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PLoS Med. Antigenic Fingerprinting of H5N1 Avian Influenza Using Convalescent Sera and Monoclonal Antibodies Reveals Potential Vaccine and Diagnostic

Giuseppe

Emeritus
PLoS Medicine: Antigenic Fingerprinting of H5N1 Avian Influenza Using Convalescent Sera and Monoclonal Antibodies Reveals Potential Vaccine and Diagnostic Targets

Antigenic Fingerprinting of H5N1 Avian Influenza Using Convalescent Sera and Monoclonal Antibodies Reveals Potential Vaccine and Diagnostic Targets

Surender Khurana 1, Amorsolo L. Suguitan, Jr. 2, Yonaira Rivera 1, Cameron P. Simmons 3, Antonio Lanzavecchia 4, Federica Sallusto 4, Jody Manischewitz 1, Lisa R. King 1, Kanta Subbarao 2, Hana Golding1*
1 Division of Viral Products, Center for Biologics Evaluation and Research (CBER), Food and Drug Administration, Bethesda, Maryland, United States of America,
2 Laboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, United States of America,
3 Oxford University Clinical Research Unit, Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam,
4 Institute for Research in Biomedicine, Bellinzona, Switzerland


Abstract

Background
Transmission of highly pathogenic avian H5N1 viruses from poultry to humans have raised fears of an impending influenza pandemic. Concerted efforts are underway to prepare effective vaccines and therapies including polyclonal or monoclonal antibodies against H5N1. Current efforts are hampered by the paucity of information on protective immune responses against avian influenza. Characterizing the B cell responses in convalescent individuals could help in the design of future vaccines and therapeutics.

Methods and Findings
To address this need, we generated whole-genome?fragment phage display libraries (GFPDL) expressing fragments of 15?350 amino acids covering all the proteins of A/Vietnam/1203/2004 (H5N1). These GFPDL were used to analyze neutralizing human monoclonal antibodies and sera of five individuals who had recovered from H5N1 infection. This approach led to the mapping of two broadly neutralizing human monoclonal antibodies with conformation-dependent epitopes. In H5N1 convalescent sera, we have identified several potentially protective H5N1-specific human antibody epitopes in H5 HA[(-10)-223], neuraminidase catalytic site, and M2 ectodomain. In addition, for the first time to our knowledge in humans, we identified strong reactivity against PB1-F2, a putative virulence factor, following H5N1 infection. Importantly, novel epitopes were identified, which were recognized by H5N1-convalescent sera but did not react with sera from control individuals (H5N1 na?ve, H1N1 or H3N2 seropositive).

Conclusion
This is the first study, to our knowledge, describing the complete antibody repertoire following H5N1 infection. Collectively, these data will contribute to rational vaccine design and new H5N1-specific serodiagnostic surveillance tools.

Citation: Khurana S, Suguitan AL Jr, Rivera Y, Simmons CP, Lanzavecchia A, et al. (2009) Antigenic Fingerprinting of H5N1 Avian Influenza Using Convalescent Sera and Monoclonal Antibodies Reveals Potential Vaccine and Diagnostic Targets. PLoS Med 6(4): e1000049. doi:10.1371/journal.pmed.1000049

Editor: Malik Peiris, The University of Hong Kong, Hong Kong
Received: November 17, 2008; Accepted: February 12, 2009; Published: April 21, 2009

This is an open-access article distributed under the terms of the Creative Commons Public Domain declaration which stipulates that, once placed in the public domain, this work may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose.

Funding: This study was partly supported by funds from OPHEMC/HHS (2007) and BARDA/HHS (2008). This research was supported by the Intramural Research Program of CBER (FDA) and NIAID (NIH). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Competing interests: The authors have declared that no competing interests exist.

Abbreviations: aa, amino acid; AIV, avian influenza viruses; CDC, Centers for Disease Control; GFPDL, whole-genome?fragment phage display libraries; HA, haemagglutinin; HP, highly pathogenic; M2e, M2 ectodomain; MAb, human monoclonal antibodies; NA, neuraminidase; RBS, receptor binding site; RPL, random peptide phage display library; RT, room temperature
* E-mail: hana.golding@fda.hhs.gov
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<cite cite="http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1000049">PLoS Medicine: Antigenic Fingerprinting of H5N1 Avian Influenza Using Convalescent Sera and Monoclonal Antibodies Reveals Potential Vaccine and Diagnostic Targets</cite>
 
Re: PLoS Med. Antigenic Fingerprinting of H5N1 Avian Influenza Using Convalescent Sera and Monoclonal Antibodies Reveals Potential Vaccine and Diagnostic Targets.

PDF of the above article.
 

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Re: PLoS Med. Antigenic Fingerprinting of H5N1 Avian Influenza Using Convalescent Sera and Monoclonal Antibodies Reveals Potential Vaccine and Diagnostic Targets.

