Copyright is owned by the Author of the thesis. Permission is given for a copy to be downloaded by an individual for the purpose of research and private study only. The thesis may not be reproduced elsewhere without the permission of the Author. Polyhydroxyalkanoate beads as a particulate vaccine against Streptococcus pneumoniae and Neisseria meningitidis A thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Microbiology at Massey University, Manawatu, New Zealand. Majela González Miró 2017 Main Supervisor: Professor Bernd Rehm Co-supervisors: Dr Zoe Jordens, Dr Vicente Vérez-Bencomo i Abstract: Streptococcus pneumoniae and Neisseria meningitidis are the major causes of pneumonia and meningitis, respectively, worldwide. Capsular polysaccharide-protein vaccines (conjugate vaccines) provide protection against these diseases but not protection against infections caused by serotypes and serogroups not included in these vaccines. Proteins have been increasingly considered as antigens for vaccine development due to their more structurally conserved composition when compared to capsular polysaccharides. Proteins subunit vaccines are safe and protective; however, they have limitations such as serotype-dependent immunity, and low immunogenicity of the proteins, requiring adjuvant to be included in these formulations or delivery systems that enhance the desired immune response. In addition, complex production procedures are required, increasing production costs and therefore market prices making these vaccines inaccessible for many people affected by these diseases. Recently, bacterial storage polymer inclusions have been developed as protein antigen carriers. Polyhydroxyalkanoate, in particular 3-polyhydroxybutyrate (PHB) inclusions have been successfully bioengineered to display antigens from pathogens like Mycobacterium tuberculosis and Hepatitis C virus. These particulate vaccine candidates elicited both a Th1 and Th2 immunity patterns combined with a protective immune response against Mycobacterium bovis in mice. This thesis focuses on the study of polyhydroxybutyrate (PHB) beads properties as a carrier/delivery system engineered to display antigens from extracellular bacteria. The antigens Pneumococcal adhesin A, Pneumolysin (proteins) and 19F capsular polysaccharide (CPS) from Streptococcus pneumoniae, and Neisserial adhesin A, factor H binding protein (proteins) and serogroup C CPS from Neisseria meningitidis were displayed on the PHB bead surface. These antigenic proteins were produced as fusion ii proteins on the PHB bead surface, while the CPS was covalently attached by chemical conjugation. Mice vaccinated with these PHB beads produced strong and antigen-specific antibody levels. In addition, splenocytes from the same mice generated both IL-17A and IFN-ɣ production. The antibodies elicited against antigenic pneumococcal proteins were able to recognise the same protein in the context of an Streptococcus pneumoniae whole cell lysate from more than six different strains, while antibodies produced after vaccination with 19F CPS conjugate to PHB showed high opsonophagocytic titers against the homologous strain. In the case of Neisseria meningitidis, bactericidal antibodies were elicited in mice vaccinated with PHB beads displaying proteinaceous and CPS antigens. Overall, this thesis shows that PHB as particulate vaccine candidate holds the promise of a broadly protective vaccine that can be produced cost-effectively for widespread application to prevent diseases caused by Neisseria meningitidis and Streptococcus pneumoniae. iii With eternal love, gratitude and in memory of my mother (Mercedes Miró Alonso, 1945-1993) iv Acknowledgements It has been a great experience and opportunity to work under the guidance and support of my main supervisor Professor Bernd Rehm. After hearing his oral presentation in Vaccipharma 2012, about PHA beads and their potential biomedical applications, combined with our understanding of the necessity to improve commercial vaccines against Neisseria meningitidis and Streptococcus pneumoniae, the idea to explore this platform for this purpose was born. This idea became a PhD project giving to me the possibility to enter a new field called nanotechnology. For all of these, I would like to thank Professor Bernd Rehm. In addition, I would like to thank my co-supervisors Dr Zoe Jordens and Dr Vicente Vérez-Bencomo for their support during this journey, respecting all the time their experiences, opinions and criticisms. I thank members and ex-members of Bernd Rehm team, especially, Shuxiong Chen, Patricia Rubio, Jason Lee, Jason Smith, Jinping du, Natalie Burn, Kathryn Grage, Natalie Parlane, Andy Hollings…I learned a lot from them. The cooperation and interaction between my coworkers and myself, but also the weekly seminar allowed me to increase my scientific knowledge and my oral presentation skills. I would like to thank my co-workers in The Finlay Vaccine Institute, Havana, Cuba, for all their professional and spiritual support, especially, Dr Dagmar García, Laura Marta Nodas, Yanet Estrada, Aylin Amador, Mildrey Fariñas, Sandra Madariaga, Dr Caridad Zayas, Neissa García, Aniuska Garces, MsC Amarilys Pérez, Leandro Camejo, Yury Valdés, Darielys Santana, Danaydis Fonseca, Ubel González, Elizabeth González, Dr Reinaldo Acevedo, Dr Reinaldo Oliva, Maria Onelia, Dr Barbara Cedré, Marilé García, MS Tamara Hernández, Alex Quintero Pérez, Dr Reinaldo Oliva Hernández, Dr Yanely Tirado, Rosmira Nicado. https://www.researchgate.net/profile/Jinping_Du v I would like to thank Barry Bunn and Debra Cresswell for their support with English grammar. In addition, I would like to thank