week following immunization, spleen cells of immunized mice were incubated with brefeldin A (GolgiPlug, BD Biosciences) for 5 h at 37 • C in the presence or absence of a relevant peptide at a final concentration of 10 M. After incubation with the rat anti-mouse CD16/CD32 mAb (Fc Block, BD Biosciences), cells were stained with FITC-conjugated rat anti-mouse CD8␣ mAb (BD Biosciences) for 30 min at 4 • C. Cells were then fixed, permeabilized, and stained with phycoerythrin (PE)-conjugated rat anti-mouse IFN-␥ mAb (BD Biosciences). After washing the cells, flow cytometric analyses were performed. 51 Cr-release assays were carried out as described before [19] . In brief, after 2 weeks following immunization, spleen cells of immunized mice were cultured for 1 week with irradiated (30 Gy), syngeneic naive spleen cells pre-pulsed with 10 M of a relevant peptide, and employed as effector cells in standard 51 Cr-release assays. RMA-HHD cells were pulsed with or without 10 M of each peptide for 1 h, labeled with 100 Ci of Na 2 51 CrO 4 , and used for target cells. After a 4-h incubation, supernatant of each well was harvested and the radioactivity was counted. Results were calculated as the mean of a triplicate assay. Percent specific lysis was calculated according to the formula: % specific lysis = [(cpm sample − cpm spontaneous )/(cpm maximum − cpm spontaneous )] ×100. Spontaneous release represents the radioactivity released by target cells in the absence of effectors, and maximum release represents the radioactivity released by target cells lysed with 5% Triton X-100.

In vivo CTL assay was carried out as reported before [28] . Briefly, spleen cells from naive HHD mice were equally split into two populations. One population was pulsed with a peptide at a final concentration of 10 M for 1 h at 37 • C, and then labeled with a high concentration (2. 

Viral challenge experiments were performed as described before [29] . Two weeks after immunization, mice were challenged i.p. with 1 × 10 6 PFU of either VV-SARS-N8E or VV-WT. Five days later, mice were sacrificed, and two ovaries of each mouse were homogenized, and resuspended in 0.5 ml of PBS containing 1% FCS and 1 mM MgCl 2 . Virus was released from the cells by three freeze-thaw cycles followed by sonication. Viral titers were measured by plating serial 10-fold dilutions on BS-C-1 indicator cells in 6-well plates. All titrations were performed in duplicates, and the average PFU per mouse was calculated.

Statistical analyses were performed with Student's t-test. A value of P < 0.05 was considered statistically significant.

The amino acid sequence of SARS-CoV-N was searched for potential HLA-A*0201-restricted CTL epitopes by two computerbased programs, SYFPEITHI [16] and BIMAS [17] . According to the scores calculated, eight nonameric and decameric peptides were selected and synthesized (Table 1) . To evaluate the binding affinity of these peptides to HLA-A*0201 molecules, the peptide binding assay [22] was performed (Table 1) . Five (N-113, N-222, N-223 , N-317, and N-331) out of the eight peptides were high binders displaying BL 50 values less than 100 M, and two (N-227 and N-352) of them were medium binders displaying BL 50 values ranging from 100 to 200 M. These data suggest that prediction of CTL epitopes should be mostly successful. In contrast, one peptide, N-159 showed low affinity binding.

To investigate whether CTLs specific for the predicted peptides were elicited, HHD mice were immunized i.p. once with either Ad-SARS-N8E or Ad-WT. One week after immunization, spleen cells were prepared and stimulated with each of the eight predicted peptides derived from SARS-CoV-N for 5 h. Cells were then stained for their surface expression of CD8 and antigen-induced intracellular expression of IFN-␥. As shown in Fig. 2 , considerable numbers of IFN-␥-producing CD8 + T cells were induced by stimulation with peptides including N-222, N-223, N-227 and N-317 in Ad-SARS-N8E-infected mice but not in Ad-WT-injected mice, indicating that CTLs specific for these four peptides were induced in mice by immunization with Ad-SARS-N8E. In contrast, none of the remaining peptides significantly elicited IFN-␥-secreting CD8 + T cells (Fig. 2) .

