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  <front>
    <journal-meta id="journal-meta-1">
      <journal-id journal-id-type="nlm-ta">Biomedical Research and Therapy</journal-id>
      <journal-id journal-id-type="publisher-id">Biomedical Research and Therapy</journal-id>
      <journal-id journal-id-type="journal_submission_guidelines">http://bmrat.org/</journal-id>
      <journal-title-group>
        <journal-title>Biomedical Research and Therapy</journal-title>
      </journal-title-group>
      <issn publication-format="print"/>
    </journal-meta>
    <article-meta id="article-meta-1">
      <article-id pub-id-type="doi">10.15419/bmrat.v11i9.921</article-id>
      <title-group>
        <article-title id="at-ad6f1dede7cd">
          <bold id="strong-1">Development of a recombinant construct as an immunogenic target for leptospirosis using <italic id="e-02ccac4d45e1">LipL41</italic> and molecular adjuvants</bold>
          <bold id="strong-2"> </bold>
        </article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <contrib-id contrib-id-type="orcid"/>
          <name id="n-560fa2ba23b3">
            <surname>Pothiaraj</surname>
            <given-names>Govindan</given-names>
          </name>
          <xref id="x-e98f92df9cce" rid="a-2180f1eb8fed" ref-type="aff">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <contrib-id contrib-id-type="orcid"/>
          <name id="n-eb683d4f8ef8">
            <surname>Saxena</surname>
            <given-names>Shweta</given-names>
          </name>
          <xref id="x-8db6b015e2cf" rid="a-2180f1eb8fed" ref-type="aff">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <contrib-id contrib-id-type="orcid"/>
          <name id="n-09d028344ae4">
            <surname>Manoranjani</surname>
            <given-names>Murugan</given-names>
          </name>
          <xref id="x-3b89c7680130" rid="a-2180f1eb8fed" ref-type="aff">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <contrib-id contrib-id-type="orcid"/>
          <name id="n-ba0db2fec18f">
            <surname>Pitchaikani</surname>
            <given-names>Sasikumar</given-names>
          </name>
          <xref id="x-dbba03d86b7b" rid="a-2180f1eb8fed" ref-type="aff">1</xref>
        </contrib>
        <contrib contrib-type="author" corresp="yes">
          <contrib-id contrib-id-type="orcid">0000-0002-5541-234X</contrib-id>
          <name id="n-e99b2097dcce">
            <surname>Saravanan</surname>
            <given-names>Konda Mani</given-names>
          </name>
          <email>saravananbioinform@bharathuniv.ac.in</email>
          <xref id="x-78f5e46dbad7" rid="a-03a44606c493" ref-type="aff">2</xref>
        </contrib>
        <contrib contrib-type="author" corresp="yes">
          <contrib-id contrib-id-type="orcid">0000-0002-9093-5621</contrib-id>
          <name id="n-5c825cfa2d3b">
            <surname>Shakila</surname>
            <given-names>Harshavardhan</given-names>
          </name>
          <email>mohanshakila@yahoo.com</email>
          <xref id="x-0f0cfcf33f55" rid="a-2180f1eb8fed" ref-type="aff">1</xref>
        </contrib>
        <aff id="a-2180f1eb8fed">
          <institution>Department of Molecular Microbiology, School of Biotechnology, Madurai Kamaraj University, Madurai-625 021, Tamil Nadu, India</institution>
        </aff>
        <aff id="a-03a44606c493">
          <institution>B-Aatral Biosciences Private Limited, Bangalore 560091, Karnataka, India</institution>
        </aff>
      </contrib-group>
      <volume>11</volume>
      <issue>9</issue>
      <fpage>6775</fpage>
      <lpage>6785</lpage>
      <permissions/>
      <abstract id="abstract-b1df9534c6fe">
        <title id="abstract-title-f1c1600b930d">Abstract</title>
        <p id="p-484e8662feb9"><bold id="s-958bf7274686">Introduction</bold>: Leptospirosis, an infectious disease that can spread from animals to humans, requires the development of a safe and effective vaccine. The immunogenic characteristics of LipL41, a conserved outer membrane protein of Leptospira, have been identified as a promising vaccine candidate. In this study, a recombinant DNA construct, pTR-EGFP-LipL41, incorporating the <italic id="e-031dc8481878">LipL41</italic> gene and hGMCSF adjuvant in the pTR600 vector with a cytomegalovirus (CMV) promoter, was designed and evaluated. <bold id="s-999cccc7aa2a">Methods</bold>: The Chinese hamster ovary (CHO) cell line was transfected with pTR-EGFP-LipL41 and pTR-EGFP-hGMCSF-LipL41 using Lipofectamine 2000, and fluorescence microscopy analyzed their expression. <bold id="s-f780907c042d">Results</bold>: The expression analysis demonstrated successful expression of pTR-EGFP-LipL41 and pTR-EGFP-hGMCSF-LipL41 in CHO cells. <italic id="e-c4085ff58154">In vitro</italic> analysis of cell lines further assessed the expression of chemokines and cytokines, and molecular docking analyses were conducted to investigate interactions between various adjuvants (hGMCSF, hIgGFc, and hC3d) and LipL41. Docking studies uncovered key interactions between LipL41 and other adjuvants. The constructed recombinant DNA and molecular adjuvants exhibited a robust immunogenic response. <bold id="s-dc47bc7a211e">Conclusion</bold>: Further evaluation in suitable animal models may establish its effectiveness as a productive and safe immunogenic molecule against leptospiral infection.</p>
      </abstract>
      <kwd-group id="kwd-group-1">
        <title>Keywords</title>
        <kwd>Adjuvant</kwd>
        <kwd>CHO cell line</kwd>
        <kwd>Chimeric construct</kwd>
        <kwd>DNA vaccine</kwd>
        <kwd>Leptospirosis</kwd>
        <kwd>LipL41</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec>
      <title id="t-181bb41c24ff">Introduction</title>
      <p id="p-21ae3248edf0">Leptospirosis is a significant zoonotic disease caused by obligate pathogenic organisms known as gram-negative spirillates belonging to <italic id="e-a43e5849d868">Leptospira</italic> <bold id="s-a0df19fdfbf6"><xref rid="R248479631888543" ref-type="bibr">1</xref>, <xref rid="R248479631888544" ref-type="bibr">2</xref></bold>. The disease is an important worldwide health issue, particularly in tropical and subtropical regions, and is expected to result in over 59,000 deaths annually<bold id="s-b14a906be638"><xref id="x-93298f1954b7" rid="R248479631888545" ref-type="bibr">3</xref></bold>. The <italic id="e-849133f30019">Leptospira</italic> bacteria have numerous species, with over 300 serovars within 64 species<bold id="s-5c2649eab0ac"><xref id="x-56722de79cdc" rid="R248479631888546" ref-type="bibr">4</xref></bold>. This complexity has been identified as a significant challenge in combating this pathogen<bold id="s-036236fd0a76"><xref id="x-94b9bd578511" rid="R248479631888547" ref-type="bibr">5</xref></bold>. This disease is typically spread through direct contact with the tissues, urine, or other bodily fluids of infected hosts<bold id="s-ce1b1b4a5c67"><xref id="x-02c3c818abdc" rid="R248479631888548" ref-type="bibr">6</xref></bold>. It can also be transmitted indirectly through contact with objects that have come into contact with infected rodents, which are the primary carriers of the bacterium. The clinical symptoms of this condition can range from mild, such as headaches, muscle pain, and fever, to severe, such as jaundice, kidney dysfunction, lung bleeding, and failure of several organs<bold id="s-3264798bbed3"><xref id="x-c677e53b0246" rid="R248479631888549" ref-type="bibr">7</xref></bold>. Therefore, it is crucial to diagnose and prevent the disease early.</p>
      <p id="p-19377353c4dc">Nevertheless, leptospirosis continues to be a widespread disease, and the existing vaccines are limited in terms of their accessibility. Additional doses are typically required, and the vaccines only target a small number of specific serovars to offer cross-protective protection<bold id="s-821d687dc1b2"><xref id="x-4d1ec452ea91" rid="R248479631888550" ref-type="bibr">8</xref></bold>. The current <italic id="e-4fe810c2c5db">Leptospira</italic> vaccines usually consist of whole-killed bacteria or outer membrane proteins (OMPs)<bold id="s-d8bf87fd4f1a"><xref id="x-f029e493e9ed" rid="R248479631888551" ref-type="bibr">9</xref></bold>. The proliferation of numerous and varied<italic id="e-02b3684bf45b"> Leptospira</italic> serovars presents difficulty in developing a vaccine that effectively covers all the serovars. The outer membrane proteins (OMPs), including LipL32, LipL41, and OmpL1, play a crucial role in the bacteria's capacity to attach to host factors and regulate immune responses<bold id="s-c934ceee36df"><xref rid="R248479631888552" ref-type="bibr">10</xref>, <xref rid="R248479631888553" ref-type="bibr">11</xref>, <xref rid="R248479631888554" ref-type="bibr">12</xref></bold>. These lipoproteins are significant antigens that stimulate immunological responses and can thus be utilized to develop potent vaccinations<bold id="s-fad3855fae03"><xref id="x-7aa7a46d0a1c" rid="R248479631888555" ref-type="bibr">13</xref></bold>. Among these, LipL41 holds particular significance due to its homogeneous expression throughout pathogenic <italic id="e-1db6eac10fd9">Leptospira </italic>species and absence in avirulent <italic id="e-b9d63ea81902">Leptospira</italic><bold id="s-cf7499ea96e9"><xref id="x-82bbb48e0015" rid="R248479631888556" ref-type="bibr">14</xref></bold>. Furthermore, it has been utilized in serodiagnosis and is believed to have the potential to be integrated into vaccines<bold id="s-5581db1ae23a"><xref id="x-31cc18bf69cd" rid="R248479631888557" ref-type="bibr">15</xref></bold>.</p>
      <p id="p-6dda762b5db4">The utilization of DNA vaccines has ushered in a new age in vaccine development and has significantly transformed conventional practices<bold id="s-0b7dc52e702c"><xref id="x-d3a3bb97c567" rid="R248479631888558" ref-type="bibr">16</xref></bold>. DNA vaccines are referred to as third-generation vaccines due to their advantageous characteristics, including stability, simplicity, and speed in vaccine design, cost-effectiveness in production, and safety<bold id="s-f8c6218917f8"><xref id="x-639719427887" rid="R248479631888559" ref-type="bibr">17</xref></bold>. The vaccines mentioned above function through the direct administration of plasmid DNA that contains the genetic code for the desired antigen<bold id="s-5b7dee1f4a70"><xref id="x-7eb2db039155" rid="R248479631888560" ref-type="bibr">18</xref></bold>. This genetic material is subsequently produced within cells, triggering immunological responses. Mammalian expression systems are frequently utilized for DNA vaccines due to their ability to undergo post-translational modifications and efficiently process proteins, mimicking the conditions of the host organism<bold id="s-f06e7784ccc1"><xref id="x-3fedca7aec60" rid="R248479631888561" ref-type="bibr">19</xref></bold>. DNA vaccines for leptospirosis have developed extensively, notably pTarget/LipL32, which has demonstrated the ability to elicit humoral immune responses and recognize native<italic id="e-87a4a1eb53fe"> L. interrogans</italic> membrane proteins<bold id="s-fd7d2e13eadd"><xref id="x-868dc1f6aa11" rid="R248479631888557" ref-type="bibr">15</xref></bold>. Lately, there has been a discussion on how molecular adjuvants can enhance the effectiveness of vaccines. Studies have shown that adjuvants, including hGMCSF (human granulocyte-macrophage colony-stimulating factor), stimulate the innate immune system, guide cell mobility, and enhance the collaboration of immune cells in presenting antigens<bold id="s-1540e6bf2958"><xref id="x-08f0f759096f" rid="R248479631888562" ref-type="bibr">20</xref></bold>. DNA vaccines contain elements of these adjuvants. Multiple experiments have proven that molecular adjuvants can improve DNA vaccines' immunogenicity and stimulate cytokine production and antigen processing under specific conditions<bold id="s-f608260f03e7"><xref id="x-d93b76267555" rid="R248479631888563" ref-type="bibr">21</xref></bold>.</p>
