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J Gen Virol 88 (2007), 2719-2723; DOI 10.1099/vir.0.82753-0

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Short Communication

Characterization of the epitope for anti-human respiratory syncytial virus F protein monoclonal antibody 101F using synthetic peptides and genetic approaches

Sheng-Jiun Wu1, Albert Schmidt1, Eric J. Beil1, Nicole D. Day2, Patrick J. Branigan2, Changbao Liu2, Lester L. Gutshall2, Concepción Palomo3, Julie Furze4, Geraldine Taylor4, José A. Melero3, Ping Tsui5, Alfred M. Del Vecchio2 and Marian Kruszynski1

1 Protein Engineering, Centocor R&D Inc., 145 King of Prussia Road, Radnor, PA 19087, USA
2 Immunobiology, Centocor R&D Inc., 145 King of Prussia Road, Radnor, PA 19087, USA
3 Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, 28220 Madrid, Spain
4 Institute for Animal Health, Compton, Newbury, Berkshire RG20 7NN, UK
5 Molecular Discovery Technologies, Centocor R&D Inc., 145 King of Prussia Road, Radnor, PA 19087, USA

Correspondence
Marian Kruszynski
mkruszy2{at}cntus.jnj.com


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Chimeric 101F (ch101F) is a mouse–human chimeric anti-human respiratory syncytial virus (HRSV) neutralizing antibody that recognizes residues within antigenic site IV, V, VI of the fusion (F) glycoprotein. The binding of ch101F to a series of peptides overlapping aa 422–438 spanning antigenic site IV, V, VI was analysed. Residues 423–436 comprise the minimal peptide sequence for ch101F binding. Substitution analysis revealed that R429 and K433 are critical for ch101F binding, whilst K427 makes a minor contribution. Binding of ch101F to a series of single mutations at positions 427, 429 and 433 in the F protein expressed recombinantly on the cell surface confirmed the peptide results. Sequence analysis of viruses selected for resistance to neutralization by ch101F indicated that a single change (K433T) in the F protein allowed ch101F escape. The results confirm that ch101F and palivizumab have different epitope specificity and define key residues for ch101F recognition.


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Infection by human respiratory syncytial virus (HRSV) is the most common cause of serious lower respiratory tract infections in infants and young children worldwide (reviewed by Stensballe et al., 2003Down), causing up to 126 000 hospitalizations annually for bronchiolitis in the USA, with an estimated 500 associated deaths (Shay et al., 1999Down, 2001Down). HRSV is a cause of severe respiratory illness in the elderly (reviewed by Dowell et al., 1996Down; Han et al., 1999Down) and haematopoietic stem-cell and solid organ transplant recipients (Ebbert & Limper, 2005Down; Machado et al., 2003Down; Whimbey & Ghosh, 2000Down).

Three viral transmembrane glycoproteins (F, G and SH) are found on the surface of the virus particle in the viral envelope (Huang et al., 1985Down). Protective and neutralizing antibodies to HRSV are directed against the viral fusion (F) and G glycoproteins, with F representing the major protective antigen (Anderson et al., 1988Down; Beeler & van Wyke Coelingh, 1989Down; Garcia-Barreno et al., 1989Down; Trudel et al., 1987Down). The F glycoprotein is highly conserved (89 % amino acid identity) between the A and B subgroups of HRSV and, in contrast to the G glycoprotein, protective antibody responses against the F protein are cross-reactive between subgroups.

Currently, there is no prophylactic vaccine available for HRSV, and ribavirin, the only approved antiviral for treatment of serious HRSV infection, has minimal efficacy and safety concerns (Ventre & Randolph, 2004Down). Palivizumab (Synagis), an HRSV-neutralizing humanized monoclonal antibody (mAb) directed against the HRSV F protein, has been approved for immunoprophylaxis of infants of less than 35 weeks gestational age and those with bronchopulmonary dysplasia or congenital heart disease, and reduces hospitalization rates due to HRSV in these groups by 78, 39 and 45 %, respectively (Feltes et al., 2003Down; Johnson et al., 1997Down). An affinity-matured version of palivizumab (motavizumab, Numax) is currently in clinical development (Wu et al., 2005Down, 2007Down). Although resistance to palivizumab does not appear to be a clinical issue as yet (DeVincenzo et al., 2004Down), wider use of antibody prophylaxis may increase this potential. As motavizumab was derived from palivizumab, viral mutant resistance patterns are expected to be similar. As such, the development of other potent antibodies directed to other epitopes may be clinically useful.

