Molecular characterization of a fungal cyclophilin allergen Rhi o 2 and elucidation of antigenic determinants responsible for IgE–cross-reactivity

Cyclophilins are structurally conserved pan-allergens showing extensive cross-reactivity. So far, no precise information on cross-reactive IgE-epitopes of cyclophilins is available. Here, an 18-kDa IgE-reactive cyclophilin (Rhi o 2) was purified from Rhizopus oryzae, an indoor mold causing allergic sensitization. Based on LC-MS/MS-derived sequences of natural Rhi o 2, the full-length cDNA was cloned, and expressed as recombinant (r) allergen. Purified rRhi o 2 displayed IgE-reactivity and basophil degranulation with sera from all cyclophilin-positive patients. The melting curve of properly folded rRhi o 2 showed partial refolding after heat denaturation. The allergen displayed monomeric functional peptidyl-prolyl cis-trans isomerase (PPIase) activity. In IgE-inhibition assays, rRhi o 2 exhibited extensive cross-reactivity with various other cyclophilins reported as allergens from diverse sources including its homologous human autoantigen. By generating a series of deletion mutants, a conserved 69-residue (Asn81-Asn149) fragment at C terminus of Rhi o 2 was identified as crucial for IgE-recognition and cross-reactivity. Grafting of the Asn81-Asn149 fragment within the primary structure of yeast cyclophilin CPR1 by replacing its homologous sequence resulted in a hybrid molecule with structural folds similar to Rhi o 2. The IgE-reactivity and allergenic activity of the hybrid cyclophilin were greater than that of CPR1. Therefore, the Asn81-Asn149 fragment can be considered as the site of IgE recognition of Rhi o 2. Hence, Rhi o 2 serves as a candidate antigen for the molecular diagnosis of mold allergy, and determination of a major cross-reactive IgE-epitope has clinical potential for the design of next-generation immunotherapeutics against cyclophilin-induced allergies.

ity of the hybrid cyclophilin were greater than that of CPR1. Therefore, the Asn 81 -Asn 149 fragment can be considered as the site of IgE recognition of Rhi o 2. Hence, Rhi o 2 serves as a candidate antigen for the molecular diagnosis of mold allergy, and determination of a major cross-reactive IgE-epitope has clinical potential for the design of next-generation immunotherapeutics against cyclophilin-induced allergies.
The prevalence of IgE-associated allergy caused by fungal allergens is increasing worldwide at an alarming rate (1)(2)(3)(4). Immunological cross-reactivity among taxonomically unrelated fungal, plant, and even animal species is often observed due to the presence of structurally conserved allergens such as cyclophilin, profilin, arginine kinase, and tropomyosin (5)(6)(7)(8). The allergenic proteins showing a broad range of cross-reactivity are popularly known as pan-allergens. The similarity in sequence features and structural folds among the pan-allergens from diverse taxonomic groups gives rise to shared antigenicity, which in turn leads to immunological cross-reaction with patients' IgE antibodies. In a particular group of patients, the cross-reactivity of pan-allergens can trigger an added IgE-mediated immune response that contributes to polysensitization leading to multiple symptoms like oral allergy syndrome, food allergy, and respiratory allergy (9). Hence, the structural characterization of new cross-reactive allergens and their systematic inclusion into the list of pan-allergens are clinically relevant to elucidate the underlying mechanism of the disease.
cro ARTICLE cross-reactive allergens that causes multivalent allergy in atopic individuals (12). Until now, 10 different cyclophilins have been reported from diverse sources such as carrot, birch pollen, dust mite, and Aspergillus spp. Most impressive about these allergens is the presence of a high level of sequence conservation across different taxonomic groups leading to IgE-mediated cross-reactivity (12). An earlier report showed that due to molecular mimicry of B cell epitopes, the native cyclophilin of human origin could also act as autoallergen and cross-react with environmental cyclophilins in atopic dermatitis patients (13,14). Asp f 11 from Aspergillus fumigatus (15), Bet v 7 from birch pollen (16), and Mala s 6 from skin colonizing yeast (17) are three major cyclophilin allergens showing a high frequency of sensitization worldwide. Hence, these cyclophilin allergens have potential to be used in molecular diagnosis. It is noteworthy to mention that the plant cyclophilins are not yet properly investigated and deserve attention, in particular those from grass pollen. In addition, cyclophilins from house dust mites could also be very important for tropical countries.
According to the epidemiological data, the fungal cyclophilins such as Mala s 6 and Asp f 11 are considered the most prevailing among various cyclophilin allergens and are therefore well-characterized (12). In the present study, we report a new cyclophilin allergen (molecular mass 18 kDa) from Rhizopus oryzae (mucormycosis mold), which showed frequent IgE sensitization within the mold-allergic population and a broad range of cross-reactivity with other reported cyclophilin allergens. This cyclophilin is designated as Rhi o 2 by WHO/IUIS (18). We also report the possible antigenic determinant of the Rhi o 2 structure through sequence deletion and epitope graft-ing experiments that may describe the molecular basis of crossreactivity among cyclophilin-sensitive patients.

