Abstract

Induction of broadly neutralizing monoclonal antibodies (bNAbs) that bind to the viral envelope glycoproteins is a major goal of hepatitis C virus (HCV) vaccine research. The study of bNAbs arising in natural infection is essential in this endeavor. We generated a human antibody, 8D6, recognizing the E2 protein of HCV isolated from a chronic hepatitis C patient. This antibody shows broadly neutralizing activity, which covers a pan-genotypic panel of cell culture-derived HCV virions (HCVcc). Functional and epitope analyses demonstrated that 8D6 can block the interaction between E2 and CD81 by targeting a highly conserved epitope on E2. We describe how the 8D6 lineage evolved via somatic hypermutation to achieve broad neutralization. We found that the V(D)J recombination-generated junctional and somatic hypermutation-induced disulfide bridge (C-C) motif in the CDRH3 is critical for the broad neutralization and binding activity of 8D6. This motif is conserved among a series of broadly neutralizing HCV antibodies, indicating a common binding model. Next, the 8D6 inferred germline (iGL) was reconstructed and tested for its binding affinity and neutralization activity. Interestingly, 8D6 iGL-mediated relatively strong inhibition of the 1b genotype PR79L9 strain, suggesting that PR79L9 may serve as a potential natural viral strain that provides E2 sequences that induce bNAbs. Overall, our detailed epitope mapping and genetic studies of the HCV E2-specific mAb 8D6 have allowed for further refinement of antigenic sites on E2 and reveal a new mechanism to generate a functional CDRH3, while its iGL can serve as a probe to identify potential HCV vaccine strains.

Highlights

  • Hepatitis C virus (HCV) infection is a global health problem

  • The fully human mAb 8D6 was isolated from an HCV-infected patient and showed broad neutralizing activity against different isolates of HCV Using single-cell PCR to generate fully human monoclonal antibodies specific for a viral antigen,[9] we isolated HCV E2 antigen-specific memory B cells (CD19+ IgG+ E2+) from the peripheral blood of an HCV 2a chronically infected patient

  • 8D6 was able to bind to the E2 protein of HCV, covering a panel of 12 different HCV strains from 6 distinct genotypes (Fig. 1a)

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Summary

Introduction

Hepatitis C virus (HCV) infection is a global health problem. More than 71 million people worldwide have been infected.[1] In addition, 50–80% of infected individuals develop a chronic infection that increases the risk of serious liver diseases, such as liver cirrhosis and hepatocellular carcinoma.[2,3]. HCV remains the sole human hepatitis virus for which a vaccine is not yet commercially available.[4] Highly effective directacting antivirals (DAAs) for the treatment of chronic hepatitis C have been developed recently; resistance-associated variants have been identified during DAA therapy and can lead to therapy failure.[5] In addition, some HCV-infected populations, especially in developing countries, do not have access to DAAs owing to their high cost. An effective prophylactic vaccine is essential for combating the global HCV epidemic

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