# Patent

## Title
Anti-HSV antibody

## Abstract

The invention relates to an anti-HSV antibody as defined in the claims, a pharmaceutical composition comprising of an effective amount of the said antibody, an expression vector comprising of a nucleotide sequence which encodes the said antibody, a host cell comprising of the said nucleotide sequence, a hybridoma cell capable of producing the said antibody and the use of the said antibody as a drug, in particular to use for the manufacture of a drug for the prophylactical or therapeutical treatment of HSV-associated diseases in a subject; as defined in the claims.

## Background
BACKGROUND OF THE INVENTION
The invention relates to an anti-HSV antibody as defined in the claims, a pharmaceutical composition comprising of an effective amount of the said antibody, an expression vector comprising of a nucleotide sequence which encodes the said antibody, a host cell comprising of the said nucleotide sequence, a hybridoma cell capable of producing the said antibody and the use of the said antibody as a drug, in particular to use for the manufacture of a drug for the prophylactical or therapeutical treatment of HSV-associated diseases in a subject; as defined in the claims.
The human pathogenic Herpes simplex virus (HSV) is a dermatotropic and neutrotropic DNA virus, whose clinical manifestations primarily originate from the skin and the nearby mucosa, and secondarily lead to neurological complications such as neuritis, meningitis, encephalitis, myelitis, polyradiculitis amongst others. At innate, acquired and also iatrogenic immune deficiency, to some extent severe progressions with a high lethality are reported. Due to the high infection rates of the population with HSV type 1 (HSV-1, 95%; H. labialis, H. cornea, eczema herpeticatum) and HSV type 2 (HSV-2, 10-30%; H. genitalis, H. neonatorum) and due to the often reactivation of the virus, latently persisting lifelong in the sensory and autonomic neural ganglions, HSV is of particular clinical relevance. Independent from the type of virus, the symptomatic therapeutic aims of primary or recidivating HSV infection are the inhibition of virus replication, shortening of the time of suffering, and prevention of the systemic complications influencing the frequency of recrudescence.
At early recognition and correct dosage, virustatic agents are successfully employed for antiviral therapy. The most common virustatic agents (e.g. acyclovir, penciclovir, foscarnet, idoxuridin) are nucleoside or pyrophosphate analogues, whose common active principle is based on the inhibition of DNA synthesis in virus-infected cells.
One of the most important therapeutic agents for the treatment of HSV infections is the purine nucleoside analogue acyclovir. It is phosphorylated by the viral thymidine kinase and then interferes with the viral DNA polymerase. In contrast, the human DNA polymerase is less susceptible against acyclovir by factor 30-50, for which reason merely marginal side effects are observed.
However, despite the development of selectively acting virustatic agents, chemotherapeutic treatment of viral diseases still represents a serious problem. In particular, the development of resistant strains against common chemotherapeutic agents observed during long-lasting prophylactic and therapeutic treatment of immunosuppressed patient is problematic. As a result, in more than 10% of the cases, due to the lack of effective virustatic agents, a fast progressing generalised infection with lethal progression is observed.
Presently, the pyrophosphate analogue foscarnet is particularly employed in immunosuppressed patients against acyclovir-resistant herpes virus. This agent causes a direct inhibition of the viral DNA polymerase and has no influence on the thymidine kinase. However, the use of foscarnet leads to severe undesirable side effects such as renal failure, cardiac problems, has toxicity on the bone marrow, and may also cause cutaneous ulceration. Because of its teratogenic effects, foscarnet may also not be administered during pregnancy. Further, the formation of cross-resistant strains is observed, which makes the development of alternative therapeutic agents highly necessary. A passive immunoprophylaxis is currently not available. A couple of experimental vaccine for active immunisation against HSV1 and HSV2 showed no verifiable success.
Antibodies hold great promise for the treatment of cancer, autoimmune disorders, and viral infections. JP 6135854 describes a therapeutic agent for herpes simplex virus infection in which a human monoclonal antibody against HSV and an antiviral nucleic acid analog such as acyclovir (ACV) are simultaneously or successively administered in the form of injection by intravenous drip infusion. DK 187286 discloses antibodies which exhibit multispecific immunoreactivities with regard to glycoprotein D (gD) from HSV-1 and HSV-2 (HSV gD-1 and gD-2). WO 1997/26329 describes human monoclonal antibodies useful for the diagnosis and treatment of HSV-1 and HSV-2. The latter antibody competes with the HSV 863 monoclonal antibody for binding to the glycoprotein D antigen of HSV-1 and HSV-2. U.S. Pat. No. 4,950,595 discloses a mouse-human hybridoma which produces an antivirus-human antibody, a process for preparation thereof, and an antivirus-human monoclonal antibody.
Furthermore, the humanization of another murine monoclonal antibody (Fd79) (Kogae et al., 1986) specific for HSV1/2 is described (Co, M. S. et al., 1991; Zeitlin L. et al., 1998). This antibody recognizes a shared epitope of glycoprotein B (gB) of HSV1 and HSV2. Moreover, humanized Fd79 has been produced in both transgenic plants and in the eukaryotic cell line SP2/0 and subsequently characterised, showing an affinity of 53 nM.
Monoclonal murine antibody H1815 recognizes a similar but not identical epitope in the region of amino acids 263-283 of glycoprotein B (gB) (Navarro et al., 1992). However, H1815 is not capable of viral neutralization or inhibition of “cell-to-cell spread”.
Finally, U.S. Pat. No. 6,180,370 describes humanized immunoglobulins and methods of making the same. Moreover, WO 2003/105782 pertains to specificity grafting of a murine antibody onto a human framework.
Thus, chemotherapeutic agents have undesired side effects and an increasing number of resistant strains is observed.
It is therefore an object of the invention to provide a (humanized) anti-HSV antibody which is capable of neutralising HSV infection and inhibiting cell-to-cell spread. Moreover, it is an object of the invention to provide a prophylactic and/or therapeutic agent for the treatment of HSV associated diseases which overcomes the above-mentioned disadvantages of conventionally applied chemotherapeutic agents.
Surprisingly, it was found that an antibody according to the invention solves this object. Accordingly, the present invention provides a promising alternative to the therapeutic agents known in the art for the treatment of HSV-infection on the basis of recombinantly produced antibodies, which may be humanized. These antibodies are capable of blocking both viral mechanisms to spread within a host. They effectively neutralize cell-free virus particles and inhibit the direct cell-to-cell spread of the virus. Since the antibodies specifically bind to a highly conserved epitope of the surface glycoprotein B (gB) of the HSV1 and HSV2 envelope, which is essential for the viral replication cycle, development of drug resistance is most unlikely.
Even though the effect of the murine antibody of the invention has in part already been described, c.f. Eis-Hübinger et al., Intervirology (1991); 32:351-360 and Eis-Hübinger et al., Journal of General Virology (1993); 74: 379-385, the antibody itself or the sequence of the complementarity determining regions (CDR) of the antibody of the invention as well as the epitope with which it binds to has never been published or made available to the public.
In summary, the (humanized) antibody provides one or more of the following advantages:

    
    
        The efficacy of the murine monoclonal antibody of the invention has already been proven (c.f. Eis-Hübinger et al., 1991; Eis-Hübinger et al., 1993). Moreover, the inventors show in the Examples section that the humanized antibody of the invention is also able to neutralize in vitro HSV1 and HSV2 viral infection and to inhibit viral spreading by inhibiting the “cell-to-cell spread” mechanism. In the context of infection progression in humans, the human immune system is not capable to generate antibody specificities for efficiently preventing HSV1/2 typical cell-to-cell spread.
        The often and long-lasting prophylactic as well as therapeutic application of conservative chemotherapeutic agents such as acyclovir and foscarnet leads to an increase of the formation of resistant viral strains. This problem of resistance may be overcome by the (humanized) anti-HSV antibody described herein, administered alone or in combination with a virustatic agent such a acyclovir and/or foscarnet, since it relies on a different mechanism of action.
        The antibody described herein specifically binds an epitope of the HSV gB protein. Development of HSV-resistance against the antibody of the invention is not to be expected, since mutations in the gB-protein lead to loss of viral infectivity.
        Patients in which the systemic administration of conventional virustatic agents is contraindicated profit particularly from the (humanized) antibody described herein.
    
    


SUMMARY OF THE INVENTION
Accordingly, an antibody, comprising the complementarity determining regions shown in SEQ ID NO: 1, SEQ ID NO: 2, SEQ ID NO: 3, SEQ ID NO: 4, SEQ ID NO: 5, and SEQ ID NO: 6 is provided. Additionally, an antibody is provided, which recognizes the same epitope as the antibody comprising the complementarity determining regions shown in SEQ ID NOs: 1-6. Furthermore, a pharmaceutical composition comprising of an effective amount of the antibody described herein and at least one pharmaceutically acceptable excipient is also provided.
Moreover, an expression vector, comprising a nucleotide sequence which encodes the antibody as defined in the claims, a cell comprising of the said nucleotide sequence, and a hybridoma cell capable of producing the said antibody is provided.
Finally, the antibody as defined in the claims for use in medicine, and the use of the antibody as defined in the claims for the manufacture of a medicament for the prophylactical or therapeutical treatment of HSV-associated diseases in a subject are as well provided herein.
The various aspects of the invention as defined in the independent claims and the preferred embodiments contained in the dependent claims are herewith incorporated by reference.
DETAILED DESCRIPTION OF THE INVENTION
Accordingly, in a first aspect, the invention relates to an antibody, comprising the complementarity determining regions shown in SEQ ID NO: 1 (TSGMSVG), SEQ ID NO: 2 (HIWWNNDKYYKPALKS), SEQ ID NO: 3 (IYYGYRPYAMDY), SEQ ID NO: 4 (RSSQSIVHSNGNTYLE), SEQ ID NO: 5 (KVSNRFS), and SEQ ID NO: 6 (FQGSHVPWS). Antibodies or immunoglobulins are gamma globulin proteins consisting in their natural form of two large heavy chains and two small light chains linked by disulfide bonds (c.f. FIG. 3). There are five types of mammalian Ig heavy chain: α, δ, ε, γ, and μ. The type of heavy chain present defines the class (isotype) of the antibody; these are IgA, IgD, IgE, IgG, and IgM antibodies, respectively. Each heavy chain has two regions, the constant region and the variable region. The constant region is nearly identical in all naturally occurring antibodies of the same isotype of the same species. A light chain also consists of one constant domain and one variable domain. In mammals there are two types of immunoglobulin light chain, lambda (λ) and kappa (κ).
Although the general structure of all antibodies is very similar, the unique property of a given antibody is determined by the variable (V) regions. More specifically, variable loops, three each on the light (VL) and three on the heavy (VH) chains, are responsible for binding to the antigen, i.e. for its antigen specificity. These loops are referred to as the Complementarity Determining Regions (CDRs). Because CDRs from both VH and VL domains contribute to the antigen-binding site, it is the combination of the heavy and the light chains, and not either alone, that determines the final antigen specificity.
The term “antibody”, as used herein, means any polypeptide which is capable of binding to an antigen, wherein the binding specificity is determined by the CDRs shown in SEQ ID NOs: 1 to 6. Hence, “antibody” is intended to relate to any polypeptide which comprises of at least one antigen binding fragment. Antigen binding fragments consist of at least the variable domain of the heavy chain and the variable domain of the light chain, arranged in a manner that both domains together are able to bind to the specific antigen. An “antibody” includes a complete antibody, or antibody fragments, e.g. Fab-, F(ab)2- or scFv-fragments (c.f. also FIG. 3).
With regard to the term “complete antibody”, any antibody is meant that has a typical overall domain structure of a naturally occurring antibody (i.e. comprising a heavy chain of three or four constant domains and a light chain of one constant domain as well as the respective variable domains), even though each domain may comprise of further modifications, such as mutations, deletions, or insertions, which do not change the overall domain structure.
An “antibody fragment” also contains at least one antigen binding fragment as defined above, and exhibits the same function and specificity as the complete antibody from which the fragment is derived. Fab fragments may be generated by using the enzyme papain to cleave an immunoglobulin. The enzyme pepsin cleaves below the hinge region and, thus, below the disulfide bonds, so that an F(ab)2 fragment is formed. Moreover, the variable regions of the heavy and light chains can be fused together to form a single chain variable fragment (scFv).
In addition, the term “antibody” is intended to comprise of all above-mentioned immunoglobulin isotypes, i.e. the antibody may be an IgA, IgD, IgE, IgG, or IgM antibody, including any subclass of these isotypes. Preferably, the antibody is an IgG antibody, more preferably an IgG1 or IgG2 antibody. Since the antibody may be expressed and produced recombinantly, the antibody may also comprise of two different constant regions of heavy chains, e.g. one IgG1 and one IgG2 heavy chain, or heavy chains from different species. However, the heavy chains are preferably from the same species. Moreover, the antibody may comprise of either a lambda or a kappa light chain.
As shown in Example 2, the valency of the antibody has a big influence on the efficacy to mediate viral neutralization and inhibit cell-to-cell spread, and the best results have been shown with bivalent antibodies, i.e. with an antibody having two antigen binding regions. Examples for bivalent antibodies are complete antibodies or bivalent antibody fragments, such as an F(ab)2-fragment. Therefore, in a preferred embodiment, the antibody is a bivalent antibody, preferably wherein the antibody is a complete antibody or an antibody fragment, in particular wherein the antibody fragment is an F(ab)2 fragment. In an alternatively preferred embodiment, the antibody is a multivalent antibody, i.e. an antibody having more than two binding-sites, including recombinant antibodies or fragments thereof, preferably a triabody or a tetrabody, or whole immunoglobulins such as an IgM pentamer or linked immunoglobulins. These antibody formats are known in the art.
In another preferred embodiment, the antibody is a monoclonal antibody, preferably wherein the antibody is a murine antibody, a chimeric antibody or a humanized antibody, more preferably wherein the humanized antibody is derived from a human germline sequence, as discussed below. A chimeric antibody is an antibody in which at least one region of an immunoglobulin of one species is fused to another region of an immunoglobulin of another species by genetic engineering in order to reduce its immunogenicity. An example for a chimeric antibody is shown in FIG. 3A, which depicts murine VL and VH regions fused to the remaining part of a human immunoglobulin. A particular type of chimeric antibodies are humanized antibodies. Humanized antibodies are produced by grafting the DNA that encodes the CDRs of a non-human antibody into human antibody framework coding DNA. The resulting DNA construct can then be used to express and produce antibodies that are usually not as immunogenic as the non-human parenteral antibody or as a chimeric antibody, since merely the CDRs are non-human.
In one preferred embodiment, the antibody is capable of inhibiting the spreading of HSV infection from an infected cell to an adjacent second non-infected cell (cell-to-cell spread). Cell-to-cell spread is the ability of the herpes virus to spread from one infected cell to an adjacent non-infected cell, without releasing cell free particles. In order to examine whether an antibody is capable of inhibiting the spread of HSV from an infected cell to an adjacent second non-infected cell (cell-to-cell spread), the following assay can be used.
Vero cells grown to confluency on glass cover slips in 24-weel tissue culture plates are infected for 4 h at 37° C. with a constant virus amount of 400 TCID50/well. One median tissue culture infective dose (1 TCID50) is the amount of a cytopathogenic agent, such as a virus, that will produce a cytopathic effect in 50% of the cell cultures inoculated. The virus inoculum is subsequently removed, the cells washed twice with PBS and further incubated for 2 days at 37° C. in 1 ml DMEM, 2% FCS, Pen/Strep containing an excess of either different anti-HSV antibodies or polyclonal anti-HSV control serum in order to prevent viral spreading via the supernatant Viral antigens of HSV-infected cells are detected with a fluorescence labelled polyclonal goat-anti-HSV-serum (BETHYL Labolatories, Montgomery, Tex. USA, Catalog No. A190-136F, Lot No. A190-136F-2).
Preferably, an antibody is capable of inhibiting cell-to-cell spread if less than 20% of the adjacent cells are infected, preferably wherein less than 15%, less than 10%, less than 5%, more preferably less than 3% and most preferably less than 1% of the adjacent cells are infected in the above assay.
Still, in a further preferred embodiment, the antibody has a dissociation constant KD of at most 40 nM, preferably at most 30 nM, more preferably at most 20 nM, even more preferably at most 15 nM, such as at most 13 nM, at most 10 nM, and most preferably at most 7 nM. The KD represents the dissociation constant as a measure of the propensity of a complex to dissociate reversibly into its components (i.e. the affinity of the antibody for the antigen) and is the inverse of the association constant. The KD may be calculated from the Scatchard equation and methods for determining KD are well known in the art.
In an additional preferred embodiment, the antibody in a concentration of at most 20 nM, preferably of at most 16 nM, more preferably of at most 12 nM, such as of at most 10 nM, e.g. at most 8 nM or at most 6 nM, and most preferably of at most 4 nM is capable of neutralizing a defined amount of HSV of 100 TCID50 to more than 80%, preferably by more than 90%, such as more than 95%, more preferably more than 96%, e.g. more than 97%, and most preferably more than 98%, e.g. more than 99% or even 100%. “Neutralizing” herein means that the antibody opsonizes the virus so that it cannot infect any further cell. An assay for testing whether an antibody in a concentration of at most 20 nM is capable of neutralizing a defined amount of HSV of 100 TCID50 is provided in Eis-Hübinger et al., 1991, and Eis-Hübinger et al., 1993, and in Examples 1 and 2 below.
Moreover, in one preferred embodiment, the antibody comprises of an amino acid sequence with at least 70%, preferably at least 75%, at least 80%, more preferably at least 85%, at least 90%, even more preferably at least 95%, and most preferably 98% (overall) sequence identity in the framework regions compared to the amino acid residues shown in positions 1 to 30, 38 to 51, 68 to 99, and 112 to 122 (or positions 1 to 30, 36 to 49, 66 to 94, and 103 to 113 according to the numbering by Kabat, respectively) of SEQ ID NO: 9 and in positions 1 to 23, 40 to 54, 62 to 93, and 103 to 113 (or positions 1 to 23, 35 to 49, 57 to 88, and 98 to 108 according to the numbering by Kabat, respectively) of SEQ ID NO: 10, as illustrated in FIG. 4.









