- Open Access
Identification of variants and therapeutic epitopes in HPV-33/HPV-58 E6 and E7 in Southwest China
Virology Journal volume 16, Article number: 72 (2019)
Human papillomavirus (HPV) E6 and E7 oncoproteins play a crucial role in HPV-related diseases, such as cervical cancer, and can be used as ideal targets for therapeutic vaccines. Human leukocyte antigen (HLA) participates in the immune response to block HPV infection and invasion by its target/recognition function. HPV-33 and HPV-58 are highly prevalent among Chinese women. Therefore, it is of great significance to study the E6 and E7 region-specific gene polymorphisms of HPV-33 and HPV-58 in Southwest China and to identify ideal epitopes for vaccine design. Both HPV-33 and HPV-58 belong to α-9 genus HPV and are highly homologous, so their correlations are included in our research.
To study the E6 and E7 variations and polymorphisms of HPV-33 and HPV-58 in Southwest China, we collected samples, extracted and sequenced DNA, and identified variants. Nucleotide sequences were translated into amino acids by Mega 6.0 software. The physical/chemical properties, amino acid-conserved sequences and secondary structure of protein sequences were analysed by the Protparam server, ConSurf server and PSIPRED software. The T and B cell epitopes of the E6/E7 reference and variant sequences in HPV-33 and HPV-58 were predicted by the Immune Epitope Database (IEDB) analysis server and the ABCpred server, respectively.
Five and seven optimal HLA-I restricted T cell epitopes were selected from HPV-33 and HPV-58 E6, respectively, and these optimal epitopes are mainly located in 41-58EVYDFAFADLTVVYREGN of HPV-33 E6 and 40-60SEVYDFVFADLRIVYRDGNPF of HPV-58 E6. Six optimal HLA-I-restricted T cell epitopes were selected from HPV-33 and HPV-58 E7, and these epitopes are mainly located in 77-90RTIQQLLMGTVNIV of HPV-33 E7 and 78-91RTLQQLLMGTCTIV of HPV-58 E7.
HPV-33/HPV-58 E6/E7 gene polymorphisms and T/B cell epitopes of their reference and variant sequences were studied, and candidate epitopes were selected by bioinformatics techniques for therapeutic vaccine design for people in Southwest China. This study was the first to investigate the correlation of epitopes between HPV-33 and HPV-58. After experimental validation, these selected epitopes will be employed to induce a wide range of immune responses in heterogeneous HLA populations.
Human papillomavirus (HPV) is a double-stranded type of DNA virus of approximately 8 kb in size and is widely spread in humans . HPV infection not only causes warts on the human skin and mucosa but also leads to the occurrence of malignant tumours . In most developing countries, cervical cancer is the most common type of cancer in women, and 99.7% of cervical cancer patients have been diagnosed with HPV infection [3, 4]. Based on pathogenicity, HPV types are classified into high risk and low risk. Strong molecular epidemiological evidence indicates that persistent infection with high-risk HPV is a major cause of invasive cervical cancer and type II/III cervical intraepithelial neoplasia, and HPV-16, 18, 31, 33, 35, 39, 56, 58, and 59 are the common high-oncogenic risk types [5, 6]. Exogenous vaginal condyloma mutations and type I cervical intraepithelial neoplasia lesions in the crissum/lower genital tract are predominantly caused by low-risk HPV, such as HPV-6, 11, 40, 42, 43, 44, 54, 61, 70, 72, and 81 .
E6 and E7 proteins are the main virus-transforming proteins of high-risk HPV that participate in inducing cell proliferation and causing human epithelial cell immortalization and transformation . E6 proteins bind to the ligase E6AP to form a complex that can inactivate the important tumour suppressor protein p53. The primary targets of E7 proteins are the retinoblastoma (Rb) family tumour suppressor proteins . E6 and E7 play a key role in the occurrence and development of cervix precancerous lesions and invasive cervical cancer . Thus, HPV E6 and E7 proteins are ideal targets for diagnostic detection and therapeutic vaccine design.
Human leukocyte antigen (HLA) has a self-recognition function to regulate the body’s immune response and control HPV infection and virus removal by presenting antigen proteins [9,10,11]. HLA antigens distributed in nucleated cells are composed of numerous alleles with different frequencies and are primarily divided into three types: HLA-I, HLA-II, and HLA-III [11,12,13,14]. HLA-I recognizes and stimulates CD8+ cytotoxic T lymphocytes (CTLs). HLA-II assists in identification of exogenous antigen and stimulates CD4+ helper T lymphocytes (HTLs). In cell-mediated immune responses, CTLs are considered the major eradicators of both HPV-infected and cervical cancer cells . CD8+CTLs activated after proliferation can directly kill tumour cells or secrete cytokines to inhibit tumour cells. Lymphatic factors produced by the activated CD4+ HTLs enhance the function of CTLs and natural killer (NK) cells and activate macrophages or other antigen-presenting cells (APC), which have antitumour effects . CTL epitopes typically have 8–11 amino acids and bind to the cleft of various HLA-I molecules by embedding in the peptide sequence [16, 17]. The specificity of epitopes is determined by the antigen peptide, which is composed of specific amino acids in foreign proteins (e.g., viral protein). Polymorphisms and distribution characteristics of HLA alleles and HPV genes are very important in immune recognition [12, 18]. B cells play an important role in HPV-related cancer immunotherapy and responses to cervical epithelial neoplasm and invasive cancer caused by HPV .
