[PDF][PDF] Human cytomegalovirus escapes a naturally occurring neutralizing antibody by incorporating it into assembling virions

K Manley, J Anderson, F Yang, J Szustakowski… - Cell host & …, 2011 - cell.com
K Manley, J Anderson, F Yang, J Szustakowski, EJ Oakeley, T Compton, AL Feire
Cell host & microbe, 2011cell.com
Human cytomegalovirus (CMV) is a common but difficult to treat infection of
immunocompromised patients. MSL-109 is a human monoclonal IgG isolated from a CMV
seropositive individual that recognizes the viral glycoprotein H (gH) surface antigen
complexes that mediate entry. Although MSL-109 blocks CMV infection in vitro, it lacked
sufficient efficacy in human trials, and CMV isolated from treated patients suggested the
evolution of MSL-109 resistance. To understand how CMV escapes MSL-109, we …
Summary
Human cytomegalovirus (CMV) is a common but difficult to treat infection of immunocompromised patients. MSL-109 is a human monoclonal IgG isolated from a CMV seropositive individual that recognizes the viral glycoprotein H (gH) surface antigen complexes that mediate entry. Although MSL-109 blocks CMV infection in vitro, it lacked sufficient efficacy in human trials, and CMV isolated from treated patients suggested the evolution of MSL-109 resistance. To understand how CMV escapes MSL-109, we characterized a MSL-109-resistant CMV strain. Our results elucidate a nongenetic escape mechanism in which the antibody is selectively taken up by infected cells and incorporated into assembling virions in a dose-dependent manner. The resistant virus then utilizes the Fc domain of the incorporated antibody to infect naive nonimmune cells. This resistance mechanism may explain the clinical failure of MSL-109, illustrate a general mechanism of viral antibody escape, and inform antiviral vaccine and therapeutic development.
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