Isolation of an IgE antibody-reactive cyclophilin from R. oryzae
To characterize the major allergen of R. oryzae, an 18-kDa IgE-binding protein was first purified by ion-exchange chromatography and then identified as a cyclophilin by MS. For purification, the resuspended pellet fraction obtained after 50% ammonium sulfate precipitation of the fungal crude protein extract was incubated with DEAE-Sephacel gel. The resulting supernatant was found to have an enriched amount of the 18-kDa protein. The proteins in this supernatant were then fractionated in a carboxymethyl cation exchange column. The second fraction that eluted at around 450 mM NaCl concentration (Fr-2 in Fig. 1a) was found to contain the desired 18-kDa protein with Ͼ90% purity. The purified protein displayed IgE reactivity when immunoblotted with sera from two mold-allergic patients sensitized to R. oryzae (Fig. 1b). In LC-MS/MS, the trypsinized protein was identified as a peptidyl-prolyl cis-trans isomerase from Rhizopus delemer (Synonym R. oryzae) in the UniProt database with accession number P0C1H7. The 4 matched peptides observed in mass spectra are shown in Fig. 1c, which together accounted for 21% sequence coverage. The amino acid sequence of P0C1H7 was searched against the R. oryzae genome database using the tBLASTn program, which identified its corresponding 495-bp long ORF. The sequence information of the allergen was deposited in NCBI under the accession number KT734861. The allergen was assigned with

Characterization and epitope analysis of Rhi o 2 allergen
the official designation as Rhi o 2 by the allergen nomenclature subcommittee of the International Union of Immunological Societies (IUIS). The full-length Rhi o 2 cDNA was amplified by gene-specific PCR and then cloned into pET15bϩ vector for expression in Escherichia coli with N-terminal His 6 tag. Upon IPTG induction, the recombinant Rhi o 2 (rRhi o 2) was found to be present in the soluble fraction of the cell lysates and ϳ10 mg of rRhi o 2 could be purified from 1 liter of culture by Ni-NTA affinity chromatography (Fig. 2a). The purified rRhi o 2 reacted with IgE antibody in Western blots ( Fig. 2b) with sera from 8 patients allergic to R. oryzae and 2 atopic asthma patients sensitized to A. fumigatus.

Rhi o 2-induced basophil activation
In addition to IgE reactivity, the allergenic activity of rRhi o 2 was tested by its ability to stimulate mediator release from a rat basophil leukemic (RBL) cell line expressing the human high affinity receptor for IgE as shown in Fig. 3. In this assay, the RBL-2H3 cell line expressing the receptor of human IgE antibody (Fc⑀RI) was first passively sensitized with IgE antibodies from patient serum followed by challenge with increasing concentrations of purified rRhi o 2 that resulted in degranulation. The release of ␤-hexosaminidase started at 10 ng/ml concentration of the allergen, and the highest percentage of release took place at 100 ng/ml. At this concentration, the percentage of release was found within a range from 26 to 48% among the 12 sera tested. After further increasing the rRhi o 2 concentrations, a decrease in degranulation was observed as evident from the typical bell-shaped dose-response curve. In addition to 10 Rhi o 2-reactive sera, 2 Aspergillus-positive sera (E1 and E2) were tested where rRhi o 2 was also able to induce degranulation. In the control experiments, the percentage of release from RBL cells was below 5% as shown in Fig. S1.

