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MonoclonalAntibodiestotheHaemagglutininHAISubunitofthePandemicInfluenzaA/H1N12009VirusandPotentialApplicationtoSerodiagnosis
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Monoclonal antibodies to the Haemagglutinin HA1 subunit of the pandemic influenza A / H1N1 2009 virus and
potential application to serodiagnosis
Journal: Journal of Medical Virology
Manuscript ID: JMV-10-1858.R2
Wiley - Manuscript type: Research Article
Date Submitted by the Author:
23-Sep-2010
Complete List of Authors: Samuel, Dhan; Health Protection Agency, Centre for Infections,
Virus Reference Department Warrener, Lenesha; Health Protection Agency, Centre for Infections, Virus Reference Department Hoschler, Katja; Health Protection Agency, Centre for Infections, Virus Reference Department
Keywords: Influenza A/ H1N12009, Monoclonal antibodies, HA1 subuint
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Monoclonal antibodies to the Haemagglutinin HA1 subunit of the pandemic influenza A / H1N1 2009 1
virus and potential application to serodiagnosis 2
Dhanraj Samuel*, Lenesha Warrener, Katja Hoschler 3
Virus Reference Department, Health Protection Agency, Centre for Infections 4
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*Corresponding Author: dhan.samuel@hpa.org.uk 12
Tel: 44 (0) 20 8327 6254 13
Fax: 44 (0) 20 8205 8195 14
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ABSTRACT: 15
In order to provide specific serological reagents for pandemic influenza A/H1N1 2009 virus, 16
monoclonal antibodies (Mabs) to recombinant haemagglutinin component HA1 (rHA1) were 17
generated after fusing spleen cells from a mouse immunised with rHA1 protein derived from influenza 18
strain A/California/06/09 H1N1 with a mouse myeloma cell line. 19
Five hybridoma clones secreting Mabs specific for the rHA1 protein derived from pandemic influenza 20
A/H1N1 2009 and not for rHA1 from seasonal H1N1 influenza strains A/Brisbane/59/07 and 21
A/Solomon Islands/03/06 were identified by EIA. Mabs 7H4, 9A4 and 9E12 were reactive in Western 22
blots with full length rHA and/or rHA1 subunit derived from A/California/06/09 strain. Only Mab 1F5 23
inhibited haemagglutination of turkey red blood cells with recombinant NIBRG-121 virus derived from 24
A/California/07/09, but did not react in Western blots. Immunostaining of MDCK cells infected with 25
NIBRG-121 was localised to the membrane/cytoplasm for four of the reactive Mabs. The differing 26
reactivity of the Mabs in Western blots, immunostaining, EIA and haemagglutination inhibition assay 27
suggest that at least four of the five Mabs recognise different epitopes on HA1 of the pandemic 28
influenza A/ H1N1 2009 virus. 29
Ferret antisera to pandemic influenza A /H1N1 2009 (A/England/195/09 and A/California/07/09 30
strains) and sera from human subjects vaccinated with Influenza A (H1N1) 2009 Monovalent Vaccine 31
(CELTURA ®, Novartis Vaccines, Germany), inhibit binding of 1F5-HRP to biotinylated rHA1 derived 32
from A/California/06/09 in a competitive EIA, suggesting that the epitope recognised by this Mab also 33
evokes an antibody response in infected ferrets and vaccinated humans. 34
35
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INTRODUCTION. 36
Influenza A viruses are negative sense, single-stranded RNA viruses that belong to the genus 37
Influenzavirus A in the family Orthomyxoviridae. The haemagglutinin (HA) of influenza resides on the 38
surface of the virus and initiates the viral infectious cycle by attaching to sialic acid residues in host 39
cells and inducing fusion (Skehel and Wiley, 2000). Depending on the virus strain, host cell type and 40
growth conditions used, the HA can exist in its uncleaved form (HA0 MW ~76 KDa) or in its cleaved 41
form, consisting of two di-sulphide linked chains HA1 and HA2 (Klenk et al., 1975; Lazarowitz and 42
Choppin ,1975). HA is the major viral antigen against which neutralising antibodies are produced, and 43
influenza epidemics are associated with changes in its antigenic structure (Lamb and Krug, 1996). 44
Influenza pandemics occur when an influenza virus with a HA, against which there is little or no 45
existing immunity, emerges in human populations and transmits efficiently from human to human 46
(Garten et al., 2009). Between March and April 2009, a previously unknown variant of influenza A/ 47
H1N1 caused sporadic infections and epidemics in North America and Mexico, resulting in a global 48
pandemic (MMWR 2009a; MMWR 2009b , Hancock et al., 2009; Miller et al., 2010 and Ikonen et al., 49
2010.). Antigenic and genetic characterisation of the 2009 pandemic influenza A/ H1N1 virus revealed 50
it to be very different from seasonal H1N1 viruses (Garten et al., 2009). Structural analysis revealed 51