      <p id="p-0f7138effd97">Therefore, in this investigation, we chose to utilize a mammalian expression system to express the LipL41 ORF of the <italic id="e-a348215f4562">Leptospira</italic> and the EGFP and hGMCSF. The recombinant DNA was introduced into Chinese Hamster Ovary (CHO) cells because of their widespread use in protein manufacturing, as they reliably replicate the desired quantities<bold id="s-27e8a235b107"><xref id="x-a90315bd22a2" rid="R248479631888564" ref-type="bibr">22</xref></bold>. The cells were transfected using Lipofectamine 2000 and calcium phosphate techniques, and the expression of the constructs containing the EGFP was verified using fluorescence microscopy. The immunological response to the recombinant DNA constructs was assessed by analyzing the production of cytokines and chemokines following transfection. Furthermore, protein-protein docking was conducted to determine the interaction between LipL41 and molecular adjuvants (hGMCSF, hIgGFC, and hC3d), demonstrating that hGMCSF is the most effective adjuvant for enhancing the vaccination potential of the peptide. Considering the data collected from the docking experiments and the expression data of hGMCSF in CHO cells, LipL41, when used as a heterologous DNA vaccine with hGMCSF, shows potential as a candidate for a leptospirosis vaccine. This work marks the beginning of developing second-generation leptospira vaccines that target many <italic id="e-6393d9a4f6e2">Leptospira</italic> serovars. This study further emphasizes the importance of investigating molecular adjuvants and DNA vaccine technologies and the integral role of the scientific community in creating necessary preventive methods against leptospirosis.</p>
    </sec>
    <sec>
      <title id="t-99dabfd9ea4e">Methods</title>
      <p id="p-7245a74b27d6"><italic id="e-6cc2160bbcdb">E. coli XL10</italic> was used to generate and transform all recombinant plasmids. The sequences of all cloned PCR-amplified products were confirmed by sequencing. Sambrook's protocols for cloning and isolating plasmid DNA were used<bold id="s-6690e7403b9d"><xref id="x-c59320c51ba5" rid="R248479631888565" ref-type="bibr">23</xref></bold>. Hi-Media Labs provided all the chemicals, reagents, and antibiotics (India). Thermo Fisher Scientific supplied molecular biology reagents, the pTZ57R/T vector, and restriction endonucleases (USA). E. coli XL10 were grown in LB buffer containing the requisite concentrations of antibiotics for selective growth (Sigma-Aldrich, USA). We utilized molecular-grade water (Hi-Media, India) and phosphate-buffered saline (PBS) for all cloning and cell culture procedures. The cell culture media, Roswell Park Memorial Institute (RPMI), along with 10% fetal bovine serum (FBS) and antibiotics, were procured from Hi-Media (India). Calcium phosphate was obtained from Sigma-Aldrich (USA) for experimental use. The National Centre for Cell Science (NCCS) provided the CHO cell line.</p>
      <sec>
        <title id="t-d18a92980382">Molecular Modeling and Docking</title>
        <p id="p-d1065393c15b">The sequence of LipL41 was retrieved from UniProt (www.uniprot.org) with the UniProt ID: Q33BM7, comprising 355 residues. A sequence similarity search for the target sequence was conducted using the Protein Data Bank on the BLAST server<bold id="s-ceb5dc9e3019"><xref id="x-e2981cc270c2" rid="R248479631888566" ref-type="bibr">24</xref></bold>. The Modeller software (version 9.9) was utilized to generate the structural model of the LipL41 protein<bold id="s-f485327c7514"><xref id="x-7fc15e52513c" rid="R248479631888567" ref-type="bibr">25</xref></bold>. Following prediction, the generated structure was saved in PDB format, and scores were calculated based on Discrete Optimized Protein Energy (DOPE)<bold id="s-8d273c7aea8f"><xref id="x-1c977d4e40eb" rid="R248479631888568" ref-type="bibr">26</xref></bold>. Standard programs evaluated the quality of the optimized model<bold id="s-f8e68b5af883"><xref rid="R248479631888569" ref-type="bibr">27</xref>, <xref rid="R248479631888570" ref-type="bibr">28</xref>, <xref rid="R248479631888571" ref-type="bibr">29</xref></bold>. The final optimized structural model and spiral model were used for further analysis. Three significant glycoproteins or molecular adjuvants (hC3d, GMCSF, and hIgGFC) were employed to evaluate the binding effectiveness of the LipL41 protein. ClusPro 2.0 was used to investigate the potency of LipL41's interactions with molecular adjuvants<bold id="s-06656780321e"><xref id="x-ed4e79fd328b" rid="R248479631888572" ref-type="bibr">30</xref></bold>.</p>
        <p id="p-e42caa3b692a">Construction of pTR-EGFP-LipL41 and pTR-EGFP-hGMCSF-LipL41 Plasmid</p>
        <p id="p-7aaefbaa2e31">The EGFP (Enhanced Green Fluorescent Protein) gene, generously provided by Dr. B. Ashok Kumar from Madurai Kamaraj University, India, was amplified from the pEGFP plasmid. Furthermore, the study utilized the hGMCSF (human Granulocyte-Macrophage Colony-Stimulating Factor) gene, which was graciously provided by Dr. Tracy Willson from The Walter and Eliza Hall Institute of Medical Research, Australia. The transcription of these two genes (EGFP and hGMCSF) was achieved by using pairs of gene-specific primers flanked by a recognition sequence for a restriction enzyme, together with normal PCR conditions. Following electrophoresis on a 0.8% agarose gel, the PCR products underwent purification before being ligated into the pTZ57R/T vector. The resulting ligation mixture was then introduced into <italic id="e-147c67c645f5">E. coli </italic>XL10 competent cells. Subsequently, colony PCR was employed to verify the identity of the selected recombinant colonies.</p>
        <p id="p-2d51ec200626">The recombinant DNA was processed using restriction enzyme-bounded primers, and the 1% agarose gel electrophoresis revealed 1056 bp of <italic id="e-4725ce8353b6">LipL41</italic>, 717 bp of <italic id="e-577910ef4e07">EGFP</italic>, and 453 bp of the <italic id="e-102b4a89463f">hGMCSF</italic> gene release. The recombinant clones (pTZ-<italic id="e-5d2c246dd930">LipL41</italic>, <italic id="e-adbf66c3b2b0">pTZ-EGFP</italic>, and <italic id="e-68706a332323">pTZ-hGMCSF</italic>) were sub-cloned into the pTR600 mammalian expression vector (a kind gift from Dr. Ted Ross, University of Pittsburgh, USA), which was constructed to carry the cytomegalovirus (CMV). The recombinant DNA constructs were named pTR-EGFP-LipL41 and pTR-EGFP-hGMCSF-LipL41. Finally, the recombinant plasmids were extracted using the alkaline lysis method and were purified with a 30 mM concentration of MgCl<sub id="s-ddadc0141eaa">2</sub> and different concentrations of polyethylene glycol (PEG) 40% and PEG 6000. Afterwards, the purified plasmids were dissolved using molecular-grade water. Finally, the recombinant plasmids were transfected into the CHO cell line for EGFP expression.</p>
      </sec>
      <sec>
        <title id="t-6a46a25aeab4">Cell Viability</title>
        <p id="p-0ae6e6a1627f">The CHO cell line was cultured in RPMI medium and seeded into cell culture flasks. These flasks were then placed in an incubator set at 37°C with a 5% CO<sub id="s-6654fa3daf2e">2</sub> atmosphere for 12 hours. Following incubation, adherent cells were observed using an inverted microscope. Subsequently, the adherent cells were rinsed with 1% trypsin solution and centrifuged at 600 rpm for 5 minutes. The Trypan Blue dye exclusion test determines the number of viable cells in a cell suspension. The cells were counted using a hemocytometer under the light microscope (100X). The following equation determined the number of viable cells: percentage of viable cells (cells/ml) = (average number of cells in 4 quadrants) x dilution factor for the size of the quadrant (<italic id="e-3e8db335fa4f">i.e</italic>., 10,000) x dilution factor for the addition of trypan blue. Finally, 5 x 10<sup id="s-3b19d29b8b19">5</sup> cells per well were added into 6-well plates (35 mm<sup id="s-622df4640825">2</sup>). The total number of cells within the flask was determined using the following equation: Total cells in the flask = cells/ml x mL.</p>
      </sec>
      <sec>
        <title id="t-76350427c3e4">Lipofectamine-Mediated Transient EGFP Expression</title>
        <p id="p-b5bd2d1aa758">The recombinant DNA constructs <italic id="e-df8d07c3d382">pTR-EGFP-LipL41</italic> and <italic id="e-f23811580b69">pTR-EGFP-hGMCSF-LipL41</italic> were introduced into the CHO cell line through transfection. The CHO cell lines were cultured in RPMI media, both complete and incomplete, supplemented with 10% FBS and a penicillin-streptomycin antibiotic solution (Hi-Media, India). The cell cultures were maintained at 37°C in a humidified atmosphere with 5% CO<sub id="s-642f7bdf975e">2</sub> concentration.</p>
      </sec>
      <sec>
        <title id="t-e87d2ee59665"><italic id="e-5c305e7244cd">In Vitro</italic> DNA Transfection in CHO Cell Line</title>
        <p id="p-d044b1686b6f">The CHO cells were cultured by seeding 5 x 10<sup id="s-ff6acb3ed44d">5</sup> cells into 6-well plates (35 mm<sup id="s-b00931cb571c">2</sup>), and the plates were incubated at 37°C and 5% CO<sub id="s-b50df31535a5">2</sub> overnight. The CHO cells were transfected with DNA constructs <italic id="e-946ead14d2c1">pTR600</italic>, <italic id="e-6adc7fb9381a">pTR-EGFP-LipL41</italic>, and <italic id="e-f8cf64af0744">pTR-EGFP-hGMCSF-LipL41</italic> using Lipofectamine™ 2000. Briefly, the supernatant 10-15 µL with five µg of plasmid DNA was mixed with RPMI media (Tube A). Tube marked as B has 5μL of Lipofectamine™ 2000 reagent. The contents of tubes A &amp; B were mixed and kept at 37°C for 30 minutes. Subsequently, 1.5 mL of reduced serum media was added to each well, and the master mix (~400μL) was added to each well of 6-well plates (35 mm<sup id="s-4a2be0b1810f">2</sup>). The plates were incubated for 72 hours, performed in triplicate, and repeated twice.</p>
      </sec>
      <sec>
        <title id="t-9c2325d17da8">Cytotoxicity Assay</title>
        <p id="p-bb02f02cccbf">The cytotoxicity assay was employed on <italic id="e-8b4e4679b555">pTR-EGFP-LipL41</italic> and <italic id="e-254479c04a0e">pTR-EGFP-hGMCSF-LipL41</italic>. In summary, CHO cells (5 x 10<sup id="s-749354d433a9">5</sup>) were subjected to treatment with Lipofectamine 2000 at concentrations of 2.5, 5, 7.5, and 10, and then incubated in the dark for 12 hours. Tests were run in triplicates, and sample sizes (positive and negative controls) were developed. The positive control wells contained Lipofectamine transfect plasmid DNA (<italic id="e-702353e4d4e8">pTR-EGFP-LipL41</italic> and <italic id="e-4c9df1087c74">pTR-EGFP-hGMCSF-LipL41</italic>), while the negative control wells contained the same number of CHO cells and the pTR600 vector without EGFP. The mixture was incubated for hours at 37°C in a CO<sub id="s-f40b595b77ce">2</sub> incubator with a CO<sub id="s-9ff128f652a5">2</sub> concentration of 5%. The RPMI growth medium was withdrawn after incubation, and 100 mL of growth medium was added with various doses of plasmid <italic id="e-0c70a1d0400d">DNA pTR-EGFP-LipL41</italic> and <italic id="e-be8d42ce8ba8">pTR-EGFP-hGMCSF-LipL41</italic> (1-10 mg/mL) and maintained for 12 hours at 37°C in a humidified incubator with 5% CO<sub id="s-a1a6699005bf">2</sub>. After incubation, the culture media was withdrawn correctly, and 150 μL of MTT was added to each well. MTT cultures were maintained for 3 hours at 37°C in a humidified incubator with a CO<sub id="s-e19e908223a8">2</sub> concentration of 5%. The proportion of viable cells was calculated using the formula: % viability of cells = (OD of test / OD of control) x 100.</p>
      </sec>
      <sec>
        <title id="t-9a19205da6a7">Fluorescent Microscopic Analysis</title>
        <p id="p-72f57ab1efd6">Transfected CHO cells were washed with phosphate-buffered saline (PBS). Washed cells were carefully placed on a glass slide, and the periphery was sealed with nail paint. Mounted slides were observed under the fluorescence microscope. Protein expression (GFP tagged) was checked by fluorescent and confocal microscopy.</p>
      </sec>
      <sec>
        <title id="t-07ddfa3e6ce8">Real-Time PCR</title>
        <p id="p-b6f02801c961">The <italic id="e-7316c6eb2ca9">pTR-EGFP-LipL41</italic> and <italic id="e-6ceaff459ea4">pTR-EGFP-hGMCSF-LipL41</italic> were transfected into the CHO cell line using Lipofectamine™ 2000. The cells that received the genetic material were cultured for 24 hours at a temperature of 37°C in a CO<sub id="s-d9287551368f">2</sub> incubator with a CO<sub id="s-516f925ba475">2</sub> concentration of 5%. After incubation, RNA isolation was carried out using the Hi-PurA™ Total RNA Miniprep Purification Kit, and cDNA was synthesized using the RevertAid First Strand cDNA Synthesis Kit (Thermo Scientific, USA). A Nanodrop analyzer checked the concentration of cDNA. The 100 ng of cDNA was used to study cytokine and chemokine expression using specific primers. The samples underwent amplification using 20 µL of cDNA, including forward and reverse primers, along with 1X SYBR Green I Master mix (Roche) and molecular-grade water. The PCR cycle consisted of denaturation at 25°C for 10 minutes, annealing at 42°C for 30 minutes, and extension at 85°C for 5 minutes. Details of the RT-PCR primers are provided in <bold id="s-f549b0a66194"><xref id="x-129f2ff6d4c7" rid="tw-38c1892d3e4e" ref-type="table">Table 1</xref></bold>.</p>
