key: cord-0029345-uewchjgz authors: Damas, Marcelo Silva Folhas; Mazur, Fernando Gabriel; Freire, Caio Cesar de Melo; da Cunha, Anderson Ferreira; Pranchevicius, Maria-Cristina da Silva title: A Systematic Immuno-Informatic Approach to Design a Multiepitope-Based Vaccine Against Emerging Multiple Drug Resistant Serratia marcescens date: 2022-03-14 journal: Front Immunol DOI: 10.3389/fimmu.2022.768569 sha: 0cca71612128e6f4ad0f6d98760516878db29180 doc_id: 29345 cord_uid: uewchjgz Serratia marcescens is now an important opportunistic pathogen that can cause serious infections in hospitalized or immunocompromised patients. Here, we used extensive bioinformatic analyses based on reverse vaccinology and subtractive proteomics-based approach to predict potential vaccine candidates against S. marcescens. We analyzed the complete proteome sequence of 49 isolate of Serratia marcescens and identified 5 that were conserved proteins, non-homologous from human and gut flora, extracellular or exported to the outer membrane, and antigenic. The identified proteins were used to select 5 CTL, 12 HTL, and 12 BCL epitopes antigenic, non-allergenic, conserved, hydrophilic, and non-toxic. In addition, HTL epitopes were able to induce interferon-gamma immune response. The selected peptides were used to design 4 multi-epitope vaccines constructs (SMV1, SMV2, SMV3 and SMV4) with immune-modulating adjuvants, PADRE sequence, and linkers. Peptide cleavage analysis showed that antigen vaccines are processed and presented via of MHC class molecule. Several physiochemical and immunological analyses revealed that all multiepitope vaccines were non-allergenic, stable, hydrophilic, and soluble and induced the immunity with high antigenicity. The secondary structure analysis revealed the designed vaccines contain mainly coil structure and alpha helix structures. 3D analyses showed high-quality structure. Molecular docking analyses revealed SMV4 as the best vaccine construct among the four constructed vaccines, demonstrating high affinity with the immune receptor. Molecular dynamics simulation confirmed the low deformability and stability of the vaccine candidate. Discontinuous epitope residues analyses of SMV4 revealed that they are flexible and can interact with antibodies. In silico immune simulation indicated that the designed SMV4 vaccine triggers an effective immune response. In silico codon optimization and cloning in expression vector indicate that SMV4 vaccine can be efficiently expressed in E. coli system. Overall, we showed that SMV4 multi-epitope vaccine successfully elicited antigen-specific humoral and cellular immune responses and may be a potential vaccine candidate against S. marcescens. Further experimental validations could confirm its exact efficacy, the safety and immunogenicity profile. Our findings bring a valuable addition to the development of new strategies to prevent and control the spread of multidrug-resistant Gram-negative bacteria with high clinical relevance. The spread of antimicrobial resistance (AMR) is urgent, especially regarding bacteria (1) . Once resistant strains emerge, the options for effective antibiotic therapy become limited and their alarming spread around the globe has not been followed by the development of novel antibiotics (2, 3) . AMR produces significant impacts on human health around the world, causing troublesome levels of morbidity and mortality leading to dramatic economic consequences (4) . It has been estimated that 10 million lives a year will be lost to AMR by 2050, and cumulative loss of world economies might be as high as $100 trillion (2, 5) . AMR is a serious issue that demands an organized global action plan (4, 6, 7) . Developing novel and integrated strategies are paramount to effectively fight AMR; these strategies include the development of monoclonal antibodies, new antibiotics, new diagnostics, new vaccines that target antibiotic-resistant bacteria, and increasing coverage of existing vaccines (3, 4, 8) . Serratia spp. is within the World Health Organization (9) global priority list of multidrug-resistant (MDR) bacteria that poses a major threat to human health around the world. Hence, there is an urgent need to development new and effective treatments and prevention strategies. Serratia marcescens is a Gram-negative Enterobacteriaceae species that has emerged as a neglected opportunistic human pathogen (10) . This species can cause a variety of infections, including respiratory, bloodstream, skin, ocular, urinary, and catheter-related infections, as well as meningitis and sepsis in immunocompromised or critically ill patients, especially those in intensive care units (ICUs) and neonatal intensive care units (NICU). Studies have reported an increase in the number, and it of multidrug-resistant S. marcescens strains worldwide (11) and this increase has been related to severe outcomes (12) and a high mortality rate (13, 14) . Several studies and medical experiments have supported that S. marcescens may be promising for vaccine development. For instance, Field et al. (15) immunized adult mice with lipopolysaccharide (LPS) somatic antigen, or a heat-killed vaccine of Serratia marcescens and observed a rapid presence of specific antibody-forming cells in the spleen, in the mesenteric nodes, and in the thymus. Kreger et al. (16) showed that the severity of experimentally induced corneal disease by S. marcescens is considerably reduced by immunization against either the lipopolysaccharide endotoxins or the proteases of the bacteria. Kumagai et al. (17) showed that the protection against an experimental Serratia marcescens infection in mice was enhanced by prior injection of formalin-killed or viable bacteria of the same strain. They suggested that the humoral immunity and T-cell-mediated immunity were associated with protection against systemic Serratia infection. Shi et al. (18) reported that S. marcescens vaccine was effective for malignant pleural effusion and presented tolerable toxic effects. In the late 19th century, William Coley developed a formulation containing Streptococcus pyogenes and S. marcescens called by various names, such as Coley's fluid, Coley's vaccine, mixed bacterial vaccine (MBV), Coley's toxins, and Vaccineurin. This formulation was used to treat sarcoma in many countries until 1990 (19) (20) (21) . In the 1970s, Coley's mixture (MBV) was further investigated, and it has been used in clinical trials against different types of cancer presenting variable results (22) (23) (24) (25) (26) (27) . The recent interest in MBV is motivated by humoral and cellular immunity to cancer antigens, which has the ability to spontaneous induce antibody responses. The stimulation of the innate immune system produces a complex cascade of cytokines that contribute to the immune