up to 27% difference between the amino acid sequence of HA1 of the pandemic virus influenza A/ 52
H1N1 2009 and the 2007 seasonal influenza A H1N1 virus, with the majority of the changes in the 53
globular, antigenic sites of the HA1 protein (Ikonen et al., 2010). Consequently, serological reagents 54
specific for seasonal influenza H1N1 cannot be used for detection of the pandemic influenza A/ H1N1 55
2009 virus. 56
The aim of the present study was to generate monoclonal antibodies specific for the HA1 of pandemic 57
influenza A/ H1N1 2009 strain and to characterise these antibodies in terms of specificity, potential 58
utility in research and serological investigations of the influenza A/ H1N1 2009 pandemic. 59
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MATERIALS AND METHODS 61
Viral proteins: The following purified recombinant proteins, all of which were 6 x His tagged and 62
expressed in 293 cells, were obtained from e-Enzyme LLC (Montgomery Village, MD, USA): 63
haemagglutinin HA1 (A California/06/09 H1N1; amino acids 18-344), haemagglutinin HA (A/ 64
California/06/09 H1N1; amino acids 18-530), haemagglutinin HA1 (A/Brisbane/59/07 H1N1; amino 65
acids 18-343), haemagglutinin HA (A/Brisbane/59/07 H1N1; amino acids 18-530), haemagglutinin 66
HA1 (A/Solomon Islands/3/06 H1N1; amino acids 18-344), haemagglutinin HA (A/Solomon 67
Islands/3/06 H1N1; amino acids 18-530), haemagglutinin HA1 (A/New Caledonia/20/99 H1N1; amino 68
acids 18-345), haemagglutinin HA (A/New Caledonia/20/99 H1N1; amino acids 18-530), HA 69
(B/Malaysia/2506/04; amino acids 12-547), haemagglutinin HA1 (A/Vietnam/1203/04 H5N1; amino 70
acids 1-345) and haemagglutinin HA (A/Vietnam/1203/04 H5N1; amino acids 18-530). 71
Biotinylation of proteins: Approximately 50µG of the viral proteins and 6mG of bovine serum albumin 72
(BSA) were biotinylated using the EZ-Link™NHS-Biotin from Pierce (Rockford, IL, USA) essentially as 73
described in the supplied instructions. 74
Streptavidin coated microtitre plates: 12 x 8 U-well strip microplates, (Greiner Bio-one, Stonehouse, 75
UK) were first coated with 100µL/well of a 50µG/mL solution of BSA-biotin in 0.05M carbonate buffer, 76
pH 9.5 at 2-8ºC overnight. The plates were washed with PBS containing Tween-20 (0.05% v/v, PBST) 77
and then blocked with 200µL/well of a blocking buffer (Microimmune Ltd, Hounslow, UK) for 2h at 78
37ºC. To the BSA-biotin plates was added 500nG/mL streptavidin (Prozyme, Inc, Hayward, CA, USA) 79
in the blocking buffer for 1h at 37ºC and the wells aspirated and stored at 2-8ºC until used. 80
Monoclonal antibody production: A BALB/c mouse was immunised subcutaneously at fortnightly 81
intervals on four separate occasions with a mixture containing 40µG of rHA1 (A/California/06/09) 82
protein in 90µL of PBS containing 50µG of N-acetylmuramyl-L-alanyl-D-isoglutamine hydrate (MDP, 83
Sigma -Aldrich Co. Ltd, Poole, UK) and an equal volume of Freund’s Incomplete Adjuvant (Sigma -84
Aldrich Co. Ltd, Poole, UK). A test bleed was taken one week after the last immunisation. Three days 85
prior to splenectomy, the mouse was again immunised subcutaneously as before, except that 25µG of 86
rHA1 was used. 87
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The splenocytes from the immunised mouse were fused with the NS1 mouse myeloma cell line by 88
standard procedures described previously (Kohler and Milstein, 1976; Tedder et al., 1982) and the 89
fused cells distributed into 10 x 96-well tissue culture plates containing selective hypoxanthine, 90
aminopterin and thymidine medium. The serum obtained from the test bleed was used to develop the 91
enzyme immunoassays (EIAs) used for sceening hybridoma supernatants described below. 92
Hybridomas found to be positive in the EIA were expanded and cloned by limiting dilution. 93
EIA for screening of hybridoma supernatants: Separate microtitre plates (Greiner Bio-one, 94
Stonehouse, UK) were coated with rHA1 subunit (A/California/06/09) and whole rHA 95
(A/California/06/09) in carbonate coating buffer as described for streptavidin coated plates. In 96
addition, biotin-rHA1 plates were prepared by adding 100µL/well of biotinylated rHA1 (200nG/mL) in 97
3% (w/v) BSA in PBST to the streptavidin coated plates and incubating at 2-8ºC overnight. After 98
washing with PBST, these wells were also used to screen hybridoma supernatants in the EIA 99
procedure described below. 100
To 100µL of hybridoma supernatants was added 250µL of 1% (w/v) milk in PBST containing 0.05% 101
(w/v) Bronidox-L (Henkel, Germany, PBSTBx). 100µL of the diluted hybridoma supernatant was 102
added to wells of rHA1 (A/California/06/09), rHA (A/California/06/09) and biotin-rHA1 103
(A/California/06/09) coated plates and incubated for 1h at 37ºC. The plates were washed four times 104
with PBST and 100µL/well of rabbit anti-mouse IgG-horseradish peroxidase (HRP) conjugate (Dako 105