Murine mAb 101F is a potent, neutralizing anti-HRSV murine antibody. Chimeric 101F (ch101F) was generated recombinantly by grafting the variable regions of the parental murine mAb (101F) onto human IgG1{kappa} constant frameworks. Competition binding of the parental murine antibody to other previously described escape mutants (Arbiza et al., 1992Down) suggested that, unlike palivizumab and motivizumab, the ch101F epitope was contained within the antigenic site IV, V, VI (approx. aa 422–438) of the F glycoprotein (data not shown) (Arbiza et al., 1992Down; Lopez et al., 1998Down). As further affinity maturation of ch101F would generate a potential next-generation antibody-based prophylaxis and therapy for HRSV infections, a detailed characterization of the ch101F epitope would be useful. To characterize the epitope of ch101F, we determined the binding of ch101F to a panel of synthetic peptides, as well as a panel of point mutations in the context of the full-length F protein expressed transiently on the cell surface. These results were confirmed by selecting escape mutants resistant to ch101F neutralization and mapping the changes associated with ch101F escape.

As the use of synthetic peptides to examine the binding of mAbs has been successful in determining the location of specific epitopes on the F protein (Arbiza et al., 1992Down; Beeler & van Wyke Coelingh, 1989Down; Bourgeois et al., 1991Down; Crowe et al., 1998Down; Martin-Gallardo et al., 1991Down), a series of peptides derived from antigenic site IV, V, VI [residues 422–438 of the F protein (HRSV, A2 strain)] were synthesized as described previously (Kruszynski et al., 2006Down). The peptide {alpha}-amino group was selected as a site for biotinylation, with a hydrophilic spacer of four ethylenoxy units (PEG4) inserted between the biotin and the {alpha}-amino group of the peptide. All peptides contained free C-terminal carboxylic groups. Analytical HPLC and capillary electrophoresis showed a high degree (>97 %) of peptide homogeneity (data not shown), and surface-enhanced laser desorption–ionization (SELDI) and matrix-assisted laser desorption–ionization (MALDI) mass spectrometry gave the expected molecular masses. The sequences of the peptides used in this study are shown in Table 1Down. The synthetic peptides were coated on ELISA plates (Meso Scale Discovery Inc.) and incubated with serial dilutions of either ch101F or palivizumab, which recognizes site II of the F glycoprotein (Arbiza et al., 1992Down; Beeler & van Wyke Coelingh, 1989Down), as a control. The binding results for the peptides are shown in Fig. 1Down. Palivizumab bound these peptides with levels similar to background, as expected (data not shown). The relative binding activities for palivizumab to synthetic peptides were <0.7 %, compared with the binding activity of ch101F to peptide 5. Peptide 1, comprising HRSV F protein residues 422–438, was bound strongly by ch101F, as shown in Fig. 1(a)Down. Truncation of residues from the N terminus of peptide 1 (peptides 2, 3 and 4) reduced binding to ch101F significantly, indicating that these residues contributed to the mAb binding. Removal of the C-terminal asparaginyl–glycine from peptide 1 generated peptide 5, which bound ch101F with a signal comparable to that for peptide 1, suggesting that the asparagine and glycine residues at positions 437 and 438 are not critical for ch101F binding. However, further truncation from the C terminus significantly reduced (peptide 6) or abolished (peptide 7) binding to ch101F. Truncations of peptide 1 from both N and C termini (peptide 8, comprising HRSV F protein sequence 423–436) shows moderately reduced, but still significant, ch101F binding, compared with peptides 5 and 1 (Fig. 1Down), defining the minimal amino acid sequence required for antibody recognition. Further, to identify specific residues within residues 423–436 that contribute to the binding of ch101F, a series of substitution peptides were created and evaluated for ch101F binding by ELISA (Fig. 1bDown). Mutation of basic residues R429 and K433 reduced binding significantly, as shown by substitution of R429 to S or E and substitution of K433 to T or E. Another positively charged residue, K427, makes a minor contribution to binding, as demonstrated by the substitution of K427 to E (Fig. 1bDown).


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Table 1. Synthetic, biotinylated HRSV F protein peptides

The underlined residues indicate points of substitution in peptide mutants.