        <p id="p-29e0d9b1e1b9"/>
        <table-wrap id="tw-38c1892d3e4e" orientation="portrait">
          <label>Table 1</label>
          <caption id="c-535e4515005e">
            <title id="t-7b32f64fbcf3">
              <bold id="s-7a3d9150d5df">RT-PCR primers used in this study</bold>
            </title>
          </caption>
          <table id="table-1" rules="rows">
            <colgroup>
              <col width="17.7"/>
              <col width="42.379999999999995"/>
              <col width="39.92"/>
            </colgroup>
            <tbody id="table-section-1">
              <tr id="table-row-1">
                <td id="table-cell-1" align="left">
                  <p>
                    <bold>
                      <p id="p-49a22ed90636">Cytokines  </p>
                    </bold>
                  </p>
                </td>
                <td id="table-cell-2" align="left">
                  <p>
                    <bold>
                      <p id="p-158940c586c1">Forward Primer (5’ – 3’)  </p>
                    </bold>
                  </p>
                </td>
                <td id="table-cell-3" align="left">
                  <p>
                    <bold>
                      <p id="p-61bddaddba0d">Reverse Primer (5’ – 3’)  </p>
                    </bold>
                  </p>
                </td>
              </tr>
              <tr id="table-row-2">
                <td id="table-cell-4" align="left">
                  <p>
                    <italic>
                      <p id="p-097ca55041e7">IL-2</p>
                    </italic>
                  </p>
                </td>
                <td id="table-cell-5" align="left">
                  <p id="p-dd0dbcf937dc">AATTCGGTACATCCTCACGG</p>
                </td>
                <td id="table-cell-6" align="left">
                  <p id="p-a7630bf9a5f2">GGTTGTTTTCTGCCAGTGCC</p>
                </td>
              </tr>
              <tr id="table-row-3">
                <td id="table-cell-7" align="left">
                  <p>
                    <italic>
                      <p id="p-b36d598f23ac">IL-6 </p>
                    </italic>
                  </p>
                </td>
                <td id="table-cell-8" align="left">
                  <p id="p-126e300c4882">AATTCGGTACATCCTCGACGG </p>
                </td>
                <td id="table-cell-9" align="left">
                  <p id="p-8131d6136f04">GGTTGTTTTCTGCCAGTGCC </p>
                </td>
              </tr>
              <tr id="table-row-4">
                <td id="table-cell-10" align="left">
                  <p>
                    <italic>
                      <p id="p-f0558cc92a46">IL-8 </p>
                    </italic>
                  </p>
                </td>
                <td id="table-cell-11" align="left">
                  <p id="p-8bc827924d56">GACCACACTGCGCCAACAC </p>
                </td>
                <td id="table-cell-12" align="left">
                  <p id="paragraph-12">CTTCTCCACAACCCTCTGCAC </p>
                </td>
              </tr>
              <tr id="table-row-5">
                <td id="table-cell-13" align="left">
                  <p>
                    <italic>
                      <p id="p-2758b159fa7c">IL-10 </p>
                    </italic>
                  </p>
                </td>
                <td id="table-cell-14" align="left">
                  <p id="paragraph-14">GGTTGCCAAGCCTTGTCTGA </p>
                </td>
                <td id="table-cell-15" align="left">
                  <p id="paragraph-15">AGGGAGTTCACATGCGCCT </p>
                </td>
              </tr>
              <tr id="table-row-6">
                <td id="table-cell-16" align="left">
                  <p>
                    <italic>
                      <p id="p-c3ed36b9cd8d">TNF α </p>
                    </italic>
                  </p>
                </td>
                <td id="table-cell-17" align="left">
                  <p id="paragraph-17">GGAGAAGGGTGACCGACTCA </p>
                </td>
                <td id="table-cell-18" align="left">
                  <p id="paragraph-18">CTGCCCAGACTCGGCAA </p>
                </td>
              </tr>
              <tr id="table-row-7">
                <td id="table-cell-19" align="left">
                  <p>
                    <italic>
                      <p id="p-7510464ab140">IFN γ </p>
                    </italic>
                  </p>
                </td>
                <td id="table-cell-20" align="left">
                  <p id="paragraph-20">AGCTCTGCATCGTTTTGGGT </p>
                </td>
                <td id="table-cell-21" align="left">
                  <p id="paragraph-21">CGCTTCCCTGTTTTAGCTGC </p>
                </td>
              </tr>
              <tr id="table-row-8">
                <td id="table-cell-22" align="left">
                  <p>
                    <italic>
                      <p id="p-d82fcf50aa9b">CXCL11</p>
                    </italic>
                  </p>
                </td>
                <td id="table-cell-23" align="left">
                  <p id="paragraph-23">CCTTGGCTGTGATATTGTGTGCTA</p>
                </td>
                <td id="table-cell-24" align="left">
                  <p id="paragraph-24">CCTATGCAAAGACTGCGTCCTC</p>
                </td>
              </tr>
              <tr id="table-row-9">
                <td id="table-cell-25" align="left">
                  <p>
                    <italic>
                      <p id="paragraph-25">CCL17</p>
                    </italic>
                  </p>
                </td>
                <td id="table-cell-26" align="left">
                  <p id="paragraph-26">TGAGGACGCTCCAGGGATG</p>
                </td>
                <td id="table-cell-27" align="left">
                  <p id="paragraph-27">AACGGTGGACGTCCCAGGTA</p>
                </td>
              </tr>
              <tr id="table-row-10">
                <td id="table-cell-28" align="left">
                  <p>
                    <italic>
                      <p id="paragraph-28">β- ACTIN </p>
                    </italic>
                  </p>
                </td>
                <td id="table-cell-29" align="left">
                  <p id="paragraph-29">TCACCCACACTGTGCCCATCTACG </p>
                </td>
                <td id="table-cell-30" align="left">
                  <p id="paragraph-30">CAGCGGAACCGCTCATTGCCAATG </p>
                </td>
              </tr>
            </tbody>
          </table>
        </table-wrap>
        <p id="p-04ffa6aa2573"/>
        <p id="p-d3809a9c26be"/>
        <table-wrap id="tw-6fe6628b28bb" orientation="portrait">
          <label>Table 2</label>
          <caption id="c-d2c88fc9cb7c">
            <title id="t-560f91c3a313">
              <bold id="s-90c78afe5a83">Protein-Protein docking of LipL42 against three Molecular Adjuvants</bold>
            </title>
          </caption>
          <table id="t-8f2af6a76e56" rules="rows">
            <colgroup>
              <col width="15.11"/>
              <col width="16.89"/>
              <col width="16"/>
              <col width="16"/>
              <col width="16"/>
              <col width="20"/>
            </colgroup>
            <tbody id="ts-ddfe00035693">
              <tr id="tr-eec28df4ad42">
                <td id="tc-d24af972ab8f" align="left">
                  <p>
                    <bold>
                      <p id="p-01313b859050">Protein 1</p>
                    </bold>
                  </p>
                </td>
                <td id="tc-603d09d03b73" align="center">
                  <p>
                    <bold>
                      <p id="p-e9a3ca1084bd">Protein 2</p>
                    </bold>
                  </p>
                </td>
                <td id="tc-853626bda554" align="center">
                  <p>
                    <bold>
                      <p id="p-4c37cee2c158">PDB ID of Protein 2</p>
                    </bold>
                  </p>
                </td>
                <td id="tc-c74c04cfdd8e" align="center">
                  <p>
                    <bold>
                      <p id="p-c2e25a7e6611">Resolution (Å)</p>
                    </bold>
                  </p>
                </td>
                <td id="tc-761a6d9f8ce8" align="center">
                  <p>
                    <bold>
                      <p id="p-4f2a368f764e">Interaction Energy (Kcal/mol)</p>
                    </bold>
                  </p>
                </td>
                <td id="tc-25e9200bd953" align="center">
                  <p>
                    <bold>
                      <p id="p-4a9773fd90a2">Number of Hydrogen Bonds</p>
                    </bold>
                  </p>
                </td>
              </tr>
              <tr id="tr-a0deeed818b9">
                <td id="tc-737a491ea349" rowspan="3" align="left">
                  <p id="p-f14ad15745f8">LipL42 (Theoretical model)</p>
                </td>
                <td id="tc-32ffbe5187de" align="center">
                  <p id="p-5b57ae9420b6">hGMCSF</p>
                </td>
                <td id="tc-26f92ca6217c" align="center">
                  <p id="p-c4e30694bd3d">2GMF_A</p>
                </td>
                <td id="tc-af304dd80b97" align="center">
                  <p id="p-b917bd7afdd6">2.4</p>
                </td>
                <td id="tc-750f86bd81df" align="center">
                  <p id="p-07bcd40dd2a5">-594.9</p>
                </td>
                <td id="tc-76ea028bb7e5" align="center">
                  <p id="p-50da00ed8c73">246</p>
                </td>
              </tr>
              <tr id="tr-cec4557eea9d">
                <td id="tc-140ce825089f" align="center">
                  <p id="p-4f4e6a997768">hC3D</p>
                </td>
                <td id="tc-9c41fd694eac" align="center">
                  <p id="p-d0724a8fec4e">1C3D_A</p>
                </td>
                <td id="tc-2dbb1915bad4" align="center">
                  <p id="p-c4a3667806eb">1.8</p>
                </td>
                <td id="tc-b5306c978be8" align="center">
                  <p id="p-80671bd01fdc">-555.9</p>
                </td>
                <td id="tc-3e86b2fbe898" align="center">
                  <p id="p-62531987df9b">198</p>
                </td>
              </tr>
              <tr id="tr-9b11e135c017">
                <td id="tc-c202e40bf32b" align="center">
                  <p id="p-c6ff7dda93bc">MCO</p>
                </td>
                <td id="tc-2241fb817cde" align="center">
                  <p id="p-811515d3521a">Model</p>
                </td>
                <td id="tc-989637dedba9" align="center">
                  <p id="p-25ad5fc5ed1e">Nil</p>
                </td>
                <td id="tc-7cfbbb2dcb59" align="center">
                  <p id="p-1f410b974d86">-428.7</p>
                </td>
                <td id="tc-18a307fdc06f" align="center">
                  <p id="p-c5a4f39a5a0c">150</p>
                </td>
              </tr>
            </tbody>
          </table>
        </table-wrap>
        <p id="p-b1f7aa53caf0"/>
        <p id="p-cb65a159f52d"/>
        <fig id="f-29e7d41b695c" orientation="portrait" fig-type="graphic" position="anchor">
          <label>Figure 1 </label>
          <caption id="c-47664387902e">
            <title id="t-a111961c6d56"><bold id="s-aeab37e03f3e">Confirmation of pTR-EGFP-LipL41 clone by Restriction Digestion</bold>. <bold id="s-a242746a5b59">Lane 1</bold>: pTR-EGFP-LipL41 uncut;<bold id="s-91b4fbd6e1e1"> Lane 2</bold>: pTR-EGFP-LipL41 digested with<italic id="e-f1def7f0e92b"> Bam</italic>HI and <italic id="e-dd0d3673219e">Xho</italic>I; <bold id="s-64f2fd529bc3">Lane 3</bold>: Gene ruler (100-bp to 10-kb); <bold id="s-c2daa5b952cb">Lane 4</bold>: pTR-EGFP-LipL41 uncut; <bold id="s-a5d01f9229cf">Lane 5</bold>: pTR-EGFP-LipL41 digested with <italic id="e-35ac3d2aa8d4">Bam</italic>HI and <italic id="e-b98f006a5fdc">Xho</italic>I.</title>
          </caption>
          <graphic id="g-b1bfb443fae4" xlink:href="https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/3e5ef179-3f34-4797-8ef9-bb0a30c576f3/image/d64131c3-78a1-42f1-a7ae-e7aaba5a43e1-u131-1709188805-1-figure_1.jpg"/>
        </fig>
