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Journal of Virology, July 2002, p. 6669-6677, Vol. 76, No. 13
0022-538X/02/$04.00+0 DOI: 10.1128/JVI.76.13.6669-6677.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Microbiology and Tumorbiology Center, Karolinska Institutet, 171 77 Stockholm,1 Swedish Institute for Infectious Disease Control, 171 82 Solna,4 The South Hospital, Research Center, Karolinska Institutet, 118 83 Stockholm, Sweden,3 Servicio de Biología Molecular, Departamento de Virología, Instituto Nacional de Enfermedades Infecciosas, Administracion Nacional de Laboratorios e Institutos de Salud "Dr Carlos G. Malbrán," Buenos Aires, Argentina;,2 Haartman Institute, Department of Virology, University of Helsinki, Helsinki, Finland5
Received 13 November 2001/ Accepted 26 March 2002
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Hantaviruses are enveloped and have a three-segment negative-strand RNA genome packed in helical nucleocapsids. The three genome segments, i.e., large (L), medium (M), and small (S), encode four structural proteins: the RNA-dependent RNA polymerase, the two envelope glycoproteins G1 and G2, and the nucleocapsid protein (N), respectively (18).
As hantaviruses cause diseases with high morbidity and mortality and as to date there is no specific treatment for hantavirus infections, several strategies have been employed to develop hantavirus vaccines (reviewed in references 15 and 21). These involve inactivated virus vaccines (15, 21), recombinant proteins (26, 33, 42), recombinant vaccinia viruses (7, 27, 33, 34, 41), chimeric and mosaic hepatitis B virus core antigens (20, 36, 37), packaged alphavirus replicons (19), and naked DNA (6, 13, 14, 19).
The N protein, which encapsidates the viral RNA, has been shown to be highly immunogenic in both animal models and humans. We have previously shown that PUUV N completely protects bank voles (Clethrionomys glareolus), the natural host of PUUV, from infection with wild-type PUUV (26). Other studies have also shown that the N proteins from various hantaviruses protect animals from infection (6, 19, 20, 33, 37, 41, 42).
The protective immune responses elicited by the N protein are thought to be mainly cellular, as N-specific antibodies are not neutralizing. However, N-specific antibodies have been shown to induce partial protection in passive immunization experiments with monoclonal antibodies (MAbs) (Å. Lundkvist unpublished data), indicating that N-specific antibodies can contribute to inactivation of hantaviruses through mechanisms other than neutralization.
As hantaviruses are a group of relatively closely related viruses, with several conserved regions within their N proteins, the characteristics of cross-reactive cellular immune responses are most interesting, but these have been investigated in only a small number of studies (1, 2, 11, 38). In addition, a few groups have also reported on cross-protection after vaccination with the N and G1 or G2 proteins (7, 13, 19, 41). However, additional studies concerning cross-reactive immune responses and cross-protection among hantaviruses that are pathogenic for humans are important for the development of preventive vaccines. In this pursuit, knowledge concerning which proteins and which regions within them are essential for induction of cross-protective humoral and cellular immune responses is needed.
To investigate cross-reactive immune responses and potential cross-protection in bank voles, we produced recombinant N (rN) proteins from four different hantaviruses, PUUV, TOPV, ANDV, and DOBV, three of which are known to cause disease in humans. Cross-reactive humoral and cellular immune responses were analyzed after immunization with the rN proteins, and cross-protection was assessed after challenge with PUUV.
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Animal immunizations and PUUV challenge. To asses the immunogenicity and protective capacity of the expressed rN proteins, 4- to 10-week-old bank voles, derived from a PUUV-free colony established with animals captured in Sweden (26), were immunized with purified PUUV, TOPV, ANDV, or DOBV rN or DHFR control protein. Bank voles were immunized three times with 50 µg of protein at intervals of 3 weeks. The animals were injected with protein emulsified in Freund's complete adjuvant, incomplete Freund's adjuvant, and phosphate-buffered saline (PBS), respectively. Bank voles were challenged subcutaneously 2 weeks after the last immunization with approximately 20 50% infective doses of wild-type PUUV (strain Kazan). Animals were sacrificed at 21 days postchallenge, and lungs were removed and examined for presence of PUUV RNA by reverse transcription-PCR (RT-PCR) and for the presence of PUUV antigen by enzyme-linked immunosorbent assay (ELISA). Sera were examined for PUUV G2-specific antibodies by ELISA. The animals were maintained in an approved facility under conditions that met all requirements for animal use.
