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Receptor-destroying enzyme (RDE) from Vibrio cholerae modulates IgE activity and reduces the initiation of anaphylaxis

IgE plays a key role in allergies by binding to allergens and then sensitizing mast cells through the Fc receptor, resulting in the secretion of proinflammatory mediators. Therefore, IgE is a major target for managing allergies. Previous studies have reported that oligomannose on IgE can be a potential target to inhibit allergic responses. However, enzymes that can modulate IgE activity are not yet known. Here, we found that the commercial receptor-destroying enzyme (RDE) (II) from Vibrio cholerae culture fluid specifically modulates IgE, but not IgG, and prevents the initiation of anaphylaxis. RDE (II)–treated IgE cannot access its binding site on bone marrow–derived mast cells, resulting in reduced release of histamine and cytokines. We also noted that RDE (II)–treated IgE could not induce passive cutaneous anaphylaxis in mouse ears. Taken together, we concluded that RDE (II) modulates the IgE structure and renders it unable to mediate allergic responses. To reveal the mechanism by which RDE (II) interferes with IgE activity, we performed lectin microarray analysis to unravel the relationship between IgE modulation and glycosylation. We observed that RDE (II) treatment significantly reduced the binding of IgE to Lycopersicon esculentum lectin, which recognizes poly-N-acetylglucosamine and poly-N-acetyllactosamine. These results suggest that RDE (II) specifically modulates branched glycans on IgE, thereby interfering with its ability to induce allergic responses. Our findings may provide a basis for the development of drugs to inhibit IgE activity in allergies.

IgE plays a key role in allergies by binding to allergens and then sensitizing mast cells through the Fc receptor, resulting in the secretion of proinflammatory mediators. Therefore, IgE is a major target for managing allergies. Previous studies have reported that oligomannose on IgE can be a potential target to inhibit allergic responses. However, enzymes that can modulate IgE activity are not yet known. Here, we found that the commercial receptor-destroying enzyme (RDE) (II) from Vibrio cholerae culture fluid specifically modulates IgE, but not IgG, and prevents the initiation of anaphylaxis. RDE (II)-treated IgE cannot access its binding site on bone marrow-derived mast cells, resulting in reduced release of histamine and cytokines. We also noted that RDE (II)-treated IgE could not induce passive cutaneous anaphylaxis in mouse ears. Taken together, we concluded that RDE (II) modulates the IgE structure and renders it unable to mediate allergic responses. To reveal the mechanism by which RDE (II) interferes with IgE activity, we performed lectin microarray analysis to unravel the relationship between IgE modulation and glycosylation. We observed that RDE (II) treatment significantly reduced the binding of IgE to Lycopersicon esculentum lectin, which recognizes poly-N-acetylglucosamine and poly-N-acetyllactosamine. These results suggest that RDE (II) specifically modulates branched glycans on IgE, thereby interfering with its ability to induce allergic responses. Our findings may provide a basis for the development of drugs to inhibit IgE activity in allergies.
Immunoglobulin ⑀ (IgE) plays a key role in type I allergy (e.g. asthma and anaphylaxis). IgE was discovered about 50 years ago by Ishizaka and Ishizaka (1, 2) as a novel immunoglobulin able to induce allergic reactions in the skin . The study found that intracutaneous injection with only 1-2 ng/ml IgE could induce an erythema-wheal reaction in healthy subjects (2). Mast cells and blood basophils in the tissue were found to express a high affinity to the IgE receptor, Fc⑀RI 2 (3,4). By subsequent exposure to the allergen, IgE-binding mast cells released proinflammatory mediators, including histamine and cytokines, which cause an allergic response (5). Yamaguchi et al. (5) then demonstrated that IgE enhances the expression level of Fc⑀RI in mast cells and permits mast cells to increase production of proinflammatory mediators by antigen challenge. Taken together, IgE is considered one of the major targets for therapy against allergies. Omalizumab, which binds to the Fc region of IgE and inhibits binding to Fc⑀RI, has been previously found to be a successful therapy against certain allergies (3,6,7). However, omalizumab cannot displace IgE bound to Fc⑀RI, which leads to a delay of several weeks or months before the onset of any clinical benefits (7). As such, another approach to IgE is necessary to develop a therapy against allergy.
Glycosylation of immunoglobulin is considered to be important for its structure and function (8). Minor modifications of glycans on IgG (e.g. fucose depletion (9)) can have a significant impact on receptor binding and the effector functions (8). In contrast, IgE is the most heavily glycosylated antibody (10,11). Human IgE has seven predicted N-glycosylation sites, whereas murine IgE has eight or nine (8,10). Björklund et al. (12) reported that N-linked glycan is important for binding to Fc⑀RI.
They indicated that Flavobacterium meningosepticum peptide: N-glycosidase F (PNGase F), which removes almost all N-linked oligosaccharides, reduces the binding level of IgE to Fc⑀RI in ELISA. Moreover, Shade et al. (10) reported that oligomannose on Asn-394 in human IgE and Asn-384 in murine IgE is important for the structural integrity of the immunoglobulin. Modifications at these sites by endoglycosidase F1 (Endo F1), which cleaves within the chitobiose core of high-mannose and some hybrid oligosaccharides from N-linked glycoproteins, abrogate IgE binding to Fc⑀RI. Therefore, the modification of oligomannose prevents the initiation of anaphylaxis by mast cells. In their study, they suggested that IgE oligomannose may be a potential therapeutic target. Wu et al. (11) also determined high-mannose glycans on the same site in IgE obtained from a patient with a novel hyper-IgE syndrome. However, PNGase F and Endo F1 cannot specifically modulate IgE because most sugar proteins have N-linked oligosaccharides. To target the glycan on IgE specifically for the therapy, more research is required to identify a specific enzyme that is able to modulate the glycan structure in IgE.
Previously, we coincidentally found that commercial receptor-destroying enzyme (RDE) (II) from Vibrio cholerae culture fluid (13) reduced the binding level of IgE to influenza virus antigen, hemagglutinin (HA) (Fig. 1A) (14). RDE (II) contains a neuraminidase (NA) (sialidase) and is usually used for preventing nonspecific binding of influenza HA to sialic acid in neutralizing assays. We genetically switched the constant region of anti-HA IgG to anti-HA IgA, IgM, IgD, and IgE and established all classes of anti-HA-coding plasmids. All variable regions were the same, and the binding affinity to influenza HA was considered as equal. However, RDE (II)-treated IgE could not neutralize virus infection despite there being sufficient activity of RDE (II)-treated IgG, IgA, and IgM (14). In this study, we showed that RDE (II) altered the structure of IgE and abrogated IgE binding to Fc⑀RI on mast cells, which is directly related to the mast cell degranulation, thereby preventing anaphylaxis. Furthermore, we identified that RDE (II)-treated IgE had reduced capacity of binding to Lycopersicon esculentum (LEL), which recognizes poly N-acetylglucosamine (GlcNAc) and poly-N-acetyllactosamine (LacNAc) (15)(16)(17)(18), by lectin microarray analysis using 96 lectins (19,20). Taken together, RDE (II) was found to have the specific characteristics necessary to modulate the glycan on IgE, when compared with IgG.