 

Figure 1
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Fig. 1. ELISA binding of anti-HRSV F mAb to synthetic truncated peptides (a) and to synthetic substituted peptides (b).

 
To validate the results obtained by using peptides in the context of the full-length HRSV F protein, a series of point mutations at positions 427, 429 and 433, which encode basic R or K residues in the binding region for ch101F, were generated. The methods used for the generation, transient expression, determination of relative expression levels and analysis of protein processing of point mutations in the HRSV F protein have been described previously (Branigan et al., 2005Down; Day et al., 2006Down). The relative expression levels of all mutant constructs that were assayed appeared to be similar to those of wild-type F protein, indicating that the specific point mutations introduced in the predicted ch101F antibody-binding region did not create gross perturbations in expression, processing or folding (data not shown). The list of expressed full-length HRSV F protein mutants is K427D, K427Q, R429S, R429K, K433D, K433T, K433S, K433L, K433N, K433Q and K433R. The binding of ch101F was assayed by ELISA using human 293T cells transiently transfected with plasmids expressing either the wild type or the panel of individual HRSV F point mutations. Palivizumab was used as a positive binding control, as this mAb recognizes an epitope outside the region being mutated (Arbiza et al., 1992Down; Beeler & van Wyke Coelingh, 1989Down). As ch101F and palivizumab are both human IgG1{kappa} antibodies, we were able to use an ELISA with the same secondary antibody and detection reagents to allow a direct comparison of binding. Values were calculated as percentages relative to wild-type HRSV F after adjusting for background signal from the vector-only control. Fig. 2(a)Down shows binding of ch101F and palivizumab to wild type, K427, R429 and K433 mutants. The binding of ch101F to R429S was reduced by approximately 50 % in comparison with palivizumab. The binding of ch101F was eliminated by mutations K433L, K433N and K433T and reduced by mutations K433Q, K433R and K433S, whilst the binding of palivizumab to all of the mutants, except K433D, was unaffected, indicating that these mutant proteins were expressed. Binding for both ch101F and palivizumab at K433D was dramatically reduced, suggesting that this protein was not expressed, in agreement with the metabolic labelling and immunoprecipitation data, which confirmed lack of expression of the K433D mutant (data not shown). In addition, ch101F binds well to the cell lysate that contain mutations at site II (data not shown). Together, the results confirm that ch101F and palivizumab have different epitope specificity and that residues K429 and K433 are key for ch101F recognition.


Figure 2
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Fig. 2. (a) Cell-based ELISA comparing binding of ch101F (empty bars) and palivizumab (Synagis) (filled bars) to recombinantly expressed HRSV F proteins. 293T cells were transfected with plasmids expressing either wild-type HRSV F protein or HRSV F protein containing the indicated point mutations. Values were derived from 16 wells per mutation. Results are expressed relative to the binding to wild-type (WT) HRSV F protein (100 %). (b) Binding of a panel of anti-HRSV mAbs to infected cell lysates prepared from wild-type and ch101F antibody-escape mutants. HRSV antigen was prepared from Vero cells 3 days after infection with either wild-type HRSV strain A2 (filled bars) or ch101F escape mutants RS/837 (hatched bars) or RS/838 (empty bars), and binding of the panel of antibodies was assayed.