rRhi o 2 is a folded and monomeric cyclophilin
The folding pattern of rRhi o 2 was determined by analyzing a far-UV circular dichroism (CD) spectrum (Fig. 4a), which upon deconvolution in CAPITO software indicated a folded protein with 39% ␣-helices, 37% ␤-sheets, and 24% of turns/ coils. The minimum was obtained 223 nm along with a shoulder around 213 nm and a characteristic rise toward the maximum below 205 nm. The thermal denaturation and refolding patterns of rRhi o 2 were studied by a step-scan procedure in which the CD spectra were taken to record the molar ellipticity () signals at 223 nm during an ascending scan (from 20 to 90°C) as shown in the melting curve of Fig. 4b. Transition temperature (T m ) was observed at 62°C at which the protein unfolding took place. At 90°C, rRhi o 2 displayed a sigmoidal unfolding transition to a complete random coil conformation. After cooling down the system (descending scan), a noticeable increase in the molar ellipticity signal at 223 nm was observed indicating a partial refolding of rRhi o 2 to regain 61% of its native conformation upon cooling. The aggregation status of the purified rRhi o 2 was studied by employing size exclusion chromatography. In the chromatogram shown in Fig. 4c, it was observed that under physiological conditions, purified rRhi o 2 was eluted as a monomer of the desired molecular weight. It was reconfirmed in nonreducing SDS-PAGE, where the purified rRhi o 2 protein migrated as a single band at a region corresponding to its theoretical molecular mass. The functional activity of rRhi o 2 was determined by rotamase enzyme assay, as shown in Fig. 4d. It was observed that the presence of rRhi o 2 caused 1.75-fold increases in the cleavage rate of the substrate peptide (N-Suc-Ala-Ala-cis-Pro-Phe-p-nitroanelide) by a proteolytic enzyme (chymotrypsin) as compared with the enzyme-blank (uncatalyzed) control set, which showed thermal isomerization of the substrate peptide. The higher rate of proteolytic cleavage in the presence of rRhi o 2 reflected an accelerated cis to trans isomerization of the Ala-Pro peptide bond due to PPIase activity. The results confirmed that the recombinant allergen is an enzymatically active cyclophilin.

rRhi o 2 shows a broad range of cross-reactivity with other cyclophilin allergens
The IgE cross-reactivity of purified Rhi o 2 with 8 different cyclophilins reported from various allergy-eliciting sources was studied by competitive IgE-inhibition assays. In IgE-immunoblot inhibition (Fig. 5a), the overnight preincubation of patient serum pool with 5 g/ml of rRhi o 2 resulted in a substantial inhibition of IgE-reactivity to each of the 4 recombinant cyclo-

Characterization and epitope analysis of Rhi o 2 allergen
philins (Asp f 11, Asp f 27, Mala s 6, and human CypA) on polyvinylidene difluoride membrane as compared with the uninhibited control without preincubation. Complete IgE inhibitions were observed when the inhibitor concentration was doubled. The result of immunoblot inhibition was in agreement with the results of a ELISA inhibition assay (Fig. 5b) in which each of the 4 recombinant cyclophilins in fluid phase inhibited binding to the plate-bound rRhi o 2 up to different extents. Maximum (71%) and minimum (48%) inhibition were observed for rMala s 6 and human CypA, respectively, at their highest concentration (i.e. 10 mg/ml) in the reaction mix. The normalized IC 50 values (minimum concentration required for 50% inhibition of binding to the immobilized antigen) were calculated to be 1.587 g/ml for rMala s 6, 2.032 g/ml for rAsp f 11, 2.581 g/ml for rAsp f 27, and 5.887 g/ml for human CypA. In addition to these 4 recombinant cyclophilins, we also selected the crude antigenic extracts of house dust mite, carrot, tomato, and Indian birch pollen, which have been reported to contain allergenic cyclophilins. As illustrated in Fig. 5c, the addition of rRhi o 2 to patient sera containing specific IgE against cyclophilin led to the partial inhibition of IgE binding to the ϳ18-kDa allergen present in the corresponding extracts.

