Domain-specificity by ELISA
The domain specificity of mAbs was tested in ELISA as previously described27. Nunc MaxiSorpTM 96-wells plates (ThermoFisher) were coated with 0.5 µg/mL recombinant full-length Pfs48/45 and fragments containing D1-2, D2-3 and D3, overnight at 4˚C. Plates were blocked with 5% skimmed milk in PBS for 1 h at room temperature, washed and then incubated with 10 µg/mL mAb in 1% milk/PBST for 3 h at room temperature. Plates were washed and then incubated with 1:60,000 Goat anti-Human IgG/HRP-conjugated antibody (Pierce, Cat. No.31412) in 1% milk/PBST for 1 h. Plates were washed again, 100 µl 3,3',5,5'-Tetramethylbenzidine (TMB) was added and after approximately 20 min the reaction was stopped with 0.2M H2SO4. Absorbance was measured at 450 nm. mAbs were considered positive if the absorbance was higher than the mean absorbance plus three standard deviations of six negative mAbs.
Surface immunofluorescence assay (SIFA)
N-acetyl-glucosamine-treated 16-day-old Pf NF54 gametocytes were harvested by centrifugation for 10 min at 2,000 x g. Pelleted gametocytes were resuspended in fetal bovine serum (FBS) and activated on a roller bank for 45 min at room temperature. The cells were then pelleted by centrifugation for 10 min at 2,000 x g at 4˚C, resuspended in PBS, loaded on an 11% Accudenz (Accurate Chemical) cushion, followed by centrifugation for 30 min at 7,000 x g at 4˚C. The top layer, containing activated female gametes, was collected and gametes were then washed with PBS prior to incubation with mAbs. mAbs diluted in PBS + 2% FBS + 0.02 % sodium azide were mixed with 50,000 gametes and incubated for 1 h at room temperature. Thereafter, gametes were washed three times with PBS, followed by 30 min incubation at room temperature with 1:200 Alexa FluorTM 488 anti-human IgG (Invitrogen, cat no. A-11013) and 1:1,000 eBioscience™ Fixable Viability Dye eFluor™ 780 (Invitrogen, Cat. No. 65-0865-14). Cells were finally washed three times with PBS and resuspended in PBS. mAb binding to gametes was assessed by measuring fluorescence of at least 2,000 single live gametes on a GalliosTM 10-color system (Beckman Coulter) followed by analyses in FlowJo (BD Biosciences).
Standard membrane feeding assay (SMFA)
SMFA experiments used cultured Pf NF54 gametocytes and oocyst counts as readout, as previously described41. mAbs were diluted in FBS and mixed with cultured gametocytes and normal human serum as a source of active complement. Given mAb concentrations are final concentrations in the total blood meal volume. Blood meals were fed to A. stephensi mosquitoes (Nijmegen colony). For each condition 20 fully-fed mosquitoes were analyzed. Transmission-reducing activity was calculated as the reduction in oocysts compared to a negative control. IC80 values were calculated by linear regression analysis on the log10 transformed ratio of mean oocyst count in control and test sample, and square root of antibody concentration42. 95% confidence intervals for the IC80 values were calculated with the delta method19. SMFA data analyses were done in R (version 4.1.2).
Expression and purification of Fabs
Variable light (VL) and heavy (VH) chains of Fabs used in these studies were gene synthesized and cloned (GeneArt) into custom pcDNA3.4 expression vectors located immediately upstream of constant domains. Fab heavy chain and Fab light chain plasmids were co-transfected at a 2:1 ratio into FreeStyle 293-F or 293-S cells (Thermo Fisher Scientific) at a cell density of 0.8 × 106 cells/mL for transient expression using FectoPRO DNA transfection reagent (Polyplus). Cells were cultured in GIBCO FreeStyle 293 Expression Medium for 7 days, and supernatants were isolated by centrifugation and filtered through a 0.22 μm membrane. Secreted Fabs were purified using affinity chromatography with either a HiTrap KappaSelect or LambdaSelect column (Cytiva) with 1X PBS and 100 mM glycine, pH 2.2 as wash and elution buffers, respectively. Fabs were further purified by cation-exchange chromatography using a MonoS column (Cytiva) in a buffer of 20 mM NaOAc, pH 5.6 across a 0-1 M KCl gradient for elution. Fabs expressed in 293-S cells underwent subsequent treatment with EndoH.