RDE (II) reduces the binding activity of anti-HA IgE to the antigen and the antibodies against the constant region, but not anti-HA IgG
We previously generated the plasmid vector coding the antibody gene of anti-HA IgG and anti-HA IgE (14). Surprisingly, even the variable regions were conserved, wherein anti-HA IgE was not able to neutralize the influenza virus in vitro (14). For the neutralizing assay, the specimens were treated with RDE (II) (13), followed by incubation with influenza virus in the presence of trypsin, which cleaves the HA of the influenza virus (21). We also reconfirmed that the antigen-binding activity of anti-HA IgE treated with RDE (II) was reduced to the back-ground level, although anti-HA IgG was almost not affected ( Fig. 1A) (14). Moreover, we were almost unable to detect RDE (II)-treated IgE by antibodies against ⑀ chain, despite RDE (II)treated anti-HA IgG being detected at almost the same level as the untreated antibody (Fig. 1B). In our previous report (14), we could not detect RDE (II)-treated anti-HA IgE using antibodies against ⑀ chain by Western blotting. However, the light chain of anti-HA IgG and anti-HA IgE was expressed from the same plasmid vector. Therefore, we measured the binding activity of light chain-binding protein (BP) (Fig. 1C). We detected bands of untreated and RDE (II)-treated IgE at over 250 kDa, which was much larger than predicted (around 200 kDa) (Fig. 1C) (3). Taken together, these results suggest that RDE (II) affects not only the antigen-binding region of anti-HA IgE but also the constant region, except for the light chain. Because anti-HA IgG was not affected by RDE (II), it is also suggested that the reactivity of RDE (II) is specific for anti-HA IgE.