 
To confirm the results obtained by using the peptide approach and recombinant protein expression studies, mutant viruses resistant to neutralization by ch101F were selected by growth in the presence of ch101F. Mutant viruses escaping neutralization by ch101F were produced by using a plaque-reduction technique with the A2 strain of HRSV. Approximately 2x106 p.f.u. virus was mixed with an equal volume of ch101F (at 5 mg ml–1) for 1 h at room temperature and inoculated onto fetal calf kidney (FCK) cell monolayers. After incubation at 37 °C, the plates were overlaid with medium containing 0.25 % agarose incorporating 0.25 mg ml–1 of the same mAb. Plates were incubated for 7 days before adding the vital stain, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide in 0.15 M NaCl, to the overlay to visualize virus plaques. Putative mutant viruses were removed in agar plugs from plates that contained single plaques, diluted in medium and inoculated onto FCK monolayers as before. Mutant viruses were picked again and inoculated into tubes containing coverslips of Vero cells. The parent virus was also inoculated into coverslip tubes as a positive control. After 3–4 days incubation, the coverslips were removed and stained with ch101F, followed by fluorescein isothiocyanate-labelled goat anti-human IgG (Southern Biotech). HRSV that failed to react with ch101F as judged by immunofluorescence, but reacted with mAb 19, specific for the HRSV F protein (Taylor et al., 1992Down), was classified as a mutant and used to produce ELISA antigen after a further round of plaque purification. Infected cells derived from either wild-type HRSV or two independently isolated ch101F escape virus mutants (RS/837 and RS/838) were treated with 0.5 % (w/v) NP-40 detergent to yield cell lysates, which were used as an ELISA antigens and tested for their ability to react with a panel of anti-HRSV F protein mAbs (Garcia-Barreno et al., 1989Down; Taylor et al., 1984Down; Trudel et al., 1987Down). The results are presented in Fig. 2(b)Up. Lysates prepared from wild-type HRSV-infected cells reacted with all antibodies tested, whereas lysates prepared from escape mutant RS/837- and RS/838-infected cells reacted with all antibodies tested except ch101F. To determine the F protein sequence of the mutants, cDNA was prepared from the total cytoplasmic RNA of infected cell lysates. PCR products were generated by using Pfu proofreading thermostable polymerase (Promega) and two synthetic oligonucleotides: HRSVA2for (5'-GGGGCAAATAACAATGGAGTTGC-3') and HRSVA2rev (5'-GACAGATGGGTTGTCTATGAGCAG-3'). PCR products of the expected size were isolated after electrophoresis and subjected to sequence determination. Analysis of the sequence of the F protein coding regions of the two escape mutants and the parental A2 strain indicated that both mutants contained a single nucleotide change of A to C at nt 1311, resulting in an amino acid substitution of lysine 433 to threonine (K433T) compared with the parental wild-type A2 strain. This finding confirms the results obtained from the other methodologies.

In summary, the epitope on the HRSV F glycoprotein recognized by a neutralizing mAb, ch101F, was mapped by using three complementary approaches: (i) ELISA binding of the synthetic peptides covering the aa 422–438 sequence region of the antigenic site IV, V, VI of the F protein; (ii) ELISA binding to recombinant F proteins expressed at the cell surface and containing mutations at positions 427, 429 and 433; and (iii) selection of antibody-escape mutant viruses. ELISA assays of ch101F binding showed identical specificity for the synthetic peptides and recombinant HRSV F protein mutants expressed on the surface of transfected cells. These assays demonstrated that the linear peptides designed from the sequence of domain IV, V, VI reproduced the epitope of that antibody. We showed that synthetic peptide 5 (aa 422–436; CTASNKNRGIIKTFS) gave the highest binding signal to ch101F, and a minimum peptide sequence (aa 423–436) was sufficient for recognition. As demonstrated, R429 and K433 were critical for binding ch101F, whilst another basic residue, K427, showed a minor contribution to binding. The critical role of K433 was confirmed by using ELISA, demonstrating reduced or abolished binding of ch101F to recombinantly expressed F protein mutants containing single amino acid substitutions at positions 427, 429 and 433 expressed on cell surfaces, and loss of binding to ch101F antibody-escape mutants containing an amino acid substitution at position 433. These data also confirmed that ch101F recognizes an epitope distinct from that recognized by palivizumab, and appears to bind an epitope that overlaps with that of mAb 7.936, as an identical sequence change was found in a neutralization-escape mutant selected with this antibody (Lopez et al., 1998Down). The classical approach of selecting antibody-escape mutant viruses is limited by the impact of such mutations upon viral growth fitness and, in general, provides a much more limited spectrum of residue changes. The methods described here provide a rapid means of determining residues critical for antibody binding, may provide additional insights into the function of the F protein and should help in the selection and development of clinical candidates, such as ch101F, for next-generation antibody-based prophylaxis and therapy for HRSV infections.


