JVI Accepted Manuscript Posted Online 17 February 2016 J. Virol. doi:10.1128/JVI.02878-15 Copyright © 2016, American Society for Microbiology. All Rights Reserved.
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Linear epitopes in A27 are targets of protective antibodies induced
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by vaccination against smallpox
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Running title: Protective linear epitopes of vaccinia virus A27
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Thomas Kaever1, Michael H. Matho2, Xiangzhi Meng3, Lindsay Crickard1, Andrew Schlossman2,
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Yan Xiang3, Shane Crotty1,4, Bjoern Peters1, Dirk M. Zajonc2,5^
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1
Division of Vaccine Discovery, 2Division of Cell Biology, La Jolla Institute for Allergy and
Immunology (LJI), La Jolla, CA 92037, USA. 3
Department of Microbiology and Immunology, University of Texas Health Science Center at
San Antonio, San Antonio, TX 78229. 4
Department of Medicine, University of California, San Diego School of Medicine, La Jolla, CA
92037, USA 5
Department of Internal Medicine, Faculty of Medicine and Health Sciences, Ghent University,
9000 Ghent, Belgium
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^ Corresponding author:
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Dirk Zajonc
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Abstract: 225 words
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Full text: 7,496 words
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Abstract
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Vaccinia virus (VACV) A27 is a target for viral neutralization and part of the Dryvax
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smallpox vaccine. A27 is one of the three glycosaminoglycan (GAG) adhesion molecules and
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binds to heparan sulfate. To understand the function of anti-A27 antibodies, especially their
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protective capacity and their interaction with A27, we generated and subsequently characterized
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7 murine monoclonal antibodies (mAbs), which fell into 4 distinct epitope groups. Three groups
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(I, III and IV) bound to linear peptides, while group II only bound to VACV lysate and
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recombinant A27, suggesting it recognized a conformational and discontinuous epitope. Only
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group I antibodies neutralized MV in a complement-dependent manner and protected against
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VACV challenge, while a group II mAb protected partially but did not neutralize. The epitope
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for group I mAbs was mapped to a region adjacent to the GAG binding site and suggest that
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group I mAbs could potentially interfere with cellular adhesion of A27. We have further
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determined the crystal structure of the neutralizing group I mAb 1G6, as well as the non-
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neutralizing group IV mAb 8E3 bound to the corresponding linear epitope-containing peptides.
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Both light and heavy chains of the antibodies are important in binding their antigens. For both
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antibodies the L1 loop seems to dominate the overall polar interactions with the antigen, while
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for mAb 8E3, the light chain generally appears to make more contacts with the antigen.
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Importance
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Vaccinia virus is a powerful model to study antibody responses upon vaccination, since
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its use as the smallpox vaccine led to the eradication of one of the world’s greatest killers. The
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immunodominant antigens that elicit the protective antibodies are known, yet for many of these 2
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antigens little information about their precise interaction with antibodies is available. In an
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attempt to better understand the interplay between the antibodies and their antigens, we have
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studied a panel of anti A27 antibodies from generation, functional characterization to the
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interaction with the epitope using X-ray crystallography. We identified one protective antibody
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that binds adjacent to the heparan sulfate binding site of A27, likely affecting ligand binding.
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The analysis of antibody-antigen interaction supports a model in which antibodies that can
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interfere with the functional activity of the antigen are more likely to confer protection than those
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that bind at the extremities of the antigen.
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Introduction Inoculation with vaccinia virus (VACV) elicits neutralizing antibodies against major
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antigens, including A27, A33, B5, D8, H3, and L1 on both the extracellular enveloped virus (EV)
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and the intracellular mature virion (MV or IMV), conferring protection against smallpox (2, 6, 7,
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16, 26). As a result, wide-spread vaccination against smallpox (variola virus, VARV) led to the
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first eradication of a viral pathogen from nature (11). Among the major immunodominant
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antigens of the IMV, A27, H3, and D8 are adhesion molecules that bind to the
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glycosaminoglycans heparan sulfate (A27 and H3) and chondroitin sulfate (D8) (13, 14, 18, 20).
