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临床疑似麻疹病例中对基因型多样化麻疹病毒的中和抗体反应。

Neutralizing Antibody Response to Genotypically Diverse Measles Viruses in Clinically Suspected Measles Cases.

机构信息

ICMR-National Institute of Virology, 20-A, Dr. Ambedkar Road, Pune 411001, India.

Bioinformatics Centre, Savitribai Phule Pune University, Pune 411007, India.

出版信息

Viruses. 2023 Nov 10;15(11):2243. doi: 10.3390/v15112243.

DOI:10.3390/v15112243
PMID:38005920
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10674322/
Abstract

The neutralizing antibody (Nt-Ab) response to vaccine and wild-type measles viruses (MeV) was studied in suspected measles cases reported during the years 2012-2016. The neutralization activity against MeV A, D4 and D8 genotypes was studied on sera (Panel A; n = 68 (measles-immunized) and Panel B; n = 50 (unvaccinated)) that were either laboratory confirmed or not confirmed by the presence of IgM antibodies. Additionally, the Nt-Ab response in Panel A was measured against the MeV vaccine and four wild-type viruses. Neutralization results were compared using homology modeling and molecular dynamics simulation (MDS) of MeV-hemagglutinin (H) and fusion (F) proteins. Overall, the Nt-Ab titres for MeV-A were found to be significantly lower than MeV-D4 and MeV-D8 viruses for Panel A. No major difference was noted in Nt-Ab titres between MeV-D8 viruses (Jamnagar and New Delhi), whereas MeV-D4 (Sindhudurg and Bagalkot (BGK) viruses) showed significant differences between Nt-Ab titres for Panel B. Interestingly, the substitutions observed in epitopes of H-protein, L249P and G316A are observed to be unique to MeV-BGK. MDS of H-protein revealed significant fluctuations in neutralizing epitopes due to L249P substitution. The majority of the clinically suspected cases showed Nt-Abs to MeV wild-types. Higher IgG antibody avidity and Nt-Ab titres were noted in IgM-negatives than in IgM-positives cases, indicating reinfection or breakthrough. MDS revealed reduced neutralization due to decreased conformational flexibility in the H-epitope.

摘要

在 2012-2016 年期间报告的疑似麻疹病例中,研究了疫苗和野生型麻疹病毒(MeV)的中和抗体(Nt-Ab)反应。在经实验室确认或未通过 IgM 抗体存在确认的血清(Panel A;n = 68(麻疹免疫)和 Panel B;n = 50(未接种疫苗))中研究了针对 MeV A、D4 和 D8 基因型的中和活性。此外,在 Panel A 中还针对 MeV 疫苗和四种野生型病毒测量了 Nt-Ab 反应。使用 MeV-血凝素(H)和融合(F)蛋白的同源建模和分子动力学模拟(MDS)比较了中和结果。总体而言,与 MeV-D4 和 MeV-D8 病毒相比,MeV-A 的 Nt-Ab 滴度发现明显较低。在 MeV-D8 病毒(Jamnagar 和 New Delhi)之间,Nt-Ab 滴度之间没有明显差异,而在 MeV-D4 病毒(Sindhudurg 和 Bagalkot(BGK)病毒)之间,Nt-Ab 滴度之间存在显著差异。有趣的是,在 H-蛋白的表位中观察到的取代被观察到是 MeV-BGK 所特有的。H-蛋白的 MDS 显示由于 L249P 取代而导致中和表位的显著波动。大多数临床疑似病例均显示对 MeV 野生型的 Nt-Abs。与 IgM-阳性病例相比,IgM-阴性病例的 IgG 抗体亲和力和 Nt-Ab 滴度更高,表明再次感染或突破。MDS 显示由于 H-表位的构象灵活性降低而导致中和作用降低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff4b/10674322/6c12042fb895/viruses-15-02243-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff4b/10674322/d58add602a2f/viruses-15-02243-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff4b/10674322/96f8ec01d8af/viruses-15-02243-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff4b/10674322/6c12042fb895/viruses-15-02243-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff4b/10674322/d58add602a2f/viruses-15-02243-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff4b/10674322/96f8ec01d8af/viruses-15-02243-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff4b/10674322/6c12042fb895/viruses-15-02243-g003.jpg

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