CHEMICAL
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334
CHIMIA2001, 55, No.4
Chimia 55 (2001) 334-339
©. Schweizerische Chemische Gesellschatl
ISSN 0009-4293
Applications of Protein Epitope Mimetics
in Vaccine Design.
A New Supersecondary Structure in the
Circumsporozoite Protein of Plasmodium
fa/ciparum?
Bernhard Pfeiffera, Rafael Moreno b, Kerstin Moehle a,
Gerd Pluschke b*, and John A. Robinson a*
Rinaldo Zurbriggen C,
Reinhard
GIOckc,
A b s tra c t: An approach to synthetic vaccine design is illustrated, focusing on the immunodominant
(NPNA)n
repeat region of the circumsporozoite (CS) protein of the malaria parasite P la s m o d iu m fa lc ip a ru m . Modelling
suggests that the NPNAN motif may adopt a helical ~-turn, which is tandemly repeated in the CS protein to
generate a novel supersecondary structure. Cyclic peptidomimetics of this NPNAN motif were synthesized and
shown by NMR to adopt helical turns in aqueous solution. When incorporated into Immunopotentiating
Reconstituted Influenza Virosomes (IRIVs), humoral immune responses were generated in mice that crossreact with native CS protein on sporozoites. IRIVs are a human-compatible delivery system that appear
generally suitable for inducing antibody responses against conformational epitopes using constrained
peptidomimetics. This approach may offer great potential for the design of molecularly defined synthetic
vaccines, including those targeted against multiple antigens and development stages of P . fa /c ip a ru m , or
against other infectious agents.
Keywords:
Peptide· Peptidomimetic . Protein folding'
Introduction
Malaria is one of the world's most debilitating diseases, with more than 2 billion
people currently at risk worldwide [1],
and a toll of several hundred million illnesses, and 1.5-2.7 million deaths annually (WHO, World Health Report, 1998).
There is presently no effective vaccine
against the parasite, and older established
drugs like chloroquine are rapidly losing
their effectivenesss due to resistance. On
the brighter side, ongoing efforts to sequence the 14 chromosomes and around
7000 genes in the malaria parasite [2]
Prof. J.A. Robinson"
"Institute of Organic Chemistry
University of Zurich
Winterthurerstrasse 190
CH-8057 Zurich
Tel.: +41 1 6354242
Fax: + 41 1 6356833
E-Mail: robinson@oci.unizh.ch
'C o rre s p o n d e n c e :
h ttp ://w w w .u n iz h .c h /o c i/
bSwiss Tropical Institute
cSwiss Serum and Vaccine Institute, Bern
Secondary structure'
will no doubt provide many exciting opportunities for the discovery of new drug
targets [3][4], as well as highlighting new
antigens as potential malaria vaccine candidates [5][6].
A vaccine against the extracellular
stages of the parasite should function by
stimulating the immune system to produce antibodies that recognize the intact
parasite. This can, in principle, be
achieved with either an attenuated or irradiated parasite, or a subunit such as a recombinant surface protein, or a specific
surface epitope in the form of a synthetic
peptide. One of the many difficulties in
designing an effective malaria vaccine is
the complex life cycle of the parasite
[7][8]. When an infected A n o p h e l e s s p .
mosquito bites a human host, thousands
of threadlike sporozoites enter the bloodstream. Within a matter of minutes, the
sporozoites can invade liver cells, where
they are hidden from the antibody-arm of
the immune system. Within the liver cell,
the sporozoite develops into a schizont
containing more than 10 000 uninucleat-
Synthetic vaccine
ed merozoites. The growing parasite
causes the hepatocyte to rupture, releasing the merozoites into the blood stream.
The merozoites can invade blood cells,
and undergo further multiplication. Alternatively, merozoites can develop into
a sexual stage known as gametocytes,
which can reinfect mosquitoes. In the
mosquito gut, an oocyst is formed, out of
which new sporozoites emerge, thereby
completing this remarkable life cycle.
Not surprisingly, the surface proteins on
sporozoites that stimulate an immune response are not the same as those found on
merozoites, or indeed on other developmental stages of P . j a l c i p a r u m . Hence an
effective malaria vaccine will most likely
need to be composed of several immunogens targeting multiple developmental
stages of the parasite.