recognition of cancer, possibly inducing apoptosis (22) . Vaccination is one of the most effective means to efficiently, rapidly and affordably improve public health; it is also the most feasible way to eradicate a variety of infectious diseases (28) . Current vaccine research has mostly focused on peptide and subunit vaccines instead of whole organism vaccines. This is because subunit vaccines contain specific immunogenic components of the pathogens responsible for the infection rather than the whole pathogen. Traditional approaches for vaccine production have also been considered less efficient than computational approaches for a variety of reasons, including inaccuracy, safety, stability, high cost, hypersensitivity, and specificity. Reverse vaccinology (RV), subtractive proteomics (SP), and genomics studies have emerged as powerful computational tools that have revolutionized the identification of drug targets and potential vaccine candidates (29) . These methodologies are able to identify in silico the complete repertoire of immunogenic antigens and druggable targets that an organism is capable of expressing without the need of culturing the microorganism (30) . In addition, it reduces the dependence on conventional animal testing based screening for getting a potentially suitable candidate, minimizing the time consuming and cost of the vaccine and drug development processes (31) . Since the first application of reverse vaccinology that was used to development of a vaccine against serogroup B Neisseria meningitidis (MenB) (32) , this tool has been used in the identification of numerous promising vaccine candidates against many bacterial pathogens, including Mycoplasma pneumoniae (33) , Pseudomonas aeruginosa (34) , Mycobacterium tuberculosis (30) , Acinetobacter baumannii (35) , and Neisseria meningitidis (36) . In this study, we have applied RV and SP based computational strategies and selected a new multi epitope-based vaccine candidate against Serratia marcescens, which can be used in further experiments to validate its efficacy, safety, and immunogenic profile. Subtractive proteomics and reverse vaccinology approaches were used to identify potential vaccine candidates against the S. marcescens strain. A flowchart summarizing the methodology is shown in Figure 1 . The proteome sequences of 49 S. marcescens were downloaded from the Genome Project database of the National Center for Biotechnology Information (NCBI) (https://www.ncbi.nlm.nih. gov/genbank/). Out of these proteomic sequences, one corresponded to the representative proteome of Serratia marcescens subsp. marcescens Db11 and 48 sequences were from S. marcescens associated with human infections. Bacterial Pan Genome Analysis (BPGA) tool (37) version 1.3 was used to identify core (conserved) protein families (Supplementary Data Sheet 2). BPGA uses USEARCH as a default protein clustering tool with an identity cut off = 50%. Strain names, source of isolation, country, RefSeq assembly accession numbers, assembly levels, and references are shown in Supplementary File Table S1 . The identified core protein families related to 49 bacteria species were subjected to BLASTp searches against the Database of Essential Genes (DEG 10) providing the essential information of the proteins (35, (38) (39) (40) (41) (42) . DEG is a database for essential genes that is frequently updated (43, 44) . The parameters of the analysis were E-value ≤ 10 -4 and bitscore ≥ 100 (Supplementary Data Sheet 3). The core proteins of S. marcescens were also subjected to BLASTp search against Virulence Factor database (VFdb) (http://www. mgc.ac.cn/VFs/) (45) and Microbial virulence DataBase (MvirDB) (http://mvirdb.llnl.gov/) Supplementary Data Sheet 4 (46) . In both databases, the E-value cut-off was set to ≤ 10 -4 and bitscore ≥ 100. The resistance associated proteins were found through a BLASTp against two databases, ARG-ANNOT (Antibiotic Resistance Gene-ANNOTation), which provides protein sequences associated with antibiotic (47) , and CARD (Comprehensive Antibiotic Resistance Database), a database of peer-reviewed antibiotic resistance determinants (Supplementary Data Sheet 5) (48) . The E-value cut-off for both antibiotic resistance analyses was ≤ 10 -4 . The identified essential, virulent or resistance associated proteins were filtered against the proteome of host Homo sapiens (taxid:9606), using BLASTp with E-value of ≤ 10 − 4 (Supplementary Data Sheet 6). The host non-homologue proteins were filtered against a custom protein database containing 79 human gut floral species [see supplementary Text 1 from (44, 49) ]. For subtraction of homologous sequence between gut microbiota and S. marcescens, we carried out BLASTp analysis. The obtained hits with an E-value of ≤ 10 −4 and similarity ≥ 50% were considered as gut-flora homologous proteins and excluded from further analyses (Supplementary Data Sheet 7). Prediction of selected proteins subcellular localization was done by using two different web servers: PSORTb v3.0.2 (50) algorithm (https://www.psort.org/psortb/) that determines different subcellular localization like cytoplasmic membrane, outer membrane, periplasm, extracellular, cytoplasmic, and unknown; and CELLO v2.5 (http://cello.life.nctu.edu.tw) (51), a web-based system which is also used for predicting protein subcellular localization. Physicochemical properties such as number of amino acids and molecular weight were examined on the online servers Expasy ProtParam (52) (https://web.expasy.org/protparam/) and UniProt (https://www.uniprot.org/). Antigenicity of proteins was predicted using two online servers: VaxiJen v2.0 (53), (http://www.ddg-pharmfac.net/vaxijen/VaxiJen/VaxiJen.html) which predicts whether a protein could be a protective antigen based on physicochemical properties of amino acid sequence and has a threshold value ≥ 0.5; and AntigenPRO (http://scratch. proteomics.ics.uci.edu/), an alignment-free, sequence-based and pathogen-independent predictor of protein antigenicity with 79% accuracy and an area under curve (AUC) of 0.89 (54) . To assess the proteins getting embedded in the plasma membrane and to subtract those being exported, we submitted the amino acid sequences from the outer membrane, periplasm and extracellular proteins of S. marcescens to the TMHMM v.2.0 (https://services.healthtech.dtu.dk/service.php?TMHMM-2.0) server, which predicted the topology of these proteins by the Markov method (55) . Secretory pathway was analyzed using SignalP 5.0 (https://services.healthtech.dtu.dk/service.php? SignalP-5.0), a server based on deep neural network method that predicts signal peptide (SP) sequences and discriminates among three main types of SPs (56). The comparison between metabolic pathways of S. marcescens and human pathways was done manually, using