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Title: Structural basis for nonneutralizing antibody competition at antigenic site II of the respiratory syncytial virus fusion protein

Journal Article · · Proceedings of the National Academy of Sciences of the United States of America
 [1];  [1];  [1];  [2]; ORCiD logo [1];  [2];  [1];  [1];  [3];  [3];  [4];  [4];  [5];  [5];  [4];  [1];  [2]; ORCiD logo [6]
  1. Vanderbilt Univ. Medical Center, Nashville, TN (United States)
  2. Vanderbilt Univ., Nashville, TN (United States)
  3. Integral Molecular, Inc., Philadelphia, PA (United States)
  4. The Scripps Research Inst., La Jolla, CA (United States)
  5. Stanford Univ. School of Medicine, Stanford, CA (United States)
  6. Vanderbilt Univ. Medical Center, Nashville, TN (United States); Vanderbilt Univ., Nashville, TN (United States)

Palivizumab was the first antiviral monoclonal antibody (mAb) approved for therapeutic use in humans, and remains a prophylactic treatment for infants at risk for severe disease because of respiratory syncytial virus (RSV). Palivizumab is an engineered humanized version of a murine mAb targeting antigenic site II of the RSV fusion (F) protein, a key target in vaccine development. There are limited reported naturally occurring human mAbs to site II; therefore, the structural basis for human antibody recognition of this major antigenic site is poorly understood. Here, we describe a nonneutralizing class of site II-specific mAbs that competed for binding with palivizumab to postfusion RSV F protein. We also describe two classes of site II-specific neutralizing mAbs, one of which escaped competition with nonneutralizing mAbs. Here, an X-ray crystal structure of the neutralizing mAb 14N4 in complex with F protein showed that the binding angle at which human neutralizing mAbs interact with antigenic site II determines whether or not nonneutralizing antibodies compete with their binding. Fine-mapping studies determined that nonneutralizing mAbs that interfere with binding of neutralizing mAbs recognize site II with a pose that facilitates binding to an epitope containing F surface residues on a neighboring protomer. Neutralizing antibodies, like motavizumab and a new mAb designated 3J20 that escape interference by the inhibiting mAbs, avoid such contact by binding at an angle that is shifted away from the nonneutralizing site. Furthermore, binding to rationally and computationally designed site II helix–loop–helix epitope-scaffold vaccines distinguished neutralizing from nonneutralizing site II antibodies.

Research Organization:
Argonne National Laboratory (ANL), Argonne, IL (United States)
Sponsoring Organization:
National Institutes of Health (NIH); National Inst. of Allergy and Infectious Diseases; National Center for Advancing Translational Sciences
Grant/Contract Number:
S10 RR026915; T32 AI 07474; 2 UL1 TR000445-06
OSTI ID:
1333419
Journal Information:
Proceedings of the National Academy of Sciences of the United States of America, Vol. 113, Issue 44; ISSN 0027-8424
Publisher:
National Academy of SciencesCopyright Statement
Country of Publication:
United States
Language:
ENGLISH
Citation Metrics:
Cited by: 31 works
Citation information provided by
Web of Science

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Alternative conformations of a major antigenic site on RSV F journal July 2019
Engineering a high-affinity humanized anti-CD24 antibody to target hepatocellular carcinoma by a novel CDR grafting design journal April 2017
Protein design: from computer models to artificial intelligence: Protein design
  • Paladino, Antonella; Marchetti, Filippo; Rinaldi, Silvia
  • Wiley Interdisciplinary Reviews: Computational Molecular Science, Vol. 7, Issue 5 https://doi.org/10.1002/wcms.1318
journal May 2017
Human antibody recognition of antigenic site IV on Pneumovirus fusion proteins journal February 2018
Alternative Virus-Like Particle-Associated Prefusion F Proteins as Maternal Vaccines for Respiratory Syncytial Virus journal September 2019
Development and Standardization of a High-Throughput Multiplex Immunoassay for the Simultaneous Quantification of Specific Antibodies to Five Respiratory Syncytial Virus Proteins journal April 2019
Antibody Epitopes of Pneumovirus Fusion Proteins journal November 2019
Structure basis of neutralization by a novel site II/IV antibody against respiratory syncytial virus fusion protein journal February 2019
Comparison of Immune Responses to Different Versions of VLP Associated Stabilized RSV Pre-Fusion F Protein journal February 2019
A proof of concept for structure-based vaccine design targeting RSV in humans journal August 2019
Patterns of antibody response during natural hRSV infection: insights for the development of new antibody-based therapies journal August 2018
A Potent Neutralizing Site III-Specific Human Antibody Neutralizes Human Metapneumovirus In Vivo journal July 2019
Epitope-Specific Serological Assays for RSV: Conformation Matters journal February 2019