INTRODUCTION
Rift Valley fever virus (RVFV) is a zoonotic arbovirus of the family
Monoclonal antibodies (MAbs) have already shown efficacy in the treatment of multiple infectious diseases, with many in clinical development (18). To date, RVFV MAb research has focused on the development and evaluation of neutralizing MAbs. Neutralization is mediated by the Fab region, which directly contacts a viral surface glycoprotein, blocking entry into host cells. Rabbit, human, monkey, and mouse MAbs directed against the two RVFV glycoproteins—Gn and Gc—have been recently developed and demonstrated protective efficacy in mice (19–23). Gn- and Gc-neutralizing MAbs have demonstrated protection
In addition to neutralization, antibodies (Abs) provide protection through a variety of mechanisms via their ability to interact with Fc gamma receptors (FcγRs) on innate immune cells. Abs bind FcγRs through their Fc domain to mediate functions, including antibody-dependent cellular cytotoxicity (ADCC), antibody-dependent cellular phagocytosis (ADCP), antibody-dependent neutrophil phagocytosis (ADNP), and complement-dependent cytotoxicity (CDC) (24, 25). The essential role of Fc-mediated immune effector functions in providing protection from viral disease has been reported for Ebola virus, human immunodeficiency virus, influenza A virus, and chikungunya virus (26–31). This suggests the potential for Fc effector functions to be an essential component of MAb-mediated protection from RVFV, a role that has yet to be investigated.
We report the development of a panel of six mouse MAbs against the RVFV Gn glycoprotein. To investigate the contribution of Fc effector functions in antibody-mediated RVFV protection, MAbs were subclass switched to produce IgG1 and IgG2a versions. IgG1 subclass MAbs provided incomplete protection from RVFV disease
RESULTS
Generation and characterization of anti-Gn RVFV MAbs.
A panel of eight RVFV Gn-specific mouse MAbs were generated. These MAbs were selected to span a range of neutralizing and Gn binding abilities based on initial hybridoma cell supernatant enzyme-linked immunosorbent assay (ELISA) and foci reduction neutralization test (FRNT) screening. Antibody variable domain sequencing found MAb-2, -2.2, and -2.3 to be identical, and so six unique MAbs were used throughout the study. Variable domains were cloned into heavy and light chain expression plasmids, and Abs were purified to produce MAb-1, -2, -3, -4, -5, and -6.
MAbs displayed a range of RVFV neutralization abilities (Fig. 1A). Three MAbs showed no neutralization ability, even at 500 μg/ml. The half maximal inhibitory concentration (IC50) was calculated for each of the three neutralizing MAbs. MAb-1 was the most potently neutralizing, with an IC50 of 28 ng/ml followed by MAb-2 (1,532 ng/ml) and MAb-3 (12,260 ng/ml) (see Table S1 in the supplemental material).
FIG 1
RVFV MAbs display a range of binding and neutralization activities and target domains throughout Gn. (A) The ability of MAbs to neutralize RVFV was assessed by serial dilution of MAbs in an FRNT assay. (B) MAbs were also tested for their ability to bind Gn by RVFV-infected lysate ELISA. Means and standard deviations (SDs) from triplicates are reported for both FRNT and ELISA data. (C) Schematic of the RVFV Gn protein with MAbs mapped to the domain required for binding, as determined through Western blot analysis of truncated Gn constructs. (D) MAbs were mapped to specific epitopes by Gn peptide ELISA.
In an RVFV lysate ELISA, all six MAbs were able to bind Gn with varied affinities (Fig. 1B). The lower maximal binding values for MAb-4, -5, and -6 suggest that fewer of these MAbs were able to bind RVFV at saturation than MAb-1, -2, and -3. Fifty percent effective concentration (EC50) values ranged from 3.97 to 327.8 ng/ml with MAb-1, -2, and -3 having the lowest values (Table S1).
Domain and epitope mapping of anti-Gn RVFV MAbs.