SEQ ID NO: 9:



QVTLKESGPG ILLPSQTLSL TCSFSGFSLS TSGMSVGWIR



 



QPSGKGLEWL GHIWWNNDKY YKPALKSRLT ISKDTSNKQV



 



FLKIASVVTA DTATYYCARI YYGYRPYAMD YWGQGTSVTV



 



SS



 



SEQ ID NO: 10:



DVLMTQTPLS LPVSLGDQAS ISCRSSQSIV HSNGNTYLEW



 



YLQKPGQSPK LLIYKVSNRF SGVPDRFSGS GSGTDFTLKI



 



SRVEAEDLGV YYCFQGSHVP WSFGGGTKLE IKR






A polypeptide has “at least X % sequence identity” in the framework regions to SEQ ID NO: 9 or 10, if SEQ ID NO: 9 or 10 is aligned with the best matching sequence of a polypeptide of interest, and the amino acid identity between those two aligned sequences is at least X % over positions 1 to 30, 38 to 51, 68 to 99, and 112 to 122 (or positions 1 to 30, 36 to 49, 66 to 94, and 103 to 113 according to the numbering by Kabat, respectively) of SEQ ID NO: 9 and positions 1 to 23, 40 to 54, 62 to 93, and 103 to 113 (or positions 1 to 23, 35 to 49, 57 to 88, and 98 to 108 according to the numbering by Kabat, respectively) of SEQ ID NO: 10. Such an alignment of amino acid sequences can be performed using, for example, publicly available computer homology programs such as the “BLAST” program provided on the National Centre for Biotechnology Information (NCBI) homepage at http://www.ncbi.nlm.nih.gov/blast/blast.cgi, using the default settings provided therein. Further methods of calculating sequence identity percentages of sets of amino acid sequences or nucleic acid sequences are known in the art.
Alternatively, in another preferred embodiment, the antibody comprises of an amino acid sequence with at least 80%, preferably at least 85%, more preferably at least 90%, even more preferably at least 95%, such as 98%, and most preferably 100% (overall) sequence identity in the framework regions compared to the amino acid residues shown in positions 1 to 30, 38 to 51, 68 to 99, and 112 to 122 (or positions 1 to 30, 36 to 49, 66 to 94, and 103 to 113 according to the numbering by Kabat, respectively) of SEQ ID NOs: 7 and positions 1 to 23, 41 to 55, 63 to 94, and 104 to 114 (or positions 1 to 23, 35 to 49, 57 to 88, and 98 to 108 according to the numbering of Kabat, respectively) of SEQ ID NO: 8, as illustrated in FIG. 4. A polypeptide has “at least X % sequence identity” in the framework regions to SEQ ID NO: 7 or 8, if SEQ ID NO: 7 or 8 is aligned with the best matching sequence of a polypeptide of interest, and the amino acid identity between those two aligned sequences is at least X % over positions 1 to 30, 38 to 51, 68 to 99, and 112 to 122 (or positions 1 to 30, 36 to 49, 66 to 94, and 103 to 113 according to the numbering by Kabat, respectively) of SEQ ID NO: 7 and positions 1 to 23, 41 to 55, 63 to 94, and 104 to 114 (or positions 1 to 23, 35 to 49, 57 to 88, and 98 to 108 according to the numbering by Kabat, respectively) of SEQ ID NO: 8. SEQ ID NO: 7 and 8 are derived from human germline sequences. Even though non-germline human immunoglobulin framework sequences are of human origin, it can generally not be excluded that they are not immunogenic. Therefore, the present inventors looked at germline sequences, since they are not hypermutated and, therefore, expected not to be immunogenic. Accordingly, the humanized antibody is preferably derived from a human germline sequence, e.g. from SEQ ID NO: 7 and/or 8. SEQ ID NO: 7 and 8 are as follows:









SEQ ID NO: 7: 



QVTLKESGPA LVKPTQTLTL TCTFSGFSLS TSGMRVSWIR



 



QPPGKALEWL ARIDWDDDKF YSTSLKTRLT ISKDTSKNQV



 



VLTMTNMDPV DTATYYCARX XXXXXXXYFD YWGQGTLVTV



 



SS



 



SEQ ID NO: 8: 



DIVMTQTPLS LPVTPGEPAS ISCRSSQSLL DSDDGNTYLE



 



WYLQKPGQSP QLLIYTLSYR ASGVPDRFSG SGSGTDFTLK



 



ISRVEAEDVG VYYCMQRIEF PWTFGQGTKV EIKR






In the context of the present invention, it has been determined that by using SEQ ID NO:7 and 8 for the generation of the humanized antibody of the invention, no back mutations are required in order to achieve the same affinity as for the parent antibody, which may imply that the corresponding humanized antibody exhibits a very low immunogenicity. Consequently, in the context of the present invention preferably those antibodies are included, which show the same specificity than the antibody comprising SEQ ID NOs: 9 and 10 or SEQ ID NOs 7 and 8, respectively.
In a further preferred embodiment, the antibody is conjugated to an effector moiety, a therapeutic moiety, or a detectable moiety. In this context, the term “conjugated” refers to any method known in the art for functionally connecting protein domains, including without limitation recombinant fusion with or without intervening domains, intein-mediated fusion, non-covalent association, and covalent bonding, e.g., disulfide bonding peptide bonding, hydrogen bonding, electrostatic bonding, and conformational bonding, e.g., biotin-avidin associations. The conjugation to an effector moiety can be either by chemical or recombinant means. Chemical means refers to a reaction between the antibody and the effector moiety such that there is a covalent bond formed between the two molecules to form one molecule.
The term “effector moiety” means a compound intended to have an effect on a cell targeted by the antibody. The effector moiety may be, for example, a therapeutic moiety or a detectable moiety.
A “therapeutic moiety” is a compound intended to act as a therapeutic agent, such as a cytotoxic agent or drug. Examples of compounds are given below for the pharmaceutical composition.
A “detectable label” includes any compound or protein-tag detectable by spectroscopic, photochemical, biochemical, immunochemical, electrical, optical or chemical means, such as a fluorescent label.
The specificity of an antibody may be expressed either by the CDRs or by the epitope to which the antibody is bound. Accordingly, in a second aspect, the invention relates to an antibody which recognizes the same epitope as the antibody of the first aspect. As shown in the Examples section and as illustrated in FIGS. 13A and 13B, this epitope is a discontinuous or rather a pseudocontinuous epitope partially resistant to denaturation located at the amino acids 172-195 and 295-313 of glycoprotein B of HSV1 and HSV2.
In the context of the present application, the epitope of the mAb 2c antibody may be located within the first 487 amino-terminal residues of the gB protein. Preferably, the epitope may comprise at least one amino acid sequence located within the amino acid sequence between position 172 and 307 of the gB protein.
The epitope may comprise the consecutive amino acid sequence 301YGYRE305 of the gB protein, preferably the consecutive amino acid sequence 301YGYREG306 or 300FYGYRE305, more preferably the sequence may be further extended at the termini (i.e., 299PFYGYRE305 or 300FYGYREGS307). The epitope of the antibodies of the present invention may comprise the consecutive amino acid sequence 298-313 (298SPFYGYREGSHTEHTS313) of gB.
Alternatively, the epitope may be located in the consecutive amino acid sequence 172QVWFGHRYSQFMGIFED188. The epitope may comprise the consecutive amino acid sequence 172QVWFGHRYSQFMG184.
Preferably, the epitope may be consisted of more than one consecutive amino acid sequences. The epitope may partly be a discontinuous epitope. More preferably, the epitope may comprise two consecutive amino acid sequences. Such an epitope consisting of two amino acid sequences may be designated as “duotope”. The antibody may bind to both amino acid sequences.
More preferably, the amino acid sequences of the duotope may comprise the amino acid sequence 300FYGYRE305 and an amino acid sequence located between amino acid position 172 and 188. Even more preferably, the epitope may comprise the amino acid sequence 300FYGYRE305 and amino acid sequence 179YSQFMG184 of the gB protein. Alternatively, the epitope or the duotope may be chemically synthesized. The epitope may be an chemically synthesized epitope having the sequence YSQFMG-βA-FYGYRE. The abbreviation βA as used herein refers to beta-alanine.
Most preferably, the epitope may comprise the amino acid sequence FYGYRE and amino acid sequence FED of the gB protein. The epitope may be a chemically synthesized epitope having the sequence FED-βA-βA-FYGYRE or PFYGYREGFEDF.
It may be understood by a person skilled in the art that the epitopes may be comprised in the gB protein, but may also be comprised in a degradation product thereof or may be a chemically synthesized peptide. The amino acid positions are only indicated to demonstrate the position of the corresponding amino acid sequence in the sequence of the gB protein. The invention encompasses all peptides comprising the epitope. The peptide may be a part of a polypeptide of more than 100 amino acids in length or may be a small peptide of less than 100, preferably less than 50, more preferably less than 25 amino acids, even more preferably less than 16 amino acids. The amino acids of such peptide may be natural amino acids or nonnatural amino acids (e.g., beta-amino acids, gamma-amino acids, D-amino acids) or a combination thereof. Further, the present invention may encompass the respective retro-inverso peptides of the epitopes. The peptide may be unbound or bound. It may be bound, e.g., to a small molecule (e.g., a drug or a fluorophor), to a high-molecular weight polymer (e.g., polyethylene glycol (PEG), polyethylene imine (PEI), hydroxypropylmethacrylate (HPMA), etc.) or to a protein, a fatty acid, a sugar moiety or may be inserted in a membrane.
In contrast to the antibody H126 known in the art, the epitope recognised by the mAb 2c antibody of the present invention is not essentially discontinuous. In contrast to H126, the antibody of the present invention can bind to a continuous epitope, thus a consecutive amino acid sequence or may bind to a discontinuous eptitope. Therefore, the properties of the antibody of the present invention are improved. For instance, the mAb 2c antibody can be used for methods in which the target protein is denatured (e.g., SDS page electrophoresis) or for the detection of small linear peptides.
In order to test whether an antibody in question and the antibody of the first aspect recognize the same epitope, the following competition study may be carried out: Vero cells infected with 3 moi (multiplicity of infection) are incubated after 20 h with varying concentrations of the antibody in question as the competitor for 1 hour. In a second incubation step, the antibody of the first aspect is applied in a constant concentration of 100 nM and its binding is flow-cytometrically detected using a fluorescence-labelled antibody directed against the constant domains of the antibody of the first aspect (see also the Examples section and FIG. 6). Binding that conducts anti-proportional to the concentration of the antibody in question is indicative for that both antibodies recognize the same epitope. However, many other assays are known in the art which may be used.
The preferred embodiments of the second aspect are the same as for the first aspect, as described above.
In a third aspect, the invention relates to a pharmaceutical composition, comprising an effective amount of the antibody according to the first or second aspect and at least one pharmaceutically acceptable excipient. However, the term “pharmaceutical composition” may be used interchangeably herein with the term “drug”.
The content of the antibody in the pharmaceutical composition is not limited as far as it is useful for treatment or prevention, but preferably contains 0.0000001-10% by weight per total composition. Further, the antibody described herein is preferably employed in a carrier. The choice of carrier may depend upon route of administration and concentration of the active agent(s) and the carrier may be in the form of a lyophilised composition or an aqueous solution. Generally, an appropriate amount of a pharmaceutically acceptable salt is used in the carrier to render the composition isotonic. Examples of the carrier include but are not limited to saline, Ringer's solution and dextrose solution. Preferably, acceptable excipients, carriers, or stabilisers are non-toxic at the dosages and concentrations employed, including buffers such as citrate, phosphate, and other organic acids; salt-forming counter-ions, e.g. sodium and potassium; low molecular weight (>10 amino acid residues) polypeptides; proteins, e.g. serum albumin, or gelatine; hydrophilic polymers, e.g. polyvinylpyrrolidone; amino acids such as histidine, glutamine, lysine, asparagine, arginine, or glycine; carbohydrates including glucose, mannose, or dextrins; monosaccharides; disaccharides; other sugars, e.g. sucrose, mannitol, trehalose or sorbitol; chelating agents, e.g. EDTA; non-ionic surfactants, e.g. Tween, Pluronics or polyethylene glycol; antioxidants including methionine, ascorbic acid and tocopherol; and/or preservatives, e.g. octadecyldimethylbenzyl ammonium chloride; hexamethonium chloride; benzalkonium chloride, benzethonium chloride; phenol, butyl or benzyl alcohol; alkyl parabens, e.g. methyl or propyl paraben; catechol; resorcinol; cyclohexanol; 3-pentanol; and m-cresol). Suitable carriers and their formulations are described in greater detail in Remington's Pharmaceutical Sciences, 17th ed., 1985, Mack Publishing Co.
The composition may also contain more than one active compound such as a chemotherapeutic agent or a virusstatic agent, including acyclovir, penciclovir, idoxuridin and foscarnet.
Acyclovir, also known as acycloguanosine (ACV) or 2-Amino-9-(2-hydroxyethoxymethyl)-3H-purin-6-on, is a guanosine analogue antiviral drug, marketed under trade names such as, ACERPES®, Acic®, Aciclobeta®, AcicloCT®, Aciclostad®, Aciclovir, Acic®, Ophtal®, Acivir®, AciVision, Acyclovir®, Aviral®, Cyclovir, Helvevir®, Herpex, Supraviran®, Virucalm®, Virupos® Virzin, Zoliparin®, Zovir, and Zovirax®. Penciclovir (2-amino-9-[4-hydroxy-3-(hydroxymethyl)butyl]-6,9-dihydro-3H-purin-6-on) is a guanine analogue antiviral drug, marketed under trade names such as Denavir and Fenistil. Famciclovir (2-[(acetyloxy)methyl]-4-(2-amino-9H-purin-9-yl)butyl acetate) is a prodrug of penciclovir with improved oral bioavailability. Idoxuridin (2′-Desoxy-5-iod-uridin) is a biochemical analogue of the nucleoside uridine and marketed under trade names such as Virunguent® and Zostrum®. Foscarnet is the conjugate base of the chemical compound with the formula HO2CPO3H2 and is marketed under the trade names Foscavir® and Triapten®.
Preferably, the antibody and/or the active compound are included in an effective amount. The term “effective amount” refers to an amount sufficient to induce a detectable therapeutic response in the subject to which the pharmaceutical composition is to be administered.
In a fourth aspect, the invention provides an expression vector, comprising a nucleic acid sequence which encodes the antibody of the invention. Generally, expression vectors are plasmids which are used to introduce a gene in question into a target cell, resulting in the transcription and translation of the protein encoded by the gene, i.e. the antibody. Thus, the expression vector contains regulatory sequences such as promoter and enhancer regions, as well as a polyadenylation signal site in order to direct efficient transcription of the gene carried on the expression vector. The expression vector may also comprise further necessary or useful regions, e.g. a selectable marker for selection in eukaryotic or prokaryotic cells, an origin of replication, etc.
Consequently, in a fifth aspect the invention relates to a host cell, comprising a nucleotide sequence which encodes the antibody of the invention. The host cell may be any cell suitable for expressing the antibody of the invention and includes mammalian cells, yeast cells, and insect cells, preferably mammalian cells, more preferably immortal cell lines such as myeloma cell lines. Suitable cell lines are available at the American Tissue Culture Collection, ATCC.
Moreover, in a sixth aspect, a hybridoma cell, capable of producing the antibody of the first and/or second aspect is provided. Hybridoma cells are engineered cells capable of multiplying rapidly and indefinitely, producing a desired antibody in large amounts. Hybridoma cells are prepared by removing antibody producing B-cells from the spleen of an animal that has been challenged with the relevant antigen, which are then fused with immortal myeloma tumor cells.
In a very important seventh aspect, the invention relates to an antibody according to the invention for use as a drug. More particularly, the invention relates to a use of the antibody of the invention for the manufacture of a drug for the prophylactic or therapeutic treatment of HSV-associated diseases in a subject. Equally, the invention relates to the antibody of the invention for use in the prophylactic or therapeutic treatment of HSV-associated diseases in a subject. Furthermore, the present invention relates to a method of the prophylactic or therapeutic treatment of HSV-associated diseases in a subject, wherein the antibody of the invention is administered to a subject in a therapeutically effective amount.
HSV infection may cause several distinct diseases. Common infection of the skin or mucosa may affect the face and mouth (orofacial herpes), genitalia (genital herpes), or hands (herpes whitlow). More serious disorders occur when the virus infects and damages the eye (herpes keratitis), or invades the central nervous system, damaging the brain (herpes encephalitis). Patients with immature or suppressed immune systems, such as newborns, transplant recipients, or AIDS patients are prone to severe complications from HSV infections. HSV-associated diseases also include herpes gladiatorum, Mollaret's meningitis, possibly Bell's palsy, disorders being associated with cognitive deficits of bipolar disorder, also known as manic depression, manic depressive disorder or bipolar affective disorder, and Alzheimer's disease. With regard to Alzheimer's disease, recent scientific publications demonstrated a striking localization of herpes simplex virus type 1 DNA within the beta-amyloid plaques, suggesting that this virus may be a cause of the plaques. Finally, the use of the antibody according to the invention is useful if the development of resistant strains against common chemotherapeutic virustatic agents is observed, e.g. during long-lasting prophylactical and therapeutical treatment of immunosuppressed patient.
Thus, in a preferred embodiment, the HSV-associated disease is accompanied with one or more of the following features: presence of an oral recidive, presence of a genital recidive, eczema herpeticatum, herpes neonatorum, immune deficiency (immunocompromized patients), immunosuppression, encephalitis, meningitis, meningoencephalitis, eye infections, generalised HSV infections and/or resistance against a virusstatic agent.
In an alternative preferred embodiment, the HSV-associated disease is accompanied with intolerance towards a chemotherapeutic virustatic agent.
In a further preferred embodiment, the drug comprises at least one further active agent, preferably wherein the further active agent is a chemotherapeutic agent or a virusstatic agent, more preferably wherein the further active agent is selected from the group consisting of acyclovir, penciclovir, idoxuridin and foscarnet, as described above.
In a final preferred embodiment the subject is a mammal such as a dog, cat, pig, cow, sheep, horse, rodent, e.g. rat, mouse, and guinea pig, or a primate, e.g. gorilla, chimpanzee, and human, preferably the subject is a human.



BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF DRAWINGS
FIG. 1 shows the reduction of HSV replication in vivo by administration of the monoclonal antibody (mAb) 2c after established infection in the vaginal mucous membrane. Immunocompetent (filled symbols) and CD4+ depleted (open symbols) mice were treated on day 3 and 11 post infection (arrows) by intraperitoneal injection (i.p.) with polyclonal HSV immune serum (triangles), with the mAb 2c (circles), or control culture medium (squares).
FIGS. 2A-2B show the effect of mAb 2c on the progression of HSV infection in immunosuppressed (CD4−/CD8−) mice. At day 1 and 3 post infection (indicated by arrows), the animals were administered i.p. either control medium (filled squares), polyclonal HSV immune serum (open squares), or mAb 2c (filled circles). (A) shows the survival rate and (B) the viral replication in the vaginal mucous membrane.
FIGS. 3A-3B are schematic presentations of the mAb 2c derived antibodies and antibody fragments. (A) Complete antibodies: Genetic fusion of murine variable regions (VL, VH; left) to human constant domains (CL, CH1, CH2, CH3; middle) results in a chimeric antibody. In a humanized IgG antibody (right), the hypervariable regions of a murine monoclonal antibody are grafted onto the framework of a human antibody. (B) Antibody fragments: Monovalent Fab fragments (Fab), consisting of the light chain (VL+CL) and the two N-terminal domains of the heavy chain (VH+CH1), or bivalent F(ab′)2 fragments, which are covalently linked by two unpaired C-terminal cysteine residues, can be produced by way of conventional protease digestion. For the generation of the murine scFv antibody (“single chain fragment variable”), the genes coding for the variable domains VH and VL were isolated from the 2c hybridoma cell line and linked by a gene segment coding for a flexible linking peptide (“linker”).
FIGS. 4A-4B show a sequence alignment of the variable heavy and light chain domain (VH and VL). The antigen binding site is defined according to Chothia (Chothia and Lesk, 1987; Chothia et al., 1989) (dotted line) and Kabat (Kabat and Wu, 1991) (dashed line). The Human germline sequences DP28 (SEQ ID NO: 7) and DPK13 (SEQ ID NO: 8) were taken from the V-Base database (http://vbase.mrc-cpe.cam.ac.uk/) and served as acceptor sequences for the CDRs of the murine mAb 2c. (A) “invariant residues” (Kabat and Wu, 1991); (B) “key residues” (Chothia et al., 1989) and (C) residues at the VH/VL interface (Chothia et al., 1985) are marked with (+) for matching or (−) for non-matching residues between murine and human sequence, respectively. (D) Residues at core sites as defined by Chothia (Chothia et al., 1998) as invariant (i) residue sites; similar (r) residue sites; surface (s) residues R,K,E,D,Q,N; neutral (n) residues P,H,Y,G,A,S,T; and buried (b) residues C,V,L,I,M,F,W respectively; buried neutral residues are marked by x; surface neutral residues are marked by y; non-matching residue sites between murine and human sequence are marked in bold letters; VHhum2c (SEQ ID NO: 55) and VLhum2c (SEQ ID NO: 56), specificity grafted sequences with murine CDR residues shown in bold letters. All residues are shown in the single letter code and numbered according to Kabat (Kabat et al., 1991).
FIG. 5 shows the equilibrium-binding curves of monoclonal antibodies 2c, ch2c and humanized variants hu2c-V1-V4. Specific binding to glycoprotein B on surface of HSV-1 F infected Vero cells was determined by flow cytometry. Binding activity at indicated concentrations is given as median fluorescence intensity (MFI) minus background fluorescence. Measurements were performed in triplicates; standard deviations are shown as bars. Binding affinity constants KD were determined by fitting the antigen binding data to the nonlinear regression model according to the Levenberg-Marquard method.
FIG. 6 shows a competition study which demonstrates the same epitope specificity of the chimeric and humanized antibodies as the parental murine mAb 2c. The chimeric mAb ch2c (open circle) and humanized mAb variants hu2c-V1 (square), -V2 (triangle), -V3 (asterisk), -V4 (diamond) compete with the parental mAb 2c for binding to gB present on the surface of HSV-1 infected Vero cells. Infected Vero cells were incubated first with increasing concentrations of either mAb ch2c or humanized mAbs hu2c-V1-V4, followed by incubation with 100 nM of mAb 2c as competitor. The median fluorescence intensity (MFI) shows the binding of the applied competitor.
FIG. 7 shows that the HSV neutralization activity of the parental mAb 2c and the humanized mAb hu2c-V1 is complement independent. HSV-1 is pre-incubated with medium (control), polyclonal IgG Cytotect® (120 μg/ml), mAb 2c (2 μg/ml), or mAb hu2c-V1 (2 μg/ml) in the presence or absence of 10% human complement before applying onto Vero cells. Plaque development was scored 2 days later.
FIG. 8 shows the efficiency of the humanized mAb h2c-V1 to neutralize HSV-1 and HSV-2 derived from patient isolates clinically resistant to acyclovir (ACV), ACV and Foscarnet (PFA), or ACV, PFA and Cidovir (CDV) in comparison to non-resistant laboratory strains (HSV-1 F, HSv-1 324hv, HSV-1 17 syn+, HSV-2 G), ACV resistant laboratory strain HSV-1 TK− and clinical isolates where resistance has not been investigated. To determine the titer of mAb h2c-V1 for complete virus neutralization several antibody concentrations were incubated for 1 h at 37° C. with 100 TCID50 of HSV-1 or HSV-2 isolates and incubated for 3 days with Vero cells. MAb hu2c-V1 neutralizes HSV-1 laboratory strains HSV-1 F, HSV-1 324 hv, HSV-1 17 syn+, HSV-1 TK− completely at concentrations of 7.8-15.6 nM. HSV-1 clinical isolates are neutralized by mAb h2c-V1 similarly irrespective of their resistance profile. Furthermore, the same neutralization efficiency of mAb hu2c-V1 was shown for strain HSV-2 G and ACV-resistant HSV-2 isolates at concentrations of 31.3-62.5 nM.
FIGS. 9A-9F show the inhibition of the viral cell-to-cell spread by the anti-HSV antibody of the invention. Vero cells infected with HSV-1 F for 4 h were washed twice and incubated with medium containing an excess of either human polyclonal anti-HSV control serum (1:20) (A), the murine mAb 2c (500 nM) (B), 2c-derived antibody fragments F(ab′)2 (500 nM) (C) or Fab (3000 nM) prepared by enzymatic digestion (D), the chimeric mAb ch2c (500 nM) (E), or with the humanized mAb variant 1, hu2c-V1 (500 nM) (F), respectively. Two days after infection spreading of the virus was detected with fluorescence labeled polyclonal goat-anti-HSV serum using a Leica DM IRE2 confocal microscope at 40-fold magnification. Neutralization titre of the human polyclonal anti-HSV was previously determined 1:160 using 100 TCID50 in a volume of 100 μl. The anti-HSV serum at a dilution of 1:20 cannot prevent the spreading of virus to adjacent cells. Cell-to-cell spread could be successfully inhibited by 500 nM of either the murine mAb 2c, the 2c-F(ab′)2-antibody fragment, the chimeric and the humanized mAb. The monovalent 2c-Fab-fragment at the highest tested concentration of 3.000 nM was not able to completely inhibit the cell-to-cell spread.
FIG. 10 shows the survival of NOD/SCID mice intravaginally infected with HSV-1 after passive immunization with anti-HSV mAbs. Mice received 24 h prior to infection intravenously PBS (cross), 2.5 mg/kg (squares), 5 mg/kg (triangles), or 15 mg/kg (circles) of either the parental mAb 2c (open symbols) or the humanized mAb hu2c-V1 (closed symbols). Mice were infected intravaginally with 1×106 TCID50/20 μl of the neurovirulent HSV-1 strain F. Infected mice with symptoms of weight loss, vulvitis/vaginitis or neurological diseases were killed, and their organs examined for infectious virus by titration on Vero cell monolayers as described previously. Non-infected mice were killed at day 30. Animals per group n=7.
FIG. 11 shows the protection of NOD/SCID mice by systemically applied antibodies against HSV-1 dissemination. Starting 24 h post-infection mice received either 15 mg/kg mAb 2c or humanized mAb hu2c-V1 three times intravenously at time points indicated by arrows (24 h, 40 h, 56 h). Infected animals per group n=7.
FIG. 12 shows that NOD/SCID mice infected intravaginally with a patient derived HSV-1 isolate resistant towards Acyclovir, Foscarnet and Cidovovir were significantly protected against lethal encephalitis upon treatment intravenously at 24 h, 40 h, and 56 h post infection with 15 mg/kg humanized mAb hu2c-V1. Mice receiving twice daily standard treatment with Acyclovir all died within 28 days.
FIGS. 13A continued-13B show the epitope localization of mAb 2c to gB. (A) shows an amino acid sequence alignment of glycoprotein B (gB) of HSV 1 and HSV2. Shown is an alignment of the gB protein amino acid sequence of the following strains (corresponding NCBI accession number in brackets): HSV1 strains KOS (P06437; SEQ ID NO: 12), F (P06436; SEQ ID NO: 11), gC-39-R6 (ABM66850; SEQ ID NO: 13), and HSV2 strains 333 (ABU45423; SEQ ID NO: 15), HG52 (P08666; SEQ ID NO: 14), and MMA (AAB60547; SEQ ID NO: 16). The signal sequence of gB is underlined. The mature gB starts at position 31 with the amino acids AP. Numeration of amino acids is shown for gB including the signal peptide sequence. Epitop numerations are accordingly. MAb 2c binds to two separate regions within gB (boxed sequence regions) as shown by peptide microarrays. Amino acids 299PFYGYRE305 has been shown to be essential for binding of mAb 2c. (B) Characterization of mAb 2c according to its reactivity with recombinant gB under different Westernblot conditions. Recombinant gB (730t) was resolved on a 8% SDS-PAGE under native (N) or denaturating (D) conditions, transferred to a nitrocellulose membrane and incubated for 1 h in TNT-blocking buffer containing 2% milk. The membranes were probed with gB specific monoclonal antibodies mAb H1817, mAb H126, or mAb 2c and binding to gB was detected by HRP-conjugated polyclonal goat-anti-mouse serum and chemiluminescence. For controls mAbs H1817 and H126, recognizing a continuous (Bender et al., 2007) and a discontinuous epitope (Kousoulas et al., 1988), respectively, were used. A typical staining pattern for a linear epitope was obtained in Western blot analysis with mAb H1817 showing detection of monomeric and trimeric forms of gB under non-reducing conditions and sole predominant staining of gB monomer under reducing conditions. As expected, mAb H126 reacted with gB only under native conditions. Recognition of solely the upper gB protein band>170 kDa indicates that mAb H126 binds specifically the trimeric gB. MAb 2c reacted with native and denatured gB, however, reactivity under denaturing conditions was much weaker compared with mAb H1817 and indicates that mAb 2c binds to a discontinuous epitope that seems to be either resistant to denaturation or refold during SDS-PAGE electrophoresis and is therefore termed “pseudocontinuous” epitope (Bender et al., 2007). Molecular mass (kDa) is indicated on the left and migration of gB trimer and monomer on the right.
FIGS. 14A-14B show the peptidemapping of mAb 2c to gB. (A) Schematic localization of binding regions A and B identified on a peptide-library spanning the extracellular domain of gB from amino acids 31 to 505. The 13meric peptides were synthesized on a continuous cellulose membrane with an offset of 3 amino acids and bound mAb 2c was detected with a peroxidase-conjugated secondary antibody by chemiluminescence. Functional domains I-V corresponds to the crystal structure of gB by Heldwein et al. and regions not solved in the crystal structure are shown in grey (24), S, signal sequence. (B) Fluorescence signal intensities from high resolution laser scans with 13meric peptides immobilized on glass slides via a flexible linker (SEQ ID NOs: 18 and 57-63).
FIG. 15 shows the localization of neutralizing mAb 2c epitopes on the gB crystal structure (PDB-ID 2GUM). The ribbon diagram of the gB trimer is shown. Asterisks indicate the fusion loops of two protomers, fusion loops of the third protomer are not visible. The mapped residues of the discontinuous mAb 2c epitope, F175 to A190 and F300 to E305, are indicated in surface representation by dark grey for one protomer and by light grey for both other protomers.
FIG. 16 shows the duotopescanning of mAb 2c. Consensus sequences (underlined) of mAb 2c binding regions A and B (dashed bars; SEQ ID NOs: 18 and 64-65) were synthesized as duotopes (white and black bars; SEQ ID NOs: 66-77) joined either directly or separated by one or two β-alanine spacers (B, B-B). Reactivity of mAb 2c with duotopes was recorded by fluorescence signal intensities from high resolution laser scans.
FIGS. 17A-17B show the equilibrium-binding curves for mAb 2c, 2c-F(ab′)2, 2c-Fab, and 2c-scFv as determined by flow cytometry. Binding activities to (A) HSV-1 F or (B) HSV-2 G infected Vero cells at indicated concentrations are shown as percent of maximum median fluorescence intensity. Experiments were twice performed in triplicate; bars represent standard deviations.
FIGS. 18A-18B show the inhibition of HSV-1 virion attachment by mAb 2c to target cells. Serial dilutions of (A) mAb 2c (0.98-125 nM) or (B) polyvalent human gamma globulin (Intratect®) (0.33-42 μM) were added to Vero cell monolayers in 96-well microtiter plates following pre-incubation with 100 TCID50 HSV-1 (pre-attachment neutralization) or post-adsorbtion of 100 TCID50 HSV-1 to target cells (post-attachment neutralization). The highest antibody and polyvalent human IgG titer, respectively, preventing virus induced cytopathic effect (CPE) in ten individual inoculated cell monolayers to 100% and 50% relative to controls were determined after 72 h incubation at 37° C. and being considered as the endpoint. Standard errors of the mean of three independent experiments were <0.1.
FIGS. 19A-19B show the effect of valency of anti-gB antibodies on in vitro neutralization of HSV. (A) Dilutions of bivalent antibodies mAb 2c (IgG) and 2c-F(ab′)2, and monovalent 2c-Fab were incubated for 1 h with 100 TCID50 HSV-1 F or HSV-2 G before inoculation onto Vero cells. CPE was scored 72 h later as described in FIG. 3. Shown are antibody concentrations required to neutralize 100% of the viral inoculum from one of three representative replicate experiments. (B) Antiviral activity of 2c-Fab fragments cross-linked with murine anti-Fab IgGs.
FIG. 20 shows the dose-dependent survival of mAb 2c treated immunodeficient mice. NOD/SCID mice received different single dosages of mAb 2c intravenously 24 h before intravaginal challenge with 1×106 TCID50 HSV-1. Animals per group n=7 for PBS, n=9 all other groups.
FIG. 21 shows the elimination of an established HSV-1 infections from genital mucous membranes in NOD/SCID mice by systemically applied mAb 2c or humanized mAb hu2c-V1 against HSV-1 dissemination. Starting 24 h post-infection mice received 15 mg/kg mAb 2c (open symbols) or humanized mAb hu2c-V1 (closed symbols) three times intravenously at time points indicated by arrows (24 h, 40 h, 56 h). Vaginal virus titers of antibody or control treated mice were determined from vaginal irrigations cultured on Vero cell monolayers. Error bars indicate standard deviation.
FIG. 22 shows the peptide scanning on the HSV-1 gB sequence from amino acid 31 to 505. Cellulose membrane-bound 15-mer peptides with an overlap of 12 amino acids (15/12 scan) resulting in a total of 155 different peptide spots were incubated with MAb 2c. Peptide-bound MAb 2c was detected using a peroxidase-labeled anti-mouse IgG Fab fragment and a luminol-like chemiluminescence substrate. MAb 2c was found to bind to a triplet (peptides 49-51; SEQ ID NOs: 43 and 78-79) and a doublet (peptides 90-91; SEQ ID NOs: 80-81) of consecutive gB peptides designated binding sites A and B. The gB sequence common to the peptides from each site is highlighted in bold letters (below) and represents the gB sequence from residues 181 to 189 and residues 301 to 312.
FIG. 23 shows the peptide scanning on the HSV-1 gB sequence from amino acid 296 to 315 (SEQ ID NOs: 82-89). Cellulose membrane-bound 13-mer peptides, each peptide shifting along the sequence by one amino acid (13/12 scan) and synthesised in duplicate, were incubated with MAb 2c followed by chemiluminescence western blotting detection. Binding of MAb 2c was observed to a series of five peptides. The sequence common to the five reactive peptides is 300FYGYREGSH308.
FIG. 24 shows the key motif scan on the gB sequence from residue 295 to 315. The HSV-1 gB sequence from amino acid 295 to 315 was dissected into hexameric peptides, each shifting along the sequence by one amino acid, resulting in a total of 16 peptides (SEQ ID NOs: 90-105). The gB-derived sequence was framed by four randomized residues at each, N- and C-terminus. Two consecutive peptides representing gB sequence 300FYGYRE305 and 301YGYREG306 were identified to bind MAb 2c. The sequence common to these peptides is highlighted in bold letters (peptide 6 & 7).
FIG. 25 shows the elimination kinetics of HSV-1 in the genital mucous membranes of C57BL/6 mice receiving passively transferred polyclonal immune serum (open square, filled square), MAb 2c (open circle, filled circle), or precipitated culture medium as control (open triangle, filed triangle) 24 hours before virus inoculation. Data from mice inoculated with wild-type (wt) strain F and its mutant derivatives R126 (Y303N), R1375 (R304Q), R1435 (H308Y), and R233 (R328H) are given by open symbols, data from mice inoculated with wild-type strain KOS 321 and its mutant derivative B4.1 (E305K) are given by closed symbols. Range of S.E. (log10) and no. of mice inoculated: wt strain F, open square, ±1.5 to 0, 12 mice; open circle, ±0.4 to 0, 7 mice; open triangle, ±1.3 to 0, 9 mice; wt strain KOS, filled square, ±1.4 to 0, 8 mice; filed circle, ±0.6 to 0, 8 mice; filed triangle, ±1.4 to 0, 8 mice; F mutant strain R126 (Y303N), open square, ±0.6 to 0, 5 mice; open circle, ±0.6 to 0, 6 mice; opetriangle, ±0.5 to 0, 6 mice; F mutant strain R1375 (R304Q), open square, ±1.2 to 0, 11 mice; open circle, ±1.3 to 0, 10 mice; open triangle, ±1.2 to 0, 11 mice; KOS mutant strain B4.1 (E305K), filled square, ±0.9 to 0, 12 mice; filled circle, ±0.7 to 0, 12 mice; filed triangle, ±0.9 to 0, 10 mice; F mutant strain R1435 (H308Y), open square, ±1.4 to 0.6, 6 mice; open circle, 0, 5 mice; open triangle, ±1.0 to 0.6, 6 mice; F mutant strain R233 (R328H), open square, ±1.0 to 0, 5 mice; open circle, ±0.1 to 0, 5 mice; open triangle, ±1.1 to 0, 6 mice.
FIG. 26 shows the comparison of the reactivity of MAb 2c to peptide 90 (see FIG. 22, gB sequence 298SPFYGYREGSHTEHT312; left; SEQ ID NO: 17), and a peptide designed to comprise the critical residues of site B, a glycine linker, and the motif FEDF derived from site A (PFYGYRE-G-FEDF; right; SEQ ID NO: 52).