RDE (II) changes the structure of IgE but not IgG, followed by the reduction of the binding activity to anti-⑀ chain
To confirm whether RDE (II) affected the IgE antibody, purified mouse monoclonal IgE (anti-TNP IgE) and IgG (anti-T-2 mycotoxin IgG) were treated with RDE (II) and detected by Western blotting. Although RDE (II)-treated IgG was detected as several smaller bands, a single band over 150 kDa, which was the intact size of IgG antibodies ( Fig. 2A, lanes 5-8), was detected and identified as the untreated IgG ( Fig. 2A, lanes  1-4). In contrast, in the absence of RDE (II), the band of the purified IgE was mainly detected as over 250 kDa, as seen in Fig.  1C ( Fig. 2A, lanes 9 -12). We also detected a much smallersized band of RDE (II)-treated IgE, around 150 kDa ( Fig. 2A, lanes [13][14][15][16]. Moreover, we obtained the same results by CBB staining (Fig. 2B) and light chain BP (Fig. 2C). To analyze which heavy chain (⑀ chain) or light chain RDE (II) has a greater effect, we analyzed RDE (II)-treated IgE under reducing conditions. Using antibodies against the ⑀ chain, we obtained a smaller band (around 50 kDa) than that of the untreated (over 75 kDa), depending on the serial dilution (Fig. 2D). Using light chain BP, the band size obtained was the same even after treating with RDE (II) (Fig. 2E). These results indicate that RDE (II) affects the ⑀ chain and not the light chain, which is similar to that demonstrated in Fig. 1C. To confirm the influence of RDE (II) on the constant region, we quantified the binding activity of the antibodies against the constant region in the presence and absence of RDE (II). In the plate coated with anti-mouse immunoglobulins (Igs), RDE (II)-treated IgE levels decreased depending on the concentration of RDE (II) (Fig. 2F), although RDE (II)-treated IgG was stably detected at almost the same level as that of the untreated (Fig. 2G). Moreover, a 3 4 -fold dilution was the titer of RDE (II) for IgE in the reduction of binding levels to coated anti-mouse Igs (Fig.  2F) and that of the band from over 75 to 50 kDa (Fig. 2, D and F). Taken together, these results suggest that the reduction of the size by RDE (II) correlates with the binding activity to antibodies against ⑀ chain.
Next, we confirmed whether RDE (II) could reduce the binding activity of serum IgE to anti-⑀ chain ex vivo. We previously succeeded in inducing the expression of anti-HA IgE in the mouse serum by hydrodynamic injection with the plasmid vec-

RDE modulates IgE to not induce anaphylaxis
tor encoding the antibody gene (14). We obtained serum from mice in which anti-HA IgE and anti-HA IgG antibody coding gene had been transferred, followed by incubation with RDE (II). The expression level of RDE (II)-treated anti-HA IgE was not detected in the serum at all, although 2400 ng/ml (ϭ 10 3.4 ) of the untreated specimen was detected (Fig. 3A). On the contrary, RDE (II)-treated anti-HA IgG in serum was detected at the same level as that in the absence of RDE (II) (Fig. 3B). We also confirmed that the entire level of IgE in the mouse serum was reduced by treatment with RDE (II) (Fig. 3C). In contrast, the entire IgG level was the same as the level both of RDE (II)treated and -untreated specimens (Fig. 3D). These results indicate that RDE (II) specifically reduces the binding of IgE to anti-⑀ antibodies but does not affect the level of IgG in serum. Therefore, this suggests that RDE (II) influences the construction of the ⑀ chain and not the ␥ chain.

RDE (II)-treated IgE could not induce anaphylaxis in bone marrow-derived mast cells (BMMCs)
RDE (II) treatment affects the construction of IgE. Therefore, we investigated whether RDE (II) alters IgE-mediated mast cell activation. To evaluate the stimulation and release of cytokines and histamines from BMMCs with RDE (II)-treated IgE, BMMCs were incubated with RDE (II)-treated anti-dinitrophenol (DNP) IgE (22). Furthermore, BMMCs were activated by cross-linking IgE with DNP-human serum albumin (HSA). The supernatants were obtained, and the induction levels of TNF␣, IL-6, and histamine were measured, which are the classical activation markers of mast cells. Although untreated IgEsensitized BMMCs released large amounts of TNF␣, IL-6, and histamine, all of the levels were significantly reduced in RDE (II)-treated IgE-sensitized BMMCs (Fig. 4, A-C). To confirm the binding of RDE (II)-treated IgE to BMMCs, we sensitized the cells with untreated or RDE (II)-treated anti-DNP IgE. As shown in Fig. 4D, although untreated IgE could bind to BMMCs, RDE (II)-treated IgE could barely bind to BMMCs (Fig. 4D). However, the binding level of control IgG to bone marrow-derived macrophages (BMMs) was barely affected by RDE (II). We also confirmed that RDE (II) was not toxic for BMMCs, because propidium iodide-positive cells were barely detected in BMMCs with RDE (II)-treated IgE (Fig. S1). These data indicate that RDE (II)-treated IgE can no longer bind to BMMCs. Therefore, BMMCs are unable to release cytokines and histamine even in presence of the antigen.
To evaluate whether RDE (II)-treated anti-DNP IgE has a similar effect in vivo, we examined IgE-mediated passive cutaneous anaphylaxis (PCA) in mouse models. Increased vascular permeability was observed in mice that were injected with untreated anti-DNP IgE (Fig. 4, E and F). On the contrary, vascular permeability was significantly decreased in mice with RDE (II)-treated anti-DNP IgE, as in the control (Fig. 4, E and F). These results correlated with those observed in the experimental data of BMMC.

