Lipopolysaccharides of Vibrio cholerae

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Review Lipopolysaccharides of Vibrio cholerae I. Physical and chemical characterization S.N. Chatterjee a, * , Keya Chaudhuri b a Saha Institute of Nuclear Physics, 1/AF Bidhannagar, Sector-1, Calcutta-700 064, India b Biophysics Division, Indian Institute of Chemical Biology, Jadavpur, Calcutta-700 032, India Received 19 March 2003; received in revised form 11 August 2003; accepted 27 August 2003 Abstract Vibrio cholerae is the causative organism of the disease cholera. The lipopolysaccharide (LPS) of V. cholerae plays an important role in eliciting the antibacterial immune response of the host and in classifying the vibrios into some 200 or more serogroups. This review presents an account of our up-to-date knowledge of the physical and chemical characteristics of the three constituents, lipid-A, core-polysaccharide (core-PS) and O-antigen polysaccharide (O-PS), of the LPS of V. cholerae of different serogroups including the disease-causing ones, O1 and O139. The structure and occurrence of the capsular polysaccharide (CPS) on V. cholerae O139 have been discussed as a relevant topic. Similarity and dissimilarity between the structures of LPS of different serogroups, and particularly between O22 and O139, have been analysed with a view to learning their role in the causation of the epidemic form of the disease by avoiding the host defence mechanism and in the evolution of the newer pathogenic strains in future. An idea of the emerging trends of research involving the use of immunogens prepared from synthetic oligosaccharides that mimic terminal epitopes of the O-PS of V. cholerae O1 in the development of a conjugate anti cholera vaccine is also discussed. D 2003 Published by Elsevier B.V. Keywords: Vibrio cholerae; Serogroup; Lipopolysaccharide; Capsular polysaccharide; Structure 1. Introduction The lipopolysaccharide (LPS) of Gram-negative bacteria is composed of two distinct regions, a hydrophilic polar region, the polysaccharide (PS) [consisting of the O-antigen PS (O-PS) and the core-PS], and a hydrophobic lipid portion, lipid-A [1–3]. All Gram-negative bacteria generally possess distinct surface layers such as the outer membrane, the inner or the cytoplasmic membrane and the peptidogly- can. Lipid-A region of the LPS is anchored to the outer leaflet of the outer membrane and the core-PS and O-PS regions project outward. The outer membrane contains both proteins and LPSs and these components interact with the host to elicit the antibacterial immune response. Vibrio cholerae is the causative organism of the disease cholera, which is both an endemic and epidemic disease and is practically the only bacterial pandemic disease known so far. Although V. cholerae LPS has been investigated since late 1960s, researches on these molecules gained momentum in the late 1980s and have been progressing at an accelerating pace since the emergence of the non-O1 strain, V. cholerae O139, which caused an outbreak of the epidemic in the Indian sub-continent around 1992. This review attempts to present an account of our current knowledge of the V. cholerae LPS in relation to its role in the causation and spread of and defense against the disease, cholera. Part 1 of this review presents the physical and chemical characterization of the LPS molecules belonging to V. cholerae of different serogroups, serotypes and biotypes, and will form the background material for elucidation of topics to be presented in Part II, viz, genetics of biosynthesis, biological functions, etc. 2. Taxonomy of V. cholerae The genus Vibrio includes many different species of which few are pathogenic. The classic example of a path- ogenic species of this genus is V. cholerae, others being V. parahaemolyticus, V. alginolyticus, V. mimicus, V. vulnificus 0925-4439/$ - see front matter D 2003 Published by Elsevier B.V. doi:10.1016/j.bbadis.2003.08.004 * Present and corresponding address: Bidhannagar, Sector-1, Block- CF-69, Calcutta-700 064, India Tel.: +91-033-2334-6118; fax: +91-033- 2337-6290. E-mail address: [email protected] (S.N. Chatterjee). www.bba-direct.com Biochimica et Biophysica Acta 1639 (2003) 65 – 79

Transcript of Lipopolysaccharides of Vibrio cholerae

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Biochimica et Biophysica Acta 1639 (2003) 65–79

Review

Lipopolysaccharides of Vibrio cholerae

I. Physical and chemical characterization

S.N. Chatterjeea,*, Keya Chaudhurib

aSaha Institute of Nuclear Physics, 1/AF Bidhannagar, Sector-1, Calcutta-700 064, IndiabBiophysics Division, Indian Institute of Chemical Biology, Jadavpur, Calcutta-700 032, India

Received 19 March 2003; received in revised form 11 August 2003; accepted 27 August 2003

Abstract

Vibrio cholerae is the causative organism of the disease cholera. The lipopolysaccharide (LPS) of V. cholerae plays an important role in

eliciting the antibacterial immune response of the host and in classifying the vibrios into some 200 or more serogroups. This review presents

an account of our up-to-date knowledge of the physical and chemical characteristics of the three constituents, lipid-A, core-polysaccharide

(core-PS) and O-antigen polysaccharide (O-PS), of the LPS of V. cholerae of different serogroups including the disease-causing ones, O1 and

O139. The structure and occurrence of the capsular polysaccharide (CPS) on V. cholerae O139 have been discussed as a relevant topic.

Similarity and dissimilarity between the structures of LPS of different serogroups, and particularly between O22 and O139, have been

analysed with a view to learning their role in the causation of the epidemic form of the disease by avoiding the host defence mechanism and

in the evolution of the newer pathogenic strains in future. An idea of the emerging trends of research involving the use of immunogens

prepared from synthetic oligosaccharides that mimic terminal epitopes of the O-PS of V. cholerae O1 in the development of a conjugate anti

cholera vaccine is also discussed.

D 2003 Published by Elsevier B.V.

Keywords: Vibrio cholerae; Serogroup; Lipopolysaccharide; Capsular polysaccharide; Structure

1. Introduction

The lipopolysaccharide (LPS) of Gram-negative bacteria

is composed of two distinct regions, a hydrophilic polar

region, the polysaccharide (PS) [consisting of the O-antigen

PS (O-PS) and the core-PS], and a hydrophobic lipid

portion, lipid-A [1–3]. All Gram-negative bacteria generally

possess distinct surface layers such as the outer membrane,

the inner or the cytoplasmic membrane and the peptidogly-

can. Lipid-A region of the LPS is anchored to the outer

leaflet of the outer membrane and the core-PS and O-PS

regions project outward. The outer membrane contains both

proteins and LPSs and these components interact with the

host to elicit the antibacterial immune response.

Vibrio cholerae is the causative organism of the disease

cholera, which is both an endemic and epidemic disease and

is practically the only bacterial pandemic disease known so

0925-4439/$ - see front matter D 2003 Published by Elsevier B.V.

doi:10.1016/j.bbadis.2003.08.004

* Present and corresponding address: Bidhannagar, Sector-1, Block-

CF-69, Calcutta-700 064, India Tel.: +91-033-2334-6118; fax: +91-033-

2337-6290.

