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Journal of Virology, April 2005, p. 4672-4678, Vol. 79, No. 8
0022-538X/05/$08.00+0 doi:10.1128/JVI.79.8.4672-4678.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Crucell Holland BV, Leiden,1 Pepscan Systems BV, Lelystad, The Netherlands,4 Department of Microbiology and Immunology, Thomas Jefferson University, Philadelphia, Pennsylvania,2 Rabies Section, Division of Viral and Rickettsial Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia3
Received 7 September 2004/ Accepted 12 November 2004
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Mouse monoclonal antibodies (MAbs) as well as human MAbs have been shown to protect rodents from a lethal rabies virus challenge (8, 11, 14, 15, 20, 25, 26). One of the most potent of the human antibodies neutralizing a variety of rabies virus strains was described by Dietzschold et al. (8). This human antibody (MAb57) was subsequently included in a cocktail of three human antibodies, SOJA, SOJB, and SO57, that was shown to be as effective as HRIG in protection of mice from a lethal dose of rabies virus (25).
We considered two criteria to be of crucial importance for the inclusion of human MAbs into a cocktail aimed at effectively blocking rabies virus infections acquired from wildlife animals. Firstly, the MAbs should target distinct, nonoverlapping epitopes and preferably should not compete for binding to rabies virus glycoprotein. Secondly, in vitro-generated antibody-resistant rabies virus variants selected using one antibody should be neutralized by the nonselecting other antibody in the cocktail (and vice versa), thus addressing the issue of natural variation among rabies virus field isolates.
In the present study, the variable heavy- and light-chain coding regions of the SOJA, SOJB, and SO57 antibody genes were synthesized, introduced into a single human immunoglobulin G1 (IgG1) expression vector, and expressed in human PER.C6 cells (17). This yielded the antibodies CR57, CRJB, and CRJA. The potency of CR57 was significantly greater than that of CRJB, while the potency of CRJA was poor and therefore was not included in further studies. Binding analyses revealed that CR57 and CRJB compete for binding to rabies virus glycoprotein. Using CR57, we identified a novel linear epitope on the rabies virus glycoprotein by scanning the complete extracellular domain for peptide recognition using Pepscan technology (13, 28). The key residues of the epitope were identified next. Subsequently, rabies virus variants were generated that escaped neutralization by either CR57 or CRJB. The glycoprotein gene of these antibody-resistant variants was sequenced to identify critical amino acid residues involved in the binding region of each of these antibodies. Variant residues were introduced in peptides mimicking the epitope and were tested for loss of MAb binding. An updated antigenic map of the rabies virus glycoprotein is included that incorporates the novel CR57 epitope.
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Antibodies. The heavy and light chains of the antibodies CR57, CRJB, and CRJA, as described previously (25), were cloned indirectly into the pcDNA3002 vector (17) via shuttle vectors containing the constant domains of the IgG1 heavy chain, the kappa light chain, and the lambda light chain, respectively. Antibodies CR57, CRJB, and CRJA were expressed in PER.C6 cells and purified by protein A chromatography. Antibodies were buffered with phosphate-buffered saline (PBS) (Gibco), filter sterilized, and stored at 20°C. Biotinylation of antibodies was performed using EZ-link Sulfo NHS-SS-biotin (Pierce) according to standard laboratory procedures.
Virus. Monolayers of BSR cells were infected with CVS-11 (challenge virus standard) at a multiplicity of infection (MOI) of 0.1 for 1 h at 37°C and 5% CO2. The virus inoculum was then removed, fresh medium was added to the cells, and the mixture was incubated for 72 h at 34°C and 5% CO2. The culture supernatants were collected and stored at 80°C until further use.
RFFIT. Modified rapid fluorescent focus inhibition neutralization test (RFFIT) neutralization assays were performed as described previously (8).