Structure of IgE was affected by trypsin, but IgG was not, as with RDE (II)
RDE (II) significantly affects the structure and activity of IgE. Therefore, this suggests that the neutralizing titer of anti-HA IgE against influenza virus was reduced in vitro, compared with that of anti-HA IgG in our previous report (14). To cleave the HA of influenza virus to enable the virus to infect host cells, we incubated the cells in the presence of trypsin (21). We also confirmed the binding activity of the anti-⑀ chain to the trypsintreated IgE. Although trypsin-treated IgG was detected at almost the same level as intact IgG (Fig. S2B), trypsin-treated IgE was significantly reduced by 2-fold (Fig. S2A). To evaluate whether trypsin affected the structure of IgE, we separated trypsin-treated IgE by Western blotting under nonreducing conditions. Interestingly, the main band of the IgE was reduced to around 150 kDa, as seen previously in RDE (II)-treated IgE (Fig. S2C, lanes 10 -12). On the contrary, trypsin-treated IgG was detected at the same size as untreated IgG (Fig. S2C, lanes 4 -6). Under reducing conditions, we also obtained a smaller band, around 50 kDa, than that of untreated IgE, depending on the serial dilution (Fig. S2D). These results suggest that trypsin also specifically affects the structure of IgE as RDE (II).

RDE (II) resists several protease inhibitors to modulate IgE
Both RDE (II) and trypsin significantly reduced the binding activity of IgE against anti-⑀ chain antibodies and affected the structure. It was considered that RDE (II) has protease activity like trypsin. To confirm our hypothesis, we used preincubated . RDE (II) changes the structure of IgE and reduces its binding activity to anti-⑀ chain but not that of IgG. A, serially diluted purified IgG (clone 15H6) and IgE (clone C38-2) (187.5 ng, ϳ3-fold dilutions) were treated with RDE (II) at 37°C overnight (12-20 h). They were blotted under nonreducing conditions with HRP-conjugated anti-mouse IgG and IgE. Ab, antibody. B, purified IgG and IgE (140 ng) were treated with RDE (II). They were analyzed with CBB staining. C, purified IgE and IgG were treated with RDE (II). They were blotted by SDS-PAGE under nonreducing conditions with HRP-conjugated light chain-binding protein (BP). D, purified IgE treated with diluted RDE (II) (3-fold dilutions, indicated number means multiplier (ϭ n)) was blotted under reducing conditions with HRP-conjugated anti-mouse IgE. E, purified IgG and IgE were treated with RDE (II). They were blotted under reducing conditions with HRP-conjugated light chain BP. F and G, purified IgE (F) or IgG (G) were treated with diluted RDE (II) as indicated overnight (12-20 h). The levels of IgE (F) and IgG (G) were measured by quantitative ELISA. Data are representative of two independent experiments and indicate the mean Ϯ S.D. RDE (II) at 56 or 100°C (56°C-RDE (II) or 100°C-RDE (II)), followed by treatment of IgE and IgG. 56°C-RDE (II)-treated IgE indicated the same binding activity to anti-⑀ chain as intact RDE (II), which was reduced by 2-fold compared with the control (Fig. 5A). However, 100°C-RDE (II)-treated IgE was not detected in the reduction of the binding activity to the anti-⑀ chain at the same level as the control (Fig. 5A). We also found that a band of ϳ150 kDa was not detected in 100°C-RDE (II)treated IgE, and only a band over 250 kDa was detected (Fig.  5B). These results suggest that the activity of RDE (II) is caused by a function of an enzyme such as protease or glycosidase. To remove the possibility of low molecular weight compound-induced function, we dialyzed RDE (II) to exclude any molecule below 12-16 kDa. We confirmed that the band of IgE treated with dialyzed RDE (II) was also around 150 kDa, the same as that treated with intact RDE (II) (Fig. 5C). These results suggest that RDE (II) works as an enzyme for the modulation of IgE. Then, we analyzed the time course of the reduction by treatment with RDE (II). After incubation for 10 min, ladder bands between Ͼ250 and ϳ150 kDa were detected (Fig. 5D, lane 2). The band over 250 kDa reduced and that around 150 kDa increased over time (Fig. 5D, lanes 3 and 4). After 360 min, only bands around 150 kDa were detected, with almost no bands over 250 kDa (Fig. 5D, lane 6). This result demonstrates that the band size of IgE is gradually reduced by RDE (II) and not abruptly reduced from over 250 kDa to around 150 kDa. RDE (II) was obtained from the culture fluid of V. cholerae, which contains some protease and sialidase (23). To evaluate the protease activity of RDE (II) for the modulation of IgE, we pretreated RDE (II) with paraoxon, diisopropyl fluorophosphate (DFP), as the serine-protease inhibitor (24) or bis-p-nitrophenyl phosphate (BNPP) as the carboxylesterase inhibitor (25). Paraoxon and BNPP could not inhibit the IgE modification  from BMMCs. Two g/ml anti-DNP IgE was treated with RDE (II) overnight (12-20 h), followed by incubation at 56°C. Then, the antibodies sensed BMMC for 2 h, followed by incubation with HSA-DNP as indicated overnight (12-20 h). Then, the supernatant was collected and analyzed with quantitative ELISA for IL-6 (A) or TNF␣ (B). **, p Ͻ 0.01, and ***, p Ͻ 0.001 (Student's t test). N.D., not detected. C, 2 g/ml anti-DNP IgE was treated with RDE (II) overnight (12-20 h). BMMCs were sensed overnight (12-20 h) and then incubated with 200 ng/ml HSA-DNP for 1 h. The supernatant was then obtained and analyzed with competitive ELISA for histamine. ***, p Ͻ 0.001 (one-way ANOVA). D, 20 g/ml biotin-conjugated anti-DNP IgE or control IgG (MOPC-21) was treated with RDE (II) overnight (12-20 h). BMMCs or BMMs were incubated with the antibodies for 30 min, followed by incubation with APC-conjugated streptavidin. The binding level was analyzed by FACSCantoII. E, anti-DNP IgE was treated with RDE (II) overnight (12-20 h). The ears of mice were passively sensitized with 20 ng of RDE (II)-treated anti-DNP IgE. One day later (18 -24 h), all mice were intravenously injected with 200 g of DNP-HSA containing Evans blue dye. Thirty minutes later, the ears were obtained and observed in the transudation of Evans blue dye to determine vascular permeability. F, the absorbance of the extraction from the ear was measured at 620 nm. ***, p Ͻ 0.001 (one-way ANOVA). All data are representative of at least two independent experiments and indicate the mean Ϯ S.D.