Gn truncations were made based on three previously identified structural domains of Gn: A (amino acids [aa] 154 to 300), B (aa 366 to 440), and beta (beta1 aa 301 to 365 and beta2 441 to 469) (Fig. 1C) (32, 33). Truncations were also made outside these three domains to split up Gn between the beta2 domain and the transmembrane (TM) domain (denoted 1, 2, and 3) (see Fig. S1A). Using these seven Gn truncations (Fig. S1A), the domain required for binding of each MAb (Fig. S1B) was identified. MAbs mapped to different domains along Gn, with MAb-6 binding closest to the TM, outside the previously defined A, B, and beta domains (Fig. 1C; Fig. S1B). Interestingly, the highest neutralizers (MAb-1, -2, and -3) bound different domains of Gn. All MAbs were found to recognize denatured forms of Gn, suggesting linear epitopes.
Peptide ELISA was performed to map the epitope recognized by each MAb. All MAbs strongly bound at least one peptide except for MAb-2 (Fig. 1D). Some MAbs bound multiple adjacent and overlapping peptides, which enabled the identification of shorter binding epitopes. All identified binding epitopes were within the domain to which that MAb had previously been mapped by Western blotting. Successful binding to 15-mer peptides by MAbs confirmed that most of these MAbs bound linear epitopes.
Anti-Gn MAbs increased survival following lethal RVFV challenge.
C57BL/6 mice are an RVFV lethal challenge model, succumbing to infection within 4 days (34). To determine the protective potential of these anti-Gn MAbs, 400 μg of each IgG1 MAb was administered via intraperitoneal (i.p.) injection 48 h prechallenge with 200 times the 50% tissue culture infective dose (TCID50) of wild-type (WT) RVFV (Fig. 2A). Serum FRNT and ELISA at 24 h postinjection (Fig. 2B) confirmed MAb administration in all mice.
FIG 2
Anti-Gn MAbs increase survival against lethal RVFV challenge. (A) Schematic of the IgG1 MAb-treated mouse survival experiment. (B) FRNT and ELISA of serum collected 24 h after MAb injection. Geometric mean titers are shown with a horizontal line, and error bars represent the geometric SD for each MAb treatment group. LOD of each assay is noted by dotted line. (C) Survival curve of mice following challenge. Positive-control mice injected with RVFV immune serum all survived challenge and exhibited a statistically significant difference in survival compared to that of IgG1 isotype control-treated mice (Mantel-Cox test;
IgG1 isotype control-treated mice succumbed to disease within 3 days of challenge, while positive-control mice given RVFV-vaccinated immune serum survived to the end of the experiment (Fig. 2C). MAb-1 and -2 protected mice significantly better than the isotype control, with only one mouse per experimental group succumbing to disease. Although MAb 3-treated mice all succumbed to disease, their survival curve was different from that of the isotype control, with a significantly increased time to death. Mice treated with nonneutralizing MAb-4, -5, or -6 all succumbed to disease with no significant delay in time to death. Weight loss was appreciated in all mice that succumbed to acute hepatic death (see Fig. S2). At the point of euthanasia, tissues and serum were assessed for RVFV RNA loads. Elevated viral RNA throughout the tissues and serum confirmed that mice succumbed due to RVFV infection (Fig. 2D). Notably, although mice treated with MAb-3 all succumbed, decreased levels of viral RNA suggest some level of MAb-mediated viral control (Fig. 2D). In survivor mice, RNA levels were at or near the limit of detection (LOD) by day 28 postchallenge, suggesting overall control of the virus (Fig. 2D).
Subclass switching of anti-Gn RVFV MAbs.
To test the hypothesis that protection delivered by the three partially protective MAbs could be enhanced by increasing their ability to induce Fc effector functions, the inherent differential abilities of murine IgGs to interact with FcγRs on innate immune cells was utilized. In mice, IgG2a Abs induce high effector function strength by binding the high-affinity activating receptors FcγRIV and FcγRI and the low-affinity receptor FcγRIII. IgG1 Abs signal through FcγRIII but not FcγRIV or FcγRI and are thus classically thought to affect lower levels of Fc-mediated defense (35–38). Therefore, to increase the ability of the RVFV-Gn IgG1 MAbs to induce Fc-mediated immune effector functions, they were subclass switched to IgG2a.