UK Ltd, Ely, UK), diluted 1/4000 in 1% (w/v) milk in PBSTBx, was added and incubated for 30min at 106
37ºC. The plates were washed and incubated with 100µL/well of TMB substrate (Microimmune, 107
Hounslow, UK) until colour developed. The colour development was terminated by the addition of 108
100µL/well of 0.5M hydrochloric acid and the optical density readings at 450/620nm in each well 109
recorded. 110
Isotyping of monoclonal antibodies: Goat anti-mouse IgG1, IgG2a, IgG2b, IgG2c, IgG3 and IgM were 111
obtained from Jackson Immunoresearch Laboratories (Stratech Scientific Ltd, Newmarket, UK). 112
Tissue-culture supernatants (100µL) from cloned hybridomas were added to immobilised biotin-rHA1 113
(A/California/06/09) wells as described above and incubated for 1h at 37ºC. After washing the wells 114
as before in PBST, 100µL of a 1/2000 dilution of each of the goat-anti-mouse isotyping reagents in 115
1% (w/v) milk in PBSTBx was added and incubated for 30min at 37ºC. The wells were washed as 116
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before and incubated with 100µL of a 1/20000 rabbit anti-goat IgG-HRP conjugate (Sigma -Aldrich 117
Co. Ltd, Poole, UK) in 1% (w/v) milk in PBSTBx and incubated for 30min at 37ºC. The bound HRP 118
was detected with TMB substrate as described above. 119
120
EIA for the quantitation of IgG in culture supernatants: Microtitre plates were coated with 100µL/well 121
of rabbit anti-mouse IgG (5µG/mL, Sigma, Dorset, UK) in 0.05M carbonate buffer, pH9.5 overnight at 122
2-8 ºC. The wells were washed and 100µL of dilutions of IgG (derived from clone 1F5) in 1% (w/v) 123
milk in PBSTBx was added to the wells in triplicate for construction of a standard curve. 124
Simultaneously 100µL of Mab culture supernatants, diluted in the same buffer, were added in 125
triplicate to separate wells and incubated at 37 ºC for 1h. The plates were washed as before and 126
100µL of a 1/4000 dilution of rabbit anti-mouse IgG-HRP conjugate was added. After washing the 127
wells four times with PBST, the bound HRP was detected with TMB substrate. 128
SDS PAGE and Western Blotting: Recombinant viral proteins were separated electrophoretically 129
under reducing conditions on a NuPAGE 10% Bis-Tris gel (Invitrogen Ltd, Paisley, UK) using MOPS 130
running buffer and the electrophoresed proteins transferred onto nitrocellulose membranes essentially 131
as described by Towbin et al., (1979) and detailed in the product literature from Invitrogen Ltd. The 132
membranes were then incubated with a 1/20 dilution of supernatants derived from each of the cloned 133
Mab producing cell lines in 1% (w/v) milk in PBST or with a 1/100 dilution of serum from the mouse 134
test bleed in the same buffer solution for 1h at room temperature (RT). The membranes were then 135
washed and incubated with a 1/20000 dilution of a rabbit anti-mouse IgG-alkaline phosphatase 136
conjugate (Stratech Scientific Ltd, Newmarket, UK). After washing, the bound Mabs were detected 137
with 5-bromo-4-chloro-3-indolyl phosphate and nitro-blue tetrazolium (NBT/BCIP) as substrate (Leary 138
et al., 1983). 139
Haemagglutination Inhibition (HAI): The ability of the Mabs to inhibit agglutination of 0.5% turkey red 140
blood cells (RBC) by two recombinant influenza A virus strains NIBRG-121 and NIBRG-122, derived 141
from A/California/07/09 and A/England/195/09 respectively and supplied by the National Institute for 142
Biological Standards and Controls (NIBSC), UK, was tested essentially as described earlier (Ellis and 143
Zambon, 1997). Briefly, supernatants were diluted twofold in PBS, starting at a 1:8 dilution, and 4 144
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haemagglutination units of virus were added, followed by incubation for one hour at RT, after which 145
the turkey RBC were added. Results were interpreted after 30min incubation at RT. 146
Cell-ELISA and Immunostaining of virus infected MDCK cells: Madine-Darby canine kidney (MDCK) 147
cells were infected with recombinant virus NIBRG-121 at a multiplicity of infection of 0.05 particles per 148
cell and dispensed into wells of 96-well tissue culture plates using standard procedures (Rowe et al., 149
1999). One hundred microlitres of diluted Mab supernatants in 1% (w/v) milk PBSTBx were added to 150
the wells and incubated for 1h at RT. The wells were washed four times by gentle aspiration of the 151
antibody solution and washing with PBST. The wells were incubated with 100µL rabbit anti-mouse 152
IgG-alkaline phosphatase conjugate diluted 1/20000 in 1% (w/v) milk PBSTBx or with 100µL of rabbit 153
anti-mouse IgG-HRP conjugate diluted 1/4000 in the same buffer. The wells were washed four times 154
with PBST as before and further washed twice with water before immunostaining. The HRP 155