E-mail address: [email protected] (S.N. Chatterjee).

far. AlthoughV. choleraeLPS has been investigated since late

1960s, researches on these molecules gained momentum in

the late 1980s and have been progressing at an accelerating

pace since the emergence of the non-O1 strain, V. cholerae

O139, which caused an outbreak of the epidemic in the Indian

sub-continent around 1992. This review attempts to present

an account of our current knowledge of the V. choleraeLPS in

relation to its role in the causation and spread of and defense

against the disease, cholera. Part 1 of this review presents the

physical and chemical characterization of the LPS molecules

belonging to V. cholerae of different serogroups, serotypes

and biotypes, and will form the background material for

elucidation of topics to be presented in Part II, viz, genetics of

biosynthesis, biological functions, etc.

2. Taxonomy of V. cholerae

The genus Vibrio includes many different species of

which few are pathogenic. The classic example of a path-

ogenic species of this genus is V. cholerae, others being V.

parahaemolyticus, V. alginolyticus, V. mimicus, V. vulnificus

Table 2

Tests generally used for biotyping of V. cholerae

Tests used Responses of the two biotypes

Classical El Tor

Hemolysis of sheep erythrocytesa � +/�Agglutination of chicken erythrocytes � +

Voges–Proskauer reaction � +

Inhibition by Polymyxin B (50-Ag disk) + �Lysis by Gr. IV cholera phage [8]b + �Lysis by FK cholera phage [9]b + �

a This test is of limited value since both hemolytic and non hemolytic El

Tor strains have been isolated.b This test is dependable provided well characterized bacteriophages are

available from the WHO reference centers.

S.N. Chatterjee, K. Chaudhuri / Biochimica et Biophysica Acta 1639 (2003) 65–7966

and certain non-agglutinable vibrios [4] (previously termed

as NAG vibrios). Sakazaki [5] made a significant contribu-

tion towards classification and characterization of vibrios

and defined the practical basis for the differential diagnosis

of the genus Vibrio and the related genera, viz., Aeromonas,

Plesiomonas and the Enterobacteriaceae. Among the vib-

rios, V. cholerae is a well-defined species on the basis of

biochemical tests and DNA homology studies [6]. V. chol-

erae and the other species belonging to the Vibrio and

related genera can be differentiated for all practical purposes

by a variety of simple tests as shown in Table 1. Further

details of the identification of V. cholerae on the basis of

biochemical and serological tests, DNA probes and PCR

techniques can be found in the recent review article by

Kaper et al. [7].

The species V. cholerae is, however, not homogeneous in

many respects and important distinctions within the species

are made on the basis of serogroup, production of cholera

enterotoxin and potential for epidemic spread. The sero-

grouping is made on the basis of the heat stable O-antigen of

the bacteria. Around 200 serogroups of V. cholerae have

already been identified and more may come to the surface in

future. Previously, all major epidemics of cholera were

caused by the V. cholerae strains belonging to the same

serogroup, the serogroup O1. This idea is no longer valid as

a new serogroup, O139, emerged in 1992 to cause an

epidemic of the disease in the Indian subcontinent. Only

those strains of the two serogroups, O1 and O139, which

produce cholera toxin (CT) are associated with the epidemic

cholera, but there are other strains of these serogroups which

Table 1

Differentiation of V. cholerae from related species

Tests V. cholerae Other Vibrio

species

Enterobacteriaceae

Oxidase1 + + a �String test 2 + +/� �Acid from mannitol3 + +/� +/�Acid from sucrose3 + +/� +/�Lysine decarboxylase4 + +/� +/�Ornithine decarboxylase4 + +/� +/�Growth in 0% NaCl5 + � b �Mol% G+C6 47–49 38–51 38–60

a, except for V. metchnikovii; b, except for V. mimicus; positive response

means: 1, test for the presence in bacteria of certain oxidase that will

catalyze the transport of electrons between donors in bacteria and a redox

dye which is reduced to a deep purple colour; 2, a mucoid string is formed

when an inoculating loop is drawn slowly away from a drop of 0.5%

aqueous solution of sodium deoxycholate in which a 24-h growth of the

organism is suspended. The string is formed because the organisms are

lysed, DNA released and the mixture made viscous; 3, ability of the

organism to ferment the particular sugar added to the growth medium and

produce acid which changes colour of an indicator (phenol red,

bromothymol blue, etc.); 4, ability of the organism to decarboxylate a

particular amino acid added to the growth medium with the liberation of

carbon dioxide and change of colour of the medium to violet; 5, ability of

the organism to grow in the absence of NaCl in the medium; 6, DNA base

composition given in terms of mol% G+C.

do not produce CT, do not produce cholera and are not

involved in the epidemics. Although some strains belonging

to the other serogroups, other than O1 and O139, have

produced occasional outbreaks of cholera, they have so far

not been associated with any large epidemic or extensive

pandemic. In respect of the third classification parameter,

the potential for epidemic spread, the actual determinant of

such potential is still not known and under the circum-

stances, the possession of O1 or O139 antigen may be

considered as at least a marker of such a potential.

V. cholerae O1 strains are divided into two biotypes,

Classical and El Tor. This subdivision is based on several

tests as described in Table 2. Another approach to biotyping

has recently been described on the basis of observed differ-

ences in DNA sequence between genes encoding the toxin-

coregulated pilus (TCP) from Classical and El Tor strains

[10]. Among other recent findings on the differentiation of

Classical and El Tor biotypes, mention may be made of the

differences in the restriction fragment length polymorphisms

(RFLP) in rRNA genes of Classical and El Tor strains

[11,12]. The El Tor biotype was discovered as the causative

agent of the Seventh Pandemic of the disease cholera [13].

However, the properties of this El Tor biotype are not

considered sufficiently distinctive as to claim its identity

as a separate species [14,15]. The O1 serogroup is further

subdivided into three serotypes or subtypes, Inaba, Ogawa

and Hikojima, the names denoting their historical origins.

The basis of this subtyping will be discussed further in a

Table 3

Classification of V. cholerae species into serogroups, serotypes and

biotypes

Serogroups CT production

(no. of strains, %)

Epidemic

spread

Serotypes (no.) Biotypes,

no. (names)

O1 + (>95)a + Inaba, Ogawa,

Hikojima (3)

2 (Classical,

El Tor)

O139 + (>95) + nil 1

Other

Non O1

� (>95)a � nil 1

a More than 95% of the strains produce (+) or do not produce (� )

cholera toxin (CT) and cause (+) or do not cause (� ) epidemic spread of

the disease cholera.

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later section of this review. It may only be mentioned here

that the Hikojima subtype is not recognized by all workers

and is rare and unstable. A summarized view of the different

serogroups, serotypes and biotypes of V. cholerae is pre-

sented in Table 3.

Fig. 2. Isolated V. cholerae LPS after extensive dialysis and purification.

