Characterization of Plasma Immunoglobulin G Responses in Elite Neutralizers of Human Cytomegalovirus.


Journal

The Journal of infectious diseases
ISSN: 1537-6613
Titre abrégé: J Infect Dis
Pays: United States
ID NLM: 0413675

Informations de publication

Date de publication:
01 11 2022
Historique:
received: 06 05 2022
accepted: 11 08 2022
pubmed: 16 8 2022
medline: 4 11 2022
entrez: 15 8 2022
Statut: ppublish

Résumé

Human cytomegalovirus (HCMV) is the most common infectious complication of organ transplantation and cause of birth defects worldwide. There are limited therapeutic options and no licensed vaccine to prevent HCMV infection or disease. To inform development of HCMV antibody-based interventions, a previous study identified individuals with potent and broad plasma HCMV-neutralizing activity, termed elite neutralizers (ENs), from a cohort of HCMV-seropositive (SP) blood donors. However, the specificities and functions of plasma antibodies associated with EN status remained undefined. We sought to determine the plasma antibody specificities, breadth, and Fc-mediated antibody effector functions associated with the most potent HCMV-neutralizing responses in plasma from ENs (n = 25) relative to that from SP donors (n = 19). We measured antibody binding against various HCMV strains and glycoprotein targets and evaluated Fc-mediated effector functions, antibody-dependent cellular cytotoxicity (ADCC), and antibody-dependent cellular phagocytosis (ADCP). We demonstrate that ENs have elevated immunoglobulin G binding responses against multiple viral glycoproteins, relative to SP donors. Our study also revealed potent HCMV-specific antibody-dependent cellular cytotoxicity and antibody-dependent cellular phagocytosis activity of plasma from ENs. We conclude that antibody responses against multiple glycoprotein specificities may be needed to achieve potent plasma neutralization and that potently HCMV elite-neutralizing plasma antibodies can also mediate polyfunctional responses.

Sections du résumé

BACKGROUND
Human cytomegalovirus (HCMV) is the most common infectious complication of organ transplantation and cause of birth defects worldwide. There are limited therapeutic options and no licensed vaccine to prevent HCMV infection or disease. To inform development of HCMV antibody-based interventions, a previous study identified individuals with potent and broad plasma HCMV-neutralizing activity, termed elite neutralizers (ENs), from a cohort of HCMV-seropositive (SP) blood donors. However, the specificities and functions of plasma antibodies associated with EN status remained undefined.
METHODS
We sought to determine the plasma antibody specificities, breadth, and Fc-mediated antibody effector functions associated with the most potent HCMV-neutralizing responses in plasma from ENs (n = 25) relative to that from SP donors (n = 19). We measured antibody binding against various HCMV strains and glycoprotein targets and evaluated Fc-mediated effector functions, antibody-dependent cellular cytotoxicity (ADCC), and antibody-dependent cellular phagocytosis (ADCP).
RESULTS
We demonstrate that ENs have elevated immunoglobulin G binding responses against multiple viral glycoproteins, relative to SP donors. Our study also revealed potent HCMV-specific antibody-dependent cellular cytotoxicity and antibody-dependent cellular phagocytosis activity of plasma from ENs.
CONCLUSIONS
We conclude that antibody responses against multiple glycoprotein specificities may be needed to achieve potent plasma neutralization and that potently HCMV elite-neutralizing plasma antibodies can also mediate polyfunctional responses.

Identifiants

pubmed: 35970817
pii: 6667625
doi: 10.1093/infdis/jiac341
pmc: PMC10205896
doi:

Substances chimiques

Immunoglobulin G 0
Antibodies, Neutralizing 0
Antibodies, Viral 0
Viral Envelope Proteins 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

1667-1677

Subventions

Organisme : NIAID NIH HHS
ID : P01 AI129859
Pays : United States
Organisme : NIAID NIH HHS
ID : T32 AI052077
Pays : United States
Organisme : NIGMS NIH HHS
ID : T32 GM007171
Pays : United States
Organisme : NIGMS NIH HHS
ID : T32 GM145449
Pays : United States

Informations de copyright

© The Author(s) 2022. Published by Oxford University Press on behalf of Infectious Diseases Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Déclaration de conflit d'intérêts

Potential conflicts of interest. S. R. P. is a consultant for Moderna, Merck, Pfizer, GlaxoSmithKline, Dynavax, and Hoopika cytomegalovirus (CMV) vaccine programs and leads sponsored research programs with Moderna and Merck. She also serves on the board of the National CMV Foundation and as an educator on CMV for Medscape. All other authors report no potential conflicts. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.

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Auteurs

Melissa J Harnois (MJ)

Duke Human Vaccine Institute, Duke University Medical Center, Durham, North Carolina, USA.
Department of Immunology, Duke University School of Medicine, Durham, North Carolina, USA.

Maria Dennis (M)

Duke Human Vaccine Institute, Duke University Medical Center, Durham, North Carolina, USA.

Dagmar Stöhr (D)

Institute for Virology, Ulm University Medical Center, Ulm, Baden-Württemberg, Germany.

Sarah M Valencia (SM)

Duke Human Vaccine Institute, Duke University Medical Center, Durham, North Carolina, USA.

Nicole Rodgers (N)

Duke Human Vaccine Institute, Duke University Medical Center, Durham, North Carolina, USA.
Department of Surgery, Duke University School of Medicine, Durham, North Carolina, USA.

Eleanor C Semmes (EC)

Duke Human Vaccine Institute, Duke University Medical Center, Durham, North Carolina, USA.
Medical Scientist Training Program, Department of Molecular Genetics and Microbiology, Duke University School of Medicine, Durham, North Carolina, USA.

Helen S Webster (HS)

Duke Human Vaccine Institute, Duke University Medical Center, Durham, North Carolina, USA.

Jennifer A Jenks (JA)

Duke Human Vaccine Institute, Duke University Medical Center, Durham, North Carolina, USA.
Medical Scientist Training Program, Department of Molecular Genetics and Microbiology, Duke University School of Medicine, Durham, North Carolina, USA.

Richard Barfield (R)

Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, North Carolina, USA.
Center for Human Systems Immunology, Duke University Medical Center, Durham, North Carolina, USA.

Justin Pollara (J)

Duke Human Vaccine Institute, Duke University Medical Center, Durham, North Carolina, USA.
Department of Surgery, Duke University School of Medicine, Durham, North Carolina, USA.

Cliburn Chan (C)

Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, North Carolina, USA.
Center for Human Systems Immunology, Duke University Medical Center, Durham, North Carolina, USA.

Christian Sinzger (C)

Institute for Virology, Ulm University Medical Center, Ulm, Baden-Württemberg, Germany.

Sallie R Permar (SR)

Duke Human Vaccine Institute, Duke University Medical Center, Durham, North Carolina, USA.
Department of Pediatrics, Weill Cornell Medicine, New York, New York, USA.

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