conjugates were revealed by the addition of 100µL of a soluble TMB substrate for the cell-ELISA and 156
stopping the reaction after colour development with 100µL 0.5M HCl and reading the optical density at 157
450/620nm. For localisation of Mab staining, the HRP conjugates were visualised after addition of 158
100µL of a precipitating substrate, TrueBlue™, (KPL, Gaithersburg, MD, USA) and the alkaline 159
phosphatase conjugates were revealed with the addition of 100µL/well of NBT/BCIP substrate, as 160
described for Western blotting above. 161
162
Competitive EIA: 163
Supernatant from Mab 1F5- hybridoma cell-culture was harvested and IgG purified using protein A 164
column and labelled with horseradish peroxidase (HRP) using standard procedures (Ishikawa et al., 165
1983 and Nilsson et al., 1981). The purified conjugate contained 1.44 moles of enzyme per mole of 166
IgG and the antibody concentration was approximately 2mG/mL. To streptavidin coated plates (see 167
above) 100µL/well of a 100nG/mL biotin-rHA1 from A/California/06/09 in 1% (w/v) milk PBSTBx was 168
added and incubated at 37ºC for 1h. The plates were then washed four times in PBST. 169
An equal volume of HRP conjugated 1F5 Mab (1F5-HRP) diluted 1/1000 was mixed with an equal 170
volume of competing antibody. The competing antibodies were undiluted Mab supernatants, or 1/5 171
dilutions of ferret antisera to influenza A virus strains (see Figure 3a for strains) and serum samples 172
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from humans pre and post immunisation with Celtura ® vaccine (containing the inactivated surface 173
antigen preparation of the reassortant NYMC X-179A virus) in 1% (w/v) milk PBSTBx. One hundred 174
microlitres per well of this was then added in duplicate to streptavidin-biotin-rHA1 wells for 1h at 37ºC. 175
After washing, the plates were incubated with TMB substrate (Microimmune Ltd, Hounslow, UK) at 176
room temperature for 20min. Known concentration of unconjugated antibody from clone 1F5 was 177
used as the competing antibody to generate a standard curve. Four or eight replicate control wells, in 178
the absence of competing culture supernatant or sera from ferrets and human vaccinees respectively, 179
were used to calculate the mean OD450/620nm of binding by 1F5-HRP. The % inhibition was calculated 180
using the equation: (mean OD450/620nm 1F5-HRP – mean OD450/620nm competing supernatant or serum 181
sample) / mean OD450/620nm 1F5-HRP x100. Where competing serum samples gave OD450/620nm values 182
greater than the control in the absence of serum, the result was designated a value of zero % 183
inhibition. 184
Experimental Ethics: All experimental work involving animals were performed in compliance with the 185
Animals (Scientific Procedures) Act1986 under licence and in accordance with ethical standards of 186
the Declaration of Helsinki. 187
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RESULTS 188
EIA screening of hybridoma colonies: Fourteen days post fusion virtually all of the 960 wells from the 189
fusion plates had colonies of hybridoma growth and consequently, supernatant from all the wells were 190
screened by EIA. Three strategies were used for the screening procedure. Reactivity of the 191
hybridoma supernatant to rHA or rHA1 derived from H1N1 (A/California/06/09) coated directly on to 192
microtitre wells or to biotinylated rHA1 derived from H1N1 (A/California/06/09), immobilised using 193
streptavidin coated plate. The serum derived from the test bleed of the immunised mouse gave strong 194
EIA reactivity in all three assays. The five monoclonals taken forward all reacted with biotin-rHA1 195
coated wells. Only one of these Mabs reacted with rHA1 coated directly onto microtitre wells. The EIA 196
positive hybridoma cells were cloned by limiting dilution. 197
EIA for the estimation of IgG concentration culture supernatants: From a standard curve constructed 198
using purified mouse IgG1, the concentration of IgG in the culture supernatants used in the 199
characterisation of Mabs was estimated. The concentrations of antibody in the supernatant for Mabs 200
1F5, 9A4 and 7H4 were between 15-18µG/mL, and for supernatant 9E12, was much higher 201
(26.0µG/mL). The antibody concentration in the supernatant of Mab 1G10 was only 1.0µG/mL (see 202
Table I). 203
Characterisation of the monoclonal antibodies: Since all five clones reacted with biotinylated rHA1 204
subunit derived from A/California/06/09, we assessed their reactivity with biotinylated rHA 205
A/California/06/09 and with biotinylated rHA1 subunit derived from A/Brisbane/07/09 H1N1 and A/ 206
Solomon Islands/03/06 H1N1 in EIA using streptavidin to capture the biotinylated proteins. All five 207
clones were specific for rHA and rHA1 derived from A/California/06/09 and did not react in EIA with 208