EXAMPLES
The present invention is further described by the following examples which should not be construed as limiting the scope of the invention.
Example 1
Preparation of a Murine Monoclonal Antibody (mAb) 2c with Specificity for Glycoprotein B (gB) of Herpes Simplex Virus Type 1 and Type 2 (HSV1, HSV2)
For the generation of an anti-HSV specific mAb, BALB/c mice have been immunized with the UV-inactivated HSV1-strain 342 hv. Subsequently murine splenocytes were immortalized by somatic fusion to the myeloma cell line X63-Ag8.653 and a hybridoma cell line secreting the anti-HSV-specific mAb 2c (IgG2a) was isolated by screening the supernatants of single cell clones using enzyme immunoassays, immunofluorescence assays as well as HSV-neutralization assays. Binding studies revealed that mAb 2c recognizes a shared, discontinuous epitope of glycoprotein gB of HSV1 and HSV2. Glycoprotein B is about 904 amino acids long and is integrated as a trimer in the viral membrane and in the membrane of HSV1/2 infected cells. It is of particular relevance that mAb 2c not only neutralizes the spreading of extracellular viral particles, but also effectively inhibits the direct pathway of infection from the initially infected cell to adjacent non-infected cells (cell-to-cell spread), which is characteristic for HSV. The latter process is usually not to be inhibited by the naturally occurring HSV-specific antibody repertoire in humans.
In order to examine the in vivo efficacy of the mAb 2c, a pathway of infection in the mouse model has been chosen, which closely resembles the natural infection relations in human. Therefore, C57BL/6J mice were infected by application of the HSV1 strain 342 hv on the intact vaginal mucosa membrane. For inhibition of HSV replication in vivo, mAb 2c was intraperitoneally (i.p.) administered to mice at different time points post infection. In both immunocompetent and CD4+ T cell depleted animals, mAb 2c is capable of inhibiting the viral propagation in the vaginal mucosa membrane and the formation of inflammatory lesions within a short period of time (FIG. 1).
In contrast to polyclonal HSV serum, mAb 2c was capable to inhibit viral replication as well as to prevent a generalized, lethal progressing disease with a high efficiency in immunosuppressed animals with completely depleted T cells (CD4+ and CD8+) (FIG. 2). Administration of mAb 2c 24 h prior to viral inoculation efficiently protected the animals against infection (Eis-Hubinger et al., 1993).
In order to examine the influence of the number of antigen binding sites (valency) and the Fc-part on the neutralizing properties, Fab- and F(ab′)2-fragments of the mAb 2c were generated by conventional protease digestion as well as a recombinant “single chain Fv” (scFv) of mAb 2c was cloned, produced and purified (FIG. 3) using methods well known in the art.
The affinity constants (KD) were determined flow cytometrically using HSV-infected Vero cells expressing the gB-protein as membrane associated glycoprotein on the cell surface during the natural HSV replication cycle, as a method well known in the art. The results are shown in Table 1 below.







TABLE 1







Affinity constants (KD) of the murine mAb 2c and


of the generated 2c antibody fragments









Strain:










HSV-1 F
HSV-2 G









Valency:











bivalent
monovalent
bivalent













2c IgG
2c-F(ab′)2
2c-Fab
2c-scFv
2c IgG
















KD [nM]
10
7
17
19
10









In comparison to the parenteral mAb 2c, the F(ab′)2-fragment exhibits a slightly increased affinity. The Fab- and scFv-fragments have an almost identical affinity, which is, however, due to their monovalency about 1.7- to 1.9-fold weaker than the affinity of the parenteral mAb.
Neutralizing activity of antibodies were determined by a standard end-point dilution assay using Vero cells grown as monolayers in microtiter plates. Briefly, 100 TCID50 of HSV were pre-incubated in 100 μl cell culture medium for 1 h at 37° C. with serial dilutions of antibodies (2c-IgG and F(ab)2: 0.98 nM-125 nM; Fab: 23 nM-3000 nM) before inoculation of Vero cells. After 72 h incubation at 37° C. the antibody concentration required to prevent the formation of virus-induced CPE to 100% was determined as complete neutralization titer. In addition, virus neutralization capacity of monovalent 2c-Fab fragments were determined in the presence of cross-linking antibodies.







TABLE 2







Complete neutralization of a defined virus amount of 100 TCID50









Strain:










HSV-1 F
HSV-2 G









Valency:












bi-
mono-
bi-
mono-



valent
valent
valent
valent

















Concen-
2c IgG
2c-F(ab′)2
2c-Fab
2c IgG
2c-F(ab′)2
2c-Fab


tration
8
4
3000
31
16
3000


[nM]









It could be demonstrated that the parenteral mAb 2c and its F(ab′)2- and Fab-fragments are capable of complete neutralization of HSV1 and HSV2. However, the monovalent antibody fragments show a significantly reduced neutralization efficiency for HSV1/2 in comparison to mAb 2c. A 375-fold and 97-fold higher concentration of the Fab-fragment is necessary for 100% neutralization of HSV1 and HSV2, respectively. The scFv showed a plaque reductive effect but was not able to fully inhibit CPE at the highest tested concentration of 3000 nM (data not shown). The viral neutralization capacity of the monovalent 2c Fab-fragment could be enhanced two-fold by adding an excess of an anti-Fab specific IgG (Jackson ImmunoResearch, Newmarket, England) to the pre-incubation step (not shown). In contrast, the bivalent F(ab′)2-fragment exhibits a virtually two times more efficient neutralization activity for both HSV1 and HSV2 in comparison to the parenteral mAb 2c. In conclusion, the antibody valency plays an important role for its neutralization properties. The higher antibody concentrations required for complete neutralization of HSV-2 can be explained a greater quantity of non-infectious particles produced by HSV-2 compared to HSV-1, as confirmed by RT-PCR determining the DNA copy numbers for HSV-1 and HSV-2 (data not shown).
Further details for the properties of mAb 2c and its production are provided in Eis-Hübinger et al., 1991, and Eis-Hübinger et al., 1993.
Example 2
Chimerization and Humanization of mAb 2c
In order to utilize the murine monoclonal antibody 2c as a therapeutic agent, the antibody was modified using methods of genetic engineering with the aim to reduce or eliminate its immunogenicity during administration to humans, while fully retaining the specificity of the parental antibody. Accordingly, a chimeric and a humanized monoclonal antibody having the same specificity of the mAb 2c were generated (FIG. 3).
First, the authentic genes of the variable heavy and light chain (VH, VL) of the mAb 2c were isolated and amplified from the hybridoma cell line using 5′-RACE (Rapid Amplification of cDNA Ends)-PCR. A chimeric IgG1-antibody (ch2c) was generated by cloning the amplified VH- and VL-genes in expression vectors constructed by our cooperation partner Dr. Grosse-Hovest (Universität Tübingen), which contains the constant regions of the light chain and heavy chain of a human IgG1 isotype. The antibody was finally secreted into cell culture supernatants of stably transfected Sp2/0 murine myeloma cells.
In order to further reduce the immunogenicity, a humanized antibody was constructed. Therefore, the six complementarity determining regions (CDRs) coding gene segments of the mAb 2c (2c VL-CDR1/2/3 and 2c VH-CDR1/2/3) were cloned into suitable human framework immunoglobulin acceptor scaffolds of the human VH and VL germline genes, respectively (CDR grafting). Suitable human germline acceptor scaffolds for cloning the CDR-regions of the light chain and the heavy chain of the mAb 2c were determined by sequence alignment with the corresponding human framework regions of the V-Base database (http://vbase.mrc-cpe.cam.ac.uk/). DP28 showed the highest framework sequence identity to the corresponding murine mAb 2v heavy chain VH sequence (88.5% sequence identity); DPK13 showed the highest framework sequence identity to the corresponding murine mAb 2c light chain VL sequence (88.9% sequence identity). Thus, the CDR coding gene segments of the murine donor-antibody 2c (i.e. 2c VL-CDR1/2/3 and 2c VH-CDR1/2/3) were cloned into acceptor frameworks coding for DP28 and DPK13, respectively.
In the context of humanizing monoclonal antibodies, it is necessary to identify those amino acids in the human framework regions, which might be detrimental to the structural integrity of the introduced murine CDRs and thus to the antigen binding properties. Normally, such amino acids are identified using computer-generated homology models, and positions that appear to be sterically crucial are mutated to the corresponding murine sequence, in order to retain the antigen binding properties of the murine donor-mAb (c.f. Queen et al., 1989). However, potentially crucial amino acids may also be identified using antibody-repertoire databases and evaluating their critical significance on the basis of reference antibodies with a known three-dimensional structure (c.f. Krauss et al., 2003). Accordingly, several potentially crucial amino acids in the VH- and VL-framework region were determined (FIG. 4) and four humanized mAb 2c variants in which these potentially crucial amino acids were successively backmutated to their corresponding murine residue were generated by overlap extension PCR (see Table 3 below).







TABLE 3







Humanized mAb 2c variants with backmutations


in framework regions to murine donor sequence











Backmutation




to the murine 2c




framework



2c CDR grafting
donor-sequence











Humanized mAb variant
VL
VH
VL
VH





h2c-V1
CDR1/2/3
CDR1/2/3
—
—


h2c-V2
CDR1/2/3
CDR1/2/3
—
N76K


h2c-V3
CDR1/2/3
CDR1/2/3
—
N76K, V79F


h2c-V4
CDR1/2/3
CDR1/2/3
I2V
N76K, V79F









The humanized antibody variants h2c-V1-4 were constructed by cloning the humanized VH- and VL-genes in the aforementioned expression vector constructed by our cooperation partner Dr. Grosse-Hovest (Universität Tübingen). The antibody was finally expressed after stable transfection of the murine myeloma cell line Sp2/0. After selection of clones with high specific production rates, the antibodies were quantitatively produced and purified from the cell culture supernatant for further characterization.
Characterization of the Chimeric and Humanized Anti-HSV IgG1 Antibody
The affinity constant (KD) was determined similarly by flow cytometry as described for the parental mAb 2c and the 2c-antibody fragments (c.f. Example 1), using HSV-infected Vero cells. The results are shown in FIG. 5.
The chimeric antibody ch2c retained the affinity of the parental antibody mAb 2c. In the case of the humanized variants sole CDR grafting as for variant h2c-V1 was sufficient enough to preserve an affinity comparable to the murine mAb 2c. Therefore further successive backmutations of human framework residues to the respective murine sequence was not necessary to improve the structural integrity of the antigen binding site. Variant h2c-V2 even exhibits a two-fold lower affinity in comparison to mAb 2c.
In order to demonstrate that the chimeric mAb 2c and the humanized antibody variants mAb h2c 1-4 recognize the same epitope than the parental mAb 2c, competition studies were carried out. HSV-1 infected (3 moi, 20 h) Vero cells were incubated first for 1 hour with increasing concentrations of the chimeric mAb ch2c or the humanized mAbs hu2c V1-V4, respectively. In a second incubation step 100 nM of the parental mAb 2c was added and its binding was detected flow-cytometrically using a fluorescence labelled antibody directed against the murine constant domains (FIG. 6).
The competition study shows that the fluorescence signal representing the binding of the competitor is inversely proportional to the concentration of unlabeled antibodies applied in the first incubation step. This proves that the chimeric mAb and the humanized mAb variants compete with mAb 2c for the same specific binding site and hence recognize the same epitope. The ability of viral neutralization of mAb ch2c and the four humanized variants h2c was examined with purified antibody preparations as described above. The results are shown in Table 4 below. The respective concentrations necessary for 50% and complete HSV neutralization of a defined viral amount of 100 TCID50 are indicated.







TABLE 4







Antibody concentrations required for 50% or complete neutralization


of a defined viral amount of 100 TCID50








concentration
mAb













[nM] required for
2c
ch2c
h2c-V1
h2c-V2
h2c-V3
h2c-V4
















 50% neutralization
4.3
3.5
3.7
5.1
3.3
3.7


100% neutralization
7.8
7.8
7.8
15.6
7.8
7.8









The chimeric mAb ch2c and all humanized mAbs h2c with the exception of mA h2c-V2 neutralize HSV with the same efficiency than the parenteral mAb 2c. The two-fold reduced neutralization efficiency of mAb h2c-V2 correlates with the lower affinity of this variant. For further experimental characterization and pre-clinical evaluation mAb h2c-V1 was chosen, as this variant possess the same affinity and virus-neutralizing properties as the parental antibody mAb 2c. In addition mAb h2c-V1 has in the framework regions no back-mutations to the murine donor sequence and is therefore expected to possess a low immunogenic potential in humans.
The influence of complement on the neutralization activity of the humanized mAb h2c-V1 and the murine mAb 2c was investigated using the plaque-reduction assay. In contrast to human hyperimmune globulin serum (Cytotect®, Biotest AG) the parental mAb 2c and the humanized variant mAb h2c-V1 neutralize HSV complement-independent (FIG. 7). Complement-independent neutralizing antibodies to HSV-1 gB have been described in the literature to neutralize 50% of the viral input with titers between 0.8-160 μg/ml (Navarro et al, 1992, Virology 186). Titers required to neutralize HSV-1 (F) by 50% using the end-point dilution assay of the murine mAb 2c, the chimeric mAb ch2c and the humanized mAb variants are 3.3-5.1 nM, which corresponds to 0.49-0.78 μg/ml (see Tab. 4).
Neutralization assays of clinical isolates of HSV-1 and HSV-2 demonstrate the same susceptibilities to inactivation by the humanized mAb variant h2c-V1 compared to laboratory strains of HSV-1 and HSV-2. Furthermore, mAb h2c-V1 neutralizes HSV from patient isolates clinically resistant to acyclovir (ACV), ACV and Foscarnet (PFA), or ACV, PFA and Cidovir (CDV) with the same efficiency as non-resistant laboratory strains or clinical isolates with unknown resistance (FIG. 8). Hence, the humanized mAb h2c-V1 represents a new potent antiviral agent which overcomes limitations by conventional antiherpetic drugs inducing resistant HSV strains.
For spreading within a host HSV uses two mechanisms: release of cell-free particles and direct, cell-to-cell spread. Cell-cell spread of HSV may confer advantages over cell-free spread, such as more rapid viral replication and dissemination, and resistance to elements of the humoral immune response. In order to examine the cell-to-cell spread by the anti-HSV antibodies, Vero cells were seeded on glass coverslips in a twenty-four-well tissue culture plate, grown to confluency, and inoculated with HSV-1 F at 400 TCID50 per well for 4 h at 37° C. Virus inoculum was aspirated, Vero cells washed twice with PBS and further cultured for 48 h at 37° C. in 1 ml DMEM containing 2% FBS, antibiotics, and either an excess of neutralizing antibodies, human polyclonal anti-HSV-serum or no neutralizing antibodies for control purposes. After 48 h culture medium was removed, Vero cell monolayers washed twice with HEPES buffered saline, and fixed in 4% paraformaldehyde in PBS for 15 min at room temperature. Cell monolayers were rinsed twice with PBS and incubated for 15 min in 500 μl blocking buffer containing 0.05% Tween 20 in HEPES buffered saline. Viral antigens were detected by staining of HSV-1 infected cell monolayers with FITC-conjugated polyclonal goat-anti-HSV serum (BETHYL, Montgomery, Tex., USA) diluted 1:100 in blocking buffer. Cell monolayers were washed three times with PBS and mounted with Mowiol (Calbiochem, San Diego, Calif., USA). Immunofluorescence-positive cells were acquired with a Leica DM IRE2 confocal microscope at a 40-fold magnification (FIG. 9). Human polyclonal anti-HSV-serum (1:20) has no inhibitory effect on the HSV cell-to-cell spread (FIG. 9A). The parenteral mAb 2c and its F(ab)2-fragment inhibit at a concentration of 500 nM the cell-to-cell spread completely and only single HSV-infected cells are detectable (FIGS. 9B&C). The Fab-fragment, which was applied in a six-fold higher concentration of the parenteral mAb 2c reduces in comparison to the human polyclonal anti-HSV serum the cell-to-cell spread slightly, but is not able to inhibit the cell-to-cell spread completely (FIG. 9D). As already shown in the neutralization assay, these results confirm that the bivalence of neutralizing antibodies plays a key role for their ability to inhibit HSV-spreading. The chimeric mAb ch2c and the humanized variant mAb h2c-V1 inhibit the HSV cell-to-cell spread at a concentration of 500 nM as efficient as the parenteral mAb 2c (FIGS. 9E&F). A conventional plaque inhibition assay (Highlander et al., 1988) which was additionally carried out confirmed the results obtained by evaluation with the confocal microscope.
Initial in vivo HSV protection experiments show that a single i.v. dose of 5 mg/kg of the humanized mAb h2c-V1 similarly to the parental mAb 2c prolongs the survival of intravaginally HSV-1 F infected severely immunocompromized mice (NOD-SCID) significantly (FIG. 10). Mice receiving 15 mg/kg of either the humanized mAb h2c-V1 or the parental mAb 2c are fully protected against lethal encephalitis (FIG. 10). Furthermore, the humanized mAb 2c-V1 also confers protection from viral dissemination and lethal encephalitis in the presence of an established peripheral HSV infection. NOD/SCID mice with a high HSV-1 titer in vaginal irrigations at 24 h after viral challenge were completely protected from the lethal outcome of infection when repeatedly treated at 24 h, 40 h and 56 h intravenously with 15 mg/kg of humanized mAb 2c-V1 or mAb 2c (FIG. 11). Moreover, the humanized antibody mAb 2c-V1 also prevented lethal encephalitis in NOD/SCID with established infection of a multi-resistant HSV strain. In contrast, mice receiving Acyclovir all died (FIG. 12).
Epitope Mapping
Binding studies using COS-1 cells transfected with expression plasmids coding for either full-length gB (31-904) or gB mutants with C-terminal truncations at positions 720, 630, 503, 487, and 470 located the epitope recognized by the parental murine mAb 2c within the first 487 amino acids of gB. Further investigations using solid phase bound synthetic 15 amino acid (aa) long peptides with 12 aa overlaps between sequential peptides showed, that mAb 2c maps to a conformational epitope. MAb 2c binds to three consecutive peptides representing the glycoprotein B sequence from aa 175 to 195 (region A). In addition, mAb 2c binds strongly to a peptide representing amino acids 298-312 (298SPFYGYREGSHTEHT312) (SEQ ID NO: 17) and binds moderately to the subsequent peptide representing amino acids 301-315. (FIG. 13A & FIG. 22). Characterization of mAb 2c according to its reactivity on Western blots with recombinant gB (gB(730)t, kindly provided by Florent Bender, University of Pennsylvania, Philadelphia, USA), which was separated under native or denaturating SDS-PAGE conditions, confirms that mAb 2c recognizes a discontinuous epitope that is either partially resistant to denaturation or that reformed during Western blot conditions, and is therefore termed “pseudocontinuous” epitope (Ref Bender, F et al. J. Virol. 2007, 81 p 3872-3841) (FIG. 13B)
In order to identify epitopes in HSV-1 gB protein relevant for the virus-neutralizing activity of mAb2c, monoclonal antibody resistant (mar) HSV-1 mutants with single amino acid (aa) exchanges in their glycoprotein have been studied (Table 5).