Functionality of IgG2a version MAbs that had shown some level of protection
FIG 3
Subclass-switched MAbs display similar binding and neutralization but increased ability to activate effector functions. (A) Subclass-switched MAbs had similar neutralizing ability as assessed by FRNT. Mean and SD in triplicate are reported. (B) Subclass-switched MAbs had similar Gn binding as tested by ELISA of RVFV-infected lysates. Geometric means are shown with a horizontal line, and error bars represent the geometric SD for each MAb. The horizontal dashed line represents the LOD of this assay. (C) Assessment of MAb ADCC by NK cell degranulation assay. Each point represents an independent replicate, with means shown by a horizontal line and SD by the error bars. The gray horizontal line indicates the range of degranulation induced by IgG1 and IgG2a isotype control Abs. Statistical significance in the ability of MAbs to induce degranulation in NK cells was assessed by unpaired Student’s
Protection
To test whether Fc effector functions were important for RVFV protection
FIG 4
IgG2a MAbs confer increased protection against lethal RVFV challenge. (A) Schematic of the IgG2a MAb-treated mouse survival experiment. (B) FRNT and ELISA of bleed serum taken 24 h after MAb injection. Geometric means are shown with a horizontal line, and error bars represent the geometric SD for each MAb treatment group. LOD of each assay is noted by the dotted line. (C) Survival curve of mice following challenge. Positive-control mice injected with RVFV immune serum all survived challenge and exhibited a statistically significant difference in survival compared to IgG2a isotype control-treated mice (Mantel-Cox test;
IgG2a isotype control-treated mice succumbed to lethal RVFV challenge similarly to the IgG1 isotype controls, while all positive-control mice survived (Fig. 4C). IgG2a MAb-1, -2, and -3 fully protected mice from lethal challenge, with their survival curves being significant compared to those of IgG2a isotype control-treated mice. All mice administered a nonneutralizing IgG2a (MAb-4, -5, or -6) still succumbed to disease. Viral RNA loads were high in all mice that succumbed and were at or below the LOD in surviving mice (Fig. 4D).
To determine if protection provided by MAb-1, -2, and -3, was sterilizing, results from ELISA and FRNT on terminal survivor mouse serum were compared to bleed antibody titers measured at 24 h prechallenge (see Fig. S4). These data showed an overall increase in total antibody titers and neutralization in the serum of mice treated with MAbs that survived RVFV infection (Fig. S4A). RVFV N protein-specific ELISA was performed on terminal survivor serum to confirm that antibody titer increases were due to
DISCUSSION
Previous studies have investigated the importance of neutralizing MAbs in protection from lethal RVFV disease. Neutralizing MAbs raised against Gn or Gc protect by various mechanisms of virus neutralization, including the blocking of attachment, entry, or fusion (19–21, 23). When each MAb described in this study was mapped to its Gn binding domain, all except MAb-2 were found to bind linear epitopes. This overwhelming recognition of linear epitopes was not surprising, as the immunogen was produced in bacteria and may not have had its native confirmation. The MAbs in this study bound to epitopes across the three domains of Gn, with the highest neutralizer (MAb-1) binding a new site of vulnerability in domain B. This domain has been suggested as an immunodominant region of Gn, with others having mapped protective MAbs to this region (19). Other work has identified domain A as a hot spot for binding of highly neutralizing MAbs (20, 23). The lowest of the three neutralizers, MAb-3, bound a new site of vulnerability in domain A distinct from those for previously identified MAbs. These novel protective epitopes point to the probability that the entire outward facing surface of Gn can be targeted by MAbs to elicit protection
Despite published work regarding RVFV-neutralizing Abs providing protection from disease, the reliance on Fc effector function for delivering said protection was not previously assessed. This study investigated the role of Fc effector functions in MAb-mediated RVFV protection using the divergent effector function strengths of IgG subclass MAbs. A panel of MAbs was developed against the RVFV Gn glycoprotein, and each MAb was cloned to be both IgG1 and IgG2a subclass. When administered to mice prechallenge, protection from RVFV disease was enhanced by IgG2a subclass MAbs.