RDE modulates IgE to not induce anaphylaxis
function of both RDE (II) and trypsin (Fig. S3A). However, DFP could inhibit the modification function of trypsin (Fig. S3B, lanes 5 and 6) but not of RDE (II) (Fig. S3B, lanes 3 and 4). These results suggest that RDE (II) activity is not a result of carboxylesterase and serine-protease activity. Next, we evaluated the inhibitory effect against RDE (II) function with another protease inhibitor, cOmplete, which contains several inhibitors (e.g. ␣ 2 -macroglobulin, see under "Experimental procedures"). cOmplete was also found to inhibit the modification of IgE by trypsin (Fig. S3D) but not RDE (II) (Fig. S3C), regardless of the concentration. In CBB staining, we could not detect any extra bands of IgE by incubation with cOmplete-treated RDE (II) (Fig. S3E). These results suggest that the function of RDE (II) is mainly not via protease.

Characteristic features of glycan alteration on RDE (II)-treated IgE
RDE from V. cholerae is a known NA (sialidase) (26). We examined the glycan structures of RDE (II)-treated IgE with lectin microarray using two types of IgE (Fig. 6, #1, anti-TNP IgE, and #2; anti-DNP IgE). To select a lectin probe, the meannormalized data for untreated and RDE (II)-treated IgE were analyzed by Student's t test. The binding activity of RDE (II)treated IgE for two lectins, LEL and Phaseolus vulgaris leucoagglutinin (PHA-L), was significantly reduced (p Ͻ 0.01) (Fig. 6A and Table S1). The binding of LEL was decreased by 3.5-or 7.1-fold after RDE (II) treatment (Fig. 6B) and that of PHA-L by 5.0-or 9.1-fold (Fig. 6C). This result demonstrates that RDE (II) influences LEL and PHA-L binding to the sugar chain of IgE. To confirm these results, we also carried out lectin-blotting assays. The signal intensity of LEL (Fig. 6D, lanes 1 and 2) and PHA-L (Fig. 6F, lanes 1 and 2) was significantly reduced in RDE (II)treated IgE against each internal control (Fig. 6, E and G, lanes 1  and 2). Interestingly, the band of IgG was not detected with either LEL or PHA-L (Fig. 6, D and F, lanes 3 and 4), even though the band was detected with anti-IgG antibodies (Fig. 6,  E and G, lanes 3 and 4). These results suggest that the glycan structures of IgE and IgG are different, which exercises an effect on RDE (II). Moreover, RDE (II)-treated IgE remained to be detected with several sialic acids ( Fig. 6A and Table S1). Unlike treatment with RDE (II), we almost failed to detect a reduction in the band of IgE by treatment with NA (sialidase) (Fig. S4,  lanes 3-9), similar to the situation with IgG (Fig. S4, lanes  12-18). These results suggest that sialidase is not primarily responsible for the modification of IgE by RDE (II).
The structure of IgE was also affected by trypsin. Therefore, we also analyzed the binding level of trypsin-treated IgE to LEL and PHA-L via lectin blotting. The signal intensity of trypsintreated IgE with LEL (Fig. S5, left panel), and not PHA-L (Fig.  S5, middle panel), was significantly reduced (Fig. S5, bar graph). These results suggest that at least poly-GlcNAc or poly-N-Lac-NAc, which was recognized by LEL, are important sugar chains in the structure of IgE.

RDE (II) is a potent enzyme and influences the structure of IgE
Glycan structures, which bind to LEL or PHA-L, are potentially important for the IgE structure. Previously, Björklund et al. (12) reported that N-linked glycan in IgE influences the receptor-binding structures. We confirmed that anti-HA IgE was not detected in the supernatant of HEK293T cells in the presence of tunicamycin, which inhibits N-glycosylation of glycoprotein (Fig. S6A, lanes 2 and 3). The expression of anti-HA IgG was detected even in the presence of tunicamycin (Fig. S6A,  lanes 5 and 6). This result suggests that N-glycosylation influences the structure of IgE, compared with IgG. We then analyzed whether PNGase F reduces the band size of IgE. Under nondenaturing conditions, PNGase F slightly reduced the band size of IgE, unlike RDE (II)-treated IgE around 75 kDa (Fig. S6B,  lanes 5 and 6). In contrast, under denaturing conditions, a reduction in the IgE band to ϳ75 kDa was detected by treating with PNGase F (Fig. S6C, lanes 5 and 6). Shade et al. (10) also reported that oligomannose, an N-linked glycan, is indispensable for IgE binding to Fc⑀RI. However, we could not confirm that Endo H reduced the IgE band as RDE (II) treated IgE under both nondenaturing and denaturing conditions (Fig. S6, B and  C, lanes 3 and 4). These results suggest that RDE (II) has a more potent effect against even the intact structure of IgE, compared with PNGase F and Endo H.