        <p id="p-5110ec954091"/>
        <p id="p-a05d88ec353d"/>
        <fig id="f-2ed56186c31b" orientation="portrait" fig-type="graphic" position="anchor">
          <label>Figure 2 </label>
          <caption id="c-5e458812ab95">
            <title id="t-fd8c0bc77674"><bold id="s-35fbab50e6b7">Confirmation of pTR-EGFP-hGMCSF-LipL41 clone by Restriction Digestion</bold>. <bold id="s-8d53531363d9">Lane1</bold>: Gene Rular size 0.5-kb to 10-kb; <bold id="s-0de0cf6916a6">Lane 2</bold>: pTR-EGFP-hGMCSF-LipL41 uncut; <bold id="s-24de39daf39c">Lane 3&amp;4</bold>: pTR-EGFP-hGMCSF-LipL41 digested with <italic id="e-941bb9ad0572">Bam</italic>HI &amp; <italic id="e-f0f133c78369">Xho</italic>I.</title>
          </caption>
          <graphic id="g-a80022470955" xlink:href="https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/3e5ef179-3f34-4797-8ef9-bb0a30c576f3/image/4b173aaa-f082-4ad1-b61a-69d12aff3870-u131-1709188805-2-figure_2.jpg"/>
        </fig>
        <p id="p-8b9c1ee1b410"/>
        <p id="p-652c0cc7b226"/>
        <fig id="f-3d9ef81a51bc" orientation="portrait" fig-type="graphic" position="anchor">
          <label>Figure 3 </label>
          <caption id="c-2d8dae5aef20">
            <title id="t-cc56a7275fea"><bold id="s-6077d1323803">MTT assay of pTR-EGFP-LipL41, pTR-EGFP-hGMCSF-LipL41 on CHO cell line</bold>. Percentage of cell viability of CHO cells (𝑋-axis) and different concentration of Lipofectamine 2000 (𝑌-axis); Each value was expressed in mean ± SD of three replicates. </title>
          </caption>
          <graphic id="g-38246b59b1ba" xlink:href="https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/3e5ef179-3f34-4797-8ef9-bb0a30c576f3/image/1dd7ad32-006c-49f4-910a-2c1a556c5c2f-u131-1709188805-3-figure_3.jpg"/>
        </fig>
        <p id="p-b1d11b2650ba"/>
        <p id="p-52060c2f6a96"/>
        <fig id="f-655afb76998f" orientation="portrait" fig-type="graphic" position="anchor">
          <label>Figure 4 </label>
          <caption id="c-49b343a3dddf">
            <title id="t-cfea8b764325"><italic id="e-4f2bea44d7e5">In vitro</italic> gene expression of DNA constructs in different time intervals of CHO cell line by fluorescence microscope (<bold id="s-0f470fcbad29">A</bold>) pTR600 (<bold id="s-30fc0c821322">B</bold>) pTR-EGFP-LipL41 (<bold id="s-72d63be34d59">C</bold>) pTR-EGFP-hGMCSF-LipL41 in 24 hours-time interval (<bold id="s-a01692de31ee">D</bold>) pTR600 (<bold id="s-493f299cdb1c">E</bold>) pTR-EGFP-LipL41 (<bold id="s-7ce12065e0aa">F</bold>) pTR-EGFP-hGMCSF-LipL41 in 48 hours-time intervals.</title>
          </caption>
          <graphic id="g-8a03892aef57" xlink:href="https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/3e5ef179-3f34-4797-8ef9-bb0a30c576f3/image/58f3d24d-97b9-423f-8d13-020843f7d418-u131-1709188805-4-figure_4.jpg"/>
        </fig>
        <p id="p-f3fa98afbdc4"/>
        <p id="p-3e1559ab5ebd"/>
        <fig id="f-86e657cfffb6" orientation="portrait" fig-type="graphic" position="anchor">
          <label>Figure 5 </label>
          <caption id="c-16a037cd2802">
            <title id="t-4e912e0b916c"><bold id="s-e1ed7826250f">The relative expression level of cytokines and chemokines in transfected CHO cells with EGFP-LipL41 and EGFP-hGMCSF-LipL41</bold>. The graph represents differential cytokine and chemokines expression profiling in the unstimulated (control), EGFP-LipL41, EGFP-hGMCSF-LipL41, and PMA stimulated CHO Cell line.</title>
          </caption>
          <graphic id="g-0881c5077f35" xlink:href="https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/3e5ef179-3f34-4797-8ef9-bb0a30c576f3/image/610b4267-0bea-4867-92a5-f8ee254263bd-u131-1709188805-5-figure_5.jpg"/>
        </fig>
        <p id="p-b3d94d8a6d74"/>
        <p id="p-2e10a727e16b"/>
      </sec>
    </sec>
    <sec>
      <title id="t-1c18772b8b4a">Results</title>
      <sec>
        <title id="t-aeb09e539cba">Molecular Modelling and Molecular Docking</title>
        <p id="p-5c90a83d441b">The intricate configuration was produced by employing ClusPro software to dock LipL41 with three cytokines<bold id="s-c026b412c42b"><xref id="x-8719721b602e" rid="R248479631888572" ref-type="bibr">30</xref></bold>. The output generated by ClusPro resulted in the identification of the ten most highly ranked docked structures, which were sorted based on their respective binding energies. The conformation with the least binding energy was selected for further analysis through docking, as indicated in <bold id="s-1f5e58474739"><xref id="x-5550c7d53a3a" rid="tw-6fe6628b28bb" ref-type="table">Table 2</xref></bold>. The docking outcomes indicate that LipL41 exhibits superior interaction with hGMCSF, as evidenced by the interaction energy of -594.9 Kcal/mol and the formation of 246 hydrogen bonds. The hC3d-LipL41 complex demonstrates an interaction energy of -555.9 Kcal/mol and is distinguished by the creation of 198 hydrogen bonds. In contrast, the hIgGFC-LipL41 complex (MCO) displays an interaction energy of -428.7 Kcal/mol and involves the formation of 150 hydrogen bonds. Upon assessment of the binding energies of the three complexes, it was observed that the GMCSF-LipL41 complex exhibited the lowest binding energy. This finding suggests that the complex in question possesses greater binding efficacy.</p>
      </sec>
      <sec>
        <title id="t-1af78e315484">Construction of Mammalian Expression Plasmid pTR-EGFP-LipL41</title>
        <p id="p-d3ef8226800c">The pTZ-LipL41 and pTR-EGFP DNA samples were subjected to restriction digestion using BamHI and XhoI enzymes. The resulting DNA fragments were then examined using 0.8% agarose gel electrophoresis. The digested fragments of pTZ-LipL41 (1065-bp), EGFP (717-bp), and pTR (3.8-kb) were purified by extracting them from the agarose gel, and then a ligation reaction was carried out for the fragments overnight. The ligation mixture was introduced into competent E. coli XL10 cells through transformation, and the resulting transformed colonies were examined for positive clones using colony PCR. The plasmid was extracted from the colony of the positive patch using the alkaline lysis technique, and the clones were verified using restriction digestion analysis with HindIII and XhoI enzymes. The LipL41 and EGFP (1.8-kb) genes were released (<bold id="s-b80680d5f3e6"><xref id="x-995ada264ebe" rid="f-29e7d41b695c" ref-type="fig">Figure 1</xref></bold>). The pTR-EGFP-LipL41 plasmids were sequenced and associated with the original LipL41 EGFP sequences. Basic Local Sequence Alignment (BLAST) analysis showed the recombinant clones were 100% identical to the original sequences.</p>
      </sec>
      <sec>
        <title id="t-19c94c1a7f98">Construction of Mammalian Expression Plasmid pTR-EGFP-hGMCSF-LipL41</title>
        <p id="p-2b28cfbae340">The pTR-EGFP-LipL41 and hGMCSF DNA samples were subjected to restriction digestion using BamHI and XhoI enzymes. The resulting digested DNA fragments were then examined using 0.8% agarose gel electrophoresis. The product resulting from the digestion of pTR-EGFP-LipL41 (1.8-kb) and hGMCSF (453-bp) using restriction enzymes was purified by extracting it from the agarose gel. Subsequently, an overnight ligation reaction was carried out. The ligation mixture was introduced into competent E. coli XL10 cells, and the resulting transformed cells were examined for positive clones by colony PCR. The plasmid was extracted from the colony of the positive patch, and the clones were verified by restriction digestion analysis using NheI and StuI enzymes. A release of EGFP-hGMCSF-LipL41 (2-kb) was observed (<bold id="s-c7d4460d799b"><xref id="x-b7aa29a67b07" rid="f-2ed56186c31b" ref-type="fig">Figure 2</xref></bold>). The pTR-EGFP-hGMCSF-LipL41 plasmids were sequenced and associated with the original LipL41, EGFP, and hGMCSF sequences. The BLAST analysis showed the recombinant clones were 100% identical to the original sequences.</p>
      </sec>
      <sec>
        <title id="t-441c0275ec6d">Estimation of Cytotoxic Effects of pTR-EGFP-LipL41 and pTR-EGFP-hGMCSF-LipL41 of Recombinant DNA Constructs</title>
        <p id="p-c9b706020705">In this study, we examined the cytotoxic effects of pTR-EGFP-LipL41, pTR-EGFP-hGMCSF-LipL41, and recombinant DNA constructs on the CHO cell line. CHO cells were seeded into 96-well plates and exposed to varying concentrations (ranging from 2.5 to 10 μg/mL) of Lipofectamine. Analysis using the MTT cell viability assay unveiled a dose-dependent trend of cytotoxicity, as illustrated in Figure 3. Additionally, cell viability was assessed. With the 5 μg/mL concentration of Lipofectamine 2000, approximately 90% of cell viability was observed (<bold id="s-371da454eb1c"><xref id="x-a1c4f99747f8" rid="f-3d9ef81a51bc" ref-type="fig">Figure 3</xref></bold>).</p>
      </sec>
      <sec>
        <title id="t-3c95dd94301b">In Vitro Transfection of Plasmid DNA into CHO Cell Line</title>
        <p id="p-5e1cb55a09f2">The effectiveness of the engineered recombinant DNA complexes in expressing EGFP in the eukaryotic (CHO cell line) system was evaluated by introducing plasmid DNA of pTR600, pTR-EGFP-LipL41, and pTR-EGFP-hGMCSF-LipL41 through transfection. The results were compared with the negative control, pTR600. Fluorescent microscope analysis was conducted 24 and 48 hours after transfection of pTR600, pTR-EGFP-LipL41, and pTR-EGFP-hGMCSF-LipL41 to observe EGFP expression. The results may be seen in <bold id="s-a7b7f53f11ac"><xref id="x-7876f84d875f" rid="f-655afb76998f" ref-type="fig">Figure 4</xref></bold>.</p>
      </sec>
      <sec>
        <title id="t-babc796d8b34">Quantification of Cytokine and Chemokine</title>
        <p id="p-ad8514c029a3">The CHO cells were genetically modified with pTR-EGFP-LipL41 and pTR-EGFP-hGMCSF-LipL41 and then induced with Phorbol 12-myristate 13-acetate (PMA) to produce cytokines and chemokines. Cells were collected following 24 hours of incubation, RNA was isolated, and cDNA was generated using a reverse transcriptase enzyme. An equivalent concentration of the cDNA template was employed to examine the differential cytokine and chemokine production. The cytokines IL-2, IL-6, IL-8, IL-10, IFNγ, TNF-α, and the chemokines CXCL 11 and CCL17 were all subjected to divergent cytokine profiling. Real-time quantitative PCR was conducted utilizing the ABI 7000 Real-Time PCR instrument from Conquer Scientific. β-actin served as an internal control for normalization of the values. The expression of IL-2, IL-6, IL-8, IL-10, IFNγ, CXCL 11, and CCL17 was assessed for both EGFP-LipL41 and EGFP-hGMCSF-LipL41 constructs. Notably, no significant fold change in the expression of TNF-α was observed, as depicted in <bold id="s-53b7fda5e82f"><xref id="x-f32f18b962c3" rid="f-86e657cfffb6" ref-type="fig">Figure 5</xref></bold>.</p>
      </sec>
    </sec>
    <sec>
      <title id="t-43054aee7bcd">Discussion</title>
      <p id="p-b3652134c46e">This study showcases the successful transfection of CHO cell lines with pTR-EGFP-LipL41 and pTR-EGFP-hGMCSF-LipL41 recombinant plasmids. This achievement underscores the potential of recombinant DNA vaccines in the fight against Leptospira infections. LipL41, an outer membrane protein of Leptospira, is a well-studied target antigen for vaccine development due to its strong immunological characteristics<bold id="s-121e89c33bc6"><xref id="x-b6cfe25833aa" rid="R248479631888557" ref-type="bibr">15</xref></bold>. The addition of the hGMCSF gene, a potent immunomodulator, further enhances the immune response by stimulating cytokine production and activating the immune defense to a highly protective level<bold id="s-a6ecc40f0a0f"><xref id="x-c3c84710a049" rid="R248479631888573" ref-type="bibr">31</xref></bold>.</p>
      <p id="p-24e3d77282e7">As previously explained, the successful transfer of genes to the CHO cell line was verified by observing the expression of EGFP using recombinant DNA constructs. Fluorescence microscopy revealed a high percentage of transfection effectiveness, with EGFP localized in the nucleus of the transfected CHO cells. This finding aligns with the conclusions of other researchers who have previously utilized EGFP as a marker to assess the effectiveness of transfection and gene expression in mammalian cells<bold id="s-e8a9d7d3c044"><xref rid="R248479631888574" ref-type="bibr">32</xref>, <xref rid="R248479631888575" ref-type="bibr">33</xref></bold>.</p>