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We have previously shown that anti-D8 antibodies can prevent binding of D8 to chondroitin
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sulfate. Besides its binding to heparan sulfate, little is known about the function of H3 (18).
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However, human antibodies that target H3 in combination with those that target B5 provide
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significantly better protection than either antibody by itself and are promising for the treatment
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of smallpox infections in human (22). Since the general human population lacks protection
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against smallpox due to the cessation of smallpox vaccination, protective antibodies can be used
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to treat infected patients. While neutralizing anti-A27 antibodies protect against infection, they
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only represent a minor component of the Dryvax vaccine induced immune response (10).
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A27 is a homo-trimeric extracellular protein that is attached to the viral membrane by
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binding to the transmembrane protein A17 through its C-terminal leucine zipper domain
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(residues 80-101). The GAG binding site is located at the N-terminus, downstream of the signal
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sequence (residues 21-30) (12, 30). The central region of A27 consists of a coiled coil domain
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(residues 43-84), which is used to interact with the membrane fusion suppressor protein A26
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through intermolecular disulfide bond formation (Cys71, Cys72). The crystal structure of an N-
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terminal fragment of A27, containing the heparan sulfate binding site and coiled coil domain
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(residues 21-84) had recently been determined, however only the central fragment (residues 47-
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84) is ordered, suggesting flexibility of the N-terminal GAG binding domain (5). The A27
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structure illustrates the complexity and antiparallel nature of the A27 homo-trimer, yet structural
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information about the N-terminal and C-terminal extremities are missing.
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In this study we have produced a panel of anti-A27 antibodies through immunizing mice
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with VACV. We have identified 4 antibody groups based on cross-blocking experiments and
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identified the epitope using a peptide/protein ELISA. Group I, II, and IV antibodies recognized
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both VACV lysate as well as synthetic peptides, suggesting that the epitope of these antibodies
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can be recapitulated using linear peptides. We have further determined the crystal structure of a
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protective antibody 1G6 (group I), and a non-protective antibody 8E3 (group IV) in complex
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with their respective linear peptide epitopes, which are located at the N- and C-terminal
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extremities of A27, shedding light onto the structural basis of A27 recognition.
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Materials and Methods
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Viruses and antibodies. VACVWR stocks were grown on HeLa cells in T175 flasks and
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infecting at a multiplicity of infection of 0.5. Cells were harvested at 60 h and virus was isolated
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by rapidly freeze-thawing the cell pellet three times in a volume of 2.3 ml RPMI plus 1% fetal
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calf serum (FCS). Subsequently, cell debris was removed by centrifugation. Clarified supernatant
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was frozen at -80°C as stock. VACVWR stocks were titered on Vero cells (~2 x 108 PFU/ml).
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VACVACAM2000 was obtained from the CDC. Monoclonal antibodies used in the study are: anti-
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H3 #41, anti-D8 Ab12.1, anti-L1 M12B9, anti-A27 1G6, 12G2, 8H10, 6F11, 4G5, 12C3 and 8E3.
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Hybridoma generation and characterization.
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The hybridomas were generated as described previously (32). In brief, a six-week old BALB/c
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mouse was infected intranasally with 5 × 103 plaque-forming-unit (PFU) of VACV WR. Seven
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weeks after the infection, the mouse was injected intravenously with 7 × 107 PFU of UV-
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inactivated WR virus. Three days afterwards, the spleen of the mouse was harvested for
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hybridoma generation. Hybridomas that secret anti-A27 antibodies were identified with
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immunofluorescence assays of HeLa cells infected with wild-type or A27-deletion VACV strains
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(31).
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chromatography and purity was assessed by reducing and non-reducing SDS PAGE. All
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experiments were performed using purified antibodies.
