Abstract
Arenaviruses such as Lassa virus (LASV) can cause severe hemorrhagic fever in humans. As a major impediment to vaccine development, delayed and weak neutralizing antibody (nAb) responses represent a unifying characteristic of both natural infection and all vaccine candidates tested to date. To investigate the mechanisms underlying arenavirus nAb evasion we engineered several arenavirus envelope-chimeric viruses and glycan-deficient variants thereof. We performed neutralization tests with sera from experimentally infected mice and from LASV-convalescent human patients. NAb response kinetics in mice correlated inversely with the N-linked glycan density in the arenavirus envelope protein’s globular head. Additionally and most intriguingly, infection with fully glycosylated viruses elicited antibodies, which neutralized predominantly their glycan-deficient variants, both in mice and humans. Binding studies with monoclonal antibodies indicated that envelope glycans reduced nAb on-rate, occupancy and thereby counteracted virus neutralization. In infected mice, the envelope glycan shield promoted protracted viral infection by preventing its timely elimination by the ensuing antibody response. Thus, arenavirus envelope glycosylation impairs the protective efficacy rather than the induction of nAbs, and thereby prevents efficient antibody-mediated virus control. This immune evasion mechanism imposes limitations on antibody-based vaccination and convalescent serum therapy.
Highlights
For most viral vaccines in clinical use today, neutralizing antibodies represent the main correlate of protection [1, 2]
Protective vaccines aim at inducing neutralizing antibody (nAb) to prevent viral infection, and infusion of nAbs in convalescent patient serum can offer a potent antiviral therapy
Amongst them are high-risk pathogens of the arenavirus family such as Lassa virus (LASV), which is a frequent cause of hemorrhagic fever in West Africa
Summary
For most viral vaccines in clinical use today, neutralizing antibodies (nAbs) represent the main correlate of protection [1, 2]. Lassa virus (LASV) is endemic in West Africa and accounts for estimated 300’000 human infections with several thousand deaths each year [10]. The South American clade B viruses Junin (JUNV), Guanarito, Machupo and Sabia virus cause Argentine, Venezuelan, Bolivian and Brazilian hemorrhagic fever, respectively. Despite these viruses’ socio-economic impact, the live-attenuated JUNV strain Candid #1 [11] remains the only arenavirus vaccine in clinical use [12].
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