KEGG (Kyoto encyclopedia of gene and genome) pathway database. Proteins that play a role in unique and shared pathways in both pathogen and host were enlisted (Table S2 ) (35) . Protein function prediction was made by three different servers: UniProt, KEGG Genes Database, and InterPro (https://www.ebi.ac.uk/interpro/), a server that provides family classification, biological process and molecular function of the protein (57). The prediction of MHC-I epitopes was performed by three servers: IEDB Tepitool prediction (http://tools.iedb.org/ tepitool/) server (58) (35) . Predictions of MHC class II epitopes or HTL epitopes were made by Tepitool, using the IEDB recommended method. A set of the 26 most frequent human class II alleles from DP, DQ, and DR loci was used. Selection criteria was peptides with binding affinity ≤ 50nM for IC50. Prediction of linear B-cell epitopes or BCL epitopes for proteins was achieved by using IEDB server, ABCpred, and Bcepred. IEDB server predicted epitopes based on antigenicity (60), accessibility (61) , linear epitope (Bepipred-1.0) (62) and sequential/conformational epitope (BepiPred-2.0) (63) . ABCpred (https://webs.iiitd.edu.in/raghava/abcpred/) uses Artificial Neural Network (ANN) machine-learning to predict B-cell epitopes and has an accuracy of 65.93%. In this server, parameters were set to default. Bcepred (https://webs.iiitd.edu.in/ raghava/bcepred/bcepred_instructions.html) predicted B-cell epitopes based on four amino acid properties (hydrophilicity, flexibility, polarity and exposed surface). We used a threshold of 2.38 that predicts epitopes with 58.7% accuracy The MHC I immunogenicity prediction were assessed by the IEDB server (64) (http://tools.immuneepitope.org/immunogenicity/). A high score suggests a higher probability of stimulating an immune response. The epitopes with positive immunogenicity value were selected for further studies. The epitopes of MHC Class I, MHC Class II and LB were screened for their antigenic properties by VaxiJen2.0. The threshold for MHC class I and MHC class II epitopes was set to ≥ 0.5, and to ≥ 0.70 for the B-cell epitopes (53) . The antigenic B-Cell epitopes obtained, with 9 or more amino acids in length and those that overlapped with the amino acids sequences found in IEDB, ABCpred and Bcepred tools were selected for toxicity and allergenicity analyses. The toxicity prediction was carried out using ToxinPred (http://www.imtech.res.in/raghava/toxinpred/ index.html), keeping all the parameters to default. This tool predicts the antigenic behavior of epitopes through their physicochemical properties and confirms that the specific immune responses in the host cell will only target the bacteria rather and not host tissue (65) . Allergenicity analysis was conducted with AllerTOP v2.0 server (https://www.ddgpharmfac.net/AllerTOP/feedback.py). This is a server based on the main physicochemical properties of proteins (66) , presenting an accuracy of 88.7% (67). The conservancy of MHC Class I and MHC Class II selected epitopes within protein sequences were predicted using IEDB web server (68) . For calculating the conservancy score, the (34) . A negative value implies that protein contains hydrophilic properties whereas a positive GRAVY value indicates that the protein is hydrophobic (35) . For further refinements, we investigated whether Helper T cell (HTL) epitope can induce IFN gamma immune response using the IFN epitope server (69) (http://crdd.osdd.net/raghava/ ifnepitope/), an online tool with 82.10% accuracy. The server constructs overlapping sequences from which the IFN-g epitopes are predicted. The default prediction method was set as "Motif and Support Vector Machine (SVM) hybrid" and "IFN-gamma vs. Non-IFN-gamma" model to predict IFN-g-inducing peptides based on score. The higher the score, the higher the chance of inducing IFN-g (70) . Although the IFN epitope server has limitations regarding the number of residues that can be used for prediction (71) , it is a common online prediction server used for vaccine design (70, (72) (73) (74) . Therefore, the epitopes with positive results for the IFN-g response were selected for further prediction. The best-selected MHC class I and MHC class II epitopes were submitted to PEP-FOLD3 server (http://bioserv.rpbs.univ-parisdiderot.fr/services/PEP-FOLD3/), an online tool for generating de novo peptide 3D structure (75) . The docking experiments were made using PatchDock (https://bioinfo3d.cs.tau.ac.il/ PatchDock/php.php) tool. The obtained models were refined and re-scored by FireDock server (http://bioinfo3d.cs.tau.ac.il/ FireDock/), that ranks the docked models by their global energy, and the lowest global energy represented the best prediction (76) . (67) . The epitopes that showed the best binding affinity were selected for vaccine construction. Best binding peptides were selected for potential vaccine candidate. To construct the vaccine, CTL, HTL and BCL epitopes were linked together by GGGS, GPGPG and KK linkers. GGGS linkers were used to conjugate the Universal Pan HLA DR sequence (PADRE) sequence with CTL epitopes and the CTL epitopes among themselves. GPGPG linkers were used to conjugate the CTL epitopes with HTL epitopes and also the HTL epitopes with the other HTL. KK linkers were used to attach the HTL and BCL epitopes as well as the BCL epitopes among themselves (67) . Adjuvants sequences were linked with the help of EAAAK linkers at both N-and C-terminus, and EAAAK linkers were also used to conjugate the PADRE sequence (AKFVAAWTLKAAA) (35) . Five different adjuvant sequences were used to attach the PADRE sequence: 50s ribosomal L7/L12 protein (77), beta-defensin (78), HBHA protein (M. tuberculosis, accession number: AGV15514.1), and HBHA conserved sequence (79) . VaxiJen 2.0 and ANTIGENpro server were used to determine the antigenicity of the vaccine constructs. AllerTOP and AlgPred (http://crdd.osdd.net/raghava/algpred/) servers were used to evaluate the allergen potential of the multi-epitope vaccine construct. Allergen prediction is based on similarity of known epitope of any of the known region of the protein. It uses MAST to search MEME/MAST allergen motifs and predict the allergen if it has a motif. AlgPred is an SVM module based program which uses amino acid or dipeptide composition for the prediction of allergen. The parameters (IgE epitope + MAST + SVM + ARPs BLAST) were combined to predict the allergenicity of vaccine constructs (35, 80) . SOLpro of Scratch Protein predictor was used for vaccine solubility estimation. SOLpro performs a two-stage SVM architecture method based on multiple representations of the primary sequence (81) . The overall accuracy of SOLpro is estimated in over 74% using multiple runs of ten-fold crossvalidation (81) . Vaccine constructs