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A27 expression and purification.
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A27L with a C-terminal hexahistidine tag was cloned into pET15b (Invitrogen) and transformed
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into CodonPlus BL21 cells (Agilent). After culture growth reached an OD600 of 0.6, A27
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expression was induced by induction with 1mM IPTG at 37 °C for 4 h. Cells from typically 1 L
IgG’s were purified from hybridoma culture media using protein G affinity
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were spun down (10 min x 4000 g) and resuspended in 50 ml lysis buffer (50 mM Tris pH 8.0, 5
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mM EDTA). Cells were sheared with a microfluidizer (3 rounds at 1400 bars, Microfluidics) and
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crude lysate was clarified by centrifugation (1 h x 50,000 g). Soluble A27 was purified by ion
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metal affinity chromatography (IMAC) using a HisTrap 5 ml column (GE Healthcare).
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Supernatant was passed through the HisTrap column and washed with three column volumes (15
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ml) of wash buffer (50 mM Tris pH 8.0, 300 mM NaCl, 20 mM imidazole). After a final wash at
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50 mM imidazole, A27 was eluted with the same buffer containing ~ 250 mM imidazole and
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subsequently dialyzed twice against 10 mM tris pH8.0, 200 mM NaCl prior to size-exclusion
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chromatography (SEC) for characterization.
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Protein ELISA. Flat-bottom 96-well microtiter plates were coated with 100 µl of recombinant
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VACV A27 protein (either C-terminally truncated A27(16-100) or full length A27(16-110) at
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1 mg/ml, diluted in PBS overnight at 4°C (ThermoScientific Pierce) and washed with washing
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buffer (PBS, pH 7.2, plus 0.05% Tween 20). Subsequently, plates were blocked with blocking
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buffer (PBS, pH 7.2, plus 1% BSA plus 0.1% Tween 20) for 2 h at room temperature (RT).
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Plates were washed and incubated with purified mAb at 10 µg/ml for 90 min at RT. Plates were
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washed, and the bound mAb was detected by adding a streptavidin-HRP-conjugated secondary
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antibody to mouse immunoglobulin G (Invitrogen) and incubated for 60 min at RT, followed by
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OPD substrate (Sigma-Aldrich).
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Cross-Blocking ELISA. Recombinant A27(16-110) was prepared at 0.5 µg/ml and used to coat
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Nunc Polysorbent flat-bottom 96-well plates with 100 µl per well. Plates were incubated
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overnight at 4°C and subsequently washed four times with PBS plus 0.05% Tween 20. 100 µl of
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blocking buffer (PBS + 10% fetal bovine serum) was added to each well of the plate and the
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plate was blocked for 90 min at room temperature. Blocking buffer was discarded, and 100 µl of 6
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purified and unmodified antibodies of interest (at 10 µg/ml) were added to the plate and
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incubated for 90 min to allow for binding to recombinant A27. Horseradish peroxidase (HRP)-
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conjugated antibodies of interest (Innova Biosciences Lightning-Link HRP conjugation kit) were
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prepared at 0.5 µg/ml and added to the plates for 20 min without prior washing of the plate. The
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ability of the conjugated antibody to bind to A27 in the presence of a pre-bound antibody was
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assessed using an optical assay. The plates were developed using o-phenylenediamine (OPD),
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and optical density (OD) at 490 nm was read on a SpectraMax 250 (Molecular Devices).
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Flow Cytometry-based in vitro neutralization. Vero E6 cells (1x105 cells/well) were seeded in
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96-well Costar plates (Corning Inc., Corning, NY) and incubated for 5 h to adhere. Subsequently,
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cells were infected with 12.5 µL purified VACV-GFP at 1x106 PFU/mL (final PFU of 1.25x104)
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and 12.5 µL mAbs at 80 µg/mL (final concentration of 20 µg/mL) for 12 h at 37°C and 5% CO2
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in a total volume of 50 µL in the presence (2% final concentration) or absence of sterile baby
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rabbit complement (CEDARLANE). Samples were prepared in duplicates. Cells were
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subsequently tested using flow cytometry as described previously (1, 15).