It has been known for some time that
sporozoites attenuated by X-irradiation
can induce a protective, immune response against malaria challenge [9]. The
dominant antibody target on these attenuated sporozoites is the major surface pro-
CHEMICAL
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CHIMIA 2 0 0 1 ,5 5 , No.4
tein, the circumsporozoite
(CS) protein
[10]. The central portion of the CS protein (M r <= 44 kDa [11][12]) contains 41
tandem repeats of a tetrapeptide, 37 of
which are Asn-Ala-Asn-Pro
(NANP) and
four of which are Asn-Val-Asp-Pro
(NVDP). In fact, sequencing studies have
shown that many proteins and genes of
malaria parasites contain extensive arrays of tandemly repeated amino acid
motifs [13].
It was shown that linear, tandemly repeated NANP peptides can elicit antibodies in mice and rabbits that recognize the
native CS protein and block sporozoite
invasion
of hepatocytes
[12][ 14-16].
These results were a prelude to vaccination studies in humans with synthetic
(NANP)3 peptides conjugated to tetanus
toxin, which proved that an anti-sporozoite immune response could be generated in this way, but the efficacy was not
good enough for use as a malaria vaccine
[17]. Subsequently, a number of studies
were initiated to optimise the immune response to (NANP)n peptides (e .g . [1 8 21]). It is noteworthy in all these efforts,
that the conformation(s) of the NANP repeats in the CS protein was not known,
and so could not be taken into account in
the design process. It seemed most likely
that short linear (NANPh peptides would
be largely unstructured in aqueous solution, and be susceptible to rapid proteo-
lytic degradation in serum. A later study
also suggested that a significant part of
tural unit NPNAN,
commonly quoted
the immune response against a linear
(NANPh peptide is directed against the
chain terminii [22], which of course are
not present in the native CS protein.
Conformation plays a key role in the
ability of peptides to elicit antibody responses against folded proteins. Linear
peptides often elicit antibodies that bind
well to denatured proteins, but less frequently recognize conformational epitopes
in native protein structures. Unfortunately, the structure of the (NANP)-repeat region in the CS protein is still unknown. It
is likely, however, to adopt a stable and
repititious
structure.
Early theoretical
studies led to models involving various
helical-like
structures [23-25]. It was
also suggested that the NPNA repeat unit
(1) might adopt a stable type-I ~-tum
(Fig. 1) [24]. This is important, since it
implies that the repeating structural motif
is formed by the turn-forming (NPNA)n
cadence rather than by (NANP)n' Experimental support for this idea was obtained
later from NMR studies of peptides in
aqueous solution with both the NANP
and NPNA cadences [26]. These studies
provided evidence that linear (NPNA)n
peptides exist in a dynamic equilibrium
between unfolded and ~-tum-like hydrogen-bonded, folded conformations, with
the folded forms encompassing the struc-
NPNA.
rather than the more
four residue ~-tum
Stabilization of ~-tums in the NPNA
motif has been achieved both by C(a)backbone
methylation
of proline (2)
[27] [28] and by incorporation of NPNA
motifs into template-bound cylic peptidomimetics (3) [29] and (4) [30], without
abolishing the ability of these analogues
to elicit sporozoite cross-reactive
antibodies in mice. Interestingly, the mimetic
4 exhibits in NOESY spectra strong
d N N (i,i+ 1) connectivities
between Asn5
6
6
and Ala as well as Ala and Asn7, indicative of a helical ~-tum within the
NPNAN motif, of the type suggested earlier by Dyson and coworkers [26]. A molecular model of 4, consistent with the
NMR data, predicts a helical tum for the
NPNAN unit comprising a type-I ~-turn,
with the Asn3 CO in H-bonding distance
of the Ala6 HN, and in addition the possibility of an i (Asn3 CO) to i+ 4 (Asn 7 HN)
hydrogen bond, i . e . with Ala6 in the aregion of 1j>/'l1 space.
We are exploring an approach to synthetic vaccine design, which involves using protein epitope mimetics (PEMs), in
the form of cyclic peptidomimetics,
coupled to a human compatible adjuvant, for
the induction
of antibody
responses
against conformational
epitopes. Allied
with the use of combinatorial chemistry
Pro4-AsD5
Ja
AJD3
Ala2
,
6-AsD7
"-
Pros
I9
AiD!