Indeed, protection from lethal RVFV challenge was dependent on the functions provided by the IgG2a Fc domain, as MAb-1, -2, and -3 only afforded complete protection when administered as the IgG2a subclass. A significant difference in survival was seen between MAb-3 IgG2a- and IgG1-treated groups (Mantel-Cox test
The protective capacity of each MAb was unequally enhanced, however, when given as the IgG2a version. MAb-4, -5, and -6 failed to protect mice from death regardless of antibody subclass. This difference in protection between MAbs could be due to the lower binding affinity of MAb-4, -5, and -6. Binding with high enough affinity to the antigen to induce immune complex formation is known to be crucial for the activation of Fc effector functions (39, 40). The inability of MAb-4, -5, and -6 to protect mice could alternatively be due to their nonneutralizing status. Optimal protection from RVFV may require both neutralization and Fc-dependent effector functions, as seen for other viruses (26, 28, 41). Future work is required to test whether nonneutralizing MAbs with strong Gn binding affinity can protect from RVFV
In addition to increasing survival, IgG2a MAbs also seemed to control viral infection more efficiently. Viral RNA was detected at day 28 at low levels in IgG1 MAb-1 and -2 surviving mice. Contrastingly, RNA levels were below the LOD for survivor mice treated with the IgG2a version. Decreased viral titers were also seen in the brains of mice treated with the nonprotective, nonneutralizing IgG2a version of MAbs-4, -5, and -6. This might suggest increased control of viral replication and/or spread to the brain by IgG2a MAbs. This accelerated viral clearance by IgG2a MAbs may mitigate the development potential of late-onset encephalitis. Individuals presenting for care with RVF are typically well into the disease course. Therefore, it will be important to determine if MAb therapy can prevent progression to late-onset encephalitis and the role of Fc effector functions therein, as this is where MAbs have the most human promise. Recent work in humans found that the antibody response to naturally acquired infection preferentially targets Gn, with neutralizing anti-Gn IgG responses lasting decades (42). Future investigation into the contribution of Fc effector functions in the human humoral response could further increase understanding of how antibody-mediated immunity protects against RVFV disease.
MATERIALS AND METHODS
Ethics statement and biosafety information.
Animal research was approved by University of Pittsburgh IACUC (protocol 19044158). All experiments with the wild-type (WT) RVFV ZH501 strain were performed in the University of Pittsburgh regional biocontainment biosafety level 3 laboratory.
Virus generation.
WT RVFV, DelNSs RVFV, and DelNSs/DelNSm RVFV were generated using reverse genetics based on the ZH501 strain background (43–45). Virus stocks were grown to passage 2 and fully sequence confirmed using next-generation sequencing prior to use. Viral stock titers were determined by 50% tissue culture infective dose (TCID50) assay as described previously (34, 46).
MAb generation.
Custom mouse hybridomas were generated commercially by GenScript. Briefly, 5 BALB/c and 5 C57BL/6 mice were immunized 3 times with bacterially produced RVFV Gn protein. Splenocytes from three mice with the highest RVFV Gn-specific ELISA titers were fused to SP/0 myeloma cells to generate hybridomas. Hybridoma supernatants were screened for antibody reactivity via ELISA and FRNT. Six hybridoma clones, naturally derived as 1 IgG2a and 5 IgG1, spanning a range of neutralization and binding abilities were selected for antibody production and purification. Antibody variable domains were sequenced and cloned into heavy and light chain expression plasmids pFUSEss-CHIg-mG1/pFUSEss-CHIg-mG2a and pFUSE2ss-CLIg-mk (InvivoGen). Heavy and light chain plasmids were cotransfected into FreeStyle 293-F suspension cells using 293fectin. Cells were cultured in FreeStyle 293 expression medium (Thermo Fisher) for 4 days. Secreted Abs were purified by protein G affinity chromatography from cell supernatants (Thermo Fisher).