Jordan Taylor, Niki Minard and Matthew Savoian from the Manawatu Microscopy Imaging Centre for their assistance in TEM analysis. Prof Martin Hazelton and Dr Edgar Santos-Fernández are acknowledged for their assistance in statistical analysis of data in this thesis. I am grateful for the scholarship support, by The MacDiarmid Institute for Advanced Materials and Nanotechnology and also, Massey University and The Finlay Institute for financial support. I cannot forget to mention my friends from Cuba, New Zealand, Argentina, Mexico, Hungary, Colombia, Chile, Guatemala, Portugal, Spain, Germany, Austria, Italy, Ecuador, USA, France, The Netherlands, Paraguay, UK, Venezuela, Iran, India, Gana, Honduras thank you very much to all of them. But I would like to highlight my friend’s Dr Edgar Santos-Fernández, Dr Jimena Yapura, Dr Javier Flores and Tony Reid because you have helped a lot not only to be a better scientist but to be a better human being. Thank you very much. Last but not least, I would like to thank my family especially my father (the love of my life and my example to follow) and my sister (my friend, my confidante….). Thank you forever. I will always love you both. https://www.massey.ac.nz/massey/learning/colleges/college-of-sciences/about/fundamental-sciences/staff-list.cfm?stref=844930 vi Preface This thesis is written according to the regulations of the Handbook for Doctoral Study, revised in May 2016 by the Doctoral Research Committee. This thesis complies with the format of a thesis based on publication as described in the handbook. Chapter 1 Introduction This chapter was written by Majela González Miró as an introductory chapter for this thesis only and is not intended for publication Chapter 2 Self-assembled particulate PsaA as vaccine against Streptococcus pneumoniae infection González-Miró, Majela1,2, Rodríguez-Noda, Laura1, Fariñas-Medina, Mildrey1, García- Rivera, Dagmar1, Vérez-Bencomo, Vicente1, Rehm, Bernd H.A.2 Published: Heliyon 11 Apr 2017- Volume 3, Issue 4 Pharmaceutical Science, Biochemistry, Immunology G.-Miró. M: Conceived and designed the experiments; performed and supervised the experiments; analysed and interpreted the data; Wrote the paper. R.-N. L., F-M. M: Performed the experiments. G.-R. D.: Analysed and interpreted the data; Contributed reagents, materials, analysis tools or data; Wrote the paper. V.-B. V: Contributed reagents, materials, analysis tools or data. R. B.H.A.: Conceived and designed the experiments; Analysed and interpreted the data; Contributed reagents, materials, analysis tools or data; Wrote the paper. http://www.heliyon.com/subject/Pharmaceutical-Science http://www.heliyon.com/subject/Biochemistry http://www.heliyon.com/subject/Immunology vii Chapter 3 Biologically assembled polyester beads displaying pneumolysin and capsular polysaccharide induce protective immunity against Streptococcus pneumoniae Majela González-Miró 1,2, Anna-Maria Radecker 2, Laura M Rodríguez-Noda 1, Mildrey Fariñas-Medina1, Caridad Zayas-Vignier1, Mabel Heránndez-Cedeño 1, Yohana Serrano1, Félix Cardoso 1, Darielys Santana-Mederos1, Dagmar García-Rivera 1, Yury Valdés-Balbín 1, Vicente Vérez-Bencomo1, Bernd H.A. Rehm2, 3 M. G.-Miró, A-M. R., L.M. R.-N., M. F.-M., C. Z.-V., M. H.-C., Y.S., F.C. performed the studies and analysed the data. D. G.-R., V. V.-B., M.G.- Miró., Y. V.-B., D. S.-M. B.H.A. R. analysed and interpreted the data; contributed reagents, materials, analysis tools or data. M.G.- Miró. and B.H.A. R. conceived and designed and supervised the experiments. M.G.- Miró. and B.H.A. R. wrote the manuscript. Under review by Frontiers in Immunology, Jan 2018 Chapter 4 Bioengineered polyester beads co-displaying protein and carbohydrate-based antigens enhance protective efficacy against bacterial infection Majela González-Miró1,2, Laura M Rodríguez-Noda1, Mildrey Fariñas-Medina1, Barbara Cedré-Marrero1, Sandra-Madariaga-Zarza1, Caridad Zayas-Vignier1, Mabel Hernández-Cedeño1, Torsten Kleffmann3, Dagmar García-Rivera1, Vicente Vérez- Bencomo1, Bernd H. A. Rehm2, 4 M. G.- Miró, L.M. R.-N., M. F.-M., B. C.-M., S.M.-Z., C. Z.-V., M. H.-C., T.K. performed the studies and analysed the data. D.G.-R., V.V.-B., M.G.- Miró., B.H.A.R. analysed and interpreted the data; contributed reagents, materials, analysis tools or data. M.G.- Miró. and B.H.A. R. conceived and designed and supervised the experiments. M.G.- Miró. and B.H.A. R. wrote the manuscript. Published: Scientific Reports Journal, 30 Jan 2018, Volume 8, Issue 1 https://www.nature.com/natbiomedeng/ viii Chapter 5. General Discussion, Conclusion and Future work This chapter was written by Majela González Miró for this thesis only and is not intended for publication. ix Table of Contents Abstract: ............................................................................................................................. i Acknowledgements .......................................................................................................... iv Preface .............................................................................................................................. vi List of Figures ................................................................................................................ xiv List of Tables.................................................................................................................. xvi Abbreviations ................................................................................................................ xvii Chapter 1. Introduction ..................................................................................................... 