We next examined peptide-specific killing activities in spleen cells of mice that had been immunized with Ad-SARS-N8E. Two weeks after immunization, spleen cells of the mice were harvested and stimulated in vitro with each of the peptides. One week later, 51 Cr-release assays were performed at various effector:target (E:T) ratios. In agreement with the data of ICS (Fig. 2) , the four peptides, N-222 (Fig. 3C), N-223 (Fig. 3D), N-227 (Fig. 3E ) and N-317 (Fig. 3F ) elicited strong peptide-specific CTL responses in Ad-SARS-N8E-infected mice but not in Ad-WT-infected mice. On the other hand, the remaining peptides, N-113 (Fig. 3A) , N-159 (Fig. 3B) , N-331 (Fig. 3G) , and N-352 (Fig. 3H ) failed to induce CTL activities in either Ad-SARS-N8E-injected mice or Ad-WT-injected mice. To further address peptide-specific killing activities in mice, in vivo CTL assays were carried out (Fig. 4) . After immunization with either Ad-WT or Ad-SARS-N8E, HHD mice received i.v. injection of peptide-pulsed CFSE high targets and unpulsed CFSE low targets. Twelve hours later, spleen cells were prepared and peptide-specific lysis was assessed by flow cytometry. As was expected, N-222-, N-223-, N-227-and N-317-specific CTL killing activities were significantly detected in mice immunized with Ad-SARS-N8E, but not in Ad-WT-injected mice (Fig. 4) . Especially, the activity of N-223-specific killing was greatest (Fig. 4) , suggesting that N-223 might be an immunodominant epitope. Any of the remaining peptides, N-113, N-159, N-331 and N-352 could not induce peptide-specific killing activities in in vivo CTL assays (data not shown).

We next investigated whether surface-linked liposomal peptides could induce peptide-specific CTLs in mice. Since four peptides including N-222, N-223, N-227 and N-317 were expected to be HLA-A*0201-restricted CTL epitopes (Figs. 2-4) , these peptides were chemically conjugated on the surface of liposomes. Surface-linked liposomal peptides, Lip-N222, Lip-N223, Lip-N227 and Lip-N317 were then evaluated for their capabilities of CTL induction in HHD mice. One week after immunization with each of the liposomal peptides, spleen cells were prepared, stimulated with a relevant peptide, and stained for their expression of surface CD8 and intracellular IFN-␥. As shown in Fig. 5 , significant numbers of IFN-␥-producing CD8 + T cells were elicited in mice that had been immunized once with either Lip-N223 or Lip-N227 in the footpad. In the case of Lip-N317, however, one injection with Lip-N317 did not result in the induction of IFN-␥-producing CD8 + T cells (Fig. 5) , and after three injections, a significant expansion of IFN-␥-producing CD8 + T cells in response to N-317 was finally observed (Fig. 5) , indicating that Lip-N317 might be less immunogenic than Lip-N223 and Lip-N227. On the other hand, Lip-N222 failed to elicit N-222-specific IFN-␥-producing CD8 + T cells in mice (Fig. 5 ) even after multiple injections. Since N-222 is a 10-mer peptide composed of an N-223 peptide with one additional leucine at the N-terminus (Table 1) , there was a possibility of cross reaction between N-222 and N-223. As shown in Fig. 6 , both N-222 and N-223 peptides obviously stimulated IFN-␥-producing CD8 + T cells in mice immunized with Lip-N223, demonstrating that N-223-specific CTLs primed by Lip-N223 was activated by stimulation with N-222 as well as N-223. In contrast, either N-222 or N-223 could not induce IFN-␥-secreting CD8 + T cells in mice primed with Lip-N222.

