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There is a growing interest to develop oral vaccines for infectious diseases, as it is the most
convenient and effective way to attain mucosal immunity. Hepatitis B continues to be a major
infectious disease in many developing countries despite the availability of recombinant vaccine.
On a global scenario, Hepatitis B Virus infection is probably the single most prevalent cause of
persistent viraemia in humans. There are about 350 million chronic carriers of HBV, which is
about 5% of the total world population. It is estimated that 75-100 million of them will die of
liver cirrhosis and/or hepatocellular carcinoma. Progress in plant genetic engineering has enabled
the transfer of useful genes for desirable traits. The recent trend is to use this technique to
exploit plants as biofactories for the production of therapeutic proteins including vaccines. Rapid
progress has been made in this area to develop plant-based vaccines for hepatitis B. This review
describes the expression, characterization, and immunogenicity studies of hepatitis B vaccines
produced in recombinant plant systems and their implications for developing a plant-based
vaccine.
Table 1. Host Systems Used for the Expression of Hepatitis B practices. The most important advantage of cell cultures is the
Vaccine ease of recombinant protein isolation and purification, especially
host systerm protein expression levels ref when it is secreted into the spent medium. HBsAg was expressed
tobacco S 66 ng/mg TSP 17, 18 both as intracellular and secreted forms in the NT-1 cell line of
potato S 16 µg/g FW 22 tobacco. The expression levels of the antigen at 2 µg/g FW of
PreS2 and S 37 cells and 31µg/L of spent medium were reported (19, 20).
potato hairy roots S 97.1 ng/g FW 23
N-Terminal fusion of plant signal peptide to HBsAg resulted
lettuce and lupin S 150 ng/g FW 26
carrot S 25 ng/g FW 38 in enhanced accumulation of the fusion protein in the NT-1 cell
macroalga S 2.497 µg/mg TSP 39 line of tobacco (226 ng/mg TSP) and stimulated higher levels
tobacco cell cultures S 2 µg/g FW 19 of serum IgG response in mice (21). This report demonstrated
226 ng/mg TSP 21 that HBsAg tolerates the polypeptide fusion at the amino
banana S 1 ng/g FW (fruits) 25
38 ng/g FW (leaves) terminus and improved the antigen expression levels and
cherry tomatillo S 330 ng/g FW (leaves) 40 immune responses when injected into mice. These results
10 ng/g FW (fruits) suggest that HBsAg could be expressed in plant cell cultures
in the required form and elicited antigen-specific immune
Host Systems response in mice. However, there is a need to enhance and
optimize the expression levels and maintain the stability of plant
Vegetable and fruit crops would be ideal host systems for
cell cultures for continued and constant expression levels in
the production of oral hepatitis B vaccine. However, non-food/
long-term cultures.
feed crops such as tobacco and in vitro systems such as plant
cell cultures and hairy roots have other advantages, which are Potato. Potato is one of the important non-cereal food crops,
discussed below, and were also employed for hepatitis B vaccine providing half of the world’s annual production of all roots and
production. These systems are listed in Table 1. tubers. It offers several advantages for the production of HBsAg,
Tobacco Plants. Tobacco offers several advantages for which include efficiency of genetic transformation by Agro-
HBsAg production as optimized tissue culture protocols and bacterium tumefaciens with relatively short transformation and
genetic transformation methods are well established. Tobacco generation times, clonal propagation, availability of tissue-
is a prolific seed producer (3000 seeds/capsule), and availability specific promoters, and capability of microtuber production and
of a wide range of germplasm enables customization of genetic storage potential. Richter et al. (22) reported highest expression
backgrounds to remove metabolites such as nicotine that may levels of 16 µg HBsAg per gram potato tubers. Although potato
affect the end use. It is a non-food/non-feed crop, restricting has several advantages for vaccine production, the raw potatoes
the transgenic plants’ entrance to the food chain. Biomass are not palatable to humans and cooking may degrade the
production and protein extraction procedures have been ad- antigen. It is more suitable for evaluating the oral vaccine
equately standardized. High density (100,000 plants/ha) field efficacy.