The treatment of HPV-related diseases by antigen epitopes was previously proposed . Therefore, the therapeutic significance of T lymphocyte and B lymphocyte epitopes must be taken seriously. Virus mutations may cause differences in immune response and oncogenic potential . Epidemiological studies have shown that the prevalence of HPV types and variants vary in different geographic areas and populations, and the same HPV type contains different mutations in different regions and populations . HPV-33 and HPV-58 belong to the α-9 genus, which contains almost all carcinogenic types. Given the similarity between HPV-33 and HPV-58 and the importance of E6/E7, E6/E7 gene diversity of HPV-33/HPV-58 in Southwest China was chosen as the subject of this study . To improve vaccine accuracy and late-stage experiment effectiveness, the relationship of antigen epitopes between HPV-33 and HPV-58 E6/E7 were investigated by means of bioinformatics, and candidate T-lymphocyte/B-lymphocyte antigen epitopes were selected for vaccine design.
Materials and methods
Sample collection source
Samples were collected from hospitals in Sichuan and Chongqing, including the Angel of Maternal and Child Health Hospital and the Reproductive Health Research Center of Chengdu. This study was approved by the Ethics Education and Research Committee of Sichuan University and the Ethics Committee of Sichuan University (Sichuan, China). A total of 16,793 cervical specimens were collected from January 1, 2009 to December 31, 2015. All methods were performed in accordance with the relevant guidelines and regulations. Specimens were collected from participants using cervical swabs and stored at − 20 °C in buffer solution (9 g NaCl, 10 g C6H5CO2Na, 1 L H2O).
Sample collection standard
Samples were collected from patients undergoing cervical screenings, histology, and cytology evaluations for cervical diseases (age range 16 ± 87 years, average age 33.02, median age 29). Subjects over 14 years old with visible cervical lesions or HPV-related diseases (e.g., cervicitis, cervical intraepithelial neoplasia, and cervical cancer) were included .
Human papillomavirus DNA extraction
HPV DNA was extracted and evaluated using the Human Papillomavirus Genotyping Kit For 23 Types (Yaneng Bio, Shenzhen, China) according to the manufacturer’s guidelines.
PCR amplification and identification of variants
Primers were designed according to the HPV-33/HPV-58 reference sequence. HPV-33/HPV-58 complete E6/E7 genes were amplified by polymerase chain reaction (PCR) using a thermal cycler (Longgene, Hangzhou, China). Primers for HPV-33 E6 and E7 were as follows: 5′-AAAAAAGTAGGGTGTAACCGA-3′ and 5′-TGCCACTGTCATCTGCTGT-3′ (melting temperature 54 °C) as well as 5′-ACGGTGCATATATAAAGCAAACATT-3′ and 5′-CTTCTACCTCAAACCAACCAGTACA-3′ (melting temperature 60 °C) when a second round of amplification was needed. HPV-58 E6 and E7 fragments were amplified using specific primers described previously . The total PCR mixture was 50 μL, including 5 μL of extracted DNA (10 ± 100 ng), 200 μmoL of MgCl2 and dNTPs, 2 U of Pfu DNA polymerase (Sangon Biotech, Shanghai, China), and 0.25 μmoL of each primer. Conditions were as follows: 95 °C (10 min); 35 cycles of 94 °C (50 s), 54 °C (60 s) (different for each gene), 72 °C (60 s); and a final step of 72 °C for 7 min. PCR amplification products were stained with Gene-Green nucleic acid dyes and visualized on 2% agarose gels under ultraviolet light WFH-202. Target products were sequenced at Sangon Biotech (Shanghai, China). Data were confirmed by performing the PCR amplification and sequence analysis at least twice.
Sequence and structural analysis
Data were analysed by SPSS version 19 (Armonk, IBM, New York, USA). Pearson chi-square test was employed to confirm the results. P < 0.05 was considered statistically significant. Compared with the reference sequence, mutations with a frequency ≥ 10% were considered as major mutations . Mega 6.0 software was used to translate nucleotide sequences into amino acids . The Protparam server was used to predict physical and chemical properties of protein sequences, amino acid composition, molecular weight, theoretical isoelectric points, proportion of strong alkali/acid, hydrophobic, and amino acid polarity . Moreover, the ConSurf server was used to identify amino acid-conserved sequences and secondary structures . The PSIPRED server is a very strict cross-validation technique evaluation method that simply and accurately predicts protein secondary structure .
HLA allele retrieval and analysis
According to the average frequency of HLA alleles from the major histocompatibility complex database (dbMHC) in the Chinese population , 13 HLA-I and 6 HLA-II alleles were selected in our study (Tables 1 and 2).
T cell antigen epitope
T cell epitopes of HPV-33/HPV-58 E6/E7 reference and variant sequences were predicted by Immune Epitope Database (IEDB) analysis server. According to the method recommended by IEDB, the lower percentile rank (PR) of antigen epitopes represented a better affinity. Thus, we selected candidate epitopes based on PR . In our study, we used the IEDB recommended methods to predict the epitopes against 13 HLA-I alleles (Table 1) and 6 HLA-II alleles (Table 2). In prediction of HLA-I-restricted epitopes, epitope length was set to “All Length”, which contained the lengths of 8, 9, 10, 11, 12, 13 and 14. Peptides with mean PR < 1.0 were selected for analysis. In the prediction of HLA-II-restricted epitopes, all peptides with PR < 5.0 were selected for further analysis.