Expression and purification Pfs48/45 proteins
A full-length Pfs48/45 construct (aa 28-428) integrating stabilizing mutations to D3 (G397L, H308Y, I402V, S361R and D373S24), was fused at the C terminus using a 7xGGS linker to the HC portion of a single chain Fab of TB31F with a 21 aa long flexible linker. The scFab of TB31F contained a 14xGGGGS linker between the HC and lambda chain (LC). A Pfs48/45 construct containing only domains 1 and 2 (aa 27-294) was also generated containing the native sequences or any SNPs located with the RUPA-58 or RUPA-154 epitopes to interrogate binding kinetics. To all constructs, a signal peptide sequence was added to the N terminus and a 6xHis tag was added to the C terminus, followed by gene synthesis and cloning into a pcDNA3.4 expression vector (GeneArt). Stabilized Pfs48/45 linked scTB31F was recombinantly expressed in 293-F or 293-S cells and purified with a HisTrap FF column (GE Healthcare), using TBS pH 7.0 with a linear elution gradient of imidazole up to 500 mM, and further purified using size exclusion chromatography with a Superdex 200 Increase column (GE Healthcare) in TBS pH 7.0. The Pfs48/45-scTB31F:RUPA-44:RUPA-58 and Pfs48/45-scTB31F:RUPA-44:RUPA-58:RUPA-154 complexes were formed by incubating proteins together for 30 min to overnight at 4oC and subsequently purifying the complex using size exclusion chromatography with a Superose 6 Increase column (GE Healthcare) in TBS pH 7.0.
Biolayer interferometry (BLI) binding studies
Direct binding kinetics measurements were conducted at 25°C using an Octet RED96 instrument (Sartorius ForteBio). Fabs and purified recombinant Pfs48/45 were diluted in kinetics buffer (PBS, pH 7.4, 0.01% (w/v) BSA, and 0.002% (v/v) Tween-20) as previously described27. Binding kinetics parameters were determined using Ni-NTA biosensors loaded with 15 μg/mL of purified His-tagged Pfs48/45 protein followed by a 30 s baseline and an association phase in Fab protein serially diluted from 500 nM to 16 nM. Biosensors were then dipped into wells containing kinetics buffer for a dissociation step. Data analysis was performed using the Octet software (Sartorius ForteBio, version 8.2.0.7) and the sensograms were fit using a 1:1 binding model. Binding competition assays were performed by loading 15 μg/mL of 6xHis-tagged antigen to reach a BLI signal response of 1.0 nm. Following by a 30 s baseline step, the antigen-loaded biosensors were dipped into wells containing the first antibody (Fab 1) at 50 μg/mL for 300 s and then sensors carrying Fab 1-antigen complexes were dipped into wells containing the second antibody (Fab 2) at 50 μg/mL for an additional 300 s. Data analysis was performed using the Octet software (Sartorius ForteBio, version 8.2.0.7) and the binding competition was quantified as percent ratio of each antibody’s BLI signal at each stage of the two-step binding sequence (i.e. Fab2/Fab1 measured in nm).
Single nucleotide polymorphism detection
Single nucleotide polymorphisms were obtained from the MalariaGEN Catalogue of Genetic Variation in Pf version 6.030. Genotype calls for chromosome 13 (Pf3D7_13_v3) were downloaded (ftp://ngs.sanger.ac.uk/production/malaria/pfcommunityproject/Pf6/Pf_6_vcf/Pf_60_public_Pf3D7_13_v3.final.vcf.gz) and Bcftools43 was used to subset calls between nucleotide positions 1,875,452 and 1,878,087(-) that coincide with Pfs48/45 and calculate the allele frequency of all polymorphism occurrences. SNPs calls below MalariaGEN’s quality filter (Low_VQSLOD) and all silent mutations were removed.
CryoEM data collection and image processing
The Pfs48/45-scTB31F:RUPA-44:RUPA-58 and Pfs48/45-scTB31F:RUPA-44:RUPA-58:RUPA-154 complexes were concentrated to 0.7 mg/mL and 3.0 µL of the sample was deposited on homemade holey gold grids44, which were glow-discharged in air for 15 s before use. All samples were blotted for 3.0 s, and subsequently plunge-frozen in liquid ethane using a Leica EM GP2 Automatic Plunge Freezer (maintained at 4°C and 100% humidity). Data collection was performed on a Thermo Fisher Scientific Titan Krios G3 operated at 300 kV with a Falcon 4i camera automated with the EPU software. A nominal magnification of 75,000× (calibrated pixel size of 1.03 Å) and defocus range between 0.8 and 1.5 μm were used for data collection.