\
HN
1 R=H
2 R=Me
ASD
/
y«:-<:m
10
o }
HOOC
4
AcHN-(NPNAh-CONH2
5
Fig. 1. Structures ofthe NPNA motif and related peptidomimetics. The arrow on structure 5 indicates the position forthe crosslink (see text)
CHEMICAL
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methods, this approach may have great
potential for the identification and optimization of molecularly defined synthetic vaccine candidates, in a form directly
suitable for human clinical trials. We describe below some results of these studies, focusing on the NPNA-repeats of the
malaria parasite, which lead to a new proposal as to how this region might fold in
the native CS protein. This information
may be of value in attempts to design
more effective anti-sporozoite vaccines.
on sporozoites. Examination of molecular models suggested that a suitable
cross-link could be formed by introducing an amino group at the ~-position of
Pr06 and amide coupling to the spatially
adjacent side chain carboxyl of Glu as a
replacement for Alal6, i . e . as indicated in
Fig. 1-3. A model of this cross-linked
peptidomimetic was constructed, and the
model also remained in the expected conformation during MD simulations in water (Fig. 3B).
2001, 55, NO.4
by the peptide backbone. Finally, the
20-mer 12 was acetylated to give 13 for
conformational studies by NMR, and 12
was also coupled v i a a succinate linker to
a regioisomer of phosphatidyl ethanolamine (PE', I -palmitoyl-3-0Ieoyl-phosphatidylethanolamine) to afford the conjugate 14 ready for incorporation into an
IRIV (see below).
A
Molecular Modelling
Synthesis of the Peptidomimetic
Using the backbone <1>/\1' angles for
Asn3-Asn7 taken from earlier models of 4
[30], a linear peptide was built with the
sequence Ac-(NPNA)s-NH2 (5) wherein
the helical turn conformation (with the
appropriate backbone <I>/'l' angles) was
also tandemly repeated. The resulting
model of 5 (Fig. 2) was stable in MD
simulations in water solvent, and adopted
the expected repititious supersecondary
structure shown in Fig. 3A. Conceivably,
this supersecondary structure may be
close to the preferred conformation of the
NPNA-repeat region in the native CS
protein.
To explore this idea further, we set
out here to stabilize this supersecondary
structure by appropriate cross-linking of
the peptide backbone in 5, and by examining the ability of the resulting crosslinked peptidomimetic to elicit antibodies that recognize the native CS protein
The required orthogonally protected
(2S,3R)-3-arninoproline (9) was prepared
from the known ~-lactam 6 [31] as shown
in Scheme 1. The chemistry is straightforward, and the synthesis proceeds in
good yields. The required cross-linked
peptidomimetic was prepared by solidphase peptide synthesis methods, as outlined in Scheme 2. The 20-mer peptide
10 was assembled using Fmoc-chemistry. Cleavage from the resin and removal
of side-chain protecting groups proceeded in one step to afford 11. The key backbone coupling of the Apr06 and Glu16
side chains was then achieved in a remarkably clean and high yielding cyclization in DMF with HATD. Monitoring
the reaction by HPLC showed essentially
quantitative cyclization of the precursor
(data not shown). This high efficiency
probably reflects the fact that the required conformation is strongly preferred
Fig. 2. A computer model of 5 in a stable conformation in which each NPNAN motif adopts a
helical ~-turn (see text). The extended (NPNA)nsequence in the CS protein may adopt a repeated
helical ~-turn supersecondary structure related to that shown here. The arrow indicates the
position for the cross-link (see text). Colour coding; Asn = pink, Pro = cyan, Asn = coral, Ala =
yellow. The C(a) atoms are marked with a ball
Fig. 3. A, Representation of superimposed
structures taken from an MD simulation in
water of peptide 5 residues Asn 5-Ala 16 with the
repeated helical ~-turn supersecondary structure (see Fig. 2). The sausage was calculated
using the average displacement of the C(a)
atoms, which is represented by the spline
radius. The same colour coding used in Fig. 2
applies here. B, As in A, except the molecule is
a model of peptidomimetic 13. The Apr0 6 residue is in cyan and Glu 16 is in green. C, As in B,
except the molecule is the average NM R structure of 13 deduced in water by NMR and
dynamic simulated annealing. The sausage
now represents the average displacement of
the C(a) atoms of four NMR structures. The
cross-linked residues are shown in ball-andstick. The N- and C-terminal NPNA motifs are
omitted for clarity. This Fig. was prepared
using MOLMOL [34]
CHEMICAL
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CHEMISTRY
CHIMIA
Conformational Studies
HO
-;
The preferred solution conformation
of 13 was studied by NMR and MD
methods in aqueous solution at pH 5 and
293K, in analogy to previous studies of 3
[29]. The 1D IH NMR spectra indicated
the presence of a major conformer and
two minor ones (ratio 80: 14:6), the latter
two most likely arising due to c i s - t r a n s
isomerism at Asn-Pro peptide bonds, in
analogy to earlier studies [26][27][29].