MAb domain mapping.
Gn truncations (see Fig. S1 in the supplemental material) were cloned into pcDNA3.1 under the cytomegalovirus (CMV) promoter and then transfected into Vero-E6 cells. Lysates were harvested at 48 h in 50 mM dithiothreitol LDS buffer (Thermo Fisher). Samples were heated at 70°C and then loaded into 4 to 12% bis-Tris gels (Thermo Fisher). Proteins were transferred to nitrocellulose membranes using a Mini Blot module wet transfer system (Thermo Fisher). Membranes were blocked in 5% nonfat dry milk (NFDM) in phosphate-buffered saline with 0.1% Tween 20 (PBST) for 1 h and then probed with each anti-Gn MAb, diluted 1:1,000. Bound MAbs were detected using anti-mouse IgG conjugated to horseradish peroxidase (HRP) (Jackson ImmunoResearch), diluted 1:15,000. Membranes were incubated in SuperSignal West Dura extended duration substrate (Thermo Fisher) for 2 min before exposure to CL-XPosure Film (Thermo Fisher) and developed using an SRX-101A film processor (Konica Minolta).
MAb epitope mapping.
Overlapping peptides with >70% purity (15-mers with 11-aa overlaps) were generated to span RVFV Gn (GenScript). MaxiSorp plates (Thermo Fisher) were coated one peptide per well with 1 μM each Gn peptide. Plates were incubated at 4°C overnight and then blocked in 1% bovine serum albumin (BSA) in PBST (0.01%) at 37°C for 1 h. After washing in 0.05% PBST, 0.25 μg/ml of each MAb was incubated on blocked plates at 37°C for 2 h. Plates were washed and then incubated for 1 h at 37°C in anti-mouse IgG-HRP (Jackson ImmunoResearch) diluted 1:5,000. Plates were developed in tetramethylbenzidine (TMB) and stopped with TMB stop solution (Seracare). Plates were read at 450 nm, and wells were considered positive if the raw optical density (OD) was >1.
Mouse study design.
Six- to 8-week-old female C57BL/6J (stock number 000664) mice were purchased from Jackson Laboratories. Mice were housed in HEPA filtration racks with
Quantitative RT-PCR.
RNA was extracted from tissue samples with TRIzol reagent, and quantitative reverse transcription-PCR (qRT-PCR) targeting the L segment of RVFV (47) was performed (34). RNA copies for each unknown sample were determined by comparison to a standard L RNA curve and normalized by tissue weight or serum volume. The assay’s lowest limit of detection (LOD) is reported on all graphs at 887 RNA copies. The LOD was calculated as the highest threshold cycle (
Enzyme-linked immunosorbent assay.
ELISAs were performed as described previously (34) using plates coated with RVFV-infected Vero-E6 cell lysate or with 200 ng/well of purified RVFV N protein (custom; GenScript). Endpoint ELISA titers for lysate and anti-N protein ELISAs were defined as the highest dilution of serum that resulted in an OD value at least two standard deviations above the average obtained from all negative mouse serum control wells. EC50s were calculated by fitting raw OD ELISA data, in triplicates, with a nonlinear least-squares regression best fit curve.
Foci reduction neutralization test.
Mouse serum or MAb was serially diluted, in duplicates, and incubated with 200 foci-forming units of DelNSs/DelNSm RVFV as described previously (48). Foci were detected using Moss TMB-H peroxidase substrate (MossBio) and counted using an immunospot reader (CTL). Percent neutralization was calculated by comparing sample wells to wells containing virus but no serum/antibody. The concentration of MAb or dilution of serum at which 50% of foci were neutralized is reported as FRNT50.
Antibody-dependent cellular cytotoxicity.