the biotinylated recombinant proteins from A/Brisbane/07/09 or with A/Solomon Islands/03/06. Serum 209
from the test bleed reacted with all four biotinylated proteins. Isotyping of the Mab supernatants 210
showed that all five clones secreted IgG1 antibodies (Table I). 211
In Western blots, serum from the test bleed of the immunised mouse, used to generate the Mabs, 212
stained all the recombinant haemagglutinin proteins derived from H1N1 influenza strains, but not the 213
recombinant haemagglutinin form H5N1 and influenza B (Figure 1a). Mabs from clones 1F5 and 214
1G10 did not react with any of the proteins in Western blots, although the lack of staining observed for 215
1G10 may be explained by its low antibody concentration in culture supernatants. Mab 7H4 gave 216
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intense immunostaining with rHA and rHA1 from A/California/06/09, but did not stain any other 217
recombinant protein (Figure 1b). Mab 9A4 gave intense reaction with rHA from A/California/06/09, but 218
only weak staining with rHA1 from A/California/06/09 (Figure 1c). Mab 9E12 showed weak reaction 219
with rHA derived from A/California/06/09 only (Figure 1d). 220
In a cell-ELISA, all five Mabs reacted with the recombinant virus NIBRG-121, with differing intensities 221
(See Table 1). Mab 1F5 and 9A4 gave the highest OD signals using TMB substrate. Diffuse 222
cytoplasmic/membrane staining of infected cell was observed with Mabs 1F5 and 9A4 (Figure 2a and 223
2b) using both the insoluble substrates, NBT/BCIP substrate (with alkaline phosphatase conjugate) 224
and TrueBlueTM (with HRP conjugate). This was different from the weak cytoplasmic/membrane 225
staining pattern observed with 9E12 (Figure 2c). The weak staining of infected cells by 1G10 may be 226
the result of the low concentration of antibody in the culture supernatant used (Figure 2d). 227
Only Mab 1F5 inhibited haemagglutination of turkey RBC by recombinant virus NIBRG-121 (derived 228
from A/California/07/09) and recombinant NIBRG-122 (derived from A/England/195/09). The HAI titre 229
of 1F5 with NIBRG-121 was eight fold higher than with NIBRG-122 (Table 1). 230
In competitive EIA, only serum from the test bleed and the unconjugated tissue culture supernatant 231
from clone 1F5 competed effectively with 1F5-HRP labelled antibody. A standard curve for the 232
competitive EIA using purified, unconjugated 1F5 antibody revealed that the detection limit was 233
75nG/mL. Partial inhibition of 1F5-HRP binding in EIA was observed with tissue culture supernatants 234
Mab 9A4 (38% inhibition) and 9E12 (12%). No inhibition was observed with supernatants from Mab 235
7H4 and 1G10. 236
237
The inhibition of 1F5-HRP with ferret sera in the competitive EIA is shown in Figure 3a and the 238
corresponding HAI results with NIBRG-121 are shown over the bars in the graph where available. 239
Two ferrets immunised with the same, recent European swine-lineage influenza strain 240
(A/Aragon/3218/08; provided by the Director of the National Centre for Microbiology, Instituto de 241
Salud Carlos III, Madrid, Spain) showed between 10 and 16% inhibition of 1F5-HRP in the 242
competitive EIA, whereas ferrets immunised with the 2009 pandemic influenza strain 243
A/California/07/09 H1N1 and influenza A/England/195/09 H1N1 showed approximately 55% and 30% 244
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inhibition of conjugate binding respectively. Of the ferret antisera to recent seasonal influenza 245
A/H1N1, only the A/Brisbane/59/07 showed any significant inhibition of 1F5-HRP binding (7.7%) in the 246
competitive EIA. All other ferret antisera failed to inhibit 1F5-HRP binding. The ferret antisera to the 247
two pandemic influenza A / H1N1 2009 virus strains had high HAI titres with NIBRG-121. Significant 248
but lower HAI titres were obtained for ferret antisera to the recent swine-lineage virus 249
A/Aragon/3218/08 and to antisera to the strain A/swine/England/117316/86. 250
251
The inhibition of 1F5-HRP binding obtained with sera from 15 subjects pre and post vaccination with 252
Celtura ® adjuvanted pandemic H1N1 vaccine is shown in Figure 3b and the HAI titres obtained for 253
each of the specimens is given on the bar chart. Twelve of the 15 sera taken on the day the vaccine 254
was administered (day 0) did not inhibit 1F5-HRP binding. This included five sera with HAI titres of 16 255
or greater on day 0. Serum from one subject in particular (subject 12) had an HAI titre of 256 on day 256
0, but did not show any inhibition of 1F5-HRP in the competitive EIA. Of the remaining three sera 257
collected on day 0, two had HAI titres of <8 and one of 16 (subjects 7, 11 and 15) and these inhibited 258
1F5-HRP (inhibition of 23%, 24% and 29% respectively). Most subjects had seroconverted by HAI 259