planting and multiple harvests from regrowth following the first Potato Hairy Roots. Hairy roots have been used in a wide
cutting produce fresh weight in excess of 50,000 kg/ha/season. range of research applications such as plant improvement, plant
Soluble protein levels in tobacco range between 2.5% and 2.8% secondary metabolism studies, plant interaction with the envi-
of total biomass and concentrations as high as 9.2% were ronment, and for the production of recombinant proteins. The
possible when stems are excluded. Yield of extractable protein genetic stability, biosynthetic potential, growth in hormone-free
varied between 155 and 228 kg/ha (16). media, and short doubling time of hairy roots make them an
Mason et al. (17) reported the expression of HBsAg in attractive system for the production of biopharmaceuticals under
transgenic tobacco plants for the first time. The plants were controlled conditions. The expression levels of the recombinant
genetically engineered to produce HBsAg using the “s” gene proteins in the transgenic plants could be influenced by
of HBV. The maximum expression levels of 66 ng/mg total environmental factors. The implementation of good manufactur-
soluble protein (TSP) in leaves was obtained as measured by ing practice (GMP) requires their cultivation under controlled
ELISA using a monoclonal antibody directed against human conditions. This could be best achieved by using plant cell
serum derived HBsAg. The amount of HBsAg in the extracts cultures or hairy roots as expression systems. Recently, our
of transformed leaves correlated with mRNA abundance, group reported the initiation, growth optimization and generation
suggesting that there were no major inherent limitations of of potato hairy roots for the production of HBsAg using two
transcription or translation of this gene in tobacco. Further Sunil different expression cassettes (23). Higher expression levels were
Kumar et al. (18) demonstrated the accumulation of HBsAg in noted in hairy root cultures (97.1 ng/g FW) when compared to
tobacco seeds. Seed-based expression may enable long-term transgenic plants (19.11ng/g FW) from which they were derived.
storage of the vaccines at room temperature without any However, expression levels need to be further enhanced by using
significant degradation of the recombinant protein. A maximum strong root specific or inducible promoters to make it cost-
expression of 19.4 ng/g fresh weight (FW) of leaves and 4 ng/g effective. Rhizosecretion is an attractive means for HBsAg
FW in seeds were obtained in this study. The HBsAg expressed production that can be explored with the hairy roots.
in tobacco needs to be purified prior to the formulation of the Banana. Banana is considered as an ideal host for the
vaccine, which adds to the costs of production. These factors production of oral vaccines for hepatitis B. It offers advantages
have to be considered for developing tobacco as a vaccine such as digestibility and palatability by infants and availability
production system. throughout the year in the tropics and subtropics where
Tobacco Cell Cultures. Tobacco cell cultures were explored economical vaccines for hepatitis B are required to immunize
as production systems for recombinant proteins. The Nicotiana large segments of the population (24). The majority of edible
tabaccum 1 (NT-1) cell line of tobacco is the most extensively bananas are vegetatively propagated through suckers and do not
characterized and used plant cell line. Plant cell cultures allow set seeds. Hence it is a suitable candidate for gene containment
the production of recombinant proteins under controlled condi- with no segregation of the transgene. Recently, we have reported
tions, enabling the implementation of good manufacturing the expression of HBsAg in banana fruits (25). Expression level
Biotechnol. Prog., 2007, Vol. 23, No. 3 535
using two different T-DNAs with a selectable marker and gene within the membrane of the endoplasmic reticulum. One was
of interest on different T-DNA; if the two T-DNAs integrated based on phosphate buffer (pH 7.4) and the other was sodium
into unlinked loci, the selectable marker can be eliminated by carbonate buffer (pH 11). The low salt, high pH conditions of
crossing. (2) Site-specific recombination system that utilizes the the carbonate buffer converts vesicles into sheets releasing ER
Cre/lox system of bacteriophage P1, which consists of the lumen contents, while leaving integral membrane proteins
recombinase (Cre) and its recognition site (loxP). Cre, which associated with the ER intact (33). When carbonate buffer was
causes recombination, results in the excision of a DNA segment used, the detectable polyclonal antibody reactive HBsAg (pAb-
between two directly adjacent loxP sites; the selectable marker HBsAg) increased by 50% indicating the improved HBsAg
gene placed in between two loxP sites will be excised from the release. However, only a 5-fold increase was obtained with the
genome and the marker free transgenic plants can be obtained addition of detergents to either buffer. The levels of the
by crossing. (3) Recently, two types of multi-auto-transformation antioxidant sodium ascorbate in the extraction buffer influenced
(MAT) vectors (ipt-type and rol-type) have been developed to the monoclonal antibody reactive HBsAg (mAb-HBsAg). A 14-
remove the selectable marker genes from transgenic plants (29). and 4.6-fold increase was observed in crude extracts of
The implementation of one of the above strategies in the transgenic tobacco and soybean suspension cells, respectively,
development of transgenic systems may address the concerns with the addition of sodium ascorbate. However, sodium
of the antibiotic marker genes. ascorbate had no effect on mAb-HBsAg in potato tuber crude
extracts.