      <p id="p-d79b79baf3e1">Our work also attempted to estimate the mRNA levels of cytokines after introducing pTR-EGFP-LipL41 and pTR-EGFP-hGMCSF-LipL41 into CHO cell lines through transfection, facilitating comprehension of the connections between cytokines and the immune response, specifically in the context of resolving infections, particularly microbial disorders such as leptospirosis. The current study has identified an elevation in cytokines, specifically IL-2, IL-6, IL-8, IL-10, and IFNγ. Additionally, chemokines such as CXCL11 and CCL17 have also shown an increase. This study suggests that the observed recombinant DNA constructions induce both an inflammatory response and a slowing of inflammation, resulting in a balanced immune response. Nevertheless, the potential rise in cholesteryl ester content caused by ADCs may lead to decreased TNF-α levels. This decrease in TNF-α levels may indicate an anti-inflammatory effect, which might help mitigate the down-regulation and tissue damage often due to this process<bold id="s-a1872bb5462e"><xref rid="R248479631888576" ref-type="bibr">34</xref>, <xref rid="R248479631888577" ref-type="bibr">35</xref>, <xref rid="R248479631888578" ref-type="bibr">36</xref></bold>.</p>
      <p id="p-9146c547fa18">IL-2 and IFNγ, two cytokines, exhibit the most significant increases. These cytokines are highly effective in enhancing the body's protective immune response against microbial diseases<bold id="s-6ddbd89f9ceb"><xref rid="R248479631888579" ref-type="bibr">37</xref>, <xref rid="R248479631888580" ref-type="bibr">38</xref></bold>. IL-2 promotes the survival, development, and proliferation of lymphoid progenitor cells, while IFNγ boosts the activity of macrophages and improves antigen presentation by increasing the expression of MHC class I and II molecules<bold id="s-d74ef421dca1"><xref id="x-268b231923bf" rid="R248479631888581" ref-type="bibr">39</xref></bold>. The upregulation of these cytokines suggests that the use of recombinant DNA constructions could be highly beneficial in inducing a robust immune response, particularly in the context of vaccinations. Moreover, the elevated level of IL-8, a type of chemokine known for its ability to attract neutrophils, can enhance the recruitment of immune cells to the site of infection and bolster the body's ability to eradicate the pathogen<bold id="s-0f8a6aa023a8"><xref id="x-0755c04187d5" rid="R248479631888582" ref-type="bibr">40</xref></bold>. The increase in the IL-10/IL-6 ratio and the potent anti-inflammatory cytokine IL-10 production support the idea of a shifting immune response towards a balanced state. This is because IL-10 can help control inflammation and prevent tissue damage during the infection<bold id="s-d6c82214728c"><xref id="x-ef788eb2d120" rid="R248479631888583" ref-type="bibr">41</xref></bold>. Remarkably, the outcome demonstrates a reduction in TNF-α levels, suggesting the presence of an anti-inflammatory impact. While TNF-α is a potent pro-inflammatory cytokine that is involved in initiating immune responses and is known for its diverse functions, excessive release of TNF-α can lead to severe inflammation and tissue damage<bold id="s-91c796661139"><xref id="x-6b6b93a8e4b8" rid="R248479631888545" ref-type="bibr">3</xref></bold>. The reduction in TNF-α levels may also indicate that the recombinant DNA constructs can mitigate excessive inflammation without affecting the immune response.</p>
    </sec>
    <sec>
      <title id="t-0ff2258d5635">CONCLUSION</title>
      <p id="p-b45b525a60a5">In conclusion, the findings of this study provide valuable insights into the potential of LipL41 and hGMCSF as promising targets for DNA vaccine development against leptospirosis. The transfection of CHO cell lines with recombinant DNA constructs demonstrated efficient gene expression and cytokine production, which are critical for eliciting a strong and balanced immune response. Further research is needed to evaluate the in vivo efficacy of these constructs and their potential for use in vaccine development. Additionally, optimizing the delivery methods and exploring alternative adjuvants may further enhance these DNA vaccines' immunogenicity and protective efficacy.</p>
    </sec>
    <sec>
      <title id="t-3d6a487b1ba2">Abbreviations</title>
      <p id="t-de3ce024de3c"><bold id="s-9a79af0b4068">CHO</bold>: Chinese Hamster Ovary, <bold id="s-d6a180a08d51">CMV</bold>: Cytomegalovirus, <bold id="s-b5fd493950ec">DNA</bold>: Deoxyribonucleic Acid, <bold id="s-7cec641a0922">DOPE</bold>: Discrete Optimized Protein Energy,<italic id="e-b4374dbfdeb4"><bold id="s-bfbf8ce72c4f"> E. coli</bold></italic>: <italic id="e-cabae7161136">Escherichia coli</italic>, <bold id="s-92ec11da71a5">EGFP</bold>: Enhanced Green Fluorescent Protein, <bold id="s-e7667420c6a8">FBS</bold>: Fetal Bovine Serum, <bold id="s-6af9440f51d1">GFP</bold>: Green Fluorescent Protein, <bold id="s-dc799ecd2669">GMCSF</bold>: Granulocyte-Macrophage Colony-Stimulating  Factorh, <bold id="s-6d4cdb70209a">C3d</bold>: Human Complement Component 3d, <bold id="s-fad1ba8da3d8">hGMCSF</bold>: Human Granulocyte-Macrophage Colony-Stimulating Factor, <bold id="s-442086fa6683">hIgGFc</bold>: Human Immunoglobulin G Fc, <bold id="s-08ef5992f58e">IFNγ</bold>: Interferon Gamma,<bold id="s-109f91b816eb"> IL</bold>: Interleukin, <bold id="s-f921153e4f6b">LB</bold>: Lysogeny Broth,<bold id="s-54ebdddc95c5"> MHC</bold>: Major Histocompatibility Complex, <bold id="s-4141de2e9ec1">MTT</bold>: 3-(4,5-Dimethylthiazol-2-yl)-2,5-Diphenyltetrazolium Bromide, <bold id="s-1caf87115889">NCCS</bold>: National Centre for Cell Science, <bold id="s-991f839fc189">OMPs</bold>: Outer Membrane Proteins,<bold id="s-ad07518c02fe"> ORF</bold>: Open Reading Frame,<bold id="s-0531813e4608"> PBS</bold>: Phosphate-Buffered Saline, <bold id="s-36e512a253c8">PCR</bold>: Polymerase Chain Reaction,<bold id="s-4576a74f15e1"> PEG</bold>: Polyethylene Glycol, <bold id="s-66a64414b3a2">PDB</bold>: Protein Data Bank,<bold id="s-0f89b5243043"> PMA</bold>: Phorbol 12-Myristate 13-Acetate, <bold id="s-075254a27e1a">RNA</bold>: Ribonucleic Acid, <bold id="s-5da9b0c54c9d">RPMI</bold>: Roswell Park Memorial Institute, <bold id="s-f31f0e352a24">RT-PCR</bold>: Real-Time Polymerase Chain Reaction, <bold id="s-655d6aa96300">TNFα</bold>: Tumor Necrosis Factor Alpha</p>
    </sec>
    <sec>
      <title id="t-738b899d8b2d">Acknowledgments </title>
      <p id="t-d7caa8b0bf14">The author would like to thank Madurai Kamaraj University's DST-SAP facility for availing of fluorescence microscopy. The author thanked the DST- PURSE facility at Madurai Kamaraj University's School of Biotechnology for offering RT-PCR and RUSA for the reagents and kits.</p>
    </sec>
    <sec>
      <title id="t-1e15543872dc">Author’s contributions</title>
      <p id="p-eb00ac27eae5">Conceptualization: GP, SS, MM. Data curation: GP, SP, DS. Methodology: GP, SP, DS. Writing – original draft: KMS, HS. Writing – review &amp; editing: GP, KMS, HS. All authors read and approved the final manuscript. </p>
    </sec>
    <sec>
      <title id="t-19271cdf3bfb">Funding</title>
      <p id="t-4f0e69d5a894">The first author gratefully thanks for the financial assistance received from UGC-BSR-F.No.25-1/2014-15(BSR)/7-120/2007(BSR).</p>
    </sec>
    <sec>
      <title id="t-262340455369">Availability of data and materials</title>
      <p id="paragraph-13">Data and materials used and/or analyzed during the current study are available from the corresponding author on reasonable request.</p>
    </sec>
    <sec>
      <title id="t-153af136d137">Ethics approval and consent to participate</title>
      <p id="paragraph-16">Not applicable. </p>
    </sec>
    <sec>
      <title id="t-dd2f16dc1ec1">Consent for publication</title>
      <p id="paragraph-19">Not applicable. </p>
    </sec>
    <sec>
      <title id="t-f1ce6887a37a">Competing interests</title>
      <p id="paragraph-22">The authors declare that they have no competing interests.</p>
    </sec>
  </body>
  <back>
    <ref-list>
      <title>References</title>
      <ref id="R248479631888543">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Leptospirosis</surname>
              <given-names>N.L.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Leptospirosis</article-title>
          <source>Clinical Microbiology Reviews</source>
          <year>2001</year>
          <volume>14</volume>
          <fpage>296</fpage>
          <lpage>326</lpage>
          <issn>0893-8512</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1128/cmr.14.2.296-326.2001</pub-id>
          <pub-id pub-id-type="pmid">11292640</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888544">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Bradley</surname>
              <given-names>E.A.</given-names>
            </name>
            <name>
              <surname>Lockaby</surname>
              <given-names>G.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Leptospirosis and the Environment: A Review and Future Directions</article-title>
          <source>Pathogens (Basel, Switzerland)</source>
          <year>2023</year>
          <volume>12</volume>
          <issue>9</issue>
          <fpage>1167</fpage>
          <issn>2076-0817</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.3390/pathogens12091167</pub-id>
          <pub-id pub-id-type="pmid">37764975</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888545">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Barazzone</surname>
              <given-names>G.C.</given-names>
            </name>
            <name>
              <surname>Teixeira</surname>
              <given-names>A.F.</given-names>
            </name>
            <name>
              <surname>Azevedo</surname>
              <given-names>B.O.</given-names>
            </name>
            <name>
              <surname>Damiano</surname>
              <given-names>D.K.</given-names>
            </name>
            <name>
              <surname>Oliveira</surname>
              <given-names>M.P.</given-names>
            </name>
            <name>
              <surname>Nascimento</surname>
              <given-names>A.L.</given-names>
            </name>
            <collab/>
            <etal/>
          </person-group>
          <article-title>Revisiting the Development of Vaccines Against Pathogenic Leptospira: Innovative Approaches, Present Challenges, and Future Perspectives</article-title>
          <source>Frontiers in Immunology</source>
          <year>2022</year>
          <volume>12</volume>
          <fpage>760291</fpage>
          <issn>1664-3224</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.3389/fimmu.2021.760291</pub-id>
          <pub-id pub-id-type="pmid">35046936</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888546">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Azevedo</surname>
              <given-names>I.R.</given-names>
            </name>
            <name>
              <surname>Amamura</surname>
              <given-names>T.A.</given-names>
            </name>
            <name>
              <surname>Isaac</surname>
              <given-names>L.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Human leptospirosis: in search for a better vaccine</article-title>
          <source>Scandinavian Journal of Immunology</source>
          <year>2023</year>
          <volume>98</volume>
          <issue>5</issue>
          <fpage>e13316</fpage>
          <issn>1365-3083</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1111/sji.13316</pub-id>
          <pub-id pub-id-type="pmid">39008520</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888547">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Fraga</surname>
              <given-names>T.R.</given-names>
            </name>
            <name>
              <surname>Carvalho</surname>
              <given-names>E.</given-names>
            </name>
            <name>
              <surname>Isaac</surname>
              <given-names>L.</given-names>
            </name>
            <name>
              <surname>Barbosa</surname>
              <given-names>A.S.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Leptospira and leptospirosis</article-title>
          <source>In book: Molecular Medical Microbiology</source>
          <year>2024</year>
          <fpage>1849</fpage>
          <lpage>71</lpage>
          <publisher-name>Academic Press</publisher-name>
        </element-citation>
      </ref>
      <ref id="R248479631888548">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Vincent</surname>
              <given-names>A.T.</given-names>
            </name>
            <name>
              <surname>Schiettekatte</surname>
              <given-names>O.</given-names>