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Vaccinia intravenous infection protection studies. To infect mice, 1x105 PFU of
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VACVACAM2000 were injected retro-orbitally. After infecting animals on day 0, weights were
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taken on day 0 for the initial body weight measurement. Beginning three days post-infection,
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body weights were taken every other day. Body weights were recorded until the animal reached
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75% of initial body weight, or if other external health variables became present for which
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euthanasia was the only humane course of action. Clinical score, a composite score of the pox
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lesion abundance on the four paws plus the tail, was evaluated as described (22). For A27 mAb
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protection studies, mice were inoculated i.p. with 100 µg of antibodies 1 day before infection.
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Control mice received PBS. An additional group received anti-H3 #41 as positive control. 7
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Animal husbandry and experimental procedures were approved by the Department of Laboratory
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Animal Care and the Animal Care Committee of the La Jolla Institute
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Epitope Mapping by Peptide ELISA. Overlapping 20-mer peptides for the A27 antigen were
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synthesized (AnaSpec) and tested for mAb binding using an ELISA. Flat-bottom 96-well
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microtiter plates were coated with 100 µl of NeutrAvidin biotin-binding protein (1 mg/ml),
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diluted in PBS overnight at 4°C (ThermoScientific Pierce) and washed with washing buffer (PBS,
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pH 7.2, plus 0.05% Tween 20). Subsequently, plates were blocked with blocking buffer (PBS,
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pH 7.2, plus 1% BSA plus 0.1% Tween 20) for 2 h at room temperature (RT). Plates were
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incubated with 100 µl of overlapping linear biotinylated peptides (200 ng/ml) in blocking buffer
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for 90 min at RT. Plates were washed and incubated with purified mAb at 10 µg/ml for 90 min at
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RT. Plates were washed, and the bound mAb was detected by adding a streptavidin-HRP-
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conjugated secondary antibody to mouse immunoglobulin G (Invitrogen) and incubated for 60
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min at RT, followed by OPD substrate (Sigma-Aldrich).
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Peptide Truncation and Alanine Scan. Variant peptides with N- or C-terminal truncations
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and/or alanine substitutions were tested for their ability to block binding to the parent 20-mer
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peptides in ELISA. In case the peptide in question contained an alanine, it was substituted for a
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serine instead. 96-well plates were coated with 100 µL NeutrAvidin per well at a concentration
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of 0.5 µg/mL. Plates were incubated overnight at 4°C and washed 4 times with PBS plus 0.05%
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Tween-20. 100 µL of blocking buffer (PBS + 10% FBS) were added to the plates and incubated
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for 90 min at 4°C. Subsequently, blocking buffer was discarded, 100 µL of biotinylated 20-mer
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peptides were added to the plate at 200 ng/mL and incubated for 90 min at 4°C. Simultaneously,
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selected antibodies were incubated with variant peptides. We used 30 µL/well of mAb at 600
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ng/mL and incubated it with 30 µL/well of alanine-modified peptides at 100 µg/mL for 90 min at 8
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4°C. After washing the plates, 50 µL of the antibody/alanine peptide mix was added to plate
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bound peptides and incubated for 20 min at 4°C. Plates were washed and 100 µL/well of
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secondary goat anti-mouse anti IgGγ HRP (1:1000 diluted in blocking buffer) were added and
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incubated for 90 min at 4°C. A final wash step was performed and plates were developed using
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o-phenylenediamine and OD at 490nm was read on a SpectraMax 250 (Molecular Device).
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Antibody sequencing. Total RNA from 300 µL hybridoma cells in solution was isolated using
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the NucleoSpin® RNA II kit according to manufacturer’s instructions (MACHEREY-NAGEL).