B cell antigen epitope
The ABCpred server was used to predict B cell antigen epitopes of HPV-33 and HPV-58 E6/E7 reference and variant sequences according to the default parameters . The higher the predicted score, the better the epitope’s affinity.
The datasets generated during the current study are available in GenBank (accession codes for HPV-33 and HPV-58 E6/E7 variant sequences are KX354744-KX354775).
Mutation analysis of E6 and E7
HPV-33 E6 and E7 polymorphism analysis
A total of 216 HPV-33 samples were sequenced. Data showed that the total length of the HPV-33 E6 Open Reading Frame (ORF) was 450 bp and that of E7 was 294 bp. Compared with the HPV-33 E6/E7 reference sequence (GenBank: M12732.1), mutations in HPV-33 E6 (450 bp) and HPV-33 E7 (297 bp) nucleotide sequences are presented in Table 3. Among all samples, 76 (35.19%) E6 sequences and 96 (44.45%) E7 sequences have nucleotide mutations. In these mutant E6 sequences, eight nucleotide mutations were observed, including six non-synonymous mutations and two synonymous mutations. Non-synonymous mutations include A213C, G329C, A364C, A387C, A446G, and G542 T, leading to the amino acids substitution of K35 N, S74 T, N86H, K93 N, Q113R and R145I, respectively. Among them, the most common mutations occurred at the 213th and 387th site of E6 sequence with a 19.44% mutation rate, and both amino acid substitutions are from lysine to aspartate. Finally, seven HPV-33 E6 variant types were determined. In the E7 mutant sequences, four single nucleotide changes were identified, which were all non-synonymous mutations, including G658C, C706T, C706A, and A862T that lead to the amino acids substitution of S29 T, A45V, A45E and Q97L, respectively. The most common mutation was C706T (A45V) with a 16.67% mutant rate. In addition, seven HPV-33 E7 variant sequence types were determined.
Analysis of HPV-58 E6 and E7 polymorphisms
In this study, 405 HPV-58 samples were sequenced, and the mutations in HPV-58 E6 (450 bp) and HPV-58 E7 (297 bp) are presented in Table 4. Compared with the HPV-58 E6/E7 reference sequence, 356 (87.90%) E6 variant sequences and 326 (80.50%) E7 variant sequences were detected. In these E6 variant sequences, eight variant types and eight nucleotide mutations were found, including 4 non-synonymous mutations and 4 synonymous mutations. Non-synonymous mutations were G203C, C367A, A388C and G543A, resulting in the amino acids substitution of E32Q, D86E, K93N and R145K, respectively. A338C (K93N) is the most common non-synonymous mutation with a 27.41% mutation rate. In 326 E7 variant sequences, twelve variant types were determined, and thirteen nucleotide mutations were found, including 10 non-synonymous mutations and 3 synonymous mutations. Non-synonymous mutations include G599A, C632T, G694A, C755A, G760A, G761A, A763G, A793G, C801A, and T803C, which lead to the amino-acid substitutions of R9K, T20I, G41R, T61N, G63S, G63D, T64A, T74A, D76E and V77A, respectively. G761A (G63D) was the most common non-synonymous mutation with a 40.25% mutation rate.
HPV-33 E6 and E7 structural analysis
In this study, amino acids composition analysis of HPV-33 E6 and E7 was performed, and the residue numbers of HPV-33 E6 and E7 were 149 and 97, respectively. In the reference sequence of HPV-33 E6, Arg (10.10%) and Leu (10.10%) represented the highest residue proportion followed by Glu (8.10%) and Cys (6.70%). In reference sequence of E7, the top 3 residues with the highest content were Thr (11.30%), Leu (10.30%) and Asp (9.30%). An additional file shows more details [see Additional file 1: Table S1 and S2].
The secondary structure prediction of HPV-33 E6 showed that E6 reference contained 27.5% helix, 20.8% sheet, and 51.7% coil, whereas the E6 variant was composed of 28.2% helix, 16.1% sheet, and 55.7% coil. The result suggests that the mutation of E6 mainly affects the secondary structure of the residues 87–88 and 132–134, resulting in an increase of coil and a decrease of β-sheet. The prediction results of E7 revealed that E7 reference consists of 12.4% helix, 16.5% sheet, and 71.1% coil, and the substitutions had no influence on its secondary structure (Table 5). Details are shown in Additional file 2: Figure S1 and S2.
HPV-58 E6 and E7 structural analysis
Our analysis showed that HPV-58 E6 and E7 were composed of 149 and 98 residues, respectively. In the E6 reference sequence, Arg (10.70%) and Leu (10.70%) represented the highest proportion of residues followed by Glu (7.40%), Cys (7.40%) and Lys (7.40%). In the E7 reference sequence, the top 3 residues with the highest content were Thr (13.30%), Leu (10.20%) and Cys (9.20%). More details are shown in Additional file 1: Table S3 and S4.
Secondary structure prediction of HPV-58 E6 demonstrated that E6 reference is composed of 27.5% helix, 16.8% sheet, and 55.7% coil, similarly, E6 variant is 28.2, 16.8, and 55%. The above fact indicated that the substitutions merely cause the change of secondary structure in the residue 87. The prediction results of E7 illustrated that both E7 and its variant possess the similar secondary structure (12.2% helix, 17.3% sheet, 70.5% coil), suggesting that the substitutions are less important for secondary structure (Table 5). More details are shown in Additional file 2: Figure S3 and S4.