Mapping the IgE epitope of Rhi o 2 by amino acid deletion
In this study, we attempted to identify the IgE-binding region of cyclophilin through strategic mutagenesis of the Rhi o 2 primary structure. A total of five different deletion mutants of Rhi o 2 were generated as schematically illustrated in Fig. 6a. Four truncated versions of Rhi o 2 (TV-1 to TV-4) were created by stepwise removing 10 amino acids from each of the N-and C-terminal sides and a fifth truncated version was generated by removing a conserved internal stretch of 69 amino acids (⌬Rhi o 2). The molecular weights of all the 5 truncated Rhi o 2 variants were verified in 15% reducing SDS-PAGE as shown in Fig. 6, b and c. First, IgE reactivity of TV-1 to TV-4 was checked by immunodot blot with sera from cyclophilin allergic patients. As shown in Fig. 6d, the IgE binding was retained by Rhi o 2derived TV-3 (Gln 31 -Glu 134 ) after removal of up to 30 amino acids from each of either terminus of the allergen. Further removal of terminal amino acids from Rhi o 2 resulted in a complete loss of IgE antibody binding as observed in TV-4 (Thr 41 -Gly 124 ). Hence, in this strategy of terminal truncation, TV-3 can be considered as the minimal fragment of Rhi o 2 responsible for IgE-binding. However, none of these 3 IgE-reactive fragments (TV-1 to TV-3) were able to induce basophil degranula-

Characterization and epitope analysis of Rhi o 2 allergen
tion (Fig. S2). Hence, the TV-3 fragment was not considered as having an intact IgE epitope and rather its IgE reactivity was thought to be mediated by the presence of the remaining fractions of IgE epitope left after truncation. Hence, sequencebased in silico analyses followed by experimental validations were performed to identify the intact IgE epitope of Rhi o 2. A multiple sequence alignment (Fig. S3) of Rhi o 2 with six other allergenic cyclophilins revealed the presence of a highly conserved stretch of 69 amino acids (Asn 81 -Asn 149 fragment), which was found to have a high degree of antigenic propensity values and solvent accessibility suggesting the possible presence of immunodominant B cell epitopes as analyzed in DNASTAR Lasergene version 7.2. (DNASTAR Inc., Madison, WI). The C terminus of TV-3 was 15 residues shorter than that of the Asn 81 -Asn 149 fragment. This additional stretch of 15 residues was not only conserved among cyclophilins but also highly surface exposed as shown in Fig. S4. Hence, we anticipated the Asn 81 -Asn 149 fragment as the possible site of Rhi o 2, where a functional IgE epitope was formed. This was confirmed by generating a fifth mutant ⌬Rhi o 2 with deleted Asn 81 -Asn 149 fragment. The ⌬Rhi o 2 was found to have no reactivity with IgE antibodies from any of the 10 patients' sera in the nondenaturing RAST-based immunodot blot shown in Fig. 6e. Moreover, the polyclonal rabbit IgG antibodies raised against ⌬Rhi o 2 were unable to inhibit IgE binding (ϳ22.3%) to rRhi o 2 in a competitive ELISA inhibition assay shown in Fig. 7. In contrast, anti-TV-3 rabbit IgG was able to inhibit ϳ79.4% of patients' IgE binding to plate-bound rRhi o 2. The highest level of IgE inhibition (ϳ86.3%) was observed with rabbit IgG raised against the intact Rhi o 2 in which the Asn 81 -Asn 149 stretch remained intact. A similar pattern of IgE inhibition was observed when these IgG antibodies in rabbit antisera were used against 4 other recombinant cyclophilins in parallel experiments. The findings demonstrated that the conserved Asn 81 -Asn 149 fragment of Rhi o 2 represented the antigenically active molecular domains responsible for IgE recognition. Hence, we selected Asn 81 -Asn 149 fragment for the next epitope grafting experiment.

