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      The core domain of hepatitis C virus glycoprotein E2 generates potent cross‐neutralizing antibodies in guinea pigs

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          Abstract

          A vaccine that prevents hepatitis C virus (HCV) infection is urgently needed to support an emerging global elimination program. However, vaccine development has been confounded because of HCV's high degree of antigenic variability and the preferential induction of type‐specific immune responses with limited potency against heterologous viral strains and genotypes. We showed previously that deletion of the three variable regions from the E2 receptor‐binding domain (Δ123) increases the ability of human broadly neutralizing antibodies (bNAbs) to inhibit E2‐CD81 receptor interactions, suggesting improved bNAb epitope exposure. In this study, the immunogenicity of Δ123 was examined. We show that high‐molecular‐weight forms of Δ123 elicit distinct antibody specificities with potent and broad neutralizing activity against all seven HCV genotypes. Antibody competition studies revealed that immune sera raised to high‐molecular‐weight Δ123 was poly specific, given that it inhibited the binding of human bNAbs directed to three major neutralization epitopes on E2. By contrast, the immune sera raised to monomeric Δ123 predominantly blocked the binding of a non‐neutralizing antibody to Δ123, while having reduced ability to block bNAb binding to E2, and neutralization was largely toward the homologous genotype. This increased ability of oligomeric Δ123 to generate bNAbs correlates with occlusion of the non‐neutralizing face of E2 in this glycoprotein form. Conclusion: The results from this study reveal new information on the antigenic and immunogenic potential of E2‐based immunogens and provide a pathway for the development of a simple, recombinant protein‐based prophylactic vaccine for HCV with potential for universal protection. (H epatology 2017;65:1117‐1131).

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          Most cited references39

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          Binding of hepatitis C virus to CD81.

          Chronic hepatitis C virus (HCV) infection occurs in about 3 percent of the world's population and is a major cause of liver disease. HCV infection is also associated with cryoglobulinemia, a B lymphocyte proliferative disorder. Virus tropism is controversial, and the mechanisms of cell entry remain unknown. The HCV envelope protein E2 binds human CD81, a tetraspanin expressed on various cell types including hepatocytes and B lymphocytes. Binding of E2 was mapped to the major extracellular loop of CD81. Recombinant molecules containing this loop bound HCV and antibodies that neutralize HCV infection in vivo inhibited virus binding to CD81 in vitro.
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            Vaccines: correlates of vaccine-induced immunity.

            The immune system is redundant, and B and T cells collaborate. However, almost all current vaccines work through induction of antibodies in serum or on mucosa that block infection or interfere with microbial invasion of the bloodstream. To protect, antibodies must be functional in the sense of neutralization or opsonophagocytosis. Correlates of protection after vaccination are sometimes absolute quantities but often are relative, such that most infections are prevented at a particular level of response but some will occur above that level because of a large challenge dose or deficient host factors. There may be >1 correlate of protection for a disease, which we term "cocorrelates." Either effector or central memory may correlate with protection. Cell-mediated immunity also may operate as a correlate or cocorrelate of protection against disease, rather than against infection. In situations where the true correlate of protection is unknown or difficult to measure, surrogate tests (usually antibody measurements) must suffice as predictors of protection by vaccines. Examples of each circumstance are given.
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              Broadly neutralizing antibodies protect against hepatitis C virus quasispecies challenge.

              A major problem in hepatitis C virus (HCV) immunotherapy or vaccine design is the extreme variability of the virus. We identified human monoclonal antibodies (mAbs) that neutralize genetically diverse HCV isolates and protect against heterologous HCV quasispecies challenge in a human liver-chimeric mouse model. The results provide evidence that broadly neutralizing antibodies to HCV protect against heterologous viral infection and suggest that a prophylactic vaccine against HCV may be achievable.
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                Author and article information

                Contributors
                heidi.drummer@burnet.edu.au
                Journal
                Hepatology
                Hepatology
                10.1002/(ISSN)1527-3350
                HEP
                Hepatology (Baltimore, Md.)
                John Wiley and Sons Inc. (Hoboken )
                0270-9139
                1527-3350
                14 February 2017
                April 2017
                : 65
                : 4 ( doiID: 10.1002/hep.v65.4 )
                : 1117-1131
                Affiliations
                [ 1 ] Centre for Biomedical ResearchBurnet Institute MelbourneAustralia
                [ 2 ] Department of Microbiology and Immunology at The Peter Doherty Institute for Infection and Immunity University of Melbourne ParkvilleAustralia
                [ 3 ]CSL Limited ParkvilleAustralia
                [ 4 ] Department of MicrobiologyMonash University ClaytonAustralia
                Author notes
                [*] [* ] ADDRESS CORRESPONDENCE AND REPRINT REQUESTS TO:

                Heidi Drummer, Ph.D.

                Centre for Biomedical Research, Burnet Institute

                85 Commercial Road

                Melbourne VIC 3004, Australia

                E‐mail: heidi.drummer@ 123456burnet.edu.au

                Tel: +61 3 92822179

                Article
                HEP28989
                10.1002/hep.28989
                5408392
                27997681
                11f53807-6b5c-4bce-bc7c-cf9356ac3c05
                © 2017 The Authors. H epatology published by Wiley Periodicals, Inc., on behalf of the American Association for the Study of Liver Diseases.

                This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 09 June 2016
                : 24 November 2016
                : 28 November 2016
                Page count
                Figures: 6, Tables: 2, Pages: 15, Words: 7148
                Funding
                Funded by: NHMRC project grants
                Award ID: 543113
                Award ID: 1020175
                Award ID: 1080045
                Funded by: NHMRC fellowships
                Award ID: 433929
                Award ID: 1041897
                Funded by: the CASS Foundation
                Funded by: the Australian Centre for HIV and Hepatitis Virology
                Funded by: the Victorian Operational Infrastructure Support Program
                Categories
                Viral Hepatitis
                Viral Hepatitis
                Custom metadata
                2.0
                hep28989
                April 2017
                Converter:WILEY_ML3GV2_TO_NLMPMC version:5.0.9 mode:remove_FC converted:17.05.2017

                Gastroenterology & Hepatology
                Gastroenterology & Hepatology

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