PPE18 and PepA Variations in Mycobacterium tuberculosis Clinical Isolates from Makassar, Indonesia: Challenges for

Stephanie Cynthia Theorupun1, Muhammad Nasrum Massi1,2, Astutiati Nurhasanah3

  • 1Department of Microbiology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.

Abstract

Insights

Genetic variations in tuberculosis vaccine antigens PPE18 and PepA were analyzed in Indonesian isolates. PPE18 showed significant diversity, potentially impacting M72/AS01E vaccine efficacy and immune response.

Area of Science:

  • * Molecular biology and immunology
  • * Vaccine development and efficacy studies

Background:

  • * The M72/AS01E tuberculosis vaccine candidate utilizes PPE18 (Rv1196) and PepA (Rv0125) antigens.
  • * Genetic diversity in these antigens may influence immune recognition and vaccine effectiveness.

Purpose of the Study:

  • * To analyze the genetic diversity of Rv1196 and Rv0125 in Indonesian Mycobacterium tuberculosis clinical isolates.
  • * To assess the structural and immunological implications of identified genetic variations using in silico methods.

Main Methods:

  • * Sequencing of Rv1196 and Rv0125 genes from clinical isolates.
  • * In silico analysis including protein structure modeling (I-TASSER), HLA binding predictions (IEDB), and molecular docking with TLR2.

Main Results:

  • * Rv0125 exhibited a novel non-synonymous mutation (Ser8Ala), while Rv1196 displayed high variability with 58 polymorphic sites and a common Arg287Gln substitution.
  • * Structural modeling revealed preserved PPE18 fold but altered, allele-specific epitope binding.
  • * Docking simulations indicated stronger TLR2 interactions for certain PPE18 variants, suggesting potential for enhanced IL-10 induction and a Th2-skewed immune response.

Conclusions:

  • * Genetic variation in PPE18 may impact immune recognition and the efficacy of the M72/AS01E vaccine.
  • * Continuous antigenic surveillance in endemic regions is crucial for optimizing tuberculosis vaccine design and diagnostics.

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