Literature DB >> 34699547

Application of phage display technology for the production of antibodies against Streptococcus suis serotype 2.

Pattarawadee Sulong1, Natsinee Anudit2, Suphachai Nuanualsuwan3,4, Segura Mariela5, Kannika Khantasup2,4,6.   

Abstract

Streptococcus suis (S. suis) serotype 2 infection is a problem in the swine industry and responsible for most cases of human infection worldwide. Since current multiplex PCR cannot differentiate between serotypes 2 and 1/2, then serotype-specific antibodies (Abs) are required for serotype identification to confirm infection by serotype 2. This study aimed to generate Abs specific to S. suis serotype 2 by phage display from a human heavy chain variable domain (VH) antibody library. For biopanning, whole cells of S. suis serotype 2 were used as the target antigen. With increasing selection stringency, we could select the VH Abs that specifically bound to a S. suis serotype 2 surface antigen, which was identified as the capsular polysaccharide (CPS). From ELISA analysis, the specific phage clone 47B3 VH with the highest binding activity to S. suis serotype 2 was selected and shown to have no cross-reactivity with S. suis serotypes 1/2, 1, and 14 that shared a common epitope with serotype 2 and occasionally cause infections in human. Moreover, no cross-reactivity with other bacteria that can be found in septic blood specimens was also observed. Then, 47B3 VH was successfully expressed as soluble 47B3 VH in E. coli TG1. The soluble 47B3 VH crude extract was further tested for its binding ability in a dose-dependent ELISA assay. The results indicated that the activity of phage clone 47B3 was still retained even when the Ab occurred in the soluble form. A quellung reaction demonstrated that the soluble 47B3 VH Ab could show bioactivity by differentiation between S. suis serotypes 2 and 1/2. Thus, it will be beneficial to use this VH Ab in the diagnosis of disease or discrimination of S. suis serotypes Furthermore, the results described here could motivate the use of phage display VH platform to produce serotyping antibodies.

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Year:  2021        PMID: 34699547      PMCID: PMC8547629          DOI: 10.1371/journal.pone.0258931

Source DB:  PubMed          Journal:  PLoS One        ISSN: 1932-6203            Impact factor:   3.240


Introduction

Streptococcus suis (S. suis) is one of the most important swine pathogens and a zoonotic agent that can induce septicemia, deafness, meningitis, endocarditis, pneumonia, and arthritis in human [1, 2]. Based on the antigenic differences of capsular polysaccharides (CPS), it can be classified into 35 serotypes [3, 4], of which serotype 2 is considered to be the most prevalent and most pathogenic for both swine and humans worldwide [5]. The pathogenicity of serotype 2 may in part be due to its high invasiveness and many virulence factors, including CPS, extracellular protein factor, muramidase-released protein, suilysin, several adhesins, hyaluronate lyase, and surface antigen [6, 7]. In Thailand, S. suis infections of humans are more common in the northern region where eating raw pork and pig products is common [8, 9]. A review of the medical records revealed that infection by S. suis serotype 2 (96.4%) was predominant, but other serotypes could also cause disease in human, including serotypes 14 (4.5%), 24 (0.45%), 5 (0.3%), and 4 (0.15%) [10]. For microbiological diagnosis, an alpha-hemolytic reaction on blood agar plates with a Gram-positive cocci appearance can be further identified as S. suis by several biochemistry tests [11]. For serotype differentiation, serological typing with CPS-specific antibodies or multiplex PCR specific to the CPS gene has been routinely used. However, multiplex PCR cannot differentiate between serotypes 2 and 1/2 [12]. So, a serologic technique using CPS-specific antibodies (Abs) is still required as the standard procedure to confirm S. suis serotype 2, which is important for diagnosis and surveillance of emerging of S. suis infections. Recently, phage display technology has been used widely to produce highly specific monoclonal antibodies (mAbs) in a short time, without animal use [13]. Based on antigen binding sites, the Ab fragments, such as the fragment of antigen binding (Fab), and single-chain variable fragments (scFv) have been constructed in the format of phage display libraries [14]. Moreover, the human heavy chain variable domain (VH), retaining antigen binding ability, has been developed [15]. With a molecular weight of around 15 kDa, VH Abs have many advantages over intact and large Ab fragments, such as a higher tissue penetration and the ability to target cryptic epitopes [16]. Because of their small size, VH Abs allow for easy large-scale production in a bacterial expression system [17]. For these reasons, VH Ab production based on phage display represents an alternative technology for the generation of diagnostic antibodies. This study aimed to apply the phage display technology to produce mAbs specific to S. suis serotype 2 that could be used for discrimination between serotypes 2 and 1/2. The VH Abs were selected from the human VH antibody library. Biopanning against whole cells of S. suis serotype 2 was employed to enrich Ab binding to bacterial CPS. The binding ability and cross-reactivity of the selected VH Ab were tested using ELISA, while its bioactivity was also explored using the quellung reaction.

Materials and methods

Bacterial strains and growth conditions

S. suis serotype 2 reference strain ATCC 700794, serotype 1/2 reference strain NIAH 1318, serotype 1 reference strain NIAH 10227, and serotype 14 reference strain NIAH 13730 were kindly provided by Faculty of Veterinary Science, Chulalongkorn University, Bangkok, Thailand and the Faculty of Public Health, Kasetsart University Chalermphrakiat Sakon Nakhon Province Campus, Sakon Nakhon, Thailand. All S. suis cultures were grown in 5 mL of Todd-Hewitt broth (THB; Bacto™ Todd Hewitt Broth, Becton Dickinson, New Jersey, USA) for 18 h at 37°C and then inoculated into 15 mL of fresh THB at 37°C with shaking at 200 rpm until the optical density at 600 nm wavelength (OD600) reached 0.8. Streptococcus pyogenes reference strain DMS 3393 was grown in THB as described for S. suis above. Staphylococcus aureus, Escherichia coli, Pseudomonas aeruginosa, Enterobacter aerogenes were obtained from our laboratory collection. All bacteria were grown in Luria-Bertani (LB) (10 g of NaCl, 10 g of Tryptone 5 g of yeast extract per liter) medium and incubated at 37°C overnight and inoculated in 3 mL of LB at 37°C with shaking at 200 rpm until the OD600 reached 0.8.

