# Structure-Based Design of a Broadly Protective Group A Streptococcal Vaccine

> **NIH NIH R01** · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · 2020 · $741,796

## Abstract

The overall goal of this project is to develop a safe, broadly effective, and affordable vaccine to prevent group
A streptococcal infections. Antibodies against the N-terminal hypervariable region (HVR) of surface M (Emm)
proteins of GAS are opsonic and are associated with protection against infection. Immunity has classically
been described as “type-specific”, leading to the assumption that natural immunity confers protection against
only one of the more than 200 different emm types of GAS. We now have new information that calls into
question this classic view and serves as the basis for an entirely different approach to GAS vaccine design and
development. A recent comprehensive sequence analysis of M proteins from a global collection of 175 emm
types of GAS resulted in a new emm cluster typing system that classified 96.2% of all contemporary GAS
isolates into 48 emm clusters containing structurally and functionally related M proteins. Moreover, 117 emm
types contained in 16 clusters accounted for 94.4% of GAS infections in the world. Indeed, preclinical studies
indicated that a multivalent vaccine containing N-terminal peptides from 30 prevalent M types cross-opsonized
a significant number of non-vaccine emm types of GAS that co-localized in clusters with vaccine emm types.
The frequency of cross-opsonic antibodies, combined with the emm cluster data, prompted us to conclude that
there is a need for a paradigm shift away from the concept of “type-specific” immunity against GAS infections
to one of “cluster-specific” immunity. Our overall hypothesis is that immunity to GAS infections is the result of
both type-specific and cross-reactive antibodies against the N-terminal regions of M proteins and that a new
approach employing computational predictions of peptide structures will result in a multivalent vaccine that will
induce broadly protective immunity in populations throughout the world. Our preliminary results indicate the
feasibility of using structure-based design to predict the antigenic relatedness of M peptides within a cluster.
The specific aims of this proposal are to: 1) Apply computational structure-based design in an iterative process
with immunological data from Aim 2 to predict the minimal number of M peptide sequences that are most
representative of the structural and physicochemical properties of the peptides in one emm cluster containing
17 GAS emm types, 2) determine the cross-reactive immunogenicity of the selected peptides with all
seventeen emm types of GAS in the cluster, and apply the results to refine the computational design
predictions in Aim 1, 3) apply the refined computational parameters from Aims 1 and 2 to analyze the
remaining epidemiologically important emm clusters, select a comprehensive panel of peptides representing all
emm types, construct four multivalent recombinant vaccine proteins, and assess potential cross-protective
immunogenicity using in vitro bactericidal assays against all 117 emm types of GAS, a...

## Key facts

- **NIH application ID:** 9965720
- **Project number:** 5R01AI132117-04
- **Recipient organization:** UNIVERSITY OF TENNESSEE HEALTH SCI CTR
- **Principal Investigator:** JAMES B. DALE
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $741,796
- **Award type:** 5
- **Project period:** 2017-06-08 → 2022-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9965720

## Citation

> US National Institutes of Health, RePORTER application 9965720, Structure-Based Design of a Broadly Protective Group A Streptococcal Vaccine (5R01AI132117-04). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/9965720. Licensed CC0.

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