PUUV S-segment RT-PCR. A nested RT-PCR was used to detect PUUV S-segment RNA in bank vole lung samples essentially as described before (30). Briefly, RNA was extracted from bank vole lung tissue with the Ultraspec RNA isolation system (Biotecx Laboratory, Houston, Tex.) according to the manufacturer's instructions. The following primers were used: Sa31 (5'-TCA TTT GA(A/G) GA(G/T) ATC AAT GGC AT-3') and PUU5 (5'-CCC ATT CCA ACA TAA ACA GTA GG-3') for RT and outer PCR and PUU2 (5'-CCA GGC ACA CCA GCA CAG GA-3') and Sa5 (5'-GCT GTG CC[A/C] ACA GTC TTA GAT GCC-3') for inner PCR.
ELISA. For all assays, the following reagents were used. Antigens or antibodies were diluted in 50 mM sodium carbonate buffer (pH 9.6) and applied to Maxisorp plates (Nunc, Roskilde, Denmark) overnight at 4°C. Coated plates were blocked with 3% bovine serum albumin in PBS. All reagents were diluted in dilution buffer (0.5% bovine serum albumin and 0.05% Tween 20 in PBS), and the plates were washed six times with 0.05% Tween 20 in PBS between each step. All incubations were carried out at 37°C for 1 h unless otherwise stated. Assays were developed with either 3,3',5,5'-tetramethylbenzidine (TMB) (Sigma, St. Louis, Mo.) or p-nitrophenyl phosphate (pNPP) (Sigma) in diethanolamine buffer, and absorbances were measured at 450 or 405 nm, respectively.
(i) rN ELISA. The antigenicities of the generated rN proteins were evaluated with eight N-specific MAbs raised against PUUV (3H9, 5E1, 5B5, 3G5, 5F4, 1C12, 2E12, 4C3) (24a) and five N-specific MAbs raised against Tula virus (TULV) (3D3, 6A6, 7A4, 3C11, and 1C8) (26a) by ELISA. In addition, antibody reactivities against rN proteins were tested in sera from rN-immunized bank voles. rN proteins or DHFR control protein (1 µg/ml) was applied to Maxisorp plates. After blocking, MAbs (2 µg/ml) or serial fourfold dilutions of bank vole serum (starting at 1:400) were added. Specific antibody binding was detected with horseradish peroxidase-conjugated rabbit anti-mouse immunoglobulin G (IgG) antibodies diluted 1:1,000 (Dako, Glostrup, Denmark), followed by TMB substrate or alkaline phosphatase (ALP)-conjugated goat anti-mouse IgG antibodies diluted 1:1,000 (Jackson Immunoresearch, West Grove, Pa.), followed by pNPP substrate. Samples were regarded as positive when the optical density (OD) with rN protein minus the OD with control protein exceeded 0.100.
(ii) PUUV native N ELISA. Total IgG responses to PUUV were measured by PUUV native N ELISA, essentially as described previously (16). Rabbit anti-PUUV serum diluted 1:400 was adsorbed to Maxisorp plates overnight at 4°C. After blocking, native PUUV antigen or diluent buffer only was added to the plates, followed by serial fourfold dilutions of bank vole serum (starting at 1:400). Specific antibody binding was detected with ALP-conjugated goat anti-mouse IgG antibodies diluted 1:1,000 (Jackson Immunoresearch), followed by pNPP substrate. Samples were regarded as positive when the OD with antigen minus the OD with diluent buffer exceeded 0.050.
(iii) PUUV G2 ELISA. Bank vole sera collected after PUUV challenge were analyzed for the presence of antibodies reactive with the PUUV G2 protein by ELISA essentially as described earlier (26). The human MAb 1C9 was applied to Maxisorp plates at 10 µg/ml. The plates were blocked, and native PUUV antigen or diluent buffer only was added to the plates, followed by bank vole serum diluted 1:200. Specific antibody binding was detected with ALP-conjugated donkey anti-mouse IgG antibodies diluted 1:1,000 (Jackson Immunoresearch), followed by pNPP substrate. Samples were regarded as positive when the OD with antigen minus the OD with diluent buffer exceeded 0.100.