Phage biopanning

For the biopanning, the Human Domain Antibody Library (DAb) (Source BioScience, Nottingham, UK) with a diversity of 3 x 109 plaque-forming units (pfu) was used for this study. In whole cell preparation, the S. suis serotype 2 was confirmed to be well-encapsulated with CPS using the previously described cell surface hydrophobicity test [18] and then the cells were washed three times with phosphate buffered saline pH 7.4 (PBS) before use. The well-encapsulated whole cells of S. suis serotype 2 were blocked in PBS with 1% (w/v) bovine serum albumen (BSA) in PBS and incubated in a microcentrifuge tube (preblocked in 1%BSA in PBS for 1 h at room temperature) on a rotator for 1 h at room temperature. Meanwhile, non-specific phages were pre-absorbed in a microcentrifuge tube for 1 h at room temperature. Then, pre-absorbed phages at 8.8 x 109 pfu in 1% BSA in PBS were added to the tube containing 1 x 109 blocked S. suis cells. The mixture was rotated for an additional 1 h at room temperature. Unbound phages were removed by washing the cells five times with PBS containing 0.01% (v/v) Tween-20 (0.01% PBST) followed by five washes with PBS. The stringency of selection was increased by decreasing the amount of S. suis serotype 2. In the first round, 1 x 109 cells of S. suis serotype 2 were used and the number of cells was reduced by two-fold in each subsequent round until the third round of biopanning. Moreover, the stringency of selection was increased by increasing the number of PBST washes in each round. The first round was washed with 0.01% PBST five times and then increased by one more wash each successive rounds. For the final washing step, the resuspended cells were moved to a fresh tube, preblocked with 1% BSA in PBS, as described above. After the final spin, the cell pellet was resuspended in 500 μL of 50 mM citrate buffer (pH 2.6) and rotated at room temperature for 5 min, to elute the bound phages. The tube was centrifuged (1,200x g, 4°C, 15 min) and the supernatant containing the eluted phages was transferred to a new microcentrifuge tube and neutralized with 200 μL 1 M Tris-HCl pH 8.0. Then, a final concentration of 1 mg/mL of trypsin (AppliChem, Darmstadt, Germany) (77 μL) was added to remove helper phage contamination. The titer of the eluted phage (output) was estimated, and an aliquot of the eluted fraction was used to infect E. coli TG1 cells for amplification to get input phages for the next round. The phage binding, elution, and amplification steps were performed for six rounds.

Polyclonal phage ELISA

Polyclonal phage ELISA was performed to determine the effectiveness of S. suis serotype 2 specific phage enrichment. An overnight culture of S. suis serotype 2 (1.5 x 107 cells/well) was coated overnight at 4°C. The plate was then washed five times with PBS. Non-specific binding was blocked with PBS containing 2% (w/v) powdered milk (MPBS) for 1 h at 37°C. After washing, input phages (1.5 x 108 pfu in MPBS) were added and the plate was incubated at 37°C for 1 h, and then washed with 0.01% PBST. The cell bound phages were detected using a 1:2,000 dilution of anti-M13 horseradish peroxidase (HRP)-conjugate (Sino Biological, Wayne, USA) in MPBS and incubating for 1 h. Unbound antibodies were removed by washing with 0.01% PBST. The HRP activity was determined using TMB-substrate (Surmodics IVD, Inc., Eden Prairie, USA) and monitoring the color change at 450 nm (A450) using a CALIOstar Microplate reader (BMG LABTECH, Ortenberg, Germany).

Monoclonal phage ELISA

To screen for positive phage clones that are specific for S. suis serotype 2, individual colonies from the sixth round of biopanning were picked and tested by ELISA. A single colony was inoculated in cell culture microplates and incubated at 37°C with shaking at 200 rpm for 3 h. Then 4 x 108 pfu of helper phage per well was added and incubated for 1 h at 37°C. After incubation, the plates were spun at 2000 x g for 15 min and resuspended in 200 μL 2x tryptic soy broth (TYB) supplemented with 100 μg/mL ampicillin and 50 μg/mL kanamycin and incubated at 25°C with shaking at 200 rpm overnight. The plates were then spun at 2000 x g for 15 min to harvest the amplified phages. The amplified phages in MPBS were added in ELISA well plates that were pre-coated with 1.5 x 108 cells of S. suis serotype 2. Uncoated wells served as a negative control. After incubation, the plates were washed with 0.01% PBST. The cell bound phages were detected using a 1:2,000 dilution of anti-M13 HRP-conjugate (Sino Biological, Wayne, USA) as described above for the polyclonal phage ELISA. The positive clone was selected when the signal in the wells coated with S. suis serotype 2 was at least three-fold greater than the signal in the uncoated wells.

Cross-reactivity

To determine the cross-reactivity of the positive phage, S. suis serotypes 1/2, 1, and 14, plus Streptococcus pyoegnes, Staphylococcus aureus, Escherichia coli, Pseudomonas aeruginosa, and Enterobacter aerogenes were coated for detection of cross-reactivity by ELISA. Bacterial cells were prepared as described above and coated at 4°C overnight. The plate was washed with PBS. Non-specific binding was blocked with MPBS for 1 h at 37°C. After washing with PBS, 50 μL of amplified phage were added and the plate was incubated at 37°C for 1 h, then washed with 0.01% PBST. The cell-bound phages were detected using anti-M13 HRP-conjugate (Sino Biological, Wayne, USA), as described above for the polyclonal phage ELISA.

Sequence analysis

Phagemids of the positive clones were extracted to confirm the presence of VH fragments in the recombinant phagemid DNA. The VH sequencing was performed using pR2-vector specific primers M13-rev: 5′- CAGGAAACAGCTATGAC -3′. The nucleotide sequences and the deduced amino acid sequences were compared with the Ab sequence in the GenBank sequence database.

Target identification

To determine CPS specific VH Abs, different preparations were prepared as follows. Whole cells of S. suis serotype 2 were prepared as described above and then either left (untreated control), incubated at 95°C for 30 min in coating buffer (heat-treated), or incubated in 20 μg proteinase K (ThermoFisher Scientific, CA, USA) at 37°C for 1 h and then heated at 95°C for 10 min (proteinase K-treated). Finally, a crude CPS extract (see below) of S. suis serotype 2 (5.45 μg/well) in 50 mM NH4HCO3 was also used as an Ab target. The different preparations were coated overnight at 4°C, while wells coated with 50 mM NH4HCO3 only served as the negative control. The plate was washed with PBS and non-specific binding was blocked with MPBS for 1 h at 37°C. After washing with PBS, amplified phage in MPBS was added and the plate was incubated at 37°C for 1 h, washed with 0.05% PBST, and cell-bound phages were detected using anti-M13 HRP-conjugate (Sino Biological, Wayne, USA), as described above for the polyclonal phage ELISA.

CPS extraction

The crude CPS extraction was prepared as previously described [19] except with some minor modifications. Briefly, S. suis serotype 2 was cultured in THB for 16 h at 37°C. When the bacteria reached an OD600 of 0.8, the cells were centrifuged, washed three times with phosphate-urea-magnesium sulphate (PUM) buffer, resuspended in PBS and chilled. The cell suspension was then autoclaved at 121°C for 15 min and the crude CPS containing supernatant was recovered by centrifugation (15,000 x g, 4°C, 15 min) and the pH confirmed to be within pH 7.0–8.0 and extracted in an equal volume of chloroform. The aqueous phase was harvested, supplemented to 25% (v/v) ethanol and 0.1 M CaCl2 and incubated on ice for 15 min prior to centrifugation (15,000 x g, 4°C, 15 min) and harvesting the supernatant. The concentration of ethanol in the supernatant was increased to 80% (v/v) and kept overnight at 4°C to precipitate the CPS. The pellet containing CPS was collected by centrifugation, dissolved in 50 mM NH4HCO3 pH 7.8, dialyzed against NH4HCO3 pH 7.8 and then lyophilized. The lyophilized CPS was dissolved in NH4HCO3 pH 7.8 before use.