and also produced antibodies that inhibited 1F5-HRP binding in the competitive EIA by Day 21, with 260
two exceptions, subjects 3 and 4. Subject 3 showed seroconversion in the competitive EIA on day 42, 261
whereas subject 4 remained seronegative by competitive EIA at this time and maintained an HAI titre 262
of 64, as observed on day 21. In general, sera from subjects giving high % inhibition of 1F5-HRP in 263
the competitive EIA also had high HAI titres, although there were some exceptions (see subjects 12 264
and 6 taken on day 21). The correlation between HAI titres and % inhibition in the competitive EIA 265
was poor (R2 <0.3). 266
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267
DISCUSSION 268
An operational consequence of the emergence of the pandemic influenza A / H1N1 2009 was that the 269
pathogen and specimens from suspected cases needed to be handled at a higher biological 270
containment level than for seasonal influenza viruses. This restricted the propagation of virus in cell 271
culture to laboratories with high containment facilities and further restricted availability of the virus or 272
viral proteins for developing serological reagents. However, within three months of the first cases of 273
the pandemic influenza A / H1N1 2009 virus being reported in Mexico and the USA, rHA proteins 274
derived from the pandemic strain in purified form became available commercially. This prompted us to 275
generate monoclonal antibodies to rHA in order to provide additional serological research tools for 276
studying the pandemic influenza A / H1N1 2009 virus strains. 277
Recombinant HA1 derived from A/California/06/09 H1N1 proved to be immunogenic, since serum 278
taken from the test bleed of the immunised mouse showed reactivity with rHA1 subunit and whole rHA 279
(derived from the A/California/06/09 strain) coated wells and with biotinylated rHA1 from the same 280
strain suspended from streptavidin coated wells in EIA. The majority of hybridomas screened did not 281
react with the recombinant proteins coated directly onto polystyrene wells. This may have occurred as 282
a result of failure in the fusion process to fuse splenocytes with specificity for the proteins. However, 283
success with using biotinylated rHA1 suspended from streptavidin coated plates for identifying 284
reactive hybridomas suggested that conformational presentation of the rHA protein was important. It 285
may be that the rHA1 and rHA undergo changes in conformation on binding to polystyrene wells, as 286
was shown for HA binding to polyvinyl by Yewdell (2010). Yewdell (2010) demonstrated recently that 287
some Mabs to discontinuous epitopes on influenza A HA can induce refolding of denatured proteins 288
bound to polyvinyl plates over a two day incubation period. Thus it is possible that with extended 289
incubation of the hybridoma supernatant during the screening process, more hybridoma clones 290
reactive to conformational epitopes in rHA1 may have been identified. 291
Four of the five Mabs to the pandemic H1N1 influenza A/California/ 06/09 generated in this study 292
appeared to recognise different epitopes as demonstrated by the differing pattern of reactivity 293
observed in Western blots, staining of virus infected cells, HAI and in competitive EIA. The 294
concentration of IgG in the culture supernatant of Mab 1G10 was ten times lower than that found for 295
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other Mabs and it was therefore difficult to establish if this Mab recognised a unique epitope. All Mabs 296
were specific for the pandemic influenza A/ H1N1 2009 strain and did not cross-react with pre-2009 297
seasonal H1N1 strains. Unlike the Mabs used in this work, which proved to be specific for 298
A/California/06/09 in EIA and Western blots, the polyclonal serum from the test bleed mouse showed 299
cross-reactions with the HA1 of influenza A/Brisbane/59/07 and influenza A/Solomon Islands/03/06 300
and A/New Caledonia/2/99. This is not surprising since there is ~70% amino acid sequence homology 301
between the HA1 of A/California/06/09 and seasonal influenza A/ H1N1 (Ikonen et al., 2010). 302
303
There are only three amino acid changes in the haemagglutinin between A/California/07/09 and 304
A/England/195/09 (L49I, P91S and I323V) and this was sufficient to result in an eight fold difference in 305
HAI titres of 1F5 seen with the two recombinant viruses. Furthermore, in competitive EIA there was 306
greater inhibition of 1F5-HRP binding by ferret antiserum to A/California/06/09 compared to 307
A/England/195/09. Although the observed differences with the animal sera may be due to differing 308
responses to infection in individual ferrets, the combined HAI and competitive EIA data suggest that 309