Competition experiments. Enzyme-linked immunosorbent assay (ELISA) plates coated with purified rabies virus glycoprotein (ERA strain; 1 µg/ml) were incubated with 50 µg of unlabeled anti-rabies virus glycoprotein IgG/ml for 1 h at room temperature. Fifty microliters of biotinylated anti-rabies virus glycoprotein IgG (2.5 µg/ml) was then added to each well, incubated for 5 min at room temperature, and immediately washed five times with 100 µl of PBS-0.05% Tween-20. Subsequently, wells were incubated for 1 h at room temperature with 50 µl of a 1:2,000 dilution of streptavidin-horseradish peroxidase (HRP) (Becton Dickinson), washed, and developed by addition of 100 µl of OPD reagent (Sigma). The reaction was stopped by adding 50 µl of 1 M H2SO4 before measuring the optical density at 492 nm (OD492). Alternatively, competition experiments were performed using PER.C6 cells expressing rabies virus glycoprotein. Cells were transiently transfected using Fugene (Gibco) with a plasmid encoding the full-length rabies virus glycoprotein of the ERA strain. Two days after transfection, the cells were harvested and used in the competition assay. Cells were then incubated with saturating amounts of unlabeled antibody at 4°C before washing and addition of 2.5 µg of biotinylated antibodies/ml. Bound biotinylated antibodies were visualized after 5 min with streptavidin-phycoerythrin (PE) conjugate (Becton Dickinson), and samples were analyzed by flow cytometry.
Generation of escape viruses.
Serial dilutions (0.5 ml) of CVS-11 ranging from 101 to 108 focus-forming units (FFU)/ml were incubated with a constant amount (
4 IU/ml) of antibody CR57 or CRJB (0.5 ml) for 1 h at 37°C and 5% CO2. The mixtures were added to 2-day-old NA cells or BSR cells in 12-well plates. After 3 days of incubation in the presence of a 4-IU/ml concentration of either human monoclonal antibody CR57 or CRJB, medium (1 ml) containing potential escape viruses was harvested and stored at 4°C until further use. Subsequently the cells were acetone fixed for 20 min at 4°C and stained overnight at 37°C and 5% CO2 with an anti-rabies virus N-fluorescein isothiocyanate (FITC) antibody conjugate (Centocor). The number of foci per well was scored by immunofluorescence, and supernatants from wells infected with the lowest dilution of virus which produced one to six fluorescent foci were chosen for escape virus amplification. The number of foci for each escape virus differed, ranging from one to six foci/well. All E57 escape viruses were generated from a single focus, except E57B1 (three foci). EJB viruses were isolated from one focus (EJB3F), three foci (EJB2B), four foci (EJB2C), five foci (EJB2E, EJB2F), or six foci (EJB2D), respectively.
Determination of the NI.
Escape virus (2 ml) was incubated at 106 FFU/ml with either CR57 or CRJB (
4 IU/ml) for 1 h at 37°C and 5% CO2. Monolayers of 2-day-old NA cells in T25 flasks were washed with PBS (Gibco); the virus-MAb mixture was added to the cells and incubated for 1 h at 37°C and 5% CO2. After virus attachment, the medium containing virus-antibody mix was removed, and cells were washed twice with medium and incubated for 48 h at 34°C and 5% CO2 in medium supplemented with 4 IU of their respective antibody/ml. Harvested medium was used to titrate the virus on NA cells to determine the focus-forming units per milliliter. The neutralization index (NI) was calculated with the formula NI = log[FFU/ml IgG] log[FFU/ml + IgG]. An index lower than 2.5 was considered evidence of escape from neutralization by the antibody.
cDNA sequencing. Amplified virus stocks were used to inoculate a monolayer of NA cells (MOI = 1.0). Two days postinfection the cells were harvested, and total RNA was isolated using a QIAGEN RNeasy mini kit according to the manufacturer's instructions. Subsequently, reverse transcription-PCR (RT-PCR) was performed using rabies virus-specific primers and the One-Step SuperScript RT-PCR with Platinum Taq DNA polymerase (Invitrogen) according to the manufacturer's recommendations. cDNA was then sequenced by standard procedures.
