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Hemagglutinin-specific neutralization of subacute sclerosing panencephalitis viruses
Miguel Ángel Muñoz-Alía1, Claude P Muller2,3, Stephen J Russell1,4
1Department of Molecular Medicine, Mayo Clinic, Rochester, Minnesota, United States of America.
Abstract:
Subacute sclerosing panencephalitis (SSPE) is a progressive, lethal complication of measles caused by particular mutants of measles virus (MeV) that persist in the brain despite high levels of neutralizing antibodies. We addressed the hypothesis that antigenic drift is involved in the pathogenetic mechanism of SSPE by analyzing antigenic alterations in the MeV envelope hemagglutinin protein (MeV-H) found in patients with SSPE in relation to major circulating MeV genotypes. To this aim, we obtained cDNA for the MeV-H gene from tissue taken at brain autopsy from 3 deceased persons with SSPE who had short (3-4 months, SMa79), average (3.5 years, SMa84), and long (18 years, SMa94) disease courses. Recombinant MeVs with a substituted MeV-H gene were generated by a reverse genetic system. Virus neutralization assays with a panel of anti-MeV-H murine monoclonal antibodies (mAbs) or vaccine-immunized mouse anti-MeV-H polyclonal sera were performed to determine the antigenic relatedness. Functional and receptor-binding analysis of the SSPE MeV-H showed activity in a SLAM/nectin-4-dependent manner. Similar to our panel of wild-type viruses, our SSPE viruses showed an altered antigenic profile. Genotypes A, G3, and F (SSPE case SMa79) were the exception, with an intact antigenic structure. Genotypes D7 and F (SSPE SMa79) showed enhanced neutralization by mAbs targeting antigenic site IIa. Genotypes H1 and the recently reported D4.2 were the most antigenically altered genotypes. Epitope mapping of neutralizing mAbs BH015 and BH130 reveal a new antigenic site on MeV-H, which we designated Φ for its intermediate position between previously defined antigenic sites Ia and Ib. We conclude that SSPE-causing viruses show similar antigenic properties to currently circulating MeV genotypes. The absence of a direct correlation between antigenic changes and predisposition of a certain genotype to cause SSPE does not lend support to the proposed antigenic drift as a pathogenetic mechanism in SSPE.
Insights
Subacute sclerosing panencephalitis (SSPE) is a lethal measles complication. This study found SSPE viruses have altered measles virus hemagglutinin (MeV-H) but antigenic drift doesn't explain SSPE's cause.
Area of Science:
- Virology
- Immunology
- Neurology
Background:
- Subacute sclerosing panencephalitis (SSPE) is a fatal neurological complication of measles virus (MeV) infection.
- SSPE pathogenesis is poorly understood, with the hypothesis that measles virus antigenic drift plays a role.
- The MeV hemagglutinin protein (MeV-H) is crucial for viral entry and a target for neutralizing antibodies.
Purpose of the Study:
- To investigate the role of antigenic drift in MeV-H in the pathogenesis of SSPE.
- To analyze antigenic alterations in MeV-H from SSPE patients and compare them to circulating MeV genotypes.
- To identify potential new antigenic sites on MeV-H.
Main Methods:
- Obtained cDNA of the MeV-H gene from brain autopsy tissue of three SSPE patients with varying disease durations.
- Generated recombinant MeVs with substituted MeV-H genes using a reverse genetic system.
- Performed virus neutralization assays with monoclonal antibodies (mAbs) and polyclonal sera, alongside functional and receptor-binding analyses.
Main Results:
- SSPE-derived MeV-H exhibited altered antigenic profiles, similar to wild-type viruses, and maintained SLAM/nectin-4-dependent function.
- Specific genotypes (D7, F, H1, D4.2) showed enhanced neutralization or significant antigenic alterations.
- A novel antigenic site (Φ) on MeV-H was identified between previously defined sites Ia and Ib.
Conclusions:
- SSPE-causing MeV strains display antigenic properties comparable to currently circulating MeV genotypes.
- The findings do not support antigenic drift as a primary pathogenetic mechanism in SSPE.
- The identification of a new antigenic site (Φ) offers insights into MeV-H structure and antibody interactions.
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