Soluble VH expression in E. coli

For the production of the soluble VH Ab, the selected positive clone (47B3 VH) was used for expression. The phage clone was produced and grown at 37°C in 100 mL of 2x TYB supplemented with 100 μg/mL ampicillin until the OD600 reached 0.5. Isopropyl-1-thio-β-D-galactopyranoside (IPTG) at 0.5 mM was then added and incubated at 30°C overnight to induce Ab expression. The next day, cells were harvested by centrifugation at 2600 x g for 20 min at 4°C. The pellet was resuspended in 2.5 mL ice-cold periplasmic extraction solution [50 mM Tris/HCl, 20% (w/v) sucrose, 1 mM EDTA, pH 8] and incubated at 4°C for 1 h with gentle mixing. The mixture was then centrifuged at 10,000 x g to collect the bacterial periplasmic fractions. The VH Ab content in the crude periplasmic extract was monitored visually following resolution through 8% sodium dodecylsulphate-polyacrylamide gel electrophoresis (SDS-PAGE) under reducing condition and staining with Coomassie blue. The E. coli TG1 without the phagemid vector was used as a negative control of expression. The soluble 47B3 VH was used as a crude extract in further experiments.

Specificity of soluble VH

To determine the specificity of soluble 47B3 VH to S. suis serotype 2, an overnight culture of S. suis serotype 2 (1.5 x 108 cells/well) and S. suis serotype 1/2 were coated in ELISA wells. The plate was washed five times with PBS. Non-specific binding was blocked with MPBS for 1 h at 37°C. After washing five times with PBS, dilutions (1:2, 1:4 and 1:8) of soluble 47B3 VH crude extracts were added and the plate was incubated at 37°C for 1 h and then washed five times with 0.01% PBST. The cell-bound Abs were detected using Protein A (1:1000) (Abcam, Cambridge, UK) in MPBS and further detected for HRP activity as described above for the polyclonal phage ELISA.

Quellung reaction

The antigen-Ab reaction between soluble 47B3 VH and the CPS, causing the capsule to appear to swell, was observed by the quellung reaction. A sterile loop was used to take some colonies of a fresh overnight pure culture of S. suis serotype 2 or 1/2 and mixed into 100 μL of 0.85% PBS. A drop of colony suspension (1.5 μL) was placed onto a slide and spread out. Then, a small drop (3.5 μL) of soluble 47B3 VH crude extract was placed on the first sections of a slide and spread out over the suspension. S. suis serotype 2 incubated with the commercial anti-S. suis serotype 2 pAb (Statens serum institut, Denmark) was used as a positive control. On the other hand, S. suis serotype 2 incubated with 0.85% PBS was used as a negative control. Methylene blue solution (5 μL) was added into the mixture, covered with a coverslip and incubated for 30 min before being observed under a microscope using an oil immersion lens.

Statistical analysis

Data are expressed as the mean ± one standard deviation (SD). Comparisons were performed using an Unpaired t test for independent samples. Statistical analysis was performed using the SPSS version 22.0 software (SPSS Inc., Chicago, IL, USA). Statistical significance was accepted at the p < 0.05 level.

Results

For selection of phage-expressed VH Abs specific to S. suis serotype 2, a human VH antibody phage library with 8.8 x 109 pfu was used. The library was screened based on biopanning against whole cells of S. suis serotype 2. We prepared whole cells of well-encapsulated S. suis serotype 2 with a cell surface hydrophobicity that did not exceed 20%. To this end, preliminary work revealed that this was achieved by growing the S. suis serotype 2 culture to an OD600 of 0.8–0.9 (data not shown). The progressive enrichment of the S. suis serotype 2-specific clones during the six successive biopanning rounds revealed that the enrichment increased about 47-fold from 1.73 x 107 pfu in the first round to 8.1 x 108 pfu in the sixth round (Table 1). This enrichment resulted in a significant increase in S. suis serotype 2 binding affinity of output phages in each round, as shown in Fig 1. These enriched phages showed no cross-reactivity with S. suis serotype 1/2, as tested in the polyclonal phage ELISA (Fig 1). Note that the polyclonal phage ELISA showed that the binding affinity of the phage did not increase anymore in the sixth round, indicating that the phage with maximum VH affinity was entirely enriched. Hence, we decided to finish the biopanning after the sixth round.
Table 1

Titer of input and output phage populations throughout six rounds of biopanning.

BiopanningPhage input (pfu)Phage output (pfu)
First round1.47 x 10101.73 x 107
Second round1.04 x 10107.5 x 108
Third round1.34 x 10111.1 x 108
Fourth round1.91 x 10114.1 x 108
Fifth round2.05 x 10114.5 x 108
Sixth round3.0 x 10118.1 x 108
Enrichment46.8

pfu = phage-forming units.

Fig 1

Enrichment of phages specific to S. suis serotype 2, as determined by polyclonal phage ELISA.

Data are shown as the mean ± SD (n = 3).

Enrichment of phages specific to S. suis serotype 2, as determined by polyclonal phage ELISA.

Data are shown as the mean ± SD (n = 3). pfu = phage-forming units.

Identification of positive phage clones by monoclonal phage ELISA

The antigen-specific phage clones were identified by monoclonal phage ELISA using the anti-M13 mAb (Fig 2). In total, 111 selected individual clones were randomly selected from the output phages of the sixth panning round and analyzed for their binding ability to S. suis serotype 2. Among the analyzed phage clones, six clones were considered positive, as in the signal seen in wells coated with S. suis serotype 2 was at least three-fold greater than the signal seen in the uncoated wells.
Fig 2

Identification of monoclonal phages specific to S. suis serotype 2 after whole cell-biopanning using a monoclonal phage ELISA.

Characterization of phage specific to CPS of S. suis serotype 2

The cross-reactivity profiles of the six positive clones (Fig 2) were determined against S. suis serotype 2, and other bacteria that could be the cause of false-positive results when testing samples suspected with S. suis serotype 2. The tested bacteria were divided into two groups. The first group was S. suis serotypes 1/2, 1, and 14, which are highly similar to serotype 2 cps structure (Fig 3) and have occasionally been reported from human cases. The second group was some of the bacteria that can be found in the bloodstream of sepsis patients, such as Streptococcus pyogenes, Staphylococcus aureus, Escherichia coli, Pseudomonas aeruginosa, and Enterobacter aerogenes. In the ELISA results, clone 47B3 and 36H1 showed no cross-reactivity with any of the tested bacteria, clone 20D9 had cross-reactivity with S. suis serotype 1, clones 68B5 and 88B5 had cross-reactivity with Staphylococcus aureus, and 111G1 had cross-reactivity with Pseudomonas aeruginosa (Fig 4 and Table 2).
Fig 3

The difference structure of the CPS repeating units among S. suis serotypes 2, 1/2, 1, and 14 as modified from Goyette-Desjardins et al. [20].

Abbreviations: N-acetyl-d-neuraminic acid (Neu5Ac), D-galactose (Gal), D-glucose (Glc), N-acetyl-d-galactosamine (GalNAc), N-acetyl-d-glucosamine (GlcNAc), and L-rhamnose (Rha).

Fig 4

Cross-reactivity of the six positive clones (20D9, 36H1, 47B3, 68F5, 88B5, and 111G1) against S. suis serotypes 2, 1/2, 1, and 14, as tested by ELISA.

Data are shown as the mean ± SD (n = 3). *P < 0.05 compared to the negative control.

Table 2

Summary of the cross-reactivity of the six positive clones, as determined by ELISA.

Bacterial speciesStrain20D936H147B368F588B5111G1
Streptococcus suis serotype 2ATCC 700795++++++
Streptococcus suis serotype 1/2NIAH 1318------
Streptococcus suis serotype 1NIAH 10227+-----
Streptococcus suis serotype 14NIAH 13730------
Streptococcus pyogenes ATCC 19615------
Staphylococcus aureus ATCC 25923---++-
Escherichia coli ATCC 25922------
Pseudomonas aeruginosa ATCC 27853-----+
Enterobacter aerogenes ATCC 13048------

Notes. (+) indicated significant differences between the experimental and control groups.