physiochemical properties were analyzed using Expasy ProtParam server, which determined the number of amino acids, molecular weight, theoretical isoelectric point (PI), instability and aliphatic index, and hydropathicity GRAVY values. Proteasomal cleavage is important for T Cell epitope presentation. This was analyzed by The secondary structures of the multi-epitope vaccine constructs were generated using online tool PSIPRED 4.0 (http://bioinf.cs. ucl.ac.uk/psipred/), a web-based freely accessible online server that also predicts the transmembrane topology, transmembrane helix, fold and domain recognition (74) . PSIPRED 4.0 has a Q3 secondary structure prediction precision of 84.2% (84) . The 3D structures of multi-epitope vaccine constructs were predicted using the I-TASSER (Iterative Threading ASSEmbly Refinement) server (https://zhanglab.ccmb.med.umich.edu/I-TASSER/). I-TASSER is an integrated platform for automated protein structure and function prediction based on the sequence-tostructure-to-function paradigm. I-TASSER initial creates threedimensional (3D) atomic models from several threading alignments and iterative structural assembly simulations starting from an amino acid sequence. In five community wide CASP (Critical Assessment of techniques for Structure Prediction) experiments, I-TASSER has been ranked best server for protein 3D structure prediction (70) . Pymol program was used to visualize the modeled 3D structures. The 3D structures of the constructed vaccines were refined using 3Drefine server (http://sysbio.rnet.missouri.edu/3Drefine/). 3Drefine server is based in optimization of the hydrogen bonding network and composite physics and knowledge-based force fields to give atomic-level energy minimization using the MESHI molecular modeling framework (85, 86) . The validation process was performed using the PROCHECK's Ramachandran plot analysis (https://servicesn.mbi.ucla.edu/PROCHECK/) (87) that analyzes the geometry of the refined vaccine construct and predict the best stereochemical quality of the construct (88); ProSA (https://prosa.services.came.sbg.ac.at/prosa.php) (89) that computes the overall quality score (Z score) for a specific 3D structure (90) ; and ERRAT server (http://services.mbi.ucla.edu/ ERRAT/) (91) that analyzes the statistics of non-bonded interactions between different atom types (92). Each vaccine construct was docked against TLR4-MD2 complex (PDB:3FXI After performing the protein-protein molecular docking, the bestscored vaccine construction (SMV4) complexed with TLR4-MD2 was subjected to molecular dynamic simulation by the online server iMODS (http://imods.chaconlab.org/) (96), using the parameters as default. This server predicts the dynamics simulation of the protein complex in terms of atomic B-factors, eigenvalue variance, deformability, elastic network, and covariance map. The deformability of a given protein mostly relies on the capability of each of its residues to deform. The eigenvalue is related with the energy that is required to deform the given structure; the lower the eigenvalue value, the easier the deformability of the complex (67, 97) . Moreover, the eigenvalue of the given protein complex provides its motion stiffness (79) . SMV4 vaccine construction selected was submitted to ElliPro server (http://tools.iedb.org/ellipro/) that predicts epitopes based upon solvent-accessibility and flexibility (98) . The algorithms implemented in this analysis were approximation of the protein shape as an ellipsoid (99), protrusion index (PI) of residue (100), and neighboring residues clustering based on their PI values. The conformational B-cell epitopes with minimum score value set at 0.70 while the maximum distance was set as default. Immune Simulation of the Vaccine Construct C-ImmSim server (http://150.146.2.1/C-IMMSIM/index.php? page=1) was used for the immune simulation study. It uses position-specific scoring matrix for immune epitope forecast and machine learning techniques to estimate immune interactions (101) . The three mammalian anatomical regions to get simulated by the server were thymus (T cell), bone marrow (lymphoid and myeloid cell), and a lympathic organ to exhibit immune response (102) . All parameters were kept as default at the time of vaccine introduction, and three injections were administered with the recommended intervals of 30 days. The time steps followed for three injections were 1, 90 and 180. The volume of simulation and the steps of the simulation were set at 10 and 600, respectively (103) . Reverse translation and codon optimization were performed using Java Codon Adaptation Tool (JCat) server (http://www. prodoric.de/JCat) (104) . The JCat output includes the codon adaptation index (CAI) and percentage GC content, which can be used to assess protein expression levels. CAI provides information on codon usage biases; CAI score >0.8 is considered a good score (105) . The ideal GC content of a sequence should range between 30-70% (80) . The E. coli strain K12 was chosen as host for cloning our vaccine construct. We avoided rho-independent transcription termination, prokaryote ribosome binding site, and restriction enzymes cleavage sites. Vaccine construct was cloned in pET28a (+) plasmid vector by adding XhoI and NdeI restriction sites at C and N terminus, respectively. The optimized sequence of the vaccine was inserted into the expression vector [pET-28a (+)] using Benchling webserver (https://www.benchling.com/). Primarily, we selected representative proteomes of 48 S. marcescens associated with human infections, and a Serratia marcescens subsp. marcescens Db11 as a reference strain for our vaccine prediction. The proteomes of all S. marcescens strains were retrieved from Genome Project database of the National Center for Biotechnology Information (NCBI). With the help of Bacterial Pan Genome Analysis (BPGA) tool the number of core proteins found from analyzing of the 49 proteomes was 2832 proteins. Screening of Essential, Virulence, Resistance and Non-Homology Against Human and Gut Flora Proteins All the 2832 proteins were subsequently analyzed for essential, virulent and resistance functions. The analyses of the nonredundant proteins resulted in 1815 proteins. Of these proteins, we have found 879 essential proteins, 155 proteins contained virulence property, 98 were resistant proteins, 370 proteins were found to be virulence and essential, 70 were resistant and essential, 42 resistant and virulence, and 201 proteins were related with essential, virulence and resistance functions, 1106 were non-homologous with human proteins. Of these 1106 proteins, 20 were gut flora non-homologous proteins, and were used for subsequent analysis Next, the subcellular localization of 20 gut flora non-homologous proteins revealed that 2 proteins were outer