1 1.1 Streptococcus pneumoniae ................................................................................. 1 1.1.1 Pneumococcal diseases and epidemiology ............................................................ 1 1.1.2 Host immune defences against Streptococcus pneumoniae .................................. 2 1.1.3 Relevant pneumococcal virulence factors ............................................................. 3 1.1.4 Pneumococcal vaccines ......................................................................................... 5 1.2 Neisseria meningitidis ........................................................................................ 6 1.2.1 Meningococcal diseases and epidemiology .......................................................... 7 1.2.2 Host immune defences against Neisseria meningitidis ......................................... 8 1.2.3 Relevant meningococcal virulence factors ............................................................ 9 1.2.4 Meningococcal vaccines ..................................................................................... 11 1.3 Adjuvants and delivery systems ....................................................................... 12 1.4 Polyhydroxyalkanoate beads as potential particulate vaccines ........................ 13 1.5 General Hypothesis .......................................................................................... 18 1.6 Aims and scope of the thesis ............................................................................ 18 1.7 References ........................................................................................................ 19 Preface to the next Chapter ............................................................................................. 33 Chapter 2. Self-assembled particulate PsaA as vaccine against Streptococcus pneumoniae infection ...................................................................................................................... 34 2.1 Abstract ............................................................................................................ 35 x 2.2 Introduction ...................................................................................................... 36 2.3 Materials and methods ...................................................................................... 37 2.3.1 Bacterial strains, oligonucleotides, plasmids and cultivation conditions ............ 37 2.3.2 Construction of plasmids mediating production of PHB beads displaying PsaA39 2.3.3 Construction of the plasmid encoding N-terminally His-tagged PsaA for production of soluble PsaA ................................................................................. 39 2.3.4 Production, isolation and purification of PHB beads .......................................... 39 2.3.5 Production, isolation and purification of recombinant soluble protein ............... 39 2.3.6 Confirmation of the PhaC in vivo activity using transmission electron microscopy (TEM) .................................................................................................................. 40 2.3.7 Protein analysis ................................................................................................... 40 2.3.8 Measurement of the PHA bead size distribution and zeta potential ................... 40 2.3.9 Analysis of immunological properties of PHB beads ......................................... 41 2.3.10 Statistical analysis ............................................................................................... 43 2.4 Results .............................................................................................................. 43 2.4.1 Construction of plasmids mediating production of the PsaA-PhaC fusion protein and His6-PsaA ..................................................................................................... 43 2.4.2 Production and characterization of PsaA displaying PHA beads ....................... 44 2.4.3 Humoral immune response .................................................................................. 50 2.5 Discussion ........................................................................................................ 54 2.6 Acknowledgements .......................................................................................... 57 2.7 References ........................................................................................................ 58 2.8 Supplementary material .................................................................................... 63 Preface to the next Chapter ............................................................................................. 64 Chapter 3. Biologically assembled polyester beads displaying pneumolysin and capsular polysaccharide induce protective immunity against Streptococcus pneumoniae ...... 65 3.1 Abstract ............................................................................................................ 66 3.2 Introduction ...................................................................................................... 67 xi 3.3 Materials and methods ...................................................................................... 68 3.3.1 Strains and cultivation conditions ....................................................................... 68 3.3.2 Construction of plasmids for production of soluble Ply and Ply displayed on PHB beads .................................................................................................................... 69 3.3.3 PHB bead production .......................................................................................... 