This study identifies a rapid decline in antibody titers, which are generally markedly reduced by 6 months post exposure. This decline has important implications for studies which attempt to identify H5 antibodies in asymptomatic individuals.
 
Re: PLoS Med. Antigenic Fingerprinting of H5N1 Avian Influenza Using Convalescent Sera and Monoclonal Antibodies Reveals Potential Vaccine and Diagnostic Targets.

Source: http://www.medicalnewstoday.com/articles/146693.php

Antibodies From Survivors Of Avian Influenza Give Clues For Protection
Article Date: 21 Apr 2009 - 0:00 PDT

In research published in PLoS Medicine, Hana Golding of the US Food and Drug Administration and colleagues have identified the regions (epitopes) of influenza virus that are recognized by antibodies in the blood of people who have recovered from H5N1 avian influenza infection.

H5N1 has caused about 400 confirmed cases of human influenza and more than 250 deaths in the past decade. It has not started a human pandemic because it does not pass easily between people. However, it could possibly acquire this ability at any time, so research efforts are currently aimed at developing vaccines that would provide protection against a pandemic H5N1 strain.

Using a discovery tool known as "genome-fragment phage display libraries" the researchers found several H5N1 epitopes that have not been identified before, and were not recognized by antibodies from people who had recovered from infection with other, seasonal, strains of influenza. This information can now be used to help design vaccines against H5N1 and antibody-based therapies for the treatment of H5N1 infections, and to develop new tools for monitoring outbreaks of avian influenza in human populations.

In an accompanying Perspective article, Hui-Ling Yen and J.S. Malik Peiris of the University of Hong Kong, who were not involved in the study, discuss the results and conclude that "These new insights provide a better understanding of antibody epitopes of influenza and are crucial to our efforts to be better prepared for the next pandemic."

Citation:

"Antigenic Fingerprinting of H5N1 Avian Influenza Using Convalescent Sera and Monoclonal Antibodies Reveals Potential Vaccine and Diagnostic Targets."
Khurana S, Suguitan AL Jr., Rivera Y, Simmons CP, Lanzavecchia A, et al.(2009)
PLoS Med 6(4): e1000049.

Citation:
"Mapping Antibody Epitopes of the Avian H5N1 Influenza Virus."
Yen H-L, Peiris JSM (2009)
PLoS Med 6(4): e1000064.
doi:10.1371/journal.pmed.1000064

Source
Plos Medicine
 
Re: PLoS Med. Antigenic Fingerprinting of H5N1 Avian Influenza Using Convalescent Sera and Monoclonal Antibodies Reveals Potential Vaccine and Diagnostic Targets.

my summary: GFPDL
 
Re: PLoS Med. Antigenic Fingerprinting of H5N1 Avian Influenza Using Convalescent Sera and Monoclonal Antibodies Reveals Potential Vaccine and Diagnostic Targets.

please. I was posting nonsense.
GFPDL is not an epitope but the abbreviation for
genome-fragment phage display libraries
 
Re: PLoS Med. Antigenic Fingerprinting of H5N1 Avian Influenza Using Convalescent Sera and Monoclonal Antibodies Reveals Potential Vaccine and Diagnostic Targets.

please. I was posting nonsense.
GFPDL is not an epitope but the abbreviation for
genome-fragment phage display libraries
Who are you posting to?
 
Re: PLoS Med. Antigenic Fingerprinting of H5N1 Avian Influenza Using Convalescent Sera and Monoclonal Antibodies Reveals Potential Vaccine and Diagnostic Targets.

This study identifies a rapid decline in antibody titers, which are generally markedly reduced by 6 months post exposure. This decline has important implications for studies which attempt to identify H5 antibodies in asymptomatic individuals.

How does this compare to the antibodies levels of 1918 H1N1 survivors?

....these studies demonstrate that survivors of the 1918 influenza pandemic possess highly functional, virus-neutralizing antibodies to this uniquely virulent virus, and that humans can sustain circulating B memory cells to viruses for many decades after exposure-well into the tenth decade of life.
(from: http://www.ncbi.nlm.nih.gov/pubmed/18716625)

In previous FT discussions, sources reported the 1918 remaining antibody levels were unusually high. So can we conclude that this will not be the case with H5N1?

.
 
Re: PLoS Med. Antigenic Fingerprinting of H5N1 Avian Influenza Using Convalescent Sera and Monoclonal Antibodies Reveals Potential Vaccine and Diagnostic Targets.

How does this compare to the antibodies levels of 1918 H1N1 survivors?


(from: http://www.ncbi.nlm.nih.gov/pubmed/18716625)

In previous FT discussions, sources reported the 1918 remaining antibody levels were unusually high. So can we conclude that this will not be the case with H5N1?

.
The PLOS paper was on H5N1 patients.
 
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