From Chatterjee et al. [17] � 22,000

3. LPS of V. cholerae

3.1. Physical structure and site of occurrence

LPS as extracted from the surface of V. cholerae cells by

the phenol–water method of Westphal et al. [16] was

directly visualized by electron microscopy [17]. Aggregated

thin sheet like structures of LPS alongside the vibrios could

be seen (Fig. 1). After extensive purification, the LPS

preparation presented much smaller thin sheet like structures

of elongated or rounded shapes (Fig. 2). The purified LPS

preparation was antigenically active, as detected by the

spectrophotometric estimation of protein in the precipitin

(collected by cetrifugation) formed on incubation with O-

antiserum prepared against heat-killed vibrios [17], and

acted as receptor of cholera phage f149 [18–20]. Electron

microscopy revealed the presence of a sheath on the

flagellum of the vibrios [21]. The sheath could be separated

from the core of the flagellum and was of thickness almost

identical to that of the trilamellar structure of the cell wall.

Immunoelectron microscopy of the vibrios revealed the

Fig. 1. Electron micrograph of the V. cholerae O1 cells immediately after

treatment with phenol [16]. The LPSs released appeared as aggregated thin

sheet-like structures of varying sizes and shapes. From Chatterjee et al. [17]

� 12,000.

presence of O-antigen and hence LPS (Fig. 3; see legend

for explanatory notes) on the flagellar sheath and surface of

the vibrios [22].

3.2. Extracellular LPS

Actively growing cells of V. cholerae O1 were shown to

exhibit a novel excretory mechanism (Fig. 4), which includ-

ed (i) bulging out of cell wall outer membrane in localized

areas, (ii) formation of a constricted neck of the bulged-out

portion and (iii) pinching off of the bulged-out portion into

the external medium in the form of membrane vesicles [23].

Subsequently, this was found to be a mechanism of release

of membrane vesicles by Gram-negative bacteria in general

[24]. The membrane vesicles released by V. cholerae were

isolated from the culture filtrate, photographed by electron

microscopy and exhibited a most frequent size ranging

between 400 and 600 A. These extracellular vesicles of V.

cholerae were shown to contain LPS and somatic antigens

[17] besides other macromolecular constituents presumably

derived from the periplasmic space of the bacterial cells.

The membrane vesicles of other Gram-negative bacteria

were shown to contain endotoxins [25], DNA binding

proteins [26] and several other chemicals, and exhibit

several functions including killing of other bacteria

[24,27]. A detailed structural and functional study of the

extracellularly released membrane vesicles of V. cholerae

containing LPS has not been reported so far.

3.3. Chemical composition of lipid-A

On acid hydrolysis (1% acetic acid, 100 jC, 2 h.), the

LPS is normally split off into lipid A and PS moiety. The

lipid-A fraction could be recovered as white waxy solid

soluble in chloroform and insoluble in water and constituted

about 27–30% by weight of V. cholerae LPS [28,29]. Like

Salmonella and other Gram-negative bacterial species [30],

the lipid-A of V. cholerae was found to consist of a sugar

backbone linked with fatty acids.

D-Glucosamine was found as the only amino sugar present

in the lipid A of V. cholerae O1 strains irrespective of

serotype (Ogawa or Inaba) or biotype (Classical or El Tor)

Fig. 3. Ultrastructural expression of the stages in the formation of extracellular membrane vesicles (containing LPS) of V. cholerae cells. From Chatterjee and

Das [23]. Bars represent 0.1 A.

S.N. Chatterjee, K. Chaudhuri / Biochimica et Biophysica Acta 1639 (2003) 65–7968

[29,31]. Similarly the lipid-A of many non-O1 vibrios stud-

ied, including V. cholerae O139, and of some other vibrio

species (V. metchnikovii, V. parahaemolyticus, etc.) contained

only glucosamine as a component sugar, suggesting that the

lipid-A backbone is a glucosamine disaccharide as in cases of

many Gram-negative bacterial LPS [32–34]. In V. cholerae

lipid-A, the ester-bound phosphate group in the D-glucos-

amine backbone appears to be unsubstituted as inEscherichia

coli [35,36], and the glycosidic phosphate group is substitut-

ed with phosphoryl ethanolamine. It differs from Salmonella

lipid-Awhere the ester bound phosphate group is substituted

partially by an L-4-amino-arabinosyl residue [37].

The fatty acid composition of V. cholerae LPS appeared

to be complex. Some 27 fatty acids were detected in the

LPS of V. cholerae 569B (Inaba, O1), of which five were

present in trace amounts and three of structures not

conclusively proven [38] and this finding contrasted inter-

Fig. 4. V. cholerae O1, Ogawa serotype, immunolabelled with anti-B-

determinant monoclonal antibody complexed with protein A and colloidal

gold. The distribution of the gold particles (black dots) over the surface and

the sheathed flagellum of the vibrio represents the distribution of B-antigen

associated with the O-antigen of LPS. Photograph obtained through the

kind courtesy of U.H. Stroeher. � 22,000.

estingly with the relatively simple range (eight fatty acids

only) present in the LPSs of some related vibrios [33].

Further, the most abundant hydroxylated fatty acid was 3-

hydroxy lauric acid (3-OH-C12:0) rather than the more

usual 3-hydroxy myristic acid (3-OH-C14:0) [38]. Hisatsune

et al. [39] studied the fatty acid composition of LPSs of V.

cholerae 35A3 (Inaba), NIH90 (Ogawa) and 4715 (Non-

O1). The three strains presented similar fatty acid compo-

sition with the exceptions of (i) a minor deviation in the

relative proportions of the component fatty acids and (ii)

the presence of odd numbered normal and 3-hydroxy fatty

acids, particularly in the LPS from strain 35A3 (Inaba).

Although C12h:0 was previously reported to be the most

abundant 3-hydroxy fatty acid in LPS from both 569B

(Inaba) and El Tor (Inaba) strains [28,38], the quantity of

C14h:0 was slightly greater than that of C12h:0 in the three

strains studied by them. Raziuddin and Kawasaki [28]

studied only the Inaba type V. cholerae strains and

obtained identical results with the exception of minor

quantitative deviations. According to Broady et al. [40],

the LPSs from the V. cholerae strains 569B (Inaba), 162

(Ogawa), H-11 (NAG, Non-O1) and 95R (rough) pre-

sented an almost identical fatty acid composition. The

LPSs contained smaller amounts of hexadecenoic (C16:1),

stearic (C18:0) and oleic(C18:1) acids as ester-bound. Fur-

ther, the composition and the distribution of the fatty acids

in the lipid-A of O139 LPS were very similar to those of

the lipid-A of O1 V. cholerae strain NIH 41 (Ogawa) LPS

[32]. It thus appeared that barring some minor quantitative

variations in the contents of individual fatty acids, the

underlying general pattern in the fatty acid composition of

LPS of different strains of V. cholerae was that (i) C14:0

and C16:0 were the main non-hydroxy fatty acids and (ii)

C12h:0 and C14h:0 the main 3-hydroxy fatty acids pres-

ent. Some branched-chain fatty acids were occasionally

found only in trace quantities and the presence of 2-

hydroxy fatty acids remains to be confirmed.