membrane proteins, 6 periplasmic, and 2 extracellular ( Table 1) . VaxiJen v2.0 and AntigenPRO tools reveled 7 and 8 proteins with a good antigenic nature (>0.50) ( Table 1) , respectively. Of these, 2 essential proteins (D-alanyl-D-alanine carboxypeptidase, patatin-like phospholipase family protein), 2 virulent proteins (Phospholipase C, phosphocholine specific; spore coat U domain-containing protein), and 1 resistant protein (TonBdependent receptor) presented antigenicity profile, had extracellular domain or were proteins located in the outer membrane. Therefore, these 5 protein were considered for further prediction of vaccine targets ( Table 1) . The prediction of T-cell epitopes of MHC class-I of the 5 proteins (D-alanyl-D-alanine carboxypeptidase, patatin-like phospholipase family protein, Phospholipase C phosphocholine specific, spore coat U domain-containing protein, TonBdependent receptor) had the sequence length 9 residues. Among the 284 predicted epitopes, the 123 common epitopes found in three servers were selected for immunogenicity analysis and resulted in 59 epitopes. From these, 31 epitopes were found to be antigenic and we found no epitopes with toxicity. Out of 31, 17 epitopes were non-allergenic. Epitope conservancy analysis found 14 peptides with a score of more than 50%. GRAVY analysis resulted in 7 peptides with negative value score, which suggests hydrophilic nature of peptides. For further analysis, we selected 7 MHC class-I epitopes (TPFGAGWSW, LEDRLVETL, SSNVNFPLY, FTIPLPGDR, QTYGAKIAR, SEYVWNYEL, YQFLKGWEL) that were found to be immunogenic, antigenic, non-allergenic, non-toxic, conserved, and with negative hydropathicity ( Table 2) . We excluded the patatin-like phospholipase family protein because its prediction analysis did not reach all the recommended parameters ( Table 2) . The MHC-II binding prediction of the 5 proteins (D-alanyl-Dalanine carboxypeptidase, patatin-like phospholipase family protein, Phospholipase C phosphocholine specific, spore coat U domain-containing protein, TonB-dependent receptor) resulted in 415 MHC-II epitopes with higher affinity. From these, 196 were antigenic, and all were subjected to toxicity and allergenicity prediction. According with results, all selected epitopes were non-toxic and 114 had non-allergic nature. Conservancy analysis showed that 93 epitopes had score more than 50%, and GRAVY analysis revealed that 70 epitopes had a hydrophilic nature. Additionally, the 31 the best resultant epitopes of all analyses conducted were analyzed for their IFN-g inducing. A total of 16 epitopes (4 from D-alanyl-Dalanine, 1 from patatin-like phospholipase family protein, 2 from Phospholipase C phosphocholine specific, 2 from spore coat U domain-containing protein and 7 from TonB-dependent receptor) had a IFN-g inducing profile and were selected for molecular docking analysis ( Table 3) . The prediction of linear B-cell epitopes for D-alanyl-D-alanine carboxypeptidase, patatin-like phospholipase family protein, Phospholipase C, TonB-dependent receptor and spore coat U domain-containing protein is showed in Figure S1 . Antigenicity scale, and the most potent regions in epitopes found is showed in yellow ( Figure S1 ). A total of 503 B cell epitopes were predicted by three servers, of which 236 epitopes were found to be antigenic. From these antigenic epitopes, we manually selected 23 epitopes that had regions overlapping with the amino acids sequences found in IEDB, ABCpred and Bcepred tools. These epitopes were subsequently tested to toxicity, allergenicity, conservancy and hydropathicity. This analysis resulted in 12 epitopes (TGEQRGDTL, SGDPTLHPDDL, GRKTQGKGD, QREVYSHRTTPRM, SSQRINTRTLGLRLDS, MAVANTDGSGD, TTVWDSTNKQSGAGT, QPEVRLRPTG, FAAQRHESVGN, AETKSNETYQD, DRQRRRSEADL, RLEREHRRRDG) non-allergen, non-toxic, conserved and having hydrophilic nature. All 12 epitopes were selected for further analysis and vaccine construction ( Table 4) . All the 7 MHC class I and 16 MHC class II T-cell epitopes were subjected to 3D structure generation by the PEP-FOLD3 server, and the predicted 3D structures found were docked with 8 MHC class I alleles and 7 MHC class II alleles, respectively. Among the epitopes, 5 MHC class I and 12 class II epitopes showed the best result with the lowest global energy of -34.89 and -70.54, respectively ( Table 5) and were used in multi-peptide vaccine construction. Vaccine, Physiochemical Properties and Antigenicity, Allergenicity, Solubility We combined an adjuvant, PADRE sequence, CTL epitopes (MHC-I epitopes), HTL epitopes (MHC-II epitopes) and BCL epitopes (Bcell epitopes) in a sequential manner, and constructed four vaccines candidates, named SMV1, SMV2, SMV3 and SMV4. All designed vaccine proteins contained 5 CTL epitopes, 12 HTL, and 12 BCL epitopes. The vaccines differed each other only by adjuvant sequence, and the adjuvants used were 50s ribosomal L7/L12 protein, beta defensin, HBHA conserved sequence and HBHA protein (M. tuberculosis, accession number: AGV15514.1) ( Table 6) . For vaccine construction, the adjuvant sequence was linked with PADRE sequence by EAAAK linker, GGGS linkers were used to join the PADRE sequence with the CTL epitopes and the CTL epitopes with the other CTL epitopes, GPGPG were used to linked the CTL epitopes with the HTL epitopes and also the HTL Ref. Sequence (1) Protein name (2) Length (amino acid) (3) Mol. Wt kDa (4) Signal peptide (5) Localization (6) Functional Discription (7, 8, 9) TMHMM (10) Antigenicity (11, 12) Essential proteins WP_041033700. 19 ) of all vaccine constructs suggest the protein stability in several temperatures. The negative GRAVY value of the vaccine constructs revealed that all of them has a hydrophilic in nature. All four vaccine constructs showed good solubility (>0.873) during its heterologous expression in the E. coli. Therefore, all of the vaccine constructs showed be antigenic, non-allergenic, hydrophilic, stable and soluble. The sequence of vaccine constructs and their physiochemical properties are showed in Table 6 . We investigated both proteasomal and cathepsin specific peptidase activity on the vaccine constructs. NetChop 3.1 server detected 17 proteasomal sites, which majority of them were close to the linkers. SitePrediction server provided 1 peptidase and 14 peptidase links with 99.9% and 99% specificity for cathepsin B, respectively; 1 peptidase and 2 peptidase links with 99.9% and 99% specificity for cathepsin D, respectively; 8 and 3 peptidase links with 99% specificity for cathepsins E and G, respectively; 2 peptidase links with 99.9% and 4 peptidase links with 99% specificity for cathepsin K, and 1 peptidase link with 99% specificity for cathepsin L. Our results indicates that these multi-epitope vaccine constructs might be processed and presented in context of