Abstract
Human cytomegalovirus (HCMV) can cause severe diseases in fetuses, newborns, and immunocompromised individuals. Currently, no vaccines are approved, and treatment options are limited. Here, we analyzed the human B cell response of four HCMV top neutralizers from a cohort of 9,000 individuals. By single-cell analyses of memory B cells targeting the pentameric and trimeric HCMV surface complexes, we identified vulnerable sites on the shared gH/gL subunits as well as complex-specific subunits UL128/130/131A and gO. Using high-resolution cryogenic electron microscopy, we revealed the structural basis of the neutralization mechanisms of antibodies targeting various binding sites. Moreover, we identified highly potent antibodies that neutralized a broad spectrum of HCMV strains, including primary clinical isolates, that outperform known antibodies used in clinical trials. Our study provides a deep understanding of the mechanisms of HCMV neutralization and identifies promising antibody candidates to prevent and treat HCMV infection.
| Original language | English |
|---|---|
| Pages (from-to) | 2602-2620.e10 |
| Journal | Immunity |
| Volume | 56 |
| Issue number | 11 |
| DOIs | |
| State | Published - Nov 14 2023 |
Funding
We thank all donors for their participation in this study and the time they devoted to our research. We gratefully thank all members of the Klein, Sinzger, Krawczyk, Ryckman, and McLellan Laboratories for helpful discussion and support, as well as Anna Schmitt, Tina Bresser, and Lisa Kottege for lab management and assistance. Moreover, we thank Maike Schlotz, the sample processing laboratory, the Cologne Center for Genomics sequencing core facility for next-generation sequencing support, and the team of Ramin Lotfi for their great support during sample collection and purification. This work was funded by grants from the German Center for Infection Research (TTU 07.835 to F.K.; MD Program TI 07.003 to A.A.), the German Research Foundation ( CRC1279 , F.K.; CRC1310 , F.K. and C.K.; FOR2722 , M.K.; STE2835/1-1 , C. Stegmann), the European Research Council (ERC- StG639961 , F.K.), National Institutes of Health (NIH) R01AI097274 (B.J.K.), the NIH CoBRE to the Center for Biomolecular Structure and Dynamics at University of Montana ( PG20GM103546 ) (B.J.K.), the Welch Foundation ( F-0003-19620604 , J.S.M.), the Else Kröner-Fresenius-Stiftung ( 2014_A45 and 2016_A126 , R.L., A.K., and C. Sinzger), and an unrestricted grant of the Rudolf-Ackermann-Stiftung (Stiftung für Klinische Infektiologie) (O.W.). We thank all donors for their participation in this study and the time they devoted to our research. We gratefully thank all members of the Klein, Sinzger, Krawczyk, Ryckman, and McLellan Laboratories for helpful discussion and support, as well as Anna Schmitt, Tina Bresser, and Lisa Kottege for lab management and assistance. Moreover, we thank Maike Schlotz, the sample processing laboratory, the Cologne Center for Genomics sequencing core facility for next-generation sequencing support, and the team of Ramin Lotfi for their great support during sample collection and purification. This work was funded by grants from the German Center for Infection Research (TTU 07.835 to F.K.; MD Program TI 07.003 to A.A.), the German Research Foundation (CRC1279, F.K.; CRC1310, F.K. and C.K.; FOR2722, M.K.; STE2835/1-1, C. Stegmann), the European Research Council (ERC-StG639961, F.K.), National Institutes of Health (NIH) R01AI097274 (B.J.K.), the NIH CoBRE to the Center for Biomolecular Structure and Dynamics at University of Montana (PG20GM103546) (B.J.K.), the Welch Foundation (F-0003-19620604, J.S.M.), the Else Kröner-Fresenius-Stiftung (2014_A45 and 2016_A126, R.L. A.K. and C. Sinzger), and an unrestricted grant of the Rudolf-Ackermann-Stiftung (Stiftung für Klinische Infektiologie) (O.W.). Conceptualization, F.K. C. Sinzger, A.K. and M.Z.; methodology, F.K. C. Sinzger, A.K. J.S.M. M.Z. M.A. A.A. E.P.S. and J.A.G.; investigation, M.Z. A.A. M.A. J.A.G. J.L. H.G. R.S. N.W. U.D. O.W. L.G. C.K. D.S. C. Stegmann, H.J. K.L.S. S.D. L.U. E.P.S. L.S. M.K. M.D.N. and R.L.; software, C.K. and M.Z.; formal analysis, M.Z. M.A. A.A. J.S.M. J.A.G. E.P.S. L.S. C.K. F.K. C. Sinzger, and A.K.; writing – original draft, M.Z. F.K. M.A. A.A. J.S.M. J.A.G. C. Sinzger, and A.K.; writing – review and editing, all authors; supervision, F.K. C. Sinzger, M.Z. B.J.R. J.S.M. and A.K. A patent application encompassing aspects of this work has been filed by the University of Cologne, the University of Ulm, and the University of Duisburg-Essen, listing F.K. C. Sinzger, A.K. M.Z. and M.A. as inventors.
| Funder number |
|---|
| R01AI097274 |
| F-0003-19620604 |
| PG20GM103546 |
| TTU 07.835, TI 07.003 |
| ERC- StG639961 |
| FOR2722, CRC1279, STE2835/1-1, CRC1310 |
| 2016_A126, 2014_A45 |
Keywords
- HCMV
- Pentamer
- Trimer
- antiviral therapy
- broadly neutralizing antibody
- cryogenic electron microscopy
- epitope map
- neutralizaton mechanisms
- single B cell