Rietschel [41] studied the absolute configuration of 3-

hydroxy fatty acids present in LPSs from various bacterial

Fig. 5. Chemical structure of Lipid-A of V. cholerae O1 [40,42].

S.N. Chatterjee, K. Chaudhuri / Biochimica et Biophysica Acta 1639 (2003) 65–79 69

groups including V. cholerae and concluded that for all

LPSs the 3-hydroxy acids, regardless of chain lengths,

branching, 3-O-substitution or type of linkage, possessed

the D-configuration. This was confirmed by the findings of

Broady et al. [40] on the V. cholerae strains belonging to

different biotypes, serotypes and serogroups. Further, the D-

3-hydroxy fatty acids not being found in other cell wall

lipids could be considered as markers of lipid-A.

With respect of the nature of linkages, Raziuddin [29]

found that approximately equal amounts of fatty acids,

C16:0, C18:1 and 3-OH-lauric acid (3-OH C12:0), were

involved in ester linkages, but 3-OH myristic acid (3-OH-

C14:0) was the only amide linked fatty acid. That 3-hydroxy

myristic acid (3-OH-C14:0) was the only amide-linked fatty

acid detected in various strains including the O139 of V.

cholerae and also in some related vibrios was confirmed by

different investigators [28,29,33,38–40].

3.4. Chemical structure of lipid-A

The backbone of the lipid-A of V. cholerae O1 is

composed of a (1! 6)-h-D-glucosamine disaccharide with

an ester bound phosphate group at the C-4 position of the

upstream glucosamine residue and a phosphate residue

bound to the glycosidic hydroxyl group at the C-1 position

of the downstream glucosamine one [40]. The phosphate

group at the C-1 position of the downstream glucosamine

residue is substituted by the pyrophosphoryl ethanolamine

(P-P-Etn) group. The backbone structure is thus represented

by the formula [40]:

P� 4�Glc Nð1 ! 6Þ� b�D� Glc N� 1� P� P� Etn

This backbone structure is well conserved between V.

cholerae O1 and O139; the only difference lies in the fatty

acid moieties attached to the backbone through ester link-

age. The overall structures of the lipid-A of V. cholerae O1

and O139 are shown in Figs. 5 and 6, respectively. Initially

there was some doubt about the exact positions of the ester-

linked phosphate group and the individual ester-bound fatty

acid residues [40] in the lipid-A of V. cholerae O1 but these

were settled subsequently [42]. With respect of V. cholerae

O139, the complete structure of lipid-A was arranged by

Boutonnier et al. [43] following the works of Kabir [31] and

Wilkinson [44].

3.5. Core-PS: chemical constituents

3.5.1. 3-Deoxy-D-manno-octolusonic acid (Kdo)

Kdo is a characteristic constituent of Gram-negative

bacterial LPS [30]. Kdo connects the core-PS and lipid-A

[30]. The undetectability of Kdo in LPS from the genus

Vibrio was first pointed out by Jackson and Redmond

[45] and then by Jann et al. [46] for O1 V. cholerae 569B

(Inaba) and by Hisatsune et al. [47] for non-O1 V.

cholerae serogroup O3 and for the whole family of

Vibrionaceae [48] by the periodate– thiobarbituric acid

test [49] with conventional conditions of hydrolysis.

The presence of Kdo-5-phosphate in the hydrolysates of

LPSs of V. cholerae 95R and 569B, obtained by using

strong acid, was first reported by Brade [50]. Caroff et al

[51] also proposed Kdo phosphate to be present in LPSs

of V. cholerae strains of serotypes Inaba and Ogawa

(biotype El Tor) from studies of their reactivities in the

periodate– thiobarbituric acid test after treatment with

hydrofluoric acid. Strong acid hydrolysis released phos-

phorylated Kdo from the LPS of V. cholerae, which could

be identified by GLC and mass spectrometry (MS) after

reduction and permethylation. It was subsequently estab-

lished that LPS of V. cholerae contained one residue of

Kdo that was phosphorylated [50,52,53] at C4 position

and substituted with heptose of the outer core region at

C5 position [53]. The reason why Kdo-5-P was detected

by GLC/MS [50] could have been because of migration

of the P group from the C-4 to C-5 position under the

acidic condition used during its isolation [54]. The

undetectability of Kdo in LPS after conventional hydro-

lysis and the occurrences of (i) phosphorylated Kdo in

strong acid hydrolysates and (ii) only one molecule of

Kdo-4P in the core region are now considered as taxo-

nomic characteristics of V. cholerae [53].

3.5.2. O1 vibrios

The chemical composition of the core-PS from V. chol-

erae O1 revealed that glucose, heptose, fructose and glu-

cosamine were invariably present [55–58]. Heptose was

present mainly as L-glycero-D-manno heptose [55,56]. Pres-

ence of L-glycero-D-gluco-heptose was also detected as

minor component in V. cholerae 569B, which was not

confirmed in later studies [54]. Studies with rough mutants

Fig. 6. Chemical structure of Lipid-A of V. cholerae O139 [43].

S.N. Chatterjee, K. Chaudhuri / Biochimica et Biophysica Acta 1639 (2003) 65–7970

of V. cholerae O1 (95R, a derivative of Ogawa 162) and

with smooth V. cholerae 569B (Inaba) showed that the core

PS was composed of glucose, fructose, heptose (L-glycero-

D-manno heptose), glucosamine and Kdo [54].

The detection of D-fructose in LPS of V. cholerae made

an interesting story. Fructose occurs only rarely as an LPS

component [59]. Kondo et al. [52] demonstrated that,

among the vibrios studied, O1 V. cholerae was the only

group for which all strains contained fructose in LPS. When

LPS of V. cholerae was heated in dilute acetic acid at 100

jC, release of fructose took place [55]. On heating LPS of

Gram-negative enterobacteria under identical conditions,

Kdo is normally released. In the LPS of most Gram-negative

bacteria, Kdo is known to connect the PS moiety with lipid-

A [60]. It was accordingly presumed that in the LPS

molecule of V. cholerae, fructose and not Kdo provided

the connecting link between lipid-A and core-PS [46]. In

some other study [61], it was suspected that fructose was

essentially involved in the antigenicity of LPS because

release of fructose from LPS was accompanied by loss of

antigenicity. This was later ruled out because (a) fructose

was found to be present in the rough strains of V. cholerae

O1 [62] and (b) decrease in antigenicity was not parallel to

the release of fructose and required longer hours of heating

in dilute acetic acid [62]. Further chemical analysis revealed

that D-fructose did not link the core-PS and lipid A but was

present as a branch in the core region [55], which was later

confirmed by others [54].