(iv) PUUV antigen ELISA. Detection of PUUV antigen in bank vole lungs was performed essentially as described earlier (25). Briefly, bank vole lungs were mortar ground in 1 ml of Eagle's minimal essential medium supplemented with 2% fetal calf serum and antibiotics, diluted 1:2 in radioimmunoprecipitation assay buffer (0.01 M Tris-HCl [pH 7.8], 2% Triton X-100, 0.15 M NaCl, 0.6 M KCl, 5 mM EDTA, 1% aprotinin, and 1 mM phenylmethylsulfonyl fluoride), and centrifuged (1,500 rpm, 5 min, Sorvall RT6000B centrifuge), followed by dilution 1:2 in dilution buffer before being assayed. Maxisorp plates were coated with MAbs 5E1 and 2E12 (each at 5 µg/ml). The plates were blocked and samples, positive control antigens, and negative control antigens were added to the plates, followed by biotin-labeled MAbs 1C12 and 3G5 (each at 0.1 µg/ml). Streptavidin-peroxidase (Sigma) diluted 1:5,000 was incubated for 45 min at 37°C, followed by addition of TMB substrate. The reaction was stopped with 1 M H2SO4 after 10 to 15 min. Samples were regarded as positive when the mean OD exceeded the mean OD plus three standard deviations obtained with negative control samples.
Epitope mapping (PEPSCAN). Linear B-cell epitopes were mapped by PEPSCAN (12). In total, 86 peptides (10 amino acids [aa] long, with 5-aa overlaps) spanning the N protein sequence of PUUV (strain Sotkamo, aa residues 1 to 433), synthesized on polypropylene pins, were used to locate antibody-reactive peptides. Peptide synthesis and analysis of antibody reactivity have been described earlier (23). Briefly, PEPSCAN antibody reactivities were measured in pools of sera, diluted 1:200, from PUUV, TOPV, ANDV, or DOBV rN protein-immunized or nonimmunized bank voles. Bound antibodies were detected with ALP-conjugated goat anti-mouse IgG diluted 1:1,000 (Jackson Immunoresearch) followed by pNPP substrate. The reactivity detected with sera from nonimmunized animals was subtracted from the reactivity seen with sera from rN-immunized animals.
Proliferation assay.
Bank voles were immunized once with 50 µg of PUUV, TOPV, ANDV, or DOBV rN protein in Freund's complete adjuvant and sacrificed 11 days later. Spleens were removed, and single-cell suspensions were prepared in Click's medium (Sigma) and plated in microtiter plates at 4 x 105 cells per well. Cells from individual animals were restimulated in vitro, in duplicate, with PUUV rN protein or DHFR control protein added at fivefold serial dilutions (starting at 20 µg/ml). Medium alone was used as negative control and 5 µg of concanavalin A per ml was used as a positive control. The cultures were incubated for 72 h, and thereafter 1 µCi of [3H]thymidine (Amersham, Buckinghamshire, United Kingdom) was added and the cultures were incubated for an additional 16 to 20 h. Cells were harvested onto cellulose filters and quenched, and the level of [3H]thymidine incorporation was determined with a liquid scintillation beta-counter. Stimulation indices (SI) of
4 were considered to represent significant responses.
Statistical analyses. The Mann-Whitney U test was used to analyze differences in antibody responses, as determined by PUUV native N ELISA, and differences in proliferative responses against PUUV rN between groups of bank voles immunized with different hantavirus rN antigens. Correlation of antibody responses measured by PUUV native N ELISA and PUUV rN ELISA was determined using Spearman's correlation coefficient (rs).
