Potent cross-neutralization of respiratory syncytial virus and human metapneumovirus through a structurally conserved

Xiaolin Wen1, Naveenchandra Suryadevara2, Nurgun Kose2

  • 1Department of Structural Biology, Stanford University School of Medical School, Stanford, CA 94305, USA.

Cell Host & Microbe
|July 29, 2023
PubMed

Insights

A novel antibody, RSV-199, effectively neutralizes both Respiratory Syncytial Virus (RSV) and human metapneumovirus (hMPV) by targeting a conserved site on their fusion proteins. This antibody demonstrated therapeutic potential in animal models, offering protection against both viruses.

Area of Science:

  • Virology
  • Immunology
  • Structural Biology

Background:

  • Respiratory Syncytial Virus (RSV) and human metapneumovirus (hMPV) cause significant respiratory illness.
  • Developing broad-spectrum antivirals is crucial for public health.

Purpose of the Study:

  • To identify and characterize a cross-neutralizing antibody against RSV and hMPV.
  • To elucidate the structural basis for broad neutralization.

Main Methods:

  • Isolation of anti-fusion (F) protein antibodies from a human donor.
  • Cryoelectron microscopy (cryo-EM) to determine antibody-F protein complex structures.
  • In vivo efficacy studies in cotton rat models.

Main Results:

  • One antibody, RSV-199, potently cross-neutralized 8 strains of RSV and hMPV by targeting antigenic site III.
  • Cryo-EM structures revealed conserved binding interactions and antibody HCDR3 variability accommodation.
  • RSV-199 provided enhanced protection against RSV and hMPV infection in cotton rats.

Conclusions:

  • RSV-199 exhibits broad neutralization of RSV and hMPV through conserved interactions at antigenic site III.
  • Structural insights explain the antibody's mechanism for cross-reactivity.
  • RSV-199 represents a promising therapeutic candidate for both RSV and hMPV infections.