69 3.3.4 Production of soluble Ply .................................................................................... 69 3.3.5 Conjugation of CPS to PHB beads ...................................................................... 70 3.3.6 Transmission electron microscopy (TEM) .......................................................... 70 3.3.7 Proteins analysis by SDS-PAGE and immunoblot ............................................. 70 3.3.8 Immune response evaluation ............................................................................... 71 3.3.9 Statistical analysis ............................................................................................... 75 3.4 Results .............................................................................................................. 75 3.4.1 Bioengineering E. coli for production of Ply-PHB beads and soluble His6-Ply 75 3.4.2 Immunological properties of the various PHB beads and soluble proteins ........ 79 3.5 Discussion ........................................................................................................ 87 3.6 Acknowledgements .......................................................................................... 91 3.7 References ........................................................................................................ 93 3.8 Supplementary material .................................................................................. 100 Preface to the next Chapter ........................................................................................... 101 Chapter 4. Bioengineered polyester beads co-displaying protein and carbohydrate-based antigens enhance protective efficacy against bacterial infection ............................. 102 4.1 Abstract .......................................................................................................... 103 4.2 Introduction .................................................................................................... 104 4.3 Materials and Methods ................................................................................... 106 4.3.1 Ethics statement ................................................................................................. 106 4.3.2 Construction of plasmids mediating production of PHB beads ........................ 107 4.3.3 Construction of plasmids for production of soluble His-tagged proteins ......... 107 4.3.4 Production, isolation and purification of PHB beads and soluble proteins ....... 107 xii 4.3.5 Conjugation of MenC polysaccharide (CPS) to carrier proteins ....................... 108 4.3.6 Transmission electron microscopy analysis (TEM) .......................................... 108 4.3.7 Measurement of PHB bead size distribution and surface charge ...................... 108 4.3.8 NMR spectroscopy. ........................................................................................... 108 4.3.9 Protein analysis ................................................................................................. 109 4.3.10 Protein and carbohydrate quantification............................................................ 109 4.3.11 Immunization schedule for proteinaceous antigens .......................................... 110 4.3.12 Immunization schedule for conjugated vaccine prototypes .............................. 110 4.3.13 Assessment of anti-NadA and anti-fHbp antibody titers in mice ...................... 111 4.3.14 Assessment of anti-MenC antibody titers in mice ............................................ 111 4.3.15 Analysis of the Ig subclass profile in sera ......................................................... 111 4.3.16 Analysis of the cytokine production .................................................................. 112 4.3.17 Serum bactericidal assay ................................................................................... 112 4.3.18 Statistical analysis ............................................................................................. 113 4.4 Results ............................................................................................................ 114 4.4.1 Bioengineering of Escherichia coli for production of antigen-displaying PHB inclusions and soluble antigens. ........................................................................ 114 4.4.2 Immunological properties of antigen displaying PHB beads versus soluble antigens. ............................................................................................................. 119 4.4.3 Chemical conjugation of capsular polysaccharides to PHB beads. .................. 120 4.4.4 Immunological properties of antigen-coated PHB beads displaying CPS. ....... 123 4.5 Discussion ...................................................................................................... 129 4.6 Acknowledgements ........................................................................................ 135 4.7 References ...................................................................................................... 136 4.8 Supplementary material .................................................................................. 144 Chapter 5. General Discussion, Conclusion, and Future work ..................................... 156 5.1 General Discussion ......................................................................................... 156 5.2 General Conclusion ........................................................................................ 160 xiii 5.3 Future work .................................................................................................... 