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Sadia Akbar Synopsis ASRB
Sadia Akbar Synopsis ASRB
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SUMMARY
The human serum plays a critical role in the host innate defence against invading
microorganisms. An important element of serum-mediated immunity is a collection of more than
35 dissolved proteins, known as the complement system. These proteins usually circulate in
serum and are usually found in zymogen forms. Recognition molecules recognize the pathogens
and activate a cascade of reaction against the pathogen recognised. Activation of complement
results in the rapid clearance of infection by enhancing phagocytosis and generating
inflammatory responses as well as direct cell lysis via the formation of pores at the pathogen
surface. Campylobacter jejuni is the major cause of food born gastroenteritis known as
campylobacteriosis. The infection is usually mild in immunocompetent host and resolves within
several days, suggesting that the host innate mechanisms efficiently clear this pathogen.
Recently, it is gaining more attention because of associated postinfectious complications such as
irritable bowel syndrome, Guillain–Barré Syndrome and reactive arthritis as well as the
emergence of antibiotic-resistant Campylobacter spp. A better understanding of the protective
capacity of the complement system is of great interest to investigate alternative therapies to
treat infectious diseases.
The current knowledge about the role of complement proteins in providing protection against C.
jejuni is very limited. This study will examine the role of different complement proteins and the
contribution of different complement pathways in clearing C. jejuni from the body. The binding
of different recognition molecules will be investigated in order to identify the recognition
molecules most effective in recognising this pathogen and initiating the downstream
complement cascade. Further, the role of different complement activation pathways will be
investigated by tracing the downstream activation of the complement system till the Membrane
Attack Complex formation.
All the studies will be carried out in-vitro using Enzyme-Linked Immunosorbent Assay at the
Molecular Biology and Immunology Lab, Department of Microbiology, Hazara University
Mansehra. The binding of recognition molecules and complement activation will be detected by
using specific antibodies against these molecules.
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1. INTRODUCTION
Campylobacter jejuni a gram-negative, motile, thermophilic comma-shaped bacilli, is by far the
most common Campylobacter spp. that is responsible for 90% of all foodborne campylobacter-
gastrointestinal illnesses, referred to as campylobacteriosis [1, 2]. C. jejuni asymptomatically
colonize the intestinal tracts of farm animals such as cattle, poultry, swine as well as domestic
pets including cats and dogs . Bacteria shed continuously in animal faeces and typically result in
contamination of food and water. Even though there are several sources of Campylobacter,
foodborne campylobacteriosis by C. jejuni mainly occurs through the ingestion of contaminated
dairy products, undercooked contaminated meat and meat products and/or handling of poultry
meat [3]. The disease is typically mild, characterized by abdominal cramps, bloody diarrhoea and
fever, and usually resolves in immunocompetent host within several days, suggesting that host
innate mechanisms contribute to efficiently control the pathogen. Often self-limited, C. jejuni
infections occasionally may lead to postinfectious complications including bacteraemia, reactive
arthritis, irritable bowel syndrome and Guillain-Barré Syndrome [4]. Moreover, many cases of
antibiotic-resistant Campylobacter spp have emerged recently which possess a serious threat to
human health [5, 6]. The current status of antibiotic resistance has been declared as a global
emergency by WHO and has warned that if the microbes continue to develop resistance at the
current rate, the majority of antibiotics will become ineffective within 20 years. Hence, exploring
the role of immunity in limiting microbial infections, to introduce other therapeutic strategies,
besides antibiotic therapy, is gaining more attention.