Optimization of Process Parameters for in Planta
The HBsAg was unstable in crude extracts with a complete
HBsAg Expression
loss of pAb-HBsAg after 15-20 days storage at 4 °C. This loss
Process parameters were studied for HBsAg expression in was exacerbated by the presence of elevated levels of sodium
soybean and tobacco cell cultures. Expression of HBsAg in ascorbate. Lowering the detergent to cell concentration has
soybean cell suspension cultures resulted in 10 times higher improved stability, with pAb-HBsAg levels stable for 30-40
levels of antigen accumulation than that obtained in tobacco days with storage at 4 °C. Both pAb and mAb-HBsAg were
cell cultures. The expression levels of HBsAg remained ap- maintained at initial levels for at least 60 days with the addition
proximately constant during the exponential phase of growth of skimmed milk powder, whereas in the extracts lacking
and triggered an accumulation in the stationary phase. However, skimmed milk powder pAb-HBsAg was lost within 20 days
the level of assembly (monoclonal antibody reactive HBsAg) and mAb-HBsAg within 3 days in soybean cell extracts. Similar
was substantially better in early exponential phase than in results were obtained for tobacco cell lysates where stability of
stationary phase cells of soybean, but there was a less marked the pAb-HBsAg was maintained at initial levels for 90 days.
dependence on culture age in tobacco cell cultures (30). The During the course of storage at 4 °C, the mAb-HBsAg levels
HBsAg should be characterized for its assembly and immuno- were increased in crude lysates of both soybean and tobacco
genicity by extracting and purifying this antigen from recom- cells. This increase was influenced by the presence of sodium
binant plant systems. ascorbate. Although the initial mAb-HBsAg increased with
increasing levels of antioxidants, it was retarded by the reducing
Extraction of HBsAg from Plant Materials
environments later (31, 32). The formation of multimeric particle
Protocols for the extraction of recombinant HBsAg from is essential for the immunogenicity of HBsAg. Thus it is
transgenic plant materials were studied. The effects of reducing necessary to characterize it, for structure and assembly. A flow
agent 2-mercaptoethanol (BME), protease inhibitors, extraction chart of the key steps involved in HBsAg expression in
buffers, temperature, storage at 4 °C, detergent, antioxidant recombinant plant systems for developing oral vaccines are
concentrations, and stabilizers (skimmed milk powder) were shown in Figure 4.
analyzed to optimize the extraction protocols to recover and
obtain the required form of HBsAg from recombinant potato Structural Characterization of Plant-Derived HBsAg
tubers (31, 32).
The optimum temperature was found to be 50 °C for the The plant-derived HBsAg was characterized for its structure
extraction of HBsAg. Increasing the temperature of the sample by buoyant density studies and transmission electron micros-
for about 1 min increased the measurable antigenic activity. copy. In the first report transgenic tobacco derived HBsAg was
Three-fold enhancement of antigenic activity was noted when studied for its buoyant density properties (17). It was observed
assayed with monoclonal antibody based ELISA (mAb ELISA), that the tobacco-derived HBsAg had buoyant density similar
although no enhancement was obtained with the polyclonal to that of human serum derived HBsAg. Tobacco cell line as
antibody based ELISA (pAb ELISA). Temperature might have well as transgenic banana derived HBsAg was also assessed
an effect on the conformation of the epitopes to which the for its buoyant density properties, and it was found that HBsAg
monoclonal antibodies bind or alter the fluidity of the surface derived from these plant systems also had a buoyant density
lipids. BME also increased the proportion of monoclonal comparable to that of human serum derived HBsAg (19, 25).