Because Lip-N223 and Lip-N227 effectively primed IFN-␥producing CD8 + T cells in mice (Fig. 5) , we next evaluated whether immunization with either Lip-N223 or Lip-N227 would induce CD8 + CTLs to kill peptide-pulsed target cells in vivo. One week after immunization of mice, both peptide-pulsed CFSE high target cells and unpulsed CFSE low target cells were delivered into the mice via i.v. injection. As shown in Fig. 7 , the peptide-specific killing activity in Lip-N223-immunized mice was greater than that in Lip-N227immunized mice, indicating that Lip-N223 was more immunogenic than Lip-N227. Therefore, we next tested whether mice immunized with Lip-N223 were able to clear virus challenged. HHD mice were immunized twice with Lip-N223 at a 2-week interval. Two weeks after the last immunization, the mice were challenged with 1 × 10 6 PFU of VV-SARS-N8E or VV-WT. After 5 days following the challenge, viral titers were measured in two ovaries of each mouse. As shown in Fig. 8 , titers of vaccinia virus in mice challenged with VV-SARS-N8E were 3 logs lower than those in mice challenged with VV-WT. Mice immunized with empty liposomes retained high viral titers after challenge with either VV-SARS-N8E (Fig. 8) or VV-WT (data not shown). Thus, these data indicate that immunization with Lip-N223 is effective in the protection against virus. Fig. 3 . CTL activities specific for eight predicted epitopes derived from SARS-CoV-N in mice immunized with Ad-SARS-N8E. HHD mice were immunized i.p. with either Ad-SARS-N8E (reverse triangles) or Ad-WT (circles). Two weeks after immunization, spleen cells were prepared and stimulated in vitro with each of the eight predicted epitopes (N-113, N-159, N-222, N-223, N-227, N-317, N-331, and N-352) derived from SARS-CoV N protein. After 1 week, 51 Cr-release assays were performed at various E:T ratios with RMA-HHD cells pulsed with (open symbols) or without (solid symbols) a relevant peptide as target. Data are shown as the means ± SD of triplicate wells. The experiment was repeated twice with similar results. At least three mice per group were used in each experiment.

Since S protein is responsible for binding to specific cellular receptors [6] , this is a major target for neutralizing antibodies [7] . Moreover, vigorous S-specific CTL responses were generated in SARS-CoV-infected patients [30, 31] , indicating that S protein is an antigen for CTL as well. In fact, four CTL epitopes derived from S protein have been identified [31] [32] [33] . However, since N protein is more conserved and synthesized earlier than S protein, N protein seems preferable to S protein as an antigenic target for T-cell immunity. Therefore, we focused on SARS-CoV N protein for the development of a CTL-based vaccine in the current study. High-performing computational algorithms have extensively been used for the identification of CTL epitopes [18, [31] [32] [33] [34] . Chentoufi et al. [34] supported their predictive computational algorithms by multiple immunological screenings. Thus, it is important to use multiple screenings for successful identification of functional CTL epitopes. We also performed multiple immunological screens, including cell surface stabilization of HLA-A*0201 molecules on T2 cells, detection of antigen-driven IFN-␥-producing CD8 + T cells, and functional in vivo and in vitro CTL assays. Our strategy for the identification of CTL epitopes has several advantages. First, the use of recombinant adenovirus and vaccinia virus allowed us to circumvent the necessity for handling live SARS-CoV. Both of the recombinant viruses, Ad-SARS-N8E and VV-SARS-N8E, carry the multiepitope minigene that encodes eight predicted epitopes with several natural flanking amino acid residues at both of the ends, thereby offering natural antigen processing in the infected cells. The basic idea comes from the observation that flanking sequences proximal to CTL epitopes modulate proteasomal processing of the epitopes [35, 36] . Furthermore, we can carry out in vitro and in vivo experiments using these viruses in BSL-2 facilities. Replication-defective recombinant adenovirus effectively induces CTLs specific for a protein encoded by a gene inserted into the viral genome [29, 37, 38] . Recombinant vaccinia virus can be employed as a virus challenged in the protection experiment [29, 39] . Second, we used highly reactive HLA-A*0201 transgenic mice, termed HHD mice [20] . Because the innate H-2D b and mouse ␤2m genes have been disrupted by homologous recombination in HHD mice, the only MHC class I molecule on the cell surface, HLA-A*0201, is efficiently utilized by HLA-A*0201-restricted CTLs. We used lymphocytes of HHD mice infected with Ad-SARS-N8E as a replacement for PBL of SARS patients. As a consequence, we identified three HLA- A*0201-restricted CTL epitopes, N-223, N-227, and N-317, derived from SARS-CoV-N, which were identical to those reported by Tsao et al. [40] . This indicates that our approach has proved to be practical in the epitope identification for viruses. However, it has to be taken account that there may be differences between the immunogenic variations observed in HLA class I transgenic mice and that in humans primarily because the antigen processing, presentation and ultimately, immunodominance may differ between them. Further, it will be necessary to use SARS-CoV for viral challenge experiments at the final stage.