the amino acid changes in the two haemagglutinins result in a significant change in the epitope 310
recognised by the 1F5 antibody. If there are significant changes in the IF5-epitope in other 2009/10 311
virus isolates, then Mab IF5 could prove useful for tracking antigenic drift in the pandemic influenza 312
A/H1N1 2009 virus strains. 313
In the competitive EIA, inhibition of 1F5-HRP binding to the biotinylated rHA1 of A/California/06/09 314
would only be expected if competing antibodies either compete directly for the epitope recognised by 315
Mab 1F5 or if the competing antibodies bind to other epitopes on the rHA1 that are close enough to 316
interfere sterically with 1F5-HRP binding. Since Mab 1F5 inhibits haemagglutination of turkey RBC by 317
NIBRG-121, it would follow that any antibodies that inhibit 1F5-HRP in the competitive EIA as a result 318
of steric interference will inhibit haemagglutination. Although this proved to be the case for most of the 319
ferret antisera and post vaccination sera tested (Figures 3a and 3b), the correlation between the HAI 320
titres and % inhibition observed in the competitive EIA was poor. This is not surprising, since HAI 321
measures a polyclonal antibody response directed towards a number of antigenic epitopes on the 322
haemagglutinin receptor binding site of the virus, whereas the competitive EIA only measures 323
antibodies in the competing serum that inhibit binding of a single epitope on haemagglutinin of the 324
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virus. Although 1F5 inhibits haemagglutination of NIBRG-121, it does so through binding to a single 325
epitope on the virus, albeit represented multiple times on the virion. Ferret antisera and immune 326
human sera effect haemagglutination by binding to multiple epitopes, represented multiple times on 327
the virion. 328
An alternative explanation for the poor correlation between HAI and the competitive EIA may be that 329
antibodies which do not inhibit HAI may nevertheless bind to distal sites on the biotinylated rHA1 and 330
cause conformational changes. These conformational changes may have two opposing effects in the 331
competitive EIA. It may improve presentation of the 1F5 epitope, augmenting the signal obtained in 332
the competitive EIA as a result of increased binding of 1F5-HRP, as was observed with some of the 333
sera tested (data not shown). Conversely, an induced conformational change may have an adverse 334
affect on the 1F5 epitope structure, inhibiting binding of 1F5-HRP to the biotinylated rHA1. 335
Our data on a limited number of subjects investigated in this work indicates that vaccination with 336
Celtura ® vaccine induces an immune response to the haemagglutinin and specifically to an epitope 337
shared by 1F5 antibody or to epitopes close to this site. It would be of interest to determine whether 338
individuals infected with the pandemic influenza A/ H1N1 2009 virus also mount a significant antibody 339
response to the 1F5-epitope or epitopes close to this site. If further studies show this to be the case 340
then the competitive EIA described here could provide a potentially useful and specific sero-341
epidemiological tool for studying exposure to infection with the pandemic virus as well as to determine 342
efficacy of vaccination. The competitive EIA has the added benefit that it is simple, safe and not as 343
work-intensive as the haemagglutination inhibition and microneutralisation assays. 344
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ACKNOWLEDGEMENTS 345
The authors would like to thank Dr Joanna Ellis and Dr Monica Galliano for providing information on 346
amino acid sequence data for the HA1 of 2009 pandemic and seasonal influenza A/ H1N1 viruses. 347
The authors would also like to acknowledge Surita Gangar, Janice Baldevarona and Aram Afsar for 348
technical assistance with haemagglutination inhibition and culture of MDCK cells. 349
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350
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two children - Southern California, March-April 2009. MMWR Morb Mortal Wkly Rep 58: 400-2. 353
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Ellis JS, Zambon MC. 1997. Molecular analysis of an outbreak of influenza in the United Kingdom. 356
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Deyde V, Okomo-Adhiambo M, Gubareva L, Barnes J, Smith CB, Emery SL, Hillman MJ, Rivailler P, 359
Smagala J, de Graaf M, Burke DF, Fouchier RA, Pappas C, Alpuche-Aranda CM, López-Gatell H, 360
Olivera H, López I, Myers CA, Faix D, Blair PJ, Yu C, Keene KM, Dotson PD Jr, Boxrud D, Sambol 361
AR, Abid SH, St George K, Bannerman T, Moore AL, Stringer DJ, Blevins P, Demmler-Harrison GJ, 362
Ginsberg M, Kriner P, Waterman S, Smole S, Guevara HF, Belongia EA, Clark PA, Beatrice ST, 363