T cell epitope prediction
T cell epitope prediction for HPV-33 E6 and E7
Based on the principle of epitope selection described in the methods section, we selected 171 and 180 HLA-I-restricted epitopes from the HPV-33 E6 reference and variant sequence, respectively (see Additional file 3: Table S5). First, we analysed the effect of mutations on epitope affinity based on these selected epitopes. Some mutations had obvious effects on the affinity of predicted epitopes. For example, replacement of N86H in 77-88RHYNYSVYGNTL for HLA-A*24:02 and K35N in 25-37NIELQCVECKKPL for HLA-B*40:01 resulted in a lower PR, which reflects a better binding affinity. Replacement of N86H and K93N in the ideal epitope 82-93SVYGNTLEQTVK for HLA-A*11:01 resulted in PR greater than 1.0, which indicates low affinity. Second, to select the optimal predictions for therapeutic vaccine, we integrated the predicted epitopes without mutation sites into continuous segments (Table 6). Predicted epitopes occurred most frequently in the 36–72 segment, and the predicted epitopes with lowest PR (0.1) frequently appeared in the 41–58 segment. The same analysis was used to HPV-33 E7. In total, 9 and 9/8 potential epitopes were selected from reference and variant-1/variant-2 sequences, respectively (see Additional file 3: Table S6). Among the non-synonymous mutations found in the E7 variant sequences, only A45V (A45E) appeared in the predicted epitopes. Moreover, the substitution of A45V and A45E resulted in a PR of 42-52DGQAQPATADY and 43-52GQAQPATADY for HLA-B*15:02 greater than 1.0, respectively. After the integration of predicted epitopes without mutation sites, the epitopes appeared more frequently in the 77–90 segment (Table 6), and the epitope with the lowest PR (0.1) was in this segment.
Prediction of HLA-II restricted epitopes used to further selection of optimal HLA-I restricted epitopes. We selected 46 HLA-II-restricted epitopes from the HPV-33 E6 reference sequence (see Additional file 3: Table S7) and then integrated the predicted epitopes without mutation sites into continuous segments. All of these epitopes appeared in the 38–73 segment (Table 6). For the HPV-33 E7 reference sequence, we selected 50 HLA-II-restricted epitopes (see Additional file 3: Table S8). The predicted epitopes without mutation sites were concentrated in the 3–25 and 46–96 segments (Table 6).
Finally, the top 5 (sorted by PR) optimal HLA-I-restricted epitopes in HPV-33 E6 and E7 were selected from the common segment with a concentrated distribution of HLA-I and HLA-II restricted epitopes. If no common segment was present, the optimal epitopes were selected based on prediction results of HLA-I. In this step, if a peptide was contained in another longer segment and the PR values were equal, we would choose the longer segment. If there were more predicted epitopes that have the same PR as the fifth selected, these epitopes would be included. Following this principle, we selected 5 and 6 optimal epitopes from HPV-33 E6 and E7, respectively (Table 7). It is valuable to determine whether a binding core of the MHC-II epitope exists in a MHC-I epitope because the core region of the MHC-II binding peptide is located in the groove of MHC-II, which plays a key role in the binding. Thus, the core regions of the HLA-II epitopes present in these optimal HLA-I-restricted epitopes are presented in Table 7, and at least one core region of HLA-II-binding peptide exists in each of the optimal epitopes selected from HPV-33 E6.
T cell epitope prediction for HPV-58 E6 and E7
In total, 153 and 154 HLA-I-restricted epitopes were selected from the HPV-58 E6 reference and variant sequence, respectively (see Additional file 4: Table S9). By analysing the effect of mutations on epitopes, we found that substitution of D86E resulted in the PR of 81-92YSLYGDTLEQTL for HLA-C*08:01 changing from 0.3 to 0.9, and substitution of D86E and K93 N led to the disappearance of 82-93SLYGDTLEQTLK for HLA-A*11:01, which has a lower PR (0.3) in the reference sequence. All of the predicted epitopes without mutation sites were integrated into four different segments, which was similar to the integration results of HPV-33 E6 (Table 6). Most of the ideal epitopes with lower PR were included in the 35–84 segment. For HPV-58 E7, there are 18 and 24/22 potential epitopes selected from reference and variant-1/variant-2 sequences, respectively (see Additional file 4: Table S10). Analysis of results containing mutation sites revealed that a new potential epitope 7-20TLKEYILDLHPEPI for HLA-A*02:01 appeared due to R9K and T20I, and the PR of 11-23YILDLHPEPTDLF for HLA-C*01:02 changed from 0.5 to 0.9 due to T20I. Integration of predicted epitopes without mutation sites showed that these epitopes were concentrated in the 44–60 and 78–91 segments, which was also similar to the integration results of HPV-33 E7 (Table 6).
We also performed HLA-II-restricted epitope prediction for HPV-58 E6 and E7 reference sequences, and 67 and 35 predicted epitopes were selected from E6 and E7 reference sequences, respectively (see Additional file 4: Table S11 and Table S12). For HPV-58 E6, all predicted epitopes without mutation sites were found in the 37~85 segment (Table 6). For HPV-58 E7, due to the existence of 10 non-synonymous mutations, at least one non-synonymous mutation site was present in each predicted HLA-II-restricted epitopes. Following the principle of optimal epitope selection mentioned in Section 3.3.1, 7 and 6 optimal HLA-I-restricted epitopes were selected for HPV-58 E6 and E7, respectively, and six of the seven optimal epitopes from HPV-58 E6 had core regions of the HLA-II-binding peptide (Table 8).