Discussion
In this study, we demonstrated that an enzyme from V. cholerae culture fluid (RDE (II)) can modulate only IgE and not IgG. The results suggest that LEL-binding sugar chains on IgE are

RDE modulates IgE to not induce anaphylaxis
important to retain the structure, allowing for binding to antigen and Fc⑀RI on mast cells. In a previous report, IgA and IgM were also found to not be affected by RDE (II) (14). Moreover, we were unable to detect the modulation of light chain by the RDE (II)-like ⑀ chain using Western blotting (Figs. 1C and Fig. 2,  C and E). This suggested that RDE (II) can modulate only the ⑀ chain but not the light chain. Using light chain BP, we detected a band of RDE (II)-treated IgE around 150 kDa, which is the same size as the anti-⑀ chain (Fig. 2, A and C). This result indicates that RDE (II) did not separate IgE into an ⑀ chain and a light chain. These results demonstrate that the enzymatic activity of RDE (II) is able to specifically inhibit the ⑀ chain in the initiation of anaphylaxis.
Previous studies have reported that N-glycosylation of IgE is essential for its binding to Fc⑀RI and its function (10,12). IgE has four constant domains (C⑀1-4) and is heavily glycosylated  (27). Shade et al. (10) reported that the N-linked oligomannose structure on C⑀3 of IgE plays a crucial role to abrogate binding to Fc⑀RI. Therefore, they concluded that mutations of C⑀3 or Endo F1 rendered IgE incapable of eliciting mast cell degranulation. However, we could not find this effect on PNGase F and Endo H by Western blotting (Fig. S6B). The longer treatment time of 72 h, as seen in Shade et al. (10) may reduce the band size of IgE. Moreover, although our result in Fig. S6C is consistent with previous reports (10,12), IgE was only affected by PNGase F under denaturing conditions. On the contrary, RDE (II) was found to affect the structure of IgE after only a 10-min incubation under nondenaturing conditions (Fig. 5D). These results suggest that RDE (II) activity has a greater effect on the structure of IgE, when compared with PNGase F and Endo H.