The human intestinal tract relies on both adaptive and innate immune systems to control
invasion across the mucosal barrier and to protect the internal milieu from harmful substances
and pathogens. One of the key components of the innate immune system, with direct bactericidal
activity, is the complement system. The importance of complement in defence against microbial
pathogens including diarrheal C. jejuni strains is well known. The complement system is a
complex innate immuno-surveillance system that provides protection against invading
microorganisms. It represents one of the key effector mechanisms of innate immunity that bridge
the innate and adaptive immune system [7]. The system is composed of more than 35 serum
proteins, normally present as inactive zymogens. This group of proteins is activated by a series of
the proteolytic cascade, that starts with the recognition of pathogen and leads to the production
of significant pro-inflammatory mediators (anaphylatoxins), labelling the pathogen for
phagocytosis (opsonization) with the help of various opsonins (e.g. C3b) and causing direct cell
lysis via the formation of membrane penetrating pores called Membrane Attack Complex (MAC)
[8]. Moreover, for an optimum response to the invading microorganisms, innate pattern
recognition receptors, such as Toll-like receptors (TLRs) are required. The complement system is
activated by three major pathways; the classical pathway, the lectin pathway and the alternative
pathway. The complement C1q initiates the classical pathway by binding to the antigen-antibody
complex. The lectin pathway is activated when the recognition molecules collectin 11 (CL11),
ficolins, and/or Mannan- binding lectin (MBL) adsorb to the carbohydrates moieties on pathogen
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surface [8, 9]. The alternative pathway is initiated without any recognition molecule after the
spontaneous deposition of C3 protein on the surface of the pathogen. After activation, all three
pathways converge at the formation of C3 convertase, leading to a cascade of reaction, resulting
in the creation of a membrane attack complex [10].
Host innate defences undoubtedly play a role in clearing the infections caused by C. jejuni [11-
13]. However, it can be burdened by certain postinfectious complications such as irritable bowel
syndrome, Guillain–Barré Syndrome and reactive arthritis [4, 14, 15]. Recently, many cases of
antibiotic-resistant Campylobacter spp have been isolated from human infections [5, 6]. For
these reasons, understanding of the role of the Immune System in limiting Campylobacter
infections is gaining more attention [13]. Due to the emerging antibiotic resistance, many
scientists are diverting their attention towards immune therapy to seek alternative strategies to
overcome the antibiotic resistance issue. The complement system is one of the effective
strategies that has gained attention during recent years [16-19].
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2. BACKGROUND AND GAP ANALYSIS/PROBLEM STATEMENT
Currently, there is a considerable gap in our knowledge regarding complement-mediated
immunity against Campylobacter infections. There is a need to fully understand the role of
complement activation pathways and identify complement proteins that are useful in providing
protection against C. jejuni. So far, the roles of different complement pathways covering all
complement proteins have been identified against major human pathogens [20-24]. However,
Campylobacter species have remained neglected in respect to their interaction/response against
the complement system. Very few studies reported preliminary findings on the role of the
complement system as a whole during the late 20th Century and suggested that the complement
system may have a role in the clearance of the C. jejuni using human serum [25, 26]. Surprisingly,
none of the studies investigated or reported an in-depth picture on the role of the complement
system against this pathogen thereafter. During the last few decades, our understanding of the
complement system has improved significantly with the discovery of new pathways, recognition
molecules and regulators. With the latest developments in the complement system, their role
against different pathogens is regularly updated with the passage of time. Despite the new
findings, the knowledge of different complement system pathways and proteins remains limited
against C. jejuni. There is a need to investigate the in-depth role of the complement system
against this pathogen. This study will be focused on in-vitro activation of complement proteins,
involving the binding of different recognition molecules (C1q, MBL, Ficolin-L, Ficolin-H, Ficolin-M
and CL-11) at the surface of C. jejuni in order to determine the most effective recognition
molecules in activation of complement on the surface of this bacterium. Furthermore, the
complement cascade reaction will be traced down till the creation of membrane attack complex
(MAC) to highlight the importance of these recognition molecules in initiating complement attack
against this pathogen. Enzyme-Linked Immunosorbent Assay will be used for all these in-vitro
studies. To trace the binding of recognition molecules and complement activation assays (C3, C4,
C5 and MAC deposition assays), specific antibodies will be used against these molecules.
Elucidation of these aspects is critical for understanding the protective capacity of the
complement system and may provide new insights to the design of effective intervention
measures to treat C. jejuni infection paving the way for developing alternate therapeutic
approaches against antibiotic-resistant pathogens.
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2.1 Research Question
The complement activation patterns have been reported to vary against different
microorganism. For instance, complement protein having a protective role against one pathogen
are completely ineffective against others. Investigating these differences in complement
activation helps in understanding the host-microbe interaction, identifying susceptible groups
and designing immunotherapeutic strategies by boosting the effect of useful complement
proteins or regulating the effect of overreacting components causing self-damage.
The research question of the current project would be that whether there are any complement
protein which are more effective in activating complement system against C. jejuni.
2.2 Hypothesis
As evident from the patterns of complement activation of other pathogens, we hypothesise that
“some complement proteins may have a more effective role in the clearance of C. jejuni as
compared to others”.