3.5.3. Non-O1 vibrios

Like O1 vibrios, V. cholerae O139 was reported to

contain glucose, heptose (L-glycero-D-manno heptose), glu-

cosamine, fructose and Kdo in the core-PS region [32]. D-

Fructose was found in a branch linked to 6-position of D-

glucose residue [63]. In V. cholerae O139 strain NRCC

4740, Kdo was found as Kdo-phosphate, as in O1 vibrios,

and it was suggested that Kdo was phosphorylated at C-4

position [63]. Using a different strain of O139 (MO10-T4),

which lacked a capsular polysaccharide (CPS) and produced

a short-chain LPS, biphosphorylated Kdo residues could be

detected, where in addition to the phosphate group in the

usual C-4 position the Kdo residue contained 2-aminoethyl

phosphate (PEtn) at the C-7 position [64]. Although biphos-

phorylated Kdo residue is uncommon to V. cholerae, it was

detected in some strains of enterobacteria [65]. The LPS of

the O139 strain (MO10-T4) contained, in addition, (i) an O-

acetyl group connected to a secondary position, tentatively

O4 of the alpha-linked glucosyl group, and (ii) an additional

putative fructose residue of unknown location on LPS of

some species [64]. The significance of the differences in the

core-PS structures of the two strains of O139 is at present

not clear.

Very few of the other non-O1 vibrios have been exten-

sively studied so far. Since the non-O1 vibrios are composed

of a wide range of serogroups, some variations have been

encountered. Basically, the core-PS of non-O1 vibrios, like

O1 vibrios, contained heptose, glucose, fructose, glucos-

amine, glucosaminitol (in H-11), Kdo and galactose (in H-

11) [52,66]. Fructose was found in some serogroups (O3,

O5, O7 and O8) [67] but not in O6 [52]. Moreover, in a

study conducted on 44 serogroups of non-O1 vibrios,

fructose was not found in as many as nine serogroups (cited

in Ref. [53]). Considerable amount of D-glycero-D-manno-

heptose was found in some strains of serogroup O3 of V.

cholerae in addition to L-glycero-D-mannoheptose [52]. D-

Glycero-D-manno-heptose, which is rarely found in Gram-

negative bacterial LPS [60], was found in significant

amounts in some strains of V. cholerae O3 [52].

3.6. Chemical structure of the core polysaccharide

The chemical structures of the core polysaccharide of V.

cholerae of different serogroups are presented in Fig. 7. The

chemical structures reveal the common features of the

Vibrio cores, viz, the single Kdo residue substituted by a

phosphate residue at the 4-position [52] and the presence of

D-fructose linked to the 6-position of a D-glucose residue

[68] and is located in a branch [62] of the core-PS. Further,

in common with many Gram-negative enteric bacteria [65],

the trisaccharide, a-Hepp-(1-3)-a-Hepp-(1-5)-a-Kdo, is

present in all these vibrio strains, except that the heptose

residues are not phosphorylated in the vibrios (except for the

non-O1 strain H-11).

A comparison of the structures of O1 and O139 core-PS

shows that the two structures are almost identical. The

chemical evidence thus supports the genetic data that

suggested that only the wbe gene cluster (the DNA region

responsible for O-antigen biosynthesis) was altered in the

biogenesis of O139 from O1 [69]. Fig. 7 presents another

interesting feature. The structures of the carbohydrate chains

Fig. 7. Chemical structures of the core-PS of V. cholerae of different serogroups. A, O1 strains 95R (Ogawa) and 569B (Inaba) [54]; B, O139 strain NRCC

4740 [63,64,79]; C, non-O1, strain H-11 [66]; D, O22 strain NRCC 4904 [81,82]; 1, reported to be present by Cox and Perry [79] but not reported by Cox

et al. [81]; 2, detected in strain MO10-T4 by Knirel et al. [64]; 3, not confirmed by Knirel et al. [82] in strain 169-68; 4, detected in strain 169-68 by Knirel

et al. [82].

S.N. Chatterjee, K. Chaudhuri / Biochimica et Biophysica Acta 1639 (2003) 65–79 71

of the lipid A–core region in the LPS of V. cholerae rough

strain 95R (Ogawa) and smooth strain 569B (Inaba) are

identical. Finally, no significant difference is found in the

core-PS structures of the LPSs of V. cholerae O22 and

O139.

3.7. O-PS: chemical constituents

3.7.1. O1 vibrios

The sugar composition of the O-PS of V. cholerae O1

was investigated and a specific amino sugar, 4-amino-4, 6-

dideoxy D-mannose (perosamine), was detected as a com-

ponent [70]. The O-PS of V. cholerae O1 was found to be a

regular a(1! 2)-linked chain of D-perosamine [71], the

amino groups of which were acylated with 3-deoxy-L-

glycero-tetronic acid [72–74]. No difference between

Ogawa and Inaba serotypes in the sugar composition of

O1 strains could be detected at that time [71,72]. Redmond

[75] reported the presence of 4-amino-4-deoxy-L-arabinose

in the LPS of V. cholerae O1 seotype Ogawa and suggested

that this sugar might be a determinant of the Ogawa specific

antigen. However, Kabir [31] could not find 4-amino-4-

deoxy arabinose in the LPS of V. cholerae serotype Ogawa

and ruled out the role of this sugar as a determinant Ogawa

specific antigen. Hisatsune et al. [73] and Ito et al. [74]

reported for the first time that the previously undescribed

sugar, 4-amino-4,6-dideoxy-2-O-methyl mannose (2-O-

methyl perosamine), was present only in the O-PS of the

Ogawa serotype of V. cholerae O1 and proposed that this

sugar might be an important constituent of the Ogawa

S.N. Chatterjee, K. Chaudhuri / Biochimica et Biophysica Acta 1639 (2003) 65–7972

serotype determinant. Ito et al. [74] performed phenotypic

conversion experiments in vitro and found that the sugar

disappeared when the serotype conversion occurred from

Ogawa to Inaba. It was argued that the 2-O-methyl peros-

amine was labile to acid and hence could not be detected

earlier. It is now known that the Ogawa and Inaba serotypes

differ only by a single 2-O-methyl group that is present in

the upstream (nonreducing) terminal perosamine unit (Fig.

8) of the Ogawa O-PS and that is absent in the terminal

perosamine residue of the Inaba O-PS.

3.7.2. Non-O1 vibrios

The most prominent among non-O1 vibrios is V. chol-

erae O139 which, unlike other non-O1 vibrios, was found to

cause the disease cholera with all its clinical manifestations.

Although serologically unrelated to O1, studies [76]

revealed that O139 was biotypically closely related to V.

cholerae O1 El Tor biotype. In terms of pathogenic char-

acteristics and specifically in respect of CT production [77],

the main virulence factor, V. cholerae O139, was indistin-

guishable from El Tor V. cholerae O1 strains. It was

presumed that there were differences between the immune

responses against O1 and O139 strains, which might be of

considerable interest in terms of protection [78]. Analysis of

sugar composition of LPS from V. cholerae O139 revealed a

striking feature in that perosamine, a characteristic sugar

component of the O-PS of V. cholerae O1, was absent [32].