   REFERENCES
TOP
ABSTRACT
MAIN TEXT
REFERENCES
 
Anderson, L. J., Bingham, P. & Hierholzer, J. C. (1988). Neutralization of respiratory syncytial virus by individual and mixtures F and G protein monoclonal antibodies. J Virol 62, 4232–4238.[Abstract/Free Full Text]

Arbiza, J., Taylor, G., Lopez, J. A., Furze, J., Wyld, S., Whyte, P., Stott, E. J., Wertz, G., Sullender, W. & other authors (1992). Characterization of two antigenic sites recognized by neutralizing monoclonal antibodies directed against the fusion glycoprotein of human respiratory syncytial virus. J Gen Virol 73, 2225–2234.[Abstract/Free Full Text]

Beeler, J. A. & van Wyke Coelingh, K. (1989). Neutralization epitopes of the F glycoprotein of respiratory syncytial virus: effect of mutation upon fusion function. J Virol 63, 2941–2950.[Abstract/Free Full Text]

Bourgeois, C., Corvaisier, C., Bour, J. B., Kohli, E. & Pothier, P. (1991). Use of synthetic peptides to locate neutralizing antigenic domains on the fusion protein of respiratory syncytial virus. J Gen Virol 72, 1051–1058.[Abstract/Free Full Text]

Branigan, P. J., Liu, C., Day, N. D., Gutshall, L. L., Sarisky, R. T. & Del Vecchio, A. M. (2005). Use of a novel cell-based fusion reporter assay to explore the host range of human respiratory syncytial virus F protein. Virol J 2, 54[CrossRef][Medline]

Crowe, J. E., Firestone, C. Y., Crim, R., Beeler, J. A., Coelingh, K. L., Barbas, C. F., Burton, D. R., Chanock, R. M. & Murphy, B. R. (1998). Monoclonal antibody-resistant mutants selected with a respiratory syncytial virus-neutralizing human antibody fab fragment (Fab 19) define a unique epitope on the fusion (F) glycoprotein. Virology 252, 373–375.[CrossRef][Medline]

Day, N. D., Branigan, P. J., Liu, C., Gutshall, L. L., Luo, J., Melero, J. A., Sarisky, R. T. & Del Vecchio, A. M. (2006). Contribution of cysteine residues in the extracellular domain of the F protein of human respiratory syncytial virus to its function. Virol J 3, 34[CrossRef][Medline]

DeVincenzo, J. P., Hall, C. B., Kimberlin, D. W., Sanchez, P. J., Rodriguez, W. J., Jantausch, B. A., Corey, L., Kahn, J. S., Englund, J. A. & other authors (2004). Surveillance of clinical isolates of respiratory syncytial virus for palivizumab (Synagis)-resistant mutants. J Infect Dis 190, 975–978.[CrossRef][Medline]

Dowell, S. F., Anderson, L. J., Gary, H. E., Erdman, D. D., Jr, Plouffe, J. F., File, T. M., Marston, B. J., Jr & Breiman, R. F. (1996). Respiratory syncytial virus is an important cause of community-acquired lower respiratory infection among hospitalized adults. J Infect Dis 174, 456–462.[Medline]

Ebbert, J. O. & Limper, A. H. (2005). Respiratory syncytial virus pneumonitis in immunocompromised adults: clinical features and outcome. Respiration 72, 263–269.[CrossRef][Medline]

Feltes, T. F., Cabalka, A. K., Meissner, H. C., Piaza, F. M., Carlin, D. A., Top, F. H., Connor, E. M., Jr & Sondheimer, H. M. (2003). Palivizumab prophylaxis reduces hospitalization due to respiratory syncytial virus in young children with hemodynamically significant congenital heart disease. J Pediatr 143, 532–540.[CrossRef][Medline]

Garcia-Barreno, B., Palomo, C., Penas, C., Delgado, T., Perez-Brena, P. & Melero, J. A. (1989). Marked differences in the antigenic structure of human respiratory syncytial virus F and G glycoproteins. J Virol 63, 925–932.[Abstract/Free Full Text]

Han, L. L., Alexander, J. P. & Anderson, L. J. (1999). Respiratory syncytial virus pneumonia among the elderly: an assessment of disease burden. J Infect Dis 179, 25–30.[CrossRef][Medline]

Huang, Y. T., Collins, P. L. & Wertz, G. W. (1985). Characterization of the 10 proteins of human respiratory syncytial virus: identification of a fourth envelope-associated protein. Virus Res 2, 157–173.[CrossRef][Medline]

Johnson, S., Oliver, C., Prince, G. A., Hemming, V. G., Pfarr, D. S., Wang, S. C., Dormitzer, M., O'Grady, J., Koenig, S. & other authors (1997). Development of a humanized monoclonal antibody (MEDI-493) with potent in vitro and in vivo activity against respiratory syncytial virus. J Infect Dis 176, 1215–1224.[Medline]