Characterization and epitope analysis of Rhi o 2 allergen Increasing IgE reactivity and allergenic activity of yeast cyclophilin by replacing the conserved 69-amino acid residue of Rhi o 2
Yeast cyclophilin CPR1 (UniProt P14832) is considered a nonallergenic member of the cyclophilin family. Despite having 67.9 and 72.84% sequence identities with Rhi o 2 and Mala s 6, respectively, CPR1 was never reported to show IgE-mediated allergic inflammation in atopic individuals. Here, we selected CPR1 as a scaffold in which the conserved Asn 81 -Asn 149 fragment of Rhi o 2 was grafted by replacing the native homologous region of CPR1 protein as illustrated in Fig. 8a. This epitope grafting resulted in the creation of a hybrid cyclophilin (Hybrid_Cyp), which showed a structural fold similar to Rhi o 2 (RMSD 0.368). On the other hand, alignment of the Rhi o 2 homology model with the crystal structure of CPR1 (PDB 1IST) resulted in an RMSD value 0.425 (Fig. 8b). Recombinant CPR1 and hybrid cyclophilin were cloned, expressed in E. coli, and purified, as shown in Fig. 8c for subsequent analysis. CD spectra of the Hybrid_Cyp showed a properly folded protein with secondary structural elements similar to that of the Rhi o 2 than to CPR1 (Fig. 9a), which was also evident from the structural alignment analysis. In the ELISA inhibition assay shown in Fig.  9b, Hybrid_Cyp displayed 12-fold higher IgE binding than CPR1 (inhibition percentage of Hybrid_Cyp at IC 50 , i.e. 50%; inhibition percentage of CPR1 at the same concentration, i.e. 4.2%). Hybrid_Cyp at its highest concentration of 10 mg/ml as a fluid phase inhibitor resulted in 78% IgE-binding inhibition to plate-bound WT rRhi o 2 (IC 50 ; 0.1501 g/ml). In addition to IgE reactivity, Hybrid_Cyp was found to gain allergenic activity after epitope grafting. As shown in Fig. 9c, 100 ng/ml of Hybrid_Cyp was able to induce degranulation from IgE-sensitized basophils at a level comparable with that of the WT rRhi o 2. CPR1 could not release a significant level (Ͻ5%) of ␤-hexosaminidase, and it was 18-fold (ratio between the mean release by Hybrid_Cyp and CPR1 at 100 ng/ml) lower than that of the Hybrid_Cyp.

Discussion
Patients sensitized to cyclophilins, a family of highly conserved chaperones, may show allergic reactions to fungi (12),

Characterization and epitope analysis of Rhi o 2 allergen
pollens (19,20), mites (21), and foods (22,23) of diverse taxonomic origins. In the present study, we report a new crossreactive cyclophilin allergen Rhi o 2, which showed IgE reactivity within a mold-allergic population suffering from broad cross-reactivity. Based on an earlier immunoproteomic report on R. oryzae allergens (24), the present study was initiated with purifying the Rhi o 2 allergens in natural form and then as recombinant form. rRhi o 2 displayed IgE reactivity and allergenic activity with the patient sera tested. rRhi o 2 was obtained in properly folded monomeric form displaying functional PPIase activity characteristics of most of the reported cyclophilins except Asp f 11, which forms a dimer by 3D domain swapping (15). Therefore, Rhi o 2 can be considered as a marker allergen for molecular diagnosis of mold allergy prevalent in India and other tropical countries (24 -27). The percentage of sequence similarity of Rhi o 2 with 4 other cyclophilins was in agreement with the respective degree of cross-reactivity between Rhi o 2 and these allergens. Mala s 6 (69%) and human CypA (52%) displayed the maximum and minimum IgE inhibition, respectively, against the immobilized Rhi o 2. Presence of similar antigenic determinants commonly shared by Rhi o 2 and its human homolog CypA increase the chances of allergen-

