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J Gen Virol 88 (2007), 951-955; DOI 10.1099/vir.0.82563-0

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Short Communication

Antibodies specific to the HA2 glycopolypeptide of influenza A virus haemagglutinin with fusion-inhibition activity contribute to the protection of mice against lethal infection

M. Gocník, T. Fislová, T. Sládková, V. Mucha, F. Kostolansky and E. Varecková

Institute of Virology, Slovak Academy of Sciences, 845 05 Bratislava, Slovak Republic

Correspondence
E. Varecková
viruevar{at}savba.sk


   ABSTRACT
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Four monoclonal antibodies (mAbs) recognizing distinct antigenic sites on the HA2 glycopolypeptide of influenza virus A/Dunedin/4/73 (H3N2) have been tested for in vivo protection. When applied intravenously before infection, three of them increased the survival of BALB/c mice infected with 1 LD50 homologous virus. The protection resulted simultaneously in 2 days earlier clearance of virus from the lungs. These three antibodies inhibited the fusion activity of virus in previous in vitro experiments. One of them, specific to N-terminal aa 1–38 of the HA2 glycopolypeptide, was also tested for protection against the heterologous virus A/Mississippi/1/85 (H3N2). Protection similar to that against the homologous virus was observed. The fourth mAb, without fusion-inhibition activity, did not protect mice. It is concluded that antibodies specific to the antigenically conserved HA2 glycopolypeptide that exhibit fusion-inhibition activity can contribute to the protection of infected mice and mediate more effective recovery from infection.


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The highly unpredictable variability of influenza A viruses, which cause yearly epidemics in the human population, is the main reason that no effective prevention against influenza A infection exists to date (Cox et al., 2003Down). Conserved domains of influenza A viruses that could stimulate a protective immune response have, therefore, been searched for (Mitchell et al., 2003Down; Mozdzanowska et al., 2003Down; Spier, 2005Down; Tamura et al., 2005Down).

The HA2 glycopolypeptide (HA2 gp), the light chain of influenza haemagglutinin (HA), represents the conserved part of HA (Nobusawa et al., 1991Down). HA2 gp of influenza virus is responsible for the fusion of the virus and the endosomal membrane during the entry of the virus into the cell (Skehel & Wiley, 2000Down). Although the epitopes on the HA2 gp of the native virus are less accessible for interaction with antibodies than those on HA1 gp, anti-HA2 antibodies are induced during natural infection in humans (Styk et al., 1979Down), as well as in immune-naive individuals in an experimental mouse model (Kostolansky et al., 2002Down; Fislová et al., 2005Down). These antibodies do not prevent the haemagglutination mediated by the virus and do not neutralize the infectivity of the virus (Becht et al., 1984Down; Russ et al., 1987Down; Sánchez-Fauquier et al., 1987Down, 1991Down). However, some HA2-specific monoclonal antibodies (mAbs) are able to inhibit the fusion activity of influenza virus in various experimental systems (cell–cell fusion mediated by HA expressed on the cell surface, haemolysis mediated by infuenza virus, and virus–liposome fusion; Varecková et al., 2003aDown) and can reduce virus replication in vitro (Varecková et al., 2003bDown). These mAbs are highly cross-reactive between strains of influenza virus of the same subtype and, some of them, even within various subtypes (Russ et al., 1987Down; Tkácová et al., 1997Down; Varecková et al., 2002Down). Therefore, we studied the effect of the above HA2-specific mAbs, delineating four distinct antigenic sites on the HA2 gp of influenza virus A/Dunedin/4/73 (H3N2) (Russ et al., 1987Down; Varecková et al., 2003aDown), on the course of in vivo infection of mice. Two main parameters were evaluated: survival of mice for 18 days after infection and the level of infectious virus in the lungs.