            </name>
            <name>
              <surname>Goarant</surname>
              <given-names>C.</given-names>
            </name>
            <name>
              <surname>Neela</surname>
              <given-names>V.K.</given-names>
            </name>
            <name>
              <surname>Bernet</surname>
              <given-names>E.</given-names>
            </name>
            <name>
              <surname>Thibeaux</surname>
              <given-names>R.</given-names>
            </name>
            <collab/>
            <etal/>
          </person-group>
          <article-title>Revisiting the taxonomy and evolution of pathogenicity of the genus Leptospira through the prism of genomics</article-title>
          <source> PLoS neglected tropical diseases</source>
          <year>2019</year>
          <volume>13</volume>
          <issue>5</issue>
          <fpage>e0007270</fpage>
          <pub-id pub-id-type="doi">https://doi.org/10.1371/journal.pntd.0007270</pub-id>
          <pub-id pub-id-type="pmid">31120895</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888549">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Nagraik</surname>
              <given-names>R.</given-names>
            </name>
            <name>
              <surname>Kaushal</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Gupta</surname>
              <given-names>S.</given-names>
            </name>
            <name>
              <surname>Sharma</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Kumar</surname>
              <given-names>D.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Leptospirosis: a systematic review</article-title>
          <source>Journal of Microbiology, Biotechnology and Food Sciences</source>
          <year>2021</year>
          <volume>9</volume>
          <issue>6</issue>
          <fpage>1099</fpage>
          <lpage>109</lpage>
          <issn>1338-5178</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.15414/jmbfs.2020.9.6.1099-1109</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888550">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Palaniappan</surname>
              <given-names>R.U.</given-names>
            </name>
            <name>
              <surname>Ramanujam</surname>
              <given-names>S.</given-names>
            </name>
            <name>
              <surname>Chang</surname>
              <given-names>Y.F.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Leptospirosis: pathogenesis, immunity, and diagnosis</article-title>
          <source>Current Opinion in Infectious Diseases</source>
          <year>2007</year>
          <volume>20</volume>
          <issue>3</issue>
          <fpage>284</fpage>
          <lpage>92</lpage>
          <issn>0951-7375</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1097/QCO.0b013e32814a5729</pub-id>
          <pub-id pub-id-type="pmid">17471039</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888551">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Gupta</surname>
              <given-names>S.</given-names>
            </name>
            <name>
              <surname>Sharma</surname>
              <given-names>N.</given-names>
            </name>
            <name>
              <surname>Naorem</surname>
              <given-names>L.D.</given-names>
            </name>
            <name>
              <surname>Jain</surname>
              <given-names>S.</given-names>
            </name>
            <name>
              <surname>Raghava</surname>
              <given-names>G.P.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Collection, compilation and analysis of bacterial vaccines</article-title>
          <source>Computers in Biology and Medicine</source>
          <year>2022</year>
          <volume>149</volume>
          <issn>1879-0534</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1016/j.compbiomed.2022.106030</pub-id>
          <pub-id pub-id-type="pmid">36084380</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888552">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Barnett</surname>
              <given-names>J.K.</given-names>
            </name>
            <name>
              <surname>Barnett</surname>
              <given-names>D.</given-names>
            </name>
            <name>
              <surname>Bolin</surname>
              <given-names>C.A.</given-names>
            </name>
            <name>
              <surname>Summers</surname>
              <given-names>T.A.</given-names>
            </name>
            <name>
              <surname>Wagar</surname>
              <given-names>E.A.</given-names>
            </name>
            <name>
              <surname>Cheville</surname>
              <given-names>N.F.</given-names>
            </name>
            <collab/>
            <etal/>
          </person-group>
          <article-title>Expression and distribution of leptospiral outer membrane components during renal infection of hamsters</article-title>
          <source> Infection and immunity</source>
          <year>1999</year>
          <volume>67</volume>
          <issue>2</issue>
          <fpage>853</fpage>
          <lpage>61</lpage>
          <pub-id pub-id-type="doi">https://doi.org/10.1128/IAI.67.2.853-861.1999</pub-id>
          <pub-id pub-id-type="pmid">9916100</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888553">
        <element-citation publication-type="misc">
          <person-group person-group-type="author">
            <name>
              <surname>Zuerner</surname>
              <given-names>R.L.</given-names>
            </name>
            <collab/>
          </person-group>
          <person-group person-group-type="editor">
            <name>
              <surname>Adler</surname>
              <given-names>B.</given-names>
            </name>
          </person-group>
          <article-title>Host Response to Leptospira Infection BT - Leptospira and Leptospirosis</article-title>
          <year>2015</year>
          <fpage>223</fpage>
          <lpage>50</lpage>
          <publisher-name>Springer Berlin Heidelberg</publisher-name>
          <publisher-loc>Berlin, Heidelberg</publisher-loc>
          <pub-id pub-id-type="doi">https://doi.org/10.1007/978-3-662-45059-8_9</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888554">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Guerreiro</surname>
              <given-names>H.</given-names>
            </name>
            <name>
              <surname>Croda</surname>
              <given-names>J.</given-names>
            </name>
            <name>
              <surname>Flannery</surname>
              <given-names>B.</given-names>
            </name>
            <name>
              <surname>Mazel</surname>
              <given-names>M.</given-names>
            </name>
            <name>
              <surname>Matsunaga</surname>
              <given-names>J.</given-names>
            </name>
            <name>
              <surname>Reis</surname>
              <given-names>M. Galvão</given-names>
            </name>
            <collab/>
            <etal/>
          </person-group>
          <article-title>Leptospiral proteins recognized during the humoral immune response to leptospirosis in humans</article-title>
          <source>Infection and immunity</source>
          <year>2001</year>
          <volume>69</volume>
          <issue>8</issue>
          <fpage>4958</fpage>
          <lpage>68</lpage>
          <pub-id pub-id-type="doi">https://doi.org/10.1128/IAI.69.8.4958-4968.2001</pub-id>
          <pub-id pub-id-type="pmid">11447174</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888555">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Zhao</surname>
              <given-names>T.</given-names>
            </name>
            <name>
              <surname>Cai</surname>
              <given-names>Y.</given-names>
            </name>
            <name>
              <surname>Jiang</surname>
              <given-names>Y.</given-names>
            </name>
            <name>
              <surname>He</surname>
              <given-names>X.</given-names>
            </name>
            <name>
              <surname>Wei</surname>
              <given-names>Y.</given-names>
            </name>
            <name>
              <surname>Yu</surname>
              <given-names>Y.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Vaccine adjuvants: mechanisms and platforms</article-title>
          <source>Signal Transduction and Targeted Therapy</source>
          <year>2023</year>
          <volume>8</volume>
          <issue>1</issue>
          <fpage>283</fpage>
          <issn>2059-3635</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1038/s41392-023-01557-7</pub-id>
          <pub-id pub-id-type="pmid">37468460</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888556">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Fernandes</surname>
              <given-names>L.G.</given-names>
            </name>
            <name>
              <surname>Teixeira</surname>
              <given-names>A.F.</given-names>
            </name>
            <name>
              <surname>Nascimento</surname>
              <given-names>A.L.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Nascimento ALTO. Evaluation of Leptospira interrogans knockdown mutants for LipL32, LipL41, LipL21, and OmpL1 proteins</article-title>
          <source>Frontiers in Microbiology</source>
          <year>2023</year>
          <volume>14</volume>
          <fpage>1199660</fpage>
          <issn>1664-302X</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.3389/fmicb.2023.1199660</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888557">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Takahashi</surname>
              <given-names/>
            </name>
            <name>
              <surname>Teixeira</surname>
              <given-names/>
            </name>
            <name>
              <surname>Nascimento</surname>
              <given-names/>
            </name>
            <name>
              <surname>T</surname>
              <given-names>MB</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>The leptospiral LipL21 and LipL41 proteins exhibit a broad spectrum of interactions with host cell components</article-title>
          <source>Virulence</source>
          <year>2021</year>
          <volume>12</volume>
          <issue>1</issue>
          <fpage>2798</fpage>
          <lpage>813</lpage>
          <issn>2150-5608</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1080/21505594.2021.1993427</pub-id>
          <pub-id pub-id-type="pmid">34719356</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888558">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Koff</surname>
              <given-names>W.C.</given-names>
            </name>
            <name>
              <surname>Rappuoli</surname>
              <given-names>R.</given-names>
            </name>
            <name>
              <surname>Plotkin</surname>
              <given-names>S.A.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Historical Advances in Structural and Molecular Biology and How They Impacted Vaccine Development</article-title>
          <source>Journal of Molecular Biology</source>
          <year>2023</year>
          <volume>435</volume>
          <issue>13</issue>
          <fpage>168113</fpage>
          <issn>1089-8638</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1016/j.jmb.2023.168113</pub-id>
          <pub-id pub-id-type="pmid">37080423</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888559">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Melo</surname>
              <given-names>A.R. S.</given-names>
            </name>
            <name>
              <surname/>
              <given-names>L.S. de Macêdo</given-names>
            </name>
            <name>
              <surname/>
              <given-names>M.D. Invenção</given-names>
            </name>
            <name>
              <surname/>
              <given-names>I.A. de Moura</given-names>
            </name>
            <name>
              <surname/>
              <given-names> M.A. da Gama</given-names>
            </name>
            <name>
              <surname/>
              <given-names>C.M. de Melo</given-names>
            </name>
            <name>
              <surname/>
              <given-names>A.J. Silva</given-names>
            </name>
            <name>
              <surname/>
