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Sunday, October 27, 2019

Kill 2 birds with one stone… or many viruses with one egg



The seasonal flu, or influenza virus, infects ~5% of adults and 20% of children each year (1). This is a virus that mutates relatively quickly and therefore requires a new vaccine to be produced and administered each year. Between flu seasons, scientists will predict how the flu is going to mutate and will create a new vaccine to try and prepare the immune system to combat that variant (2). Unfortunately, this process works better some years than others. Therefore, in this paper, Tseng et al. is looking to create a more general flu vaccine that will protect against the flu virus regardless of how it mutates from year to year. This new vaccine takes the virus and removes its glycosylation sites. Normally, the flu virus can have different glycosylation sites and the vaccines will specifically prime the immune system against specific glycosylation patterns. The vaccine being created is a monoglycosylated flu vaccine made from chicken eggs.
            First, the authors had to show that they could inhibit the glycosylation of the virus to create the monoglycosylated virus. They tested this by using different egg concentrations and different amounts of kifunensine. Then they did SDS/PAGE to analyze the virus and found that the new virus with kifunensine does remove the glycosylation sites without affecting overall protein composition within the virus. They also tested to see if the binding ability of the vaccine was altered after changing the glycosylated virus, and after doing a hemagglutinin (HA) assay it showed that there is no change in the binding ability of the viral HA.
Figure 1. This is figure 2D from the paper and shows that the monoglycosylated virus (X181mg) has the same amount of HA protein as the other virus. This indicates that when the virus is modified, there are no changes to the overall amount of protein present.

            Now that the virus is created, the authors injected mice with either the monoglycosylated vaccine, or other commercial vaccines. After vaccinated the mice, the scientists collected antisera, blood serum which contains the animal’s antibodies, to study. The mice inoculated with the monoglycosylated vaccine had the greatest amount of hemagglutinin inhibition when compared to the other vaccines given. This shows that this vaccine better neutralized the cross-strain influenza viruses. After looking at the antisera after the vaccine was given, the scientists injected a lethal virus dose and the animals were monitored for another 2 weeks to see how effective the vaccines were. The mice vaccinated with the monoglycosylated vaccine showed more than 70% protection against the cross-strained viruses. This indicated this vaccine causes improved antibody response and subsequent protection. Additionally, the mice who received the monoglycosylated vaccine had fewer viral particles in their lungs and had less weight loss after viral infection when compared to the mice who received other viruses.
Figure 2. This figure shows the serum Titer (A, D, G), neutralization (B, E, H), and percent survival (C, F, I) of both the monoglycosylated virus (X-181mg) when compared to other commercial viruses after the mice were injected with one of three viruses. The monoglycosylated virus is the red line and for all three viruses has the highest neutralization percent and survival percent.

            The scientists then wanted to know more about why this new vaccine was so effective. They did an ELISA to look at hemagglutinin levels. It was found that the monoglycosylated virus had more cross-reactive hemagglutinin specific antibodies and had more splenocytes released. Splenocytes are white blood cells that consist of many different cell populations that all propagate an immune response. Therefore, compared to the other vaccines, the monoglycosylated vaccine caused more stem specific antibodies as well as antibody secreting splenocytes. Then, to look at whether this vaccine increased the total number of antibodies they did an ELISA. It showed that the mouse antisera with the monoglycosylated had more antistem antibodies in the total antibody count than the other vaccines.
            The last thing the authors looked at is Fc receptor-mediated immune response. Normally, the main focus when neutralizing a virus is to look at antibody protection. However, recently there has been a greater push to look at the Fc receptor mediated antiviral activities. Fc receptors bind to antibodies that are attached to cells to stimulate phagocytosis. Their last experiment used an antibody dependent cellular cytotoxicity assay to study this response. The assay showed that the monoglycosylated antisera had higher Fc immune activity when compared to the multi glycosylated vaccine. The antibodies produced by the monoglycosylated virus can therefore be shown to provide broader protection for the host.
            Ultimately, this experiment shows that this novel vaccine created from eggs where the virus has the glycosylation sites removed causes improved protection against influenza virus. This vaccine improves the immune response, increase antibodies, and provides a more generalized immune response that can target a variety of flu viruses, not just a single strain. This has the potential to save money because new vaccines would not need to be created annually. Additionally, it would save time for both scientists and the general population to prevent the need for annual vaccinations.

1) Krammer F, Palese P (2015) Advances in the development of influenza virus vaccines. Nat Rev Drug Discov 14:167–182.
2) Dos Santos G, Neumeier E, Bekkat-Berkani R (2016) Influenza: Can we cope better with the unpredictable? Hum Vaccin Immunother 12:699–708

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