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The expressed rN proteins gave bands of the expected size (approximately 50 kDa) by immunoblotting with a pool of N-specific MAbs raised against PUUV (data not shown). Additional bands with lower molecular masses were visualized together with the PUUV, TOPV, ANDV, and DOBV rN proteins, suggesting truncated forms of N. The control protein, DHFR, gave a band of the expected size (approximately 26 kDa) by immunoblotting with a polyhistidine-specific MAb (data not shown). The rN proteins were characterized with a panel of 13 N-specific MAbs raised against PUUV and TULV which recognized three different common epitopes within all rN proteins (MAbs 5E1, 1C12, and 4C3), but also epitopes that were virus specific (Table 1). All of the epitopes earlier detected in E. coli-expressed PUUV rN proteins were detected in the PUUV rN produced in the present study (10, 26, 40). No earlier studies have reported characterization of TOPV, ANDV, or DOBV rN proteins with the panel of MAbs used in the present study.
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TABLE 1. Antigenic characterization of PUUV, TOPV, DOBV, and ANDV rN proteins with a panel of MAbs in ELISA
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TABLE 2. PUUV challenge of bank voles immunized with hantavirus rN proteins
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Humoral immune responses to recombinant hantavirus N proteins. To analyze the immunogenicities of the rN antigens used for immunization, antibody titers in sera taken from bank voles after the third rN immunization were examined. Individual sera from each group of bank voles immunized with either PUUV, TOPV, ANDV, or DOBV rN or DHFR control protein were titrated against homologous and heterologous proteins in ELISA (Table 3). Geometric mean antibody titers (GMT) were calculated, from individual titers, for each immunization group.
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TABLE 3. IgG reactivities of bank vole sera from animals immunized with hantavirus rN proteins against hantavirus rN proteins
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In addition, individual sera from the different immunization groups of animals were titrated against PUUV native N antigen in ELISA. The highest GMT, 301,002, was detected in the group immunized with PUUV rN, with titers ranging from 102,400 to 409,600, followed by the groups immunized with ANDV rN, TOPV rN, and DOBV rN, with GMT of 144,815 (range, 25,600 to 409,600), 11,593 (range, 1,600 to 409,600), and 2,425 (range, 400 to 25,600), respectively (Fig. 1). The GMT in a group of animals infected with PUUV was 29,863 (range, 6,400 to 102,400). Significant differences in mean antibody responses against PUUV native N antigen were seen between the group immunized with PUUV rN and the groups immunized with TOPV (P = 0.006) and DOBV rNs (P = 0.0002) but not with the group immunized with ANDV rN (P = 0.14) when analyzed by the Mann-Whitney U test. In addition, there was a significant difference in mean antibody response between the groups immunized with ANDV and DOBV rNs (P = 0.0004) and with ANDV and TOPV rNs (P = 0.018) but not between groups immunized with DOBV and TOPV rNs (P = 0.08) (Fig. 1). Furthermore, there were no significant differences in antibody titers between the protected and unprotected animals in the ANDV and DOBV rN-immunized groups. The geometric mean antibody response in the immunized animals as measured by the PUUV native N antigen ELISA correlated with the titers of the serum pools analyzed by rN ELISA (rs = 0.943; P = 0.035).
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FIG. 1. Humoral responses in hantavirus rN protein-immunized bank voles. Animals were immunized three times with PUUV, TOPV, ANDV, or DOBV rN protein, and individual sera from each group were titrated against PUUV native N antigen in ELISA. Prechallenge titers of protected () and unprotected ( ) animals are indicated. Sera from PUUV infected bank voles were included as controls ( ). Bars represent GMT. The Mann-Whitney U test was used for statistical analysis. The P values are shown where significant differences between groups were observed.
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FIG. 2. Epitope scan analysis of antibody reactivity to peptides spanning the entire PUUV N protein (433 aa long). The first bar corresponds to aa 1 to 10, the second bar corresponds to aa 6 to 15, etc. Each bar indicates the antibody reactivity of serum pools from bank voles immunized with PUUV (n = 9) (A), TOPV (n = 8) (B), ANDV (n = 8) (C), and DOBV (n = 10) (D) rN proteins. The reactivity of serum pools from nonimmunized bank voles was subtracted.