Six-week-old BALB/c mice were infected under light ether narcosis 2 h after intravenous (i.v.) application of purified mAbs (200 µg in 200 µl per mouse) using an infectious dose of 1 LD50 influenza A virus (40 µl). Mice were infected with the homologous virus A/Dunedin/4/73 (H3N2), which was used for the immunization of mice during the preparation of hybridomas (Russ et al., 1987Down), or with the heterologous virus A/Mississippi/1/85 (H3N2), of the same subtype (H3), but evolutionarily distant from A/Dunedin/4/73 (H3N2) (viruses were obtained from the collection of the National Institute for Medical Research, London, UK). Both strains were adapted to mice by six to nine serial lung passages as described previously (Kostolansky et al., 2002Down). Hybridoma cells producing mAbs specific to the HA2 gp of influenza virus A/Dunedin/4/73 (H3N2) were prepared by standard procedures (Russ et al., 1987Down) and antibodies were purified as described by Ey et al. (1978)Down.

For passive immunization, the particular anti-HA2 mAb (CF2-IgG1, IIF4-IgG1, CB8-IgG1 or FE1-IgG2a) was used. PBS and an irrelevant mAb (499-IgG1), specific to glycoprotein gB-2 of herpes simplex virus 2 (HSV-2) (Bystrická et al., 1997Down), were used as controls. For positive control of inhibition of infection, a polyclonal hyperimmune mouse serum specific to influenza A/Dunedin/4/73 (H3N2) (Kostolansky et al., 2002Down) was applied i.v. (diluted 1 : 4 or 1 : 64). All animal experiments were carried out according to EU standards. The significance of survival of mice was evaluated by using Fisher's exact test. The titre of infectious virus in mouse lungs was determined by a rapid-culture assay on Madin–Darby canine kidney cells (Tkácová et al., 1997Down). Mouse-lung homogenates made in PBS (1 ml) were sedimented and supernatants were used for titration in twofold dilutions (100 µl). Infectious virus was detected after 18 h incubation as described previously (Varecková et al., 2002Down). Infected cells were scored microscopically as distinct red staining. The titre of infectious virus was evaluated as the reciprocal value of the highest dilution of virus sample where the cells were still infected (log2 units).

Viral RNA (vRNA) in mouse lungs was detected by RT-PCR. Total RNA from lung-cell homogenate (100 µl) was extracted by using the RNA Insta-Pure system (Eurogentec). Reverse transcription and cDNA amplification were carried out as described previously (Varecková et al., 2006Down), using oligonucleotide primers specific for the influenza A nucleoprotein (forward, 5'-GTGAGGATGCAACAGCTGGTCTAAC-3'; reverse, 5'-TACCCCTCTTTTTCGAAGTCGTAC-3'; expected size of product, 509 bp). The detection limit of this RT-PCR was 1.12 pg specific cDNA.

Each experimental group of mice infected with the homologous influenza virus A/Dunedin/4/73 after passive immunization with anti-HA2 mAbs included eight individuals; the control group pretreated with PBS included 12 mice. In the control group, 50 % of mice died between days 7 and 13 post-infection (p.i.) (Fig. 1aDown), whereas in the group of mice passively immunized with anti-Dunedin polyclonal immune serum at two dilutions, all animals (four in each group) survived the infection (results not shown). mAbs CF2, specific to the N-terminal aa 1–38 of HA2 gp, and FE1, binding to aa 125–175 of HA2 gp (Varecková et al., 2003aDown), improved the survival of mice infected with 1 LD50 homologous virus to 100 % (statistically significant; P=0.0419). mAb IIF4 increased survival to 87 % (P=0.1577). However, no protection was observed after the application of mAb CB8, when all mice died before day 14 p.i. (Fig. 1aDown). This increased mortality was significant (P=0.0419) and reproducible.


Figure 1
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Fig. 1. Survival of BALB/c mice infected with homologous influenza virus A/Dunedin/4/73 (H3N2) (a) and heterologous virus A/Mississippi/1/85 (b) after i.v. application of HA2-specific mAbs CF2, IIF4, CB8 and FE1. In the control group of mice, PBS (a) or irrelevant mAb 499 (b) was applied.