Characterization and epitope analysis of Rhi o 2 allergen
homologous autoantigen-mediated perpetuation of atopic diseases in sensitized individuals (28). In IgE inhibitions with allergen extracts, weak IgE-binding signals were still visible in inhibited blots. This can be explained as either the presence of cyclophilins in these extracts that are more potent than Rhi o 2 or the presence of another allergen of similar molecular weight. Further detailed study is warranted to determine the original source of sensitization among the cross-reactive cyclophilins in this group of patients. Some previous reports exist on the putative IgE epitopes of cross-reactive cyclophilins (20,29). However, those findings were not experimentally validated. Another study on Bet v 7 suggested the 7-residue loop specific for plant cyclophilins as the possible mediator of IgE cross-reactivity (19). However, a later study on periwinkle pollen allergen Cat r 1 ruled out this hypothesis by generating a loop-deletion mutant that was still capable of IgE-binding (20). In the present study, a protein-engineering approach was undertaken to identify the conserved IgE-binding region of Rhi o 2 responsible for cross-reactivity. Sequential 10 residues truncation on either side of Rhi o 2 identified TV-3 as the smallest polypeptide unit of the allergen capable of IgE-binding. However, TV-3 repre-sented partial but not the entire IgE epitope as TV-3 was unable to induce degranulation. The sequence analyses of cyclophilins revealed a substantial degree of sequence conservation throughout the length of the protein. But we focused on the Asn 81 -Asn 149 fragment as the possible antigenic region of Rhi o 2 due to its high level of surface exposure and antigenic propensities. Certain earlier reports (20,29) also suggested the possibility of putative IgE epitopes in this region. Asn 81 -Asn 149 fragment was found to have an additional stretch of 15 solventaccessible residues at its C-terminal end and the rest of its sequence overlapped with the C-terminal part of TV-3. It was observed that the interference in IgE binding by polyclonal IgG against Rhi o 2 containing the entire Asn 81 -Asn 149 fragment was higher than that of the TV-3. Moreover, the IgG against ⌬Rhi o 2 containing a complete deletion of Asn 81 -Asn 149 fragment did not significantly hamper IgE binding to Rhi o 2. Taken together, these observations suggested that the IgE epitope of Rhi o 2 had more overlaps with the Asn 81 -Asn 149 fragment than with TV-3. Hence, the Asn 81 -Asn 149 fragment was selected for epitope-grafting experiments. Epitope grafting seemed to be a powerful tool as it previously helped to identify

Characterization and epitope analysis of Rhi o 2 allergen
the crucial residues responsible for cross-reactivity between Bet v 1 (birch pollen) and Mal d 1 (apple fruit) leading to oral allergy syndrome (30). In another similar study, grafting of the IgE-specific N-linked glycosylation from plant glycoallergen into nonallergenic horse heart myoglobin conferred IgE reactivity to the nonallergen (31). In line with the findings of these previous reports, here we attempted to verify the possibility of the Asn 81 -Asn 149 fragment as the antigenic determinant of Rhi o 2 by an epitope-grafting approach. Yeast cyclophilin CPR1, a close homolog of Rhi o 2 and Mala s 6, was previously found to react with IgE antibodies from cyclophilin-positive sera (12); however, no clinical pieces of evidence exist on the allergenic activity of CPR1. Here, the grafting of the antigenic Asn 81 -Asn 149 fragment by replacing the homologous region from the CPR1 primary structure was found to convert CPR1 into a degranulation-inducing protein with enhanced IgE binding. The results are in agreement with the presence of higher structural similarity of Hybrid_Cyp with Rhi o 2 than that with CPR1. Hence, it can be ascertained that the Asn 81 -Asn 149 fragment is the primary site of IgE-epitope formation, which is thought to be directed by the overall conformational folds of the protein. The conformational nature of the IgE epitope of Rhi o 2 is supported by two observations emerging from the present study. First, the Rhi o 2-derived TV-1 to TV-3 mutants, despite having IgE reactivity, did not induce basophil degranulation suggesting the truncation induced conformational changes in the epitope structure. Second, the TV-4 mutant after the fourth round of truncation was found to abolish IgEbinding capacity, albeit it retained 70% of amino acids of the Asn 81 -Asn 149 fragment. The refolding behavior of Rhi o 2 as observed in its melting curve also corroborates the possibility of the conformational epitope-mediated IgE binding in immunoblot under denaturing conditions. Taken together, the present study not only reports a comprehensive characterization of the new fungal cyclophilin Rhi o 2 as a diagnostic antigen for mold allergy but also generates structural information on cyclophilin cross-reactivity. It is therefore tempting to speculate that this cross-reactive IgE epitope information can be rationally utilized for a future paradigmatic approach to construct genetically engineered immunotherapeutics against atopic diseases caused by a broad range of cyclophilin allergens from various sources.

