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. 2018 Jul 17;92(15):e00572-18.
doi: 10.1128/JVI.00572-18. Print 2018 Aug 1.

Roles of Fc Domain and Exudation in L2 Antibody-Mediated Protection against Human Papillomavirus

Affiliations

Roles of Fc Domain and Exudation in L2 Antibody-Mediated Protection against Human Papillomavirus

Joshua W Wang et al. J Virol. .

Abstract

To address how L2-specific antibodies prevent human papillomavirus (HPV) infection of the genital tract, we generated neutralizing monoclonal antibodies (MAbs) WW1, a rat IgG2a that binds L2 residues 17 to 36 (like mouse MAb RG1), and JWW3, a mouse IgG2b derivative of Mab24 specific for L2 residues 58 to 64. By Western blotting, WW1 recognized L2 of 29/34 HPV genotypes tested, compared to only 13/34 for RG1 and 25/34 for JWW3. WW1 IgG and F(ab')2 bound HPV16 pseudovirions similarly; however, whole IgG provided better protection against HPV vaginal challenge. Passive transfer of WW1 IgG was similarly protective in wild-type and neonatal Fc receptor (FcRn)-deficient mice, suggesting that protection by WW1 IgG is not mediated by FcRn-dependent transcytosis. Rather, local epithelial disruption, required for genital infection and induced by either brushing or nonoxynol-9 treatment, released serum IgG in the genital tract, suggesting Fc-independent exudation. Depletion of neutrophils and macrophages reduced protection of mice upon passive transfer of whole WW1 or JWW3 IgGs. Similarly, IgG-mediated protection by L2 MAbs WW1, JWW3, and RG1 was reduced in Fc receptor knockout compared to wild-type mice. However, levels of in vitro neutralization by WW1 IgG were similar in TRIM21 knockout and wild-type cells, indicating that Fc does not contribute to antibody-dependent intracellular neutralization (ADIN). In conclusion, the Fc domain of L2-specific IgGs is not active for ADIN, but it opsonizes bound extracellular pseudovirions for phagocytes in protecting mice from intravaginal HPV challenge. Systemically administered neutralizing IgG can access the site of infection in an abrasion via exudation without the need for FcRn-mediated transcytosis.IMPORTANCE At least 15 alpha HPV types are causative agents for 5% of all cancers worldwide, and beta types have been implicated in nonmelanoma skin cancer, whereas others produce benign papillomas, such as genital warts, associated with considerable morbidity and health systems costs. Vaccines targeting the minor capsid protein L2 have the potential to provide broad-spectrum immunity against medically relevant HPVs of divergent genera via the induction of broadly cross-neutralizing serum IgG. Here we examine the mechanisms by which L2-specific serum IgG reaches the viral inoculum in the genital tract to effect protection. Abrasion of the vaginal epithelium allows the virus to access and infect basal keratinocytes, and our findings suggest that this also permits the local exudation of neutralizing IgG and vaccine-induced sterilizing immunity. We also demonstrate the importance of Fc-mediated phagocytosis of L2 antibody-virion complexes for humoral immunity, a protective mechanism that is not detected by current in vitro neutralization assays.

Keywords: Fc; FcRn; L2 protein; TRIM21; antibody-mediated protection; cross-protection; human papillomavirus; humoral immunity; monoclonal antibody; neutralizing antibodies.

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Figures

FIG 1
FIG 1
Summary of RG1 and WW1 reactivity with diverse HPV genotypes. Red boxes indicate no MAb binding detectable by Western blotting, and green boxes indicate detectable reactivity. The WW1 epitope on HPV16 L218–32 and the corresponding regions of other HPV types were aligned using UCSF chimera software. Red boxes in the multiple-sequence alignment indicate putative key amino acid mutations from HPV16L218–32 that resulted in WW1 nonreactivity.
FIG 2
FIG 2
Conserved cysteines in L2 are required for WW1 binding. RG1 and WW1 binding with either wild-type (WT) HPV16 PsV or HPV16 point mutant PsV at the HPV16L218–32 site was assessed by Western blotting. The WW1 epitope on HPV16 and the corresponding L2 point mutant regions on other mutants were aligned using UCSF chimera software. “+” indicates strong binding, “+/−” indicates weak binding, and “−” indicates no binding.
FIG 3
FIG 3
FcRn-independent release of WW1 into the vagina and protection. (A) HPV16 PsV encoding a luciferase reporter plasmid infects FcRn knockout (KO) and wild-type (WT) C57BL/6 mice equivalently after vaginal challenge. (B) Passive transfer of WW1 (50 μg) protects both FcRn KO and WT mice against vaginal challenge with HPV16 PsV. (C) Higher concentrations of WW1 IgG are present in vaginal lavage samples obtained from WT and FcRn KO mice 12 h after N9 treatment than with cytobrush-induced disruption of the murine cervicovaginal epithelium.
FIG 4
FIG 4
WW1 IgG and F(ab′)2 bind L2 equivalently, but IgG is more neutralizing and protective. (A) WW1 whole IgG and WW1 F(ab′)2 bind comparably to the HPV16 L2 protein, as determined by an ELISA using a Fab-specific secondary antibody. (B) The WW1 F(ab′)2 preparation that lacked a detectable signal compared to whole WW1 IgG toward anti-IgG2a secondary antibody failed to detectably react in an HPV16 L2 ELISA. (C) Whole WW1 IgG2a can neutralize HPV16 better in vitro in the FC-PBNA than WW1 F(ab′)2. (D) Whole WW1 IgG2a better protects naive mice from vaginal challenge with HPV16 upon passive transfer than WW1 F(ab′)2. Open squares indicate WW1 whole IgG, and open triangles indicate WW1 F(ab′)2.
FIG 5
FIG 5
Role of neutrophils/macrophages and Fc receptors (FcR) in protection by L2 MAbs. (A) Passive transfer of WW1 and control IgG into control BALB/c mice or mice depleted for neutrophils/macrophages (n = 10) using RB6-8C5 pretreatment followed by HPV16 pseudovirus challenge. (B) Passive transfer of JWW3 IgG into control BALB/c mice or mice depleted for neutrophils/macrophages (n = 7) followed by HPV16 pseudovirus challenge. (C) Passive transfer of JWW3 IgG into Fcγ knockout mice (n = 7) followed by HPV16 pseudovirus challenge. (D) Passive transfer of MAb RG1 IgG into wild-type or Fcγ knockout mice (n = 10) followed by HPV16 pseudovirus challenge. (E) Passive transfer of monoclonal WW1 or JWW1 IgG into BALB/c mice (n = 5) followed by HPV16 pseudovirus challenge. (F) Passive transfer of monoclonal JWW2 or JWW3 IgG into BALB/c mice (n = 5) followed by HPV16 pseudovirus challenge.
FIG 6
FIG 6
Role of TRIM21 in antibody-mediated neutralization. (A) Measurement of in vitro neutralizing antibody titers by the L1-PBNA for mouse antisera to Cervarix or L2α11-88×5 or MAbs WW1 and RG1. The neutralization assays tested the IC50 for HPV16 infection of either wild-type mouse embryo fibroblast (MEF) cells (left) or TRIM21 knockout mouse embryo fibroblast cells (right). (B) Binding of humanized WW1 (closed circles) and humanized WW1 with TRIM21 binding-site mutations (open circles) to HPV16 L2 by an ELISA. (C) In vitro neutralization of HPV16 by humanized WW1 (closed circles) and humanized WW1 with TRIM21 binding-site mutations (open circles).

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