Glycan variants of a respiratory syncytial virus antibody with enhanced effector function and in vivo efficacy.

Abstract:

:Respiratory syncytial virus (RSV) can cause devastating lower respiratory tract infections in preterm infants or when other serious health problems are present. Immunoprophylaxis with palivizumab (Synagis), a humanized IgG1 mAb, is the current standard of care for preventing RSV infection in at-risk neonates. We have explored the contribution of effector function to palivizumab efficacy using a plant-based expression system to produce palivizumab N-glycan structure variants with high homogeneity on different antibody isotypes. We compared these isotype and N-glycoform variants with commercially available palivizumab with respect to both in vitro receptor and C1q binding and in vivo efficacy. Whereas the affinity for antigen and neutralization activity of each variant were indistinguishable from those of palivizumab, their Fcγ receptor binding profiles were very different, which was reflected in either a reduced or enhanced ability to influence the RSV lung titer in challenged cotton rats. Enhanced Fcγ receptor binding was associated with reduced viral lung titers compared with palivizumab, whereas abrogation of receptor binding led to a drastic reduction in efficacy. The results support the hypotheses that classic antibody neutralization is a minor component of efficacy by palivizumab in the cotton rat and that antibody-dependent cell-mediated cytotoxicity activity can significantly enhance the efficacy of this antiviral mAb.

authors

Hiatt A,Bohorova N,Bohorov O,Goodman C,Kim D,Pauly MH,Velasco J,Whaley KJ,Piedra PA,Gilbert BE,Zeitlin L

doi

10.1073/pnas.1402458111

subject

Has Abstract

pub_date

2014-04-22 00:00:00

pages

5992-7

issue

16

eissn

0027-8424

issn

1091-6490

pii

1402458111

journal_volume

111

pub_type

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