161 5.3.1 Gene design ....................................................................................................... 161 5.3.2 New targets ........................................................................................................ 161 5.3.3 Antigen Multivalency vaccine .......................................................................... 162 5.3.4 Mucosal Immunity ............................................................................................ 162 5.3.5 Immunological studies ...................................................................................... 162 5.4 References ...................................................................................................... 164 Appendix ....................................................................................................................... 169 xiv List of Figures Chapter 1 Figure 1. Electron microscopy image of Pseudomonas aeruginosa containing PHA granules. .......................................................................................................................... 14 Figure 2. The biosynthetic pathway of PHB production. ............................................... 15 Figure 3. PHB granules Self-assembly model. .............................................................. 16 Chapter 2 Figure 1. Schematic presentation of the construction of plasmid pET-14b-psaA-phaC encoding the PsaA-PhaC fusion protein for the formation of PHB beads in recombinant ClearColi. ........................................................................................................................ 44 Figure 2. TEM analysis of recombinant ClearColi cells (pMCS69) harbouring various plasmids and respective isolated PHB beads. ................................................................. 45 Figure 3. SDS-PAGE and immunoblot analysis of proteins attached to PHB beads and purified His6-PsaA. ......................................................................................................... 46 Figure 4. Immunological assessment of PsaA display on the PHB bead surface. ......... 48 Figure 5. Correlation between zeta potential and pH of various PHB beads. ................ 50 Figure 6. Anti-PsaA IgG antibody response. ................................................................. 51 Figure 7. Isotype IgG profile evaluated by direct ELISA using ELISA plates coated with 0.5 µg of soluble His6-PsaA. .......................................................................................... 52 Figure 8. Recognition of PsaA in various serotypes of S. pneumoniae by sera from mice immunized with PsaA displayed on PHB beads or soluble PsaA. .................................. 53 Supplementary Figure 1. SDS-PAGE of whole cell lysates of the various S. pneumoniae serotypes. ......................................................................................................................... 63 Chapter 3 Figure 1. Schematic representation of genes encoding proteins relevant to this study. . 75 Figure 2. TEM images of E. coli with PHB inclusions and the corresponding purified PHB beads. ...................................................................................................................... 77 Figure 3. SDS-PAGE and immunoblot analysis of proteins attached to PHB beads as well as purified His6-Ply. ....................................................................................................... 78 Figure 4. Analysis of induction of anti-Ply antibodies by various vaccine formulations. ......................................................................................................................................... 80 Figure 5. IgG subclass profile as assessed by ELISA. ................................................... 81 Figure 6. Cytokine profiles induced by various vaccine formulations. ......................... 82 xv Figure 7. Cross-reactivity of anti-Ply antibodies with Ply from various serotypes of S. pneumoniae. .................................................................................................................... 84 Figure 8. Schematic representation of conjugation reaction between activated serotype 19F polysaccharide and PhaC on PHB beads or soluble TT. ......................................... 85 Figure 9. Analysis of anti-19F CPS antibody titers. ...................................................... 86 Figure. 10. The opsonophagocytic activity of sera against S. pneumoniae serotype 19F. ......................................................................................................................................... 87 Supplementary Figure 1. SDS-PAGE of whole cell lysates of the various S. pneumoniae serotypes. ....................................................................................................................... 100 Chapter 4 Figure 1. Biological production and characterization of antigen coated PHB beads ... 115 Figure 2. PHB bead production and their immunogenicity. ........................................ 117 Figure 2. PHB bead production and their immunogenicity (continued). ..................... 118 Figure 3. Schematic representation of the chemical conjugation of the CPS (MenC) to soluble and insoluble antigens displayed on PHB beads and characterization of their immunological properties.............................................................................................. 121 Figure 4. Structural models of PhaC depicting lysine residues proposed as sites conjugated to the activated polysaccharide. .................................................................. 123 Figure 5. Immunogenicity studies of the various antigens conjugated to MenC. ........ 