MHC class molecule. The analyze of the secondary structure of vaccine constructs showed that SMV1 had 48.35% of amino acids in coil structure, 40.12% of amino acids in alpha helix, and the lowest percentage of the amino acids in beta sheet formation (11.23%). SMV2 had 49.75% of amino acids in coil structure, 38.56% in alpha helix region, and 11.69% of the amino acids in the beta sheet formation. SMV3 had the highest percentage of coil structure (55.05%), 27.62% of the amino acids in alpha helix region, and the highest percentage of the amino acids in the beta sheet formation (17.33%). SMV4 presented coil structure in 54.23%, 30.05% of alpha helix region, and 15.72% of the amino acids in the in beta sheet formation (Figure 2 ). The 3D structure was obtained by threading using I-TASSER web server. For each vaccine sequence was predicted five 3D models, and the first model of each construction was selected. All TABLE 2 | Predicted MHC class-I epitopes and immunogenicity, antigenicity, toxicity, allergenicity, conservancy and hydropathicity analysis. Protein ID (1); name (2) Start (3 4,5) End (3, 4, 5) Epitope (3, 4, 5) Tepitool Alleles (3) NetMHCpan Alleles (4) NetCTLpan Alleles (5) Immunogenicity (6) Antigenicity (7) Toxicity (8) Allergenicity (9) Conservancy (10) Hydropathicity ( 3 | Identification of MHC-II epitopes and antigenicity, toxicity, conservancy, hydropathicity and IFN-g inducing profile prediction. Protein ID (1) ; name (2) Start (3) End (3) Epitope (3) Alleles (3) Antigenicity (4) Toxicity (5) Allergenicity (6) Conservancy (7) Hydropathicity (8) IFN-g inducing (9) the model was ranked on their C-scores values, which measure similarity between the query and template based on the significance of threading template alignment and the query coverage parameters. C-score values ranges between -5 and 2, and a higher value represents a model with a higher confidence and correct topology. SMV1 presented a Z-Score ranging from 0.64 to 2.42 and a C-Score of -2.41. SMV2 showed a Z-Score ranging from 0.65 to 2.39 and a C-Score of -2.41. SMV3 had a C-Score of -1.92 and a Z-Score ranging from 1.08 to 3.43. SMV4 exhibited a Z-Score of 1.06 to 5.61 and the highest C-Score, -1.34 ( Figure 3A ). In addition to C and Z score, I-TASSER predicted the TM-score, a metric for measuring the similarity of two protein structures, and the root mean square deviation (RMSD) of atomic positions. TM-score obtained in vaccines constructs ranged from 0.43 ± 0.14 to 0.55 ± 0.15. SMV4 had a TM-score more than 0.5, indicating a higher accuracy in topology. For all vaccines tested the RMSD ranged from 11.1 ± 4.6Å to 14.0 ± 3.9 Å (Figures 3A, B) . The 4 vaccine constructs 3D model were refined using the 3Drefine server. 3Drefine server provided five refined models with different parameters, including the 3D refined score, GDT-TS, GDTHA, RMSD, MolProbity, and RWPlus. Higher GDT-TS, GDT-HA, and RMSD values, and lower 3D refine Score, RWplus, and MolProbity values indicate a higher quality for the models. The models number 1 in all 4 vaccine constructs presented lowest MolProbity score, which ranged from 3.454 to 3.565 ( Figure 4A) . Therefore, these were validated by PROCHECK's Ramachandran plot, ERRAT and ProSA webserver. ERRAT score for 3D models of four vaccines were calculated as 88.601, 85.162, 79.607, and 84.751, respectively ( Figure 4A ). The ProSA Z-Score for SMV1, SMV2, SMV3 and SMV4 were -4.60, -4.42, -2.02 and -5.16 respectively, indicating models were within the range of scores typically found for the native proteins of similar size ( Figures 4A, B) . Ramachandran plot analysis showed 97.1%, 97.4%, and 97.6% residues in allowed region for vaccine SMV1, SMV3 and SMV4, respectively. The SMV2 vaccine had 98.1% of residues in the allowed regions ( Figure 4C ). These analyses authenticated the reliability and stability of the predicted structures. Docking analysis was performed between SMV1, SMV2, SMV3 and SMV4 vaccine constructs and TLR4-MD2 complex (PDB:3FXI), in order to find out the best constructed S. marcescens vaccine. SMV4 showed binding affinity -28.3 kcal/ mol, a K d of 1.1E-20 at 37°C, a global energy of -55.38, and an HB energy of -12.81 ( Figure 5A ). Since SMV4 showed superior results in the protein-protein docking study, it was considered as the best vaccine construct among the four constructed vaccines ( Figure 5B ). The molecular dynamics simulation and normal mode analysis (NMA) of SMV-4-TLR4 docked complex is showed in Figure 6A . Deformability graphs of the complex illustrates the peaks in the graphs, having regions of the proteins with high deformability ( Figure 6B) . The B-Factor graphs of the complexes provide easy understanding and visualization of the comparison 4 | Identification of B-cell epitopes and antigenicity, toxicity, allergenicity and hydropathicity prediction of selected epitopes. Protein ID (1) ; name (2) Start End Lenght Epitopes (3, 4, 5) Antigenicity (6) Toxicity (7) Allergenicity (8) Hydropathicity (9) Conservancy (10) Sequence Antigenicity (1, 2) Allergenicity (3, 4) Amino acids length (5) Mol. weight kDa (5) pI (5) Instability index (5) Aliphatic index (5) GRAVY (5) SOLpro (6) between NMA and the PDB field of the docked complex ( Figure 6C) . The SMV4-TLR4 docked complex suggested that docked complex should be quite stable and should have relatively less chance of deformability ( Figures 6B, D) . In the variance graph ( Figure 6E ), red colored bars shows the individual variance and green colored bars represent the cumulative variance. Co-variance map of the complex showed a good amount of amino acid pairs in the correlated motion ( Figure 6F ). The elastic map ( Figure 6G ) of the complex describes the connection between atoms and darker gray regions shows stiffer regions. Eight discontinuous B-cell epitopes with scores ranging from 0.713 to 0.872 were predicted by Ellipro online tool at IEDB. Shortest and longest discontinuous B cell epitope ranged from 3 to 63 residues long respectively ( Figure 7A ). The amino acid residues present in conformational epitopes, the number of residues, their scores, and the 3D representation of conformational B-cell epitopes are shown in Figure 7A , B. The vaccine primary response was characterized by high levels of IgM, while the secondary and tertiary responses were higher than the primary reaction and distinguished by greater IgM + IgG, IgG1 + IgG2, IgG1 antibodies level, and a rapid clearance in antigen concentration ( Figure 8A) . B cell activation were found high, particularly B isotype IgM and IgG1, with prominent memory cell development ( Figure 8B ). The cell population of TH (helper) and TC (cytotoxic) cells were also found high along with memory development (Figures 8C, D) . A significant levels of T regulatory (Treg cells) cells was found in