The difference structure of the CPS repeating units among S. suis serotypes 2, 1/2, 1, and 14 as modified from Goyette-Desjardins et al. [20].

Abbreviations: N-acetyl-d-neuraminic acid (Neu5Ac), D-galactose (Gal), D-glucose (Glc), N-acetyl-d-galactosamine (GalNAc), N-acetyl-d-glucosamine (GlcNAc), and L-rhamnose (Rha).

Cross-reactivity of the six positive clones (20D9, 36H1, 47B3, 68F5, 88B5, and 111G1) against S. suis serotypes 2, 1/2, 1, and 14, as tested by ELISA.

Data are shown as the mean ± SD (n = 3). *P < 0.05 compared to the negative control. Notes. (+) indicated significant differences between the experimental and control groups. The six positive phage clones were sequenced to determine the amino acid sequences of the framework and complementarity-determining regions (CDR). Multiple sequence alignment was used to estimate the sequence similarity. The multiple sequence alignment revealed that clones 68F5 and 88B5 were identical. Five of six clones had translational defects in their CDR 1, namely amber stop codons (TAG), as shown in Fig 5.
Fig 5

Amino acid sequence alignment of the six positive clones.

The CDRs and framework of the variable domains are indicated. The amber codon is marked by (*).

Amino acid sequence alignment of the six positive clones.

The CDRs and framework of the variable domains are indicated. The amber codon is marked by (*). From the cross-reactivity profiles, 47B3 (47B3 VH) had the highest binding ability to S. suis serotype 2 and had no cross-reactivity with any tested bacteria, and so was selected for target identification and expression as a soluble VH in subsequent experiments. Since biopanning was performed by means of whole cell-biopanning against well-encapsulated S. suis serotype 2, we assumed that 47B3 VH would bind to CPS, a surface exposed by phages. To test this hypothesis, we prepared different types of antigens based on CPS properties that are non-protein and heat stable, using the heat- and proteinase K-treated preparations to destroy protein antigens. Then, the different cell preparations were incubated with 47B3 VH and tested for target identification by ELISA. The 47B3 VH binding activity to the heat- and proteinase K-treated S. suis cells did not differ from that with the non-treated positive control, and the binding activity was increased in a dose-dependent manner (Fig 6). Since heat- and proteinase K-treatment does not denature CPS, the results could be interpreted as that the target on the cell surface may be CPS and not a protein. Moreover, to confirm that 47B3 VH was specific to CPS, the binding between the crude CPS extract of S. suis serotype 2 and 47B3 VH antibody was evaluated, where the 47B3 VH showed a similar binding specificity to CPS (Fig 7).
Fig 6

Identification of the target antigen of 47B3 VH, as tested by ELISA.

Non-treated, heat-treated, and proteinase K-treated cells of S. suis serotype 2 were tested with different dilutions of 47B3 VH antibody. Data are shown as the mean ± 1SD (n = 3).

Fig 7

Identification of the CPS binding ability of 47B3 VH at various dilutions, as tested by ELISA.

Data are shown as the mean ± 1SD (n = 3). *P < 0.05 compared to the negative control.

Identification of the target antigen of 47B3 VH, as tested by ELISA.

Non-treated, heat-treated, and proteinase K-treated cells of S. suis serotype 2 were tested with different dilutions of 47B3 VH antibody. Data are shown as the mean ± 1SD (n = 3).

Identification of the CPS binding ability of 47B3 VH at various dilutions, as tested by ELISA.

Data are shown as the mean ± 1SD (n = 3). *P < 0.05 compared to the negative control.

Expression of the soluble VH

The selected positive clone 47B3 VH was used for expression of soluble VH. The sequencing data showed that 47B3 VH contained the amber codon at CDR1 (Fig 5). Actually, the amber stop codon is interpreted as a glutamine (CAG) residue in the TG1 amber suppressor strain and interpreted as a stop codon in HB2151, a non-amber suppressor strain. To get a complete soluble VH expression, E. coli TG1 was chosen as the expression host. After expression, the crude extract of soluble 47B3 VH in the periplasmic fraction was checked for the presence of VH by SDS-PAGE. Since phagemid in E. coli TG1 contained the 47B3 VH gene followed by the terminal c-Myc tag and the phage pIII protein, the soluble 47B3 VH was expressed as a fusion protein of approximately 58.7 kDa upon induction with IPTG (Fig 8) (VH 15 kDa, c-Myc tag 1.202 kDa, and pIII 42.5 kDa). By means of the pelB leader, we found that soluble 47B3 VH was expressed as the majority about 90% of the protein expressed in the bacterial periplasm, determined by SDS-PAGE. This evidence may imply the binding activity with serotype 2 in the next experiments would mostly come from our soluble VH. The yield of soluble 47B3 VH was approximately 0.43 mg per liter of culture as estimated from the band intensity of the BSA reference on SDS-PAGE.
Fig 8

Representative gel showing the soluble 47B3 VH expression, as revealed by SDS-PAGE with Coomassie blue staining.

M: Marker; 1: negative control (E. coli TG1 without phagemid vector); 2: soluble 47B3 VH. VH antibody production was separated on a reducing 8% SDS-PAGE.

Representative gel showing the soluble 47B3 VH expression, as revealed by SDS-PAGE with Coomassie blue staining.

M: Marker; 1: negative control (E. coli TG1 without phagemid vector); 2: soluble 47B3 VH. VH antibody production was separated on a reducing 8% SDS-PAGE.

Characterization of soluble VH

Whether the soluble 47B3 VH still maintained its binding ability to S. suis serotype 2 after conversion into a soluble form was evaluated by ELISA. The results showed that the soluble 47B3 VH had no cross-reactivity with serotype 1/2 and bound to S. suis serotype 2 in a specific and dose-dependent manner (Fig 9).
Fig 9

Specificity of soluble 47B3 VH antibody to S. suis serotypes 2 and 1/2, as tested by ELISA.

Data are shown as the mean ± 1SD (n = 3). *P < 0.05 compared to the negative control.

Specificity of soluble 47B3 VH antibody to S. suis serotypes 2 and 1/2, as tested by ELISA.

Data are shown as the mean ± 1SD (n = 3). *P < 0.05 compared to the negative control. In addition, the quellung test, which is the gold standard technique for serotyping Streptococcal bacteria, was used to test whether soluble 47B3 VH could be applied to differentiate between S. suis serotypes 2 and 1/2. The results showed that the commercial anti-S. suis serotype 2 pAb (positive control) and soluble 47B3 VH incubated with S. suis serotype 2 had positive results, with the capsule appearing as a sharply demarcated halo around the dark blue stained cell (Fig 10A and 10B). Meanwhile, serotype 1/2 incubated with soluble 47B3 VH (Fig 10C) and the negative control (S. suis serotype 2 without antibody) (Fig 10D) both showed a negative result with no clear and enlarged halo surrounding the stained cell. Therefore, the soluble 47B3 VH demonstrated a practical use to differentiate S. suis serotype 2.
Fig 10

Representative images of serotyping using the quellung test with soluble 47B3 VH.

