Hepatitis C Virus–Escape Studies for Human Monoclonal Antibody AR4A Reveal Isolate-Specific Resistance and a High Barrier to Resistance

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Global control of hepatitis C virus (HCV) depends on development of a prophylactic vaccine. We studied escape for cross-genotype-reactive neutralizing antibody AR4A, providing valuable information for HCV vaccine design. We cultured HCV Core-NS2 recombinants H77(genotype 1a)/JFH1 or the highly-antibody-sensitive hypervariable region 1 (HVR1)-deleted variants H77/JFH1∆HVR1 and J6(genotype 2a)/JFH1∆HVR1 in Huh7.5 cells with AR4A. Long-term AR4A exposure of H77/JFH1 and H77/JFH1∆HVR1 did not yield resistance. However, J6/JFH1∆HVR1 developed the envelope-E2 substitutions I696T or I696N, which reduced AR4A binding (I696N>I696T). I696N conferred greater AR4A-resistance than I696T in J6/JFH1∆HVR1, whereas the reverse was observed in J6/JFH1. This was because I696N, but not I696T, conferred broadly increased antibody neutralization sensitivity to J6/JFH1. I696N and I696T abrogated infectivity of H77/JFH1 and broadly increased neutralization sensitivity of S52(genotype 3a)/JFH1. In conclusion, I696 is in the AR4A epitope, which has a high barrier to resistance, thus strengthening the rationale for its inclusion in rational HCV vaccine designs.
Original languageEnglish
JournalThe Journal of Infectious Diseases
Volume219
Issue number1
Pages (from-to)68-79
ISSN0022-1899
DOIs
Publication statusPublished - 2019

ID: 208888915