Donis R, Katz J, Finelli L, Bridges CB, Shaw M, Jernigan DB, Uyeki TM, Smith DJ, Klimov AI, Cox NJ. 364
2009. Antigenic and genetic characteristics of swine-origin 2009 A(H1N1) influenza viruses circulating 365
in humans. Science. 325: 197-201 366
Hancock K, Veguilla V, Lu X, Zhong W, Butler EN, Sun H, Liu F, Dong L, DeVos JR, Gargiullo PM, 367
Brammer TL, Cox NJ, Tumpey TM, Katz JM. 2009. Cross-reactive antibody responses to the 2009 368
pandemic H1N1 influenza virus. N Engl J Med. 361: 1945-52. 369
Ikonen N, Strengell M, Kinnunen L, Österlund P, Pirhonen J, Broman M, Davidkin I, Ziegler T, 370
Julkunen I. 2010. High frequency of cross-reacting antibodies against 2009 pandemic influenza 371
A(H1N1) virus among the elderly in Finland. Euro Surveill.15: pii: 19478. Available online: 372
http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19478 373
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Towbin H, Staehelin T, Gordon J. 1979. Electrophoretic transfer of proteins from polyacrylamide gels 402
to nitrocellulose sheets: procedure and some applications. Proc Natl Acad Sci USA 76: 4350- 4. 403
Yewdell JW. 2010. Monoclonal antibodies specific for discontinuous epitopes direct refolding of 404
influenza A virus hemagglutinin. Mol Immunol 47: 1132- 6. 405
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LEGENDS 406
Table I. Characterisation of monoclonal antibodies to the Haemagglutinin HA1 subunit of the 407
pandemic influenza A/ H1N1 2009 virus. 408
Isotyping of Mabs and their reactivity in EIA, Cell-ELISA, haemagglutination inhibition (HAI) 409
and Western blots are shown in the table. NIBRG-121 and NIBRG-122, are recombinant 410
viruses derived from influenza A/California/07/09 and A/England/195/09 strains, respectively. 411
Intensity of staining of MDCK cells infected with NIBRG-121 virus using insoluble substrates, 412
NBT-BCIP (for alkaline phosphatase conjugate) and True-Blue (for HRP conjugate), by 413
each Mab supernatant was scored as strong (+++), moderate (+), weak, (+/-) or not detected 414
(-). Intensity of staining of whole rHA or rHA1 subunit, derived from influenza 415
A/California/06/09 H1N1 virus, in Western blot was scored as for immunostaining of MDCK 416
cells infected with NIBRG-121. 417
Figure 1. Western blot analysis of test bleed and monoclonal anti-HA1 antibodies. 418
Recombinant HA proteins derived from influenza strains were analysed using SDS-PAGE 419
under reducing conditions, transferred to nitrocellulose and immunostained with (A) serum 420
from test bleed and Mabs (B) 7H4 (C) 9A4 and (D) 9E12. Lanes 1 and 12: SeeBlue® Plus2 421
molecular weight standard, Lane 2 and 13: SeeBlue® molecular weight standard, Lane 3: 422
HA (A/New Caledonia/20/99 H1N1), Lane 4: HA (A/California/06/09 H1N1), Lane 5: HA1 423
(A/California/06/09 H1N1), Lane 6: HA (A/Solomon Islands/3/06 H1N1), Lane 7: HA 424
(A/Brisbane/59/07 H1N1), Lane 8: HA (A/Vietnam/1203/04 H5N1), Lane 9: HA1 425
(A/Vietnam/1203/04 H5N1), Lane 10: HA (B/Malaysia/2506/04), Lane 11: Blank. 426
427
Figure 2: MDCK cells infected with recombinant NIBRG-121 virus immunostained using 428
monoclonal antibody and anti-mouse alkaline phosphatase conjugate. Staining of infected 429
cells with (A) Mab 1F5 (B) Mab 9A4 (C) Mab 9E12 and (D) Mab 1G10 is shown. 430
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431
Figure 3a: Inhibition by ferret antisera of Mab 1F5-HRP binding in a competitive EIA. The 432
antisera to the influenza A strains are identified on the abscissa and the % inhibition of 1F5-433
HRP binding for each of these is shown on the ordinate. The numbers shown above the bars 434
in the graph are the corresponding HAI titres obtained for each antiserum with NIBRG-121. 435
436
Figure 3b: Inhibition by pre and post vaccination sera of Mab 1F5-HRP binding in a 437
competitive EIA. The HAI titres for each subject pre and post vaccination with Celtura ® 438
vaccine are shown above or at the base of the individual bars in the graph. 439
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Table I
Monoclonal Antibody Reactivity in EIA (OD 450/620nm) HAI titre Mab reactivity with MDCK cells
infected with NIBRG-121 virus in:
Reactivity in
Western blot
Clone
Designation
Isotype Conc.
µG/mL
Biotin-rHA1 subunit
A/California/06/09 Biotin-Whole rHA
A/California/06/09
Biotin rHA1 subunit
A/Solomon Is./03/06 Biotin rHA1
subunit
A/Brisbane/59/07
NIBRG
121
NIBRG
122
Cell-ELISA
HRP:TMB
OD 450/620nm
NBT-BCIP True-
Blue
Whole
rHA
Subunit
rHA1
1F5 IgG1 16.1 0.555 0.357 0.017 0.018 128 16 1.018 +++ +++ - -
1G10 IgG1 1.0 0.056 0.050 0.011 0.013 <8 <8 0.177 +/- + - -
7H4 IgG1 17.7 0.248 0.098 0.014 0.018 <8 <8 0.095 - - +++ +++
9A4 IgG1 15.2 1.138 0.569 0.013 0.016 <8 <8 0.718 +++ +++ +++ +/-
9E12 IgG1 26.0 0.597 0.108 0.009 0.011 <8 <8 0.170 +/- + - +
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