TABLE 5







Neutralization and binding activity of mAb 2c towards


monoclonal antibody resistant (mar) HSV-1 mutants











amino acid exchange within




Mar mutant
gB protein of mar mutanta
neutralization %
binding













R126(1;2)
Y->N303
0
−


R1375(3)
R->Q304
0
−


B4.1(4)
E->K305
0
−


R1435(3)
H->Y308
100
+++


R233(1)
R->H328
100
+++





anumbering according to the mature glycoprotein B including signal sequence (FIG. 13A)


(1)Kousoulas et al., 1984


(2)Pellett et la., 1985


(3)Kousoulas et al., 1988


(4)Highlander et al., 1989






Mab 2c did not neutralize mar mutants R126, R1375, and B4.1, but completely neutralized the infectivity of mutants R1435 and R233, respectively. Furthermore, immunofluorescence assays confirmed that mAb 2c does not bind to Vero cells infected with mar mutants R126, R1375, and B4.1. These results indicate that amino acids Y303, R304 and E305 are essential for the neutralization activity of mAb2c. A strong fluorescence signal was obtained using Vero cells infected with mar mutants R1435 and R233.
In particular, the recognition and binding of mAb 2c to amino acids 303-305 of gB was found to be essential for its function (viral neutralization, inhibition of cell-to-cell spread). As this region of gB is highly conserved among HSV-1 and HSV-2 strains, it is assumed that these amino acids belong tho the core fusion machinery of gB and are essential for virus entry. Therefore, occurrence of natural gB-mutants, to which mAb 2c does not bind, is even under high selection pressure unlikely.
Example 3
Determination of Antibody Affinity
Monolayers of Vero cells were infected at 80-90% confluence with HSV-1 or HSV-2 at MOI 3 and harvested the next day by trypsinization followed by washing in PBS. Cell surface binding measurements of 2c antibodies were carried out as described previously (1). Briefly, purified mAb 2c or derived antibody fragments 2c-F(ab′)2, 2c-Fab, and 2c-scFv were incubated in triplicate at concentrations from 0.03 nM-500 nM with 5×105 Vero cells in 100 μl FACS buffer (PBS, 2% FBS, 0.1% sodium azide) for 1 h at room temperature. Cells were washed twice with 200 μl FACS buffer and incubated with FITC-labeled Fab-specific goat-anti-mouse IgG, (15 μg/ml, Jackson ImmunoResearch, Newmarket, Suffolk, England) for detection of bound mAb 2c, 2c-F(ab′)2, and 2c-Fab. Bound scFv was detected by first incubating with saturating concentrations of the anti-c-myc mAb 9E10 (10 μg/ml; Roche, Indianapolis, Ind., USA), followed by two washes and incubation with Fcγ-specific FITC-labeled goat-anti-mouse IgG (15 μg/ml; Jackson ImmunoResearch). Cells were washed twice and resuspended in FACS buffer. Fluorescence was measured on a FACScalibur (BD Bioscience, San Jose, Calif., USA), and median fluorescence intensity (MFI) was calculated using the CellQuestTM software (BD Biosciences). Background fluorescence was subtracted and equilibrium binding constants were determined by using the Marquardt and Levenberg method for nonlinear regression with the GraphPad Prism version 4.0 (GraphPad Software, La Jolla, Calif.).
Epitope Characterization.
Immunoreactivity of mAb 2c with native or denatured truncated glycoprotein B, gB(730)t (4), kindly provided by Roselyn J. Eisenberg and Gary H. Cohen (University of Pennsylvania, Philadelphia, USA) was performed essentially as described (4): Purified gB(730)t (0.75 μg) was resolved on 8% SDS-PAGE under either non-reducing (sample buffer containing 0.2% SDS) or denaturating (sample buffer containing 2% SDS and 155 mM β-Mercaptoethanol, 2 min at 95° C.) conditions and transferred onto nitrocellulose membrane. Membrane strips were blocked with 2% milk in TNT buffer (0.1 M Tris.HCl, pH 7.5, 0.15 M NaCl, 0.05% Tween-20) for 1 hour followed by incubation with 5 μg/ml of glycoprotein B specific antibodies mAb 2c, H126 (Novus Biologicals, Littleton, Colo., USA) and H1817 (Novus) in 2% milk/TNT-buffer for 2 hours at room temperature. Bound antibodies were detected with horseradish peroxidase conjugated polyclonal goat-anti-mouse antibody (1:20,000 QED Bioscience Inc. San Diego, Calif., USA) and chemiluminescence (Thermo Scientific,) using the LAS 3000 Luminescent Image Analyzer (Fujifilm, Tokyo, Japan).
COS-1 cells were transiently transfected by the DEAE-dextran method with plasmids coding either for the full length HSV-1 gB (31-904, pRB9221) or C-terminal deletion mutants truncated at positions 720 (pTS690), 630 (pPS600), 503 (pRB9510), 487 (pRB9509), and 470 (pRB9508). The plasmids were kindly provided by L. Pereira (52, 55) Immunofluorescence assays with transfected cells using mAb2c or control antibodies were carried out as described elsewhere (53).
Peptide Mapping.
Cellulose-bound overlapping 13meric peptides and duotopes were automatically prepared according to standard SPOT-Synthesis protocols as described (20, 34) (JPT Peptide Technologies, Berlin, Germany). In addition, peptides coupled with a reactivity tag and a linker were immobilized chemoselectively on a modified glass surface in three identical subarrays and purified by removal of truncated and acetylated sequences by subsequent washing steps. Peptide microarrays were blocked with TBS containing blocking buffer (Pierce International) for 2 h, and incubated with 10 μg/ml mAb 2c in blocking buffer for 2 h. Peptide microarrays were washed with TBS-buffer containing 0.1% Tween (T-TBS) and peptide-bound antibody on the peptide membrane was transferred onto a PVDF membrane. Anti-mouse IgG either peroxidase-labelled (Sigma) or fluorescently-labelled (Pierce) was used as secondary antibody at a final concentration of 1 μg/ml in blocking buffer. After 2 h incubation and final washing with T-TBS PVDF membranes were analyzed using chemiluminescence substrate (Roche Diagnostics). Glass slide peptide microarrays were washed thoroughly with T-TBS and 3 mM SSC-buffer (JPT Peptide Technologies), dried under nitrogen and scanned using a high resolution fluorescence scanner (Axon GenePix 4200 AL). Fluorescence signal intensities (Light Units, LU) were analyzed using spot-recognition software (GenePix 6.0) and corrected for background intensities from control incubations with secondary anti-mouse IgG.
Virus Neutralization Assay.
Neutralizing activity of antibodies was determined by end-point dilution assay as described previously (16). Briefly, serial dilutions of antibodies were incubated with 100 TCID50 of HSV-1 or HSV-2 for 1 h at 37° C. in cell culture medium. The antibody virus inoculum was applied to Vero cell monolayers grown in microtiter plates and cytopathic effect (CPE) was scored after 72 h incubation at 37° C. The antibody concentration required for reducing virus-induced CPE by 100% was determined as complete neutralization titer. In addition, virus neutralization capacity of monovalent 2c-Fab fragments was investigated in the presence of cross-linking antibodies, by adding an excess of anti-murine Fab IgGs (2600 nM, Jackson ImmunoResearch, Newmarket, Suffolk, England) to the pre-incubation step. For control purposes virus without antibody and antibody alone was used to induce maximal CPE or no CPE, respectively. Virus neutralization assays were repeated at least twice with similar results.
Post-Attachment Neutralization Assay.
Prechilled Vero cell monolayers (4° C. for 15 min) were infected with 100 TCID50 HSV-1 F at 4° C. for 1 h to allow virus absorbtion before serial dilutions of either mAb 2c or a polyvalent IgG preparation from human plasma (Intratect®, Biotest AG, Dreieich, Germany, were added (post-attachment neutralization). To compare pre-attachment versus post-attachment neutralization efficacy of mAb 2c under identical experimental conditions, 100 TCID50 HSV-1 F were incubated for 1 h at 4° C. with the same antibody dilutions before adding to prechilled Vero cell monolayers. Inoculated Vero cells from both assays were incubated for another 1 h at 4° C. before transferred to 37° C. Neutralization titers were determined after 72 h as described in the standard neutralization assay above.
Cell-to-Cell Spread Assay.
Vero cells grown on glass coverslips to confluency were inoculated with HSV-1 F at 400 TCID50 per well in 500 μl for 4 h at 37° C. Virus inoculum was aspirated, Vero cells washed twice with PBS and further cultured for 48 h at 37° C. in the presence or absence of an excess of neutralizing antibodies in 1 ml growth medium with 2% FBS. Pooled human sera derived from immunized donors with high titers of anti-HSV-1 immunoglobulins were used as control at an dilution of 1:20, concentrations of bivalent antibodies mAb 2c and 2c-F(ab′)2 were 500 nM and of the monovalent 2c-Fab 3000 nM. After 48 h culture medium was removed, Vero cell monolayers washed twice with HEPES buffered saline, and fixed with 4% paraformaldehyde in PBS for 15 min at room temperature. To visualize the viral spread cells were rinsed twice with PBS, incubated for 15 min in 500 μl HEPES buffered saline with 0.05% Tween 20 and stained with FITC-conjugated polyclonal goat-anti-HSV serum (1:100, BETHYL, Montgomery, Tex., USA). Stained cells washed three times with PBS were mounted in mounting medium containing 0.2 g/ml Mowiol 4-88 (Calbiochem, San Diego, Calif., USA). Immunofluorescence images were acquired with a Leica DM IRE2 confocal microscope at a 40-fold magnification. Cell-to-cell spread inhibition was tested in addition by postadsorption virus neutralization assay. Vero cells grown to confluency in six-well plates were incubated for 4 h at 37° C. with 200 TCID50 of HSV-1 F in 3 ml DMEM containing 2% FBS, and antibiotics. Cell monolayers were washed twice with PBS and overlaid with warm plaquing medium (DMEM, 5% (w/v) agarose, 10% FBS, antibiotics) containing an excess of neutralizing antibodies or polyclonal human HSV-1 neutralizing sera. Plaque formation was analyzed by light microscopy after 48 h incubation at 37° C.
DNA-Quantification.
HSV-1 and HSV-2 genomes were quantified performing real-time (RT) PCR. DNA was purified from samples containing equivalent amount of infectious particles of HSV-1 and HSV-2 using the automated nucleic acid extraction system MagNA Pure LC System (Roche) according to manufacturer instructions. Viral DNA was then quantified performing RT-PCR (Lightcycler, Roche) using the RealArt HSV-1/HSV-2 quantification kit (Qiagen).
Mouse Protection Experiments.
Anesthetized female nonobese diabetic/severe combined immunodeficient (NOD-SCID) mice (NOD.CB17-Prkdcscid/J, Charles River Laboratories, Research Models and Services, Sulzfeld, Germany), 6-8 weeks of age, were challenged intravaginally with 20 μl inoculum of 1×106 TCID50 HSV-1 F per mouse. Skin glue (Epiglu, Meyer-Haake Medical Innovations, Wehrheim, Germany) was applied onto the vulva to prevent discharge of the virus inoculum. The delivered inoculum induced infection rates>94% as assessed by culture of vaginal lavage. Mice were examined daily after viral inoculation for loss of weight, vulvitis/vaginitis (redness, mucopurulent discharge and signs of inflammation) and neurological disease. Mice displaying any of theses symptoms were sacrificed immediately. Mice were passively immunized by intravenous (i.v.) injection of purified mAb 2c either 24 h prior to viral inoculation for immune prophylaxis or 24 h, 40 h, and 56 h after viral infection for therapeutic treatment. Mice were assessed for infection by determination of virus titers from vaginal irrigations obtained on days 1, 2, 4, 6 and 8 after infection and at the time of death using the endpoint dilution assay on Vero cells. Viral loads in organs (spleen, adrenal gland, lung heart, liver, kidney, spinal cord, and brain) of sacrificed mice were determined after homogenization of organs by titration on Vero cell monolayers as described elsewhere (41). Each test and control group contained 9-10 animals with detectable HSV-1 infection.
Results
Mapping and Analysis of the gB Epitope Recognized by mAb 2c.
The recently determined crystal structure of the ectodomain of gB from HSV type 1 (HSV-1) revealed a multi-domain trimer with five distinct structural domains: domain I (base), domain II (middle), domain III (core), domain IV (crown), and domain V (arm) (24). To characterize the neutralizing epitope of mAb 2c, we tested its reactivity with recombinant gB(730t)(4) in Western blot analysis either under reducing or non-reducing conditions. As controls we used mAb H1817, recognizing a linear epitope (4) and mAb H126 recognizing a discontinuous epitope (33). A typical staining pattern for a linear epitope was obtained in Western blot analysis with mAb H1817 showing detection of monomeric and trimeric forms of gB under non-reducing conditions and sole predominant staining of gB monomer under reducing conditions (FIG. 13B). As expected, mAb H126 reacted with gB only under native conditions. Surprisingly, recognition of solely the upper gB protein band>170 kDa suggests that mAb H126 is trimer specific (FIG. 13B). MAb 2c reacted with native and denatured gB, however, reactivity under denaturing conditions was much weaker compared with mAb H1817 (FIG. 13B). Weak reactivity with gB monomers under denaturing conditions has been previously reported for a set of other neutralizing antibodies binding to discontinuous epitopes that seem to be either resistant to denaturation or refold during SDS-PAGE electrophoresis and therefore termed “pseudocontinuous” epitopes (4).
To identify the specific epitope involved in binding of mAb 2c we used gB derived peptides displayed on peptide microarrays. First, the gB sequence displaying amino acids 31 to 505 was prepared by Spot-Synthesis as overlapping 13meric peptides bound with uncharged acetylated amino terminal ends to a continuous cellulose membrane with an offset of 3 amino acids. To avoid shifting of the binding equilibrium for the non-complexed antibody, mAb 2c peptide scans were immobilized on a PVDF membrane prior to detection by chemiluminescence. As shown in the schematic representation of the full length gB with indicated functional domains (FIG. 14A), mAb 2c reactivity was restricted to peptides spanning two separate regions within domain I, three consecutive peptides comprising residues 175 to 193 (binding region A) and two overlapping peptides comprising residues 295 to 310 (binding region B). To validate both identified binding regions, we used an additional set of purified 13meric peptides immobilized on glass slides via a flexible linker. Compared to the cellulose screen the read-out of this microarray scanning via fluorescence confirmed the same epitope binding regions (FIG. 14B). Due to the application of purified peptides and a high resolution microarray scanning system additional consecutive peptides at both binding sites were recognized by mAb2c in this peptide microarray (FIG. 14B).
We mapped the identified binding sites for mAb 2c to the solved gB structure (24). Interestingly, the peptide 172QVWFGHRYSQFMG184 (SEQ ID NO: 18) showing the strongest reactivity with mAb 2c overlapped with one of the two putative fusion loops (fusion loop 1 173VWFGHRY179) (SEQ ID NO: 19) located in a curving subdomain of domain I (22) (FIG. 15). However, localization of binding site A at the base of the gB trimer makes it inaccessible to mAb 2c in the available gB structure most likely representing the postfusion conformation (24). Residues of binding site B are exposed and located at the upper part of the domain I (FIG. 15).
To further assess the conformation dependent epitope of mAb 2c, consensus sequences of both binding regions were connected in various combinations as duotopes either directly or separated by one or two β-alanine spacers (FIG. 16). It has recently been shown that linker insertions in close proximity to fusion loop 1 after residue E187 result in fusion-deficient gB mutants (40,61), even though gB folds into a postfusion conformation (61). Therefore, we included in addition to the consensus motif 179YSQFMG184 (SEQ ID NO: 20) of binding region A the 186FED188 motif of binding region A into separate duotope scans. Compared to the peptide 172QVWFGHRYSQFMG184 (SEQ ID NO: 18) displaying the strongest binding reactivity with mAb 2c in the 13meric peptide scans (FIG. 16), the combination of both binding site A motifs with the consensus peptide 300FYGYRE305 (SEQ ID NO: 21) of binding site B resulted in two duotopes with enhanced signal intensities (FIG. 16, duotope sets I & II). Whereas binding strength of mAb 2c to duotope 179YSQFMG184-βA-300FYGYRE305 (SEQ ID NO: 22) was only slightly increased, an almost saturation of the fluorescence signal intensity was obtained with duotope 186FED188-βA-βA-300FYGYRE305 (SEQ ID NO: 23).
Thus, the results from the peptide microarrays correspond to the Western blotting results and demonstrate that mAb 2c recognizes a conformation dependent epitope. To prevent fusion of the virion envelope with the cell membrane mAb 2c should bind to the prefusion conformation of gB. However, the neutralizing epitope of mAb 2c maps only in part to the surface of the gB conformation present in the available gB crystal structure (24) and indicates that gB might adopt distinct conformations during entry.
Characterization of mAb 2c Derived Bivalent and Monovalent Antibodies.
Monoclonal antibodies have been used by several investigators to identify regions on gB essential for its function in virus entry (4, 25, 39, 52). It has been suggested that neutralizing antibodies, which have been mapped to a unique functional region at the base of the gB trimer comprising residues of the C-terminal end of domain V and residues of domain I of a proximate protomer, interfere with the fusogenic activity of gB (4). We therefore hypothesized that monovalent antibody binding to the mAb 2c epitope within domain I close to the C terminus of domain V should sufficiently block cooperative conformational changes upon activation of gB. Since mAb 2c neutralizes HSV-1 without complement in vitro (16), we generated conventional F(ab′)2 and Fab fragments and a recombinant single chain fragment variable (scFv) as valuable tools for studying the hypothesized mechanism mediated by mAb 2c. The homogeneity of the generated antibody preparations was monitored by size exclusion chromatography (data not shown).
Flow cytometry analysis using Vero cells either infected or not infected with HSV-1 or HSV-2, respectively, demonstrated specific binding of mAb 2c and mAb 2c derived antibody fragments (data not shown). We further used fluorescence cytometry to determine equilibrium binding curves of the antibodies to HSV-1 and HSV-2 infected Vero cells (FIG. 17). The results of these studies demonstrated higher apparent affinities for the whole IgG and the F(ab′)2 fragment than for the Fab and scFv, respectively (Table 6). The increment in functional affinity (avidity) for the bivalent antibodies relative to the determined affinities of the monovalent antibodies indicates that the bivalent antibodies were able to bind two gB epitopes on the cell surface simultaneously. Bivalent mAb 2c and 2c-F(ab′)2 showed an 1.7-2.8 fold higher apparent affinity compared to their monovalent counterparts. The slight increment in the apparent KD of the F(ab′)2 fragment versus the IgG might be due to the higher flexibility of the antigen binding sites within the F(ab′)2 construct. The similar apparent affinities for mAb 2c, 2c-F(ab′)2, and 2c-Fab to both, HSV-1 and HSV-2 infected Vero cells confirmed that the recognized gB-epitope does not structurally differ between both viruses (Table 6).







