Immune memory to Sudan virus: comparison between two separate disease outbreaks.

Ariel Sobarzo,Spencer Stonier,Leslie Lobel,John Dye,David Ochayon,Shlomit Fedida-Metula,Eli Lewis,Yael Eskira,Steven Balinandi,Victoria Yavelsky,Andrew Herbert,Yaara Kislev,Julius Lutwama,Ana Kuehne,Neta Tali

doi:10.3390/v7010037

Abstract

Recovery from ebolavirus infection in humans is associated with the development of both cell-mediated and humoral immune responses. According to recent studies, individuals that did not survive infection with ebolaviruses appear to have lacked a robust adaptive immune response and the expression of several early innate response markers. However, a comprehensive protective immune profile has yet to be described. Here, we examine cellular memory immune responses among survivors of two separate Ebolavirus outbreaks (EVDs) due to Sudan virus (SUDV) infection in Uganda—Gulu 2000–2001 and Kibaale 2012. Freshly collected blood samples were stimulated with inactivated SUDV, as well as with recombinant SUDV or Ebola virus (EBOV) GP (GP1–649). In addition, ELISA and plaque reduction neutralization assays were performed to determine anti-SUDV IgG titers and neutralization capacity. Cytokine expression was measured in whole blood cultures in response to SUDV and SUDV GP stimulation in both survivor pools, demonstrating recall responses that indicate immune memory. Cytokine responses between groups were similar but had distinct differences. Neutralizing, SUDV-specific IgG activity against irradiated SUDV and SUDV recombinant proteins were detected in both survivor cohorts. Furthermore, humoral and cell-mediated crossreactivity to EBOV and EBOV recombinant GP1–649 was observed in both cohorts. In conclusion, immune responses in both groups of survivors demonstrate persistent recognition of relevant antigens, albeit larger cohorts are required in order to reach greater statistical significance. The differing cytokine responses between Gulu and Kibaale outbreak survivors suggests that each outbreak may not yield identical memory responses and promotes the merits of studying the immune responses among outbreaks of the same virus. Finally, our demonstration of cross-reactive immune recognition suggests that there is potential for developing cross-protective vaccines for ebolaviruses.

Highlights

Ebolaviruses are members of the Filoviridae family, which contains a single-stranded, negative-senseRNA genome encoding seven genes [1]
Samples were collected from the Gulu cohort and Kibaale cohort approximately 12 years and 1 year post infection, respectively
Work in nonhuman primates and other smaller animal models demonstrates that adaptive immunity contributes to protection against ebolavirus infection [21,22] and that this immune protection is associated with the development of both cellular and humoral immunity [23,24,25,26,27]

Summary

Introduction

RNA genome encoding seven genes [1]. These genes encode a nucleoprotein (NP), viral proteins VP35 and VP40, a glycoprotein (GP), viral proteins VP30 and VP24 and the viral RNA-dependent RNA polymerase (L) [2,3]. Among the different proteins expressed by ebolaviruses, the surface glycoprotein, GP, plays a central role in viral attachment, entry, cytotoxicity, as well as induces both cellular and humoral immune responses, and activates pro-inflammatory pathways [3,4]. In July 2012, an Ebola virus outbreak (EVD) occurred in the Kibaale district, Uganda. EVD can be caused by four distinct ebolaviruses: Bundibugyo, Ebola, Sudan, and TaïForest virus. Laboratory tests during the outbreak confirmed Sudan virus (SUDV) infection in eleven patients resulting in four deaths

Methods

Results

Conclusion