Exposures were collected for 8.8 s (Pfs48/45-scTB31F:RUPA-44:RUPA-58:RUPA-154 complex) or 8.3 s (Pfs48/45-scTB31F:RUPA-44:RUPA-58 complex) as movies of 30 frames with a camera exposure rate of ∼6 e− per pixel per second, and total exposure of ~49 electrons/Å2. A total of 6,850 raw movies were obtained for the Pfs48/45-scTB31F:RUPA-44:RUPA-58 complex and 4964 for the Pfs48/45-scTB31F:RUPA-44:RUPA-58:RUPA-154 complex (1529 raw movies were obtained with no stage tilt and 3435 with 40o stage tilt).
Image processing was carried out in cryoSPARC v345. Initial specimen movement correction, exposure weighting, and CTF parameters estimation were done using patch-based algorithms. Micrographs were sorted based on CTF fit resolution, and only micrographs with score lower than 5.0 Å were accepted for further processing. Manual particle selection was performed on 30 micrographs to create templates for template-based picking. For the Pfs48/45-scTB31F:RUPA-44:RUPA-58 complex, 3,904,349 particle images were selected by template picking and individual particle images were corrected for beam-induced motion with the local motion algorithm46. Particle images of intact Pfs48/45-scTB31F:RUPA-44:RUPA-58 complex were separated from dissociated components via 2D classification and several rounds of heterogeneous refinement. 133,106 particle images were selected for non-uniform refinement47 with no symmetry applied, which resulted in a 4.3 Å resolution map of the Pfs48/45-scTB31F:RUPA-44:RUPA-58 complex estimated from the gold-standard refinement with correction of the Fourier shell correlation (FSC) for masking effects.
For the Pfs48/45-scTB31F:RUPA-44:RUPA-58:RUPA-154 complex, 2,824,624 particle images were selected by template picking and individual particle images were corrected for beam-induced motion with the local motion algorithm46. Particle images of intact Pfs48/45-scTB31F:RUPA-44:RUPA-58:RUPA-154 complex were separated from dissociated components via one round of 2D classification and several rounds of heterogeneous refinement. 504,058 particle images were selected for non-uniform refinement47 with no symmetry applied, which resulted in a 3.6 Å resolution map of the Pfs48/45-scTB31F:RUPA-44:RUPA-58:RUPA-154 complex. Local refinement was performed on all particle images with a mask including domains D1 and D2 domains of Pfs48/45 and variable regions of RUPA-58 and RUPA-154 Fabs, which resulted in 3.3 Å resolution map of this region. To visualize flexibility in the Pfs48/45-scTB31F:RUPA-44:RUPA-58:RUPA-154 cryoEM map, 3D variability analysis was performed48.
An initial model for Pfs48/45:RUPA-58:RUPA-154 was created by manually docking crystal structures of Pfs48/45 D1 and 2 (PDB ID:7ZXF28), the variable domain of RUPA-58 Fab derived from the crystal structure (Extended Data Table 1)27 and the predicted variable domain of RUPA-154 Fab49 into the cryoEM map with UCSF Chimera50, followed by manual building with Coot51. All models were refined using phenix.real_space_refine52 with secondary structure and geometry restraints. The final models were evaluated by MolProbity53. The figures were prepared with UCSF Chimera50 and UCSF ChimeraX54. Interactions in the Pfs48/45:RUPA-58:RUPA-154 model were identified by PDBePISA55. Electrostatic surface potentials were calculated using the Adaptive Poisson-Boltzmann Solver (APBS) plug-in in PyMOL56 and images were generated using PyMOL (The PyMOL Molecular Graphics System, v2.3.4, Schrödinger, LLC)57.
X-ray crystallography
A sample of recombinant RUPA-58 Fab at 10 mg/mL in TBS pH 7.0 was added to sitting-drop crystallization trays and mixed with reservoir solution at a 1:1 ratio. RUPA-58 crystals grew in 0.2 M sodium acetate, 30% PEG 8000, 0.1 M sodium cacodylate, pH 6.5, 20% ethylene glycol. Data was collected at the 23-ID-D beamline at the Advanced Photon Source (APS). Data processing was done using XDS58 and Xprep59, while Phaser60 was used for molecular replacement using a Fab from PDB: 4YK4 as a search model61. The crystal structure was then built and refined using phenix.refine62 and Coot51 accessed through SBGrid58.