It is important to identify these proteins and propose them for potential immunotherapeutic
candidates in future.
3. OBJECTIVES
i. To estimate the occurrence of C. jejuni in samples collected from local hospitals and
poultry farms.
ii. To investigate the binding of recognition molecules of the classical and the lectin pathway
of complement activation to C. jejuni.
iii. To further investigate the downstream activation cascade to determine the role of
pathways more effective against C. jejuni.
iv. To compare the complement recognition and activation patterns of the chicken and
human isolates with the control ATCC strain of C. jejuni.
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4. RESEARCH DESIGN AND METHODS
All the experiments will be performed in-vitro.
4.1 Bacteria
Different bacteria will be used in this study. Selected ATCC C. jejuni strain will be used as a control.
In addition, complement activation will also be assessed and compared on human and chicken
isolates of C. jejuni. Clinical isolates will be confirmed by different biochemical tests.
4.2 Stock Culture Preparation
Campylobacter blood-free selective agar base CCDA media will be used to culture C. jejuni from
the stock. For the stock culture preparation, a single colony of C. jejuni from Campylobacter
blood-free selective agar base (CCDA) media will be inoculated into a Nutrient broth, and
incubated overnight at 37oC. The selective supplement will be used in media to enhance the
growth of C. jejuni. After incubation, the bacterial growth culture will be mixed with 15% glycerol
and preserved at -80°C as 300 µl aliquots for future use.
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4.6 Enzyme-Linked Immune Sorbent Assays (ELISAs)
Different ELISA techniques will be used throughout this project, including solid-phase binding
assays for the detection of the binding of complement system recognition molecules to C. jejuni,
and complement activation assays to detect the levels of downstream cascade products C3b,
C4b, C5b and Bb on the surface of C. jejuni.
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conjugated goat anti-rabbit (Sigma) will be added to the plates followed by incubation for 90 min
at room temperature and washing. Then, the extent of C3b, C5b, C4c, Bb and MAC deposition
will be determined, each in a different experiment, by adding p-nitrophenyl phosphate (pNPP)
substrate (Sigma) in a volume of 100 μl, and left for 10 minutes at room temperature. Finally, the
OD of the reaction will be measured at 405nm using a microtiter plate reader.
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4.7 Availability of facilities
This research will be performed at the Molecular Biology and Immunology laboratory at the
Department of Microbiology, Hazara University. This lab contains all the required consumables
and equipment i.e., -20 and -80 lab freezers, Refrigerator, Class II biosafety cabinet, normal
incubator, CO2 incubator, autoclave, ELISA microtiter plate reader, double beam
spectrophotometer etc. and other necessary chemicals.
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5. THE PROPOSED MODEL/FLOW CHART DIAGRAM
Investigation of the
Complement’s role
against C. jejuni
Phagocytosis assay
Solid Phase Binding assay • Incubation of the bacteria with sera
(opsonization) and Neutrophils at
Use of ELISA technique to check the
37 oC in a shaking incubator
deposition of recognition molecules
(MBL, ficolin-H, ficolin-L, ficolin-M, C1q • Taking samples from the mixture at
and CL-11) on the surface of C. jejuni different time points and plating
onto agar plates, to determine the
decrease in the bacterial count
ELISA
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6. EXPECTED OUTCOMES
1. Detection of the complement pathways in general and complement proteins in particular
which are essential in clearing C. jejuni from body.
2. These complement proteins will be suggested for future research as potential candidates
for immunotherapy.
3. Designing such strategies for the future could offer alternate treatment approaches besides
conventional antibiotic therapy and help in controlling the trend of antibiotic overuse to
eventually overcome the increasingly high resistance of pathogens against antibiotics.
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7. REFERENCES
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Appendix 1: Synopsis Approval by the Graduate Research Committee
The synopsis of MPhil/PhD of Mr./Ms/Mrs. __Sadia Akbar____ bearing Roll No. ___43721___ has
been evaluated in the form of presentation and in hard form in the GRC meeting held on _June
28, 2021_ and the committee:
● Reject the Synopsis in its present form and recommend Revision and must be submitted on
or before____________________.
No.
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Appendix 2: Supervisor/Co-Supervisor Consent Form for MPhil/PhD
[Instructions] Please fill this page, and you can modify it in case of supervision.
MPhil/PhD
Name of the Student: Sadia Akbar
Admitted in Session: 2017
Course Work cGPA: 4
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