Epitope mapping. The 15-mer linear overlapping peptides (overlap by 14 amino acids) were synthesized spanning the extracellular domain of the G protein of the rabies virus strain ERA (amino acids [aa] 20 to 458; GenBank accession no. J02293) and screened using credit card format mini-PEPSCAN cards as described previously (28). Additionally, 8-mer peptides were synthesized that overlapped by 7 amino acids spanning only the region reactive with CR57. Binding of the antibodies to each linear peptide was tested in a PEPSCAN-based ELISA. The 455-well credit card format polypropylene cards, containing the covalently linked peptides, were incubated with the human anti-rabies virus antibody (10 µg/ml; diluted in blocking solution, which contains 5% [vol/vol] horse serum and 5% [wt/vol] ovalbumin) (4°C, overnight). After washing, the peptides were incubated with anti-human antibody peroxidase at a dilution of 1/1,000 for 1 h at 25°C. The peptides were then washed, and the peroxidase substrate 2,2'-azino-di-3-ethylbenzthiazoline sulfonate (ABTS) and 2 µl of 3% H2O2/ml were added. Controls were incubated with anti-human antibody peroxidase only. After 1 h, the color development of the ELISA was quantified with a CCD camera and an image-processing system using the image-processing software package Optimas, version 6.5 (Media Cybernetics, Silver Spring, Md.).
Epitope alignment. The minimal binding region of the CR57 epitope was aligned using glycoprotein amino acid sequences of the 229 rabies virus isolates (for GenBank accession numbers, see supplementary material).
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TABLE 1. Neutralizing potencies of anti-rabies virus antibodies
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FIG. 1. CR57 and CRJB compete for binding to glycoprotein. Saturating amounts of unlabeled IgG (indicated on x axes) were allowed to bind to (A) immobilized glycoprotein or (B) glycoprotein expressing cells before addition of biotinylated competitor IgG CR57bio (filled bars) or CRJBbio (open bars). Binding is expressed as the percentage of the binding (ELISA signal or mean fluorescence intensity) of the biotinylated antibody alone.
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Identification of a novel rabies virus-neutralizing epitope. In contrast to the conformational epitope that is recognized by CRJB, the SO57 MAb has been reported to react with denatured rabies glycoprotein on Western blotting, suggesting interaction with a linear epitope (8). To identify the region of the glycoprotein that is recognized by CR57, a PEPSCAN-ELISA was performed. Binding of the antibody to 15-mer linear peptides (overlapping by 14 amino acids) spanning the extracellular domain of the mature protein was determined (data not shown). CR57 recognized linear peptides in the region SLKGACKLKLCGVLGLRLMDGTW (aa 218 to 240). To further identify the core amino acids within the binding region of CR57, an 8-mer peptide PEPSCAN-ELISA was performed (Fig. 2A). CR57 showed reactivity with three peptides: KLKLCGVL, LKLCGVLG, and KLCGVLGL. This demonstrates a minimal binding region, KLCGVL (aa 226 to 231), within the rabies virus glycoprotein. Subsequently, we performed an alanine replacement scan through the LKLCGVLG peptide to identify the residues within the core peptide that are critical for binding of the CR57 antibody. Figure 2B shows that the lysine (K) as well as the central CGV triplet are key residues within the minimal binding region for CR57 recognition (K-CGV-).
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FIG. 2. CR57 recognizes a linear epitope on rabies virus glycoprotein. (A) CR57 was tested using an 8-mer peptide PEPSCAN-ELISA in a region of the rabies virus glycoprotein ectodomain identified using overlapping 15-mer peptides. (B) Alanine replacement scan through the core 8-mer peptide containing the minimal binding region as identified in panel A. Relative ELISA signals are shown for each peptide.
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TABLE 2. Neutralization index of wild-type CVS-11 and escape virusesa
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FIG. 3. Amino acid sequences of the E57 and EJB escape viruses. Escape viruses were generated, amplified, and characterized as described in Materials and Methods. (A) E57 escape virus glycoprotein sequences. (B) EJB escape virus glycoprotein sequences. The relevant amino acids harboring the mutations of each escape virus are depicted. Boxed amino acids indicate the identified minimal binding region required for CR57 recognition.