B cell epitope prediction
B cell epitope prediction for HPV-33 E6 and E7
Epitope prediction results for B cells in HPV-33 are shown in Additional file 5: Table S13 and Table S14. In HPV-33 E6, a total of 16 B cell potential epitopes were discovered in the reference sequence, and 15 were identified in variant sequences. The three best epitopes of E6 were 51-66TVVYREGNPFGICKLC, 124-139RFHNISGRWAGRCAAC, and 3-18QDTEEKPRTLHDLCQA. In HPV-33 E7, 10 B cell epitopes were predicted from both reference and variant sequences. The three best epitopes of E7 were 56-71TCCHTCNTTVRLCVNS, 2-17RGHKPTLKEYVLDLYP, and 48-63ATADYYIVTCCHTCNT.
Amino acid mutations result in differences in HPV-33 E6 and E7 B cell epitopes predicted results between reference and variant sequences. In HPV-33 E6, K93N reduced the score of 89-104EQTVKKPLNEILIRCI; 83-98VYGNTLEQTVKKPLNE, 76-91YRHYNYSVYGNTLEQT, and 98-113EILIRCIICQRPLCPQ were reduced due to N86H and Q113R. In HPV-33 E7, S29T increased the score of 25-40YEQLSDSSDEDEGLDR but decreased the score of 16-41YPEPTDLYCYEQLSDS. The best potential epitope 31-46SSDEDEGLDRPDGQAQ in E7 disappeared due to A45E/A45V.
B cell epitope prediction for HPV-58 E6 and E7
Epitope prediction results for B cell in HPV-58 are shown in Additional file 6: Table S15 and Table S16. A total of 13 B cell potential epitopes were discovered in both the E6 reference and variant sequences. The three best epitopes were 70-85LSKISEYRHYNYSLYG, 34-49KKTLQRSEVYDFVFAD, and 125-140FHNISGRWTGRCAVCW. A total of 11 B cell potential epitopes were identified in both the E7 reference and variant sequences. The two best epitopes of E7 were 43-58DGQAQPATANYYIVTC and 81-96QQLLMGTCTIVCPSCA. Amino acid mutations account for the difference in HPV-58 E6/E7 B cell epitopes between reference and variant sequences. For example, in HPV-58 E6, the score of 81-96YSLYGDTLEQTLKKCL decreased due to D86E, whereas in E7, the score of 33-48DEDEIGLDRPDGQAQP increased from 0.86 to 0.91 due to G41R.
Common segments of T cell and B cell epitopes
In the study of T cell and B cell epitope prediction for HPV-33 and HPV-58 E6/E7, we found that amino acid substitution caused by nucleotide mutation influences the affinity of the antigen epitope, so we investigated the consistency of T cell epitopes and B cell epitope distribution in HPV-33 and HPV-58 E6/E7 (Fig. 1). There were mutual distributions of T cell and B cell epitopes on HPV-33 and 58 E6/E7 as well as the segments in which the above optimal T cell epitopes exists. These results further illustrated the importance of these segments in mediating immunogenicity.
Note: Red, yellow and green segments indicate a consensus of the predicted HLA-I, HLA-II and B cell epitopes, respectively, that were identical in reference and variant sequences. A black arrow indicates that this site is a non-synonymous mutation, and a purple arrow indicates that the corresponding site is a non-synonymous mutation and positive selection site simultaneously (positive selection sites were selected by Paml, indicating that mutation sites are evolutionarily competitive ). Numbers above the sequences are used to represent the position of residues.
HPV is an important pathogenic virus that is closely associated with diseases of the human skin and mucosa . High-risk HPV infection causes 99.7% of cervical cancer . HPV-33 and HPV-58 are highly homologous, and both are high-risk types in the α-9 genus. In addition, they were more prevalent and exhibit increased similarity in China compared with other areas and other types [2, 4, 22, 27]. HPV E6 and E7 oncoproteins are major virus transformation proteins that promote the development of cervical cancer; these oncoproteins are good targets for vaccine-induced cytotoxic T lymphocytes to prevent and treat carcinoma [21, 28]. Our research aimed at HPV-33 and 58 in Southwest China. Through polymorphism analysis, we identified some prevalent mutations that increase the risk of HPV carcinogenesis, such as T20I and G63S in HPV-58 E7. T20I is located near the Leu-Xaa-Cys-Xaa-Glu domain (residues 22–26) of E7. This domain mediates association with the retinoblastoma protein and its related proteins p107 and p130 . G63S results in a change from glycine to serine. Previous studies have shown that the 31/32 serine residues of E7 are casein kinase II phosphorylation sites, which is important for the transformation of E7 . Moreover, there is a positive association between phosphorylation rate and oncogenic potential . Therefore, it is hypothesized that G63S may produce a new phosphorylation site and increase the carcinogenic risk of E7.