The minor forms were not considered
further. A full assigment of the IH spectrum of the major form was complicated
by chemical shi~t overlap, particularly of
the Asn H-C(I3) resonances. However,
the peptide backbone HN, H-C(a) resonances could be assigned unambiguously.
2D NOESY spectra showed strong
d N N (i,i+ 1) connectivities between the
peptide NH groups of Asn 7 and Ala8 as
well as Ala8 and Asn9 in the first helical
turn, Asn II and Ala 12 as well as Ala 12 and
Asn 13 in the next helical turn, and between Asn 15 and GIu 16 as well as Glu 16
and Asn 17 in the last helical tum. These
together with the observation of long
range NOEs between Pro H-C(a) (i+1)
and Ala HN (i+3), provide evidence for
three relatively stable helical turns form-
Mtt
Mtt
I
I
Mtt
i, ii
<;.r.(0
••
Z
Z
iii, iv
II
7
6
cf..HBOC
v -v ii
N
= Fmoc-Apro(Boc)-OH
Scheme 1. i, (TfhO, CH 2 CI2 , pyridine (98%); ii, NaBH 4 , THF/DMF (58%); iii, K 2 S 2 0 S' Na2HP04,
MeCN/H 2 0 (80%); i v , (BocbO, CH 2 CI, DMF, Et3N (76%); v , LiOH, THF, H 2 0 (99%); v i , Pd-C,
MeOH, H 2 (93%); v ii, Fmoc-Osucc, iPr2NEt, CH 2CI (68%)
ed by the residues Asn5-Asn9, Asn9Asn13, and AsnI3-Asn17.
Average solution structures for 13
were calculated using NOE-derived distance restraints by dynamic simulated annealing and MD simulations, using methods described earlier [29]. The resulting average structures reveal a common
core comprising the anticipated three helical turns from Asn5-AsnI7, with higher
flexibility in the regions of the N- and
C-termini (Fig. 3C). The backbone con-
Mtt
I
I
Mtt
Mtt
I
I
Mtt
Mtt
I
I
formation of the central region, however,
corresponds closely to the expected supersecondary structure deduced for models of 5 (Fig. 3A and 3B). We conclude,
therefore, that although the mimetic is
not rigid, it can adopt a supersecondary
structure comprising three interlinked
helical turns, each based on the
(NPN AN) motif. In future work we will
seek to strengthen this conclusion, through
the synthesis and conformational analysis of other cross-linked peptidomimetics.
Mtt
I
~
10 Fmoc-Asn-Pro-Asn-Ala-Asn-AP.ro-Asn-A1a-A~m-Pro-Asn-Aia-ASn-Pro-Asn-Glu-ASn-Pro-Asn-Aia-Co-NHI
I
Boc
11
illu
t
i,
TFA, iPr3SiH, H20 (95:2.5:2.5)
Fmoc-Asn-Pro-Asn-Ala-Asn-Apro-Asn-Ala-Asn-Pro-Asn-Ala-Asn-Pro-Asn-Glu-Asn-Pro-Asn-A1a-CONH 2
tI
ii,
HATU
iii,
Piperidine, DMF
RHN-Asn-Pro-Asn-Ala-Asn-Apro-Asn-Ala-Asn-Pro-Asn-Ala-Asn-Pro-Asn-Glu-Asn-Pro-Asn-Ala-CONH 2
1
1
12 R=H
I
t
13 R=Ac
1
14
5
010
10
iv ,
Succinic anhydride,DMF, DMAP
v,
PE', HATU
15
20
HN- ~n-Pro-Asn-A1a-~n-Apro-Asn-Ala-Asn-P~o-Asn-A1a-Asn-Pro-A;n-Glu-Asn-Pro-Asn-A~-CONH2
HN
I
~
\./'0-,-0
o
I
-(oeo
oeo
Scheme 2. Synthesis of the peptidomimetics
9
COOH
I
Fmoc
Mtt
I
DMB
DMB
<;.r.(o
2001. 55. NO.4
13 and 14
CHEMICAL
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CHEMISTRY
CHIMIA 2001.55, NO.4
Immunological Studies
For immunizations, the constrained
peptidomimetic was coupled to PE' (14),
and then incorporated into an IRIV.