Kruszynski, M., Stowell, N., Das, A., Seideman, J., Tsui, P., Brigham-Burke, M., Nemeth, J. F., Sweet, R. & Heavner, G. A. (2006). Synthesis and biological characterization of human monocyte chemoattractant protein 1 (MCP-1) and its analogs. J Pept Sci 12, 25–32.[CrossRef][Medline]

Lopez, J. A., Bustos, R., Orvell, C., Berois, M., Arbiza, J., Garcia-Barreno, B. & Melero, J. A. (1998). Antigenic structure of human respiratory syncytial virus fusion glycoprotein. J Virol 72, 6922–6928.[Abstract/Free Full Text]

Machado, C. M., Vilas Boas, L. S., Mendes, A. V. A., Santos, M. F. M., da Rocha, I. F., Sturaro, D., Dulley, F. L. & Pannuti, C. S. (2003). Low mortality rates related to respiratory virus infections after bone marrow transplantation. Bone Marrow Transplant 31, 695–700.[CrossRef][Medline]

Martin-Gallardo, A., Fien, K. A., Hu, B. T., Farley, J. F., Seid, R., Collins, P. L., Hildreth, S. W. & Paradiso, P. R. (1991). Expression of the F glycoprotein gene from human respiratory syncytial virus in Escherichia coli: mapping of a fusion inhibiting epitope. Virology 184, 428–432.[CrossRef][Medline]

Shay, D. K., Holman, R. C., Newman, R. D., Liu, L. L., Stoud, J. W. & Anderson, L. J. (1999). Bronchiolitis-associated hospitalizations among US children, 1980–1996. JAMA 282, 1440–1446.[Abstract/Free Full Text]

Shay, D. K., Holman, R. C., Roosevelt, G. E., Clarke, M. J. & Anderson, L. J. (2001). Bronchiolitis-associated mortality and estimates of respiratory syncytial virus-associated deaths among US children, 1979–1997. J Infect Dis 183, 16–22.[CrossRef][Medline]

Stensballe, L. G., Devasundaram, J. K. & Simoes, E. A. (2003). Respiratory syncytial virus epidemics: the ups and downs of a seasonal virus. Pediatr Infect Dis J 22 (Suppl.), S21–S32.[CrossRef][Medline]

Taylor, G., Stott, E. J., Bew, M., Fernie, B. F., Cote, P. J., Collins, A. P., Hughes, M. & Jebbet, J. (1984). Monoclonal antibodies protect against respiratory syncytial virus infection in mice. Immunology 52, 137–142.[Medline]

Taylor, G., Stott, E. J., Furze, J., Ford, J. & Sopp, P. (1992). Protective epitopes on the fusion protein of respiratory syncytial virus recognized by murine and bovine monoclonal antibodies. J Gen Virol 73, 2217–2223.[Abstract/Free Full Text]

Trudel, M., Nadon, F., Seguin, C., Dionne, G. & Lacroix, M. (1987). Identification of a synthetic peptide as part of a major neutralization epitope of respiratory syncytial virus. J Gen Virol 68, 2273–2280.[Abstract/Free Full Text]

Ventre, K. & Randolph, A. (2004). Ribavirin for respiratory syncytial virus infection of the lower respiratory tract in infants and young children. Cochrane Database Syst Rev 4, CD000181[Medline]

Whimbey, E. & Ghosh, S. (2000). Respiratory syncytial virus infections in immunocompromised adults. Curr Clin Top Infect Dis 20, 232–255.[Medline]

Wu, H., Pfarr, D. S., Tang, Y., An, L. L., Patel, N. K., Watkins, J. D., Huse, W. D., Kiener, P. A. & Young, J. F. (2005). Ultra-potent antibodies against respiratoty syncytial virus: effects of binding kinetics and binding valence on viral neutralization. J Mol Biol 350, 126–144.[CrossRef][Medline]

Wu, H., Pfarr, D. S., Johnson, S., Brewah, Y. A., Woods, R. M., Patel, N. K., White, W. I., Young, J. F. & Kiener, P. A. (2007). Development of motavizumab, an ultra-potent antibody for the prevention of respiratory syncytial virus infection in the upper and lower respiratory tract. J Mol Biol 368, 652–665.[CrossRef][Medline]

Received 1 December 2006; accepted 21 June 2007.



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