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TABLE 3. Characterization of E57 and EJB escape virusesa
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TABLE 4. Conservation of the CR57 minimal binding region within rabies virusesa
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TABLE 5. Conservation of the CR57 minimal binding region within Lyssaviruses
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For expression of the antibodies, we used the human cell line PER.C6, which produces consistently high levels of antibody and can easily be adapted for industrial use. This method contrasts with that of the rhabdoviral antibody system (22), which involves the error-prone rhabdoviral RNA polymerase and is therefore less suitable as an industrial standard for the production of a consistent, high-quality antibody. Reformatting of the antibodies SOJA, SOJB, and SO57 into the PER.C6 expression system resulted in improved neutralizing potency of the antibodies, with the exception of CRJA. We decided to exclude CRJA from further experiments due to its low potency. The low potency would result in exorbitant protein content if CRJA were to be used in a future cocktail of MAbs. Therefore, CR57 and CRJB were further investigated.
Earlier data suggested that CR57 and CRJB show a distinct pattern of coverage of different lyssavirus genotypes, which may be based on qualitative or quantitative characteristics of the respective MAbs (25). Competition experiments using both immobilized rabies virus glycoprotein and glycoprotein expressed on cells showed that CR57 and CRJB recognize competing, overlapping epitopes and cannot bind simultaneously to the rabies virus glycoprotein (Fig. 1). CR57 was tested in a PEPSCAN ELISA to determine the epitope and was shown to recognize a linear peptide of the rabies virus glycoprotein (Fig. 2), which agreed with the finding that CR57 is able to bind to reduced denatured rabies virus glycoprotein on Western blotting. Detailed analysis of the binding region of CR57 revealed a minimal binding region of 6 amino acids (KLCGVL, aa 226 to 231) critical for CR57 binding, with K-CGV as key residues (Fig. 2). This finding was confirmed by analysis of the amino acid sequences of the escape viruses generated with CR57. Specific nonsilent point mutations (K226E, K226N, and G229E) were detected in this minimal binding region (Fig. 3, Table 3). This underlines the importance of these residues for binding of CR57 to the rabies virus glycoprotein. Analysis of the glycoprotein open reading frame of EJB viruses showed point mutations in two different spots of the glycoprotein, including mutations (G229E and L231P) within the minimal binding region of CR57, indicating that amino acids within this epitope are important for binding of CRJB to the rabies virus glycoprotein. Furthermore, these data suggest that CRJB recognizes a nonlinear, conformational epitope that partially overlaps with the minimal binding region of CR57. This is also in agreement with the competition data described above.
Another goal of the escape virus studies was to mimic the theoretical event of escape in vivo. Antibody escape viruses could occur from naturally existing quasispecies present in the virus inoculum as well as from antibody-dependent selection of a neutralization-resistant variant as a consequence of a humoral immune response against the virus. However, the latter is not likely to occur, as was demonstrated by the observed conservation of the antigenic sites on rabies virus glycoprotein (2).
The antigenic structure of the rabies virus glycoprotein was initially defined by Lafon et al. (18). The antigenic sites were identified using a panel of mouse MAbs and their respective MAb-resistant virus variants. Since then, the antigenic sites have been mapped by identification of the amino acid mutations in the glycoprotein of MAb-resistant variants (3, 24, 27). The majority of rabies virus-neutralizing MAbs are directed against antigenic site II (3), which is a discontinuous conformational epitope comprising aa 34 to 42 and aa 198 to 200 (24). Antigenic site III is a continuous conformational epitope at aa 330 to 338 and harbors two charged residues, K330 and R333, that affect viral pathogenicity (7, 10, 27). The conformational antigenic site I was defined by only one MAb, 509-6, located at aa 231 (3, 18). Antigenic site IV is known to harbor overlapping linear epitopes (4, 19, 23). Benmansour et al. (3) also described the presence of a minor site located at position 342 to 343, which is distinct from antigenic site III despite its close proximity.