              <given-names>M.V. Batista</given-names>
            </name>
            <name>
              <surname/>
              <given-names>A.C. Freitas</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>hird-Generation Vaccines: Features of Nucleic Acid Vaccines and Strategies to Improve Their Efficiency</article-title>
          <source>Infection and immunity</source>
          <year>2022</year>
          <volume>69</volume>
          <issue>8</issue>
          <fpage>4958</fpage>
          <lpage>68</lpage>
          <pub-id pub-id-type="doi">https://doi.org/10.1128/IAI.69.8.4958-4968.2001</pub-id>
          <pub-id pub-id-type="pmid">11447174</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888560">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Montero</surname>
              <given-names>D.A.</given-names>
            </name>
            <name>
              <surname>Vidal</surname>
              <given-names>R.M.</given-names>
            </name>
            <name>
              <surname>Velasco</surname>
              <given-names>J.</given-names>
            </name>
            <name>
              <surname>Carreño</surname>
              <given-names>L.J.</given-names>
            </name>
            <name>
              <surname>Torres</surname>
              <given-names>J.P.</given-names>
            </name>
            <name>
              <surname>Benachi</surname>
              <given-names>O.M.</given-names>
            </name>
            <collab/>
            <etal/>
          </person-group>
          <article-title>Two centuries of vaccination: historical and conceptual approach and future perspectives</article-title>
          <source>Frontiers in public health</source>
          <year>2024</year>
          <volume>11</volume>
          <fpage>1326154</fpage>
          <pub-id pub-id-type="doi">https://doi.org/10.3389/fpubh.2023.1326154</pub-id>
          <pub-id pub-id-type="pmid">38264254</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888561">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Lu</surname>
              <given-names>B.</given-names>
            </name>
            <name>
              <surname>Lim</surname>
              <given-names>J.M.</given-names>
            </name>
            <name>
              <surname>Yu</surname>
              <given-names>B.</given-names>
            </name>
            <name>
              <surname>Song</surname>
              <given-names>S.</given-names>
            </name>
            <name>
              <surname>Neeli</surname>
              <given-names>P.</given-names>
            </name>
            <name>
              <surname>Sobhani</surname>
              <given-names>N.</given-names>
            </name>
            <collab/>
            <etal/>
          </person-group>
          <article-title>The next-generation DNA vaccine platforms and delivery systems: advances, challenges and prospects</article-title>
          <source>Frontiers in Immunology</source>
          <year>2024</year>
          <volume>15</volume>
          <fpage>1332939</fpage>
          <issn>1664-3224</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.3389/fimmu.2024.1332939</pub-id>
          <pub-id pub-id-type="pmid">38361919</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888562">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Fan</surname>
              <given-names>J.</given-names>
            </name>
            <name>
              <surname>Jin</surname>
              <given-names>S.</given-names>
            </name>
            <name>
              <surname>Gilmartin</surname>
              <given-names>L.</given-names>
            </name>
            <name>
              <surname>Toth</surname>
              <given-names>I.</given-names>
            </name>
            <name>
              <surname>Hussein</surname>
              <given-names>W.M.</given-names>
            </name>
            <name>
              <surname>Stephenson</surname>
              <given-names>R.J.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Advances in Infectious Disease Vaccine Adjuvants</article-title>
          <source>Vaccines</source>
          <year>2022</year>
          <volume>10</volume>
          <issue>7</issue>
          <fpage>1120</fpage>
          <issn>2076-393X</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.3390/vaccines10071120</pub-id>
          <pub-id pub-id-type="pmid">35891284</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888563">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Pagliari</surname>
              <given-names>S.</given-names>
            </name>
            <name>
              <surname>Dema</surname>
              <given-names>B.</given-names>
            </name>
            <name>
              <surname>Sanchez-Martinez</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Zurbia-Flores</surname>
              <given-names>G. Montalvo</given-names>
            </name>
            <name>
              <surname>Rollier</surname>
              <given-names>C.S.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>DNA Vaccines: History, Molecular Mechanisms and Future Perspectives</article-title>
          <source>Journal of Molecular Biology</source>
          <year>2023</year>
          <volume>435</volume>
          <issue>23</issue>
          <fpage>168297</fpage>
          <issn>1089-8638</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1016/j.jmb.2023.168297</pub-id>
          <pub-id pub-id-type="pmid">37797831</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888564">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Glinšek</surname>
              <given-names>K.</given-names>
            </name>
            <name>
              <surname>Bozovi\vcar</surname>
              <given-names>K.</given-names>
            </name>
            <name>
              <surname>Bratkovi\vc</surname>
              <given-names>T.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>CRISPR Technologies in Chinese Hamster Ovary Cell Line Engineering</article-title>
          <source>International Journal of Molecular Sciences</source>
          <year>2023</year>
          <volume>24</volume>
          <issue>9</issue>
          <fpage>8144</fpage>
          <issn>1422-0067</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.3390/ijms24098144</pub-id>
          <pub-id pub-id-type="pmid">37175850</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888565">
        <element-citation publication-type="book">
          <person-group person-group-type="author">
            <name>
              <surname>Sambrook</surname>
              <given-names>J.</given-names>
            </name>
            <name>
              <surname>Fritsch</surname>
              <given-names>E.F.</given-names>
            </name>
            <name>
              <surname>Maniatis</surname>
              <given-names>T.</given-names>
            </name>
            <collab/>
          </person-group>
          <person-group person-group-type="editor"/>
          <source>Molecular Cloning: A Laboratory Manual</source>
          <publisher-name>Cold Spring Harbor Laboratory Press</publisher-name>
          <year>1989</year>
        </element-citation>
      </ref>
      <ref id="R248479631888566">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Berman</surname>
              <given-names>H.M.</given-names>
            </name>
            <name>
              <surname>Westbrook</surname>
              <given-names>J.</given-names>
            </name>
            <name>
              <surname>Feng</surname>
              <given-names>Z.</given-names>
            </name>
            <name>
              <surname>Gilliland</surname>
              <given-names>G.</given-names>
            </name>
            <name>
              <surname>Bhat</surname>
              <given-names>T.N.</given-names>
            </name>
            <name>
              <surname>Weissig</surname>
              <given-names>H.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>The Protein Data Bank</article-title>
          <source>Nucleic Acids Research</source>
          <year>2000</year>
          <volume>28</volume>
          <issue>1</issue>
          <fpage>235</fpage>
          <lpage>42</lpage>
          <issn>0305-1048</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1093/nar/28.1.235</pub-id>
          <pub-id pub-id-type="pmid">10592235</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888567">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Fiser</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Sali</surname>
              <given-names>A.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Modeller: generation and refinement of homology-based protein structure models</article-title>
          <source>Modeller: generation and refinement of homology-based protein structure models</source>
          <year>2003</year>
          <volume>374</volume>
          <fpage>461</fpage>
          <lpage>91</lpage>
          <pub-id pub-id-type="doi">https://doi.org/10.1016/S0076-6879(03)74020-8</pub-id>
          <pub-id pub-id-type="pmid">14696385</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888568">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Eramian</surname>
              <given-names>D.</given-names>
            </name>
            <name>
              <surname>Shen</surname>
              <given-names>M.Y.</given-names>
            </name>
            <name>
              <surname>Devos</surname>
              <given-names>D.</given-names>
            </name>
            <name>
              <surname>Melo</surname>
              <given-names>F.</given-names>
            </name>
            <name>
              <surname>Sali</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Marti-Renom</surname>
              <given-names>M.A.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>A composite score for predicting errors in protein structure models</article-title>
          <source>Protein Science</source>
          <year>2006</year>
          <volume>15</volume>
          <issue>7</issue>
          <fpage>1653</fpage>
          <lpage>66</lpage>
          <issn>0961-8368</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1110/ps.062095806</pub-id>
          <pub-id pub-id-type="pmid">16751606</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888569">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Benkert</surname>
              <given-names>P.</given-names>
            </name>
            <name>
              <surname>Tosatto</surname>
              <given-names>S.C.</given-names>
            </name>
            <name>
              <surname>Schomburg</surname>
              <given-names>D.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>QMEAN: A comprehensive scoring function for model quality assessment</article-title>
          <source>Proteins</source>
          <year>2008</year>
          <volume>71</volume>
          <issue>1</issue>
          <fpage>261</fpage>
          <lpage>77</lpage>
          <issn>1097-0134</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1002/prot.21715</pub-id>
          <pub-id pub-id-type="pmid">17932912</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888570">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Colovos</surname>
              <given-names>C.</given-names>
            </name>
            <name>
              <surname>Yeates</surname>
              <given-names>T.O.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Verification of protein structures: patterns of nonbonded atomic interactions</article-title>
          <source>Protein Science</source>
          <year>1993</year>
          <volume>2</volume>
          <issue>9</issue>
          <fpage>1511</fpage>
          <lpage>9</lpage>
          <issn>0961-8368</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1002/pro.5560020916</pub-id>
          <pub-id pub-id-type="pmid">8401235</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888571">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Shah</surname>
              <given-names>P.M.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Idiopathic hypertrophic subaortic stenosis (hypertrophic obstructive cardiomyopathy) changing concepts-1975</article-title>
          <source>Chest</source>
          <year>1975</year>
          <volume>68</volume>
          <issue>6</issue>
          <fpage>814</fpage>
          <lpage>7</lpage>
