Despite the recent identification of a number of Mycobacterium leprae proteins, the major immunogenic determinants of this organism remain obscure. We isolated from M. leprae a potent immunostimulatory preparation, designated the MLP fraction, which contains a major protein of 35 kilodaltons (kDa). This protein was precipitated by monoclonal antibody ML03-A,, which recognizes a 35-kDa protein of M. leprae, and by sera obtained from patients with lepromatous leprosy. Neither sera from healthy controls nor sera from patients with pulmonary tuberculosis recognized the 35-kDa protein, and only one of four serum samples from patients with borderline tuberculoid leprosy reacted with this protein. The MLP fraction stimulated T-cell proliferation in patients with leprosy whose T cells proliferate in response to whole M. leprae cells. Apparently, the T-cell epitope associated with MLP is also expressed on M. tuberculosis and M. bovis BCG, since patients with pulmonary tuberculosis and BCG-vaccinated individuals demonstrated significant responses to the MLP fraction. The 35-kDa M. leprae protein, purified to homogeneity in the laboratory of P. J. Brennan, stimulated T-cell proliferative responses in all MLP-responsive subjects. These findings suggest that the 35-kDa protein present in MLP is an immunostimulatory component of M. leprae. In addition to serving as a useful probe for study of the T-cell anergy associated with lepromatous disease, this protein may ultimately be useful as a component of a vaccine designed to provide protection against infection with M. leprae. * Corresponding author.
MATERIALS AND METHODSPatients. Heparinized blood was obtained from 11 patients with LL and 12 patients with borderline tuberculoid leprosy (BTL). The disease stage was classified by T. H. Rea of the Division of Dermatology, University of Southern California, as described by Ridley and Jopling (32). These patients were under treatment with dapsone or a combination of dapsone, rifampin, and clofazimine. None were receiving corticosteroids or thalidomide or had erythema nodosum leprosum when blood samples were taken. All of these patients had been previously studied for the ability of their T cells to proliferate in response to M. leprae in vitro (Mohagheghpour et al., unpublished data). Five of the patients with LL were included in this study because their T-cell responses to M. leprae were normal while the remaining patients with LL were nonresponders to M. leprae. Blood samples were also obtained from 7 patients with pulmonary tuberculosis (PT) from the Curicica Sanitarium, Rio de Janeiro, Brazil; 10 healthy volunteers who had received M. bovis BCG vaccinations; and 8 healthy individuals who had not been vaccinated with BCG.Antigens. Armadillo-derived whole M. leprae cells, lyophilized uninfected armadillo liver, and a 35-kDa M. Ieprae protein purified to homogeneity (single silver-stained band by sodium dodecyl sulfate [SDS]-polyacrylamide gel electrophoresis [PAGE]) were kindly provided by Collins. Recombinant M. leprae proteins ...