Alignment of the CR57 epitope with the presently known linear and conformational neutralizing epitopes on rabies virus glycoprotein (Fig. 4) revealed that the CR57 epitope is located in the same region as the conformational antigenic site I, defined by the single MAb 509-6 (3, 10, 18). Competition experiments described within this study revealed that CR57 and 509-6 competed for binding to ERA G in both ELISA and fluorescence-activated cell sorting (data not shown). Interestingly, neutralization of E57 escape viruses by 509-6 could be demonstrated (data not shown), which agreed with earlier data by Dietzschold et al. (8) showing neutralization of an SO57 escape variant by the 509-6 antibody. Coverage of 509-6 escape viruses by CR57 could not be performed, as this escape virus was not available. However, based on literature, it is expected that CR57 does neutralize 509-6 escape viruses. CR57 neutralizes silver-haired bat rabies viruses (SHBRV) (25), which all harbor a proline at position 231 (9, 21). This proline was identical to the mutation L231P observed in the 509-6 escape virus (3). Thus, SHBRV resemble the 509-6 escape virus with respect to antigenic site I, suggesting that CR57 is capable of neutralizing 509-6 escape viruses. Overall, antigenic site I might be redefined as a region harboring both conformational (MAbs CRJB and 509-6) and linear epitopes (CR57), as indicated in Fig. 4.
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FIG. 4. Neutralizing epitopes on rabies virus glycoprotein. A schematic drawing of the rabies virus glycoprotein is shown depicting the antigenic sites including the novel CR57 epitope. The signal peptide (19 aa) and transmembrane domain are indicated by black boxes. Disulfide bridges are indicated. Amino acid numbering is from the mature protein minus the signal peptide.
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In two bat virus isolates (AF346857 and AF346861), the amino acid changes within the CR57 epitope were identical to those observed in some of the EJB viruses (i.e., KLCEVP). However, none of the 229 rabies virus isolates contained an aspartic acid at position 182 of the mature glycoprotein, as was observed in the EJB viruses. Apparently, such genotype 1 rabies viruses do not exist in nature. In contrast, Mokola and Lagos bat viruses do contain an aspartic acid at position 182 in combination with a proline at position 231. In vitro analysis of neutralizing activity of CR57 towards representative viruses of genotypes 2 to 7 revealed that CR57 neutralizes genotypes 4 to 7 but not genotypes 2 and 3 (data not shown). The results contradict earlier reports showing that CR57 only covers genotype 1 viruses (8, 25). This might be explained by the mutations we observed in the rhabdoviral pSPBN SO57 vectors compared to the originally described MAb 57 sequence (16), which potentially could result in altered antigen binding properties. Because the PER.C6-produced CR57 completely matches the MAb 57-amino-acid sequence, the studies formally cannot be compared because different MAbs were used. In addition, it could be explained by the use of different virus isolates as representatives of lyssavirus genotypes 2 to 7. Apparently, mutation of the key residue K to R in genotypes 4 and 5 (Table 5) at position 1 of the minimal binding region of CR57 is tolerated as well as an isoleucine at position 5 (genotypes 4, 6, and 7). In contrast, changing key residues K to T at position one and V to K at position five eliminates neutralization of Mokola and Lagos bat viruses by CR57.
Our study showed that one of the most potent rabies virus-neutralizing human MAbs recognizes a novel highly conserved epitope on the glycoprotein of rabies viruses. This epitope was shown to be linear and to contain four key residues for binding of the antibody. All rabies virus variants escaping neutralization by this MAb had nonsilent mutations in the key residues of the epitope. The replacement of the wild-type amino acids within a peptide that encompasses the minimal binding region with those observed in the glycoprotein of the escape eliminated antibody binding. The second antibody that we characterized, CRJB, recognized a conformational epitope that partially overlapped with the CR57 epitope, identifying a neutralization epitope complex. Rabies virus mutants escaping from CRJB completely escaped CR57 neutralization. These results argue for the inclusion of only one of these two antibodies in a cocktail product aimed at replacing HRIG.
Supplemental material for this article may be found at http://jvi.asm.org/. ![]()
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