the exposure to the SMV4, and a Treg cell reduction few days after antigen exposure ( Figure 8E ). The vaccine can induce both IFN-g and IL-2 with a suitable Simpson Index (D) ( Figure 8F ), which is a measure of diversity. Codons of SMV4 construct were adapted as per codon utilization of E. coli expression system, and JCAT server was used to optimize the SMV4 codons according to E. coli K12. The optimized SMV4 construct had a length of 1917 pb; an ideal range of GC content 54.17% (30-70%), showing good probable expression of the vaccine candidate in the E. coli K12; and CAI value 0.958 (0.8-1.0), indicating a high gene expression potential. In the next step, the SMV4 sequence was cloned between XhoI and NdeI restriction sites at the multiple cloning-site of the pET28a(+) vector. The clone had a total length of 7212 bp ( Figure 9 ). Vaccine development is one of greatest advances to prevent global morbidity and mortality; not only does it halt the onset of (1, 2) Allergenicity (3, 4) Amino acids length (5) Mol. weight kDa (5) pI (5) Instability index (5) Aliphatic index (5) GRAVY (5) SOLpro (6) AKFVAAWTLKAAAGGGSTPFGAGWSWGGGSLEDRLVETLGGG different diseases, but it also labels a gateway for its elimination while reducing toxicity (74) . Vaccines that prevent infections caused by MDR bacterial species have a number of potential benefits. They can be used prophylactically reducing antibiotic use, emergence and spread of AMR, incidence of sensitive and resistant infections, severity life-threatening diseases, sequelae remaining after infection resolution, and health care costs (3, 4, 8) . The main strategy in the present study was to design and construct a multiepitope-based vaccine against S. marcescens, a gram-negative rod frequently involved in diverse nosocomial infections and with systemic mortality rate in immunocompromised and intensive care patients (11, 13) . Using computational subtractive analysis, we enrolled nonredundant proteome of S. marcescens to find proteins which had essential, virulent, and resistance profile and, at the same time, were non-homologous from human and gut flora, antigenic, had extracellular domain and/or were secreted. The antigens used in vaccines do not need to be virulence factors, although virulence gene products are often immunogenic and responsible for Multiepitope-Based Vaccine Against Serratia marcescens acquired immunity that protects against the disease (106, 107) . The exclusion of human and gut flora homologs is necessary to prevent autoimmunity in the host and to protect the symbiotic environment of the gut flora (44) . Antigenicity of a protein means the potential to generate immune response against the organism to which the protein belongs, an essential factor to use the protein as a vaccine (82) . Bacterial cell surface and secreted proteins are of interest for their potential as vaccine candidates because they are easily accessible and can significantly improve therapeutic target identification (39, 108) . After shortlisting, we identified five novel antigenic proteins of S. marcescens that were taken as suitable vaccine candidates. The first filtered antigenic protein was D-alanyl-D-alanine carboxypeptidase/endopeptidase, an essential membraneassociated protein and member of the penicillin binding proteins (PBPs), a family of proteins inhibited by ß-lactam antibiotics involved in peptidoglycan synthesis and remodeling (109) . The second identified protein was patatin-like phospholipase family protein, an essential protein that has been associated with infection in host cells and phagosome escape of various pathogenic bacteria (110, 111) . The third selected protein was phospholipase C, phosphocholine-specific (PLC-PC). PLCs are considered an important virulence factor that can be exported out of the cytoplasm to their functional locality through Tat or Sec pathway (112) . In bacteria, PLCs have been related in a wide variety of cellular function during infection, including membrane lysis, intracellular signaling, lipid metabolism and/or pathogenicity-associated activity (113, 114) . The fourth protein was also antigenic and identified like spore coat U domain-containing protein, a domain found in a bacterial family of the secreted pili proteins involved in motility and biofilm formation (115, 116) . The fifth and last selected protein was TonB-dependent receptor, a family of beta barrel proteins located in the outer membrane that is associated to progressive antibiotic resistance, transport ferric-siderophore complexes, vitamins, nickel complexes, and carbohydrates (117) (118) (119) (120) (121) . Prado et al. (122) introduced seven proteins that can be considered as vaccine candidates against S. marcescens using reverse vaccinology and subtractive genomic approaches. Prediction of these proteins was based on non-host homologous proteins, subcellular localization (putative surface exposed, secreted; membrane), transmembrane helix, Signal IP, MHC-I and MHC-II adhesion probability, and essentiality. Some features are required to select a potential vaccine candidate, such as subcellular localization; presence of a signal peptide; transmembrane domain; and antigenic epitopes. In addition to recognizing antigenic and virulence factors, one of the main strategies behind identifying potential vaccine candidates is predicting epitopes that are likely to bind to major histocompatibility complex molecules on the antigen presenting cells within the host (123) . Therefore, mapping of T-cell derived B-cell epitopes for antigenic proteins is a critical step for designing vaccines (39) . In addition to selecting five novel proteins as potential vaccine candidates against S. marcescens, we used the sequence these proteins to predict MHC-class-I, MHC class-II allele and B cell epitopes that would be capable of inducing effective cellular and humoral immunity. All selected antigenic epitopes were antigenic, so they could induce antigenic response; non-allergenic in nature, thus not be able to induce any allergenic reaction; conserved epitopes, which is an important feature for designing a broad spectrum vaccine; hydrophilic in nature, hence able to interact with water molecules; and non-toxic. We selected the IFN-g inducing Helper T cell (HTL) epitopes since this cytokine plays a significant role in innate and adaptive immune responses, stimulates macrophages and natural killer cells, and provides an enhanced response to MHC antigens (124) . In addition to S. marcescens having extracellular proliferation, this bacterium is able to invade nonphagocytic cells, such as epithelial cells (125) (126) (127) . After internalization, S. marcescens can control the autophagic traffic, generating an appropriate niche for survival and replication inside the host cell (126, 128) . Efficient