Department of Microbiology & Immunology, University of Rochester, Rochester, NY, USA.
Infectious Diseases Division, University of Rochester, Rochester, NY, USA.
Sci Rep. 2018 Mar 12;8(1):4374. doi: 10.1038/s41598-018-22307-8.
Influenza's propensity for antigenic drift and shift, and to elicit predominantly strain specific antibodies (Abs) leaves humanity susceptible to waves of new strains with pandemic potential for which limited or no immunity may exist. Subsequently new clinical interventions are needed. To identify hemagglutinin (HA) epitopes that if targeted may confer universally protective humoral immunity, we examined plasmablasts from a subject that was immunized with the seasonal influenza inactivated vaccine, and isolated a human monoclonal Ab (mAb), KPF1. KPF1 has broad and potent neutralizing activity against H1 influenza viruses, and recognized 83% of all H1 isolates tested, including the pandemic 1918 H1. Prophylactically, KPF1 treatment resulted in 100% survival of mice from lethal challenge with multiple H1 influenza strains and when given as late as 72 h after challenge with A/California/04/2009 H1N1, resulted in 80% survival. KPF1 recognizes a novel epitope in the HA globular head, which includes a highly conserved amino acid, between the Ca and Cb antigenic sites. Although recent HA stalk-specific mAbs have broader reactivity, their potency is substantially limited, suggesting that cocktails of broadly reactive and highly potent HA globular head-specific mAbs, like KPF1, may have greater clinical feasibility for the treatment of influenza infections.
流感具有抗原漂移和转变的倾向,并引起主要的菌株特异性抗体(Abs),这使得人类容易受到具有大流行潜力的新菌株的侵袭,而人类对这些新菌株可能存在有限或没有免疫力。因此,需要新的临床干预措施。为了确定如果针对血凝素(HA)表位,是否可以赋予普遍的保护性体液免疫,我们检查了一位用季节性流感灭活疫苗免疫的个体中的浆细胞母细胞,并分离出一种人类单克隆抗体(mAb),KPF1。KPF1 对 H1 流感病毒具有广泛而有效的中和活性,可识别 83%的所有 H1 分离株,包括大流行的 1918 H1。预防性地,KPF1 治疗可使受多种 H1 流感株致死性攻击的小鼠 100%存活,并且在 A/加利福尼亚/04/2009 H1N1 攻击后 72 小时给予治疗时,可使 80%的小鼠存活。KPF1 识别 HA 球状头部中的一个新表位,该表位包括在 Ca 和 Cb 抗原位点之间的高度保守氨基酸。尽管最近的 HA 茎特异性 mAb 具有更广泛的反应性,但它们的效力受到很大限制,这表明像 KPF1 这样的广泛反应性和高度有效的 HA 球状头部特异性 mAb 的鸡尾酒疗法,可能具有更大的临床可行性,用于治疗流感感染。