In order to select optimal epitopes for therapeutic vaccine design, we integrated bioinformatics techniques to investigate the influence of mutation on the secondary structure and epitope affinity. Polymorphism analysis demonstrated that multiple identical non-synonymous mutation sites exist in E6 of HPV-33 and 58, including the 86th, 93rd and 145th residue. The 93rd residue is the most common non-synonymous mutation in E6 of HPV-33 and 58, and both substitutions are from lysine to aspartate. Substitution of the 86th residue in HPV-33/58 E6 resulted in a change of secondary structure in the adjacent position, increasing the number of residues on the α helix after this site. In addition, based on previous studies in our lab, R145I in HPV-33 E6 and R145K in HPV-58 E6 are positive selection sites , and the core feature of positive selection sites is that the gene frequency of the variant increased rapidly and enhanced its adaptability to the environment. In our study, R145I in HPV-33 E6 completely abolished HLA-I- and HLA-II-restricted T cell epitopes containing this site, and the results are consistent with the conclusion that R145I is a positive selection site. It is hypothesized that substitution at this site can increase the gene frequency of the variant by reducing its immunogenicity and enhance its adaptability to the environment (R145K in HPV-58 E6 does not reflect this phenomenon mainly because the epitopes containing this site are not included in our selected epitopes based on the principle mentioned in the Materials and Methods section).
Accordingly, there are some significant differences between HPV-33 and HPV-58 in the epitope prediction results. DQB1*05:01 is considered to be a protective gene . All mutations in HPV-33 E6/E7 did not affect the epitopes of DQB1*05:01. In contrast, the number of DQB1*05:01 epitope decreased from 10 to 5 in HPV-58 E6 due to D86E substitution, but increased from 10 to 12 in HPV-58 E7 due to T20I substitution. In addition to the above non-synonymous mutations, the predicted T cell epitopes are also affected by other non-synonymous mutations. For HPV-33 E6, the single mutations of K35N, N86H, K93 N and Q113R resulted in a general increase in epitope affinity. S74 T mutation or simultaneous mutation of N86H and K93 N caused some epitopes to decline while others increased. For HPV-33 E7, only A45V (A45E) appeared in the predicted epitopes, and the mutation causes a reduction in epitopes. Regarding HPV-58 E6, E32Q reduces the epitopes. In contrast, D86E and K93 N caused some epitopes to be reduced, while others increased. Regarding HPV-58 E7, the affinity of the epitopes containing both R9K and T20I mutations is significantly enhanced. D76E and V77A result in an increase in the predicted epitope number. Because these non-synonymous mutations have obvious influence on epitope affinity, we select optimal HLA-I-restricted epitopes for therapeutic vaccine design from prediction results without mutation sites combined with HLA-II-restricted epitope prediction results. All of the 6 optimal epitopes from HPV-33 E6 are located at 41-58EVYDFAFADLTVVYREGN, and five of the seven optimal epitopes selected from HPV-58 E6 are located at 40-60SEVYDFVFADLRIVYRDGNPF. These two segments have high sequence similarity and are ideal for designing therapeutic vaccines. Four of the six optimal epitopes selected from HPV-33 and 58 E7 correspond to the same position. Here, 77-84RTIQQLLM, 77-90RTIQQLLMGTVNIV, 81-90QLLMGTVNIV and 82-90LLMGTVNIV in HPV-33 E7 correspond to 78-85RTLQQLLM, 78-91RTLQQLLMGTCTIV, 82-91QLLMGTCTIV, and 83-91LLMGTCTIV in HPV-58 E7, respectively. These 4 optimal epitopes are located in 77-90RTIQQLLMGTVNIV of HPV-33 E7 and 78-91RTLQQLLMGTCTIV of HPV-58 E7. These two segments also exhibit high sequence similarity and are ideal for designing therapeutic vaccines. The above analysis reveals that most of the optimal epitopes from HPV-33 E6/E7 were located in the same segment as the optimal epitopes from HPV-58 E6/E7 and exhibit similar predicted affinity. This finding reflects the similarity of immunogenicity between HPV-33 and HPV-58.
Nucleotide mutations in HPV-33 and HPV-58 E6/E7 affect the composition and secondary structure of protein sequences and contribute to the affinity and immunogenicity of the peptide epitopes. In our study, optimal epitopes for therapeutic vaccines were selected from identical regions in reference and variant sequences. In addition, whether an epitope is included in the predicted results of HLA-II-restrictive epitopes is also considered. The final selections are based on the PR of predicted epitopes. The 6 optimal epitopes from HPV-33 E6 are located at 41-58EVYDFAFADLTVVYREGN, and five of the seven optimal epitopes selected from HPV-58 E6 are located at 40-60SEVYDFVFADLRIVYRDGNPF. The 4 optimal epitopes are located at 77-90RTIQQLLMGTVNIV of HPV-33 E7 and 78-91RTLQQLLMGTCTIV of HPV-58 E7. This information reflects the similarity of immunogenicity between HPV-33 and HPV-58. Using immune-informatics technologies to provide a new approach to access ideal epitopes, these results are valuable for the development of therapeutic vaccines and cancer immunotherapies.
Cytotoxic T lymphocyte
Human leukocyte antigen
Helper T lymphocyte
Immune Epitope Database
Molecular Evolutionary Genetics Analysis
Major histocompatibility complex
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Bobek V, Kolostova K, Pinterova D, Kacprzak G, Adamiak J, Kolodziej J, et al. A clinically relevant, syngeneic model of spontaneous, highly metastatic B16 mouse melanoma. Anticancer Res. 2010;30:4799–804.
Schiffman M, Rodriguez AC, Chen Z, Wacholder S, Herrero R, Hildesheim A, et al. A population-based prospective study of carcinogenic human papillomavirus variant lineages, viral persistence, and cervical neoplasia. Cancer Res. 2010;70:3159–69.