IRIVs are spherical, unilammelar vesicles, prepared from a mixture of phospholipids and influenza virus surface
glycoproteins [32]. The hemagglutinin
membrane glycoprotein of influenza virus plays a key role in the mode of action
of IRIV s. This major antigen of influenza
virus is a fusion-inducing component,
which facilitates antigen delivery to immunocompetent cells. The IRIV technology has been licensed already for human
clinical use. In the case of the hepatitis A
vaccine Epaxal-Berna™ [33], the first
IRIV-based non-influenza vaccine to receive a product license for human use
from a national authority, the hepatitis A
antigen spontaneously binds to the IRIY.
In this study, we have coupled the peptidomimetic covalently to PE' (14) and incorporated the mimetic-PE' conjugates
into the IRIV. Since IRIVs have been licensed already for human use, the peptidomimetics can be tested in a format that
directly allows human clinical studies.
Antibody responses elicited by IRIV
cross-reaction was demonstrated by a
competition experiment. Incubation of
the antiserum with the sporozoites in the
presence of 13 completely abolished immunostaining (Fig. SB). The IRIV formulations thus elicited a significant proportion of parasite binding antibodies
among the total anti-mimetic immune response. Future studies will focus on more
detailed analyses of cross-reactivity of
monoclonal anti-14-IRIV antibodies and
structural studies to determine the conformations of bound antigen.
Synthetic linear peptides are often
compromised as vaccine candidates due
to their inherent flexibility and susceptibility to proteolysis. Linear peptides often elicit antibodies that bind well to denatured proteins, but less frequently recognize conformational epitopes in native
protein structures. A further problem is
the weak immune responses elicited by
linear peptides, even conjugated to carrier proteins, when administered in alum,
3.5
.0
....•
00
s::1
3
2.5
Q)
2
..-Q
1.5
0.
1
C'd
u
....•
..•..•
0
0.5
0
1.E-Ol
1.E-02
1.E-03
I.E-04
1.E-05
1.E-06
Dilution
3.5
loaded with 14 were studied in BALB/c
mice. After a pre-immunization with the
influenza vaccine Inflexal Berna™ (Berna-Products, Bern, Switzerland), and
three doses of IRIV-14, the sera of all
immunized mice contained mimeticspecific antibodies, as demonstrated by
ELISA with 14 coated on ELISA plates
(Fig. 4A). The cross-reactivity of these
anti-sera with the template-bound peptidomimetics 3 and 4 was also analysed by
ELISA. The sera from three of four mice
immunized with 14-IRIV cross-reacted
with the mimetic 4 (Fig. 4B), but none reacted with 3 (Fig. 4C). It is interesting to
note that a helical NPNAN tum is possible in 4 but not in 3 [30]. That a significant part of the antibody response to 14IRIV cross-reacts with 4 also means that
these cross-reacting antibodies should
not recognize alone the ends of the peptide chain in 14, but rather the novel helical-tum supersecondary structure in the
central part of the molecule. However,
structural studies with monoclonal antibodies will be necessary to confirm this
conclusion.
The binding of anti-14-IRIV antisera
to the CS-protein was analysed by an indirect immunofluorescence assay using
P . fa lc ip a r u m
sporozoite preparations.
In all immunized animals a significant
anti-sporozoite antibody response was
detected (Fig. SA). The specificity of the
Significance
C
....•
3
s::1
2.5
00
................
................
Q)
..-Q
C'd
2
u
....•
..•..•
1.5
0.