 
Titres of infectious virus in the lungs of mice passively immunized with mAbs CF2 and CB8 and infected with influenza virus A/Dunedin/4/73 were compared with those for the control mice, which received irrelevant mAb 499 of the same isotype as the tested mAbs (negative-inhibition control) or the immune polyclonal serum specific to influenza virus A/Dunedin/4/73 (positive-inhibition control) (Fig. 2aDown). Virus was extracted from lungs of two mice in each group at 2 day intervals up to day 10 p.i. It was detectable until day 8 p.i. in the control group receiving non-specific mAb 499. The application of mAb CF2 caused clearance of infectious virus from lungs 2 days earlier than in the control group; moreover, the last detectable titre on the day 6 p.i. (6.64±0 log2 units) was significantly lower than that in the control group (Fig. 2aDown). Similar to the control group, virus persisted until day 8 p.i. in mice that received mAb CB8, but the last detectable titre was higher by 2 log2 units than in the control. However, the maximal titre (13.14±0.71 log2 units) in this group was reached repeatedly on day 4 p.i. This was different from all other groups, in which the viral titre peaked on day 2 p.i. The i.v. application of polyclonal immune serum caused rapid reduction of virus titre and the most rapid clearance of virus from lungs on day 6 p.i. The strong effect of antiviral polyclonal serum was undoubtedly due to the presence of antibodies with haemagglutination-inhibition and virus-neutralization activities, which prevent binding of virus to the cell receptor (Knossow et al., 2002Down).


Figure 2
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Fig. 2. Titre of infectious virus in lungs of mice infected with influenza virus A/Dunedin/4/73 (H3N2) (a) or A/Mississippi/1/85 (H3N2) (b) after the administration of anti-HA2 mAbs (CF2, CB8) detected by rapid-culture assay, and RT-PCR detection of vRNA in mice lungs. As a control, irrelevant mAb 499 or an immune anti-Dunedin mouse polyclonal serum (pAb) was used. Values of the titres represent means from two independent experiments.

 
The 2 days earlier clearance of infectious virus from lungs of mice immunized with mAb CF2 correlated with the presence of vRNA, which was last detected on day 6 p.i., whilst in the group treated with mAbs CB8 or 499, it was detectable for a further 2 days (Fig. 2aUp).

Simultaneously, the proportion of macroscopically damaged lung tissue (haemorrhagic and necrotic lesions) was scored as a percentage of the total lung tissue. The highest damage, observed on day 6 p.i. in all groups, was 70 % in the control group and in that after the application of mAb CB8, whilst in the group of mice that received mAb CF2, the maximal damage was only 30 %. The differences were also observed on day 10 p.i. Lesions were still visible in control mice and in the group treated with mAb CB8, but not in the lungs of mice treated with mAb CF2, which were without impairment (results not shown).

To study whether anti-HA2 mAbs have the potential to cross-protect mice against infection within a subtype, influenza virus A/Mississippi/1/85 (H3N2) was used for infection. mAb CF2, specific to the N terminus of HA2 gp, which inhibited the fusion mediated by HA most effectively and inhibited the replication of virus in vitro (Varecková et al., 2003aDown, bDown), was chosen. The same methods of infection and immunization were used as described above. The survival of mice, followed for 18 days p.i. in each group (14 individuals), increased after the application of mAb CF2 to 93 % (statistically significant; P=0.0329) from 50 % in the control group, which received irrelevant mAb 499. The improved survival of mice passively immunized with mAb CF2 was, similarly to the infection with A/Dunedin/4/73 virus (Fig. 2aUp), accompanied by clearance of infectious virus from lungs 2 days earlier than in the control group (Fig. 2bUp), as well as by earlier diminishing of vRNA: day 8 p.i. in mice immunized with mAb CF2 versus day 10 p.i. in the control group, not immunized with a specific mAb (Fig. 2bUp). The protection ability of antibody CF2 was also indicated by the significantly lower maximal damage of lungs visible on days 6–8 p.i. in mice infected with A/Mississippi/1/85 following mAb CF2 application: 35 versus 90 % in the control (results not shown).

From the above experiments, we conclude that HA2 gp is able to induce a specific antibody response with protective potential. It is known that HA2 gp is an antigen that elicits a specific, protective immune response via HA2-specific T-cell clones, which are cross-reactive with various strains of influenza A virus within subtype (Katz et al., 1985Down; Wabuke-Bunoti et al., 1984Down; Gould et al., 1987Down; Kuwano et al., 1988Down; Jackson et al., 1994Down; Mbawuike et al., 1994Down; Saikh et al., 1995Down; Gerhard, 2001Down). However, no protection mediated by antibodies specific exclusively to the HA2 gp has been described until now.