Three micrograms per milliliter RVFV Gn protein (custom; GenScript)-coated MaxiSorp plates (Thermo Fisher) were blocked with 5% BSA in PBST (0.01%) for 1 h at 37°C. MAbs were added to wells at 5 μg/ml and incubated for 2 h at 37°C. NK cells were isolated by negative selection from C57BL/6 mouse spleens using EasySep mouse NK cell isolation kit (StemCell Technologies). Purified NK cells were added at 2 × 105 cells/well in the presence of brefeldin A (Sigma-Aldrich), GolgiStop (BD), and anti-CD107a conjugated to phycoerythrin (PE) (BioLegend clone 1D4B) to wells already containing Gn/MAb. NK cells were incubated for 5 h at 37°C. Cells were then washed and stained with near-infrared (IR) fluorescent reactive dye (Thermo Fisher). Cells were stained for cell surface markers CD3 allophycocyanin (APC)-Cy7 (BioLegend clone 17A2), CD11b fluorescein isothiocyanate (FITC) (BioLegend clone M1/70), and NK1.1 APC (BioLegend clone PK136). The purity of NK cells was confirmed by CD3 APC (BioLegend clone 17A2), CD19 BV421 (BioLegend clone 6D5), NKp46 PE-Cy7 (Biolegend clone 29A1.4), and CD14 APC-Cy7 (BioLegend clone Sa14-2) staining. All cells were fixed in BD Cytofix/Cytoperm and then analyzed by flow cytometry on a BD LSRFortessa flow cytometer. All flow cytometric data were analyzed using FlowJo 10.7.1.
Statistics.
Data were entered into GraphPad Prism 9 for statistical analysis and graphing. Survival curves were compared using a log rank (Mantel-Cox) test. Unpaired Student’s
Data availability.
The NCBI accession numbers for the antibodies described in this paper are as follows. Each of the six MAbs has two accession numbers, one corresponds to the antibody heavy chain, the other to the light chain. MAb name in this paper (BankIt name on NCBI), NCBI accession number: MAb-1 (23A8-1HeavyChain), MZ998921; MAb-1 (23A8-1LightChain), MZ998922; MAb-2 (23B5-1HeavyChain), MZ998923; MAb-2 (23B5-1LightChain), MZ998924; MAb-3 (32A8-1HeavyChain), MZ998925; MAb-3 (32A8-1LightChain), MZ998926; Mab-4 (30D1-1HeavyChain), MZ998927; MAb-4 (30D1-1LightChain), MZ998928; MAb-5 (21E9-1HeavyChain), MZ998929; MAb-5 (21E9-1LightChain), MZ998930; MAb-6 (33A11-1HeavyChain), MZ998931; MAb-6 (33A11-1LightChain), MZ998932.
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Abstract
ABSTRACT
Discovered in 1931, Rift Valley fever virus (RVFV) is an arbovirus that causes disease in humans and livestock. In humans, disease ranges from a self-limiting febrile illness to a more severe hepatitis or encephalitis. There are currently no licensed human therapeutics for RVFV disease. Given the recent advances in the use of monoclonal antibodies (MAbs) for treating infectious disease, a panel of anti-RVFV Gn glycoprotein MAbs was developed and characterized. RVFV MAbs spanned a range of neutralizing abilities and mapped to distinct epitopes along Gn. The contribution of Fc effector functions in providing MAb-mediated protection from RVFV was assessed. IgG2a version MAbs had increased capacity to induce effector functions and conferred better protection from RVFV challenge in a lethal mouse model than IgG1 version MAbs. Overall, this study shows that Fc-mediated functions are a critical component of humoral protection from RVFV.
IMPORTANCE Rift Valley fever virus (RVFV) is a mosquito-borne virus found throughout Africa and into the Middle East. It has a substantial disease burden; in areas of endemicity, up to 60% of adults are seropositive. With a case fatality rate of up to 3% and the ability to cause hemorrhagic fever and encephalitis, RVFV poses a serious threat to human health. Despite the known human disease burden and the fact that it is a NIAID category A priority pathogen and a WHO priority disease for research and development, there are no vaccines or therapeutics available for RVF. In this study, we developed and characterized a panel of monoclonal antibodies against the RVFV surface glycoprotein, Gn. We then demonstrated therapeutic efficacy in the prevention of RVF
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