TABLE 6







Apparent equilibrium constants of mAb 2c and derived antibody


fragments for binding to HSV-1 F or HSV-2 G infected Vero cells.












IgG
F(ab′)2
Fab
scFv













aKD (nM)
bivalent

monovalent


















HSV-1 F
10.2
6.9
17.3
19.2



HSV-2 G
10.7
8.8
17.7
n.d.







aKD values for binding to gB on HSV-infected cells were determined by fitting the data from the equilibrium binding curves determined by flow cytometry (FIG. 17) to the Marquardt-Levenberg equation.






Neutralization Activity of Monovalent and Bivalent Antibodies In Vitro.
Equal neutralization efficacy of mAb 2c irrespective if the antibody was added before (preattachment) or after (postattachment) HSV-1 virions interacted with Vero cells (FIG. 18A) indicated that mAb 2c does not interfere with virus-binding to target cells. In contrast, the polyclonal human gamma globulin Intratect® clearly neutralized by inhibition of virion attachment to target cells (FIG. 18B). Neutralizing activities of mAb 2c derived fragments F(ab′)2, Fab and scFv were compared with their parental IgG counterpart in a standard neutralization assay on Vero cells. The parental mAb 2c reduced HSV-1 induced cytopathic effect (CPE) by 100% at a concentration of 8 nM. Interestingly, a 4-fold higher mAb 2c concentration was required to completely reduce HSV-2 induced CPE (FIG. 19A). The bivalent 2c-F(ab′)2 reduced both HSV-1 and HSV-2 induced CPE two times more efficiently than the parental mAb 2c. Surprisingly, we observed a fundamental difference in the ability of the monovalent 2c-antibody fragments for neutralizing HSV-1 and HSV-2. Compared to the parental mAb 2c, approx. 375-fold and 94-fold higher concentrations of 2c-Fab were necessary to reduce HSV-1 and HSV-2 induced CPE by 100%, respectively (FIG. 19A). The recombinant 2c-scFv showed a plaque reductive effect under the light microscope, but was not able to reduce HSV induced CPE by 100% even at the highest tested concentration of 3,000 nM (data not shown).
Since both bivalent antibodies mAb 2c and 2c-F(ab′)2 neutralized HSV-2 about four-times less effectively than HSV-1 (FIG. 19A) we analyzed the genome copy numbers of HSV-1 and HSV-2 preparations containing equal amounts of infectious particles by quantitative real-time PCR. Compared to HSV-1 a fourfold higher number of genome equivalents was found for HSV-2 (data not shown) correlating well with the higher antibody titer of mAb 2c and 2c-F(ab′)2 required for HSV-2 neutralization.
Neutralization assays as shown in FIG. 19A indicated a strong correlation between antibody valency and neutralization efficiency. Consequently, we investigated whether the ability of 2c-Fab fragments for clearing virus infection could be restored by cross linkage of the Fab fragments. The virus neutralization assay was repeated for 2c-Fab in the absence or presence of IgGs reacting with murine Fab fragments. As shown in FIG. 19B, cross-linking of 2c-Fab dramatically increased neutralizing activity but could not restore it to the same efficacy as for the parental mAb 2c. Anti-murine Fab IgGs alone showed no effect on virus neutralization (data not shown).
Cell-to-Cell Spread Inhibition.
Although 2c-Fab fragments did not efficiently neutralize free virions, yet it was reported that small sized antibody fragments have more favourable diffusion properties (66), we investigated their activity for preventing HSV-1 from crossing cell junctions from infected to uninfected cells. Both bivalent antibodies, mAb 2c and 2c-F(ab′)2, completely abrogated HSV-1 spread in Vero cell monolayers and only single infected cells could be visualized by indirect immunofluorescence (FIG. 9). Despite the ability of the polyclonal human serum to neutralize free virions it completely failed to inhibit viral cell-to-cell spread. This is most likely the result of the heterogeneous population of neutralizing antibodies directed against numerous HSV epitopes. Compared with polyclonal human immune serum, the monovalent 2c-Fab fragment was capable to control the cell-to-cell spread to some extend. However, in contrast to its bivalent counterparts, the monovalent 2c-Fab fragment was not able to completely abrogate viral spread even tested at a 6-fold higher concentration (FIG. 9). Hence, antibody valency played a key role also in inhibiting spread of HSV-1 between adjacent cells.
Immunoprotection of Immunodeficient Mice Against Disseminated HSV Infection.
We showed previously that mice depleted of both CD4+ and CD8+ T-cells were fully protected from lethal encephalitis by passive transfer of mAb 2c after intravaginally HSV-1 infection (17). Natural killer (NK) cells accumulating at the site of HSV-2 infection in humans (28) are the early source of interferon-γ (45), which plays an essential role for the control of HSV infection (2, 45, 62). More recently it has been demonstrated for the first time, that human NK cells mediate protection against primary genital HSV infection in humanized mice as an innate immune response (37). To investigate, if mAb 2c confers antiviral activity independently from an antibody-mediated immune response we employed a NOD/SCID mouse model, which in addition to the SCID T- and B-cell deficiency, lack NK cell and macrophage function and the ability to stimulate the complement pathway. Intravaginal HSV-1 infection (1×106 TCID50) of NOD/SCID mice resulted in rapid progressive systemic disease with a median survival time of 9 days. HSV titers in organs were determined by an endpoint dilution assay showing high viral titers in spinal cord (2.3×106 TCID50), brain (3.8×105 TCID50), and vaginal mucosa (1.4×106 TCID50), moderate titers in kidney (1.7×104 TCID50) and adrenal glands (1.1×104 TCID50) and low titers in lung (1.1×103 TCID50) and heart (1.9×102 TCID50) (data not shown). To assess the therapeutic efficiency of mAb 2c, NOD/SCID mice were treated intravenously with either 2.5 mg/kg, 5 mg/kg or 15 mg/kg antibody 24 h prior to intra-vaginal HSV-1 challenge (FIG. 20). Mice receiving the low antibody doses were not fully protected against lethal infection by HSV-1. Median survival times of mice treated with 5 mg/kg mAb 2c, however, were 2.6-fold prolonged when compared to control mice receiving PBS. The HSV-1 titres in the investigated organs from mice not protected against lethal encephalitis were comparable to the untreated control group. In contrast, full protection of animals was achieved at a dose of 15 mg/kg mAb 2c. Viral titres in organs of mice protected by the antibody were below the detection limit of 1×102 TCID50.
We next evaluated if post-exposure immunization with mAb 2c also confers protection from viral dissemination and lethal encephalitis in the presence of an established peripheral HSV infection. NOD/SCID mice with a high HSV-1 titer in vaginal irrigations at 24 h after viral challenge were repeatedly treated at 24 h, 40 h and 56 h intravenously with 15 mg/kg of mAb 2c (FIG. 11 and FIG. 21). The PBS treated control group showed constant vaginally virus shedding until mice with neurological symptoms had to be sacrificed between day 7 and day 9. In contrast, mAb 2c cleared established HSV-1 infection by day 8 and completely prevented lethal outcome of infection (3×300 μg; P=0.0003 compared with PBS). Furthermore, no virions were detected in sensory neurons and respective organs of mAb 2c treated animals one month after infection (data not shown).
Discussion
Following the steps viruses take to enter target cells virus-neutralizing mAbs can inhibit entry by several mechanisms. The specific interaction of viral surface proteins with cellular proteins, lipids, or carbohydrates represents the initial stage of infection, which can be blocked by neutralizing antibodies. Antibodies inhibiting virus attachment either directly bind to the virion receptor-binding site, such as mAb F105 reacting with the CD4-binding site of HIV-1 gp120 and Fab HC19 covering the receptor-binding site of influenza hemagglutinin (HA) (6, 19, 54), or sterically interfere with receptor engagement, such as Fab HC45 binding in 17 Å proximity to the HA receptor-binding site (18). In addition to the essential binding of HSV gD to one of its cellular receptors, gB plays a role in virion attachment to target cells. Recently, the existence of two heparan sulfate proteoglycan independent true cell surface receptors and/or attachment factors for HSV gB have been described (5, 23, 60). Paired immunoglobulin-like type 2 receptor (PILRα) has been characterized as one possible protein receptor of gB at least in certain cell types (60). For mAb 2c comparative pre-versus postattachment neutralization assays showed that the antibody may not inhibit binding of virus to the cell surface, but blocks viral entry. It has been shown previously that the interaction of gB with lipid membranes via key hydrophobic and hydrophilic residues of its fusion domain (22, 23) can be blocked by mAbs that recognize epitopes in close proximity to the fusion loops (4, 22). Because the conformational epitope of mAb 2c partially overlaps with fusion loop 1 we reasoned that binding of mAb 2c interferes most likely with transmission of the fusogenic signal and we further evaluated neutralization at the post-binding/pre-fusion stage as possible mode of action.
Triggered structural rearrangement is a key feature of viral fusogenic glycoproteins, resulting in distinct prefusion and postfusion conformations. Epitopes of different neutralizing mAbs have been mapped along the lateral domains of the spikes and to the tip of the crown of the gB crystal structure (4, 24). The epitope of mAb 2c maps to a unique functional region (FR1) at the base of the gB trimer consisting of residues within the C-terminal helix αF of domain V and residues within domain I of a proximate protomer (4). Our homology model shows that one part of the discontinuous epitope (F300 to E305) recognized by mAb 2c localizes to the upper section of domain I of gB, which has characteristics of a pleckstrin homology (PH) domain (7, 38). The other part of the epitope (F175 to A190) also located in domain I, however, is buried and would be inaccessible to mAb 2c binding unless gB undergoes a major conformational change. We therefore hypothesized that mAb 2c impedes transition of gB preferentially in the prefusion conformation. Based on the mAb 2c epitope localization and the assumption that conformational changes upon activation are cooperative, we reasoned that monovalent interaction of mAb 2c would be sufficient for blocking juxtaposition of the fusogenic domain of gB and the cellular membrane. Surprisingly, however, none of the generated monovalent antibody fragments (Fab and scFv) was capable to efficiently neutralize free virions or to inhibit viral cell-to-cell spread. In contrast, both bivalent molecules, mAb 2c and 2c-F(ab′)2, were highly effective for virus neutralization and cell-to-cell spread inhibition. Retention of specific and comparable binding activity of all mAb 2c derived antibodies in this study exclude functional differences of monovalent and bivalent antibodies due to impaired antigen recognition. Multivalent binding of immunoglobulins augments their functional affinity (26). The gain in functional affinity, however, inversely correlates with the intrinsic affinity of the antibody binding site (49). The only moderate increment in equilibrium constants between 1.7 and 2.8 for the bivalent 2c antibodies, IgG and F(ab′)2 when compared to their monovalent counterparts, scFv and Fab, is thus not unusual for antibodies with intrinsic affinities in the low nanomolar range. Thus the higher apparent affinity in fact indicates that multivalent (higher avidity) binding to the gB antigen does occur and suggests that the anti-viral activity of the mAb 2c and 2c-F(ab′)2 is a consequence of gB cross-linking. Inferior neutralization efficiency of monovalent versus bi- or multivalent antibodies with specificity for the gH antigen of varicella-zoster virus (VZV) has been discussed as a matter of steric hindrance due to the different sizes of these antibodies (15). Although we cannot completely exclude this possibility as a potential additional neutralization mechanism for the mAb 2c variants, this seems unlikely because a direct correlation between antibody size, neutralization efficiency, and cell-to-cell spread inhibition was not observed. Furthermore, our data show that the smaller 2c-F(ab′)2 had an even better virus neutralization activity than the larger 2c-IgG. Hence, the present observations indicate that gB cross-linking is the key mechanism for the antiviral activity of mAb 2c and suggest that stabilization of the gB prefusion conformation through immobilization of gB trimers inhibits activation of the fusogenic signal. A most recent study by Silverman et al. (61) proposed that a fusion-deficient phenotype of the HSV-1 gB ectodomain upon insertion of five amino acids after residue E187 close to the fusion loop 1 may not result from interference with conformational changes of gB but rather from interference with other mechanistic gB functions. In our duotope scans mAb 2c reacted strongest with binding site A/B duotope 186FED188-βA-βA-300FYGYRE305 (SEQ ID NO: 23) covering the particular insertion site E187, which seems to be critical for gB function. It is therefore tempting to speculate that mAb 2c crosslinking impairs the ability of gB to interact with the other components of the HSV fusion machinery. However, future research is necessary, since our results do not allow to distinguish if cross-linking blocks the conformational change of gB itself or blocks the interaction between gB, gD and gH/gL, which occurs during cell fusion (3) and is essential for completing the fusion process (65). The HSV-1 gB conformation observed in the solved crystals (24) suggest to represent the postfusion form and a prefusion model of gB has not yet been characterized. Therefore, X-ray crystallographic studies of mAb 2c or its F(ab′)2 in complex with gB might provide insights in the native conformation of gB and a better understanding about transmission of the fusogenic signal.
Studies evaluating the protective efficacy of topically applied anti-gD and anti-gB antibodies for preventing vaginal transmission of HSV-2 infection in mice demonstrated the feasibility of engineered recombinant antibodies as new vaginal microbicides (67-69). Severe and even life-threatening HSV infections can occur in maternally infected newborns, in patients with recurrent ocular infections, or in severely immunocompromised patients. To investigate if systemic application of our anti-gB antibody confers protection also in a highly immunodeficient in vivo setting, we employed a NOD/SCID mouse model. We used intravaginal HSV-1 inoculation as an established route of ganglionic infection with axonal spread of the virus causing hindlimb paralysis and fatal herpetic encephalitis in immunocompetent as well as in T cell depleted mice (16, 17). Here we demonstrate, that mAb 2c not only fully protects NOD/SCID in the acute phase of primary HSV-1 infection but is also effective in completely preventing neurological disease and death even after peripheral virus spread has commenced. The HSV cell-to-cell spread is a very efficient way for viral transfer across neuronal synapses and tight junctions as well as to circumvent immunological barriers of the adaptive immune system. MAb 2c both decreases virus expression of infected vaginal tissues and inhibits axonal spread of HSV. Other reports showed that administration of anti-HSV IgGs after viral challenge can reduce the quantity of acute ganglionic infections in animals (16, 42). Consistently, intraperitoneally administered recombinant human anti-gD IgG to mice with corneal HSV-1 infection was shown to localize to HSV-infected nerve fibers and sensory neurons (59). Furthermore, passive immunization of immunocompetent animals with mAbs specific for HSV gD, gC or gB administered postexposure at appropriate times demonstrated protection against HSV induced neurological disease (13, 16). However, it has also been concluded from several animal studies that humoral immunity alone is ineffective in the control of HSV infections.
In Vivo Protective Potency of Our Antibody is Independent from Immune Effector Functions
It has also been concluded from several animal studies in the literature that humoral immunity alone is ineffective in the control of HSV infections. Consistent with this view, administration of anti-HSV-1 hyperimmune serum has been reported to be ineffective for protecting immunosuppressed or immunodeficient mice (47, 48, 50, 51, 56). Systemic treatment of athymic nude mice 24 h post HSV-1 infection with a human anti-gD mAb prolonged survival compared to untreated controls but did not prevent death (58). Another study showed in an HSV-1 induced stromal keratitis mouse model, that an anti-gD mAb prevented death of mice depleted in either CD4+ or CD8+ T-cells but failed to prevent death when mice were depleted in both T-cell subsets simultaneously (64).
To our knowledge, we demonstrated for the first time protective efficacy of a systemically applied anti-gB cross-linking mAb that prevents neuronal HSV-1 spread completely independent from cellular effector mechanisms and complement. Specificity of mAb 2c for a type-common epitope of gB which is essential for HSV replication and its high protective efficiency without the requirement for recruiting additional immune effector functions indicates a great potential for this antibody as a novel immunotherapeutic.
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    67. Zeitlin, L., P. E. Castle, K. J. Whaley, T. R. Moench, and R. A. Cone. 1998. Comparison of an anti-HSV-2 monoclonal IgG and its IgA switch variant for topical immunoprotection of the mouse vagina. J Reprod Immunol 40:93-101.
    68. Zeitlin, L., S. S. Olmsted, T. R. Moench, M. S. Co, B. J. Martinell, V. M. Paradkar, D. R. Russell, C. Queen, R. A. Cone, and K. J. Whaley. 1998. A humanized monoclonal antibody produced in transgenic plants for immunoprotection of the vagina against genital herpes. Nat Biotechnol 16:1361-1364.
    69. Zeitlin, L., K. J. Whaley, P. P. Sanna, T. R. Moench, R. Bastidas, A. De Logu, R. A. Williamson, D. R. Burton, and R. A. Cone. 1996. Topically applied human recombinant monoclonal IgG1 antibody and its Fab and F(ab′)2 fragments protect mice from vaginal transmission of HSV-2. Virology 225:213-215.