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FIG. 3. Proliferative responses of lymphocytes from bank voles immunized with hantavirus rN proteins after in vitro recall. Single-cell suspensions of spleen lymphocytes from individual bank voles immunized with PUUV (A), TOPV (B), ANDV (C), or DOBV (D) rN protein were cultured in the presence of PUUV rN ( ) or DHFR control protein ( ). Values are given as means ± standard deviations of SI, of individual bank voles in groups of five or six animals. The dashed lines represent the cutoff for a positive response, which was set to SI = 4. The range for spontaneous proliferation (medium alone) was 411 to 18,370, and that for positive control proliferation (5 µg of concanavalin A per ml) was 34,879 to 200,404. The range for proliferation of experimental samples stimulated with titrated rN proteins was 331 to 122,608, and that for experimental samples stimulated with titrated DHFR control protein was 197 to 42,020. The lowest count for an experimental sample above the set cutoff was 3,245 cpm.
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FIG. 4. Comparison of proliferative responses of lymphocytes from bank voles immunized with different hantavirus rN proteins. Ratios between the mean SI from lymphocyte cultures of TOPV, ANDV, or DOBV rN-immunized animals and the mean SI from lymphocyte cultures of PUUV rN-immunized animals at a concentration of 4 µg of recall antigen per ml are shown. Lymphocytes were cultured in the presence of PUUV rN (black bars) or DHFR control protein (white bars).
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Cross-protection and the characteristics of cross-reactive immune responses have been investigated in several studies. Cross-reactive cytotoxic T lymphocytes (CTLs) from animals and humans infected with various hantaviruses have been reported. CTLs have been shown to target cells infected with (1, 2) or carrying peptides representing (11, 38) N protein sequences from a variety of heterologous hantaviruses. Cross-reactive cellular responses have also been observed in peripheral blood lymphocytes from vaccinees in human clinical trials with a recombinant vaccinia virus vaccine expressing HTNV proteins (27, 34). Furthermore, transfer of CTLs, primed through PUUV or Prospect Hill virus infection, into nude mice has been reported to significantly reduce HTNV levels, and immunization with the same viruses completely protected mice from lethal challenge with HTNV (1). In contrast, immunization with DNA vaccines expressing the M genes of SEOV and HTNV did not confer protection against infection with PUUV, while they did protect against heterologous infection with DOBV, SEOV, and HTNV (13, 19). In addition, cross-neutralizing antibodies were detected in monkeys immunized with the same vaccines (13). Similarly, vaccination with vaccinia virus expressing HTNV or SEOV proteins, gave rise to protection against heterologous virus challenge with SEOV and HTNV but not PUUV (7, 41).
The N protein has been used in several protection studies utilizing different animal models. The protective effect of N has varied from no protection at all (14) or partial protection (6, 19, 20, 33, 37, 41, 42) to complete protection (26). The contrasting results on the protective capacities of different hantavirus N proteins could depend on several factors. These include variations in the ability of different vaccination strategies, e.g., recombinant proteins, recombinant viruses, or DNA, to induce protective immune responses, as well as the use of various animal models, challenge viruses, and methods for evaluating protection. Several rodent species can be infected with hantaviruses. In the present study we have employed a PUUV infection model, based on colonized bank voles (the natural host of PUUV), which was developed in our laboratory (26). The results obtained with this model have been found to be highly reproducible, and it has been used in several studies concerning immune responses to and protective efficacy of recombinant proteins, virus-like particles, and MAbs (20, 26, 37; Å. Lundkvist, unpublished data).
Here, we used the N proteins from three hantaviruses known to cause disease in humans, namely, PUUV and DOBV, which cause HFRS in Europe, and ANDV, which causes HPS in South America. We also included the N protein from TOPV, which is closely related to PUUV but has not yet been found to cause any disease in humans. The rN proteins in this study had the expected sizes as observed by immunoblotting with N-specific MAbs raised against PUUV. Furthermore, the proteins were characterized with a panel of 13 N-specific MAbs by ELISA. With this panel, eight epitopes were detected in the PUUV rN, all of which have been found earlier in PUUV rN proteins expressed in E. coli (10, 26, 40). The MAbs revealed a unique binding pattern against each one of the other proteins, with eight, six, and three MAbs reacting with the ANDV, TOPV, and DOBV rNs, respectively. The conformations of these E. coli expressed proteins are not known. However, they most probably differ from their native forms, as they lack epitopes which are present in native viral antigens and proteins expressed in insect cells. Nevertheless, regardless of their conformations and exposed epitopes, the utilized proteins were capable of inducing immune responses giving rise to protection as well as cross-protection against PUUV infection.