Preparations of S. suis serotype 2 incubated with the commercial anti-S. suis serotype 2 pAb (A), S. suis serotype 2 incubated with soluble 47B3 VH (B), S. suis serotype 1/2 incubated with soluble 47B3 VH (C), and S. suis serotype 2 without antibody (D) were viewed under 1000X light microscope.

Representative images of serotyping using the quellung test with soluble 47B3 VH.

Preparations of S. suis serotype 2 incubated with the commercial anti-S. suis serotype 2 pAb (A), S. suis serotype 2 incubated with soluble 47B3 VH (B), S. suis serotype 1/2 incubated with soluble 47B3 VH (C), and S. suis serotype 2 without antibody (D) were viewed under 1000X light microscope.

Discussion

Serotyping is one of the most important diagnostic methods for the surveillance and reporting of S. suis outbreaks as well as a guide for vaccine production. Molecular serotyping by multiplex PCR amplification of serotype specific cps genes has been an attractive tool as the assay can identify all serotypes except for between two pairs of serotypes: 1 and 14, and 2 and 1/2, as their serotype-specific genes share a high genetic similarity between them [2]. So, a serologic technique using CPS-specific Abs is still required as the standard procedure to confirm S. suis serotype 2. Serological typing with CPS-specific Abs is usually conducted using mAbs or pAbs, which need an animal and a long time in their production process. The current commercial diagnostic Abs for S. suis serological typing are pAbs, which have the additional drawback for serotyping of a high chance of cross-reactivity due to the recognition of multiple epitopes [21]. According to this problem, an additional step for pre-absorption with cross-reactive antigens before use is required [22]. Moreover, batch-to-batch variation in pAbs is inherent from the use of different animals. Therefore, the development of a method to produce a serotype-specific mAb that is fast, has no animal use, is easy to upscale, and offers batch-to-batch reproducibility is required. Over the past few years, phage display has emerged as a powerful technique for the production of mAb by means of biopanning. The whole cell-biopaning allows selecting mAb against cell surface targets in their native conformation [23-26]. For example, the production of a lipopolysaccharide-specific mAb using whole cells of Legionella as the antigen in biopanning [24]. From this finding, we had the hypothesis that, whole cell-biopanning could be used to obtain serotype-specific Abs, since CPS is the surface exposed layer to phage-expressed Abs. So, we started biopanning against well-encapsulated S. suis serotype 2 with a hydrophobicity of less than 20%. This whole cell-biopanning also bypasses the step for capsule purification that is complex and time consuming [27]. From the phage library, we succeeded in selecting a S. suis serotype 2-specific VH mAb, which recognized a heat stable and non-protein antigen that was verified to be CPS. A previous study reported a very low frequency of CPS-specific clones when attempting to produce mAbs directed against the CPS of S. suis serotype 2 by hybridoma technique. Around 3,000 clones were screened and only one clone demonstrated CPS binding, suggesting a non-immunogenic nature of CPS [20]. This non-immunogenic propriety of CPS could be overcome by selecting CPS-specific Abs by phage display technology, where the clear advantage is that screening fewer clones could be sufficient to get the positive phage clones. However, in addition, the smaller size of VH Abs compared to complete Abs may allow access to otherwise masked or cryptic antigenic epitopes (as discussed below). Of six selected phage clones, the results revealed that phage clone 47B3 had the highest binding activity with S. suis serotype 2. Moreover, it showed no cross-reaction with S. suis serotypes 1/2, 1, and 14 that have been occasionally reported in human infections [28]. Meanwhile, although a number of mAbs directed against S. suis serotype 2 CPS have been reported, they showed cross-reaction between serotypes 2, 1/2, 1, and 14 [20]. In fact, the structures of S. suis CPS are formed by different arrangements of the monosaccharides into unique repeating units containing a side chain terminated by sialic acid (Fig 3) [29]. The cross reaction among serotypes 2, 1/2, 1, and 14 could be due to recognition of a part of the CPS repeated unit structures that are highly similar among serotypes, especially a common epitope at the sialic acid side chain [19, 20]. Notably, 47B3 VH showed the ability to discriminate between serotypes 2 and 1/2. The serotype 2 specify of 47B3 VH would come from its size being small enough to recognize a unique cryptic epitope of serotype 2 CPS. Similar discrimination between these serotypes was also reported by Goyette-Desjardins et al. [20]. In that study, hybridoma secreting mAb (16H11) was found to react with sialylated side chain of serotype 2. Since the only structural difference observed between serotypes 2 and 1/2 CPS was the galactose sugar bearing sialic acid in the side chains in serotypes 2, and N-acetylgalactosamine in serotype 1/2 (Fig 3), it is likely that this difference constituted an important unique epitope between serotypes 2 and 1/2. It was possible that 16H11 mAb and our 47B3 VH could bind to epitope containing this sugar bearing sialic acid. However, the precise epitope recognition of 47B3 VH needs to be further identified. Moreover, the activity of 47B3 VH in phage form also had no cross-reactivity with bacteria that can be found in blood specimens for sepsis, such as Streptococcus pyogenes, Staphylococcus aureus, Escherichia coli, Pseudomonas aeruginosa, and Enterobacter aerogenes [30]. Focusing on encapsulated Gram-positive S. pyogenes, cross-reaction did not occur, since its CPS differs from S. suis by the presence of the hyaluronic acid polysaccharide [31]. It would be likely that, a unique arrangement of sugars in the repeated unit, the presence of terminal sialic acid, and the type of polysaccharides conferred a distinct antigenicity of this CPS. Interestingly, serotype 2 specific 68B5 and 111G1 phages showed a weak binding affinity against Staphylococcus aureus and Pseudomonas aeruginosa, respectively. Since their CPS structure totally differs from S. suis serotype 2 [32, 33], for this reason, cross-reactivity may be caused by other partial similar epitopes on cell surface components that are shared between two bacterial strains. Taken together, the cross-reaction data suggested 47B3 VH in phage form merited expression as a soluble form. Since 47B3 VH contained an amber codon in its CRD1, we decided to preliminary express 47B3 VH in E. coli TG1, an amber suppressor strain. The soluble 47B3 VH was expressed in E. coli TG1 and formed the protein in the crude extract of the bacterial periplasm. Note that, the soluble 47B3 VH could be enriched further if required in future studies using protein A or c-Myc tagged column chromatography. The quellung reaction confirmed that soluble 47B3 VH showed bioactivity even when the binding site contained a single unpaired variable domain. Its binding affinity could be high enough to induce capsular swelling, leading to the ability to differentiate between S. suis serotypes 2 and 1/2. To date, the molecular tools have been developed to differentiate serotypes 2 from 1/2 such as PCR-restriction fragment length polymorphism assay (PCR-RFLP) [34], mismatch amplification mutation assay (MAMA)-PCR [35], and matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS) [36, 37]. However, these tools may not be available in low-resource settings or health stations. According to this limitation, antibody for serotype discrimination could be more practical with basic laboratory equipment. Future studies will be required to investigate the 47B3 VH soluble expression in other amber non-suppressor E. coli hosts and to complete the protein enrichment to homogeneity. One suggestion is that the amber codon in CDR1 of 47B3 VH sequence could be synthetically substituted by glutamine and subcloned into expression plasmid to achieve a high level of cytoplasmic soluble protein in engineered E. coli, such as in the SHuffle® strain in order to produce large quantities of disulfide bond containing VH protein [38].