N-222 peptide is unlikely to be an epitope because N-222specific CTLs could not be induced by immunization with Lip-N222 (Fig. 5) . However, N-223-specific CTLs primed by Lip-N223 were activated by stimulation with N-222 as well as N-223 (Fig. 6) . Accordingly, when interpreting the data concerning N-222 in Figs. 2-4, we could propose an explanation that immunization of mice with Ad-SARS-N8E did not induce N-222-specific CTLs but Fig. 8 . Resistance to infection with vaccinia virus expressing N-223 in mice immunized with Lip-N223. HHD mice were immunized twice with either Lip-N223 or empty liposomes (Empty-Lip) along with a liposomal helper peptide and CpG at 2week intervals. Two weeks later, mice were challenged i.p. with 1 × 10 6 PFU of either VV-SARS-N8E (VV-SARS) or VV-WT. Mice were then sacrificed 5 days after challenge, and viral titers in the ovaries were measured. All titrations were performed in duplicates, and the average PFU per mouse is shown in the figure. Three mice were used in each group, and data are shown as the mean ± SD of three mice. *P < 0.01. did N-223-specific CTLs, which recognized N-222 as well as N-223 (Figs. 2-4 ).

In the current study, we have shown that surface-linked liposomal peptides such as Lip-N223 and Lip-N227 were very effective for the induction of peptide-specific CTLs in mice as well as recombinant adenovirus, Ad-SARS-N8E (Figs. 2 and 5). Of note, the most immunogenic liposomal peptide, Lip-N223 efficiently induced protection against viral challenge with vaccinia virus expressing N-223 (Fig. 8) . These data strongly suggest that the surface-linked liposomal peptide may offer an effective and safe CTL-based vaccine against SARS. However, in vivo CTL activity induced by Lip-N223 immunization was half of that induced by Ad-SARS-N8E (Figs. 4 and 7) although the level of IFN-␥-producing CD8 + T cells was similar between the Ad-SARS-N8E and Lip-N223 immunization (Figs. 2 and 5) . These data might suggest that liposomes disturb the CTL killing activity in some degree. Furthermore, a number of IFN-␥-producing CD8 + T cells specific for N-317 were elicited in mice that had received one injection of Ad-SARS-N8E (Fig. 2) . In contrast, three injections of Lip-N317 were required for the significant induction of N-317-specific IFN-␥-producing CD8 + CTLs in mice (Fig. 5) . These data might suggest that an exogenous peptide conjugated on the surface of liposomes may be processed and presented to peptide-specific CTLs in a different way from a naturally processed, endogenous peptide derived from adenovirus.

Our surface-linked liposomal peptide might be similar to the lipopeptide, a form of palmitoyl-lipidated peptide that is currently under intense investigation as human vaccines for many infectious pathogens and cancers [41] [42] [43] . Although both effectively induce peptide-specific CTLs, there are several differences between them. Fist of all, self-adjuvanting lipopeptides stimulate peptide-specific CTLs via Toll-like receptor (TLR)-2 without any particular adjuvants [42, 43] . In contrast, induction of CTLs by surface-linked liposomal peptides requires external TLR ligands such as CpG [14] . However, it is well known that CpG causes toxicity in humans [44] . Hence, it is essential to find out a safe adjuvant for clinical use of liposomal peptides. Second, lipopeptides administered intranasally, sublingually or intravaginally are able to induce mucosal and systemic immune responses [43] . This application offers the advantage of needle-free delivery. It is, however, still under investigation whether surfacelinked liposomal peptides intranasally stimulate peptide-specific CTLs.

In summary, we first tried to identify HLA-A*0201-restricted CTL epitopes derived N protein of SARS-CoV using computational algorithm, recombinant adenovirus and HLA-A*0201 transgenic mice. Four peptides that were expected to be epitopes were then chemically conjugated on the surface of liposomes. It was shown that two of the liposomal peptides were effective for peptide-specific CTL induction, and the most immunogenic liposomal peptide efficiently induced protection against viral challenge with vaccinia virus expressing this peptide. These data suggest that the surface-linked liposomal peptide may be useful for CTL-based immunotherapy against SARS.