antibody reactive HBsAg by 4-fold with no increase using pAb The affinity purified HBsAg from tobacco plants had a size of
ELISA. This result also demonstrated that BME may affect the 22 nm, comparable to VLPs found in carriers of HBV as
structure or presentation of the “a” epitope. A proteinase observed by transmission electron microscopy (17). Potato-
inhibitor, leupeptin, also increased the antigenic activity. This derived HBsAg accumulated as 17 nm particle structures in
could be due to the protection of the antigen from proteolytic leaves (34) and as tubular structures within dilated ER mem-
degradation by leupeptin from sulfhydryl proteases. Despite the branes in tuber tissues (35). This is analogous to those observed
fact that both BME and temperature could increase the antigenic in a mammalian cell line (Chinese hamster ovary cells)
activity of HBsAg individually, their combined interaction was expressing HBsAg, but plant-derived HBsAg had a complex
antagonistic. size distribution. These reports suggest that HBsAg assembles
Two different extraction buffers were tried in the extraction into a required particulate form, which is essential for its
procedure to aid the release of HBsAg particles that are encased immunogenicity.
Biotechnol. Prog., 2007, Vol. 23, No. 3 537
Figure 4. Flow chart for the production of plant derived vaccine (oral vaccine ) for hepatitis B.
Immunogenicity Studies of Plant-Derived HBsAg unmodified HBsAg. The induction of balanced Th 1 and Th 2
The plant-derived HBsAg was assessed for its immunoge- responses would be preferred to obtain an effective humoral
nicity in both animals and humans. The first study to demon- and cell mediated immune responses. Both yeast-derived HBsAg
strate the immunogenic potential of transgenic plant derived and plant signal peptide HBsAg fusion protein induced relatively
HBsAg was carried out by Thanavala et al. (36). HBsAg purified balanced immune responses, whereas the unmodified HBsAg
from transgenic tobacco leaves could induce an immune induced a more Th 2 biased response (21). Recently, Thanavala
response that was qualitatively similar to the responses obtained et al. (37) conducted double-blind placebo-controlled human
by immunizing mice with yeast-derived HBsAg. Anti-HBsAg clinical trials to evaluate the immunogenicity of HBsAg
response in mice immunized with the tobacco-derived HBsAg produced and delivered in potatoes orally to previously vac-
included HBsAg-specific antibodies of all IgG subclasses and cinated individuals. When fed with 100 g of tuber (8.5 µg
also IgM. On the contrary, mice immunized with yeast-derived HBsAg/g tuber), volunteers exhibited an increase in serum anti-
HBsAg produced predominantly IgG1 and substantial amounts HBsAg titers in 10 out of 16 individuals who ate three doses
of IgG2b and lower levels of IgG2a and IgM antibodies. of potatoes and 9 out of 17 volunteers who ate two doses of
Additionally, T cells obtained from mice primed with the transgenic potatoes, whereas no increase was noted in volunteers
tobacco-derived HBsAg could be stimulated in vitro by the who ate non-transgenic potatoes. These results were obtained
yeast-derived HBsAg. The primed T-cells proliferated in vitro without the co-administration of mucosal adjuvants or the need
after stimulation with a monoclonal anti-idiotype antibody and for buffering stomach pH. The above observations conclude that
anti-idiotype derived peptide, demonstrating that both B and T HBsAg derived from recombinant plant systems is immunogenic
cell epitopes of HBsAg are preserved when the antigen was in both animals and humans and to the extent achieved by
expressed in transgenic tobacco plants. immunization with yeast-derived HBsAg.
Kong et al. (34) reported oral immunization of mice with
transgenic potato tubers expressing HBsAg along with a mucosal
Future Perspectives
adjuvant, cholera toxin. Mice fed with HBsAg-transgenic The plant-based production of vaccines provides new op-
potatoes produced HBsAg-specific serum antibodies that ex- portunities to develop oral vaccines for hepatitis B. It is one of
ceeded the protective levels and upon parenteral boosting the preferred ways to deliver vaccines for easy administration
generated a strong long-lasting secondary antibody response. and to attain mucosal immunity. Different host systems were
Further mice immunized (injection) with HBsAg fused to a plant employed to produce hepatitis B vaccine. Among the different
signal peptide at the N-terminus had stronger antibody responses systems, banana is considered as an ideal host for the production
and a greater number of responders than mice that received and delivery of oral vaccine. However, the reported levels of
538 Biotechnol. Prog., 2007, Vol. 23, No. 3
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