The N proteins are relatively conserved among hantaviruses, and the overall identities at the amino acid level when the PUUV N protein is compared to the TOPV, ANDV, and DOBV N proteins are 87, 73, and 60%, respectively. However, the level of identity differs in various parts of the protein, and when the amino acid sequences are compared in a similarity plot, four regions become apparent (Fig. 5). The amino-terminal 150 aa (region I) and a central region (aa 200 to 340; region III) show low identity (range, 44 to 86%), while 50 aa in the central region (aa 150 to 200; region II) and the carboxy-terminal 90 aa (region IV) show higher identity (range, 80 to 97%) (Fig. 5). Several antigenic regions have been identified along the entire N protein molecule, and the main B-cell epitopes are located in the amino-terminal part of the protein (10, 26). Furthermore, peptides have been used for mapping of cellular responses against the N protein in a mouse model (9). In that study, four different regions in N were shown to be important for inducing T-lymphocyte proliferative responses. Two of these regions were located within the amino-terminal 120 aa, which have earlier been shown to confer protection in bank voles (26), while the other two were located in the central part of the molecule (aa 200 to 300). In addition, several CTL epitopes have been identified in the Sin Nombre virus and HTNV N proteins (11, 38).
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FIG. 5. Plots of similarity (generated by Stuart Ray's SimPlot 2.5) between hantavirus N proteins. The curves are comparisons between the query sequence, PUUV/Kazan, and reference sequences TOPV/Ls136V5/94, ANDV, and DOBV/Slovenia. Each point plotted is the percent amino acid identity within a sliding window 60 aa wide, with a step size of 10 aa.
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In an attempt to determine the type of immune responses accountable for the high degree of cross-protection, we analyzed both the humoral and cellular immune responses after immunization. Analysis of antibody responses showed that all rN proteins gave rise to antibodies which were cross-reactive with recombinant and native PUUV N protein, although at various degrees, with the highest cross-reactivity elicited by ANDV rN and the lowest elicited by DOBV rN. Additionally, there were no significant differences in antibody titers between protected and unprotected animals in the ANDV and DOBV rN-immunized groups, indicating that antibody responses against the N protein were not the major contributors of protection. Sera from TOPV and ANDV rN-immunized bank voles cross-reacted with peptides representing several regions within the PUUV N protein by PEPSCAN, while no cross-reactivity against PUUV peptides was seen in sera from animals immunized with DOBV rN. For analysis of cellular responses, we developed a proliferation assay in which bank vole spleen lymphocytes were used. In this assay T lymphocytes from animals immunized with TOPV, ANDV, and DOBV rN proteins were as efficiently recalled in vitro by PUUV rN as were T lymphocytes from PUUV rN-immunized animals. Small differences in proliferative responses were seen when the groups were compared; they were, however, not statistically significant.
The overall high cross-proliferative response, the high degree of protection elicited by DOBV rN in the absence of highly cross-reactive antibodies, and the relatively low degree of protection mediated by ANDV rN, despite high cross-reactive antibody titers, suggest a more important role for the cellular arm of the immune response in cross-protection elicited by the N protein. However, as unpublished observations by our group indicated that passive immunization with antibodies against N can have a protective effect in vivo, the influence of N-specific antibodies in protection cannot be ruled out (Å. Lundkvist, unpublished data). As antibody responses elicited by the N protein are not neutralizing, potential effector functions may depend on antibody-dependent cytotoxicity and/or complement-mediated cytolysis dependent on antibodies.
In conclusion, we have observed cross-protection against PUUV infection in bank voles and cross-reactive humoral and cellular immune responses after immunization with different hantavirus N proteins. Since the N proteins of hantaviruses circulating in different continents are able to elicit a high degree of cross-protection in animals, the N protein should be considered as an essential component of broadly reactive vaccines against hantavirus infection.
This work was financially supported by grants from the EC (contract no. BMH4-CT97-2499 and QLK2-CT-1999-01119) (to Å.L.), the Swedish Medical Research Council (project no. 12177 and 12642) (to Å.L.), and the Nordic Foundation for Advanced Studies (to A.P.).
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