Human subjects
The residual sera were obtained in a reciprocated and anonymous manner from 10 fungal allergic patients (P1 to P10) with respiratory symptoms visiting the OPD of B. R. Singh Hospital and Center for Medical Education and Research, Kolkata, India. These patients were selected on the basis of their clinical history of allergy and seropositive IgE level against R. oryzae antigen. Sera of 2 atopic asthma patients sensitized to A. fumigatus (E1 and E2), and nonatopic sera from 2 healthy volunteers (N1 and N2) were also collected. The entire study was approved by the Bose Institute human ethics committee (Reference number BIHEC/2014 -15/4) following the declaration of Helsinki principles and informed written consents were taken from the participants. Patients with chronic parasitic infections were excluded. Clinical and demographic details of the participants are given in Table S1.

Column chromatography
About 20 g of the lyophilized spore-mycelial mat of R. oryzae was homogenized in 20 mM sodium phosphate buffer (pH 7.8) containing 5% glycerol, 1 mM EDTA, and 0.5 mM phenylmethylsulfonyl fluoride (buffer A). The lysate was saturated with 50% ammonium sulfate followed by resuspension of the pellet fraction in buffer A. The resuspended fraction was then incubated with DEAE-Sephacel gel (Sigma-Aldrich) equilibrated in the same buffer and the resulting supernatant was loaded onto HiTrap TM CM FF column (GE Healthcare, Sweden). The column-bound proteins were eluted in 0.5-ml fractions with 0 -1 M NaCl gradient at a flow rate of 0.2 ml/min. Fractions were checked in reducing SDS-PAGE for the presence of the desired allergen.

LC-MS/MS
The desired protein band was gel excised and trypsin digested (34). Peptides were fractionated in 1.8-m CSH C18 300 m ϫ 100 mm NanoEase analytical column fitted with ACCQUIITY UPLC M-Class and then subjected to Xevo G2-XS Q-TOF MS (Waters Corp.) in ESI (ϩve) platform at 2.5 kV (35). Raw MS/MS spectra were processed and analyzed in Progenesis QI search engine (Waters Corp.) against the Uni-Prot database using the standard search parameters.

cDNA cloning and recombinant proteins
The full-length Rhi o 2 cDNA was PCR amplified from the first-strand cDNA synthesized from the TRIzol TM (Invitrogen, Germany) extracted RNA of R. oryzae using iScript TM kit (Bio-Rad). The cDNA was cloned into pET15b vector (Novagen, EMD Millipore) with N-terminal His 6 tag (36). After sequence confirmation, the recombinant protein was expressed in E. coli BL21(DE3)Rosetta cells with 0.5 mM 1-thio-␤-D-galactopyranoside for 12 h at 20°C. The Rhi o 2 protein was purified in native form using Ni-NTA beads (Qiagen, Germany) as already described (37). rMala s 6 was expressed in E. coli and purified as described in Ref. 38. cDNA cloning, bacterial expression, and recombinant protein purification strategies of the other 11 cyclophilin constructs used in this study are illustrated in Table 1. Full-length ORFs of Asp f 11, Asp f 27, and yeast CPR1 were amplified from the first-strand cDNA preparations of the corresponding mold species. Yeast first-strand cDNA preparation was a kind gift from Dr. Nandini Ghosh, Vidyasagar University, Midnapore, India. Codon-optimized synthetic G-blocks were purchased from IDT Inc., IA. Recombinant proteins (TV-3 and TV-4) expressed in inclusion bodies were purified under denaturing conditions using 7 M urea buffer and then made soluble by a rapid dilution method as described in Ref. 39.

Allergen extracts
Glycerinated aqueous (1:20 w/v) extracts of dust mite (Dermatophagoides farinae), birch, tomato, and carrot were purchased from Creative Diagnostic Medicare Private Ltd., Mumbai, India. The birch pollen extract was purchased from HollisterStier Allergy, WA. The extracts were concentrated by UPPA TM -I and II Pack (G-Biosciences, USA) to achieve a 5-7 mg/ml of protein concentration and dissolved in SDS-loading buffer.

