Antibody with an engineered Fc region as a therapeutic agent against dengue virus infection

作者:Ramadhany Ririn; Hirai Itaru; Sasaki Tadahiro; Ono Ken ichiro; Ramasoota Pongrama; Ikuta Kazuyoshi; Kurosu Takeshi*
来源:Antiviral Research, 2015, 124: 61-68.
DOI:10.1016/j.antiviral.2015.10.012

摘要

Antibody-dependent enhancement (ADE) of dengue virus (DENV) infectivity is thought to play a crucial role in severe dengue disease. It occurs when pre-existing sub-neutralizing anti-DENV antibody (Ab) produced from a primary infection encounters a DENV serotype different from that of the initial infection and forms immune complexes, which enable the efficient infection of Fc gamma receptor-bearing cells. However, the exact role played by Abs during a secondary infection of patients remains unknown. We previously obtained a broadly cross-reactive neutralizing IgG1 human monoclonal anti-DENV envelope (E) Ab (HuMAb) D23-1G7C2-IgG1 from a DENV-infected patient; however, D23-1G7C2-IgG1 had ADE activity. With the aim of being able to reduce the ADE activity, we exchanged the Fc region of D23-1G7C2 to generate Abs bearing each of the three other IgG subclasses (IgG2-4). In addition, N297A, a mutation known to reduce the affinity of the IgG1 Fc region for Fc gamma receptors, was introduced into D23-1G7C2-IgGl. Swapping D23-1G7C2-IgG1 to IgG2 or IgG4 subclasses reduced ADE activity in Fc gamma RI and Fc gamma RII-bearing THP-1 cells. By contrast, in Fc gamma RII-bearing K562 cells, the change to IgG2 increased ADE activity. Introducing the N297A mutation into D23-1G7C2-IgG1 resulted in a marked reduction in ADE activity in both cell types. Compared to D23-1G7C2-IgGl, D23-1G7C2-IgG1-N297A was less protective in IFN-alpha/beta/gamma receptor knockout mice infected with a lethal dose of recombinant chimeric DENV, carrying prME of DENV-2 in Japanese encephalitis virus (80% vs. 40% survival, respectively). These observations provide valuable information regarding the use of recombinant Abs as therapeutics.

  • 出版日期2015-12