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cDNA was amplified using the OneStep RT-PCR kit (Qiagen). The reverse transcription PCR
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was performed using primers 5’MsVHE and 3’Cy1 (for isotype IgG1 mAb 6F11), 3’Cy2c outer
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(for isotype IgG2a mAbs 1G6, 12G2, 12C3 and 4G5) or 3’Cy2b outer (for isotype IgG2b mAb
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8H10) for the heavy chains, primers 5’mVkappa and 3’mCĸ for the kappa light chains (1G6,
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12G2, 8H10, 6F11, 12C3 and 4G5) and primers 5’mVλ1/2 and 3’mCλ outer for the lambda light
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chain (8E3) (29). The cycling profile was slightly modified from manufacturer’s
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recommendations and set up as follows: 1 cycle of 30 min at 50°C and 15 min at 95°C; 40 cycles
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of 30 s at 94°C, 45 s at 60°C (for heavy chains) / 58°C (for light chains), and 55 s at 72°C;
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followed by 1 cycle of 10 min at 72°C and a 12°C cool down. PCR products were verified by gel
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electrophoresis with a ~500 bp product for heavy chains and ~450 bp product for light chains.
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Afterwards, PCR products were purified using the QIAquick PCR Purification Kit (Qiagen) and
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then sequenced by Invitrogen (provided with the respective 5’ primer for heavy and light chains).
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Sequences include V-D-J regions for heavy chains and V-J regions for light chains. Finally,
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antibody germ lines were determined using IMGT’s V-Quest service (3).
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Peptide-Fab complex preparation. Purified mAbs 1G6 and 8E3 (1mg/mL in 50 mM NaOAc
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pH5.5) were incubated with 4% (1G6) and 2% (8E3) (w/w) activated papain (Sigma #P3125) 9
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and for 4h at 37ºC in 1X digestion buffer. Papain was activated by incubating 20.80 µl papain
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with 100 µl 10X digestion buffer (1M NaOAc pH 5.5, 12 mM EDTA) and 100µl cysteine (12.2
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mg/ml) in a total volume of 1ml for 15 min at 37ºC. The papain digestion was stopped by adding
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20 mM Iodoacetamide (IAA). Digestion mixtures were dialyzed against PBS for subsequent
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protein A purification to remove undigested IgG and Fc. The protein A flow-through containing
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Fab’s were concentrated and purified by size exclusion chromatography on a Superdex S200
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GL10/300 (GE Healthcare), using 50 mM Hepes, pH7.5, 150mM NaCl as running buffer. Fab’s
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were incubated with 2x molar excess of corresponding A27 peptides for 1 hour at 4˚C and
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concentrated using 30 kDa centrifugal filtration units to remove unbound peptides.
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Crystallization and structure determination. Crystals of the 1G6/A2731-40 complex were
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grown over several days at 22°C by sitting drop vapor diffusion while mixing 0.5 µl protein (5.2
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mg/ml) with 0.5 µl precipitant (20 % PEG 4000, 200 sodium phosphate dibasic). Crystals were
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flash-cooled at 100 K in mother liquor containing 20% glycerol. Crystals of the 8E3/A27101-110
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complex were grown over several days at 4°C by sitting drop vapor diffusion while mixing 0.5
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µl protein (14 mg/ml) with 0.5 µl precipitant (10 % PEG 3000, 200 mM magnesium chloride,
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100 mM cacodylate pH 6.5). Crystals were flash-cooled at 100 K in mother liquor containing 20%
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glycerol. Diffraction data were collected at the Stanford Synchrotron Radiation Laboratory
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(SSRL) beamline 11-1 (1G6 Fab) and Advanced Light source beamline 5.0.1 (8E3 Fab),
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processed with iMosflm and SCALA as part of ccp4 (4, 17). Crystal structure of 8E3 was
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determined by molecular replacement using PHASER (23) and the Fab of a quorum-quenching
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antibody (PDB code 2NTF), separated in constant and variable domain. The structure of 1G6
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was obtained similarly by MR, using the PDB coordinated of 8E3 with the CDR loops removed.