RDE modulates IgE to not induce anaphylaxis
The band size of mouse IgE from HEK293T cells was barely affected by RDE (II) (Fig. 1C), possibly due to the glycosylation in human cells (28,29), although the binding level of anti-⑀ chain decreased considerably (Fig. 1B). However, RDE (II) decreased the band size of ⑀ chain from mouse hybridoma (C38-2) to ϳ50 kDa, which was smaller than the predicted size of 73 kDa (Fig. 2D). Moreover, any protease inhibitor could not inhibit the effect of RDE (II) (Fig. S3). Taken together, we considered that IgE was not directly digested by RDE (II) but instead primarily affected the sugar chains on ⑀ chain. This result also suggests that not only one but several glycans on IgE are involved in modulation, because RDE (II) was found to gradually modulate the structure of IgE (Fig. 5D). Furthermore, our results (Figs. 1C and 2C) also suggested that some effects of RDE (II) are different between mouse and human IgE because of the difference in the glycan structure (10).
Through our lectin microarray using 96 lectins, we identified LEL and PHA-L (p Ͻ 0.01), which decreased the binding level to RDE (II)-treated IgE (Fig. 6). LEL recognizes N-GlcNAc ␤-1,4-linked N-GlcNAc oligomers up to four carbohydrate units ((GlcNAc) 2-4 ) or Gal␤1-4GlcNAc␤1-3 oligomers ((LacNAc) n ) (15)(16)(17)(18). PHA-L binds to tetra-antennary complex oligosaccharides (Gal(␤1-4)GlcNAc(␤1-6)Man). The current result suggests that RDE (II) modulates branched glycans on IgE, which play a crucial role in retaining the structure and function of IgE. Trypsin was observed to have a similar function to RDE (II) in the modulation of IgE (Fig. S2). Interestingly, trypsin-treated IgE was reduced to the binding level of only LEL and not PHA-L (Fig. S5). This result suggests that LEL-binding sugar chains are more important for the modulation of IgE than PHA-L. However, both lectins were unable to bind to IgG (Fig. 6, D and F). This suggests that the glycoform in the IgE structure is different from that in IgG. Taken together, these results suggest that may be possible for RDE (II) to specifically recognize the IgE-glycan and not IgG.
The binding to anti-⑀ antibody in ELISA and the change of the band size in Western blotting were correlated because the titer of RDE (II) was the same (Fig. 2, D and F). Therefore, this suggests that modulation of the structure by RDE (II) is important for the inhibition of IgE function. RDE (II)-treated IgE was also unable to bind to the antigen and was thereby incapable of neutralizing influenza virus infection (14). These results suggest that the enzyme in RDE (II) drastically changed both the Fc region and antigen-binding site of IgE and not IgG. It is possible that IgE is unable to bind not only to the Fc⑀RI receptor but also to the allergen as a result of RDE (II) treatment. Taken together, this indicates that RDE (II) may be able to inactivate the allergic function of IgE.
It is well known that RDE (II) has both protease and sialidase activity (23). However, unlike trypsin, we could not inhibit the function of RDE (II) via any protease inhibitor (Fig. S3). We also found that the main function of RDE (II) was not sialidase, because RDE (II)-treated IgE was still able to bind several sialic acids in the lectin array (Fig. 6A and Table S1), and the band size IgE was not reduced by sialidase (Fig. S4). V. cholerae has other glycosidase activities (30,31). One is amidase, which is crucial for cell division and growth (30). Amidases release peptide side chains from the glycan strand, followed by the cleavage of septal peptidoglycan, which is composed of glycan chains with alternating ␤-1,4-linked N-GlcNAc and N-acetylmuramic acid (Mur-NAc) peptide residues (30). V. cholerae also has at least two chitinases, which synergistically hydrolyze chitin, (GlcNAc) n , into small oligomers (32, 33). It is possible that the amidase or chitinase in RDE (II) can modulate the structure of IgE; however, further studies are required to elucidate the relevance of RDE (II) in inhibiting the function of IgE.
One antibody drug, omalizumab, binds to the Fc fragment of IgE and is able to neutralize IgE by blocking the binding to Fc⑀RI (3, 6, 7). Therefore, the target of IgE is highly effective for therapy against allergies. However, omalizumab has a limitation, i.e. the delay in the onset of clinical benefits, which can take several weeks or months because omalizumab is unable to displace IgE bound to Fc⑀RI under the current treatment conditions (7). In this study, RDE (II) was found to decrease the binding level of not only the Fc region but also at the antigenbinding site (Fig. 1, A and B). Therefore, RDE (II) may be able to abrogate the function of even the IgE bound to Fc⑀RI by inhibiting the binding of the allergen. Moreover, we also found that RDE (II) had an effect not only in purified monoclonal IgE but also in IgE in the serum (Fig. 3). This suggests that RDE (II) is effective against polyclonal IgE, which have multiple kinds of glycan. In this study, RDE (II) showed specific characteristics for modulating the glycan on IgE, compared with IgG. Taken together, our results suggest that treatment with RDE (II) could be successful for therapy against allergy; however, further studies are needed to identify the specific enzyme in RDE (II), which modulates IgE.

Plasmid construction
In our previous report (14,34), we generated the plasmids encoding the genes for the heavy chain (IgG and IgE) and the light chain () of a neutralizing anti-hemagglutinin (HA) antibody (35). All constructions are based on the pCADEST1 vector (36).

Antibody expression in vitro
HEK293T cells were maintained in Dulbecco's modified Eagle's medium (ThermoFisher Scientific, Waltham, MA) supplemented with 10% heat-inactivated fetal calf serum and penicillin-streptomycin-glutamine. HEK293T cells were cotransfected with the plasmid vectors using FuGENE HD transfection reagent (Promega, WI). After 1 week, the supernatants were obtained and treated with RDE (II) at 37°C overnight (12-20 h), followed by incubation at 56°C for 30 min as mentioned in our previous report (14). HEK293T cells were also transfected and incubated in the presence or absence of tunicamycin (Wako). Forty hours later, the supernatants were obtained.

Mice
BALB/c (SLC, Shizuoka, Japan) were maintained under specific pathogen-free conditions. Animal experiments were conducted in accordance with the approval of the Animal Research Committee of the Aichi Medical University.

ELISA
The antigen-binding level of anti-HA antibody treated with RDE (II) was determined as reported previously (14,34,37). Briefly, a 96-well plate was coated with HA protein purified from A/PR8 virus using affinity columns constructed by coupling of CNBr-activated Sepharose 4B beads (GE Healthcare UK Ltd., Buckinghamshire, UK) and anti-HA antibodies. The plate was incubated with TBS-containing bovine casein (Merck Millipore) for blocking. The plate was then incubated with serially diluted supernatants or serum. HA-specific antibodies were detected by using HRP-conjugated goat anti-mouse IgG (Southern Biotech) or IgE. Anti-HA IgG purified from a hybridoma (35) or anti-HA IgE obtained from the transfected-HEK293T cells were used as the standard (14,34,37). Finally, the expression level was detected using an ELISA POD substrate TMB kit (Nacalai Tesque). Absorbance was measured by Spectramax M5 (Molecular Devices). To detect whole IgG or IgE, a 96-well plate was coated with anti-mouse Igs (Southern Biotech).