protection against intracellular pathogens is dependent on the induction of cellular immunity, including pathogen-specific cytotoxic T cell responses (129, 130) . CTL epitopes are essential for coherent vaccine design (131, 132) . Thus, we analyzed the immunogenicity of CD8+ T cell epitopes to ensure that the epitope vaccine could effectively activate CD8 T cell-mediated immune response. In humans, MHC molecules are known as human leukocyte antigens (HLAs), as they are highly polymorphic; the frequency of expression of diverse HLA alleles varies in ethnically different populations (28) . Thus, the HLA specificity of T-cell epitopes must be an important criterion for epitopes selection (133) . We used the molecular docking simulation to delineate the interactions between the targeted T cell epitopes and their respective HLA alleles. In the docking results, five MHC class-I and twelve MHC class-II epitopes produced global energies. This means they had the capacity to bind specifically with their targets. A total of 4 multi-epitope vaccines (SMV1, SMV2, SMV3, SMV4) were constructed using five MHC class-I, twelve MHC class-II and twelve B cell epitopes; four different adjuvants HBHA protein (M. tuberculosis), HBHA conserved sequence, beta-defensin, L7/L12 ribosomal protein (13) along with PADRE; and four different linkers EAAAK, GGGS, GPGPG and KK, which were used to bind the adjuvant, CTL, HTL and B-cell epitopes, respectively. Adjuvant HBHA and L7/L12 ribosomal protein are agonists to the TLR4/MD2 complex while beta-defensin adjuvant can act as an agonist to TLR1, TLR2, and TLR4 (134) . The PADRE peptide induces CD4+ Tcells that increase efficacy and potency of peptide vaccine (135) . It also overcomes the problems caused by highly polymorphic HLA alleles (88) . Linkers ensure effective separation of individual epitopes in vivo (136) . After that, several predicted physiochemical and immunological properties showed that all the vaccine constructions were safe with no possible allergenicity, had the capability to induce immunity with high antigenicity, were hydrophilic and soluble during its heterologous expression in E. coli, which is important to many biochemical and functional studies (137) , and had negative charge. Neutral or negatively charged molecules are preferred and a balance between its hydrophobicity and hydrophilicity is important in designing vaccine candidates (138) . The molecular weight range (57.867 to 70.335) and the high pI value range (9.85 to 10.36) indicated the efficacy and stability of the vaccine constructs (138) . In addition to evaluating the vaccine efficacy, the epitopes separated by linker were sensitive to both degradation proteasomal and cathepsin specific peptidase activity. Hence, our data showed that the chosen linkers and their distribution were suitable, and the epitope produced could be presented in the host immune system, processed, and induced in the host humoral and cellular immune pathway (139) . Secondary and tertiary structures are necessary for designing a vaccine candidate (140) . Analyses of the secondary structure of all vaccine constructs showed that all the proteins mainly contained amino acids in coil, and in alpha helix structure. Natively unfolded protein regions and a-helical coiled-coils peptides have been identified as important "structural antigen" forms (70) . After 3D modeling, the structure of the vaccine was refined, displaying suitable characteristics and high-quality structure. Molecular docking is a widely used computer simulation approach to explore the binding affinity with a protein, a strategic tool in vaccine design (141) . Our findings showed stable interaction and high affinity between the vaccine construct SMV4 and the TLR-4/MD2 complex. The interaction between the TLR4 and adjuvant enhance the immune response, while TLR3, TLR4 and TLR9 agonists have been used to improve vaccines against HBV, influenza, malaria and anthrax (142) . Furthermore, the physical movement and stabilization of the docked complex were assessed by molecular dynamics simulation, which confirmed that SMV4-TLR-4/MD2 complex has low deformability and remains stable in a biological environment. Various discontinuous epitope residues were predicted from SMV4 vaccine sequence and revealed that they can interact with antibodies. The most B-cell epitopes are discontinuous epitopes composed of amino acid residues located on separate regions of the protein, joined together by the folding of the chain (143) . Thus, analysis of discontinuous epitope in the final vaccine construct is essential (88) . Immune simulation through repeated exposure to the antigen showed a consistent increase in the generated immune responses. There was a notable generation of T-cells as well as memory B cells, which is required for immunity, supporting a humoral response (124) . The levels of IFN-g and IL-2 increased after the first injection and got induced following repeated exposures to the antigen, which also contribute to the subsequent immune response after vaccination (144) . Interleukin induction is needed for any kind of cellular immunity and the vaccine satisfies this criterion having good induction potentiality (82) . Considering the designed vaccine is constituted of sufficient B-and T-cell epitopes, the Simpson index (D) value suggests that the vaccine can stimulate a large and diverse immune response. When designing a multi-epitope vaccine candidate, the efficacious cloning and expression in a suitable vector is a critical stage (145) . Codon optimization is essential because the genetic code's degeneracy allows most of the amino acids to be encoded by multiple codons (70) . In this context, codon optimization and in silico cloning were performed, and our data showed expression and translation efficiency of the SMV4 vaccine using pET-28a (+). In conclusion, our study identified a potential SMV4 vaccine candidate against S. marcescens with the ability to stimulate both cellular and humoral immunity. The epitopes used in the vaccine construct are antigenic, non-toxic, and non-allergic. The SMV4 vaccine candidate were highly immunogenic, safe, non-toxic, stable, and had high affinity and stability of binding to TLR4 innate immune receptor, which is vital in recognition and processing by the host immune system. Altogether, our findings have the potential to provide a novel strategy for the protection against multidrug resistant Gram negative infection. Future experimental validation of the proposed vaccine candidate is required to establish its potency as well efficacy and safety. The original contributions presented in the study are included in the article/Supplementary Material, further inquiries can be directed to the corresponding author. 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