Conclusion

This study showed that the novel VH mAb produced by phage display technology could specifically bind with S. suis serotype 2. Although all 29 serotypes were not tested, this VH Ab could differentiate between serotypes 2 and 1/2, which cannot be distinguished by PCR-based serotyping. Since the VH Ab can be produced easily using E. coli expression systems with fast cultivation and low production costs, it could be a promising tool for serotype discrimination of S. suis in order to complement the existing limitation of molecular serotyping. Furthermore, it has the potential for diagnosis of S. suis infectious disease, since serotype 2 is the most frequently reported serotype associated with human infections worldwide.

Raw images of gel data shown in Fig 8.

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(Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #1: This manuscript reports the development of antibodies for the detection and differentiation of Streptococcus suis serotype 2. The work appears to have been done in a complete and proper manner and should be published. I have only a few minor concerns that should be addressed. 1) An understanding of the serotypes of S. suis is essential for following this manuscript. The differences between types 2 and 1/2 (and also 1 and 14) are subtle variations in the polysaccharides. For the non-specialist, a fuller explanation should be given in the introduction, perhaps with a figure showing the differences. 2) Antibody 16H11 from ref. 25 also seems to differentiate between serotypes 2 and 1/2. This should be clearly stated in the manuscript and any relevant similarities and differences should be discussed. 3) Figure 4 is confusing, and seems to contain errors (at least the figure and the legend do not seem to agree). The legend states that identical residues are indicated by asterisks but this does not seem to be what the figure is showing. The figure uses a dash to indicate a stop codon. By convention, the asterisk is used to indicate a stop and the dash is used to indicate a gap in the sequence. I suggest using the asterisk for the stop and give the full sequence of each antibody without trying to indicate identical residues. 4) Overall the figures are of poor sharpness, even at the highest resolution available. As presented for this review, I think they are not of high enough quality for publication. 5) Line 24 indicates that some authors contributed equally to the work, but which authors is not stated. Reviewer #2: General comments: A better description of the human VH library that is being utilized along with a couple of references where other used it is warranted. The main concern with this work is the soluble VH production. The plasmid is made for expression of the phage not a soluble protein, in the work see https://translational-medicine.biomedcentral.com/articles/10.1186/s12967-020-02538-y they moved the VH sequence to a pET-22b vector for efficient periplasmic expression. Thus, while you can produce some protein from this plasmid. It was not a system designed for good yields. This is compounded by the fact that all the work done with material was not with purified or quantified amounts. It would have been better to move your VH to a proper production plasmid, and produce and test properly purified material I think this would make this work stronger. The x-axis for Figure 6 needs to be corrected. Another minor issue was with the quellung test. It would have been nice to include a positive control, showing another antibody generate the same result, but it suffices as is. But again, a dose curve on the response would also have been a nice addition if using purified protein. At one point I thought it would be an option to drop the soluble VH work and just publish the work with the VH expressed on the phage, are recent example of this using this library was published by Foods 2020, 9, 1230; doi:10.3390/foods9091230, but I do think have some data even if less than ideal is still a positive addition. With an inclusion of more on the history and use of this library, and some possible other minor modifications, I believe this work should be able to be made acceptable for publication. Reviewer #3: This is an interesting study and I enjoyed reviewing it. Some comments -The authors mentioned in different parts of the study that serotypes 2 and 1/2 cannot be differentiated by PCR and they must be tested by antisera. Indeed, this is no longer true since 2020: molecular tools to differentiate these two serotypes exist: a) Matiasovic J, Zouharova M, Nedbalcova K, Kralova N, Matiaskova K, Simek B, Kucharovicova I, Gottschalk M. Resolution of Streptococcus suis Serotypes 1/2 versus 2 and 1 versus 14 by PCR-Restriction Fragment Length Polymorphism Method. J Clin Microbiol. 2020 Jun 24;58(7):e00480-20. b) Lacouture S, Okura M, Takamatsu D, Corsaut L, Gottschalk M. Development of a mismatch amplification mutation assay to correctly serotype isolates of Streptococcus suis serotypes 1, 2, 1/2, and 14. J Vet Diagn Invest. 2020 May;32(3):490-494. c) Scherrer S, Rademacher F, Spoerry Serrano N, Schrenzel J, Gottschalk M, Stephan R, Landolt P. Rapid high resolution melting assay to differentiate Streptococcus suis serotypes 2, 1/2, 1, and 14. Microbiologyopen. 2020 Apr;9(4):e995. doi: 10.1002/mbo3.995. It is true that the antibody described in this study may be useful to labs not being equiped with PCR machines, so it is still intersting to publish these results. -Lines 54-55: 6 serotypes (20, 22, 26, 32, 33 and 34) are no longer considered as S. suis -I would have expected to find most phages that cross-react with serotypes 2 and 1/2...how the authors explain that most of them did not cross-react? chances to find the single epitope identifying the serotype 2 specific were very low...vs the finding of several phages that cross-react. I do really not understand how this happened... -Soluble expression: do the authors know the yield? -How the authors explain the reaction of some phages with S. aureus or P. aeruginosa? similar S. suis polysaccharides are present in such bacterial species? ********** 6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #1: No Reviewer #2: No Reviewer #3: No [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.] While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step. 2 Jul 2021 Dear Editor-in-Chief, MS.Ref. No.: PONE-D-21-12605R1 Title: Application of phage display technology for the production of antibodies against Streptococcus suis serotype 2 We would like to submit a revised version of the manuscript for your consideration. Please find the response to the reviewers’ comments as follows. Reviewer#1 Revisions responded to reviewer#1 were highlighted in blue, in revised manuscript. Reviewer’s comment 1: An understanding of the serotypes of S. suis is essential for following this manuscript. The differences between types 2 and 1/2 (and also 1 and 14) are subtle variations in the polysaccharides. For the non-specialist, a fuller explanation should be given in the introduction, perhaps with a figure showing the differences. Response: Thank you for your suggestion. We have added Fig. 3 in Results part to demonstrate the difference between CPS of types 2 and 1/2 and also 1 and 14. The sentence “The first group was S. suis serotypes 1/2, 1, and 14, which have occasionally been reported from human cases” has been replaced by “The first group was S. suis serotypes 1/2, 1, and 14, which are highly similar to serotype 2 cps structure (Fig 3) and have occasionally been reported from human cases.” in Results part (line 315-317) of track changes revised version. Fig 3. The difference structure of the CPS repeating units among S. suis serotypes 2, 1/2, 1, and 14 as modified from Goyette et al. [1]. Abbreviations: N-acetyl-d-neuraminic acid (Neu5Ac), D-galactose (Gal), D-glucose (Glc), N-acetyl-d-galactosamine (GalNAc), N-acetyl-d-glucosamine (GlcNAc), and L-rhamnose (Rha). Reviewer’s comment 2: Antibody 16H11 from ref. 25 also seems to differentiate between serotypes 2 and 1/2. This should be clearly stated in the manuscript and any relevant similarities and differences should be discussed. Response. You have raised an important point here. The sentences discussing about 47B3 VH binding epitope have been replaced by the sentences “Notably, 47B3 VH showed the ability to discriminate between serotypes 2 and 1/2. The serotype 2 specify of 47B3 VH would come from its size being small enough to recognize a unique cryptic epitope of serotype 2 CPS. Similar discrimination between these serotypes was also reported by Goyette et al [1]. In that study, hybridoma secreting mAb (16H11) was found to react with sialylated side chain of serotype 2. Since the only structural difference observed between serotypes 2 and 1/2 CPS was the galactose sugar bearing sialic acid in the side chains in serotypes 2, and N-acetylgalactosamine in serotype 1/2 (Fig 3), it is likely that this difference constituted an important unique epitope between serotypes 2 and 1/2. It was possible that 16H11 mAb and our 47B3 VH could bind to epitope containing this sugar bearing sialic acid. However, the precise epitope recognition of 47B3 VH needs to be further identified.” in the discussion part (line 505-516) of track changes revised version. Reviewer’s comment 3: Figure 4 is confusing, and seems to contain errors (at least the figure and the legend do not seem to agree). The legend states that identical residues are indicated by asterisks, but this does not seem to be what the figure is showing. The figure uses a dash to indicate a stop codon. By convention, the asterisk is used to indicate a stop and the dash is used to indicate a gap in the sequence. I suggest using the asterisk for the stop and give the full sequence of each antibody without trying to indicate identical residues. Response: Thank you for pointing this out. Due to patent concern, we would like to partially disclosure the VH amino acid sequence. In order to do that, we intently keep identical residues as asterisk. Reviewer’s comment 4: Overall the figures are of poor sharpness, even at the highest resolution available. As presented for this review, I think they are not of high enough quality for publication. Response: Thank you for your suggestion. We have improved the quality of all figures in the revised manuscript. Reviewer#2 Revisions responded to reviewer#2 were highlighted in purple, in revised manuscript. Reviewer’s comment 1: The main concern with this work is the soluble VH production. The plasmid is made for expression of the phage not a soluble protein, in the work see https://translational-medicine.biomedcentral.com/articles/10.1186/s12967-020-02538-y