Viral Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
VHF Diagnostics Laboratory, Department of Arbovirology, Emerging and Re-emerging Infectious Diseases, Uganda Virus Research Institute, Entebbe, Uganda.
J Med Virol. 2024 Oct;96(10):e29946. doi: 10.1002/jmv.29946.
Ebola disease (EBOD) in humans is a severe disease caused by at least four related viruses in the genus Orthoebolavirus, most often by the eponymous Ebola virus. Due to human-to-human transmission and incomplete success in treating cases despite promising therapeutic development, EBOD is a high priority in public health research. Yet despite almost 50 years since EBOD was first described, the sources of these viruses remain undefined and much remains to be understood about the disease epidemiology and virus emergence and spread. One important approach to improve our understanding is detection of antibodies that can reveal past human infections. However, serosurveys routinely describe seroprevalences that imply infection rates much higher than those clinically observed. Proposed hypotheses to explain this difference include existence of common but less pathogenic strains or relatives of these viruses, misidentification of EBOD as something else, and a higher proportion of subclinical infections than currently appreciated. The work presented here maps B-cell epitopes in the spike protein of Ebola virus and describes a single epitope that is cross-reactive with an antigen seemingly unrelated to orthoebolaviruses. Antibodies against this epitope appear to explain most of the unexpected reactivity towards the spike, arguing against common but unidentified infections in the population. Importantly, antibodies of cross-reactive donors from within and outside the known EBOD geographic range bound the same epitope. In light of this finding, it is plausible that epitope mapping enables broadly applicable specificity improvements in the field of serology.
人类埃博拉病(EBOD)是由至少四种正埃博拉病毒属相关病毒引起的严重疾病,最常见的是埃博拉病毒。由于人际传播以及尽管有有希望的治疗方法但治疗病例仍不完全成功,EBOD 是公共卫生研究的高度优先事项。然而,尽管自首次描述 EBOD 以来已经过去了近 50 年,但这些病毒的来源仍未确定,并且对疾病流行病学和病毒出现和传播仍有许多未知之处。一种重要的方法是检测可以揭示过去人类感染的抗体,从而提高我们的认识。然而,血清调查通常描述的血清阳性率表明感染率远高于临床观察到的感染率。解释这种差异的假设包括存在常见但致病性较低的菌株或这些病毒的亲属、将 EBOD 误诊为其他疾病,以及亚临床感染的比例高于目前的认识。这里介绍的工作绘制了埃博拉病毒刺突蛋白中的 B 细胞表位,并描述了一个与正埃博拉病毒似乎无关的抗原交叉反应的单一表位。针对该表位的抗体似乎解释了对刺突的大部分意外反应,这反对人群中常见但未被识别的感染。重要的是,来自已知 EBOD 地理范围内外的具有交叉反应性的供体的抗体结合了相同的表位。鉴于这一发现,表位作图似乎可以在血清学领域实现广泛适用的特异性改进。