Example 4
Virus Neutralisation Assay
Neutralisation assays were performed in microtiter plates on Vero cells either as plaque reduction assay with an excess amount of antibodies to determine the virus' neutralisation sensitivity or as endpoint dilution method to determine the neutralisation titer of an antibody solution. Plaque reduction assays were performed by incubation of 250 plaque forming units with 20 μg MAb 2c. After two hours 50 μL/well of Vero cell suspension (1.5×105 cells/mL) were added. After 3 days cells were stained with crystal violet. For endpoint titration, diluted antibody solutions (0.025 mL) were incubated with 100 TCID50 of HSV-1 in 0.025 mL, and 0.025 mL guinea pig complement, diluted 1:10. Titers were expressed as reciprocals of the highest serum dilution preventing virus-induced cytopathic effect in 50% of the cultures.
Construction of gB Deletion Mutants and Expression in COS-1 Cells
Construction of the plasmids coding for full length HSV-1 gB (gB(1-904)=pMT2gB), gB(1-720), gB(1-630), gB(1-505), gB(1-503), gB(1-487), and gB(1-470) has been described elsewhere [30, 31]. Plasmids were kindly provided by Leonore Pereira, University of California, San Francisco. Plasmids coding for gB(1-130), gB(1-223), gB(183-488), and gB(436-642) were constructed by cloning PCR amplicons, flanked by the restriction enzyme sites Bam HI and Xho I, into the eukaryotic expression vector pSVL (Amersham Pharmacia, Freiburg, Germany). A subgenomic plasmid clone of HSV-1 strain 17+ [33; GenBank X14112] containing gB nucleotides 52588 to 60362 was used as template in PCR. For expression of N-terminally truncated gB constructs, the gB signal sequence-coding DNA was amplified by PCR with a primer containing a XhoI site at its 5′ end and inserted 5′ to the gB-coding DNA of the subfragment plasmids gB(183-488), and gB(436-642). The correct integration of the insert and its sequence were confirmed by nucleotide sequencing. COS-1 cells were grown on coverslips (diameter 10 mm) placed into 24-well plates and transfected with plasmids by the DEAE-dextran method [34]. Expression of gB and its truncated derivatives was verified by indirect immunofluorescence microscopy with a mixture of the well characterized anti-HSV-1 gB mouse monoclonal antibodies H1396 and H1781. Transfected and fixed COS-1 cells were reacted with MAb 2c and analysed by immunofluorescence microscopy.
Site-Directed Mutagenesis of gB and Construction of Recombinant Virus
Single amino acid mutations were introduced in HSV-1 gB by oligonucleotide-directed mutagenesis using the Altered SitesTM in vitro Mutagenesis System (Promega, Mannheim, Germany). In brief, the gB-encoding sequence within pMT2gB [31] was transferred into the E. coli phagemid mutagenesis vector pAlter-1. Single stranded pALTER-1gB DNA molecules were prepared by infection of pALTER-1gB transformed E. coli JM109 cells with the phage R408. Site directed mutagenesis was performed according to the manufacturer's protocol with the mismatch primers (mutated position underlined) as follows:









Y296N (N = mutation),



(SEQ ID NO: 24)



5′-GGGACATGTTCACAAAGTC-3′;



 



Y296F,



(SEQ ID NO: 25)



5′-GGGACATGAACACAAAGTC-3′;



 



M297L,



(SEQ ID NO: 26)



5′-ACGGGGACAGGTACACAAA-3′;



 



M297T,



(SEQ ID NO: 27)



5′-AACGGGGACGTGTACACAA-3′;



 



M297V,



(SEQ ID NO: 28)



5′-ACGGGGACACGTACACAAA-3′;



 



S268A:



(SEQ ID NO: 29)



5′-AAAACGGGGCCATGTACAC-3′;



 



P299S,



(SEQ ID NO: 30)



5′-CGTAAAACGAGGACATGTA-3′;



 



F300Y,



(SEQ ID NO: 31)



5′-TAGCCGTAATACGGGGACA-3′;



 



F300I:



(SEQ ID NO: 32)



5′-TAGCCGTAAATCGGGGACA-3′;



 



Y301N,



(SEQ ID NO: 33)



5′-GTAGCCGTTAAACGGGG-3′;



 



G302R,



(SEQ ID NO: 34)



5′-CCCGGTAGCGGTAAAACGG-3′;



 



G302V,



(SEQ ID NO: 35)



5′-TCCCGGTAGACGTAAAACG-3′;



 



Y303N,



(SEQ ID NO: 36)



5′-ACCCCTCCCGGTTGCCGTAAAACG-3′;



 



R304G,



(SEQ ID NO: 37)



5′-ACCCCTCCCCGTAGCCGTA-3′;



 



R304L,



(SEQ ID NO: 38)



5′-GACCCCTCCAGGTAGCCGT-3′;



 



E305K,



(SEQ ID NO: 39)



5′-GTGCGACCCCTTCCGGTAGCCGT-3′;



 



G306A,



(SEQ ID NO: 40)



5′-GTGTGCGACGCCTCCCGGT-3′;



 



G306V,



(SEQ ID NO: 41)



5′-GTGTGCGACACCTCCCGGT-3′;



 



S307A,



(SEQ ID NO: 42)



5′-CGGTGTGCGCCCCCTCCCG-3′.






After primer elongation and ligation to form fully duplex, covalently closed circular molecules, the heteroduplex DNA was transformed into E. coli BMH 71-18 mutS which is unable to repair the nucleotide mismatch. Resulting plasmids from ampicillin-resistant clones were used for transformation of E. coli JM109 (recA−). The identity of the mutations in the resulting pAlter-1gB plasmids was confirmed by gB DNA sequencing. After mutagenesis the mutated insert was cloned back into the expression vector pMT2gB resulting in the respective pMT2gBmut constructs. To analyse the reactivity of MAb 2c towards gB with single amino acid mutations, COS-1 cells, grown on coverslips (10×30 mm), were transfected with the pMT2gBmut constructs by the LipofectamineTM/OPTI-MEMTM method (Invitrogen, Karlsruhe, Germany) according to the manufacturer's instructions. Cells were fixed after 44 hours of culture by methanol/acetone. Expression of gBmut was verified by indirect immunofluorescence analysis using polyclonal rabbit anti-HSV-1 IgG (Dako, Hamburg, Germany).
Glycoprotein B with single amino acid exchanges was inserted into HSV-1 wild-type strain F by homologous recombination between HSV-1 genomes and plasmid pMT2gBmut DNA. Genomic HSV-1 DNA was prepared from virus stocks by SDS/proteinase K lysis for 1-3 hours at 56° C. followed by phenol/chloroform/iso-amylalcohol extraction and dialysis for 65 hours (buffer I, 10 mM NaCl, 10 mM EDTA, 50 mM Tris-HCl, pH 8; buffer II, 10 mM NaCl, 1 mM EDTA, 10 mM Tris-HCl, pH 7.5). pMT2gBmut plasmids were extracted by the Qiagen Plasmid Midi kit (Qiagen, Hilden, Germany). Recombinant viruses were prepared by transfecting Vero cells either with calcium phosphate precipitated DNA according to the method of Graham and Van der Eb [35] modified by Stow and Wilkie [36] or by the LipofectamineTM/OPTI-MEMTM method (Invitrogen, Karlsruhe, Germany) according to the manufacturer's instructions. Briefly, for transfection by the calcium phosphate method approximately 100 ng of purified HSV-1 F DNA was precipitated with 500 ng of plasmid DNA and 5 μg calf thymus DNA in 0.436 mL A. bidest. by addition of 64 μL of 1M CaCl2 for 5 min. After incubation of the cells grown in petri dishes (diameter 25 cm) with the DNA precipitate for 45 min and EMEM with 10% fetal calf serum for 3 hours, cells were shocked by 25% DMSO in HEBS buffer for 2 min. Afterwards, cultivation was continued with EMEM with 10% fetal calf serum and MAb 2c. For transfection with Lipofectamine 1 μg of HSV-1 DNA and 1 μg of plasmid DNA were used. Well-separated plaques were picked and screened for the respective mutation by cycle sequencing of PCR amplicons. Overall, the number of plaques obtained was low, with experiments that did not succeed to produce any plaque in the presence of plasmid-coded gB (control experiments without presence of gB-encoding plasmids and MAb 2c resulted in numerous plaques). To test antibody reactivity 3×105 Vero cells grown on coverslips (8×16 mm) were infected with 200-300 plaque forming units of virus in 1 mL EMEM. After 1 hour the cell culture medium was replaced by EMEM with 10% fetal calf serum. After incubation for 2 days cells were fixed with methanol/acetone at −20° C.
Immunofluorescence Assay
Binding of HSV gB-specific mouse monoclonal antibodies to cells was detected using DTAF conjugated goat anti-mouse IgG (Jackson ImmunoResearch Laboratories, Dianova, Hamburg, Germany). For detection of binding of rabbit anti-HSV-1 IgG, TexasRed or Cy3 conjugated goat anti-rabbit IgG (Jackson ImmunoResearch Laboratories, Dianova) was used. For detection of human antibodies, DTAF-conjugated goat anti-human IgG (Jackson ImmunoResearch Laboratories, Dianova) was used.
Synthesis of Cellulose-Bound Peptides and Scanning (Peptide Scans, Key Motif Scan, Substitutional Analysis)
All peptides were generated by semi-automated SPOTTM synthesis on Whatman 50 cellulose membranes as described previously [37, 38]. After synthesis, the membranes were blocked overnight in blocking buffer containing blocking reagent (1×, Cambridge Research Biochemicals, Northwich, UK) in Tris-buffered saline (50 mM Tris, 125 mM NaCl, 4 mM KCl, pH 8.0), 0.05% (v/v) Tween 20 and 5% (w/v) sucrose (TBST). After washing once in TBST, the sheets were incubated simultaneously with MAb 2c (0.5-1.0 μg/mL) and POD-conjugated anti-mouse IgG Fab fragments (fivefold excess; Roche Applied Science, Mannheim, Germany) in blocking buffer for 3 hours at room temperature. After washing twice in TBST, antibody binding was detected by using the Chemiluminescence Western Blotting Kit (Roche Applied Science, Mannheim, Germany) according to the manufacturer's protocol.
Scans of overlapping peptides (peptide scans) [39] were synthesized as 15-mers with an overlap of 12 amino acids (i. e., shifting along the gB sequence by 3 amino acids), corresponding to gB residues from amino acid 31 to 505 (HSV-1 strain 17+ [33] GenBank X14112), and as 13-mers with an overlap of 12 amino acids (i. e., shifting along the gB sequence by one amino acid) corresponding to gB residues 296 to 315.
To identify the minimal binding motif within the MAb 2c binding site B, a key motif scan was done using 14-mers, composed of a central, gB-derived hexamer embraced by four randomized residues at each, N- and C-terminus (x1x2x3x4B1B2B3B4B5B6x11x12x13x14; x, randomized position, B, fixed gB-derived position) [40]. With each peptide the hexameric sequence was shifted by one amino acid starting at gB position V295 and spanning the sequence up to gB position A315.
The relevance of single amino acids for binding of MAb 2c within gB binding site A was analysed by a substitutional analysis of peptide 178RYSQFMGIFEDRAPV192, (SEQ ID NO: 43) performed by successively exchanging each amino acids by all other 19 natural amino acids as described previously [40-42].
Mice and Mouse Protection Experiments
Female C57BL/6J (H-2b) mice were obtained from Charles River Wiga (Charles River Laboratories, Sulzfeld, Germany), and used when 33 to 37 days old. Experiments were carried out as previously described [1, 2]. In brief, mice were inoculated intravaginally with 2×106 TCID50 of HSV-1 in 0.1 mL EMEM with 10% fetal calf serum. Twenty-four hours before viral inoculation, mice were given by intraperitoneal injection 0.5 mL either of MAb 2c, polyclonal immune serum or precipitated culture medium. The human standard immune serum preparation used (Beriglobin STM, CSL Behring, Germany) had a complement-independent neutralising titre of 1:1280 to HSV-1 in 0.025 mL and was diluted for application fourfold in Iscove's medium. The stock preparation of MAb 2c had a complement-independent neutralising titer of 1:640 and was diluted twofold to contain the same neutralising activity as the polyclonal immune serum. The ELISA titer of the applied antibody dilutions was between 1045 and 1055 when determined according to the method of Kahlon & Whitley [43] using peroxidase-conjugated rabbit to mouse and human IgG. For controls, equivalent volumes of Iscove's medium were treated in the same manner. Control mice administered culture medium were equivalent to controls given a non-HSV-specific MAb [1]. Vaginal swabs were taken every second day after viral inoculation and assayed for virus on Vero cell monolayers. Infectious virus titers were determined in microtiter plates by TCID50 per 0.05 mL according to the method of Reed & Muench [44].
Results
The First 487 Amino Acids of gB are Necessary for Binding of MAb 2c
To gain first insight into the glycoprotein B region necessary for proper folding of the MAb 2c epitope, a full length HSV-1 gB construct and a set of carboxy-terminally truncated gB constructs were expressed in COS-1 cells as given in the Methods section. Expression of gB was verified by indirect immunofluorescence microscopy using a mixture of the murine HSV gB-specific MAbs H1396 and H1781. Binding of MAb 2c was also visualised by indirect immunofluorescence assay. As shown in Table 7, the full length protein and the truncated derivatives gB(1-720), gB(1-630), gB(1-505), gB(1-503), and gB(1-487) were recognised by MAb 2c. In contrast, MAb 2c failed to bind gB(1-470), gB(1-223), and gB(1-130). Furthermore, no reaction was observed with two constructs with both N- and C-terminal truncation (gB(183-488), gB(436-642)). These results indicated that the epitope of MAb 2c is located within the first 487 amino-terminal residues.







TABLE 7







Binding of MAb 2c to truncated HSV-1


glycoprotein B (gB) expressed in COS-1 cells.










gB constructs*
Reactivity**







gB(1-904) (full length gB)
+



gB(1-720)
+



gB(1-630)
+



gB(1-505)
+



gB(1-503)
+



gB(1-487)
+



gB(1-470)
−



gB(1-223)
−



gB(1-130)
−



gB(183-488)
−



gB(436-642)
−



pSVL***
−







*Expression of all gB constructs was confirmed by indirect immuno-fluorescence with the HSV gB-specific monoclonal antibodies H1396 and H1781 [30-32].



**Binding of MAb 2c was detected by indirect immunofluorescence. +, indicates MAb 2c binding, −, indicates failure of MAb 2c binding.



***pSVL, expression vector, used as negative control.






MAb 2c Recognises Sequences of Two Different gB Regions
Since fine-mapping of the epitope recognised by MAb 2c was not possible using gB deletion constructs expressed in COS-1 cells, a gB-derived scan of overlapping peptides (peptide scan) was synthesized on continuous cellulose membrane supports by SPOTTM synthesis. The peptides, spanning the gB region from amino acid 31 to 505, were synthesized as 15-mers, with an overlap of 12 amino acids (i. e., shifting along the gB sequence by 3 amino acids) resulting in a total of 155 peptides. Binding of MAb 2c was shown by simultaneous incubation with primary (MAb 2c) and secondary (POD-conjugated anti-mouse IgG Fab) antibodies and detection by chemiluminescence.
As shown in FIG. 22, MAb 2c was found to bind to five peptides within two distinct gB regions, termed sites A and B. Site A comprises three consecutive peptides corresponding to gB residues 175FGHRYSQFMGIFEDRAPVPFE195 (SEQ ID NO: 44) (common sequence 181QFMGIFEDR189 (SEQ ID NO: 45), and site B two consecutive peptides encompassing residues 298SPFYGYREGSHTEHTSYA315 (SEQ ID NO: 46) (common sequence 301YGYREGSHTEHT312 (SEQ ID NO: 47).
Identification of the Minimal Length of Binding Site B for MAb 2c
Because peptide 90 (FIG. 22; 298SPFYGYREGSHTEHT312 (SEQ ID NO: 48) exhibited the strongest signal intensity we hypothesized that binding site B is the dominant determinant for MAb 2c binding. Thus, we identified the minimal length of site B required for MAb 2c binding using a higher resolution cellulose-bound peptide scan. 13-mer peptides spanning the gB-derived residues 296 to 315 with an overlap of 12 amino acids (i. e., shifting along the gB sequence by only one amino acid) were synthesized in duplicate. Reactivity of MAb 2c with five consecutive peptides was observed following an incubation and detection procedure as described above. An alignment of the sequences of the five reactive peptides is shown in FIG. 23. The common sequence to all five peptides was 300FYGYREGSH308 (SEQ ID NO: 49).
In a second approach, a key motif scanning method, using 14-mers each consisting of six gB-derived amino acids flanked on both ends by four randomized positions, was applied. In this assay, the four terminal positions of each peptide molecule represented a random sequence in which the amino acids were incorporated statistically. Each spot thus contained a vast mixture of peptides with a multitude of sequences at the outer peptide positions but all with the same gB-derived sequence at the peptide positions five to ten. The gB-derived central hexamers spanned the gB region from residue V295 to A315 and shifted along by one amino acid. A hexameric gB-sequence was chosen because it is known that more than 75% of non-linear epitopes comprise a sequential stretch of a maximum length of 4 to 7 residues [45]. Reactivity of MAb 2c was seen with the two consecutive peptides xxxx300FYGYRE305xxxx (SEQ ID NO: 21). and xxxx301YGYREG306xxxx (SEQ ID NO: 50) (FIG. 24). Thus the sequence 300FYGYREG306 (SEQ ID NO: 51) was considered to be the minimal binding motif of site B peptides required for interaction with MAb 2c.
Identification of Individual Residues Critical for MAb 2c Binding at Site B by Mutated gB
To confirm the binding site B for MAb 2c in the context of the entire and natively folded protein, we altered the amino acid sequence of the full length gB, cloned in pMT2gB, by single amino acid exchanges within the binding site B. By using a phagemid-based system for site-directed mutagenesis a number of gB constructs with single amino acid exchanges was generated. After expression of the mutated gB in COS-1 cells binding of MAb 2c was analysed by immunofluorescence assay. As shown in Table 8, a series of gB residues was identified that proved to be critical for MAb 2c binding. In detail, substitution of residue P at gB position 299 for S, F300 by Y and I, respectively, Y301 by N, G302 by R and V, respectively, Y303 by N, R304 by G and L, respectively, and E305 by K, resulted in complete loss of MAb 2c binding, thus indicating that each of the residues at positions 299 to 305 are crucially involved in epitope formation, either by representing key residues interacting via their side chains with the antibody or by influencing the proper overall or local folding of the gB protein necessary for forming the conformation of the epitope recognised by the antibody. Expression of the mutated gB in COS-1 cells was verified by co-incubation of the cells with the murine MAb 2c and a polyclonal rabbit anti-HSV IgG immune serum followed by identification via co-incubation with DTAF conjugated anti-mouse IgG (green fluorescence if MAb 2c was bound) and TexasRed or Cy3 conjugated anti-rabbit antibodies (red fluorescence of the same cells). On the contrary, exchange of the single gB residue Y296 for N and F, respectively, M297 for L, T and V, respectively, and S298 for A, as well as G306 for A and V, respectively, and S307 for A did not affect binding of MAb 2c.







TABLE 8







Binding of MAb 2c to HSV-1 full length glycoprotein B (gB)


variants containing single amino acid exchanges, expressed in


COS-1 cells.










gB variants
Reactivity**







Y296N*
+



Y296F
+



M297L
+



M297T
+



M297V
+



S298A
+



P299S
  −***



F300Y
−



F300I
−



Y301N
−



G302R
−



G302V
−



Y303N
−



R304G
−



R304L
−



E305K
−



G306A
+



G306V
+



S307A
+







*The wild-type amino acid is given before the gB position number while the introduced residue is given behind the position number. Expression of all gB variants was confirmed by immunofluorescence obtained by co-incubation of the cells with a polyclonal rabbit anti-HSV-1 IgG serum.



**Binding of MAb 2c was tested by indirect immunofluorescence. +, indicates MAb 2c binding, −, indicates failure of MAb 2c binding.