1
0
0.5
0
LE-O1
1.E-02
1.E-03
1.E-04
Dilution
3.5
.0
....•
~
c
3
2.5
Q)
..-Q
~
....•
..•..•
0.
o
2
1.5
1
0.5
o
1.E-OI
1.E-02
I.E-03
1.E-04
Dilution
Fig. 4. Serum IgG titres of BALBlc mice immunized three times with 14-IRIV. ELISA was
performed in ELISA microtiter plates coated either with 14 (A), a PE-conjugate of 4 (B) or with 3
conjugated to a multiple antigen peptide for coating on the ELISA plates (C) and incubated with
serial dilutions of the sera of individual mice. Bound IgG was detected using alkaline phosphatase-conjugated antibodies specific for mouse gamma heavy chains
CHEMICAL
BIOLOGY / BIOLOGICAL
339
CHEMISTRY
CHIMIA 2001,55. NO.4
A
cross-react with the native CS protein on
P . fa lc ip a r u m
sporozoites. Further stud-
ies are now planned with a small library
of related mimetics, to provide further
B
support for the biological relevance of
this new supersecondary structure, and to
further optimise the immunological response with a view to application as a
potential anti-sporozoite vaccine candidate.
In general, this approach appears to
offer great potential for the design of molecularly defined combined synthetic
vaccines,
including those targeted
against multiple antigens and development stages of P . f a l c i p a r u m , and against
other infectious agents.
W.R. Ballou, R.A. Wirtz, I.H. Trosper,
R. L. Beaudoin, M.R. Hollingdale, L.H.
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A c k n o w le d g e m e n ts
The authors are grateful to the Swiss National Science Foundation and the Swiss Commission for Technology and Innovation for supporting this work and Dr. Pflieger (Roche, Basel) for
a generous gift of compound 6.
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R oy. Soc. Lond. B
Fig. 5. Immunofluorescence
staining of P. fa lc ip a ru m sporozoites
by mouse anti-14-IRIV
antiserum, uSing a File-labelled
secondary
anti-mouse IgG antibody (A). Incubation of the
primary antibody with the parasites in the presence of the mimetic 13 (50 J.lg/ml) abolished
staining of the sporozoites (8)
[1] E. Marshall,
S c ie n c e
[2] M.J. Gradner,
2000, 2 9 0 ,
C urro
O p in .
4 2 8 -4 3 0 .
G e n e t.
438.
P a r a s ito l.
Today
2000, 16,
434-438.
the commonly used human compatible
adjuvant.
In this work, an approach to synthetic
vaccine design is followed, in which cyclic peptidomimetics are presented to the
immune system in multiple copies on the
surface of Immunopotentiating Reconstituted Influenza Virosomes (IRIVs).
These virosome particles contain also
influenza virus proteins that facilitate uptake of the virosome by immunocompetent cells. IRIVs have been licensed
already for human use, so the peptidomimetics can be tested in a format that directly allows human clinical studies.
Here, peptidomimetics of the central
(NPNA)n repeat region of the circumsporozoite (CS) protein of the malaria parasite P l a s m o d i u m f a l c i p a r u m have been
studied. Previous NMR and modelling
studies suggests that NPNAN units in
this region adopt a helical p-tum, which
may be tandemly repeated to form a novel supersecondary structure. To test this
proposal, a cyclic mimetic was prepared,
and shown by NMR methods to adopt a
preferred conformation having three tandemly repeated helical turns. Antibodies
raised against the mimetic were shown to
lm m u n o l.
A.V.S. Hill,
C urro
O p in .
2000, 12, 437-441.
[6] R.P. Anders, A. Saul,
P a r a s ito l.
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Today
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2000,16,411-415.
[8] L.H. Bannister, J.M. Hopkins, R.E. Fowler, S. Krishna, G.H. Mitchell, P a r a s i t o L .
Today
P roc.
N a tl.
A cad.
Sci.
U SA
1987, 84,
4470-4474.
K.D. Gibson, H.A. Scheraga,
A cad.
Sci.
U SA
P roc.
N a tL .
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ner, P.E. Wright, B i o c h e m i s t r y
R.A. Ler-
1990, 29,
7828-7837.
2000,16,444--447.
Today
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