Basophil activation test
Basophil activation test was performed with the RBL-2H3 cell line (ATCC CRL-2256) using 1:10 (v/v) diluted sera and

Characterization and epitope analysis of Rhi o 2 allergen
increasing concentrations (1-1000 ng/ml) of rRhi o 2. The percentage of release was calculated as described (40).

Gel filtration
About 1 mg of rRhi o 2 was run through a Superdex 75 Increase 10/300 GL (GE Healthcare, Sweden) column as described (41) with 0.5 mg of bovine cytochrome c as standard.

CD spectroscopy
About 4.8 -5.0 M of the dialyzed purified protein was buffer exchanged with 5 mM NaH 2 PO 4 (pH 7.8) and 1% glycerol. CD spectra were recorded as described in Ref. 42. The raw data in millidegrees were converted into molar ellipticity, and the folding patterns of the proteins were analyzed in CAPITO server (43).

Rotamase assay
As described in Ref. 44, 1 ml of reaction mixture containing 20 nM rRhi o 2, and 80 M N-succinyl-Ala-Ala-cis-Pro-p-nitroanilidine in assay buffer (50 mM HEPES (pH 8), 150 mM NaCl, and 0.05% Triton-X) was incubated for 360 s at 15°C. Cleavage of the trans isomer of the chromogenic substrate peptide by 300 g/ml of chymotrypsin was monitored by recording the absorbance at 390 nm in a Peltier controlled UV-250 spectrophotometer (Shimadzu, Japan). A control reaction mixture was prepared without rRhi o 2 to record the spontaneous thermal isomerization of the peptide.

Immunoblot inhibition and ELISA inhibition
About 5 g/lane of each of the 5 recombinant cyclophilins or 100 g/lane of each of the 4 allergen extracts was transferred onto polyvinylidene difluoride membrane. The membranes were then exposed to either a pool of 3 sera (P2, P5, and P6) with high titer (4-fold higher than nonatopic sera) of specific IgE against Rhi o 2 (uninhibited) or a serum pool preincubated separately overnight with 5 and 10 g/ml of rRhi o 2 (inhibited). For ELISA inhibition, plate-bound (1 ng/l) rRhi o 2 was exposed to the sera pool preincubated with gradually increasing concentrations (0.001-10000 g/ml) of various cyclophilins. Bound IgEs were detected with anti-human IgE-AP 1:1000 (v/v) (Sigma, A3076) and p-nitrophenyl phosphate (Abcam). The percentage of IgE inhibition was calculated as described earlier (40).

Rabbit antisera and competitive ELISA
Polyclonal antisera against rRhi o 2, TV-3, and ⌬Rhi o 2 were generated in New Zealand White rabbits by Biobharati Lifesciences Pvt. Ltd., Kolkata, India. For competitive ELISA with rabbit IgG, polystyrene plates were coated with 5 ng/l of recombinant cyclophilins and incubated with either preimmune sera or antisera at 1:100 (v/v) dilutions for 8 h at room temperature. Plates were then washed 5 times and then exposed to 1:10 (v/v) diluted patient sera (n ϭ 8) overnight at 4°C. Bound IgEs were detected and the percentage of IgG-mediated IgE inhibition was calculated for each patient using the following formula.

Bioinformatics study
The energy minimized homology models of Rhi o 2 and Hybrid Cyclophilin were built using SwissModel server (45) as described earlier (36). The 3D models were then aligned with the crystal structure of yeast CPR1 using PyMol (The PyMOL Molecular Graphics System, version 2.0 Schrödinger, LLC) to calculate the RMSD. Sequence alignments were performed in Clustal Omega online tool (46).

Statistical analyses
GraphPad Prism version 8 was used to calculate (i) the significance of difference between IgE inhibition by anti-Rhi o 2 versus anti-TV-3 (p Ͻ 0.05) and versus anti-⌬Rhi o 2 (p Ͻ 0.001) IgG using paired Student's t test and (ii) the IC 50 values of the cross-reactive allergens using nonlinear regression analysis.