Munoz N, Bosch FX, de Sanjose S, Herrero R, Castellsague X, Shah KV, et al. Epidemiologic classification of Human Papillomavirus types associated with cervical Cancer. New Engl J Med. 2003;348:518–27.
Zhao R, Zhang WY, Wu MH, Zhang SW, Pan J, Zhu L, et al. Human papillomavirus infection in Beijing, People’s republic of China: a population-based study. Br J Cancer. 2009;101:1635–40.
Muñoz N, Bosch FX, de Sanjosé S, Herrero R, Castellsagué X, Shah KV, et al. Epidemiologic classification of human Papillomavirus types associated with cervical Cancer. N Engl J Med. 2003;348:518–27.
Walboomers JM, Jacobs MV, Manos MBF, Kummer A, Shah K, Snijders PJ, Peto JM, Human Papillomavirus CJ. Is the Nrcessary cause of invasive cervical Cancer worldwide. J Pathol. 1999;189:12–9.
Woodman CBJ, Collins SI, Young LS. The natural history of cervical HPV infection: unresolved issues. Nat Rev Cancer. 2007;7:11–22.
Chemes LB, Camporeale G, Sánchez IE, De Prat-Gay G, Alonso LG. Cysteine-rich positions outside the structural zinc motif of human papillomavirus E7 provide conformational modulation and suggest functional redox roles. Biochemistry. 2014;53:1680–96.
Peng S, Trimble C, Wu L, Pardoll D, Roden R, Hung CF, et al. HLA-DQB1*02 - restricted HPV-16 E7 peptide - specific CD4+ T-cell immune responses correlate with regression of HPV-16- associated high-grade squamous intraepithelial lesions. Clin Cancer Res. 2007;13:2479–87.
Morishima S, Akatsuka Y, Nawa A, Kondo E, Kiyono T, Torikai H, et al. Identification of an HLA-A24-restricted cytotoxic T lymphocyte epitope from human papillomavirus type-16 E6: the combined effects of bortezomib and interferon-γ on the presentation of a cryptic epitope. Int J Cancer. 2007;120:594–604.
Brady CS, Bartholomew JS, Burt DJ, Duggan-Keen MF, Glenville S, Telford N, et al. Multiple mechanisms underlie HLA dysregulation in cervical cancer. Tissue Antigens. 2000;55:401–11.
King a HSE, Gardner L, Joseph S, Bowen JM, Verma S, et al. Recognition of trophoblast HLA class I molecules by decidual NK cell receptors--a review. Placenta. 2000;21(Suppl A):S81–5.
Kohaar I, Hussain S, Thakur N, Tiwari P, Nasare V, Batra S, et al. Association between human leukocyte antigen class II alleles and human papillomavirus-mediated cervical cancer in Indian women. Hum Immunol. 2009;70:222–9. Available from. https://doi.org/10.1016/j.humimm.2009.01.003.
Schiff MA, Apple RJ, Lin P, Nelson JL, Wheeler CM, Becker TM. HLA alleles and risk of cervical intraepithelial neoplasia among southwestern American Indian women. Hum Immunol. 2005;66:1050–6.
Comerford SA, McCance DJ, Dougan G, Tite JP. Identification of T- and B-cell epitopes of the E7 protein of human papillomavirus type 16. J Virol. 1991;65:4681–90.
Bian H, Reidhaar-Olson JF, Hammer J. The use of bioinformatics for identifying class II-restricted T-cell epitopes. Methods. 2003;29:299–309.
Chen Z, Jing Y, Wen Q, Ding X, Wang T, Mu X, et al. E6 and E7 gene polymorphisms in human papillomavirus types-58 and 33 identified in Southwest China. PLoS One. 2017;12:1–15.
Andersson S, Alemi M, Rylander E, Strand A, Larsson B, Sällström J, et al. Uneven distribution of HPV 16 E6 prototype and variant (L83V) oncoprotein in cervical neoplastic lesions. Br J Cancer. 2000;83:307–10. Available from: https://doi.org/10.1054/bjoc.2000.1247.
Cui F, Zhang Z, Xu J, Ding X, Mu X, Wan Q, et al. Genetic variability and lineage phylogeny of human papillomavirus type 45 based on E6 and E7 genes in Southwest China. Virus Res. 2018;255:85–9. Available from. https://doi.org/10.1016/j.gene.2016.07.039.
Chen Z, Wang Q, Ding X, Li Q, Zhong R, Ren H. International journal of gynecology and obstetrics characteristics of HPV prevalence in Sichuan Province , China. Int J Gynecol Obstet. 2015;131:277–80. Available from. https://doi.org/10.1016/j.ijgo.2015.06.027.
Chan PKS, Zhang C, Park JS, Smith-McCune KK, Palefsky JM, Giovannelli L, et al. Geographical distribution and oncogenic risk association of human papillomavirus type 58 E6 and E7 sequence variations. Int J Cancer. 2013;132:2528–36.
Tamura K, Stecher G, Peterson D, Filipski A, Kumar S. MEGA6: molecular evolutionary genetics analysis version 6.0. Mol Biol Evol. 2013;30:2725–9.
Kumar A, Hussain S, Yadav IS, Gissmann L, Natarajan K, Das BC, et al. Identification of human papillomavirus-16 E6 variation in cervical cancer and their impact on T and B cell epitopes. J Virol Methods. 2015;218:51–8.