***For assessment of this particular result, see Discussion section.






Identification of Individual Residues Critical for MAb 2c Binding at Site B by Mutant Viruses
To approximate most closely the situations in vivo, the impact of individual amino acids of site B was further analysed by using five well-characterized HSV-1 variants (R126, R1375, B4.1, R1435, R233), each containing an amino acid mutation in gB [27-29] and by mutant viruses (vY301N [Y at position 301 substituted by N], vG302R, vG302V) generated in the present study, as given in the Methods section. Vero cells on cover slides were infected with 200-300 plaque forming units of either these mutants or the parental wild-type viruses HSV-1 F and KOS 321. Indirect immunofluorescence assays demonstrated that MAb 2c failed to bind to cells infected by the viruses vY301N, vG302R, vG302V, R126 (Y303 substituted by N), R1375 (R304Q), and B4.1 (E305K) while MAb 2c was reactive to cells infected with the mutants R1435 (H308Y), R233 (R328H) as well as with the wild-type viruses (Table 9).







TABLE 9







Sensitivity of HSV-1 wild-type viruses and viral gB


mutants to binding of and neutralisation by MAb 2c.









Virus [Ref.]
Binding*
Neutralisation**





Wild-type strain F [25]
+
+


Wild-type strain KOS 321 [26]
+
+


Mutant F vY301N*** [this study]
−
−


Mutant F vG302R [this study]
−
−


Mutant F vG302V [this study]
−
−


Mutant F R126 (Y303N) [27, 28]
−
−


Mutant F R1375 (R304Q) [27, 28]
−
−


Mutant KOS B4.1 (E305K) [29]
−
−


Mutant F R1435 (H308Y) [27, 28]
+
+


Mutant F R233 (R328H) [27, 28]
+
+





*Expression of gB was confirmed for all viruses by immunofluorescence obtained with a polyclonal rabbit anti-HSV-1 IgG serum. +, indicates MAb 2c binding to infected Vero cells detected by indirect immunofluorescence, −, indicates failure of MAb 2c binding.


**+, indicates virus neutralisation by MAb 2c, −, indicates failure of virus neutralisation.


***The wild-type amino acid is given before the gB position number while the introduced residue is given behind the position number.






To determine whether the residues identified as critical for binding of MAb 2c to gB were also crucial for the neutralising activity of the antibody, neutralisation assays were performed using 250 plaque forming units of the viral mutants or wild-type viruses. As shown in Table 9, the wild-type strains F and KOS 321 as well as the mutants R1435 (H308Y) and R233 (R328H) were completely neutralised by MAb 2c. In contrast, MAb 2c completely failed to neutralise mutant viruses vY301N, vG302R, vG302V, R126 (Y303N), R1375 (R304Q), and B4.1 (E305K) indicating that each of these residues is an essential target for forming the epitope required for the neutralising capacity of MAb 2c. Taken together, the results obtained by peptide analyses and mutated proteins showed that the residues 299 to 305 are important for epitope formation as well as for the in vitro bioactivity of MAb 2c.
Epitope Mapping by Mouse Protection Experiments
To analyse whether the protective effect of MAb 2c in vivo is also dependent on particular amino acids at site B, a total of 168 C57BL/6 mice were inoculated intravaginally with either the mutant viruses or the parental wild-type strains 24 hours after intraperitoneal injection of MAb 2c. For comparison, a polyclonal immune serum adjusted to the same neutralising potency was given. The experiments were carried out as described previously [1, 2]. As shown in FIG. 25, MAb 2c was ineffective in mice inoculated with mutants R126 (Y303N), R1375 (R304Q), and B4.1 (E305K) whilst being effective in mice inoculated with the mutants R1435 (H308Y) or R233 (R328H) or wild-type viruses. Yet the experiments with viral mutants R126, B4.1 and R233 were slightly hampered by the fact that viral replication of these mutants in the mucous membranes of the mice was inefficient. In particular mutant R126 exhibited a very low replicative capacity. Hence, the course of infection did not differ between R126 infected mice treated with MAb 2c, polyclonal immune serum or the control fluid. Taken together, the results of the mouse protection experiments clearly demonstrated that the gB residues Y303, R304, and E305 are essential for MAb 2c to exhibit its protective effect in vivo.
Characterization of Site A for MAb 2c Binding
The results from the MAb 2c epitope mapping by the peptide scan approach (FIG. 22) initially suggested that binding site A with the common sequence 181QFMGIFEDR189 is a constituent of a discontinuous epitope formed together with site B and potentially other regions which might not be detectable by segmented peptides but part of the functional epitope in the natively folded protein. However, site A was surprisingly not located on the surface of the three-dimensional gB trimer structure [21]. Furthermore, sites A and B are not in close proximity on the gB surface and could not be simultaneously covered by the average area of an antibody paratope.
To investigate the relevance of site A, we started to generate gB constructs and viral mutants with single amino acid exchanges. Yet, efforts to demonstrate the significance of these amino acids in the biological system were unrewarding because substitution of any of these residues in gB constructs and in viral mutants was not followed by the loss of antibody binding, most probably due to presence of the site B motif in the molecule (data and mutagenesis primers not shown).
In order to study the relative importance of each amino acid of peptide 50, 178RYSQFMGIFEDRAPV192 (SEQ ID NO: 43), identified by the peptide scan approach, we carried out a complete substitutional analysis. Therefore, all possible single site substitution analogues (i. e., each position substituted by all other 19 proteinogenic amino acids) were synthesized by SPOTTM synthesis and tested for MAb 2c binding. Most positions of the peptide could be exchanged by several physicochemically different amino acids without loss of binding. The motif 186FED188, however, was conserved, i. e., alteration of these amino acids was associated with loss of antibody binding (data not shown). We therefore hypothesized that site A or predominantly the motif 186FED188 mimics a part of the discontinuous MAb 2c epitope.
To test this assumption, we computationally designed a 12-mer peptide, PFYGYRE-G-FEDF (SEQ ID NO: 52), composed of the residues located in MAb 2c binding site B (299PFYGYRE305 (SEQ ID NO: 53)) which were found to be biologically important (Table 8), a glycine linker and a C-terminal FEDF motif derived from the most critical sequence of site A. Binding of MAb 2c to this peptide was measured in comparison to the peptide 298SPFYGYREGSHTEHT312 (SEQ ID NO: 48) which exhibited the strongest reactivity in the 15-mer peptide scan (FIG. 22). Both peptides were synthesized on a cellulose membrane and probed with MAb 2c as described in Methods. As shown in FIG. 26, the signal of the combination peptide PFYGYRE-G-FEDF (SEQ ID NO: 52) was by far more intense compared to the site B peptide alone yet the exposure time of the X-ray film was only one fourth of that of the 15-mer peptide scan. This finding strongly supports the assumption that MAb 2c recognises a discontinuous epitope comprised of i) site B from residue 299 to residue 305 (PFYGYRE) (SEQ ID NO: 53), and ii) one or more additional discontinuous regions that can be mimicked by the sequence FEDF (SEQ ID NO: 54).
Discussion
The aim of the current work was to map the binding site for MAb 2c on herpes simplex virus glycoprotein B and to identify key residues of the epitope. With a set of C-terminally truncated versions of recombinantly expressed gB protein, the 487 N-terminal residues were found to be necessary for binding of MAb2c. Additional deletion of 17 or more amino acids from the C-terminus led to a loss of antibody binding, although the synthesis in transiently transfected cells of all deleted versions of gB could readily be ascertained. In order to narrow down the epitope location, two further deletion mutants were constructed, gB(183-488) and gB(436-642), each fused to the signal peptide sequence (amino acids 1-30). As MAb2c failed to bind to any of these latter truncated gB proteins thus contradicting our initial assumption that the epitope of MAb 2c might be localised between residues 470 and 487, we decided to switch to an alternative epitope mapping strategy utilizing synthetic peptides.
Many B-cell epitopes are discontinuous in nature [46]. The mapping of these discontinuous epitopes using fragments of proteins, i.e., peptides, generated either chemically or biologically, suffers from the drawback that peptides derived from single binding regions generally have very low affinities to the binding partner which are usually not measurable in ELISA or surface plasmon resonance assays. Within the last two decades, several examples of investigations into discontinuous epitope mapping studies using peptides synthesized on continuous surfaces have been described [47-50]. In terms of sensitivity, the SPOTTM method is especially suitable [37] due to the high peptide density on the cellulose membranes (approx. 50 nmol/cm2). This leads to avidity and rebinding effects and, therefore, enables the identification of even low affinity peptide-antibody interactions. A comprehensive review covering over 600 citations until 2006 extensively summarizes studies about mapping of linear and discontinuous epitopes using the SPOTTM technology for peptide synthesis [51].
After the localisation of the MAb 2c epitope within the N-terminal 487 gB residues, fine-mapping of the amino acids critical for antibody binding was achieved using the peptide scan approach combined with the SPOTTM synthesis method. As shown in FIG. 20, MAb 2c reacted strongest to the 15-mer peptide 298SPFYGYREGSHTEHT312 (SEQ ID NO: 48), localised in binding site B, leading to the assumption that this sequence is predominantly involved in MAb 2c recognition. Subsequently, the recognition sequence at site B could be refined by higher resolution peptide scanning to the gB amino acids 300 to 308. Final confirmation of the key residues of the epitope was then achieved by a biological approach studying MAb 2c binding to cells transfected with full length gB constructs bearing single point mutations, resulting in the sequence 300FYGYRE305 (SEQ ID NO: 21). In addition the proline residue 299 was found to be important in vivo despite its very limited surface exposure in the three-dimensional gB structure [21]. However, due to the conformational restrictions by the proline side chain—as a result of its cyclic nature proline often stabilises a protein sequence in a fixed structure—this residue is also assumed to be essential for the gB local folding at the antibody binding site. The impact of the key residues identified was corroborated by mouse protection experiments demonstrating that the protective effect of MAb 2c in vivo is abolished when key residues are mutated. Altogether, these data prove that the amino acids 300 to 305 form the essential part of the energetic MAb 2c epitope.
As expected, HSV mutants with single point mutations of the key residues within site B were resistant to MAb 2c binding and neutralisation. Yet, most of the viral mutants were found heavily disabled, exhibiting poor growth in cell culture or mucous membranes. Especially the residue phenylalanine at position 300 appears to be crucial for biological function of gB, since attempts to generate viable virus mutants with an amino acid exchange at that position have been unsuccessful so far. This fact may indicate an important role of this gB motif in the lytic cycle of the virus. Thus, it is intriguing to speculate that the epitope of MAb2c may represent somewhat of an Achilles' heel of gB.
Initial epitope mapping by peptide scanning indicated that MAb 2c recognises an additional gB region, termed site A. Determination of the key residues at that site was performed by substitutional analysis on the peptide 178RYSQFMGIFEDRAPV192 demonstrating that the residues F186, E187, and D188 were highly replacement-sensitive. The relevance of these amino acids in the biological system could not be demonstrated because substitution of these residues in gB constructs and in viral mutants did not affect antibody binding, most probably due to presence of the site B motif in the molecule.
Based on the recently determined crystal structure of the external gB domain [21], the gB monomer was divided into six distinct structural domains. Domain I comprises the amino acids 154 to 363. According to the results presented here, the residues of the most important energetic epitope of MAb 2c (site B) resides in structural domain I. By superimposing the key residues of site B onto the gB crystal structure it is evident that these residues are situated at the surface of gB within a 22 amino acid loop-like stretch between two β-strands (β13, β14) in the upper third of the structural domain I. The site A residues 186FED188 are also localized in structural domain I but at the base of gB domain I in a barely exposed small cavity implying that the two sites are not in spatial proximity. Yet due to structural similarities of gB to other viral glycoproteins and according to results from linker-insertion mutagenesis it is suggested that the crystal structure represents a postfusion form of gB [52-54]. The virion, however, contains the prefusion form of gB and it is suggested that neutralising antibodies should recognise the prefusion conformation of gB [21]. Nonetheless, recent studies have indicated recognition of both pre- and postfusion gB by all gB-specific MAbs tested [55].
An alternative, more attractive explanation, based on the experimental data in combination with the localisation of site A within the three-dimensional gB structure [21] and relative to site B, would be that site A is not a constituent of the discontinuous MAb 2c epitope. The results from the peptide scan and the substitutional analysis suggest the mimicry of one or more regions of the discontinuous epitope which are obviously undetectable by the methodologies applied. The entire functional epitope, i. e., all amino acids being in contact with MAb 2c, in contrast to the energetic epitope mainly residing in the residues 300 to 305 of site B, can only be detected by X-ray or NMR techniques of the antibody-antigen complex [56, 57].
The hypothesis that site A and especially the FED motif mimics another part of the discontinuous epitope was clearly supported by the attempt to combine the critical residues of site B with the sequence FEDF derived from site A via a glycine residue as a flexible spacer element within one covalently linked molecule (FIG. 26). This engineered peptide resulted in an immense increase in signal intensity when compared to peptide 90 from site B (see FIG. 22) which correlates with an increase in affinity. The mimicry of discontinuous binding sites by peptides covering single binding regions brought together in one synthetic molecule has been described in several publications, e. g., an interleukin-10 mimic for an antibody recognising a discontinuous epitope [49].
Several investigators have used over years monoclonal antibodies to identify functional domains of HSV gB [30, 32, 58-60]. A recent study suggested the existence of at least four functional regions, dispersed on the whole gB structure as defined by the binding pattern of neutralising MAbs to gB [55]. According to these results, the epitope of MAb 2c is located within functional region (FR) 1 which is formed by the structural domain I and the sequence from residue 697 to 725 of structural domain V, the latter extending from residues 670 to 727. Interestingly, three of the most potent neutralising MAbs generated by Bender et al. [55] also have been mapped to structural domain I within FR1 as determined by the reactivity with a gB proteolytic cleavage fragment encomprising residues 98 to 472.
MAb 2c, elicited by HSV type 1, is cross-reactive with HSV type 2 [1, 2]. We therefore compared the amino acid sequences of sites A and B of HSV-1 with that of HSV-2 gB. In all 53 full length HSV-2 gBs found in the NCBI protein database (status Jul. 30, 2010), the HSV-1 gB sequences 178RYSQFMGIFEDRAPV192 (SEQ ID NO: 43) and 298SPFYGYREGSHTEHT312 (SEQ ID NO: 48) were present.
Since the main goal of anti-HSV therapy is to rapidly clear viral replication, MAb 2c might provide a potential tool for treating HSV type 1 and 2 infections. In principle, two strategies are pursuable. Firstly, if it could be demonstrated that antibodies of the specificity and the bioactivity of MAb 2c can be induced by peptides derived from site B or the mimicked epitope PFYGYRE-G-FEDF (SEQ ID NO: 52), active immunisation might be conceivable. An alternative approach to exploit the prophylactic and therapeutic potential of MAb 2c would be to convert the mouse antibody into a humanized molecule for passive immunisation, in addition to well established antiviral chemotherapy.
References for Example 4


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## Claims

1. A method of therapeutically or prophylactically treating a herpes simplex virus-associated (HSV-associated) disease in a subject, comprising administering an antibody comprising the complementarity determining regions (CDRs) of VHCDR1 comprising SEQ ID NO: 1, VHCDR2 comprising SEQ ID NO: 2, VHCDR3 comprising SEQ ID NO: 3, VLCDR1 comprising SEQ ID NO: 4, VLCDR2 comprising SEQ ID NO: 5, and VLCDR3 comprising SEQ ID NO: 6.

2. A method of therapeutically or prophylactically treating a HSV-associated disease in a subject comprising administering an antibody which recognises the same epitope as the antibody according to claim 1, wherein said epitope is located at amino acids 172-195 and 295-313 of glycoprotein B of HSV1 and HSV2.

3. The method of claim 1, wherein the antibody is capable of inhibiting the spreading of HSV from an infected cell to an adjacent second non-infected cell (cell-to-cell spread).

4. The method of claim 1, wherein the antibody has a dissociation constant (KD) of at most 40 nM.

5. The method of claim 1, wherein the antibody in a concentration of at most 20 nM is capable of neutralising a defined amount of HSV of 100 TCID50.

6. The method of claim 1, wherein the antibody comprises an amino acid sequence with at least 70% sequence identity to the amino acid residues shown in positions 1 to 30, 38 to 51, 68 to 99, and 112 to 122 of SEQ ID NO: 9 and in positions 1 to 23, 40 to 54, 62 to 93, and 103 to 113 of SEQ ID NO: 10.

7. The method of claim 1, wherein the antibody comprises an amino acid sequence with at least 80% sequence identity to the amino acid residues shown in positions 1 to 30, 38 to 51, 68 to 99, and 112 to 122 of SEQ ID NO: 7 and in positions 1 to 23, 41 to 55, 63 to 94, and 104 to 114 of SEQ ID NO: 8.

8. The method of claim 1, wherein the antibody is a bivalent or multivalent antibody.

9. The method of claim 1, wherein the antibody is conjugated to an effector moiety, a therapeutic moiety, or a detectable label.

10. The method of claim 1, wherein the antibody is administered to the subject in a pharmaceutical composition comprising an effective amount of the antibody and at least one pharmaceutically acceptable excipient.

11. An expression vector comprising a nucleic acid sequence which encodes an antibody comprising the complementarity determining regions (CDRs) of VHCDR1 comprising SEQ ID NO: 1, VHCDR2 comprising SEQ ID NO: 2, VHCDR3 comprising SEQ ID NO: 3, VLCDR1 comprising SEQ ID NO: 4, VLCDR2 comprising SEQ ID NO: 5, and VLCDR3 comprising SEQ ID NO: 6.

12. A host cell comprising a nucleotide sequence which encodes an antibody comprising the complementarity determining regions (CDRs) of VHCDR1 comprising SEQ ID NO: 1, VHCDR2 comprising SEQ ID NO: 2, VHCDR3 comprising SEQ ID NO: 3, VLCDR1 comprising SEQ ID NO: 4, VLCDR2 comprising SEQ ID NO: 5, and VLCDR3 comprising SEQ ID NO: 6.

13. A hybridoma cell capable of producing an antibody comprising the complementarity determining regions (CDRs) of VHCDR1 comprising SEQ ID NO: 1, VHCDR2 comprising SEQ ID NO: 2, VHCDR3 comprising SEQ ID NO: 3, VLCDR1 comprising SEQ ID NO: 4, VLCDR2 comprising SEQ ID NO: 5, and VLCDR3 comprising SEQ ID NO: 6.

14. The method of claim 1, wherein the HSV-associated disease is accompanied with one or more of the following features:
a. presence of an oral recidive,
b. presence of a genital recidive,
c. eczema herpeticatum,
d. herpes neonatorum,
e. immune deficiency, immunocompromized patients,
f. resistance against a virusstatic agent,
g. encephalitis,
h. meningitis,
i. meningoencephalitis,
j. eye infections, or
k. generalized HSV infections.