125 Figure 6. Bactericidal activity of various sera.............................................................. 128 Supplementary Figure 1. FHbp confirmation of molecular identity and bead display by ELISA using a commercial monoclonal anti-fHbp antibody (JAR4, NIBCS, UK). .... 144 Supplementary Figure 2. 1H NMR monodimensional spectra of CPS. ..................... 145 Supplementary Figure 3. MenC confirmation of molecular identity by ELISA using a commercial anti-CPS (MenC) monoclonal antibody (NIBS, UK). .............................. 145 Supplementary Figure 4. Assessment of IgG subclass binding to MenC evaluated by ELISA. .......................................................................................................................... 146 Supplementary Figure 5. Assessment of IgG subclass binding to NadA protein evaluated by ELISA. ..................................................................................................... 147 xvi List of Tables Chapter 1 Table 1. Pneumococcal protein vaccines under study. ..................................................... 6 Chapter 2 Table 1. Description of bacterial strains, plasmids and oligonucleotides used in this study ................................................................................................................................ 38 Table 2. Tryptic peptide fingerprinting analysis (MALDI-TOF/MS). ........................... 47 Table 3. PHB bead yield and composition ..................................................................... 49 Chapter 3 Table 1. Characteristics of plasmids and oligonucleotides used in this study................ 76 Table 2. Tryptic peptide fingerprinting analysis (Triple TOF) ...................................... 79 Table 3. PHB beads yields and the antigen/ mg of wet beads ratio ............................... 79 Chapter 4 Supplementary Table 1. Strains, Plasmids and primers ............................................. 148 Supplementary Table 2. Identification of fusion proteins by peptide fingerprinting analysis (MALDI-TOF/MS). ........................................................................................ 149 Supplementary Table 3. Correlation between Zeta potential and pH of various PHB beads. ............................................................................................................................. 149 Supplementary Table 4. Amount of neisserial antigen attached to PHB beads and immunization doses. ...................................................................................................... 150 Supplementary Table 5. Carbohydrate/protein ratios and carbohydrate yield after conjugation and purification. ........................................................................................ 150 Supplementary Table 6. Conjugation site analysis results by liquid chromatography- coupled tandem mass spectrometry (LC-MS/MS). ....................................................... 151 Supplementary Table 7. IgG/IgM ratio after first (1D) and third (3D) blood collection assayed against MenC ................................................................................................... 155 Supplementary Table 8. Size distribution of PHB beads in vaccine formulations (µm) as measured by dynamic laser scattering. ..................................................................... 155 xvii Abbreviations APCs: antigen presenting cells APS: activate polysaccharide BCA: Bicinchoninic acid assay CLSM: Confocal Laser Scanning Microscope CPS: capsular polysaccharide CFU: colony-forming unit CON A: Concanavalin A DC: dendritic cell DF: Dilution Factor DIC: Differential interference contrast DMEM: Dulbecco's Modified Eagle's Medium DT: Diphtheria toxoid ELISA: enzyme-linked immunosorbent assay FCS: fetal calf serum fHbp: factor H binding protein GNA2091: genome Neisseria antigen 2091 GNA2091-fHbp-PhaC: genome Neisseria antigen 2091 fuse to factor H binding protein and PhaC HEPES: (4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid) Ig: Immunoglobulin IgG: Immunoglobulin G IgG1, IgG2a, IgG2b and IgG3: Immunoglobulin G 1,2a,2b,3 IgM: Immunoglobulin M IL17A: cytokine 17A INF-γ: Interferon gamma LB: Luria-Bertani broth (Lennox) M. bovis: Mycobacterium bovis N. meningitidis: Neisseria meningitidis S. pneumoniae: Streptococcus pneumoniae E. coli: Escherichia coli MALDI-TOF-MS/MS: matrix assisted laser desorption ionization-time of flight mass spectrometry http://www.sigmaaldrich.com/life-science/cell-culture/classical-media-salts/dmem.html xviii MW: molecular weight NaBH3CN: Sodium Cyanoborohydride NadA: Neisseria adhesin A NadA-PhaC: NadA-PhaC fusion protein NIBSC: National Institute for Biological Standards and Control OVA: Ovalbumin OPA: opsonophagocytic assay PBS: Phosphate Buffered Saline PCR: polymerase chain reactions PHA: Polyhydroxyalkanoate PhA: β- ketothiolase PhaC: Polyhydroxyalkanoate synthase PhB: Acetoacetyl-CoA reductase PHB: Polyhydroxybutyrate Ply: Pneumolysin Ply-PhaC: Pneumolysin fused to PhaC PsaA: Pneumococcal surface adhesin A PsA-PhaC: Pneumococcal Surface protein A fused to PhaC PspA: Pneumococcal Surface protein A PspC: Pneumococcal Surface protein C rpm: revolutions per minute SBA: serum bactericidal activity SD: standard deviation SDS-PAGE: sodium dodecyl sulphate (SDS) polyacrylamide gel electrophoresis (PAGE) SEM: standard error of the mean TEM: Transmission electron microscopy. Th17: Lymphocyte T helper 17 Triple TOF: mass spectrometry by Triple TOF TT: Tetanus toxoid TLR: Toll-like receptor 0C: degrees Celsius 1H NMR: Proton nuclear magnetic resonance UNICEF: United Nations Children's Fund WHO: World Health Organization