Yao Y, Huang W, Yang X, Sun W, Liu X, Cun W, et al. HPV-16 E6 and E7 protein T cell epitopes prediction analysis based on distributions of HLA-A loci across populations: an in silico approach. Vaccine. 2013;31:2289–94. Available from. https://doi.org/10.1016/j.vaccine.2013.02.065.
Mayeaux EJ. Reducing the economic burden of HPV-related diseases. J Am Osteopath Assoc. 2008;108:S2.
Adams M, Navabi H, Jasani B, Man S, Fiander A, Evans AS, et al. Dendritic cell (DC) based therapy for cervical cancer: use of DC pulsed with tumour lysate and matured with a novel synthetic clinically non-toxic double stranded RNA analogue poly [I]: poly [C(12)U] (Ampligen R). Vaccine. 2003;21:787–90.
Liu JH, Lu ZT, Wang GL, Zhou WQ, Liu C, Yang LX, et al. Variations of human papillomavirus type 58 E6, E7, L1 genes and long control region in strains from women with cervical lesions in Liaoning province, China. Infect Genet Evol. 2012;12:1466–72. https://doi.org/10.1016/j.meegid.2012.05.004.
Le Cleach L, Delaire S, Boumsell L, Bagot M, Bourgault-Villada I, Bensussan A, et al. Blister fluid T lymphocytes during toxic epidermal necrolysis are functional cytotoxic cells which express human natural killer (NK) inhibitory receptors. Clin Exp Immunol. 2000;119:225–30.
Chan PKS, Lam C-W, Cheung T-H, Li WWH, Lo KWK, Chan MYM, et al. Association of human papillomavirus type 58 variant with the risk of cervical cancer. J Natl Cancer Inst. 2002;94:1249–53.
Firzlaff JM, Luscher B, Eisenman RN. Negative charge at the casein kinase II phosphorylation site is important for transformation but not for Rb protein binding by the E7 protein of human papillomavirus type 16. Proc Natl Acad Sci. 1991;88:5187–91.
Barbosa MS, Edmonds C, Fisher C, Schiller JT, Lowy DR, Vousden KH. The region of the HPV E7 oncoprotein homologous to adenovirus E1a and Sv40 large T antigen contains separate domains for Rb binding and casein kinase II phosphorylation. EMBO J. 1990;9:153–60.
Chenzhang Y, Wen Q, Ding X, Cao M, Chen Z, Mu X, et al. Identification of the impact on T- and B- cell epitopes of human papillomavirus type-16 E6 and E7 variant in Southwest China. Immunol Lett. 2017;181:26–30.
This work was funded by Key Scientific Research Foundation Projects of Sichuan Province and was supported by following hospitals: The Angel Women’s and Children’s Hospital, The Sichuan Reproductive Health Research Center Affiliated Hospital, The Chengdu Western Hospital Maternity Unit, and several others that participated in this study.
The present study was funded by Key Scientific Research Foundation Projects of Sichuan Province (No. 2018JY0601).
Availability of data and materials
All data generated or analysed during this study are included in this published article and GenBank.
Ethics approval and consent to participate
The study was approved by the Education and Research Committee and the Ethics Committee of Sichuan University (approval number SCU20100196494). Before sample collection, written informed consent was obtained from all the patients or their guardians, and patient/study subject privacy was carefully protected.
Consent for publication
The authors declare that they have no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Table S1. Amino acid composition and hydrophilicity of HPV-33 E6 reference and variant sequence. Table S2. Amino acid composition and hydrophilicity of HPV-33 E7 reference and variant sequence. Table S3. Amino acid composition and hydrophilicity of HPV-58 E6 reference and variant sequence. Table S4 Amino acid composition and hydrophilicity of HPV-58 E7 reference and variant sequence. (XLSX 16 kb)
Figure S1. Secondary structure prediction of HPV-33 E6 reference and variant sequence. Figure S2. Secondary structure prediction of HPV-33 E7 reference and variant sequence. Figure S3. Secondary structure prediction of HPV-58 E6 reference and variant sequence. Figure S4. Secondary structure prediction of HPV-58 E7 reference and variant sequence. (PDF 754 kb)
Table S5. The diversity of predicted binders of HPV-33 E6 for HLA-I alleles between reference and variant sequences; Table S6. The diversity of predicted binders of HPV-33 E7 for HLA-I alleles between reference and variant sequences; Table S7. Predicted epitopes binders for HLA-II alleles of HPV-33 E6; Table S8. Predicted epitopes binders for HLA-II alleles of HPV-33 E7. (XLSX 42 kb)
Table S9. The diversity of predicted binder of HPV-58 E6 for HLA-I alleles between reference and variant sequences; Table S10. The diversity of predicted binders of HPV-58 E7 for HLA-I alleles between reference and variant sequences; Table S11. Predicted epitopes binders for HLA-II alleles of HPV-58 E6; Table S12. Predicted epitopes binders for HLA-II alleles of HPV-58 E7. (XLSX 42 kb)
Table S13. Predicted linear B cell epitopes of HPV-33 E6; Table S14 Predicted linear B cell epitopes of HPV-33 E7. (XLSX 13 kb)
Table S15. Predicted linear B cell epitopes of HPV-58 E6; Table S16. Predicted linear B cell epitopes of HPV-58 E7. (XLSX 12 kb)