Detailed investigations revealed that the O-antigen of V.

cholerae O139 contained only one unit [63,64,79], unlike

most O-PSs which usually consisted of repeating units, and

was a phosphorylated hexasaccharide consisting of colitose,

galacturonic acid, quinovosamine, galactose and glucos-

amine residues [63,64]. This altered surface polysaccharide

epitope enabled serogroup O139 to avoid previously ac-

Fig. 8. Chemical structure of the O-PS of V. cholerae O1. The O-PS

structures of the two serotypes, Inaba and Ogawa, are the same except that

at the position O-2 of the upstream, terminal perosamine group, R =CH3 in

the Ogawa strain and R =H only in the Inaba strain. n, represents the

number of repeating units, which may be between 12 and 18 [73,74].

quired host immunity to the serogroup O1 strain, and this

contributed significantly to the early success of the organism

in producing epidemic cholera [80].

Another distinguishing feature of V. cholerae O139 is

that it produces, unlike O1, a capsular PS (CPS), which will

be discussed later. Further, the O-PS of V. cholerae O139 is

unique in the sense that it contains colitose, which is

generally not found in vibrios [32]. Only the serogroup

O22 has so far been found to contain colitose [81,82]. V.

cholerae O139 strains collected from four epidemic regions,

viz., Chennai, Vellore, Kolkata and Bangladesh, showed

similar sugar composition [32], indicating that they were

quite homogeneous chemotaxonomically and therefore

belonged to a new chemotype of non-O1 V. cholerae LPS

[32].

Among the other non-O1 vibrios, which consist of some

200 or more serogroups, formerly known as NAG or non-

agglutinating vibrios, O-PS of a few have been studied so

far. The amino sugar, D-perosamine, a characteristic constit-

uent of the O-PS of V. cholerae O1, is generally absent in

non-O1 vibrios, while galactose is present in many of these

serogroups [83,84]. Among other sugars found in LPS of

different non-O1 vibrios are L-rhamnose, heptose, fructose,

glucosamine, galactosamine and N-acetyl-2-amino-2-deoxy-

mannose (ManNAc) [64,83,84]. On the other hand, O-PS of

non-O1 vibrios were found to contain several unusual

sugars, e.g., ascarylose (3,6-dideoxy-L-arabino-hexose),

Sug1 or bacillosamine (2,4-diamino-2,4,6-trideoxy-D-glu-

cose) and fucosamine (2-amino-2,6-dideoxy-L-galactose)

in serogroup O3 [84]; Sug2 (5-acetamidino-7-acetamido-

3,5,7,9-tetradeoxy-L-glycero-beta-L-manno-nonulosonic ac-

id) in serogroup O2 [85]; 2-acetamido-3-(N-formyl-L-alany-

l)amino-2,3-dideoxyglucuronamide (GlcNAc3NAcylAN),

2,3-diacetamido-2,3-dideoxy mannuronamide (ManNAc3-

NAcAN) and 2,3-diacetamido-2,3-dideoxyguluronic acid

(GulNAc3NAcA) in serogroup O8 [86]; 2,4-diacetamido-

2,4,6-trideoxyglucose (QuiNAc4NAc) in both serogroups

O8 and O5 [87] and 2-acetamido-2,6-dideoxy-D-glucose

(QuiNAc) in serogroup O22 and O139 [82].

On the other hand, the sugar composition of the LPS

from serogroup O76 [88] has much in common with that of

the serogroup O1 except that (i) perosamine in the

serogroup O76 is in the L configuration in contrast to the

D configuration of the perosamine in O1, (ii) a small amount

of D-galactose is present in O76 and (iii) the L-perosamine is

N-acylated with an (S)-(+)-2-hydroxy propionyl group in the

serogroup O76. Another serogroup of V. cholerae, O144,

was found to contain homopolymers of D-propionyl-a-L-

perosamine in their O-PS [89].

3.8. Chemical structure of the O-PS

Figs. 8 and 9 present the structures of the O-PS of V.

cholerae of different serogroups and illustrate that the O-PS

structure of any serogroup is distinct. About 12–18 mono-

saccharide repeating units (n = 12–18) are present in the O-

Fig. 9. Chemical structures of the repeat units of O-PS of V. cholerae of different non-O1 serogroups. Abbreviations are as given in the text. (*) Knirel et al.

[82] could not confirm the presence of this residue. References are: O139 [63,79]; O2 [85]; O3 [84]; O8 [86]; O10 [115]; O22 [81,82].

S.N. Chatterjee, K. Chaudhuri / Biochimica et Biophysica Acta 1639 (2003) 65–79 73

PS of V. cholerae O1 [42], which is in accordance with the

high molar ratio of D-perosamine obtained in earlier studies

[55,56]. V. cholerae O139 lacks the ‘‘ladder pattern’’ char-

acteristic of O-antigen producing O1 strains when examined

on SDS-PAGE [90].

Fig. 9 shows that an altered structure from perosamine

homopolymer of V. cholerae O1 is present in the O-PS of

non-O1 vibrios, which generally consists of complex units

containing tri-, tetra-, or pentasaccharide repeating units.

Further, the repeating unit often contains unusual sugars.

The O-PS structures of two different strains of V. cholerae

O22 are more or less similar, except that the position of

the O-acetyl group at h-GalA as shown by Cox et al. [81]

could not be confirmed by the Knirel group [82]. Struc-

tural analysis of the O-PS of LPSs of some other

serogroups of V. cholerae and of some other vibrio

species have by now been completed (not shown in Fig.

9). Of these, mention may be made of O155 [91] and O9

[92] both having pentasaccharide repeating units and O6

[93] and V. mimicus [94] both having tetrasaccharide

repeating units. The important point to be noted here is

that both V. mimicus and O155 contain an immunodomi-

nant group, galactosyl residue substituted with a cyclic

phosphate (D-galactose-4,6-cyclophosphate), in their O-PS

structure in common with the O-PS structure of LPS and

CPS of V. cholerae O139, and that this appears to be the

basis of serological cross-reactivity between O139 and

O155 or V. mimicus.