The three anti-HA2 antibodies (mAbs CF2, IIF4 and FE1) that conferred protection to infected mice were able to inhibit the in vitro fusion activity of influenza virus HA in previous experiments (Varecková et al., 2003aDown). On the other hand, mAb CB8 (without fusion-inhibition activity) did not protect mice against infection. The protective effect also correlated with the more rapid clearance of infectious virus from lungs, whereas mAb CB8 enhanced infection. It was proposed previously that the enhancement of infection may be mediated by binding of the Fc fragment of antibody, immunocomplexed with the virus, to the cell-surface Fc receptor (Tamura et al., 1994Down). We excluded this possibility in the case of antibody CB8, as mAbs CF2 and IIF4, of the same isotype as CB8, did not enhance infection. mAb CB8 recognizes the antigenic site between aa 38 and 112 of HA2 gp (Varecková et al., 2003aDown), which overlaps the epitope comprising aa 93–102 of HA2 gp. This epitope is recognized by cytotoxic T lymphocytes (Jackson et al., 1994Down; Saikh et al., 1995Down). We believe that the antibody recognition and binding of this peptide might interfere with the antiviral action of T lymphocytes. This interpretation is also supported by the fact that the viral titre in lungs peaked on day 4 p.i. in CB8-treated mice. To confirm our hypothesis, further studies are required.

mAb CF2, which inhibited the fusion activity of HA most effectively (Varecková et al., 2003aDown, bDown), improved the survival of mice even after infection with the heterologous virus A/Mississippi/1/85 (H3N2). We describe here, for the first time, intrasubtype cross-protection of mice against lethal infection mediated by a mAb specific to HA2 gp, particularly to its N terminus (aa 1–38), which is responsible for the insertion of HA2 gp into the target membrane in the process of fusion. The proposed mechanism of inhibition of fusion activity of HA mediated by mAb CF2 and, consequently, the inhibition of in vitro or in vivo virus replication is different from that described by Okuno et al. (1993Down, 1994)Down and Smirnov et al. (2000)Down for mAb C179, specific to the epitope comprising HA1 and HA2 gp, because we showed in a cleavage-protection assay that the binding of mAb CF2 to HA does not prevent pH 5-induced conformational change of the HA trimer (Varecková et al., 2003bDown).

As HA2-specific antibodies do not prevent attachment of virus to the cell surface, we suppose that they can influence the second stage of infection, after they are endocytosed into the cell together with the virus. Their binding to corresponding epitopes on HA2 gp blocks the fusion of the virus with the endosomal membrane and thus prevents the release of the viral genetic material into the cytoplasm. Such an inhibition effect would be revealed only when the binding of antibodies to the virus is sufficiently strong. This is dependent on their affinities and on the accessibility of corresponding epitopes for antibodies. The higher flexibility of the HA molecule at higher temperatures could lead to the higher binding capacity of anti-HA2 antibodies. Thus, we suppose that, under physiological conditions, where the temperature of the organism is about 37 °C, the inhibition potential of HA2-specific antibodies can be exerted. From that point of view, HA2-specific antibodies induced during natural infection could contribute to earlier recovery from influenza infection with new epidemic strains of a given subtype.


   ACKNOWLEDGEMENTS
 
We thank Elena Ulicná and Jana Mesárosová for their excellent technical assistance. The authors are indebted to Dr G. Russ for providing hybridomas producing HA2-specific mAbs, to Dr M. Bystrická for providing mAb 499, specific to gB-2 of HSV-2, and to Dr K. Polcicová for reading the manuscript. This work was supported by the Scientific Grant Agency of the Ministry of Education of the Slovak Republic and the Slovak Academy of Sciences, grants no. 2/6077/6 and 2/4051/06, and by the Slovak Research and Development Agency under contract no. APVV-51-021605.


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Received 11 September 2006; accepted 22 November 2006.


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