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The model was rebuilt into σA-weighted 2Fo–Fc and Fo–Fc difference electron density maps 10
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using the program COOT (8). Peptides were manually built in COOT during later stages of
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refinement. The 1G6/A2731-40 structure was refined to 1.95 Å to an Rcryst and Rfree of 19.8% and
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23.6%, respectively. The 8E3/A27101-110 structure was refined to 2.27 Å to an Rcryst and Rfree of
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20.3% and 22.4%, respectively The quality of the models were examined with the program
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Molprobity (19).
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Results
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Generation of anti-A27 mAbs
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Hybridomas were generated from a mouse that had been infected with a sub-lethal dose
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of VACV. Among them, 12 secreted antibodies reacted with the wild-type VACV but not with
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an A27-deletion VACV mutant in an immunofluorescence assay of infected HeLa cells. We
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decided to further characterize seven of those antibodies (1G6 [IgG2a], 12G2 [IgG2a], 8H10
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[IgG2b], 6F11 [IgG1], 12C3 [IgG2a], 4G5 [IgG2a] and 8E3 [IgG2a]). Out of these, 6 antibodies
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bound C-terminally truncated A27(16-100) protein in ELISA, whereas the other antibody (8E3)
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did not bind A27 (Figure 1A). To assess whether 8E3 binds to the C-terminal extremity of A27,
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we prepared full-length A27(16-110) and repeated the ELISA with four selected mAbs,
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including 8E3. All tested antibodies were found to bind the new construct, suggesting that 8E3
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binds to the C-terminal extremity of A27 (Figure 1B).
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Cross-blocking ELISA was performed, and antibodies 1G6, 12G2 and 8H10 clustered
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into one distinct cluster (group I). Additionally, 4G5 and 12C3 formed another, distinct cluster
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(group III). 6F11 and 8E3 could not be cross-blocked by any of the other mAbs and were
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assigned group II and IV, respectively (Figure 2).
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Group I anti-A27 mAbs neutralize MV in a complement-dependent manner
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We then tested the ability of the anti-A27 mAbs to interfere with VACV MV infection in
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an in vitro neutralization assay (Figure 3). Vero E6 cells were incubated overnight with purified
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VACVWR MV expressing a green fluorescent protein (GFP), in the presence or absence of
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antibody and complement. The samples were evaluated the following day using a flow
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cytometer. Group I mAbs (1G6, 12G2 and 8H10) neutralized more than 90% of the viruses at 20
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µg/ml in the presence of complement. In contrast, group II, III and IV mAbs only neutralize the
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virus by 20% or less in the presence of complement (Figure 3, bottom). Except for mAb 6F11
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(IgG1), all antibodies were able to bind complement (IgG2a and IgG2b). None of the tested
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mAbs was able to neutralize in the absence of complement (Figure 3, top). Anti-L1 mAb
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M12B9 (15), an antibody know to strongly neutralize (>90%) in a complement-independent
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manner, was used as positive control.
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Group I anti-A27 mAb protects against vaccinia virus infection
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Next, anti-A27 mAbs were tested in an in vivo vaccinia protection system. SCID mice
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were infected with 105 PFU ACAM2000 retro-orbitally (Figure 4). In this model, 1G6 (group I),
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6F11 (group II) and 8E3 (group IV) were tested for their ability to protect against moribundity,
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weight loss and pox lesions (‘Clinical Score’) (24). Animals were euthanized at 75% initial body
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weight (end point criteria). Anti-H3 #41 was used as positive control; at day 49 it provided good
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protection against weight loss (p=0.0024) (Figure 4A) and mortality (p=0.0008) (Figure 4B)
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compared to control mice receiving no mAb. Anti-H3 #41 also provided robust protection
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against pox lesions (p90%) w/ complement strong (>90%) w/ complement weak (