Severe acute respiratory syndrome: global initiatives for disease diagnosis

Identification of a novel coronavirus in patients with severe acute respiratory syndrome

A novel coronavirus associated with severe acute respiratory syndrome

Coronavirus as a possible cause of severe acute respiratory syndrome

The genome sequence of the SARS-associated coronavirus

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Profile of specific antibodies to the SARS-associated coronavirus

Measurement of subgroups of peripheral blood T lymphocytes in patients with severe acute respiratory syndrome and its clinical significance

Association of HLA class I with severe acute respiratory syndrome coronavirus infection

Association of humanleukocyte-antigen class I (B*0703) and class II (DRB1*0301) genotypes with susceptibility and resistance to the development of severe acute respiratory syndrome

Liposomes as carriers of peptide antigens: induction of antibodies and cytotoxic T lymphocytes to conjugated and unconjugated peptides

T cell-independent regulation of IgE antibody production induced by surface-linked liposomal antigen

Peptides coupled to the surface of a kind of liposome protect infection of influenza viruses

Antigen chemically coupled to the surface of liposomes are cross-presented to CD8 + T cells and induce potent antitumor immunity

SYFPEITHI: database for MHC ligands and peptide motifs

Scheme for ranking potential HLA-A2 binding peptides based on independent binding of individual peptide side-chains

Identification of protective Lassa virus epitopes that are restricted by HLA-A2

Adjuvant activities of novel cytokines, interleukine (IL)-23 and IL-27 for induction of hepatitis C virus-specific cytotoxic T lymphocytes in HLA-A*0201 transgenic mice

HLA-A2 1-restricted education and cytolytic activity of CD8 + T lymphocytes from ␤2 microglobulin (␤2m) HLA-A2.1 monochain transgenic H-2D b ␤2m double knockout mice

Genes regulating HLA class I antigen expression in T-B lymphoblast hybrids

Immunogenic variation between multiple HLA-A*0201-restricted, hepatitis C virus-derived epitopes for cytotoxic T lymphocytes

Partial purification and some properties of BB7.2: a cytotoxic monoclonal antibody with specificity for HLA-A2 and a variant of HLA-A28

Utilization of MHC class I transgenic mice for development of minigene DNA vaccines encoding multiple HLA-restricted CTL epitopes

IL-23 enhances host defense against vaccinia virus infection via a mechanism partly involving IL-17

Surfacelinked liposomal antigen induces IgE-selective unresponsiveness regardless of the lipid components of liposomes

T-bet is required for protection against vaccinia virus infection

CD4 + CD25 + T cells regulate virus-specific primary and memory CD8 + T cell responses

Enhanced induction of hepatitis C virusspecific cytotoxic T lymphocytes and protective efficacy in mice by DNA vaccination followed by adenovirus boosting in combination with the interleukin-12 expression plasmid

Response of memory CD8 + T cells to severe acute respiratory syndrome (SARS) coronavirus in recovered SARS patients and healthy individuals

T-cell epitopes in severe acute respiratory syndrome (SARS) coronavirus spike protein elicit a specific T-cell immune response in patients who recover from SARS

Identification of an HLA-A*0201-restricted CD8 + T-cell epitope SSp-1 of SARS-CoV spike protein

Screening and identification of severe acute respiratory syndrome-associated coronavirus-specific CTL epitopes

HLA-A*0201-restricted CD8 + cytotoxic T lymphocyte epitopes identified from herpes simplex virus glycoprotein D

CD8 + T cell epitope-flanking mutations disrupt proteasomal processing of HIV-1 Nef

Portable flanking sequences modulate CTL epitope processing

Adenovirus vector-based vaccines for human immunodeficiency virus type 1

Adenovirus as vaccine vectors

Oral immunization with HCV-NS3-transformed Salmonella: induction of HCV-specific CTL in a transgenic mouse mode

HLA-A*0201 T-cell epitopes in severe acute respiratory syndrome (SARS) coronavirus nucleocapsid and spike proteins

Intranasal administration of a synthetic lipopeptide without adjuvant induces systemic immune responses

Lipopeptide epitopes extended by an N ε -palmitoyllysine moiety increase uptake and maturation of dendritic cells through a Toll-like receptor-2 pathway and trigger a Th1-dependent protective immunity

A genital tract peptide epitope vaccine targeting TLR-2 efficiently induces local and systemic CD8 + T cells and protects against herpes simplex virus type 2 challenge

Generation of antitumor immunity by cytotoxic T lymphocyte epitope peptide vaccination, CpG-oligodeoxynucleotide adjuvant, and CTLA-4 blockade

This work was supported by a grant from The Ministry of Health, Labor and Welfare of Japan. The authors are grateful to Dr. F.A. Lemonnier (Pasteur Institute, Paris, France) for providing HHD mice and the RMA-HHD cell line, and to Dr. T. Shioda for providing CV-1, BS-C-1, C143 cell lines, and vaccinia virus (WR strain).