Competitive ELISA
For competitive ELISA, we used biotin-conjugated anti-HA IgG antibodies purified from a hybridoma (35), along with HRP-conjugated streptavidin, as reported previously (14). The titer was determined by the inhibition curve based on the absorbance of standard anti-HA IgG antibody.

Antibody expression in vivo
We performed hydrodynamic injections (38, 39) using a previously described method (14). Briefly, 6 -10-week-old BALB/c were injected in the tail vein with PBS-containing plasmid (e.g. 5 g/1.6 ml), where the DNA volume was 8 -12% of the body weight. The injection was performed over less than 5 s using a 27-gauge needle. One day later, the serum was obtained and treated with RDE (II) overnight at 37°C, followed by the measurement of the expression level of anti-HA IgE and anti-HA IgG or whole IgE and IgG by quantitative ELISA.

Western blotting and CBB staining
Anti-HA IgE and anti-HA IgG in the supernatants or purified IgE (C38-2) and IgG (15H6) treated with RDE (II) were separated by SDS-PAGE (6 or 12%) under nonreducing or reducing conditions, followed by either transfer to a PVDF membrane (Immobilon-P, Merck Millipore) or stained with CBB (Bio-Rad). The membrane was blocked with Blocking One reagent (Nacalai Tesque) for 30 min, followed by incubation at room temperature with a mixture of HRP-conjugated goat antimouse IgG and IgE or light chain (kappa) BP (Santa Cruz Biotechnology). The specific bands were visualized using the enhanced chemiluminescence ECL substrate (GE Healthcare) on the ImageQuant LAS4000 system (GE Healthcare). All fulllength blots were indicated in Fig. S7 and Fig. S8.

Flow cytometry to detect the binding of IgE to BMMCs
Twenty g/ml biotin-conjugated anti-DNP IgE or mouse IgG1 isotype control antibody (MOPC-21; Biolegend, San

RDE modulates IgE to not induce anaphylaxis
Diego, CA) was treated with RDE (II) overnight (12-20 h). BMMCs or BMMs, which differentiated in the presence of L929 cell-conditioned medium as mentioned in a previous report (42), were incubated with the antibodies for 30 min at 4°C, followed by incubation with APC-conjugated streptavidin (Biolegend). The binding level was analyzed by FACSCantoII (BD Biosciences).

IgE-mediated PCA
We performed mast cell-dependent PCA experiments, which is known as a model of in vivo type I allergy, as described previously (43)(44)(45). Briefly, 6 -10-week-old BALB/c were primed with 20 ng/10 l RDE (II)-treated anti-DNP IgE or were untreated in both ears under pentobarbital anesthesia (Somnopentyl, Kyoritsu, Tokyo, Japan). One day later, the mice were intravenously injected with 200 g of HSA-DNP in 200 l of PBS(Ϫ)-containing 0.5% Evans blue dye (Sigma) to visualize IgE-mediated anaphylaxis, in which vascular permeability increased. Thirty minutes later, an 8-mm ear punch was collected and minced in 50 l of 1 N potassium hydroxide and incubated at 37°C overnight. To extract the Evans blue dye, 260 l of extraction buffer (0.4 N phosphoritic acid and 72% (v/v) acetone) was added to the specimen. The absorbance was determined at 620 nm by Spectramax M5.

Lectin array
The lectin microarray production and analysis were performed as described previously (19). Briefly, biotin-conjugated IgE (anti-TNP IgE (C38-2) and anti-DNP IgE) was concentrated with Dynabeads M280 streptavidin (ThermoFisher Scientific) and dissolved in the Matsunami spotting solution. After filtration, they were spotted on the Schott epoxy-coated glass slide using the MicroSys noncontact microarray printing robot. The Cy3-labeled streptavidin dissolved in the probing solution was applied to each chamber of the lectin microarray (80 l/well) and incubated at 20°C overnight. After washing the chambers with the probing solution, fluorescent images were immediately acquired using a Bio-Rex scan 200 evanescent field-activated fluorescence scanner (Rexxam Co. Ltd., Kagawa, Japan). Data were analyzed with the Array Pro analyzer version 4.5 (Media Cybernetics, Inc.). The net intensity value for each spot was determined by signal intensity minus background value. The lectin signals of triplicate spots were averaged and normalized to the highest signal intensity among 96 lectin conjugates immobilized on the array.

Lectin blotting
The binding activity of RDE (II)-treated IgE to the lectins was analyzed by lectin blotting as described previously (46). Briefly, purified IgG and IgE were separated by 6% SDS-PAGE, followed by transfer to a PVDF membrane and blocking. Then, the membrane was incubated with biotin-conjugated LEL (Vector Laboratories, Inc., Burlingame, CA) or PHA-L at room temperature for 2 h, followed by incubation with HRP-conjugated streptavidin (GE Healthcare) for 30 min.

Statistical analysis
All graphs were constructed using GraphPad Prism 7 (GraphPad Software). Data were analyzed using parametric one-way ANOVA or Student's t test, where p Ͻ 0.05 was considered statistically significant. Data are shown and compared as mean and ranges of more than five mice in different groups.