they moved the VH sequence to a pET-22b vector for efficient periplasmic expression. Thus, while you can produce some protein from this plasmid. It was not a system designed for good yields. This is compounded by the fact that all the work done with material was not with purified or quantified amounts. It would have been better to move your VH to a proper production plasmid and produce and test properly purified material I think this would make this work stronger. Response: Thank you for pointing this out. It would have been interesting to explore this matter. However, in this study, we aimed to demonstrate the use of phage display to develop VH and showed the discrimination between similar CPS antigens using obtained small VH antibody fragments. Therefore, experiments for convert VH sequence into pET plasmid series and expression as soluble will be tested in further study. However, the suggestion for expression strategy has been included in our manuscript as your suggestion. The sentences “One suggestion is that the amber codon in CDR1 of 47B3 VH could be synthetically substituted by glutamine to achieve a high level of cytoplasmic expression in E. coli, such as in the SHuffle® strains” have been replaced by “One suggestion is that the amber codon in CDR1 of 47B3 VH sequence could be synthetically substituted by glutamine and subcloned into expression plasmid to achieve a high level of cytoplasmic soluble protein in engineered E. coli, such as in the SHuffle® strain in order to produce large quantities of disulfide bond containing VH protein” in the discussion part line (554-558) of track changes revised manuscript. About VH purity aspect, we demonstrated that our soluble VH was the majority about 90% purity of the crude extract determined by SDS-PAGE results. The sentences “By means of the pelB leader, we found that soluble 47B3 VH was expressed as the majority of the protein expressed in the bacterial periplasm.” has been replaced by the sentences “By means of the pelB leader, we found that soluble 47B3 VH was expressed as the majority about 90% of the protein expressed in the bacterial periplasm, determined by SDS-PAGE. This evidence may imply the binding activity with serotype 2 in the next experiments would mostly come from our soluble VH. The yield of soluble 47B3 VH was approximately 0.43 mg per liter of culture as estimated from the band intensity of the BSA reference on SDS-PAGE” in the result part (line 395-401) of track changes revised version. Reviewer’s comment 2: The x-axis for Figure 6 needs to be corrected. Response: Thank you for your suggestion. We have changed the x-axis detail of figure. The Figure 6 are changed to Figure 7 in track changes revised manuscript. Reviewer’s comment 3: Another minor issue was with the quellung test. It would have been nice to include a positive control, showing another antibody generate the same result, but it suffices as is. But again, a dose curve on the response would also have been a nice addition if using purified protein. Response: We have added the positive control for quellung test in Fig 10A to demonstrate that S. suis serotype 2 was incubated with the commercial anti-S. suis serotype 2 pAb. Moreover, the methods and results about quellung test using the commercial anti-S. suis serotype 2 pAb have been added in the materials and methods part (line 259-262) and the results part (line 423-430) of track changes revised version. Reviewer’s comment 4: At one point I thought it would be an option to drop the soluble VH work and just publish the work with the VH expressed on the phage, are recent example of this using this library was published by Foods 2020, 9, 1230; doi:10.3390/foods9091230, but I do think have some data even if less than ideal is still a positive addition. Response: Thank you for your suggestion. Compared with recommended work, they detected binding activities using recombinant phage expressing VH. However, our soluble VH was expressed using IPTG induced TG1 E. coli. TG1 containing 47B3 phagemid was induced and expressed the soluble form of 47B3 VH in its periplasm. The obtained soluble VH was subjected to test its binding activities as well. According to our earlier point, in this study, we aimed to demonstrate the use of phage display to develop VH and showed the discrimination between similar CPS antigens using obtained small VH antibody fragments. Therefore, experiments for soluble expression will be tested in further study. Reviewer#3 Revisions responded to reviewer#3 were highlighted in green, in revised manuscript. Reviewer’s comment 1: The authors mentioned in different parts of the study that serotypes 2 and 1/2 cannot be differentiated by PCR and they must be tested by antisera. Indeed, this is no longer true since 2020: molecular tools to differentiate these two serotypes exist: a) Matiasovic J, Zouharova M, Nedbalcova K, Kralova N, Matiaskova K, Simek B, Kucharovicova I, Gottschalk M. Resolution of Streptococcus suis Serotypes 1/2 versus 2 and 1 versus 14 by PCR-Restriction Fragment Length Polymorphism Method. J Clin Microbiol. 2020 Jun 24;58(7):e00480-20. b) Lacouture S, Okura M, Takamatsu D, Corsaut L, Gottschalk M. Development of a mismatch amplification mutation assay to correctly serotype isolates of Streptococcus suis serotypes 1, 2, 1/2, and 14. J Vet Diagn Invest. 2020 May;32(3):490-494. c) Scherrer S, Rademacher F, Spoerry Serrano N, Schrenzel J, Gottschalk M, Stephan R, Landolt P. Rapid high resolution melting assay to differentiate Streptococcus suis serotypes 2, 1/2, 1, and 14. Microbiologyopen. 2020 Apr;9(4):e995. doi: 10.1002/mbo3.995. It is true that the antibody described in this study may be useful to labs not being equiped with PCR machines, so it is still intersting to publish these results. Response: Thank you for your suggestion. We have added the sentence “To date, the molecular tools have been developed to differentiate serotypes 2 from 1/2 such as PCR-restriction fragment length polymorphism assay (PCR-RFLP) [2], mismatch amplification mutation assay (MAMA)-PCR [3], and matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS) [4, 5]. However, these tools may not be available in low-resource settings or health stations. According to this limitation, antibody for serotype discrimination could be more practical with basic laboratory equipment.” in the discussion part (line 542-548) of track changes revised version. Reviewer’s comment 2: Lines 54-55: 6 serotypes (20, 22, 26, 32, 33 and 34) are no longer considered as S. suis. Response: We have changed the sentence from “it can be classified into 35 serotypes” to “it can be classified into 29 serotypes [6, 7]” in the introduction part (line 53) of track changes revised version. We have also changed the sentence from “Although all 35 serotypes were not tested, this VH Ab could differentiate between serotypes 2 and 1/2, which cannot be distinguished by PCR-based serotyping.” to “Although all 29 serotypes were not tested, this VH Ab could differentiate between serotypes 2 and 1/2, which cannot be distinguished by PCR-based serotyping.” in the conclusion part (line 564-566) of track changes revised version. Reviewer’s comment 3: I would have expected to find most phages that cross-react with serotypes 2 and 1/2...how the authors explain that most of them did not cross-react? chances to find the single epitope identifying the serotype 2 specific were very low...vs the finding of several phages that cross-react. I do really not understand how this happened... Response: May we give an assumption for this point. Most of antibody occurred the cross-reactivity between serotype 2 and 1/2 as shown in the study of Goyette et al. [1] But, after screening around 111 phages clones, our soluble 47B3 VH clone showed specifically bound only serotype 2. It could come from its size being small enough to recognize a unique cryptic epitope of serotype 2 CPS. It was possible that our 47B3 VH could bind to this sugar bearing sialic acid epitope or other cryptic epitopes in the CPS complex as well. We have described this hypothesis in the discussion part. However, in our opinion, if we screen more phage clones, we can get the chance to meet phages that cross-react with other subtypes. In our result, we got phage clone 20D9 that cross-reacted with type 1, one subtype that its CPS is similar with type 2. Reviewer’s comment 4: Soluble expression: do the authors know the yield? Response: The sentences described the soluble yield “The yield of soluble 47B3 VH was approximately 0.43 mg per liter of culture as estimated from the band intensity of the BSA reference on SDS-PAGE.” has been added in the result part (line 399-401) of track changes revised version. Reviewer’s comment 5: How the authors explain the reaction of some phages with S. aureus or P. aeruginosa? similar S. suis polysaccharides are present in such bacterial species? Response: Thank you for pointing this out. The sentences “Interestingly, serotype 2 specific 68B5 and 111G1 phages showed a weak binding affinity against Staphylococcus aureus and Pseudomonas aeruginosa, respectively. Since their CPS structure totally differs from S. suis serotype 2 [8, 9], for this reason, cross-reactivity may be caused by other partial similar epitopes on cell surface components that are shared between two bacterial strains.” has been added in the discussion part (line 526-530) of track changes revised version. Best regards Kannika Khantasup, Ph.D. Department of Biochemistry and Microbiology Faculty of Pharmaceutical Sciences Chulalongkorn University, Thailand Submitted filename: Response to Reviewers.docx Click here for additional data file. 11 Oct 2021 Application of phage display technology for the production of antibodies against Streptococcus suis serotype 2 PONE-D-21-12605R1 Dear Dr. Khantasup, We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements. Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication. An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org. If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org. Kind regards, Ellen R Goldman Academic Editor PLOS ONE Additional Editor Comments (optional): Reviewers' comments: 15 Oct 2021 PONE-D-21-12605R1 Application of phage display technology for the production of antibodies against Streptococcus suis serotype 2 Dear Dr. Khantasup: I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department. If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org. If we can help with anything else, please email us at plosone@plos.org. Thank you for submitting your work to PLOS ONE and supporting open access. Kind regards, PLOS ONE Editorial Office Staff on behalf of Dr. Ellen R Goldman Academic Editor PLOS ONE
  36 in total