S.N. Chatterjee, K. Chaudhuri / Biochimica et Biophysica Acta 1639 (2003) 65–7974

The O-PSs of V. cholerae O22 and O139 are similar in

chemical composition and structure and differ only in the

presence of an O-acetylated h-GalA residue in the former

instead of h-Gal-4, 6P in the latter [64] and in the anomeric

configuration of GlcNAc [81]. V. cholerae O22, unlike

O139, lacks a CPS but possesses an O-PS structure com-

parable to that of V. cholerae O139. The similarity in the O-

PS structures of the serogroups O139 and O22 can be

elaborated further. Both serogroups contain the same trisac-

charide, GlcNAc-GalA-QuiNAc, and in both cases, the N-

acetylglucosamine residue is di-substituted at the 3- and 4-

positions. Further, the rare terminal 3, 6-dideoxy-L-xylo

hexose (colitose) residues are present both in O22 and

O139 serogroups. To elaborate the differences in the O-PS

structures of these two serogroups, it may be noted that in

O22, the N-acetylglucosamine has the a-configuration and

not the h-configuration observed previously for O139. The

substituent at the 3-position also differs, being a galactur-

onic acid residue in O22 and a cyclic phosphorylated

galactose in serogroup O139. It may further be noted that

the phosphate group is absent in serogroup O22 and that

such groups are often found to be immunodominant. Bar-

ring the small differences, the striking structural similarity

between the serogroups O22 and O139 provides a chemical

basis for the serological cross-reactions observed between

the strains belonging to these two serogroups. The similarity

further adds support to the existing data suggesting that the

serogroup O22 is the donor strain of the new genetic

material forming the O139 serogroup V. cholerae. This

structural evidence, when considered in conjunction with

the facts that (i) serogroups O22 and O139 are the only

cholera serogroups to produce colitose and (ii) a significant

homology has been found between genes of the wb* clusters

of serogroups O139 and of O22 [95], makes it very likely

that the serogroup O22 is the progenitor strain. The genetic

homology between O139 and O22 will be discussed further

in Part II of this review.

4. The CPS

4.1. Colony morphology and CPS

Many of the non-O1 vibrios are known to produce CPS.

The O1 vibrios have so far not been shown to produce CPS.

The non-O1 strains have been shown to shift between an

encapsulated form with an opaque colony morphology and

an unencapsulated or minimally encapsulated form with

translucent colony morphology. The degree of opacity

correlates with the amount of capsular material which can

be extracted from the cells [96]. V. cholerae O139, a non-O1

strain, was shown to cause large outbreaks of cholera in the

Indian subcontinent in 1992 [80]. Since the O139 strain was

found to be toxigenic and did not agglutinate with either

polyclonal or monoclonal antisera directed against the V.

cholerae O1 antigen, more attention was directed towards

the study of this O139 strain and its various constituents.

The V. cholerae O139 Bengal strain AI-1838 when incu-

bated on agar plates showed two distinct colony morphol-

ogies, translucent and opaque. Both colony types were

tested for agglutination with rabbit anti-O139 antisera and

showed a positive reaction. Subsequently, Johnson et al.

[77] tested eight strains, including AI-1838, belonging to

O139 serogroup and found that all eight strains had mod-

erately opaque colony morphology on initial streaks, but the

translucent sectors and colonies appeared after subculturing.

Similar changes in colony morphology were not found

when more than 100 strains of O1 serogroup were exam-

ined. Comstock et al. [97] showed by TnphoA mutagenesis

that the loss of capsular material was associated with the

loss of opacity of the colony morphology in V. cholerae

O139 Bengal.

4.2. Site of occurrence

The presence of CPS in V. cholerae O139 Bengal was

demonstrated by electron microscopic studies [77,97–99].

Johnson et al. [77] prepared two O139 strains (AI-1855 and

AI-1841) for electron microscopic examination in thin

section by standard methods and stained them with poly-

cationic ferritin. The electron microscopic photographs

showed that bacteria belonging to both strains were sur-

rounded by a relatively thin electron dense capsule. Wein-

traub et al. [98] examined another strain (AI-1838) of O139

vibrio by ultrathin section and electron microscopy and

found that a coarse electron dense band was heterologously

distributed around approximately 30% of the cells. The

thickness of the band was 18–25 nm. The V. cholerae O1

strains (Ogawa) examined under identical conditions lacked

the surrounding electron dense band. Meno et al. [99]

examined a V. cholerae O139 strain by a different technique

(freeze substitution) of electron microscopy and found a

very thin fibrous layer on the outside of the outer membrane

of the cells. In contrast, the mutants of the strain O139,

strain MO10T4 (which lacked the ability to synthesize

capsule) and the strain Bengal-2R1 (which failed to synthe-

size both the capsule and the O-antigen of LPS), were all

found to have lost the surface layer. In addition, the capsule

layer could not be observed on the surface of V. cholerae

strain O1.

4.3. Sugar composition

Kasper et al. [100] showed (by Sephacryl S-300 chro-

matography and chemical analysis of fatty acids and sugars)

that the phenol-water extraction of capsulated bacteria

yielded a mixture of LPS and CPS. In order to purify the

LPS and CPS, Weintraub et al. [98] subjected the lyophi-

lized aqueous phase obtained after phenol-water extraction

of the O139 Bengal strain to an extraction with phenol–

chloroform–petroleum (PCP) ether and obtained two frac-

tions, PCP-soluble fraction (containing LPS) and the PCP-

Fig. 10. Chemical structure (top) and conformation (bottom) of hexasac-

charide obtained by digestion of the capsular polysaccharide of V. cholerae

O139 with a lyase from a bacteriophage specific for O139. The letters a to f

indicate the residue assignments used by the authors [103].

S.N. Chatterjee, K. Chaudhuri / Biochimica et Biophysica Acta 1639 (2003) 65–79 75

insoluble fraction (containing CPS), in the ratio of 1:2. It

was ascertained that the CPS contained no lipid A or fatty

acid. Monosaccharide analyses showed that CPS contained

glucosamine, quinovosamine and 3,6-dideoxy-xylo-hexose.

In addition, small amounts of glucose, galactose and trace of

heptose were found. Gel permeation chromatography of the

CPS showed that this material was of high molecular weight

since it eluted at the void volume on Sephacryl S-300

chromatography. It was established chemically that V. chol-

erae O139 produced a CPS, distinct from the LPS. To

establish the identity of the 3,6-dideoxy-xylo-hexose, it was

analyzed on three different GLC columns [98], one polar

and two nonpolar, on which it showed the same retention

time as an authentic abequose derivative (3,6-dideoxy-D-

xylo-hexose). However, the analysis did not discriminate

between the D and L isomers, i.e., the 3,6-dideoxyhexose

could well be the L-isomer (colitose). Later on, Preston et al.

[101] used two different hydrolysis conditions, viz., 0.5 M

trifluoroacetic acid at 60 jC for 3 h and 1 M trifluoroacetic

acid at 100 jC, 10 h, for the CPS of O139 strain (AI-1837)

and HPLC conditions suitable for neutral and acid sugars,

respectively and demonstrated the presence of 3,6-dideoxy-

xylohexose, quinovosamine, glucosamine, galactose and

galacturonic acid. Subsequently, Knirel et al. [102] pro-

duced a more definite result in respect of the sugar compo-

sition and structure of V. cholerae O139 CPS. These authors

showed that the CPS contained D-galactose, 3,6-dideoxy-L-

xylo-hexose (colitose), 2-acetamido-2-deoxy-D-glucose, 2-

acetamido-2,6-dideoxy-D-glucose (N-acetyl-D-quinovos-

amine), D-galacturonic acid and phosphate.