          <issn>0012-3692</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1378/chest.68.6.814</pub-id>
          <pub-id pub-id-type="pmid">217</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888572">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Comeau</surname>
              <given-names>S.R.</given-names>
            </name>
            <name>
              <surname>Gatchell</surname>
              <given-names>D.W.</given-names>
            </name>
            <name>
              <surname>Vajda</surname>
              <given-names>S.</given-names>
            </name>
            <name>
              <surname>Camacho</surname>
              <given-names>C.J.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>ClusPro: a fully automated algorithm for protein-protein docking</article-title>
          <source>Nucleic acids research</source>
          <year>2004</year>
          <volume>32</volume>
          <issue>Web Server issue</issue>
          <fpage>W96</fpage>
          <lpage>9</lpage>
          <pub-id pub-id-type="doi">https://doi.org/10.1093/nar/gkh354</pub-id>
          <pub-id pub-id-type="pmid">15215358</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888573">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Bhattacharya</surname>
              <given-names>P.</given-names>
            </name>
            <name>
              <surname>Thiruppathi</surname>
              <given-names>M.</given-names>
            </name>
            <name>
              <surname>Elshabrawy</surname>
              <given-names>H.A.</given-names>
            </name>
            <name>
              <surname>Alharshawi</surname>
              <given-names>K.</given-names>
            </name>
            <name>
              <surname>Kumar</surname>
              <given-names>P.</given-names>
            </name>
            <name>
              <surname>Prabhakar</surname>
              <given-names>B.S.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>GM-CSF: an immune modulatory cytokine that can suppress autoimmunity</article-title>
          <source>Cytokine</source>
          <year>2015</year>
          <volume>75</volume>
          <issue>2</issue>
          <fpage>261</fpage>
          <lpage>71</lpage>
          <issn>1096-0023</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1016/j.cyto.2015.05.030</pub-id>
          <pub-id pub-id-type="pmid">26113402</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888574">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Rizzuto</surname>
              <given-names>R.</given-names>
            </name>
            <name>
              <surname>Brini</surname>
              <given-names>M.</given-names>
            </name>
            <name>
              <surname>Pizzo</surname>
              <given-names>P.</given-names>
            </name>
            <name>
              <surname>Murgia</surname>
              <given-names>M.</given-names>
            </name>
            <name>
              <surname>Pozzan</surname>
              <given-names>T.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Chimeric green fluorescent protein as a tool for visualizing subcellular organelles in living cells</article-title>
          <source>Current Biology</source>
          <year>1995</year>
          <volume>5</volume>
          <issue>6</issue>
          <fpage>635</fpage>
          <lpage>42</lpage>
          <issn>0960-9822</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1016/S0960-9822(95)00128-X</pub-id>
          <pub-id pub-id-type="pmid">7552174</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888575">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Ansari</surname>
              <given-names>A.M.</given-names>
            </name>
            <name>
              <surname>Ahmed</surname>
              <given-names>A.K.</given-names>
            </name>
            <name>
              <surname>Matsangos</surname>
              <given-names>A.E.</given-names>
            </name>
            <name>
              <surname>Lay</surname>
              <given-names>F.</given-names>
            </name>
            <name>
              <surname>Born</surname>
              <given-names>L.J.</given-names>
            </name>
            <name>
              <surname>Marti</surname>
              <given-names>G.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Cellular GFP Toxicity and Immunogenicity: Potential Confounders in in Vivo Cell Tracking Experiments</article-title>
          <source>Stem Cell Reviews and Reports</source>
          <year>2016</year>
          <volume>12</volume>
          <issue>5</issue>
          <fpage>553</fpage>
          <lpage>9</lpage>
          <issn>2629-3277</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1007/s12015-016-9670-8</pub-id>
          <pub-id pub-id-type="pmid">27435468</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888576">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Bachmann</surname>
              <given-names>M.F.</given-names>
            </name>
            <name>
              <surname>Kopf</surname>
              <given-names>M.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Balancing protective immunity and immunopathology</article-title>
          <source>Current Opinion in Immunology</source>
          <year>2002</year>
          <volume>14</volume>
          <issue>4</issue>
          <fpage>413</fpage>
          <lpage>9</lpage>
          <issn>0952-7915</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1016/S0952-7915(02)00363-1</pub-id>
          <pub-id pub-id-type="pmid">12088674</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888577">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Laurence</surname>
              <given-names>A.</given-names>
            </name>
            <name>
              <surname>Tato</surname>
              <given-names>C.M.</given-names>
            </name>
            <name>
              <surname>Davidson</surname>
              <given-names>T.S.</given-names>
            </name>
            <name>
              <surname>Kanno</surname>
              <given-names>Y.</given-names>
            </name>
            <name>
              <surname>Chen</surname>
              <given-names>Z.</given-names>
            </name>
            <name>
              <surname>Yao</surname>
              <given-names>Z.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Interleukin-2 signaling via STAT5 constrains T helper 17 cell generation</article-title>
          <source>Immunity</source>
          <year>2007</year>
          <volume>26</volume>
          <issue>3</issue>
          <fpage>371</fpage>
          <lpage>81</lpage>
          <issn>1074-7613</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1016/j.immuni.2007.02.009</pub-id>
          <pub-id pub-id-type="pmid">17363300</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888578">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Dinarello</surname>
              <given-names>C.A.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>An IL-1 family member requires caspase-1 processing and signals through the ST2 receptor</article-title>
          <source>Immunity</source>
          <year>2005</year>
          <volume>23</volume>
          <issue>5</issue>
          <fpage>461</fpage>
          <lpage>2</lpage>
          <issn>1074-7613</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1016/j.immuni.2005.10.004</pub-id>
          <pub-id pub-id-type="pmid">16286013</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888579">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Chirathaworn</surname>
              <given-names>C.</given-names>
            </name>
            <name>
              <surname>Supputtamongkol</surname>
              <given-names>Y.</given-names>
            </name>
            <name>
              <surname>Lertmaharit</surname>
              <given-names>S.</given-names>
            </name>
            <name>
              <surname>Poovorawan</surname>
              <given-names>Y.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Cytokine levels as biomarkers for leptospirosis patients</article-title>
          <source>Cytokine</source>
          <year>2016</year>
          <volume>85</volume>
          <fpage>80</fpage>
          <lpage>2</lpage>
          <issn>1096-0023</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1016/j.cyto.2016.06.007</pub-id>
          <pub-id pub-id-type="pmid">27295614</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888580">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Kany</surname>
              <given-names>S.</given-names>
            </name>
            <name>
              <surname>Vollrath</surname>
              <given-names>J.T.</given-names>
            </name>
            <name>
              <surname>Relja</surname>
              <given-names>B.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Cytokines in Inflammatory Disease</article-title>
          <source>International Journal of Molecular Sciences</source>
          <year>2019</year>
          <volume>20</volume>
          <issue>23</issue>
          <fpage>6008</fpage>
          <issn>1422-0067</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.3390/ijms20236008</pub-id>
          <pub-id pub-id-type="pmid">31795299</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888581">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Senavirathna</surname>
              <given-names>I.</given-names>
            </name>
            <name>
              <surname>Rathish</surname>
              <given-names>D.</given-names>
            </name>
            <name>
              <surname>Agampodi</surname>
              <given-names>S.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Cytokine response in human leptospirosis with different clinical outcomes: a systematic review</article-title>
          <source>BMC Infectious Diseases</source>
          <year>2020</year>
          <volume>20</volume>
          <issue>1</issue>
          <fpage>268</fpage>
          <issn>1471-2334</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1186/s12879-020-04986-9</pub-id>
          <pub-id pub-id-type="pmid">32264832</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888582">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Cagliero</surname>
              <given-names>J.</given-names>
            </name>
            <name>
              <surname>Villanueva</surname>
              <given-names>S.Y.</given-names>
            </name>
            <name>
              <surname>Matsui</surname>
              <given-names>M.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Leptospirosis Pathophysiology: Into the Storm of Cytokines</article-title>
          <source>Frontiers in Cellular and Infection Microbiology</source>
          <year>2018</year>
          <volume>8</volume>
          <fpage>204</fpage>
          <issn>2235-2988</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.3389/fcimb.2018.00204</pub-id>
          <pub-id pub-id-type="pmid">29974037</pub-id>
        </element-citation>
      </ref>
      <ref id="R248479631888583">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Li</surname>
              <given-names>S.</given-names>
            </name>
            <name>
              <surname>Wang</surname>
              <given-names>M.</given-names>
            </name>
            <name>
              <surname>Ojcius</surname>
              <given-names>D.M.</given-names>
            </name>
            <name>
              <surname>Zhou</surname>
              <given-names>B.</given-names>
            </name>
            <name>
              <surname>Hu</surname>
              <given-names>W.</given-names>
            </name>
            <name>
              <surname>Liu</surname>
              <given-names>Y.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Leptospira interrogans infection leads to IL-1β and IL-18 secretion from a human macrophage cell line through reactive oxygen species and cathepsin B mediated-NLRP3 inflammasome activation</article-title>
          <source>Microbes and Infection</source>
          <year>2018</year>
          <volume>20</volume>
          <issue>4</issue>
          <fpage>254</fpage>
          <lpage>60</lpage>
          <issn>1769-714X</issn>
          <pub-id pub-id-type="doi">https://doi.org/10.1016/j.micinf.2018.01.010</pub-id>
          <pub-id pub-id-type="pmid">29432801</pub-id>
        </element-citation>
      </ref>
    </ref-list>
  </back>
</article>