Negative-stain electron microscopy and processing
Purified RUPA-71 Fab, RUPA-154 Fab, and Pfs48/45-D1D2 were complexed at a ratio of 1.5:1.5:1, respectively. Intact complex was purified from excess Fabs using a Superdex 200 column in TBS pH 7.0. 5 μg/mL of complex was applied onto homemade carbon film-coated grids (previously glow-discharged in air for 15 s) and stained with 2% uranyl formate. Micrographs were collected using a Hitachi HT7800 transmission electron microscope operating at 120 kV, 80,000x magnification with a pixel size of 1.83 Å/pix. Image processing, particle extraction, 2D classes, and 3D reconstruction were done using Relion 3.163 and cryoSPARC v345.
HDX-MS
Protein samples were EndoH treated, further purified as described above, then concentrated to 100 μM. Hydrogen/deuterium exchange was initiated by mixing 2.5 μL of protein with 37.5 μL of D2O buffer (10 mM phosphate in D2O, pD 7.0), and incubated for various timepoints (10 s, 100 s, 1,000 s, and 10,000 s) at 4°C. The exchange was quenched by adding 40 μL of chilled (4°C) quench buffer (100 mM phosphate, pH 2.5, 2 M urea, 1 M TCEP) and snap frozen on dry ice at the indicated time points. For non-deuterated (ND) samples, 2.5 μL of purified protein was mixed with 37.5 μL of H2O buffer (10 mM phosphate in H2O, pH 7.0), and quenched and frozen in the same manner. Quenched samples were thawed and mixed with pepsin in 1:1 (w/w) ratio for 5 min for offline digestion and passed through an immobilized pepsin column (2.1 × 30 mm; Waters, Milford, MA, USA) at a flow rate of 100 μl/min with 0.1% formic acid and 2% acetonitrile in H2O at 20°C for online peptic digestion. Peptide fragments were subsequently collected on a C18 VanGuard trap column (2.1 mm × 5 mm; Waters, Milford, MA, USA) for desalting with 0.1% formic acid and 2% acetonitrile in H2O and then separated by ultra-pressure liquid chromatography using an Acquity UPLC C18 column (1.7 μm, 1.0 × 100 mm; Waters) at a flow rate of 40 μl/min with an acetonitrile gradient from 5% B to 90% B over 10 min. The mobile phase A consisted of 0.1% formic acid in H2O, and solvent B consisted of 0.1% formic acid in acetonitrile. To minimize the back-exchange of deuterium to hydrogen, the entire system was maintained at pH 2.5 and 0°C (except pepsin digestion was performed at 20°C) during the analysis. Mass spectra were analyzed by SYNAPT G2-Si quadrupole-time of flight (Q-TOF) equipped with a standard electrospray ionization (ESI) source in MSE mode (Waters) with positive ion mode. The capillary, cone, and extraction cone voltages were set to 3 kV, 30 V, and 4 V, respectively. Source and desolvation temperatures were set to 80°C and 150°C, respectively. Trap and transfer collision energies were set to 6 V, and the trap gas flow was set to 2.0 mL/min. Sodium iodide solution (2 µg/µL) was utilized to calibrate the mass spectrometer. [Glu1]-Fibrinopeptide B solution (200 fg/µL) in MeOH:water (50:50 (v/v) + 1% acetic acid) was utilized for the lock-mass correction of the spectra and the ions at mass-to-charge ration (m/z) 785.8427 with a mass window of ±0.5 Da were monitored at scan time 0.1 s. Ar gas was used for collision induced dissociation (CID). For HDMSE and UDMSE measurements, the instrument was operated in ion mobility mode. The T-wave was operated with a wave height of 40 V and a wave velocity ramp from 850 to 350 m/s.
Peptide identification and HDX-MS data processing
Mass spectra were acquired in the range of m/z 50–2000 for 10 min. Methionine oxidation and delta mass of N-Acetylglucosamine (GlcNAc) were assigned as variable modification to identify peptic peptides from the non-deuterated samples using ProteinLynx Global Server 3.0.3 (Waters). Protein identification criteria were set as the detection of at least one fragment per protein, three fragments per peptide, and at least one peptide per protein. PLGS search results and deuterium exchange measurements were imported into DynamX ver. 3.0 (Waters, Manchester, UK). A minimum of 0.03 products per amino acid, and a precursor mass error of less than 25 ppm as defined as the settings in DynamX and the centroid of isotopic distributions in deuterium uptake were analyzed curated as required. Because proteins aggregated in the full deuteration condition, the analyses are represented as the comparison between different states of protein without back exchange correction. All the data were derived from at least three independent experiments. The significant threshold was set as the 95% confidence interval, calculated from the pooled standard deviations for all peptides across all time points for both states. The detailed HDX-MS results are summarized in the supplementary data, following Masson et al.’s guidelines64.