4.4. Chemical structure

Preston et al. [101] worked out the structure of the V.

cholerae O139 CPS by high performance anion exchange

chromatography and 1H-nuclear magnetic resonance spec-

troscopy. The CPS was found to contain a repeating unit

consisting of six sugar residues, which included one residue

each of N-acetylglucosamine (GlcNAc), N-acetylquinovos-

amine (QuiNAc), galacturonic acid (GalA), galactose and

two residues of 3,6-dideoxy-xylo-hexose (Xylhex). Howev-

er, the workers could not determine unambiguously the

absolute configuration of the monosaccharides and accord-

ingly the residues of 3,6-dideoxy-xylo-hexose could be

designated either as colitose (the L-isomer) or as abequose

(the D-isomer). Subsequently, Knirel et al. [102] studied the

structure of O139 CPS by NMR spectroscopy in combina-

tion with methylation analysis and selective degradations,

including partial acid hydrolysis at pH 3.1 and dephosphor-

ylation with aqueous 48% hydrofluoric acid, and basically

confirmed the CPS structure proposed by Preston et al.

[101]. Knirel et al. [102] could, in addition, specify exactly

the absolute configurations of the constituent monosacchar-

ides and the presence and position of the phosphate group.

Very recently, the hexasaccharide repeating unit has been

isolated from the V. cholerae O139 CPS by digestion with a

polysaccharide lyase derived from a bacteriophage specific

for this serogroup. It specifically cleaves at a single position

of the 4-linked galacturonic acid producing an unsaturated

sugar product, the conformation of which has been studied

by molecular modeling and NMR spectroscopy (Fig. 10)

[103]. The structure has been found to contain a tetrasac-

charide epitope homologous to the human Lewisb blood

group antigen and its conformation is identical or at least

closely similar to that of the intact CPS studied earlier

[101,102].

5. Concluding remarks

5.1. Emerging trends of research and future possibilities

Already some 200 or more serogroups of V. cholerae

have been detected. Studies of these and of any additional

serogroup that may be detected in future would be of

academic nature unless some new strain emerges and causes

severe epidemic or pandemic of the disease cholera. On the

other hand, researches in some new directions have already

been initiated, which may be of great practical use.

Recent works in this line involve the preparation of

synthetic mono- or oligosaccharide fragments that mimick

the terminal mono- or oligosaccharide residues of the O-PS

of V. cholerae LPS and study of their interactions with

monoclonal anti-cholera antibodies with a view to develop-

S.N. Chatterjee, K. Chaudhuri / Biochimica et Biophysica Acta 1639 (2003) 65–7976

ing synthetic carbohydrate based anti-cholera vaccine.

Kenne et al. [104] reported the first synthesis of the

monosaccharide repeating unit of V. cholerae O1, serotype

Inaba. An improved synthesis as well as the crystal structure

of the methyl-a-glycoside of the monomeric repeating unit

common to both Ogawa and Inaba strains were subsequent-

ly reported by Gotoh et al. [105]. Following the discovery

that the O-PSs of the two serotypes, Ogawa and Inaba, differ

in that the terminal 4-N-tetronylated-D-perosaminyl group in

the O-PS of the Ogawa strain is methylated at O-2 [73,74],

the complete terminal sugar of the serotype Ogawa, methyl-

a-glycoside, was synthesized and its crystal structure deter-

mined [106]. This was followed by the synthesis of three

oligosaccharides which imitate the upstream part of the O-

PS of the serotype Ogawa [107] and the analogous trisac-

charide related to the O-PS of the serotype Inaba [108]. As a

further step in the effort to understand protective immunity

to cholera, hexasaccharides representing termini of the O-PS

of the two serotypes of V. cholerae O1 were synthesized in

the form of glycosides whose aglycons allowed linking

these substances to proteins [109]. Further improvement in

the synthesis of similar antigenic compounds has recently

been reported by Ma et al. [110].

Another recent study in this line involved the preparation

of analogs of the methyl-a-glycosides of the terminal

residues of the O-PS of V. cholerae O1 as probes [111] to

study their interaction with anti-V. cholerae O1 antibodies

[112,113]. They differ from the termini of the respective O-

PSs in anomeric or absolute configuration of perosamine,

position of the O-methyl group in D-perosamine and nature

of the N-acyl side chain. These were used to learn more

about the structural requirements for binding with antibodies

and also to find out the structural elements that would

increase binding. Among the interesting results already

achieved include the finding that some antibodies showed

a remarkable tolerance to irregularities or variations in the

structures of the ligands [111]. Some other studies resolved

that the 2-O-methyl group, a small antigenic determinant,

can dictate a highly specific immune response. Wang et al.

[112] carried out binding studies of anti-Ogawa Abs IgG1s

S-20-4, A-20-6 and IgA 2D6 with synthetic methyl a-

glycosides of fragments up to the hexasaccharide, of the

Ogawa O-PS, as well as analogs of the terminal monosac-

charide, and revealed that the terminal residue accounted for

approximately 90% of the maximal binding energy. They

did not react with the corresponding synthetic fragments of

Inaba O-PS. Further insight in to the structural basis of

carbohydrate recognition and particularly V. cholerae sero-

type specificity was obtained from the crystallographic

studies of protective anti-cholera Abs in complex with

synthetic analogs of the O-antigen [42]. The upstream

terminal monosaccharide of the Ogawa O-PS was shown

to be the primary antigenic determinant. The crystallograph-

ic study showed the pivotal contribution by so small a

structural fragment in the antigenic determinant as a methyl

group. Chernyak et al. [114] moved one step forward and

demonstrated induction of protective immunity by synthetic

antigens that mimic the terminal hexasaccharide epitope of

the O-PS of V. cholerae O1, serotype Ogawa, conjugated to

bovine serum albumin with different carbohydrate to carrier

molar ratios. The protective capacity of antiserum was

evident in serum from mice immunized with all conjugates,

but it was highest in the groups that received the conjugate

with the lowest level of substitution. Further investigations

in this line with a view to devising synthetic analogs that

will bind significantly with antibodies derived against V.

cholerae of more than one serogroup may be very chal-

lenging but useful for purposes of vaccine development.

Extension of such studies with the specific object of gaining

insight in molecular and atomic details into the structural

basis of carbohydrate recognition will contribute signifi-

cantly towards the development of a synthetic carbohydrate-

based anti-cholera vaccine.

Acknowledgements

Authors are most thankful to the many scientists, and

particularly to Drs. P. Kovac, A.D. Cox, P.A. Manning, U.H.

Stroeher and A. Weintraub, for sending promptly the

reprints of their important and relevant publications and

thereby making our task easier. Sincere thanks are due to Dr.

M. Maiti, Director-Grade-Scientist, Indian Institute of

Chemical Biology, Calcutta, for helping us in many ways

all through. Thanks are also due to Drs. R. Chatterjee and B.

Bannerjee, Biophysics Division, Indian Institute of Chem-

ical Biology, for rendering technical help during the

preparation of this manuscript.

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