Review 1.  An update on Streptococcus suis identification.

Authors:  R Higgins; M Gottschalk
Journal:  J Vet Diagn Invest       Date:  1990-07       Impact factor: 1.279

Review 2.  Streptococcus suis: a re-emerging pathogen associated with occupational exposure to pigs or pork products. Part II - Pathogenesis.

Authors:  Jacek Dutkiewicz; Violetta Zając; Jacek Sroka; Bernard Wasiński; Ewa Cisak; Anna Sawczyn; Anna Kloc; Angelina Wójcik-Fatla
Journal:  Ann Agric Environ Med       Date:  2018-03-02       Impact factor: 1.447

3.  Human Anti-Lipopolysaccharid (LPS) antibodies against Legionella with high species specificity.

Authors:  Philipp Kuhn; Stefanie Thiem; Michael Steinert; Duncan Purvis; Veronika Lugmayr; Ulrich Treutlein; Lutz Plobner; Robert-Matthias Leiser; Michael Hust; Stefan Dübel
Journal:  Hum Antibodies       Date:  2017-07-19

4.  Reappraisal of the taxonomy of Streptococcus suis serotypes 20, 22, 26, and 33 based on DNA-DNA homology and sodA and recN phylogenies.

Authors:  Le Hong Thuy Tien; Tomoyuki Nishibori; Yosuke Nishitani; Ryohei Nomoto; Ro Osawa
Journal:  Vet Microbiol       Date:  2012-11-22       Impact factor: 3.293

5.  The cell envelope subtilisin-like proteinase is a virulence determinant for Streptococcus suis.

Authors:  Laetitia Bonifait; Maria de la Cruz Dominguez-Punaro; Katy Vaillancourt; Christian Bart; Josh Slater; Michel Frenette; Marcelo Gottschalk; Daniel Grenier
Journal:  BMC Microbiol       Date:  2010-02-10       Impact factor: 3.605

Review 6.  Designing Human Antibodies by Phage Display.

Authors:  André Frenzel; Jonas Kügler; Saskia Helmsing; Doris Meier; Thomas Schirrmann; Michael Hust; Stefan Dübel
Journal:  Transfus Med Hemother       Date:  2017-08-25       Impact factor: 3.747

7.  Streptococcus suis infection in hospitalized patients, Nakhon Phanom Province, Thailand.

Authors:  Prabda Praphasiri; Jocelynn T Owusu; Somsak Thammathitiwat; Darunee Ditsungnoen; Pimpawan Boonmongkon; Ornuma Sangwichian; Kriengkrai Prasert; Sankhom Srihapanya; Kanlaya Sornwong; Anusak Kerdsin; Surang Dejsirilert; Henry C Baggett; Sonja J Olsen
Journal:  Emerg Infect Dis       Date:  2015-02       Impact factor: 6.883

Review 8.  Single-Domain Antibodies As Versatile Affinity Reagents for Analytical and Diagnostic Applications.

Authors:  Gualberto Gonzalez-Sapienza; Martín A Rossotti; Sofía Tabares-da Rosa
Journal:  Front Immunol       Date:  2017-08-21       Impact factor: 7.561

9.  Streptococcus suis serotyping by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry.

Authors:  Chadaporn Chaiden; Janthima Jaresitthikunchai; Anusak Kerdsin; Nattakan Meekhanon; Sittiruk Roytrakul; Suphachai Nuanualsuwan
Journal:  PLoS One       Date:  2021-05-04       Impact factor: 3.240

10.  Characterization and Protective Activity of Monoclonal Antibodies Directed against Streptococcus suis Serotype 2 Capsular Polysaccharide Obtained Using a Glycoconjugate.

Authors:  Guillaume Goyette-Desjardins; Sonia Lacouture; Jean-Philippe Auger; René Roy; Marcelo Gottschalk; Mariela Segura
Journal:  Pathogens       Date:  2019-09-07
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